5/1/26, 7:25 NREMT Practice Test Bank - Multiple Choice
AM
NREMT Practice Test Bank 2026 - Multiple Choice Over
500 Questions and Correct Answers With Rationale.
Hypoglycemia and acute ischemic stroke can present • A:both oxygen and glucose are needed for brain
function. similarly because:
Reason: Although stroke and hypoglycemia are two distinctly different
conditions,
• A:both oxygen and glucose are needed for brain function. their
signs and symptoms are often similar. This is because the brain requires both
•B:the majority of stroke patients have a history of oxygen and glucose to function normally. An acute ischemic stroke is
caused by a diabetes. lack of oxygen to a part of the brain due to a blocked cerebral artery,
whereas
•C:the most common cause of a stroke is hypoglycemia. hypoglycemia (low blood glucose level) deprives the entire brain of
glucose. In
•D:they are both caused by low levels of glucose in theeither case, the patient presents with signs of impaired brain function
(ie, slurred blood. speech, weakness, altered mental status). Both conditions may lead to
permanent
brain damage or death if not treated promptly.
When dealing with an emotionally disturbed patient, you You selected C; This is
correct! should be MOST concerned with:
• A:gathering all of the patient's medications. Reason: When managing
any patient with an emotional or psychiatric crisis, your
•B:safely transporting to the hospital. primary concern is your own safety. Safely transporting the patient to
the hospital is
•C:whether the patient could harm you. your ultimate goal. If possible, you should attempt to obtain a medical
history and
•D:obtaining a complete medical history. should take any of the patient's prescribed medications to the hospital.
However,
this should not supercede your own safety or interfere with safely
transporting the patient.
You are at the scene where a man panicked while You selected B; This is
correct! swimming in a small lake. Your initial attempt to rescue him
should include: Reason: General rules to follow when attempting to rescue a patient
from the water
• A:rowing a small raft to the victim. include "reach, throw, row, and
then go." In this case, you should attempt to reach
•B:reaching for the victim with a long stick. the victim by having him grab hold of a large stick or similar object. If
this is
•C:throwing a rope to the victim. unsuccessful, throw the victim a rope or flotation device (if available). If
these are
•D:swimming to the victim to rescue him. not available, row to the patient in a small raft (if available). Going into
the water to
retrieve the victim is a last resort. The rescuer must be a strong
swimmer because patients who are in danger of drowning are in a state
of blind panic and will make every attempt to keep themselves afloat,
even if it means forcing the rescuer underwater.
How should you classify a patient's nature of illness if he or The
correct answer is B; she has a low blood glucose level, bizarre behavior, and
shallow breathing? Reason: The nature of illness (NOI) is the medical equivalent to
mechanism of
• A:Behavioral emergency injury (MOI). Altered mental status should be
the suspected NOI in any patient with
•B:Altered mental status any fluctuation in level of consciousness, which can range from bizarre
behavior to
•C:Respiratory emergency complete unresponsiveness. Causes of an altered mental status include
hypo- or
•D:Cardiac compromise hyperglycemia, head trauma, stroke, behavioral crises, drug overdose,
and shock, among others.
A young female is unresponsive after overdosing on an The correct answer
is C; unknown type of drug. Her respirations are slow and
shallow and her pulse is slow and weak. Which of the Reason: Of the drugs listed, cocaine would be the least likely cause of
the patient's following drugs is the LEAST likely cause of her condition? condition. Cocaine is a central nervous system
(CNS) stimulant; you would expect
• A:Seconal her to be hypertensive, tachycardic, tachypneic, and
perhaps even violent. Heroin,
•B:Heroin Valium, and Seconal are all CNS depressants and could explain her
condition.
•C:Cocaine Heroin is an illegal narcotic (opiate), Valium is a benzodiazepine
https://quizlet.com/146033970/nremt-practice-test-bank-multiple-choice- 1/
flash-cards/ 115
,5/1/26, 7:25 NREMT Practice Test Bank - Multiple Choice
AM
sedative-hypnotic
•D:Valium drug, and Seconal is a barbiturate. Narcotics, benzodiazepines, and
barbiturates are all CNS depressants. When taken in excess, they
cause a decreased level of consciousness, respiratory depression,
bradycardia, and hypotension.
