NREMT FINAL EXAM QUESTIONS AND
ANSWERS
which is true of a patient who relies on hypoxic drive to breathe?
A. respiratory rate is set according to level of O2 in body
B. primary gas affecting RR is CO2
C. central chemoreceptors are the primary influence on RR
D. peripheral chemoreceptors have become less sensitive to O2 - Correct Answers -A.
RR is set according to level of O2 in body
(central chemoreceptors become less sensitive to CO2; peripheral receptors become
primary stimulus for ventilations)
beta-2 medications benefit patients by:
A. eliminating chest pain
B. diminishing the need for O2
C. slowing RR and HR
D. dilating the small airways - Correct Answers -D. dilating the small airways
what would be a direct result of increasing a patient's preload?
A. increased cardiac output
B. decreased myocardial contraction
C. increased O2 delivery to lungs
D. decreased BP - Correct Answers -A. increased cardiac output
unresponsive 54 yo went to bed w chest pain. no prior medical history, no medications.
primary assessment reveals no life threats. when performing secondary assessment,
the EMT should:
A. contact patient's doctor
B. focus exam on chest
C. determine whether chest pain still exists
D. start by examining patient's head - Correct Answers -D. start by examining patient's
head.
(always perform head-to-toe if patient unresponsive)
you are transporting 18yo male injured in MVC with decreased LOC and injuries to
head, chest, and lower R leg. while conducting reassessment of patient's head/neck,
which action is most appropriate?
A. placing sterile dressing in R ear canal, which is oozing blood
B. carefully re-palpate patient's face and scalp
C. remove C-collar to reassess back of patient's neck
, D. maintain patient's airway w head-tilt, chin-lift maneuver - Correct Answers -B. re-
palpate patient's face and scalp
assessing a 9-month-old infant; child is extremely irritable, crying weakly, and resistant
to being touched by EMT; what is the infant's mental status?
A. obtunded
B. alert
C. verbal
D. lethargic - Correct Answers -B. alert
a WMD is any:
A. agent used to cause indiscriminate death and destruction
B. weapon used to create fear and panic among general population
C. agent intended to kill a specific segment of population
D. biological agent that kills animals and people but doesn't destroy property - Correct
Answers -A. age used to cause indiscriminate death and destruction
you encounter a highly agitated combat veteran yelling in restaurant. given public nature
and known history of PTSD, which statement indicates proper initial management?
A. let me see if I can establish rapport and calm him
B. we need to contact ALS for chemical restraints
C. this is more a police matter so we need to contact them
D. determine if he has a weapon before we attempt to physical restrain him - Correct
Answers -A. establish rapport and try to calm him
on the scene of a MCI, another EMT has become overwhelmed and emotionally
incapacitated. you should:
A. monitor EMT for improper care
B. remove EMT from scene
C. instruct EMT to go home
D. assess EMT for head injury - Correct Answers -B. remove EMT from scene
what information is critical to provide CHEMTREC after a tanker spill?
A. type of car involved
B. name of railroad carrier
C. UN identification number
D. location and train identification number - Correct Answers -C. UN identification
number
how can EMT best protect herself, as well as get the most appropriate resources to
scene of MCI involving a WMD?
A. estimation of # of fatalities and injuries
B. identification of specific agent or mechanism used
C. overall determination of number and types of injuries
D. turning over control of incident to Homeland Security - Correct Answers -B.
identification of specific agent or mechanisms used
ANSWERS
which is true of a patient who relies on hypoxic drive to breathe?
A. respiratory rate is set according to level of O2 in body
B. primary gas affecting RR is CO2
C. central chemoreceptors are the primary influence on RR
D. peripheral chemoreceptors have become less sensitive to O2 - Correct Answers -A.
RR is set according to level of O2 in body
(central chemoreceptors become less sensitive to CO2; peripheral receptors become
primary stimulus for ventilations)
beta-2 medications benefit patients by:
A. eliminating chest pain
B. diminishing the need for O2
C. slowing RR and HR
D. dilating the small airways - Correct Answers -D. dilating the small airways
what would be a direct result of increasing a patient's preload?
A. increased cardiac output
B. decreased myocardial contraction
C. increased O2 delivery to lungs
D. decreased BP - Correct Answers -A. increased cardiac output
unresponsive 54 yo went to bed w chest pain. no prior medical history, no medications.
primary assessment reveals no life threats. when performing secondary assessment,
the EMT should:
A. contact patient's doctor
B. focus exam on chest
C. determine whether chest pain still exists
D. start by examining patient's head - Correct Answers -D. start by examining patient's
head.
(always perform head-to-toe if patient unresponsive)
you are transporting 18yo male injured in MVC with decreased LOC and injuries to
head, chest, and lower R leg. while conducting reassessment of patient's head/neck,
which action is most appropriate?
A. placing sterile dressing in R ear canal, which is oozing blood
B. carefully re-palpate patient's face and scalp
C. remove C-collar to reassess back of patient's neck
, D. maintain patient's airway w head-tilt, chin-lift maneuver - Correct Answers -B. re-
palpate patient's face and scalp
assessing a 9-month-old infant; child is extremely irritable, crying weakly, and resistant
to being touched by EMT; what is the infant's mental status?
A. obtunded
B. alert
C. verbal
D. lethargic - Correct Answers -B. alert
a WMD is any:
A. agent used to cause indiscriminate death and destruction
B. weapon used to create fear and panic among general population
C. agent intended to kill a specific segment of population
D. biological agent that kills animals and people but doesn't destroy property - Correct
Answers -A. age used to cause indiscriminate death and destruction
you encounter a highly agitated combat veteran yelling in restaurant. given public nature
and known history of PTSD, which statement indicates proper initial management?
A. let me see if I can establish rapport and calm him
B. we need to contact ALS for chemical restraints
C. this is more a police matter so we need to contact them
D. determine if he has a weapon before we attempt to physical restrain him - Correct
Answers -A. establish rapport and try to calm him
on the scene of a MCI, another EMT has become overwhelmed and emotionally
incapacitated. you should:
A. monitor EMT for improper care
B. remove EMT from scene
C. instruct EMT to go home
D. assess EMT for head injury - Correct Answers -B. remove EMT from scene
what information is critical to provide CHEMTREC after a tanker spill?
A. type of car involved
B. name of railroad carrier
C. UN identification number
D. location and train identification number - Correct Answers -C. UN identification
number
how can EMT best protect herself, as well as get the most appropriate resources to
scene of MCI involving a WMD?
A. estimation of # of fatalities and injuries
B. identification of specific agent or mechanism used
C. overall determination of number and types of injuries
D. turning over control of incident to Homeland Security - Correct Answers -B.
identification of specific agent or mechanisms used
