NREMT 2024 RECERT
A 45-year-old male patient with a history of chronic bronchitis is complaining for
chest pain and shortness of breath. He is breathign 24 times per minute, with
bilateral wheezing and greenish sputum production. He has a blood pressure fo
165/100 mmHg and a heart rate of 88 BPM. Which of teh followign intervention
should you provide?
Administer hihg-flow oxygen via non-rebreather mask
Administer low-flow oxygen via nasal cannula
Administer ventilations with a bag-valve-mask
Transport the patient while monitoring vitals - Answer- Administer low-flow oxygen
via nasal cannula
You are assessign an unconscious and intoxicated 28-year-old female patient with
signs of a head trauma when she suddently starts to vomit. When suctioning her
airway, you should do so for:
Less than 30 seconds at a time
Less than 15 seconds at a time
Less than 5 seconds at a time
As long as it takes to remove all the vomit - Answer- Less than 15 seconds at a time
Conditions that may mmimic the symptoms of a stroke include all fo the following
EXCEPT:
Hypoglycemia
Posticital state
Tension headache
subdural bleeding - Answer- Tension headache
A patient with a history of allergic reactions has just been stung by a bee. Which of
the following symptoms would be an indication of anaphylaxis rather than a mild
allergic reaction?
Swelling
Hypotension
Hives
Bradycardia - Answer- Hypotension
What are the typical features of a partial-thickness burn?
Red and dry skin
Dry and leathery skin
Dark skin and painlessness
Blisters and intense pain - Answer- Blisters and intense pain
Which of the following organs is (are) most susceptible to primary blast injuries?
, Heart
Lungs
Liver
Kidneys - Answer- Lungs
You arrive at the scene of a motorcycle accident and find an unconscious 21-year-
old male patinet with an angulated fracture on his left lower leg. The patient is
breathing 16 times per minutes, has a blood pressure of 130/90 mmHg, and a heart
rate of 100 BPM. What should you do in this situation?
Apply a cervical collar and immobilize the spine
Hyperventilation with a bag-valve-mask
Check teh distal pulse on the injured leg
Perform a rapid trauma assessment - Answer- Perform a rapid trauma assessment
An adult patient refuses assessment after a high-speed car accident. He is alert and
oriented, has a food skin tone, and shows no signs of trauma. He states that he did
not call an ambulance, and sees annoyed by your presence. What should you do?
Explain the potential risks of refusing care
Obtain a signed refusal form and leave the scene
Find out who called the ambulance and why
Request ALS and hand teh patient over to a paramedic - Answer- Explain the
potential risks of refusing care
Why does respiratory distress in children tend to progress faster than in adults?
Children have a proportionally lower oxygen demand
Children have a proportionally larger tidal volume
Children fatigue faster when compensating for hypoxia
Children rely less on their diaphragms for breathing - Answer- Children fatigue faster
when compensating for hypoxia
Hyperventilation leads to:
Hypoxia
Hyperoxia
Hypocapnia
Hypercapnia - Answer- Hypocapnia
You respond to a call for a 70-year-old female patinet complaining of sharp chest
pain that worsens with inspiration and coughing. She mentions that the pain radiates
to her shoulders. You auscultate raspy lung sounds in teh upper lung fields. She is
breathing 26 times per minute, and she has a blood pressure of 138/86 mmHg and a
pulse of 96 BPM. The patient has a history of COPD and hypertension. Which of the
following conditions is the most likely cause?
Cardiac tamponade
COPD exacerbation
A 45-year-old male patient with a history of chronic bronchitis is complaining for
chest pain and shortness of breath. He is breathign 24 times per minute, with
bilateral wheezing and greenish sputum production. He has a blood pressure fo
165/100 mmHg and a heart rate of 88 BPM. Which of teh followign intervention
should you provide?
Administer hihg-flow oxygen via non-rebreather mask
Administer low-flow oxygen via nasal cannula
Administer ventilations with a bag-valve-mask
Transport the patient while monitoring vitals - Answer- Administer low-flow oxygen
via nasal cannula
You are assessign an unconscious and intoxicated 28-year-old female patient with
signs of a head trauma when she suddently starts to vomit. When suctioning her
airway, you should do so for:
Less than 30 seconds at a time
Less than 15 seconds at a time
Less than 5 seconds at a time
As long as it takes to remove all the vomit - Answer- Less than 15 seconds at a time
Conditions that may mmimic the symptoms of a stroke include all fo the following
EXCEPT:
Hypoglycemia
Posticital state
Tension headache
subdural bleeding - Answer- Tension headache
A patient with a history of allergic reactions has just been stung by a bee. Which of
the following symptoms would be an indication of anaphylaxis rather than a mild
allergic reaction?
Swelling
Hypotension
Hives
Bradycardia - Answer- Hypotension
What are the typical features of a partial-thickness burn?
Red and dry skin
Dry and leathery skin
Dark skin and painlessness
Blisters and intense pain - Answer- Blisters and intense pain
Which of the following organs is (are) most susceptible to primary blast injuries?
, Heart
Lungs
Liver
Kidneys - Answer- Lungs
You arrive at the scene of a motorcycle accident and find an unconscious 21-year-
old male patinet with an angulated fracture on his left lower leg. The patient is
breathing 16 times per minutes, has a blood pressure of 130/90 mmHg, and a heart
rate of 100 BPM. What should you do in this situation?
Apply a cervical collar and immobilize the spine
Hyperventilation with a bag-valve-mask
Check teh distal pulse on the injured leg
Perform a rapid trauma assessment - Answer- Perform a rapid trauma assessment
An adult patient refuses assessment after a high-speed car accident. He is alert and
oriented, has a food skin tone, and shows no signs of trauma. He states that he did
not call an ambulance, and sees annoyed by your presence. What should you do?
Explain the potential risks of refusing care
Obtain a signed refusal form and leave the scene
Find out who called the ambulance and why
Request ALS and hand teh patient over to a paramedic - Answer- Explain the
potential risks of refusing care
Why does respiratory distress in children tend to progress faster than in adults?
Children have a proportionally lower oxygen demand
Children have a proportionally larger tidal volume
Children fatigue faster when compensating for hypoxia
Children rely less on their diaphragms for breathing - Answer- Children fatigue faster
when compensating for hypoxia
Hyperventilation leads to:
Hypoxia
Hyperoxia
Hypocapnia
Hypercapnia - Answer- Hypocapnia
You respond to a call for a 70-year-old female patinet complaining of sharp chest
pain that worsens with inspiration and coughing. She mentions that the pain radiates
to her shoulders. You auscultate raspy lung sounds in teh upper lung fields. She is
breathing 26 times per minute, and she has a blood pressure of 138/86 mmHg and a
pulse of 96 BPM. The patient has a history of COPD and hypertension. Which of the
following conditions is the most likely cause?
Cardiac tamponade
COPD exacerbation
