NREMT Paramedic Exam Prep | 200+ Questions & Answers
You are called to assist an adult with chest pain. The B.
patient has a cardiac history of two-posterior
myocardial infarctions. He is conscious and alert,
stating he is having a hard time breathing, and the chest
pain worsens when he attempts to lay flat on his back.
His skin is pale and hot, while auscultation of his lung
sounds reveals mild crackles. He reports the pain
worsens on deep inspiration and movement.
Based on the patient's history, and signs and symptoms,
which of the following should you suspect?
A.
Unstable angina pectoris
B.
Pericarditis
C.
Myocardial infarction
D.
Cardiomyopathy
You are the first ambulance to arrive on the scene of a B.
single-car accident. As you approach the scene, you
see four patients, two have been ejected from their
vehicle, and two are still in the vehicle. What should be
your next course of action?
A.
Call medical control, and advise them of the situation
B.
Request additional resources, such as fire rescue, and
additional ambulances to respond to the scene
C.
Begin immediate triage and treatment of the two
patients ejected first while awaiting fire department
response
D.
Notify the local trauma center so they can prepare for
the patients
, NREMT Paramedic Exam Prep | 200+ Questions & Answers
A patient is experiencing a possible neurological D.
emergency from a blunt force closed head injury. He is
found to have abnormal pupillary reactions to light and
has lost the ability to move his eyes from side to side to
follow your finger movements. He is also unable to
identify the number of fingers you are holding up. He
reports he is able to see the fingers but is not able to
focus enough to identify how many fingers are present.
Which of the following cranial nerves should you
suspect may be involved in his injury?
A.
Cranial nerves I, V, and VI
B.
Cranial nerves V and VII
C.
Cranial nerves IX and X
D.
Cranial nerves II, III, and IV
Simply put, shock is a state of hypoperfusion due to C.
several different causes. Which one of the following
types of shock would be considered distributive shock?
A.
Hypovolemic shock
B.
Cardiogenic shock
C.
Anaphylactic shock
D.
Toxic shock syndrome
, NREMT Paramedic Exam Prep | 200+ Questions & Answers
Which of the following is responsible for initiating the C.
sympathetic response to shock during a traumatic
event?
A.
Increased oxygen level and increased PCO2
B.
Increased peripheral vascular resistance and alkalosis
C.
Decreased perfusion and increased acidosis
D.
Peripheral vasodilation and increased capillary
permeability
During which wave, complex, interval, or segment of an D.
electrocardiogram tracing does the absolute refractory
period take place in a normally functioning heart?
A.
S-T segment
B.
P-R interval
C.
P wave
D.
Q-T interval
You are preparing to perform synchronized electrical A.
cardioversion with a biphasic defibrillator on your
unstable adult patient who is experiencing
supraventricular tachycardia at 160 beats per minute on
the monitor. Which of the following initial energy
settings would be recommended if he was exhibiting a
narrow complex, regular supraventricular tachycardia,
in which his palpable carotid pulse matches the rhythm
on the monitor?
A.
Synchronized cardioversion at 50-100 joules
B.
Defibrillation at 100 joules
C.
Synchronized cardioversion at 360 joules
D.
Defibrillation at 360 joules
, NREMT Paramedic Exam Prep | 200+ Questions & Answers
Other than a stroke, what is a common cause of one- D.
sided facial droop and paralysis in an adult patient who
exhibits no other neurological findings?
A.
Amyotrophic lateral sclerosis (ALS)
B.
Multiple sclerosis
C.
Huntington's disease
D.
Bell's palsy
You are on-scene with a patient who was struck by a C.
car on her bicycle. She is conscious and alert but has a
possible closed right mid-shaft femur fracture. The
patient advises you that she is sixteen but does not
need parental consent to be treated. Which of the
following situations would make this statement true?
A.
She can be treated under implied consent because her
injury may become life-threatening
B.
She is not an American citizen, visiting on a student visa
C.
She is an emancipated minor granted by the court
D.
She is an orphaned minor who lives alone
Your adult patient is showing signs and symptoms of D.
being severely hyperkalemic. Medical control
recommends the administration of a high-dose
nebulized albuterol treatment as well as calcium
chloride. Why is high-dose albuterol being
recommended for this patient?
A.
To improve the patient's ventilatory status
B.
To assist with metabolic acidosis
C.
To increase the amount of available calcium at the
cellular level
D.
