RWJ EMT Final / NREMT
You are dispatched to an office building for a 49-year-old male with chest pain. When
you arrive at the scene, you find the patient to be conscious and alert but in obvious
pain. He tells you that he did not call 911; a coworker did. He further states that he does
not want to be treated or transported to the hospital. You should:
A. Ensure that he is aware of the risks of refusing medical care.
B. Tell him that he is having a heart attack and needs medical care.
C. Err in the best interest of the patient and transport him at once.
D. Have him sign a refusal of care form and then return to service. - ANSWER...-A.
Ensure that he is aware of the risks of refusing medical care.
The diaphragm is unique because it:
A. Does not receive impulses from the brain.
B. Does not have striations like skeletal muscle.
C. Is both a voluntary and an involuntary muscle.
D. Is the exclusive muscle of breathing. - ANSWER...-C. Is both a voluntary and an
involuntary muscle.
You arrive at the scene of a motor vehicle-versus-pedestrian accident. The patient, a
13-year-old male, is unconscious and has multiple injuries. As you are treating the child,
a law enforcement officer advises you that the child's parents will be at the scene in
approximately 15 minutes. What should you do?
A. Withhold treatment until the parents arrive and give you consent for treatment.
B. Transport the child immediately and have the parents meet you at the hospital.
C. Begin transport at once and have the parents meet you en route to the hospital.
D. Treat the child at the scene and wait for the parents to arrive and give consent. -
ANSWER...-B. Transport the child immediately and have the parents meet you at the
hospital.
Why do middle adults commonly experience financial concerns?
,A. They are preparing for retirement but must still manage everyday financial demands.
B. The majority of middle adults still have small children who live at home with them.
C. Most people in the middle adult age group have chronic illnesses and cannot work.
D. They are typically receiving social security and must budget with a fixed income. -
ANSWER...-A. They are preparing for retirement but must still manage everyday
financial demands.
You are transporting an elderly woman who has possibly experienced a stroke. She is
obviously scared but is unable to talk and cannot move the entire right side of her body.
In addition to providing the medical care that she needs, you should:
A. Maintain eye contact at all times and tell her that there is no need for her to be
scared.
A. Reassure her that after proper treatment in the hospital, she will regain her speech in
time.
C. Tell her that you understand why she is scared and that everything will likely be okay.
D. Acknowledge that she is scared and tell her that you will take good care of her. -
ANSWER...-D. Acknowledge that she is scared and tell her that you will take good care
of her.
Health care teams that infrequently train and work together:
A. Need less-explicit verbal direction.
B. Often work better under pressure.
C. Can create delays in patient care.
D. Are unable to accomplish their tasks. - ANSWER...-C. Can create delays in patient
care.
Which of the following is a physical change that typically occurs in the adolescent age
group?
A. Muscle and bone growth both decrease.
B. Secondary sexual development begins.
C. The systolic blood pressure decreases.
D. The normal pulse rate steadily increases. - ANSWER...-B. Secondary sexual
development begins.
To minimize the risk of litigation, the EMT should:
A. Provide competent care that meets current standards.
B. Use universal precautions with every patient encounter.
C. Utilize at least four personnel when moving a patient.
D. Always transport patients to the hospital of their choice. - ANSWER...-A. Provide
competent care that meets current standards.
The areas of the spinal column, in descending order, are:
,A. cervical, thoracic, lumbar, sacral, and coccyx.
B. Cervical, lumbar, thoracic, sacral, and coccyx.
C. Cervical, thoracic, coccyx, lumbar, and sacral.
D. Cervical, thoracic, sacral, lumbar, and coccyx. - ANSWER...-A. cervical, thoracic,
lumbar, sacral, and coccyx.
The simplest, yet most effective method of preventing the spread of an infectious
disease is to:
A. Wash your hands in between patient contacts.
B. Undergo an annual physical examination.
C. Undergo annual testing for tuberculosis and hepatitis.
D. Ensure that your immunizations are up-to-date. - ANSWER...-A. Wash your hands in
between patient contacts.
Which type of consent is involved when a 39-year-old, mentally competent female with
a severe headache asks you to take her to the hospital?
A. Implied
B. Informed
C. Formal
D. Expressed - ANSWER...-D. Expressed
You are transporting a 40-year-old male with respiratory distress. The patient tells you
that he recently had a positive tuberculosis (TB. skin test and is currently being
evaluated for possible TB. You should:
A. Apply a nonrebreathing mask on the patient and a high-efficiency particulate air
(HEPA. respirator on yourself.
B. Apply a sterile surgical mask on yourself and a HEPA respirator on the patient.
C. Apply a nasal cannula on the patient and a sterile surgical mask on yourself.
D. Remain at least three feet away from the patient and apply a surgical mask on him. -
ANSWER...-A. Apply a nonrebreathing mask on the patient and a high-efficiency
particulate air (HEPA. respirator on yourself.
