NREMT TEST BANK
NREMT PREDICTOR EXAM TEST BANK
COMPLETE VERIFIED QUESTIONS
AND CORRECT DETAILED ANSWERS
(VERIFIED RATIONALES) |ALREADY
GRADED A+
In which of the following circumstances would external bleeding be the LEAST difficult to
control?
A:Lacerated brachial artery; BP of 140/90 mm Hg
B:Lacerated femoral vein; BP of 70/40 mm Hg
C:Lacerated jugular vein; BP of 100/60 mm Hg
D:Lacerated carotid artery; BP of 90/50 mm Hg
B;
Reason:
A+ TEST BANK 1
, NREMT TEST BANK
It is generally less difficult to control external bleeding from a lacerated vein rather than an
artery. Unlike arteries, veins are under low pressure. Furthermore, the presence of a low blood
pressure (hypotension), which causes less pressure against the vascular wall, would make
external bleeding that much easier to control.
A high-school student was splashed in the eyes with a strong acid chemical during a lab
experiment. He is in severe pain and is unable to open his eyes. You should:
A:continuously flush his eyes with saline for at least 20 minutes.
B:flush both eyes with sterile water for no more than 5 minutes.
C:cover both of his eyes with sterile gauze and transport at once.
D:force his eyes open and assess for the presence of severe burns.
A; This is correct!
Reason:
Chemical burns to the eyes, usually caused by acid or alkaline solutions, require immediate
emergency care. This consists of flushing the eyes with water or a sterile saline irrigation
solution. Forcing the eyes open for the expressed purpose of assessing for burns is impractical
and wastes time. You may have to force the eyes open, however, in order to effectively irrigate.
If sterile water is not available, use any clean water. Irrigate the eyes for at least 5 minutes. If the
burn was caused by an alkali or strong acid, you should irrigate the eyes continuously for 20
minutes. If irrigation can be carried out effectively in the ambulance, it should be done during
transport to save time. Strong acids and alkaline solutions can penetrate deeply, requiring
prolonged irrigation. After you have completed irrigation, cover the eyes with clean, dry
dressings.
Correct:21
Incorrect:71
A 45-year-old male was stabbed in the left anterior chest. He is conscious, but restless. His skin is
cool and clammy, his blood pressure is 90/60 mm Hg, his respirations are rapid and shallow, and
his heart rate is 120 beats/min and weak. Further assessment reveals that his breath sounds are
clear and equal bilaterally and his jugular veins are distended. In addition to giving him high-flow
oxygen, you should:
A+ TEST BANK 2
, NREMT TEST BANK
A:suspect that the patient has a tension pneumothorax and notify the trauma center as soon as
possible.
B:control the bleeding from the stab wound with a sterile porous dressing and reassess his vital
signs.
C:perform a detailed physical exam at the scene to ensure that you locate and treat less obvious
injuries.
D:cover the stab wound with an occlusive dressing, support ventilation as needed, and transport
rapidly.
D;
Reason:
Your patient has signs of a pericardial tamponade, a condition usually caused by penetrating
chest trauma. In a pericardial tamponade, blood collects in the pericardial sac; this prevents the
heart from filling during the diastolic phase, causing a decrease in cardiac output and blood
pressure. Signs of a pericardial tamponade include muffled or distant heart tones (difficult to
assess in the field); a rapid, weak pulse; hypotension; jugular venous distention; and a narrowing
pulse pressure (difference between the systolic and diastolic blood pressures). A tension
pneumothorax is unlikely in this patient; his breath sounds are clear and equal bilaterally.
Treatment for a pericardial tamponade includes ensuring adequate oxygenation and ventilation,
covering the chest wound with an occlusive dressing (cover all open chest wounds with an
occlusive dressing), controlling any external bleeding, and transporting rapidly. Pericardial
tamponade is a life-threatening condition that requires definitive treatment at the hospital.
When caring for a trauma patient with signs of intraabdominal bleeding, it is MOST important for
the EMT to:
A:transport rapidly to an appropriate medical facility.
B:apply and inflate the pneumatic antishock garment.
C:perform an in-depth abdominal assessment.
D:auscultate bowel sounds for at least 2 minutes.
A; This is correct!
