NREMT FINAL{MEDICAL,OBSTETRICS&GYNECOLOGY}
EXAM 2023-2024 ACTUAL EXAM 300+ REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A||EXCELLENT TOOL FOR STUDYING FOR NREMT AND
FINAL
A 26-year-old male complains of difficulty breathing. He tells you he is homeless, and he doesn't have
his medications with him. You auscultate slight wheezes in his lower lungs. His vital signs are P 92, R 18,
BP 144/88, and SpO2 is 94% on room air. You should:
A. question him about why he doesn't have his medication.
B. administer oxygen.
C. transport him for evaluation.
D. assist his ventilation. - ANSWER-B. administer oxygen.
A 70-year-old male complains of abdominal pain and vomited dark, brown material. He tells you that he
has been under a lot of stress since his wife became ill. His vital signs are P 96, R 16, BP 152/94, and
SpO2 is 96% on room air. You should suspect a(n):
A. ruptured esophageal varices caused by a bacterial infection.
B. gastric ulcer caused by stress.
C. cholecystitis caused by increased bile production.
D. abdominal aortic aneurysm caused by increased blood pressure. - ANSWER-B. gastric ulcer caused by
stress.
A 54-year-old male complains of abdominal pain. He tells you he has had generalized crampy pain and
diarrhea for three days. His abdomen is soft to palpation. His vital signs are P 90, R 16, BP 142/86, and
SpO2 is 96% on room air. You should suspect:
A. appendicitis.
B. peritonitis.
C. cholecystitis.
D. gastroenteritis. - ANSWER-D. gastroenteritis.
,An unresponsive 23-year-old male is lying in bed. His mother tells you that he has been getting sicker all
week and not taking his medication. He has a history of type 2 diabetes. His skin is warm and dry. His
vital signs are P 98, R 24 and deep, BP 112/84, and SpO2 is 98% on room air. You should suspect:
A. hypoglycemia.
B. hyperglycemia.
C. stroke.
D. increased intracerebral pressure. - ANSWER-B. hyperglycemia.
A 21-year-old female complains of severe nausea and vomiting. She tells you she is six weeks pregnant,
and she has been vomiting four times a day. Her conjunctivae are pale and dry. Her vital signs are P 110,
R 18, BP 104/86, and SpO2 is 93% on room air. Her blood glucose level is 72 mg/dL. You should
administer oxygen and:
A. give her small sips of water.
B. position her to relieve pressure on her inferior vena cava.
C. oral glucose.
D. treat for shock. - ANSWER-D. treat for shock.
An 84-year-old male tells you that he is hearing and seeing demons. He has a history of schizophrenia.
He denies any other complaints. His vital signs are P 64, R 12, BP 122/74, and SpO2 is 98% on room air.
You should:
A. tell him that you cannot see or hear them.
B. ask him to point to where the demons are.
C. tell him not to worry because you will protect him.
D. ask him if it is alright with the demons if you transport him to the hospital. - ANSWER-A. tell him that
you cannot see or hear them.
A febrile 80-year-old male complains of generalized weakness and foot pain. His left foot is swollen, red,
and pus is draining from the wound. He tells you he has MRSA in the wound. His vital signs are P 108, R
22, BP 88/62, and SpO2 is 94% on room air. You should:
A. administer aspirin.
B. administer oxygen.
C. apply a compression dressing on his foot.
, D. apply a warm compress to his foot. - ANSWER-B. administer oxygen.
An unresponsive 27-year-old female vomited after she ingested a bottle of aspirin. Her skin is
diaphoretic and hot. Her vital signs are P 114, R 24 and deep, BP 82/60, and SpO2 is 95% on room air.
Which of the following will provide the most accurate, up-to-date information on how to manage her
condition?
A. Contacting medical control
B. Referring to your written protocols
C. Contacting Poison Control
D. Referring to a pocket reference guide - ANSWER-C. Contacting Poison Control
A 67-year-old female complains of swelling in her legs and abdomen. She admits to a history of alcohol
abuse. You observe that her sclerae are jaundiced. Which organ should you suspect is not functioning
properly?
A. Kidney
B. Pancreas
C. Liver
D. Large intestine - ANSWER-C. Liver
A 10-month-old male is crying after he was stung by a bee. The skin around the site is reddened, and
there is localized swelling. His lungs are clear to auscultation, and he is interacting with you
appropriately. His vital signs are P 120, R 28, BP 90/58, and SpO2 is 98% on room air. You should:
A. administer oxygen.
B. assist his ventilation.
C. administer a pediatric epinephrine autoinjector.
D. monitor him and transport. - ANSWER-D. monitor him and transport.
A 34-year-old female has severe anxiety and tells you she is having a panic attack. She tells you she has
been depressed since her son was born two months ago. Her vital signs are P 88, R 18, BP 132/84, and
SpO2 is 99% on room air. You should:
