NREMT Practice Tests
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1. A 52-year-old male had a synco- A. administer oxygen by nasal cannula
pal episode when he stood up.
He tells you that this has been He has signs of cardiogenic shock and mild hypoxia, so
happening as his doctor adjusts you should administer oxygen. Since he is only mildly
his hypertension medication. He hypoxic, you should use a nasal cannula. There is no
denies any complaint of pain or indication of a spinal injury that would justify immobiliz-
injury, since he fell back onto the ing him to a long backboard. You should not administer
couch when he passed out. His vi- liquids or sports drinks.
tal signs are P 72, R 16, BP 98/64,
and SpO2 is 93% on room air. You
should:
A. administer oxygen by nasal
cannula.
B. administer oxygen by non-re-
breather mask.
C. give him sips of a sports drink.
D. immobilize him to a long back-
board.
2. A 93-year-old female complains C. acute coronary syndrome.
of a sudden onset of sweating
and fatigue. She denies chest You should suspect acute coronary syndrome. Between
pain or difficulty breathing but 25 and 33 percent of all patients do not present with
tells you she feels like she is going chest pain. The age of this patent makes the chance of
to die. Her vital signs are P 78, R painless MI even greater. You should have a high index
16, BP 142/86, and SpO2 is 94% of suspicion when a patient has symptoms like dyspnea
on room air. You should suspect: or a sudden onset of fatigue or diaphoresis that indicate
cardiac compromise. The other answers may have similar
A. influenza. symptoms and onset, but you should err on the side of
B. gastroenteritis. caution.
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C. acute coronary syndrome.
D. sepsis.
3. A 3-year-old male was in cardiac A. switch to a nasal cannula
arrest. You successfully resusci-
tated him, but he remains un- Post-return of spontaneous circulation (ROSC), you
responsive. His vital signs are P should titrate oxygen administration to 94-99%. This will
124, R 22, BP 94/70, and SpO2 help to reduce the likelihood of a hyperoxide state that
is 100% on oxygen by non-re- can lead to the production of oxygen free radicals. Oxy-
breather mask. You should: gen free radicals can lead to further damage to injured
cells. His vital signs are all within normal values for a
A.switch to a nasal cannula. patient his age. The 2015 AHA Guidelines for resuscita-
B.begin to cool him. tion advise against cooling of pediatric patients who are
C.assist his ventilation. post-ROSC.
D.resume chest compressions.
4. An unresponsive 55-year-old C. ROSC.
male is apneic and pulseless.
While you are performing chest You should suspect ROSC. The acronym ROSC is an abbre-
compressions, you observe him viation for the return of spontaneous circulation. Levator
opening his eyes, blinking, and palpebrae superioris is the muscle that opens the upper
looking at you. You should sus- eyelid when it contracts. When it is relaxed the upper eye-
pect: lid is closed. Reflexive eye-opening can occur in comatose
Select one: patients when the arm is flexed.
A. reflexive eye-opening.
B. levator palpebrae superioris
relaxation.
C. ROSC.
D. death.
5. An unresponsive 94-year-old fe- B. ensure no one is touching her
male was found by her family on
the floor. She is apneic and pulse- Before you shock the patient, you need to ensure that no
, NREMT Practice Tests
Study online at https://quizlet.com/_hjeomu
less. Your partner is performing one is touching her. Immediately after the shock, com-
chest compressions. The AED has pressions should be resumed. You should ventilate her
analyzed her rhythm and advised after 30 compressions.
that you shock the patient. After
the AED has charged, you should
next:
A.ventilate her.
B.ensure no one is touching her.
C.resume chest compressions.
D.press the Shock button.
6. You are resuscitating an C. It helps improve blood flow to the heart.
84-year-old male who is in cardiac
arrest. Why is it important that Full chest recoil after compressions helps to improve
you allow his chest to fully recoil blood flow to the heart. Switching compressors after two
while performing chest compres- minutes helps to reduce rescuer fatigue. Full chest recoil
sions? does not affect exhalation or electrical impedance.
A.It helps decrease electrical im-
pedance across the chest.
B.It helps improve exhalation.
C.It helps improve blood flow to
the heart.
D.It helps decrease rescuer fa-
tigue.