Breathing occurs as the result of a(n.):
A. Increase in oxygen, which decreases the pH of the cerebrospinal fluid.
B. Decrease in oxygen, which increases the pH of the cerebrospinal fluid.
C. Decrease in carbon dioxide, which increases the pH of the cerebrospinal fluid.
D. Increase in carbon dioxide, which decreases the pH of the cerebrospinal fluid. -
ANSWER...-D. Increase in carbon dioxide, which decreases the pH of the cerebrospinal
fluid.
The EMT certification exam is designed to:
, A. Ensure that EMTs are competent and have the same level of knowledge and skills.
B. Rank EMTs based on performance on the certification exam.
C. Identify those EMTs who are prepared for advanced levels of training.
D. Provide EMTs with the best possible wage once certification is achieved. -
ANSWER...-A. Ensure that EMTs are competent and have the same level of knowledge
and skills.
Why are prehospital emergency care guidelines updated on a regular basis?
A. EMS providers should be encouraged to actively participate in research and become
familiar with data analysis.
B. The federal government requires the implementation of changes to existing
emergency care protocols at least every five years.
C. Statistical data indicate that an increasing number of people are being diagnosed
with a particular illness.
D. Additional information and evidence indicate that the effectiveness of certain
interventions has changed. - ANSWER...-D. Additional information and evidence
indicate that the effectiveness of certain interventions has changed.
EMTs arrive at the scene of an ill person. The EMR, who arrived before the EMTs,
advises that the patient had a syncopal episode. The patient is conscious and alert and
remains so throughout transport. When transferring patient care to the emergency
department nurse, the EMT should advise the nurse that:
A. The EMR was probably mistaken about the episode.
B. She should contact the EMR about the incident.
C. The patient had a reported syncopal episode.
D. There is no evidence to support the syncopal episode. - ANSWER...-C. The patient
had a reported syncopal episode.
A 5-year-old boy has fallen and has a severe deformity of the forearm near the wrist. He
has possibly sustained a fracture of the ____________ forearm.
A. Distal
B. Proximal
C. Superior
D. Dorsal - ANSWER...-A. Distal
If an EMT candidate has been convicted of a felony or misdemeanor, he or she should:
A. Recognize that any such conviction will disqualify him or her from EMT licensure.
B. Contact the state EMS office and provide its staff with the required documentation.
C. Wait at least 24 months before taking another state-approved EMT class.
You are dispatched to an office building for a 49-year-old male with chest pain. When
you arrive at the scene, you find the patient to be conscious and alert but in obvious
pain. He tells you that he did not call 911; a coworker did. He further states that he does
not want to be treated or transported to the hospital. You should:
A. Ensure that he is aware of the risks of refusing medical care.
B. Tell him that he is having a heart attack and needs medical care.
C. Err in the best interest of the patient and transport him at once.
D. Have him sign a refusal of care form and then return to service. - ANSWER...-A.
Ensure that he is aware of the risks of refusing medical care.
The diaphragm is unique because it:
A. Does not receive impulses from the brain.
B. Does not have striations like skeletal muscle.
C. Is both a voluntary and an involuntary muscle.
D. Is the exclusive muscle of breathing. - ANSWER...-C. Is both a voluntary and an
involuntary muscle.
You arrive at the scene of a motor vehicle-versus-pedestrian accident. The patient, a
13-year-old male, is unconscious and has multiple injuries. As you are treating the child,
a law enforcement officer advises you that the child's parents will be at the scene in
approximately 15 minutes. What should you do?
A. Withhold treatment until the parents arrive and give you consent for treatment.
B. Transport the child immediately and have the parents meet you at the hospital.
C. Begin transport at once and have the parents meet you en route to the hospital.
D. Treat the child at the scene and wait for the parents to arrive and give consent. -
ANSWER...-B. Transport the child immediately and have the parents meet you at the
hospital.
Why do middle adults commonly experience financial concerns?
,A. They are preparing for retirement but must still manage everyday financial demands.
B. The majority of middle adults still have small children who live at home with them.
C. Most people in the middle adult age group have chronic illnesses and cannot work.
D. They are typically receiving social security and must budget with a fixed income. -
ANSWER...-A. They are preparing for retirement but must still manage everyday
financial demands.
You are transporting an elderly woman who has possibly experienced a stroke. She is
obviously scared but is unable to talk and cannot move the entire right side of her body.
In addition to providing the medical care that she needs, you should:
A. Maintain eye contact at all times and tell her that there is no need for her to be
scared.
A. Reassure her that after proper treatment in the hospital, she will regain her speech in
time.
C. Tell her that you understand why she is scared and that everything will likely be okay.
D. Acknowledge that she is scared and tell her that you will take good care of her. -
ANSWER...-D. Acknowledge that she is scared and tell her that you will take good care
of her.
