NREMT EMT Cognitive Final Exam
When assessing a conscious patient with an MOI that suggests spinal injury, you should: -
ANSdetermine if the strength in all extremities is equal.
During your assessment of a 20-year-old man with a severe headache and nausea, you ask him
when his headache began, but he does not answer your question immediately. You should: -
ANSallow him time to think about the question and respond to it.
While at the scene of a motor vehicle crash, you determine that there are two critically injured
patients and that another ambulance is needed. You attempt to contact the dispatcher with your
portable radio but are unsuccessful. You should: - ANSuse the mobile radio in the ambulance to
contact dispatch.
The MOST prominent symptom of decompression sickness is: - ANSabdominal or joint pain.
A severe risk of terrorist attacks is indicated by the color _____ by the Department of Homeland
Security Security Advisory System. - ANSred
When enlisting the help of an interpreter who signs, it is important for you to ask the interpreter
to: - ANSreport exactly what the patient signs and not to add any commentary.
Which of the following statements regarding striated muscle is correct? - ANSIt forms the major
muscle mass of the body and usually crosses at least one joint.
A mother who is pregnant with her first baby is typically in the first stage of labor for
approximately: - ANS16 hours
You respond to the residence of a 70-year-old male who complains of weakness and severe
shortness of breath. His wife tells you that he is a dialysis patient, but has missed his last two
treatments. After applying high-flow oxygen, you auscultate his lungs and hear diffuse rhonchi.
The patient is conscious, but appears confused. His blood pressure is 98/54 mm Hg, his pulse
rate is 120 beats/min and irregular, and his respirations are 24 breaths/min and labored. You
should: - ANSleave him in a sitting position, keep him warm, and prepare for immediate
transport.
You are transporting a stable patient with a possible pneumothorax. The patient is receiving
100% oxygen and has an oxygen saturation of 95%. During your reassessment, you find that
the patient is now confused, hypotensive, and profusely diaphoretic. What is MOST likely
causing this patient's deterioration? - ANScompression of the aorta and vena cava
,A 60-year-old male is found to be unresponsive, pulseless, and apneic. You should: - ANSbegin
CPR until an AED is available.
Equipment and supplies that are carried on an ambulance should be stored: - ANSaccording to
the urgency and frequency of their use.
Upon arriving at the scene of a law enforcement tactical situation, you should ensure your own
safety and then: - ANSreport to the incident commander for instructions.
Which of the following statements regarding the scoop stretcher is NOT correct? - ANSA scoop
stretcher will provide adequate immobilization of a patient's spinal column.
The exocrine gland of the pancreas secretes: - ANSpancreatic juice
In order to evaluate hazards present at the scene and determine the number of patients, you
should: - ANSperform a 360° walk-around of the scene
You are caring for a semiconscious man with left-sided paralysis. His airway is patent and his
respirations are 14 breaths/min with adequate tidal volume. Treatment for this patient should
include: - ANSoxygen via a nonrebreathing mask, left lateral recumbent position, and transport.
A patient who cannot remember the events that preceded his or her head injury is experiencing:
- ANSretrograde amnesia
A 50-year-old male was splashed in the eyes with radiator fluid when he was working on his car.
During your assessment, he tells you that he wears soft contact lenses. You should: -
ANScarefully remove the contact lenses and then irrigate his eyes with saline.
You are ventilating an apneic woman with a bag-mask device. She has dentures, which are
tight-fitting. Adequate chest rise is present with each ventilation, and the patient's oxygen
saturation reads 96%. When you reassess the patency of her airway, you note that her dentures
are now loose, although your ventilations are still producing adequate chest rise. You should: -
ANSremove her dentures, resume ventilations, and assess for adequate chest rise.
Which of the following statements regarding anaphylaxis is correct? - ANSAnaphylaxis is
characterized by airway swelling and hypotension.
The MOST reliable indicator of an underlying fracture is: - ANSpoint tenderness
Which of the following conditions is more common in women than in men? - ANScystitis
Subcutaneous injections deliver the medication: - ANSbetween the skin and the muscle.