Reason:
Your priority for a trauma patient with signs of intraabdominal bleeding (eg, abdominal rigidity,
distention), or any internal bleeding for that matter, is to rapidly transport to an appropriate
A+ TEST BANK 3
, NREMT TEST BANK
medical facility, such as a trauma center. It does not matter where the source of the bleeding is;
it does matter that you cannot control the bleeding in the field. The patient requires surgery. An
in-depth abdominal assessment is not required to determine the presence of intraabdominal
bleeding, and auscultating bowel sounds is impractical and will provide you with little, if any,
additional information. The PASG is indicated only for use as a splint to stabilize pelvic or bilateral
femur fractures; it should not be applied to patients with abdominal, chest, or head trauma.
A 56-year-old man was the unrestrained driver of a small passenger car that rolled over twice
after he rounded a corner too fast. He is unresponsive; has rapid, shallow respirations; and has a
rapid, weak pulse. His left arm is completely amputated just below the elbow. As you and your
partner are treating the patient, other responders are trying to find the amputated arm. Which
of the following statements regarding this scenario is correct?
A:If the patient's arm has not been recovered by the time you are ready to transport, you should
transport without delay.
B:Your priority should be to recover the man's arm because a vascular surgeon may be able to
successfully reattach it.
C:You should transport the patient immediately, even if the other responders recover his arm
before you depart the scene.
D:Quickly move the patient to the ambulance, continue treatment, and wait for the other
responders to recover his arm.
You selected A; This is correct!
Reason:
Life takes priority over limb. The patient is in shock, which may be complicated by a head injury;
therefore, he requires rapid transport to a trauma center. Although efforts should be made to
recover an amputated body part, this must not delay transport of a critically injured patient. If
the arm has not been recovered by the time you are ready to transport, you must transport
without delay. If his arm is located after you depart the scene, it can be transported separately. If
his arm is recovered before you depart the scene, however, you should take it with you;
surgeons may be able to successfully reattach it. Care for the amputated part in accordance with
your local protocols.
Appropriate care for an amputated body part includes all of the following, EXCEPT:
A:laying the wrapped body part on a bed of ice.
B:placing it directly on ice to prevent tissue damage.
A+ TEST BANK 4
NREMT PREDICTOR EXAM TEST BANK
COMPLETE VERIFIED QUESTIONS
AND CORRECT DETAILED ANSWERS
(VERIFIED RATIONALES) |ALREADY
GRADED A+
In which of the following circumstances would external bleeding be the LEAST difficult to
control?
A:Lacerated brachial artery; BP of 140/90 mm Hg
B:Lacerated femoral vein; BP of 70/40 mm Hg
C:Lacerated jugular vein; BP of 100/60 mm Hg
D:Lacerated carotid artery; BP of 90/50 mm Hg
B;
Reason:
A+ TEST BANK 1
, NREMT TEST BANK
It is generally less difficult to control external bleeding from a lacerated vein rather than an
artery. Unlike arteries, veins are under low pressure. Furthermore, the presence of a low blood
pressure (hypotension), which causes less pressure against the vascular wall, would make
external bleeding that much easier to control.
A high-school student was splashed in the eyes with a strong acid chemical during a lab
experiment. He is in severe pain and is unable to open his eyes. You should:
A:continuously flush his eyes with saline for at least 20 minutes.
B:flush both eyes with sterile water for no more than 5 minutes.
C:cover both of his eyes with sterile gauze and transport at once.
D:force his eyes open and assess for the presence of severe burns.
A; This is correct!
Reason:
Chemical burns to the eyes, usually caused by acid or alkaline solutions, require immediate
emergency care. This consists of flushing the eyes with water or a sterile saline irrigation
solution. Forcing the eyes open for the expressed purpose of assessing for burns is impractical
and wastes time. You may have to force the eyes open, however, in order to effectively irrigate.
If sterile water is not available, use any clean water. Irrigate the eyes for at least 5 minutes. If the
burn was caused by an alkali or strong acid, you should irrigate the eyes continuously for 20
minutes. If irrigation can be carried out effectively in the ambulance, it should be done during
transport to save time. Strong acids and alkaline solutions can penetrate deeply, requiring
prolonged irrigation. After you have completed irrigation, cover the eyes with clean, dry
dressings.