Health care teams that infrequently train and work together:
A. Need less-explicit verbal direction.
B. Often work better under pressure.
C. Can create delays in patient care.
D. Are unable to accomplish their tasks. - ANSWER...-C. Can create delays in patient
care.
Which of the following is a physical change that typically occurs in the adolescent age
group?
A. Muscle and bone growth both decrease.
B. Secondary sexual development begins.
C. The systolic blood pressure decreases.
D. The normal pulse rate steadily increases. - ANSWER...-B. Secondary sexual
development begins.
To minimize the risk of litigation, the EMT should:
A. Provide competent care that meets current standards.
B. Use universal precautions with every patient encounter.
C. Utilize at least four personnel when moving a patient.
D. Always transport patients to the hospital of their choice. - ANSWER...-A. Provide
competent care that meets current standards.
The areas of the spinal column, in descending order, are:
,A. cervical, thoracic, lumbar, sacral, and coccyx.
B. Cervical, lumbar, thoracic, sacral, and coccyx.
C. Cervical, thoracic, coccyx, lumbar, and sacral.
D. Cervical, thoracic, sacral, lumbar, and coccyx. - ANSWER...-A. cervical, thoracic,
lumbar, sacral, and coccyx.
The simplest, yet most effective method of preventing the spread of an infectious
disease is to:
A. Wash your hands in between patient contacts.
B. Undergo an annual physical examination.
C. Undergo annual testing for tuberculosis and hepatitis.
D. Ensure that your immunizations are up-to-date. - ANSWER...-A. Wash your hands in
between patient contacts.
Which type of consent is involved when a 39-year-old, mentally competent female with
a severe headache asks you to take her to the hospital?
A. Implied
B. Informed
C. Formal
D. Expressed - ANSWER...-D. Expressed
You are transporting a 40-year-old male with respiratory distress. The patient tells you
that he recently had a positive tuberculosis (TB. skin test and is currently being
evaluated for possible TB. You should:
A. Apply a nonrebreathing mask on the patient and a high-efficiency particulate air
(HEPA. respirator on yourself.
B. Apply a sterile surgical mask on yourself and a HEPA respirator on the patient.
C. Apply a nasal cannula on the patient and a sterile surgical mask on yourself.
D. Remain at least three feet away from the patient and apply a surgical mask on him. -
ANSWER...-A. Apply a nonrebreathing mask on the patient and a high-efficiency
particulate air (HEPA. respirator on yourself.
Breathing occurs as the result of a(n.):
A. Increase in oxygen, which decreases the pH of the cerebrospinal fluid.
B. Decrease in oxygen, which increases the pH of the cerebrospinal fluid.
C. Decrease in carbon dioxide, which increases the pH of the cerebrospinal fluid.
D. Increase in carbon dioxide, which decreases the pH of the cerebrospinal fluid. -
ANSWER...-D. Increase in carbon dioxide, which decreases the pH of the cerebrospinal
fluid.
The EMT certification exam is designed to:
, A. Ensure that EMTs are competent and have the same level of knowledge and skills.
B. Rank EMTs based on performance on the certification exam.
C. Identify those EMTs who are prepared for advanced levels of training.
D. Provide EMTs with the best possible wage once certification is achieved. -
ANSWER...-A. Ensure that EMTs are competent and have the same level of knowledge
and skills.
Why are prehospital emergency care guidelines updated on a regular basis?
A. EMS providers should be encouraged to actively participate in research and become
familiar with data analysis.
B. The federal government requires the implementation of changes to existing
emergency care protocols at least every five years.
C. Statistical data indicate that an increasing number of people are being diagnosed
with a particular illness.
D. Additional information and evidence indicate that the effectiveness of certain
interventions has changed. - ANSWER...-D. Additional information and evidence
indicate that the effectiveness of certain interventions has changed.
EMTs arrive at the scene of an ill person. The EMR, who arrived before the EMTs,
advises that the patient had a syncopal episode. The patient is conscious and alert and
remains so throughout transport. When transferring patient care to the emergency
department nurse, the EMT should advise the nurse that:
A. The EMR was probably mistaken about the episode.
B. She should contact the EMR about the incident.
C. The patient had a reported syncopal episode.
D. There is no evidence to support the syncopal episode. - ANSWER...-C. The patient
had a reported syncopal episode.
A 5-year-old boy has fallen and has a severe deformity of the forearm near the wrist. He
has possibly sustained a fracture of the ____________ forearm.
A. Distal
B. Proximal
C. Superior
D. Dorsal - ANSWER...-A. Distal
If an EMT candidate has been convicted of a felony or misdemeanor, he or she should:
A. Recognize that any such conviction will disqualify him or her from EMT licensure.
B. Contact the state EMS office and provide its staff with the required documentation.
C. Wait at least 24 months before taking another state-approved EMT class.