Medications encased in a gelatin shell taken by mouth are called: - ANScapsules
, According to the rule of palm method for estimating the extent of a patient's burns, the palm of
the patient's hand is equal to _____ of his or her total BSA. - ANS1%
A 31-year-old female is experiencing an acute asthma attack. She is conscious and alert, but in
obvious respiratory distress. After assisting her with her prescribed MDI, you should: -
ANSreassess the patient and document her response to the medication.
In determining the potential for a terrorist attack, you should routinely observe all of the following
on every call, EXCEPT: - ANSweather conditions
Which of the following statements regarding gonorrhea is correct? - ANSPainful urination is a
common symptom of gonorrhea in men and women.
Accumulation of blood in the abdominal cavity will MOST likely cause: - ANSdistention
You are assessing a 30-year-old woman with multiple large bruises to her chest and abdomen
that she experienced during an assault. She is conscious but restless, and her skin is cool and
pale. You should be MOST concerned with: - ANSthe fact that her clinical signs could indicate
that she is bleeding internally.
Spina bifida is a developmental defect in which: - ANSa portion of the spinal cord or meninges
protrudes outside of the vertebrae. Correct
Calming and reassuring an anxious patient can be facilitated by: - ANSmaintaining eye contact
with the patient whenever possible.
Which of the following statements regarding glucose is correct? - ANSThe brain requires
glucose as much as it requires oxygen.
You are summoned to a convalescent center for an 88-year-old female with an altered mental
status. A staff nurse advises you that the patient has terminal cancer and her physician stated
that she would probably die within the next few hours; a valid do not resuscitate (DNR) order is
presented to you. When caring for this patient, you should: - ANSmake her comfortable and
provide emotional support.
You are assessing a 45-year-old female who is severely depressed. She states that it seems as
though her entire world is crashing down around her. She further states that she has had
frequent thoughts of suicide, but is not sure if she can actually go through with it. How should
you manage this situation? - ANSAsk the patient if she has developed a suicidal plan.
Which of the following statements regarding the rapid extrication technique is correct? -
ANSThe rapid extrication technique is indicated if the scene is unsafe and the patient is not
entrapped in his or her vehicle.
When assessing a conscious patient with an MOI that suggests spinal injury, you should: -
ANSdetermine if the strength in all extremities is equal.
During your assessment of a 20-year-old man with a severe headache and nausea, you ask him
when his headache began, but he does not answer your question immediately. You should: -
ANSallow him time to think about the question and respond to it.
While at the scene of a motor vehicle crash, you determine that there are two critically injured
patients and that another ambulance is needed. You attempt to contact the dispatcher with your
portable radio but are unsuccessful. You should: - ANSuse the mobile radio in the ambulance to
contact dispatch.
The MOST prominent symptom of decompression sickness is: - ANSabdominal or joint pain.
A severe risk of terrorist attacks is indicated by the color _____ by the Department of Homeland
Security Security Advisory System. - ANSred
When enlisting the help of an interpreter who signs, it is important for you to ask the interpreter
to: - ANSreport exactly what the patient signs and not to add any commentary.
Which of the following statements regarding striated muscle is correct? - ANSIt forms the major
muscle mass of the body and usually crosses at least one joint.
A mother who is pregnant with her first baby is typically in the first stage of labor for
approximately: - ANS16 hours
You respond to the residence of a 70-year-old male who complains of weakness and severe
shortness of breath. His wife tells you that he is a dialysis patient, but has missed his last two
treatments. After applying high-flow oxygen, you auscultate his lungs and hear diffuse rhonchi.
The patient is conscious, but appears confused. His blood pressure is 98/54 mm Hg, his pulse
rate is 120 beats/min and irregular, and his respirations are 24 breaths/min and labored. You
should: - ANSleave him in a sitting position, keep him warm, and prepare for immediate
transport.
You are transporting a stable patient with a possible pneumothorax. The patient is receiving
100% oxygen and has an oxygen saturation of 95%. During your reassessment, you find that
the patient is now confused, hypotensive, and profusely diaphoretic. What is MOST likely
causing this patient's deterioration? - ANScompression of the aorta and vena cava
,A 60-year-old male is found to be unresponsive, pulseless, and apneic. You should: - ANSbegin
CPR until an AED is available.
