NREMT COGNITIVE EXAM PREP QUESTIONS WITH
COMPLETE SOLUTIONS
Where does the modern EMS system have its origin? - CORRECT ANSWER-The
modern EMS system has its origins in funeral homes, which often operated
ambulances. However, funeral home operators were often serving competing
business interests and patients received little trained care until the hospital.
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What is considered the "birth" of EMS? - CORRECT ANSWER-In 1966, a paper
titled "Accidental Death and Disability: The Neglected Disease of Modern Society"
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is published by the National Academy of Sciences. This paper is widely known in
the EMS profession as the White Paper. The White Paper is widely considered the
birth of modern EMS. It spotlighted inadequacies of prehospital care in the United
States, particularly related to trauma.
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Who developed the first EMT National Standard Curriculum? - CORRECT ANSWER-
Early in the 1970s, the US Department of Transportation developed the first EMT
National Standard Curriculum.
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What are the levels of EMS training? - CORRECT ANSWER-Emergency Medical
Responder (EMR): provides basic, immediate care including bleeding control, CPR,
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AED and emergency childbirth.
Emergency Medical Technician (EMT): includes all EMR skills, advanced oxygen
and ventilation skills, pulse oximetry, noninvasive blood pressure monitoring, and
administration of certain medications.
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Advanced Emergency Medical Technician (AEMT): includes all EMT skills,
advanced airway devices, intravenous and intraosseous access, blood glucose
monitoring, and administration of additional medications.
Paramedic: includes all preceding training levels, advanced assessment and
management skills, various invasive skills, and extensive pharmacology
interventions. This is the highest level of prehospital care outlined in the National
EMS Education Standards.
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What are EMT roles and responsibilities? - CORRECT ANSWER-Equipment
preparedness
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Emergency vehicle operations
Establish, maintain scene safety
Patient assessment and treatment
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Lifting and moving
Strong verbal and written communication skills
Patient advocacy
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Professional development
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Quality improvement
Illness and injury prevention
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Maintain certification/licensure
What is the role of the medical director? - CORRECT ANSWER-The medical
director is a physician responsible for providing medical oversight. The medical
director oversees quality improvement.
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What are the two types of medical direction? - CORRECT ANSWER-Online medical
direction: direct contact between the physician and EMT via or radio.
Offline medical direction: written guidelines and protocols.
What is an EMT's first priority? - CORRECT ANSWER-The EMT's first priority is
always his or her own safety. Scene safety is always the top priority!
The EMT's safety priorities after personal safety are for his/her partner(s),
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patients and bystanders.
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What are the types of stress? - CORRECT ANSWER-Acute stress: an immediate
physiological and psychological reaction to a specific event.
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Delayed stress: a stress reaction that develops after the stressful event. It does
not interfere with the EMT's ability to perform during the stressful event. PTSD is
an example of delayed stress.
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Cumulative stress: the result of exposure to stressful situations over a prolonged
period of time.
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What are the stages of grief? - CORRECT ANSWER-Denial
Anger
Bargaining
Depression
Acceptance
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How can you prevent the risk of infection? - CORRECT ANSWER-Immediately
report exposures to the designated infection control officer.
Handwashing is the single most important way to prevent the spread of infection.
Hand sanitizers can be effective, but soap and water is preferred when available.
What are the two types of PPE? - CORRECT ANSWER-Minimum PPE: gloves and
eye protection should be used during any patient contact situation.
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Expanded PPE: use disposable gown and mask for significant contact with any
body fluid--for example, during childbirth. Use a high-efficiency particulate air
(HEPA) mask o N-95 respirator for suspected airborne disease exposure, such as
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tuberculosis.
What are emergency moves? - CORRECT ANSWER-These are used when the scene
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is dangerous and the patient must be moved before providing patient care. Types
of emergency moves include the armpit-forearm drag, shirt drag, and blanket
drag.
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What is an urgent move? - CORRECT ANSWER-Used when the patient has
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potentially life-threatening injuries or illness and must be moved quickly for
evaluation and transport.
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Rapid extrication: an urgent move used for patients in a motor vehicle; it requires
multiple rescuers and a long backboard. The patient is rotated onto a backboard
with manual cervical spine precautions and removed from the vehicle.
What are non-urgent moves? - CORRECT ANSWER-Used when there are no
hazards and no life-threatening conditions are apparent.
Types of non-urgent moves include direct ground lift, extremity lift, direct carry
method, and draw sheet method.
NREMT Cognitive Exam Prep questions with complete solutions