Activated charcoal is contraindicated for a patient who is: You selected D; This is correct!
• A:conscious and alert and has ingested a large amount of
Motrin. Reason:Activated charcoal adsorbs (sticks to) many ingested substances,
•B:emotionally upset and has ingested two bottles of preventing them from being absorbed into the body by the stomach or
intestines. In aspirin. some cases, you may give activated charcoal to patients who have
ingested certain
•C:agitated and claims to have ingested a bottle of substances, if approved by medical control or local protocol. Activated
charcoal is Tylenol. contraindicated for patients who have ingested an acid or alkali (ie,
drain cleaner) or
•D:awake and alert and has swallowed a commercial a petroleum product (ie, gasoline), who have a decreased level of
consciousness drain cleaner. and cannot protect their own airway, or who are unable to swallow.
The MOST obvious way to reduce heat loss from radiationyou selected D; This is
correct! and convection is to:
• A:move away from a cold object. Reason:In a cold environment, the
body has two ways of staying warm: generating
•B:increase metabolism by shivering. heat (thermogenesis) and reducing heat loss. Radiation is the transfer of
heat by
•C:wear a thick wind-proof jacket. radiant energy. The body can lose heat by radiation, such as when a
person stands
•D:move to a warmer environment. in a cold room. Convection occurs when heat is transferred to
circulating air, as
when cool air moves across the body's surface. A person standing in
windy cold weather, wearing lightweight clothing, is losing heat to the
environment mostly by convection. The quickest and most obvious way
to decrease heat loss from radiation and convection is to move out of
the cold environment and seek shelter from wind. Shivering increases
the body's metabolism and is a mechanism for generating heat, not
reducing heat loss. Layers of clothing trap air and provide excellent
insulation; thus, layered clothing decreases heat loss better than a
single, thick jacket. Conduction is the direct transfer of heat from a part
of the body to a colder object by direct contact, as when a warm hand
touches cold metal or ice. The most obvious way to decrease heat loss
by conduction is to remove your hand from the cold object.
A near-drowning is MOST accurately defined as: You selected C; This is correct!
• A:complications within 24 hours following submersion in
water. Reason:Collectively, drowning and near-drowning are referred to as
submersion
•B:immediate death due to prolonged submersion in injuries. Drowning is defined as death after submersion in a liquid
medium, usually water. water. In a drowning, death is either immediate or occurs within 24
hours following
•C:survival for at least 24 hours following submersion in submersion. Near-drowning is defined as survival, at least
temporarily (24 hours), water. after submersion. It should be noted, however, that complications
such as
•D:death greater than 24 hours following submersion in pneumonia and pulmonary edema can cause death greater than 24
hours following water. submersion. For this reason, all patients with a submersion injury should
be
transported to the hospital, even if they appear fine at the scene.
A young woman reports significant weight loss over the You selected B; This is
correct! last month, persistent fever, and night sweats. When you
assess her, you note the presence of dark purple lesions Reason:Weight loss, fever, and night sweats could indicate
tuberculosis or covering her trunk and upper extremities. You should HIV/AIDS; however, the dark purple lesions on the
skin, which are called Kaposi's suspect: sarcoma, are malignant skin tumors and are a classic finding in patients
in the later
• A:end-stage cancer.stages of AIDS.
•B:HIV/AIDS.
•C:tuberculosis.
•D:rheumatic fever.