7. While you are performing chest A. return of spontaneous circulation
compressions on an unrespon-
sive 58-year-old male, he begins A patient coughing during your resuscitation effort is an
to cough. You should suspect: indication of return of spontaneous circulation (ROSC).
Wheezing indicates bronchospasm. Atelectasis is the col-
A.return of spontaneous circula- lapse of the lower airways. You should suspect a patient
, NREMT Practice Tests
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tion. has gastric distention if the abdomen enlarges as you
B.atelectasis of the upper air- ventilate the patient.
ways.
C.bronchospasm.
D.gastric distention.
8. A 49-year-old male complains of B. acute myocardial infarction
left-sided chest pain. He tells you
it started an hour ago and it has His hypertension and history of smoking along with the
been constantly 4 of 10. He de- fact the pain has been constant for an hour suggests an
nies any past medical history. He acute coronary syndrome. Prinzmetal's angina involves
has a 38 pack-year smoking histo- spasm of the coronary arteries and normally occurs at
ry. You auscultate fine crackles in rest during the night. In emphysema, coarse crackles
his lower lungs. His vital signs are (rhonchi) are caused by mucus in larger bronchioles.
P 96, R 16, BP 154/96, and SpO2 While smoking increased the incidence of lung cancer,
is 96% on room air. You should it is unlikely that it would affect both lungs causing fine
suspect: crackles (rales).
A.emphysema.
B.acute myocardial infarction.
C.Prinzmetal's angina.
D.lung cancer.
9. An unresponsive 54-year-old fe- D. pulseless ventricular tachycardia
male is apneic and pulseless.
Your partner begins chest com- The AED recognizes two rhythms that it advises you should
pressions while you attach the shock, ventricular tachycardia and ventricular fibrillation.
AED and analyze the rhythm. The Based on the possible answers provided, and your as-
AED announces, "Shock advised." sessment that she does not have a pulse, the correct an-
You should suspect: swer is pulseless ventricular tachycardia. The AED cannot
determine if a patient has a pulse. This is one of the
A.pulseless electrical activity. reasons that you should not attach an AED to a patient
Study online at https://quizlet.com/_hjeomu
1. A 52-year-old male had a synco- A. administer oxygen by nasal cannula
pal episode when he stood up.
He tells you that this has been He has signs of cardiogenic shock and mild hypoxia, so
happening as his doctor adjusts you should administer oxygen. Since he is only mildly
his hypertension medication. He hypoxic, you should use a nasal cannula. There is no
denies any complaint of pain or indication of a spinal injury that would justify immobiliz-
injury, since he fell back onto the ing him to a long backboard. You should not administer
couch when he passed out. His vi- liquids or sports drinks.
tal signs are P 72, R 16, BP 98/64,
and SpO2 is 93% on room air. You
should:
A. administer oxygen by nasal
cannula.
B. administer oxygen by non-re-
breather mask.
C. give him sips of a sports drink.
D. immobilize him to a long back-
board.
2. A 93-year-old female complains C. acute coronary syndrome.
of a sudden onset of sweating
and fatigue. She denies chest You should suspect acute coronary syndrome. Between
pain or difficulty breathing but 25 and 33 percent of all patients do not present with
tells you she feels like she is going chest pain. The age of this patent makes the chance of
to die. Her vital signs are P 78, R painless MI even greater. You should have a high index
16, BP 142/86, and SpO2 is 94% of suspicion when a patient has symptoms like dyspnea
on room air. You should suspect: or a sudden onset of fatigue or diaphoresis that indicate
cardiac compromise. The other answers may have similar
A. influenza. symptoms and onset, but you should err on the side of
B. gastroenteritis. caution.
, NREMT Practice Tests
Study online at https://quizlet.com/_hjeomu
C. acute coronary syndrome.
D. sepsis.
3. A 3-year-old male was in cardiac A. switch to a nasal cannula
arrest. You successfully resusci-
tated him, but he remains un- Post-return of spontaneous circulation (ROSC), you
responsive. His vital signs are P should titrate oxygen administration to 94-99%. This will
124, R 22, BP 94/70, and SpO2 help to reduce the likelihood of a hyperoxide state that
is 100% on oxygen by non-re- can lead to the production of oxygen free radicals. Oxy-
breather mask. You should: gen free radicals can lead to further damage to injured
cells. His vital signs are all within normal values for a
A.switch to a nasal cannula. patient his age. The 2015 AHA Guidelines for resuscita-
B.begin to cool him. tion advise against cooling of pediatric patients who are
C.assist his ventilation. post-ROSC.
