NREMT OPERATIONS UPDATED COMPREHENSIVE
EXAM QUESTIONS AND ANSWERS SURE A+
✔✔You are requested to respond to a machinery accident at a local repair shop. You
arrive to find a 47 year old male with his hand wrapped in an oily, blood drenched rag.
He does not speak English and another employee tells you the man does not want to be
treated as he is afraid of being deported. The man appears angry and upset. His hand
is obviously mangled, but his LOC seems normal given the circumstances. What is the
most appropriate action for you to take?
Tell the translator that the man's hand needs surgery. Convey to him that you are
obligated to help the man given the severity and potential life threatening nature of the
injury.
Contact law enforcement and inform them of the situation with the illegal alien. Move to
a safe distance from the scene until it is secure.
Do not treat the man as it will constitute battery. Get a signed transport refusal
statement from the man and exit the scene.
Tell the man through - ✔✔Tell the man through the translator that you are there to help
him only. He does not have to go anywhere. Serious complications can happen from an
injury like this and you are concerned about his hand.
Rationale: As with anyone you are dispatched to treat, you should make a reasonable
effort to treat them. This includes informing them about the problems and or
complications that can result from not having an injury or illness properly treated. If the
,person does not have an altered LOC and you have made efforts to effectively inform
him/her of potential problems that may occur as a result of refusing treatment, then you
must accept their decision.
✔✔Which of the following should not be included in the secondary assessment of a
patient?
Respiratory system
General approach
Endocrine system
All anatomical regions - ✔✔Endocrine system
Rationale: The secondary assessment of a patient should include all of the following
components:
-General approach,
-respiratory system,
-cardiovascular system,
-neurological system,
-musculoskeletal system, and
-all anatomical regions.
✔✔Acute stress reactions occur:
Before a stressful situation
During a stressful situation
After a stressful situation
After several stressful situations - ✔✔During a stressful situation
Rationale: Acute stress reactions occur during a stressful situation. Initially this stress
may cause the EMT to better focus on the task, but if this stress becomes too great it
may cause the EMT to lose the ability to function as he/she should.
✔✔You and your partner have just arrived at a retirement community for a slip and fall.
An 80 year old woman was getting out of the shower when she fell and hit her head
against the faucet. She has an actively bleeding gash on her head and she will not let
anyone near her. She is cussing and telling you and your partner to "leave now or I will
sue you!" The nurse who called 911 says that this is very unusual behavior for this
woman. What would be the best course of action?
Explain to the woman that her head injury could be potentially life threatening. If she
again refuses treatment, you must leave according to the law
Tell the woman that you are going to take her to the zoo, but she needs to calm down
Request law enforcement assistance in packaging and transporting the patient
Have the nurse sign a transport refusal form - ✔✔Request law enforcement assistance
in packaging and transporting the patient
, Rationale: If you believe that this woman is not behaving rationally, and has an LOC as
a result of the injury, she needs to be transported. The injury could make the patient a
danger to themselves or others. You should call medical control and get police
assistance in getting the patient to definitive care.
✔✔A triage tag?
Tells if a person will live
Follows a color coded system
Is always attached to the toe
All of the above - ✔✔Follows a color coded system
Rationale: Color coded tags are used to denote priority of treatment
✔✔Which of the following techniques will not assist the EMT in determining the chief
complaint of the patient?
Verbalization
Facilitation
Reflection
Clarification - ✔✔Verbalization
Rationale: Techniques that assist an EMT in determining the chief complaint of a patient
include:
-Facilitation,
-reflection,
-clarification,
-empathetic responses,
-confrontation, and
-interpretation.
✔✔You are just ending your shift when you witness a multiple vehicle collision. 4 cars
were involved and at least 8 or 9 patients. The accident is on a very dangerous and
busy stretch of highway with limited visibility from weather. Two of the cars have ignited
and traffic is continuing around the accident through an empty west bound lane. What
should you do next?
Begin systematic extrication on those patients in burning cars
Call for law enforcement and help maintain traffic at a safe distance away
Triage the most critically injured and then extricate them in order of severity
Begin extrication of the patients while doing a rapid triage - ✔✔Call for law enforcement
and help maintain traffic at a safe distance away
Rationale: Scene safety before all else. The best thing you can do for everybody is
assist in keeping the accident from getting even larger with traffic and crowd control until
EXAM QUESTIONS AND ANSWERS SURE A+
✔✔You are requested to respond to a machinery accident at a local repair shop. You
arrive to find a 47 year old male with his hand wrapped in an oily, blood drenched rag.
