NREMT TEST BANK
TEST BANK NREMT PREDICTOR EXAM
COMPLETE VERIFIED QUESTIONS
AND CORRECT DETAILED ANSWERS
(VERIFIED RATIONALES) |ALREADY
GRADED A+
A patient is unresponsive with snoring respirations. His arm is amputated just above the elbow
and is bleeding heavily. The EMT should:
A) open the patient's airway.
B) apply a proximal tourniquet.
C) administer high-flow oxygen.
D) ventilate with a bag-valve mask device. –
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Correct Answer :B) apply a proximal tourniquet.
Major hemorrhage kills patients faster than a compromised airway, so in this case, bleeding
control has the highest priority. The EMT should apply a proximal tourniquet and stop the
bleeding immediately. Attention can then turn to the patient's airway and breathing status. As
with any patient, treatment priorities must focus on injuries or conditions that will be the MOST
immediately fatal.
A man has a large laceration to his right calf after the chainsaw he was using slipped. The wound
extends down to the muscle and dark red blood is flowing heavily from the wound. The EMT
should:
A) apply a tourniquet proximal to the wound.
B) position the patient supine and elevate his leg 12 inches.
C) check distal circulation and then splint the entire extremity.
D) apply manual pressure to the wound with a sterile dressing. –
Correct Answer :D) apply manual pressure to the wound with a sterile dressing.
Immediate treatment for external hemorrhage involves applying direct pressure to the wound.
In many cases, this will be all that is required. However, if the wound continues to bleed despite
the use of direct pressure, a proximal tourniquet should be applied. The patient with
hemorrhage and shock should be positioned supine; do not elevate his or her legs. If direct
pressure alone controls the bleeding, it would not be unreasonable to splint the affected
extremity; doing so minimizes movement of the extremity and may further assist in bleeding
control by facilitating hemostasis.
When assessing distal circulation in a patient with a swollen deformed femur, you should:
A) palpate for a dorsalis pedis pulse.
B) assess the pulse behind the knee.
C) touch his foot with a blunt object.
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D) ask the patient to wiggle his toes. –
Correct Answer :A) palpate for a dorsalis pedis pulse.
Care for a musculoskeletal injury includes assessing distal circulatory, sensory, and motor
functions before and after applying a splint. In the case of a femur injury, the dorsalis pedis
(pedal) pulse, located on top of the foot, is the most distal pulse relative to the injury. If a pedal
pulse can be palpated, circulation distal to the injury is present. The popliteal pulse is located
behind the knee; it is proximal to the pedal pulse. Touching the patient's foot and asking him if
he can feel it and asking him to wiggle his toes are assessing sensory and motor functions,
respectively, not circulatory function.
A gang member was cut on the left side of the neck during a fight and is bleeding heavily from
the wound. His airway is patent and his breathing is adequate. You should immediately:
A) apply high-flow oxygen via a nonrebreathing mask at 15 L/min.
B) apply a tight pressure dressing and secure it in place with tape.
C) perform a head-to-toe assessment to find and treat other injuries.
D) cover the wound with an occlusive dressing and apply direct pressure. –
Correct Answer :D) cover the wound with an occlusive dressing and apply direct pressure.
Neck lacerations are extremely dangerous and can result in severe bleeding and shock, air
embolism, or both. If a jugular vein is lacerated, air can be sucked into the wound, enter the
circulatory system, and cause a pulmonary embolism. You should immediately apply an occlusive
dressing to the wound (prevents entrainment of air), place a bulky dressing over the occlusive
dressing, and apply direct pressure. Your patient has a patent airway and is breathing
adequately; although high-flow oxygen is important and should be given as soon as possible, it
does not take priority over control of life-threatening external hemorrhage. After treating all
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airway, breathing, and circulation problems, perform a head-to-toe assessment (if indicated) and
prepare for rapid transport.
A patient with a closed head injury opens his eyes in response to pain, is mumbling words that
you cannot understand, and pushes your hand away when you apply a painful stimulus. His
Glasgow Coma Scale (GCS) score is:
A) 6
B) 7
C) 8
D) 9 –
Correct Answer :D) 9
The Glasgow Coma Scale (GCS) is a valuable tool used when assessing patients with a neurologic
injury. It assesses three parameters: eye opening, verbal response, and motor response. The
minimum score on the GCS is 3 and the maximum score is 15. A patient who opens his or her
eyes in response to pain would receive a score of 2. Mumbling speech, moaning, or
incomprehensible words equate to a score of 2 for verbal response. Localization of a painful
stimulus, such as pushing your hand away from the source of pain, equates to a score of 5.
Therefore, the patient has a GCS score of 9. It is important to note that a patient's GCS score
should be reassessed frequently. Review the entire GCS in your EMT text and commit it to
memory.
During a soccer game, an 18-year-old woman injured her knee. Her knee is in a flexed position
and is obviously deformed. You should:
A) assess circulatory function distal to her injury.
B) straighten the knee to facilitate immobilization.
C) manually stabilize the leg above and below the knee.
D) immobilize the knee in the position in which it was found. –
Correct Answer :C) manually stabilize the leg above and below the knee.