Equipment and supplies that are carried on an ambulance should be stored: - ANSaccording to
the urgency and frequency of their use.
Upon arriving at the scene of a law enforcement tactical situation, you should ensure your own
safety and then: - ANSreport to the incident commander for instructions.
Which of the following statements regarding the scoop stretcher is NOT correct? - ANSA scoop
stretcher will provide adequate immobilization of a patient's spinal column.
The exocrine gland of the pancreas secretes: - ANSpancreatic juice
In order to evaluate hazards present at the scene and determine the number of patients, you
should: - ANSperform a 360° walk-around of the scene
You are caring for a semiconscious man with left-sided paralysis. His airway is patent and his
respirations are 14 breaths/min with adequate tidal volume. Treatment for this patient should
include: - ANSoxygen via a nonrebreathing mask, left lateral recumbent position, and transport.
A patient who cannot remember the events that preceded his or her head injury is experiencing:
- ANSretrograde amnesia
A 50-year-old male was splashed in the eyes with radiator fluid when he was working on his car.
During your assessment, he tells you that he wears soft contact lenses. You should: -
ANScarefully remove the contact lenses and then irrigate his eyes with saline.
You are ventilating an apneic woman with a bag-mask device. She has dentures, which are
tight-fitting. Adequate chest rise is present with each ventilation, and the patient's oxygen
saturation reads 96%. When you reassess the patency of her airway, you note that her dentures
are now loose, although your ventilations are still producing adequate chest rise. You should: -
ANSremove her dentures, resume ventilations, and assess for adequate chest rise.
Which of the following statements regarding anaphylaxis is correct? - ANSAnaphylaxis is
characterized by airway swelling and hypotension.
The MOST reliable indicator of an underlying fracture is: - ANSpoint tenderness
Which of the following conditions is more common in women than in men? - ANScystitis
Subcutaneous injections deliver the medication: - ANSbetween the skin and the muscle.
Medications encased in a gelatin shell taken by mouth are called: - ANScapsules
, According to the rule of palm method for estimating the extent of a patient's burns, the palm of
the patient's hand is equal to _____ of his or her total BSA. - ANS1%
A 31-year-old female is experiencing an acute asthma attack. She is conscious and alert, but in
obvious respiratory distress. After assisting her with her prescribed MDI, you should: -
ANSreassess the patient and document her response to the medication.
In determining the potential for a terrorist attack, you should routinely observe all of the following
on every call, EXCEPT: - ANSweather conditions
Which of the following statements regarding gonorrhea is correct? - ANSPainful urination is a
common symptom of gonorrhea in men and women.
Accumulation of blood in the abdominal cavity will MOST likely cause: - ANSdistention
You are assessing a 30-year-old woman with multiple large bruises to her chest and abdomen
that she experienced during an assault. She is conscious but restless, and her skin is cool and
pale. You should be MOST concerned with: - ANSthe fact that her clinical signs could indicate
that she is bleeding internally.
Spina bifida is a developmental defect in which: - ANSa portion of the spinal cord or meninges
protrudes outside of the vertebrae. Correct
Calming and reassuring an anxious patient can be facilitated by: - ANSmaintaining eye contact
with the patient whenever possible.
Which of the following statements regarding glucose is correct? - ANSThe brain requires
glucose as much as it requires oxygen.
You are summoned to a convalescent center for an 88-year-old female with an altered mental
status. A staff nurse advises you that the patient has terminal cancer and her physician stated
that she would probably die within the next few hours; a valid do not resuscitate (DNR) order is
presented to you. When caring for this patient, you should: - ANSmake her comfortable and
provide emotional support.
You are assessing a 45-year-old female who is severely depressed. She states that it seems as
though her entire world is crashing down around her. She further states that she has had
frequent thoughts of suicide, but is not sure if she can actually go through with it. How should
you manage this situation? - ANSAsk the patient if she has developed a suicidal plan.
Which of the following statements regarding the rapid extrication technique is correct? -
ANSThe rapid extrication technique is indicated if the scene is unsafe and the patient is not
entrapped in his or her vehicle.