A 48-year-old male became acutely hypoxic, experienced You selected C; This is
correct! a seizure, and is now postictal. The MOST effective way to
prevent another seizure is to: Reason:You should administer high-flow oxygen to all patients who are
actively
• A:dim the lights in the back of the ambulance. seizing and to
patients who experienced a seizure and are postictal. This is
•B:place him in the recovery position. especially true if the seizure was caused by hypoxia. Increasing the
oxygen content
•C:administer high-flow supplemental oxygen. of the blood, which minimizes hypoxia, may prevent another seizure. The
recovery
•D:give him oral glucose if he can swallow. position is appropriate for uninjured patients with a decreased level of
https://quizlet.com/146033970/nremt-practice-test-bank-multiple-choice- 2/
flash-cards/ 115
,5/1/26, 7:25 NREMT Practice Test Bank - Multiple Choice
AM
consciousness and adequate breathing; it will help maintain the airway
and facilitate drainage of secretions from the mouth, but will not prevent
another seizure. Oral glucose may prevent another seizure if
hypoglycemia was the cause of the seizure. You should dim the lights in
the back of the ambulance to help prevent any seizure, not just those
that are caused by hypoxia.
Which of the following conditions would be the LEAST You selected C; This is
correct! likely to be present in a patient who was submerged in
water? Reason: Many factors can contribute to or result from a submersion
injury (eg,
• A:Spinal injury drowning, near-drowning). It is not uncommon for a
person to experience a spinal
•B:Gastric distention injury after diving head first into shallow water, especially if he or she is
under the
•C:Hyperglycemia influence of alcohol. When a swimmer panics, he or she initially
swallows large
•D:Laryngospasm amounts of water, resulting in gastric distention. Gastric distention can
cause aspiration if the patient regurgitates water during rescue
breathing; protect the airway! During the panic phase, the victim
expends a tremendous amount of energy (and glucose) from flailing
around in the water, possibly resulting in hypoglycemia. Inhaling even a
small amount of fresh or salt water can severely irritate the larynx,
which sends the muscles of the larynx and vocal cords into spasm
(laryngospasm), resulting in airway blockage and hypoxia.
https://quizlet.com/146033970/nremt-practice-test-bank-multiple-choice- 3/
flash-cards/ 115
, 5/1/26, 7:25 NREMT Practice Test Bank - Multiple Choice
AM
A 42-year-old male presents with fever, a severe You selected C; This is
correct! headache, and a stiff neck. He is conscious, but confused.
His wife tells you that he does not have any medical Reason:Meningitis is an inflammation of the protective coverings of the
brain and problems and does not take any medications. You should spinal cord (meninges). Common signs and
symptoms of meningitis include fever, be MOST suspicious for: headache, neck stiffness (nuchal rigidity), and vomiting. An
altered mental status is
• A:acute stroke. common in severe cases. Meningococcal meningitis,
caused by a bacterium, is the
•B:influenza. most contagious and potentially fatal type of meningitis. The patient's
signs and
•C:meningitis. symptoms are not consistent with acute stroke, tuberculosis (TB), or
influenza (the
•D:tuberculosis. flu). Although fever is common with both TB and the flu, neither causes
neck
( stiffness. Acute stroke may be associated with a headache,
especially a hemorrhagic stroke; however, stroke patients
typically do not have a fever.
All of the following are signs of gastrointestinal bleeding, You selected D; This is correct!
EXCEPT: Reason:Signs and symptoms of gastrointestinal (GI) bleeding include
abdominal
• A:melena. pain; vomiting blood (hematemesis); the passage of dark,
tarry stools (melena); and
•B:hematemesis. bright red rectal bleeding (hematochezia). If blood loss is significant, the
patient may
•C:tachycardia. have signs of shock (eg, tachycardia, diaphoresis, tachypnea,
hypotension).
•D:hemoptysis. Hemoptysis (coughing up blood) is a sign of a pulmonary injury, not GI
bleeding.
A 24-year-old female presents with a rash to her left leg You selected C; This is correct!
and swollen, painful knee joints. She tells you that she and Reason:The patient's symptoms and her history of a recent
hiking trip are
her friends returned from a hiking trip in the mountains a consistent with Lyme disease, which was the result of a tick bite.
