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NREMT Practice Test Bank EXAM
This resource contains a structured practice test bank for the NREMT
(National Registry of Emergency Medical Technicians) examination,
featuring questions with CORRECT Answers and detailed Rationales.
It is designed to help EMT and paramedic candidates strengthen their
understanding of emergency medical care, including patient
assessment, airway management, trauma and medical emergencies,
cardiac care, pharmacology basics, EMS operations, and scene safety.
The explanations reinforce clinical decision-making, prioritization,
and application of NREMT protocols in prehospital settings. Aligned
with current NREMT standards, this material serves as an effective
tool for exam preparation, knowledge review, and emergency care
competency development.•
, 1. When dealing with an emotionally disturbed patient, you should
be MOST concerned with:
A. gathering all of the patient's medications.
B. safely transporting to the hospital.
C. whether the patient could harm you.
D. obtaining a complete medical history.
CORRECT ANSWER: C. Whether the patient could harm you.
RATIONALE: When managing any patient with an emotional or
psychiatric crisis, your primary concern is your own safety. Safely
transporting the patient to the hospital is your ultimate goal. If
possible, you should attempt to obtain a medical history and 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.
2. You are at the scene where a man panicked while swimming in
a small lake. Your initial attempt to rescue him should include:
A. rowing a small raft to the victim.
B. reaching for the victim with a long stick.
C. throwing a rope to the victim.
D. swimming to the victim to rescue him.
CORRECT ANSWER: B. Reaching for the victim with a long
stick.
RATIONALE: General rules to follow when attempting to rescue a
patient from the water include "reach, throw, row, and then go." In
this case, you should attempt to reach the victim by having him grab
hold of a large stick or similar object. If this is unsuccessful, throw the
victim a rope or flotation device (if available). If these are 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.
, 3. How should you classify a patient's nature of illness if he or she
has a low blood glucose level, bizarre behavior, and shallow
breathing?
A. Behavioral emergency
B. Altered mental status
C. Respiratory emergency
D. Cardiac compromise
CORRECT ANSWER: B. Altered mental status.
RATIONALE: The nature of illness (NOI) is the medical equivalent
to mechanism of injury (MOI). Altered mental status should be the
suspected NOI in any patient with any fluctuation in level of
consciousness, which can range from bizarre behavior to complete
unresponsiveness. Causes of an altered mental status include hypo- or
hyperglycemia, head trauma, stroke, behavioral crises, drug overdose,
and shock, among others.
4. A young female is unresponsive after overdosing on an
unknown type of drug. Her respirations are slow and shallow
and her pulse is slow and weak. Which of the following drugs is
the LEAST likely cause of her condition?
A. Seconal
B. Heroin
C. Cocaine
D. Valium
CORRECT ANSWER: C. Cocaine.
RATIONALE: Of the drugs listed, cocaine would be the least likely
cause of the patient's condition. Cocaine is a central nervous system
(CNS) stimulant; you would expect her to be hypertensive,
tachycardic, tachypneic, and perhaps even violent. Heroin, Valium,
and Seconal are all CNS depressants and could explain her condition.
Heroin is an illegal narcotic (opiate), Valium is a benzodiazepine
sedative-hypnotic 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.
5. Activated charcoal is contraindicated for a patient who is:
A. conscious and alert and has ingested a large amount of Motrin.
B. emotionally upset and has ingested two bottles of aspirin.
C. agitated and claims to have ingested a bottle of Tylenol.
D. awake and alert and has swallowed a commercial drain cleaner.
CORRECT ANSWER: D. Awake and alert and has swallowed a
commercial drain cleaner.
RATIONALE: Activated charcoal adsorbs (sticks to) many ingested
substances, preventing them from being absorbed into the body by the
stomach or intestines. In some cases, you may give activated charcoal
to patients who have ingested certain substances, if approved by
medical control or local protocol. Activated charcoal is
contraindicated for patients who have ingested an acid or alkali (ie,
drain cleaner) or a petroleum product (ie, gasoline), who have a
decreased level of consciousness and cannot protect their own airway,
or who are unable to swallow.
6. The MOST obvious way to reduce heat loss from radiation and
convection is to:
A. move away from a cold object.
B. increase metabolism by shivering.
C. wear a thick wind-proof jacket.
D. move to a warmer environment.
CORRECT ANSWER: D. Move to a warmer environment.
RATIONALE: In a cold environment, the body has two ways of
staying warm: generating heat (thermogenesis) and reducing heat loss.
Radiation is the transfer of heat by radiant energy. The body can lose
heat by radiation, such as when a person stands 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