NREMT EMT Cognitive Final Exam
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: - allow him time
to think about the question and respond to it.
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: -
oxygen via a nonrebreathing mask, left lateral recumbent position, and transport.
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: - leave him in a sitting position,
keep him warm, and prepare for immediate transport.
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: - use the mobile radio in the ambulance to contact dispatch.
The MOST prominent symptom of decompression sickness is: - abdominal or joint pain.
A severe risk of terrorist attacks is indicated by the color _____ by the Department of Homeland Security
Security Advisory System. - red
When enlisting the help of an interpreter who signs, it is important for you to ask the interpreter to: -
report exactly what the patient signs and not to add any commentary.
Which of the following statements regarding striated muscle is correct? - It 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: -
16 hours
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? - compression of the aorta and vena cava
When assessing a conscious patient with an MOI that suggests spinal injury, you should: -
determine if the strength in all extremities is equal.
A 60-year-old male is found to be unresponsive, pulseless, and apneic. You should: - begin CPR
until an AED is available.
Equipment and supplies that are carried on an ambulance should be stored: - according 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: - report to the incident commander for instructions.
Which of the following statements regarding the scoop stretcher is NOT correct? - A scoop
stretcher will provide adequate immobilization of a patient's spinal column.
The exocrine gland of the pancreas secretes: - pancreatic juice
In order to evaluate hazards present at the scene and determine the number of patients, you should: -
perform a 360° walk-around of the scene
A patient who cannot remember the events that preceded his or her head injury is experiencing: -
retrograde 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: - carefully 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: - remove her dentures, resume
ventilations, and assess for adequate chest rise.
Which of the following statements regarding anaphylaxis is correct? - Anaphylaxis is characterized
by airway swelling and hypotension.
The MOST reliable indicator of an underlying fracture is: - point tenderness
Which of the following conditions is more common in women than in men? - cystitis
Subcutaneous injections deliver the medication: - between the skin and the muscle.
Medications encased in a gelatin shell taken by mouth are called: - capsules
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. - 1%
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: - reassess 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: - weather conditions
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: - allow him time
to think about the question and respond to it.
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: -
oxygen via a nonrebreathing mask, left lateral recumbent position, and transport.
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: - leave him in a sitting position,
keep him warm, and prepare for immediate transport.
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: - use the mobile radio in the ambulance to contact dispatch.
The MOST prominent symptom of decompression sickness is: - abdominal or joint pain.
A severe risk of terrorist attacks is indicated by the color _____ by the Department of Homeland Security
Security Advisory System. - red
When enlisting the help of an interpreter who signs, it is important for you to ask the interpreter to: -
report exactly what the patient signs and not to add any commentary.
Which of the following statements regarding striated muscle is correct? - It 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: -
16 hours
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? - compression of the aorta and vena cava
When assessing a conscious patient with an MOI that suggests spinal injury, you should: -
determine if the strength in all extremities is equal.
A 60-year-old male is found to be unresponsive, pulseless, and apneic. You should: - begin CPR
until an AED is available.
Equipment and supplies that are carried on an ambulance should be stored: - according 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: - report to the incident commander for instructions.
Which of the following statements regarding the scoop stretcher is NOT correct? - A scoop
stretcher will provide adequate immobilization of a patient's spinal column.
The exocrine gland of the pancreas secretes: - pancreatic juice
In order to evaluate hazards present at the scene and determine the number of patients, you should: -
perform a 360° walk-around of the scene
A patient who cannot remember the events that preceded his or her head injury is experiencing: -
retrograde 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: - carefully 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: - remove her dentures, resume
ventilations, and assess for adequate chest rise.
Which of the following statements regarding anaphylaxis is correct? - Anaphylaxis is characterized
by airway swelling and hypotension.
The MOST reliable indicator of an underlying fracture is: - point tenderness
Which of the following conditions is more common in women than in men? - cystitis
Subcutaneous injections deliver the medication: - between the skin and the muscle.
Medications encased in a gelatin shell taken by mouth are called: - capsules
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. - 1%
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: - reassess 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: - weather conditions