Ticks can carry week ago. She is conscious and alert with a blood two infectious diseases: Lyme disease and Rocky Mountain
spotted fever. Both are pressure of 112/62 mm Hg, a pulse of 84 beats/min, and spread through the tick's saliva, which is
injected into the skin when the tick respirations of 14 breaths/min. Her symptoms are MOST attaches itself. The first
symptom of Lyme disease, a rash that may spread to
likely the result of: several parts of the body, begins about 3 days after the bite of an
infected tick. The
• A:Rocky Mountain spotted fever. rash may eventually resemble a
target bull's-eye pattern in one third of patients.
•B:tetanus. After a few more days or weeks, painful swelling of the joints,
particularly the knees,
•C:Lyme disease. occurs. If recognized and treated promptly with antibiotics, many
patients recover
•D:a localized allergic reaction. completely. Rocky Mountain spotted fever, which is not limited to the
Rocky Mountains, occurs within 7 to 10 days after being bitten by an
infected tick. Its symptoms include nausea, vomiting, headache,
weakness, paralysis, and possibly cardiopulmonary failure.
A 50-year-old woman who is conscious and alert You selected B; This is correct!
complains of a severe migraine headache. When caring for Reason:Patients with migraine or cluster headaches
typically have photophobia her, you should generally avoid: (light sensitivity). Any type of bright light, especially if
shone directly into the eyes,
• A:transporting her in a supine position. will cause the patient with a
headache unnecessary severe pain. Dimming the lights
•B:shining a light into her pupils. in the ambulance and making the patient as comfortable as possible
are the
•C:dimming the lights in the ambulance. treatments of choice for a patient with a headache. Some patients
benefit from ice
•D:applying ice packs to her forehead. packs applied to the forehead; just be sure to wrap the ice pack with a
roller gauze.
Oxygen also should be administered as needed. Typically, the patient
will prefer to lie supine or on the side
A patient who overdosed on heroin would be expected to The correct
answer is C; present with:
• A:tachycardia. Reason:Heroin is a Schedule I (illegal) narcotic that
is typically injected. As with all
•B:hyperpnea. narcotics, legal or illegal, overdose causes depression of the central
nervous
https://quizlet.com/146033970/nremt-practice-test-bank-multiple-choice- 4/
flash-cards/ 115
AM
NREMT Practice Test Bank 2026 - Multiple Choice Over
500 Questions and Correct Answers With Rationale.
Hypoglycemia and acute ischemic stroke can present • A:both oxygen and glucose are needed for brain
function. similarly because:
Reason: Although stroke and hypoglycemia are two distinctly different
conditions,
• A:both oxygen and glucose are needed for brain function. their
signs and symptoms are often similar. This is because the brain requires both
•B:the majority of stroke patients have a history of oxygen and glucose to function normally. An acute ischemic stroke is
caused by a diabetes. lack of oxygen to a part of the brain due to a blocked cerebral artery,
whereas
•C:the most common cause of a stroke is hypoglycemia. hypoglycemia (low blood glucose level) deprives the entire brain of
glucose. In
•D:they are both caused by low levels of glucose in theeither case, the patient presents with signs of impaired brain function
(ie, slurred blood. speech, weakness, altered mental status). Both conditions may lead to
permanent
brain damage or death if not treated promptly.
When dealing with an emotionally disturbed patient, you You selected C; This is
correct! should be MOST concerned with:
• A:gathering all of the patient's medications. Reason: When managing
any patient with an emotional or psychiatric crisis, your
•B:safely transporting to the hospital. primary concern is your own safety. Safely transporting the patient to
the hospital is
•C:whether the patient could harm you. your ultimate goal. If possible, you should attempt to obtain a medical
history and
•D:obtaining a complete medical history. should take any of the patient's prescribed medications to the hospital.
However,
this should not supercede your own safety or interfere with safely
transporting the patient.
