NREMT EMT COGNITIVE FINAL EXAM
Questions and Answers
1.When assessing a conscious patient with an MOI that suggests spinal
injury, you should
ANS determine if the strength in all extremities is equal.
2.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
ANS allow him time to think about the question and respond to it.
3.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
ANS use the mobile radio in the ambulance to contact dispatch.
4.The MOST prominent symptom of decompression sickness is
ANS abdominal or joint pain.
5.A severe risk of terrorist attacks is indicated by the color by the
Department of Homeland Security Security Advisory System.
ANS red
,6.When enlisting the help of an interpreter who signs, it is important for you
to ask the interpreter to
ANS report exactly what the patient signs and not to add any
commentary.
7.Which of the following statements regarding striated muscle is correct?
ANS It forms the major muscle mass of the body and usually crosses at
least one joint.
8.A mother who is pregnant with her first baby is typically in the first stage
of labor for approximately
ANS 16 hours
9.You respond to the residence of a 70-year-old male who complains of
weak- ness and severe shortness of breath. His wife tells you that he is a
dialysis pa- tient, 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
ANS leave him in a sitting position, keep him warm, and prepare for
immediate transport.
,10.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 deterio- ration?
ANS compression of the aorta and vena cava
11.A 60-year-old male is found to be unresponsive, pulseless, and
apneic.You should
ANS begin CPR until an AED is available.
12.Equipment and supplies that are carried on an ambulance should
be stored
ANS according to the urgency and frequency of their use.
13.Upon arriving at the scene of a law enforcement tactical situation, you
should ensure your own safety and then
ANS report to the incident commander for instructions.
14.Which of the following statements regarding the scoop stretcher is
NOT correct?
ANS A scoop stretcher will provide adequate immobilization of a
patient's spinal column.
, 15.The exocrine gland of the pancreas secretes
ANS pancreatic juice
16.In order to evaluate hazards present at the scene and determine the
num- ber of patients, you should
ANS perform a 360° walk-around of the scene
17.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
ANS oxygen via a nonrebreathing mask, left lateral recumbent position,
and transport.
18.A patient who cannot remember the events that preceded his or her
head injury is experiencing
ANS retrograde amnesia
19.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
ANS carefully remove the contact lenses and then irrigate his eyes
with saline.
20.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
Questions and Answers
1.When assessing a conscious patient with an MOI that suggests spinal
injury, you should
ANS determine if the strength in all extremities is equal.
2.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
ANS allow him time to think about the question and respond to it.
3.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
ANS use the mobile radio in the ambulance to contact dispatch.
4.The MOST prominent symptom of decompression sickness is
ANS abdominal or joint pain.
5.A severe risk of terrorist attacks is indicated by the color by the
Department of Homeland Security Security Advisory System.
ANS red
,6.When enlisting the help of an interpreter who signs, it is important for you
to ask the interpreter to
ANS report exactly what the patient signs and not to add any
commentary.
7.Which of the following statements regarding striated muscle is correct?
ANS It forms the major muscle mass of the body and usually crosses at
least one joint.
8.A mother who is pregnant with her first baby is typically in the first stage
of labor for approximately
ANS 16 hours
9.You respond to the residence of a 70-year-old male who complains of
weak- ness and severe shortness of breath. His wife tells you that he is a
dialysis pa- tient, 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
ANS leave him in a sitting position, keep him warm, and prepare for
immediate transport.
,10.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 deterio- ration?
ANS compression of the aorta and vena cava
11.A 60-year-old male is found to be unresponsive, pulseless, and
apneic.You should
ANS begin CPR until an AED is available.
12.Equipment and supplies that are carried on an ambulance should
be stored
ANS according to the urgency and frequency of their use.
13.Upon arriving at the scene of a law enforcement tactical situation, you
should ensure your own safety and then
ANS report to the incident commander for instructions.
14.Which of the following statements regarding the scoop stretcher is
NOT correct?
ANS A scoop stretcher will provide adequate immobilization of a
patient's spinal column.
, 15.The exocrine gland of the pancreas secretes
ANS pancreatic juice
16.In order to evaluate hazards present at the scene and determine the
num- ber of patients, you should
ANS perform a 360° walk-around of the scene
17.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
ANS oxygen via a nonrebreathing mask, left lateral recumbent position,
and transport.
18.A patient who cannot remember the events that preceded his or her
head injury is experiencing
ANS retrograde amnesia
19.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
ANS carefully remove the contact lenses and then irrigate his eyes
with saline.
20.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