To help lower dangerous potassium levels
You are called to assist an adult with chest pain. The B.
patient has a cardiac history of two-posterior
myocardial infarctions. He is conscious and alert,
stating he is having a hard time breathing, and the chest
pain worsens when he attempts to lay flat on his back.
His skin is pale and hot, while auscultation of his lung
sounds reveals mild crackles. He reports the pain
worsens on deep inspiration and movement.
Based on the patient's history, and signs and symptoms,
which of the following should you suspect?
A.
Unstable angina pectoris
B.
Pericarditis
C.
Myocardial infarction
D.
Cardiomyopathy
You are the first ambulance to arrive on the scene of a B.
single-car accident. As you approach the scene, you
see four patients, two have been ejected from their
vehicle, and two are still in the vehicle. What should be
your next course of action?
A.
Call medical control, and advise them of the situation
B.
Request additional resources, such as fire rescue, and
additional ambulances to respond to the scene
C.
Begin immediate triage and treatment of the two
patients ejected first while awaiting fire department
response
D.
Notify the local trauma center so they can prepare for
the patients
, NREMT Paramedic Exam Prep | 200+ Questions & Answers
A patient is experiencing a possible neurological D.
emergency from a blunt force closed head injury. He is
found to have abnormal pupillary reactions to light and
has lost the ability to move his eyes from side to side to
follow your finger movements. He is also unable to
identify the number of fingers you are holding up. He
reports he is able to see the fingers but is not able to
focus enough to identify how many fingers are present.
Which of the following cranial nerves should you
suspect may be involved in his injury?
A.
Cranial nerves I, V, and VI
B.
Cranial nerves V and VII
C.
Cranial nerves IX and X
D.
Cranial nerves II, III, and IV
Simply put, shock is a state of hypoperfusion due to C.
several different causes. Which one of the following
types of shock would be considered distributive shock?
A.
Hypovolemic shock
B.
Cardiogenic shock
C.
Anaphylactic shock
D.
Toxic shock syndrome
, NREMT Paramedic Exam Prep | 200+ Questions & Answers
Which of the following is responsible for initiating the C.
sympathetic response to shock during a traumatic
event?
A.
Increased oxygen level and increased PCO2
B.
Increased peripheral vascular resistance and alkalosis
C.
Decreased perfusion and increased acidosis
D.
Peripheral vasodilation and increased capillary
permeability
During which wave, complex, interval, or segment of an D.
electrocardiogram tracing does the absolute refractory
period take place in a normally functioning heart?
A.
S-T segment
B.
P-R interval
C.
P wave
D.
Q-T interval
You are preparing to perform synchronized electrical A.
cardioversion with a biphasic defibrillator on your
unstable adult patient who is experiencing
supraventricular tachycardia at 160 beats per minute on
the monitor. Which of the following initial energy
settings would be recommended if he was exhibiting a
narrow complex, regular supraventricular tachycardia,
in which his palpable carotid pulse matches the rhythm
on the monitor?
A.
Synchronized cardioversion at 50-100 joules
B.
Defibrillation at 100 joules
C.
Synchronized cardioversion at 360 joules
D.
Defibrillation at 360 joules
, NREMT Paramedic Exam Prep | 200+ Questions & Answers
Other than a stroke, what is a common cause of one- D.
sided facial droop and paralysis in an adult patient who
exhibits no other neurological findings?
A.
Amyotrophic lateral sclerosis (ALS)
B.
Multiple sclerosis
C.
Huntington's disease
D.
Bell's palsy
You are on-scene with a patient who was struck by a C.
car on her bicycle. She is conscious and alert but has a
possible closed right mid-shaft femur fracture. The
patient advises you that she is sixteen but does not
need parental consent to be treated. Which of the
following situations would make this statement true?
A.
She can be treated under implied consent because her
injury may become life-threatening
B.
She is not an American citizen, visiting on a student visa
C.
She is an emancipated minor granted by the court
D.
She is an orphaned minor who lives alone
Your adult patient is showing signs and symptoms of D.
being severely hyperkalemic. Medical control
recommends the administration of a high-dose
nebulized albuterol treatment as well as calcium
chloride. Why is high-dose albuterol being
recommended for this patient?
A.
To improve the patient's ventilatory status
B.
To assist with metabolic acidosis
C.
To increase the amount of available calcium at the
cellular level
D.
To help lower dangerous potassium levels