You are at the scene where a man panicked while You selected B; This is
correct! swimming in a small lake. Your initial attempt to rescue him
should include: Reason: General rules to follow when attempting to rescue a patient
from the water
• A:rowing a small raft to the victim. include "reach, throw, row, and
then go." In this case, you should attempt to reach
•B:reaching for the victim with a long stick. the victim by having him grab hold of a large stick or similar object. If
this is
•C:throwing a rope to the victim. unsuccessful, throw the victim a rope or flotation device (if available). If
these are
•D:swimming to the victim to rescue him. not available, row to the patient in a small raft (if available). Going into
the water to
retrieve the victim is a last resort. The rescuer must be a strong
swimmer because patients who are in danger of drowning are in a state
of blind panic and will make every attempt to keep themselves afloat,
even if it means forcing the rescuer underwater.
How should you classify a patient's nature of illness if he or The
correct answer is B; she has a low blood glucose level, bizarre behavior, and
shallow breathing? Reason: The nature of illness (NOI) is the medical equivalent to
mechanism of
• A:Behavioral emergency injury (MOI). Altered mental status should be
the suspected NOI in any patient with
•B:Altered mental status any fluctuation in level of consciousness, which can range from bizarre
behavior to
•C:Respiratory emergency complete unresponsiveness. Causes of an altered mental status include
hypo- or
•D:Cardiac compromise hyperglycemia, head trauma, stroke, behavioral crises, drug overdose,
and shock, among others.
A young female is unresponsive after overdosing on an The correct answer
is C; unknown type of drug. Her respirations are slow and
shallow and her pulse is slow and weak. Which of the Reason: Of the drugs listed, cocaine would be the least likely cause of
the patient's following drugs is the LEAST likely cause of her condition? condition. Cocaine is a central nervous system
(CNS) stimulant; you would expect
• A:Seconal her to be hypertensive, tachycardic, tachypneic, and
perhaps even violent. Heroin,
•B:Heroin Valium, and Seconal are all CNS depressants and could explain her
condition.
•C:Cocaine Heroin is an illegal narcotic (opiate), Valium is a benzodiazepine
https://quizlet.com/146033970/nremt-practice-test-bank-multiple-choice- 1/
flash-cards/ 115
,5/1/26, 7:25 NREMT Practice Test Bank - Multiple Choice
AM
sedative-hypnotic
•D:Valium drug, and Seconal is a barbiturate. Narcotics, benzodiazepines, and
barbiturates are all CNS depressants. When taken in excess, they
cause a decreased level of consciousness, respiratory depression,
bradycardia, and hypotension.
Activated charcoal is contraindicated for a patient who is: You selected D; This is correct!
• A:conscious and alert and has ingested a large amount of
Motrin. Reason:Activated charcoal adsorbs (sticks to) many ingested substances,
•B:emotionally upset and has ingested two bottles of preventing them from being absorbed into the body by the stomach or
intestines. In aspirin. some cases, you may give activated charcoal to patients who have
ingested certain
•C:agitated and claims to have ingested a bottle of substances, if approved by medical control or local protocol. Activated
charcoal is Tylenol. contraindicated for patients who have ingested an acid or alkali (ie,
drain cleaner) or
•D:awake and alert and has swallowed a commercial a petroleum product (ie, gasoline), who have a decreased level of
consciousness drain cleaner. and cannot protect their own airway, or who are unable to swallow.
The MOST obvious way to reduce heat loss from radiationyou selected D; This is
correct! and convection is to:
• A:move away from a cold object. Reason:In a cold environment, the
body has two ways of staying warm: generating
•B:increase metabolism by shivering. heat (thermogenesis) and reducing heat loss. Radiation is the transfer of
heat by
•C:wear a thick wind-proof jacket. radiant energy. The body can lose heat by radiation, such as when a
person stands
•D:move to a warmer environment. in a cold room. Convection occurs when heat is transferred to
circulating air, as
when cool air moves across the body's surface. A person standing in
windy cold weather, wearing lightweight clothing, is losing heat to the
environment mostly by convection. The quickest and most obvious way
to decrease heat loss from radiation and convection is to move out of
the cold environment and seek shelter from wind. Shivering increases
the body's metabolism and is a mechanism for generating heat, not
reducing heat loss. Layers of clothing trap air and provide excellent
insulation; thus, layered clothing decreases heat loss better than a
single, thick jacket. Conduction is the direct transfer of heat from a part
of the body to a colder object by direct contact, as when a warm hand
touches cold metal or ice. The most obvious way to decrease heat loss
by conduction is to remove your hand from the cold object.
