NREMT PRACTICE QUESTIONS
Which of the following is MOST indicative of a primary cardiac problem?
ANS - Irregular pulse
Which of the following statements regarding the head tilt-chin lift maneuver is correct?
ANS - It should be used in conjunction with an appropriate airway.
A 50-year-old man presents with crushing chest pain that suddenly began about 30 minutes
ago. He is diaphoretic and anxious. The EMT should:
ANS - Administer chewable aspirin.
The myocardium receives its blood supply from the coronary arteries that branch directly
from the:
ANS - Aorta
When treating a patient with chest pain, pressure, or discomfort, you should FIRST:
ANS - Place the patient in a position of comfort.
Which of the following patients is the BEST candidate for the administration of
nitroglycerin?
ANS - A woman with chest pain, prescribed, and a blood pressure of 104/76 mm Hg
A 69-year-old man is unresponsive. He has a weak carotid pulse at 40 beats/min and his skin
is cool and pale. From this information, the EMT should conclude that:
ANS - his cardiac output is reduced.
A 60-year-old woman presents with chest discomfort, confusion, and weakness. The patient's
husband tells you that she has vomited twice before EMS arrival. The patient's BP is 70/40
mm Hg, her pulse is 45 beats/min and weak, and her respirations are 14 breaths/min and
unlabored. Which of the following is the MOST likely cause of her hypotension?
ANS - Bradycardia
The chest pain associated with an acute coronary syndrome is often described as:
ANS - Pressure
Which of the following patients would MOST likely present with vague or unusual
symptoms of an acute myocardial infarction?
ANS - 72-year-old female with diabetes
, Which of the following would be the MOST effective way of minimizing the detrimental
effects associated with acute coronary syndrome?
ANS - Reassure the patient and provide prompt transport.
Which of the following chambers of the heart has the thickest walls?
ANS - Left ventricle
Chest compression effectiveness is MOST effectively assessed by:
ANS - Palpating for a croatia pulse with each compression
In which of the following patients is nitroglycerin contraindicated.
ANS - 53-year-old male with chest discomfort, diaphoresis, a blood pressure of 146/66 mm
Hg, and regular use of Levitra.
Ischemic heart disease is a condition in which:
ANS - There is a decrease in blood flow to one or more portions of the heart muscle.
Which of the following assessment findings is LEAST suggestive of a cardiac problem?
ANS - Palpable pain to the chest
Common signs and symptoms of a hypertensive emergency include:
ANS - Ringing in the ears, headache, and epistaxis.
A 65-year-old man has generalized weakness and chest pressure. He has a bottle of
prescribed nitroglycerin, but states that he has not taken any of his medication. The EMT
should:
ANS - Administer up to 325 mg of aspirin if the patient is not allergic to it.
Aspiring may be contraindicated in patients with:
ANS - Stomach ulcers.
A patient who is experiencing an acute myocardial infarction:
ANS - has chest pain or discomfort that does not change with each breath.
Which of the following structures is the primary pacemaker, which sets the normal rate for
the heart?
ANS - Sinoatrial node
Which of the following is MOST indicative of a primary cardiac problem?
ANS - Irregular pulse
Which of the following statements regarding the head tilt-chin lift maneuver is correct?
ANS - It should be used in conjunction with an appropriate airway.
A 50-year-old man presents with crushing chest pain that suddenly began about 30 minutes
ago. He is diaphoretic and anxious. The EMT should:
ANS - Administer chewable aspirin.
The myocardium receives its blood supply from the coronary arteries that branch directly
from the:
ANS - Aorta
When treating a patient with chest pain, pressure, or discomfort, you should FIRST:
ANS - Place the patient in a position of comfort.
Which of the following patients is the BEST candidate for the administration of
nitroglycerin?
ANS - A woman with chest pain, prescribed, and a blood pressure of 104/76 mm Hg
A 69-year-old man is unresponsive. He has a weak carotid pulse at 40 beats/min and his skin
is cool and pale. From this information, the EMT should conclude that:
ANS - his cardiac output is reduced.
A 60-year-old woman presents with chest discomfort, confusion, and weakness. The patient's
husband tells you that she has vomited twice before EMS arrival. The patient's BP is 70/40
mm Hg, her pulse is 45 beats/min and weak, and her respirations are 14 breaths/min and
unlabored. Which of the following is the MOST likely cause of her hypotension?
ANS - Bradycardia
The chest pain associated with an acute coronary syndrome is often described as:
ANS - Pressure
Which of the following patients would MOST likely present with vague or unusual
symptoms of an acute myocardial infarction?
ANS - 72-year-old female with diabetes
, Which of the following would be the MOST effective way of minimizing the detrimental
effects associated with acute coronary syndrome?
ANS - Reassure the patient and provide prompt transport.
Which of the following chambers of the heart has the thickest walls?
ANS - Left ventricle
Chest compression effectiveness is MOST effectively assessed by:
ANS - Palpating for a croatia pulse with each compression
In which of the following patients is nitroglycerin contraindicated.
ANS - 53-year-old male with chest discomfort, diaphoresis, a blood pressure of 146/66 mm
Hg, and regular use of Levitra.
Ischemic heart disease is a condition in which:
ANS - There is a decrease in blood flow to one or more portions of the heart muscle.
Which of the following assessment findings is LEAST suggestive of a cardiac problem?
ANS - Palpable pain to the chest
Common signs and symptoms of a hypertensive emergency include:
ANS - Ringing in the ears, headache, and epistaxis.
A 65-year-old man has generalized weakness and chest pressure. He has a bottle of
prescribed nitroglycerin, but states that he has not taken any of his medication. The EMT
should:
ANS - Administer up to 325 mg of aspirin if the patient is not allergic to it.
Aspiring may be contraindicated in patients with:
ANS - Stomach ulcers.
A patient who is experiencing an acute myocardial infarction:
ANS - has chest pain or discomfort that does not change with each breath.
Which of the following structures is the primary pacemaker, which sets the normal rate for
the heart?
ANS - Sinoatrial node