A+ TEST BANK 4
TEST BANK NREMT PREDICTOR EXAM
COMPLETE VERIFIED QUESTIONS
AND CORRECT DETAILED ANSWERS
(VERIFIED RATIONALES) |ALREADY
GRADED A+
A patient is unresponsive with snoring respirations. His arm is amputated just above the elbow
and is bleeding heavily. The EMT should:
A) open the patient's airway.
B) apply a proximal tourniquet.
C) administer high-flow oxygen.
D) ventilate with a bag-valve mask device. –
A+ TEST BANK 1
, NREMT TEST BANK
Correct Answer :B) apply a proximal tourniquet.
Major hemorrhage kills patients faster than a compromised airway, so in this case, bleeding
control has the highest priority. The EMT should apply a proximal tourniquet and stop the
bleeding immediately. Attention can then turn to the patient's airway and breathing status. As
with any patient, treatment priorities must focus on injuries or conditions that will be the MOST
immediately fatal.
A man has a large laceration to his right calf after the chainsaw he was using slipped. The wound
extends down to the muscle and dark red blood is flowing heavily from the wound. The EMT
should:
A) apply a tourniquet proximal to the wound.
B) position the patient supine and elevate his leg 12 inches.
C) check distal circulation and then splint the entire extremity.
D) apply manual pressure to the wound with a sterile dressing. –
Correct Answer :D) apply manual pressure to the wound with a sterile dressing.
Immediate treatment for external hemorrhage involves applying direct pressure to the wound.
In many cases, this will be all that is required. However, if the wound continues to bleed despite
the use of direct pressure, a proximal tourniquet should be applied. The patient with
hemorrhage and shock should be positioned supine; do not elevate his or her legs. If direct
pressure alone controls the bleeding, it would not be unreasonable to splint the affected
extremity; doing so minimizes movement of the extremity and may further assist in bleeding
control by facilitating hemostasis.
When assessing distal circulation in a patient with a swollen deformed femur, you should:
A) palpate for a dorsalis pedis pulse.
B) assess the pulse behind the knee.
C) touch his foot with a blunt object.
A+ TEST BANK 2
, NREMT TEST BANK
D) ask the patient to wiggle his toes. –
Correct Answer :A) palpate for a dorsalis pedis pulse.
Care for a musculoskeletal injury includes assessing distal circulatory, sensory, and motor
functions before and after applying a splint. In the case of a femur injury, the dorsalis pedis
(pedal) pulse, located on top of the foot, is the most distal pulse relative to the injury. If a pedal
pulse can be palpated, circulation distal to the injury is present. The popliteal pulse is located
behind the knee; it is proximal to the pedal pulse. Touching the patient's foot and asking him if
he can feel it and asking him to wiggle his toes are assessing sensory and motor functions,
respectively, not circulatory function.
A gang member was cut on the left side of the neck during a fight and is bleeding heavily from
the wound. His airway is patent and his breathing is adequate. You should immediately:
A) apply high-flow oxygen via a nonrebreathing mask at 15 L/min.
B) apply a tight pressure dressing and secure it in place with tape.
C) perform a head-to-toe assessment to find and treat other injuries.
D) cover the wound with an occlusive dressing and apply direct pressure. –
Correct Answer :D) cover the wound with an occlusive dressing and apply direct pressure.
Neck lacerations are extremely dangerous and can result in severe bleeding and shock, air
embolism, or both. If a jugular vein is lacerated, air can be sucked into the wound, enter the
circulatory system, and cause a pulmonary embolism. You should immediately apply an occlusive
dressing to the wound (prevents entrainment of air), place a bulky dressing over the occlusive
dressing, and apply direct pressure. Your patient has a patent airway and is breathing
adequately; although high-flow oxygen is important and should be given as soon as possible, it
does not take priority over control of life-threatening external hemorrhage. After treating all
A+ TEST BANK 3
, NREMT TEST BANK
airway, breathing, and circulation problems, perform a head-to-toe assessment (if indicated) and
prepare for rapid transport.
A patient with a closed head injury opens his eyes in response to pain, is mumbling words that
you cannot understand, and pushes your hand away when you apply a painful stimulus. His
Glasgow Coma Scale (GCS) score is:
A) 6
B) 7
C) 8
D) 9 –
Correct Answer :D) 9
The Glasgow Coma Scale (GCS) is a valuable tool used when assessing patients with a neurologic
injury. It assesses three parameters: eye opening, verbal response, and motor response. The
minimum score on the GCS is 3 and the maximum score is 15. A patient who opens his or her
eyes in response to pain would receive a score of 2. Mumbling speech, moaning, or
incomprehensible words equate to a score of 2 for verbal response. Localization of a painful
stimulus, such as pushing your hand away from the source of pain, equates to a score of 5.
Therefore, the patient has a GCS score of 9. It is important to note that a patient's GCS score
should be reassessed frequently. Review the entire GCS in your EMT text and commit it to
memory.
During a soccer game, an 18-year-old woman injured her knee. Her knee is in a flexed position
and is obviously deformed. You should:
A) assess circulatory function distal to her injury.
B) straighten the knee to facilitate immobilization.
C) manually stabilize the leg above and below the knee.
D) immobilize the knee in the position in which it was found. –
Correct Answer :C) manually stabilize the leg above and below the knee.
A+ TEST BANK 4