A near-drowning is MOST accurately defined as: You selected C; This is correct!
• A:complications within 24 hours following submersion in
water. Reason:Collectively, drowning and near-drowning are referred to as
submersion
•B:immediate death due to prolonged submersion in injuries. Drowning is defined as death after submersion in a liquid
medium, usually water. water. In a drowning, death is either immediate or occurs within 24
hours following
•C:survival for at least 24 hours following submersion in submersion. Near-drowning is defined as survival, at least
temporarily (24 hours), water. after submersion. It should be noted, however, that complications
such as
•D:death greater than 24 hours following submersion in pneumonia and pulmonary edema can cause death greater than 24
hours following water. submersion. For this reason, all patients with a submersion injury should
be
transported to the hospital, even if they appear fine at the scene.
A young woman reports significant weight loss over the You selected B; This is
correct! last month, persistent fever, and night sweats. When you
assess her, you note the presence of dark purple lesions Reason:Weight loss, fever, and night sweats could indicate
tuberculosis or covering her trunk and upper extremities. You should HIV/AIDS; however, the dark purple lesions on the
skin, which are called Kaposi's suspect: sarcoma, are malignant skin tumors and are a classic finding in patients
in the later
• A:end-stage cancer.stages of AIDS.
•B:HIV/AIDS.
•C:tuberculosis.
•D:rheumatic fever.
A 48-year-old male became acutely hypoxic, experienced You selected C; This is
correct! a seizure, and is now postictal. The MOST effective way to
prevent another seizure is to: Reason:You should administer high-flow oxygen to all patients who are
actively
• A:dim the lights in the back of the ambulance. seizing and to
patients who experienced a seizure and are postictal. This is
•B:place him in the recovery position. especially true if the seizure was caused by hypoxia. Increasing the
oxygen content
•C:administer high-flow supplemental oxygen. of the blood, which minimizes hypoxia, may prevent another seizure. The
recovery
•D:give him oral glucose if he can swallow. position is appropriate for uninjured patients with a decreased level of
https://quizlet.com/146033970/nremt-practice-test-bank-multiple-choice- 2/
flash-cards/ 115
,5/1/26, 7:25 NREMT Practice Test Bank - Multiple Choice
AM
consciousness and adequate breathing; it will help maintain the airway
and facilitate drainage of secretions from the mouth, but will not prevent
another seizure. Oral glucose may prevent another seizure if
hypoglycemia was the cause of the seizure. You should dim the lights in
the back of the ambulance to help prevent any seizure, not just those
that are caused by hypoxia.
Which of the following conditions would be the LEAST You selected C; This is
correct! likely to be present in a patient who was submerged in
water? Reason: Many factors can contribute to or result from a submersion
injury (eg,
• A:Spinal injury drowning, near-drowning). It is not uncommon for a
person to experience a spinal
•B:Gastric distention injury after diving head first into shallow water, especially if he or she is
under the
•C:Hyperglycemia influence of alcohol. When a swimmer panics, he or she initially
swallows large
•D:Laryngospasm amounts of water, resulting in gastric distention. Gastric distention can
cause aspiration if the patient regurgitates water during rescue
breathing; protect the airway! During the panic phase, the victim
expends a tremendous amount of energy (and glucose) from flailing
around in the water, possibly resulting in hypoglycemia. Inhaling even a
small amount of fresh or salt water can severely irritate the larynx,
which sends the muscles of the larynx and vocal cords into spasm
(laryngospasm), resulting in airway blockage and hypoxia.
https://quizlet.com/146033970/nremt-practice-test-bank-multiple-choice- 3/
flash-cards/ 115
, 5/1/26, 7:25 NREMT Practice Test Bank - Multiple Choice
AM
A 42-year-old male presents with fever, a severe You selected C; This is
correct! headache, and a stiff neck. He is conscious, but confused.