Correct:21
Incorrect:71
A 45-year-old male was stabbed in the left anterior chest. He is conscious, but restless. His skin is
cool and clammy, his blood pressure is 90/60 mm Hg, his respirations are rapid and shallow, and
his heart rate is 120 beats/min and weak. Further assessment reveals that his breath sounds are
clear and equal bilaterally and his jugular veins are distended. In addition to giving him high-flow
oxygen, you should:
A+ TEST BANK 2
, NREMT TEST BANK
A:suspect that the patient has a tension pneumothorax and notify the trauma center as soon as
possible.
B:control the bleeding from the stab wound with a sterile porous dressing and reassess his vital
signs.
C:perform a detailed physical exam at the scene to ensure that you locate and treat less obvious
injuries.
D:cover the stab wound with an occlusive dressing, support ventilation as needed, and transport
rapidly.
D;
Reason:
Your patient has signs of a pericardial tamponade, a condition usually caused by penetrating
chest trauma. In a pericardial tamponade, blood collects in the pericardial sac; this prevents the
heart from filling during the diastolic phase, causing a decrease in cardiac output and blood
pressure. Signs of a pericardial tamponade include muffled or distant heart tones (difficult to
assess in the field); a rapid, weak pulse; hypotension; jugular venous distention; and a narrowing
pulse pressure (difference between the systolic and diastolic blood pressures). A tension
pneumothorax is unlikely in this patient; his breath sounds are clear and equal bilaterally.
Treatment for a pericardial tamponade includes ensuring adequate oxygenation and ventilation,
covering the chest wound with an occlusive dressing (cover all open chest wounds with an
occlusive dressing), controlling any external bleeding, and transporting rapidly. Pericardial
tamponade is a life-threatening condition that requires definitive treatment at the hospital.
When caring for a trauma patient with signs of intraabdominal bleeding, it is MOST important for
the EMT to:
A:transport rapidly to an appropriate medical facility.
B:apply and inflate the pneumatic antishock garment.
C:perform an in-depth abdominal assessment.
D:auscultate bowel sounds for at least 2 minutes.
A; This is correct!
Reason:
Your priority for a trauma patient with signs of intraabdominal bleeding (eg, abdominal rigidity,
distention), or any internal bleeding for that matter, is to rapidly transport to an appropriate
A+ TEST BANK 3
, NREMT TEST BANK
medical facility, such as a trauma center. It does not matter where the source of the bleeding is;
it does matter that you cannot control the bleeding in the field. The patient requires surgery. An
in-depth abdominal assessment is not required to determine the presence of intraabdominal
bleeding, and auscultating bowel sounds is impractical and will provide you with little, if any,
additional information. The PASG is indicated only for use as a splint to stabilize pelvic or bilateral
femur fractures; it should not be applied to patients with abdominal, chest, or head trauma.
A 56-year-old man was the unrestrained driver of a small passenger car that rolled over twice
after he rounded a corner too fast. He is unresponsive; has rapid, shallow respirations; and has a
rapid, weak pulse. His left arm is completely amputated just below the elbow. As you and your
partner are treating the patient, other responders are trying to find the amputated arm. Which
of the following statements regarding this scenario is correct?
A:If the patient's arm has not been recovered by the time you are ready to transport, you should
transport without delay.
B:Your priority should be to recover the man's arm because a vascular surgeon may be able to
successfully reattach it.
C:You should transport the patient immediately, even if the other responders recover his arm
before you depart the scene.
D:Quickly move the patient to the ambulance, continue treatment, and wait for the other
responders to recover his arm.
You selected A; This is correct!
Reason:
Life takes priority over limb. The patient is in shock, which may be complicated by a head injury;
therefore, he requires rapid transport to a trauma center. Although efforts should be made to
recover an amputated body part, this must not delay transport of a critically injured patient. If
the arm has not been recovered by the time you are ready to transport, you must transport
without delay. If his arm is located after you depart the scene, it can be transported separately. If
his arm is recovered before you depart the scene, however, you should take it with you;
surgeons may be able to successfully reattach it. Care for the amputated part in accordance with
your local protocols.
Appropriate care for an amputated body part includes all of the following, EXCEPT:
A:laying the wrapped body part on a bed of ice.
B:placing it directly on ice to prevent tissue damage.
A+ TEST BANK 4