He does not speak English and another employee tells you the man does not want to be
treated as he is afraid of being deported. The man appears angry and upset. His hand
is obviously mangled, but his LOC seems normal given the circumstances. What is the
most appropriate action for you to take?
Tell the translator that the man's hand needs surgery. Convey to him that you are
obligated to help the man given the severity and potential life threatening nature of the
injury.
Contact law enforcement and inform them of the situation with the illegal alien. Move to
a safe distance from the scene until it is secure.
Do not treat the man as it will constitute battery. Get a signed transport refusal
statement from the man and exit the scene.
Tell the man through - ✔✔Tell the man through the translator that you are there to help
him only. He does not have to go anywhere. Serious complications can happen from an
injury like this and you are concerned about his hand.
Rationale: As with anyone you are dispatched to treat, you should make a reasonable
effort to treat them. This includes informing them about the problems and or
complications that can result from not having an injury or illness properly treated. If the
,person does not have an altered LOC and you have made efforts to effectively inform
him/her of potential problems that may occur as a result of refusing treatment, then you
must accept their decision.
✔✔Which of the following should not be included in the secondary assessment of a
patient?
Respiratory system
General approach
Endocrine system
All anatomical regions - ✔✔Endocrine system
Rationale: The secondary assessment of a patient should include all of the following
components:
-General approach,
-respiratory system,
-cardiovascular system,
-neurological system,
-musculoskeletal system, and
-all anatomical regions.
✔✔Acute stress reactions occur:
Before a stressful situation
During a stressful situation
After a stressful situation
After several stressful situations - ✔✔During a stressful situation
Rationale: Acute stress reactions occur during a stressful situation. Initially this stress
may cause the EMT to better focus on the task, but if this stress becomes too great it
may cause the EMT to lose the ability to function as he/she should.
✔✔You and your partner have just arrived at a retirement community for a slip and fall.
An 80 year old woman was getting out of the shower when she fell and hit her head
against the faucet. She has an actively bleeding gash on her head and she will not let
anyone near her. She is cussing and telling you and your partner to "leave now or I will
sue you!" The nurse who called 911 says that this is very unusual behavior for this
woman. What would be the best course of action?
Explain to the woman that her head injury could be potentially life threatening. If she
again refuses treatment, you must leave according to the law
Tell the woman that you are going to take her to the zoo, but she needs to calm down
Request law enforcement assistance in packaging and transporting the patient
Have the nurse sign a transport refusal form - ✔✔Request law enforcement assistance
in packaging and transporting the patient
, Rationale: If you believe that this woman is not behaving rationally, and has an LOC as
a result of the injury, she needs to be transported. The injury could make the patient a
danger to themselves or others. You should call medical control and get police
assistance in getting the patient to definitive care.
✔✔A triage tag?
Tells if a person will live
Follows a color coded system
Is always attached to the toe
All of the above - ✔✔Follows a color coded system
Rationale: Color coded tags are used to denote priority of treatment
✔✔Which of the following techniques will not assist the EMT in determining the chief
complaint of the patient?
Verbalization
Facilitation
Reflection
Clarification - ✔✔Verbalization
Rationale: Techniques that assist an EMT in determining the chief complaint of a patient
include:
-Facilitation,
-reflection,
-clarification,
-empathetic responses,
-confrontation, and
-interpretation.
✔✔You are just ending your shift when you witness a multiple vehicle collision. 4 cars
were involved and at least 8 or 9 patients. The accident is on a very dangerous and
busy stretch of highway with limited visibility from weather. Two of the cars have ignited
and traffic is continuing around the accident through an empty west bound lane. What
should you do next?
Begin systematic extrication on those patients in burning cars
Call for law enforcement and help maintain traffic at a safe distance away
Triage the most critically injured and then extricate them in order of severity
Begin extrication of the patients while doing a rapid triage - ✔✔Call for law enforcement
and help maintain traffic at a safe distance away
Rationale: Scene safety before all else. The best thing you can do for everybody is
assist in keeping the accident from getting even larger with traffic and crowd control until