His wife tells you that he does not have any medical Reason:Meningitis is an inflammation of the protective coverings of the
brain and problems and does not take any medications. You should spinal cord (meninges). Common signs and
symptoms of meningitis include fever, be MOST suspicious for: headache, neck stiffness (nuchal rigidity), and vomiting. An
altered mental status is
• A:acute stroke. common in severe cases. Meningococcal meningitis,
caused by a bacterium, is the
•B:influenza. most contagious and potentially fatal type of meningitis. The patient's
signs and
•C:meningitis. symptoms are not consistent with acute stroke, tuberculosis (TB), or
influenza (the
•D:tuberculosis. flu). Although fever is common with both TB and the flu, neither causes
neck
( stiffness. Acute stroke may be associated with a headache,
especially a hemorrhagic stroke; however, stroke patients
typically do not have a fever.
All of the following are signs of gastrointestinal bleeding, You selected D; This is correct!
EXCEPT: Reason:Signs and symptoms of gastrointestinal (GI) bleeding include
abdominal
• A:melena. pain; vomiting blood (hematemesis); the passage of dark,
tarry stools (melena); and
•B:hematemesis. bright red rectal bleeding (hematochezia). If blood loss is significant, the
patient may
•C:tachycardia. have signs of shock (eg, tachycardia, diaphoresis, tachypnea,
hypotension).
•D:hemoptysis. Hemoptysis (coughing up blood) is a sign of a pulmonary injury, not GI
bleeding.
A 24-year-old female presents with a rash to her left leg You selected C; This is correct!
and swollen, painful knee joints. She tells you that she and Reason:The patient's symptoms and her history of a recent
hiking trip are
her friends returned from a hiking trip in the mountains a consistent with Lyme disease, which was the result of a tick bite.
Ticks can carry week ago. She is conscious and alert with a blood two infectious diseases: Lyme disease and Rocky Mountain
spotted fever. Both are pressure of 112/62 mm Hg, a pulse of 84 beats/min, and spread through the tick's saliva, which is
injected into the skin when the tick respirations of 14 breaths/min. Her symptoms are MOST attaches itself. The first
symptom of Lyme disease, a rash that may spread to
likely the result of: several parts of the body, begins about 3 days after the bite of an
infected tick. The
• A:Rocky Mountain spotted fever. rash may eventually resemble a
target bull's-eye pattern in one third of patients.
•B:tetanus. After a few more days or weeks, painful swelling of the joints,
particularly the knees,
•C:Lyme disease. occurs. If recognized and treated promptly with antibiotics, many
patients recover
•D:a localized allergic reaction. completely. Rocky Mountain spotted fever, which is not limited to the
Rocky Mountains, occurs within 7 to 10 days after being bitten by an
infected tick. Its symptoms include nausea, vomiting, headache,
weakness, paralysis, and possibly cardiopulmonary failure.
A 50-year-old woman who is conscious and alert You selected B; This is correct!
complains of a severe migraine headache. When caring for Reason:Patients with migraine or cluster headaches
typically have photophobia her, you should generally avoid: (light sensitivity). Any type of bright light, especially if
shone directly into the eyes,
• A:transporting her in a supine position. will cause the patient with a
headache unnecessary severe pain. Dimming the lights
•B:shining a light into her pupils. in the ambulance and making the patient as comfortable as possible
are the
•C:dimming the lights in the ambulance. treatments of choice for a patient with a headache. Some patients
benefit from ice
•D:applying ice packs to her forehead. packs applied to the forehead; just be sure to wrap the ice pack with a
roller gauze.
Oxygen also should be administered as needed. Typically, the patient
will prefer to lie supine or on the side
A patient who overdosed on heroin would be expected to The correct
answer is C; present with:
• A:tachycardia. Reason:Heroin is a Schedule I (illegal) narcotic that
is typically injected. As with all
•B:hyperpnea. narcotics, legal or illegal, overdose causes depression of the central
nervous
https://quizlet.com/146033970/nremt-practice-test-bank-multiple-choice- 4/
flash-cards/ 115