A. tell her to relax, and she will be fine.
B. reassure her and transport.
EXAM 2023-2024 ACTUAL EXAM 300+ REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A||EXCELLENT TOOL FOR STUDYING FOR NREMT AND
FINAL
A 26-year-old male complains of difficulty breathing. He tells you he is homeless, and he doesn't have
his medications with him. You auscultate slight wheezes in his lower lungs. His vital signs are P 92, R 18,
BP 144/88, and SpO2 is 94% on room air. You should:
A. question him about why he doesn't have his medication.
B. administer oxygen.
C. transport him for evaluation.
D. assist his ventilation. - ANSWER-B. administer oxygen.
A 70-year-old male complains of abdominal pain and vomited dark, brown material. He tells you that he
has been under a lot of stress since his wife became ill. His vital signs are P 96, R 16, BP 152/94, and
SpO2 is 96% on room air. You should suspect a(n):
A. ruptured esophageal varices caused by a bacterial infection.
B. gastric ulcer caused by stress.
C. cholecystitis caused by increased bile production.
D. abdominal aortic aneurysm caused by increased blood pressure. - ANSWER-B. gastric ulcer caused by
stress.
A 54-year-old male complains of abdominal pain. He tells you he has had generalized crampy pain and
diarrhea for three days. His abdomen is soft to palpation. His vital signs are P 90, R 16, BP 142/86, and
SpO2 is 96% on room air. You should suspect:
A. appendicitis.
B. peritonitis.
C. cholecystitis.
D. gastroenteritis. - ANSWER-D. gastroenteritis.
,An unresponsive 23-year-old male is lying in bed. His mother tells you that he has been getting sicker all
week and not taking his medication. He has a history of type 2 diabetes. His skin is warm and dry. His
vital signs are P 98, R 24 and deep, BP 112/84, and SpO2 is 98% on room air. You should suspect:
A. hypoglycemia.
B. hyperglycemia.
C. stroke.
D. increased intracerebral pressure. - ANSWER-B. hyperglycemia.
A 21-year-old female complains of severe nausea and vomiting. She tells you she is six weeks pregnant,
and she has been vomiting four times a day. Her conjunctivae are pale and dry. Her vital signs are P 110,
R 18, BP 104/86, and SpO2 is 93% on room air. Her blood glucose level is 72 mg/dL. You should
administer oxygen and:
A. give her small sips of water.
B. position her to relieve pressure on her inferior vena cava.
C. oral glucose.
D. treat for shock. - ANSWER-D. treat for shock.
An 84-year-old male tells you that he is hearing and seeing demons. He has a history of schizophrenia.
He denies any other complaints. His vital signs are P 64, R 12, BP 122/74, and SpO2 is 98% on room air.
You should:
A. tell him that you cannot see or hear them.
B. ask him to point to where the demons are.
C. tell him not to worry because you will protect him.
D. ask him if it is alright with the demons if you transport him to the hospital. - ANSWER-A. tell him that
you cannot see or hear them.
A febrile 80-year-old male complains of generalized weakness and foot pain. His left foot is swollen, red,
and pus is draining from the wound. He tells you he has MRSA in the wound. His vital signs are P 108, R
22, BP 88/62, and SpO2 is 94% on room air. You should:
A. administer aspirin.
B. administer oxygen.
C. apply a compression dressing on his foot.
, D. apply a warm compress to his foot. - ANSWER-B. administer oxygen.
An unresponsive 27-year-old female vomited after she ingested a bottle of aspirin. Her skin is
diaphoretic and hot. Her vital signs are P 114, R 24 and deep, BP 82/60, and SpO2 is 95% on room air.
Which of the following will provide the most accurate, up-to-date information on how to manage her
condition?
A. Contacting medical control
B. Referring to your written protocols
C. Contacting Poison Control
D. Referring to a pocket reference guide - ANSWER-C. Contacting Poison Control
A 67-year-old female complains of swelling in her legs and abdomen. She admits to a history of alcohol
abuse. You observe that her sclerae are jaundiced. Which organ should you suspect is not functioning
properly?
A. Kidney
B. Pancreas
C. Liver
D. Large intestine - ANSWER-C. Liver
A 10-month-old male is crying after he was stung by a bee. The skin around the site is reddened, and
there is localized swelling. His lungs are clear to auscultation, and he is interacting with you
appropriately. His vital signs are P 120, R 28, BP 90/58, and SpO2 is 98% on room air. You should:
A. administer oxygen.
B. assist his ventilation.
C. administer a pediatric epinephrine autoinjector.
D. monitor him and transport. - ANSWER-D. monitor him and transport.
A 34-year-old female has severe anxiety and tells you she is having a panic attack. She tells you she has
been depressed since her son was born two months ago. Her vital signs are P 88, R 18, BP 132/84, and
SpO2 is 99% on room air. You should:
A. tell her to relax, and she will be fine.
B. reassure her and transport.