D.resume chest compressions.
4. An unresponsive 55-year-old C. ROSC.
male is apneic and pulseless.
While you are performing chest You should suspect ROSC. The acronym ROSC is an abbre-
compressions, you observe him viation for the return of spontaneous circulation. Levator
opening his eyes, blinking, and palpebrae superioris is the muscle that opens the upper
looking at you. You should sus- eyelid when it contracts. When it is relaxed the upper eye-
pect: lid is closed. Reflexive eye-opening can occur in comatose
Select one: patients when the arm is flexed.
A. reflexive eye-opening.
B. levator palpebrae superioris
relaxation.
C. ROSC.
D. death.
5. An unresponsive 94-year-old fe- B. ensure no one is touching her
male was found by her family on
the floor. She is apneic and pulse- Before you shock the patient, you need to ensure that no
, NREMT Practice Tests
Study online at https://quizlet.com/_hjeomu
less. Your partner is performing one is touching her. Immediately after the shock, com-
chest compressions. The AED has pressions should be resumed. You should ventilate her
analyzed her rhythm and advised after 30 compressions.
that you shock the patient. After
the AED has charged, you should
next:
A.ventilate her.
B.ensure no one is touching her.
C.resume chest compressions.
D.press the Shock button.
6. You are resuscitating an C. It helps improve blood flow to the heart.
84-year-old male who is in cardiac
arrest. Why is it important that Full chest recoil after compressions helps to improve
you allow his chest to fully recoil blood flow to the heart. Switching compressors after two
while performing chest compres- minutes helps to reduce rescuer fatigue. Full chest recoil
sions? does not affect exhalation or electrical impedance.
A.It helps decrease electrical im-
pedance across the chest.
B.It helps improve exhalation.
C.It helps improve blood flow to
the heart.
D.It helps decrease rescuer fa-
tigue.
7. While you are performing chest A. return of spontaneous circulation
compressions on an unrespon-
sive 58-year-old male, he begins A patient coughing during your resuscitation effort is an
to cough. You should suspect: indication of return of spontaneous circulation (ROSC).
Wheezing indicates bronchospasm. Atelectasis is the col-
A.return of spontaneous circula- lapse of the lower airways. You should suspect a patient
, NREMT Practice Tests
Study online at https://quizlet.com/_hjeomu
tion. has gastric distention if the abdomen enlarges as you
B.atelectasis of the upper air- ventilate the patient.
ways.
C.bronchospasm.
D.gastric distention.
8. A 49-year-old male complains of B. acute myocardial infarction
left-sided chest pain. He tells you
it started an hour ago and it has His hypertension and history of smoking along with the
been constantly 4 of 10. He de- fact the pain has been constant for an hour suggests an
nies any past medical history. He acute coronary syndrome. Prinzmetal's angina involves
has a 38 pack-year smoking histo- spasm of the coronary arteries and normally occurs at
ry. You auscultate fine crackles in rest during the night. In emphysema, coarse crackles
his lower lungs. His vital signs are (rhonchi) are caused by mucus in larger bronchioles.
P 96, R 16, BP 154/96, and SpO2 While smoking increased the incidence of lung cancer,
is 96% on room air. You should it is unlikely that it would affect both lungs causing fine
suspect: crackles (rales).
A.emphysema.
B.acute myocardial infarction.
C.Prinzmetal's angina.
D.lung cancer.
9. An unresponsive 54-year-old fe- D. pulseless ventricular tachycardia
male is apneic and pulseless.
Your partner begins chest com- The AED recognizes two rhythms that it advises you should
pressions while you attach the shock, ventricular tachycardia and ventricular fibrillation.
AED and analyze the rhythm. The Based on the possible answers provided, and your as-
AED announces, "Shock advised." sessment that she does not have a pulse, the correct an-
You should suspect: swer is pulseless ventricular tachycardia. The AED cannot
determine if a patient has a pulse. This is one of the
A.pulseless electrical activity. reasons that you should not attach an AED to a patient
