NREMT Practice - Multi Choice Exam
NREMT Practice - Multi Choice Exam
Containing Close to 500 Questions with
Answers and Detailed Rationales (400
Pgs.) 2024-2025.
A 32-year-old man who was stung by a bee has diffuse hives, facial swelling, and
difficulty breathing. When he breathes, you hear audible stridor. What does this
indicate?
, NREMT Practice - Multi Choice Exam
* A: Narrowing of the two mainstem bronchi
* B: Swelling of the upper airway structures
* C: Narrowing of the bronchioles in the lungs
* D: Swelling of the lower airway structures - You selected B; This is correct!
Rationale: This patient is experiencing a severe allergic reaction (anaphylaxis).
Stridor, which is a high-pitched sound heard on inhalation, indicates swelling of
the structures and tissues of the upper airway. If not promptly treated, the
patient's airway may close completely, resulting in respiratory arrest. Narrowing of
the bronchioles in the lungs causes wheezing, a whistling sound that may be
heard during inhalation, exhalation, or both.
A behavioral crisis is MOST accurately defined as:
* A: any reaction to an event that interferes with the activities of daily living or
has become unacceptable to the patient, family, or community.
* B: an acute psychiatric emergency characterized by violent behavior, mood
swings, and a loss of connection to reality.
* C: a persistent feeling of sadness, despair, or hopelessness that incapacitates
the patient and prevents him or her from interacting socially.
* D: a chronic mental health problem in which the patient experiences frequent
thoughts of suicide or other self-destructive behavior. - You selected A; This is
correct!
, NREMT Practice - Multi Choice Exam
Rationale: The definition of a behavioral crisis or emergency is any reaction to an
event that interferes with the activities of daily living (eg, bathing, dressing,
eating) or has become unacceptable to the patient, his or her family, or the
general community. Some patients react to an event with violent behavior or
suicidal thoughts; others react with depression. Regardless of the reaction, it
significantly interferes with the patient's life or is unacceptable to his or her family
and/or the community
You are called to an assisted living center where an attendant found a 72-year-old
man unresponsive. The patient had recent hip surgery and has been taking
Vicodin for pain. His respirations are slow and shallow and his pulse is slow and
weak. You should:
* A: apply the AED in case he develops cardiac arrest.
* B: request an ALS ambulance to respond to the scene.
* C: begin ventilation assistance with a bag-mask device.
* D: apply high-flow oxygen via a nonrebreathing mask. - You selected C; This is
correct!
Rationale: Vicodin is a combination of hydrocodone and acetaminophen (APAP),
the active ingredient in Tylenol. Hydrocodone is a potent narcotic analgesic. When
taken in excess, it can suppress the central nervous system and cause respiratory
, NREMT Practice - Multi Choice Exam
depression, bradycardia, and hypotension. Initial management of any patient who
has overdosed on a medication of this type is to ensure a patent airway and
support breathing. Because the patient is breathing inadequately (slow and
shallow), immediate ventilation assistance is needed. Consider requesting an ALS
ambulance if transport time to the nearest hospital will be lengthy. Paramedics
can administer a drug called naloxone (Narcan) to reverse the effects of narcotic
drugs. The AED is not indicated for this patient; it is only applied to patients in
cardiac arrest.
In the patient with diabetes, insulin shock typically presents with:
* A: clammy skin and a rapid onset.
* B: dry skin and a slow onset.
* C: dry skin and a rapid onset.
* D: clammy skin and a slow onset. - The correct answer is A;
Rationale: In the patient with diabetes, insulin shock (hypoglycemic crisis)
presents with cool, clammy skin and a rapid onset. The brain is critically
dependent on glucose and responds quickly when the body is in short supply.
Diabetic coma (hyperglycemic crisis) typically presents with warm, dry skin and a
slow onset, sometimes occurring over a period of days.
NREMT Practice - Multi Choice Exam
Containing Close to 500 Questions with
Answers and Detailed Rationales (400
Pgs.) 2024-2025.
A 32-year-old man who was stung by a bee has diffuse hives, facial swelling, and
difficulty breathing. When he breathes, you hear audible stridor. What does this
indicate?
, NREMT Practice - Multi Choice Exam
* A: Narrowing of the two mainstem bronchi
* B: Swelling of the upper airway structures
* C: Narrowing of the bronchioles in the lungs
* D: Swelling of the lower airway structures - You selected B; This is correct!
Rationale: This patient is experiencing a severe allergic reaction (anaphylaxis).
Stridor, which is a high-pitched sound heard on inhalation, indicates swelling of
the structures and tissues of the upper airway. If not promptly treated, the
patient's airway may close completely, resulting in respiratory arrest. Narrowing of
the bronchioles in the lungs causes wheezing, a whistling sound that may be
heard during inhalation, exhalation, or both.
A behavioral crisis is MOST accurately defined as:
* A: any reaction to an event that interferes with the activities of daily living or
has become unacceptable to the patient, family, or community.
* B: an acute psychiatric emergency characterized by violent behavior, mood
swings, and a loss of connection to reality.
* C: a persistent feeling of sadness, despair, or hopelessness that incapacitates
the patient and prevents him or her from interacting socially.
* D: a chronic mental health problem in which the patient experiences frequent
thoughts of suicide or other self-destructive behavior. - You selected A; This is
correct!
, NREMT Practice - Multi Choice Exam
Rationale: The definition of a behavioral crisis or emergency is any reaction to an
event that interferes with the activities of daily living (eg, bathing, dressing,
eating) or has become unacceptable to the patient, his or her family, or the
general community. Some patients react to an event with violent behavior or
suicidal thoughts; others react with depression. Regardless of the reaction, it
significantly interferes with the patient's life or is unacceptable to his or her family
and/or the community
You are called to an assisted living center where an attendant found a 72-year-old
man unresponsive. The patient had recent hip surgery and has been taking
Vicodin for pain. His respirations are slow and shallow and his pulse is slow and
weak. You should:
* A: apply the AED in case he develops cardiac arrest.
* B: request an ALS ambulance to respond to the scene.
* C: begin ventilation assistance with a bag-mask device.
* D: apply high-flow oxygen via a nonrebreathing mask. - You selected C; This is
correct!
Rationale: Vicodin is a combination of hydrocodone and acetaminophen (APAP),
the active ingredient in Tylenol. Hydrocodone is a potent narcotic analgesic. When
taken in excess, it can suppress the central nervous system and cause respiratory
, NREMT Practice - Multi Choice Exam
depression, bradycardia, and hypotension. Initial management of any patient who
has overdosed on a medication of this type is to ensure a patent airway and
support breathing. Because the patient is breathing inadequately (slow and
shallow), immediate ventilation assistance is needed. Consider requesting an ALS
ambulance if transport time to the nearest hospital will be lengthy. Paramedics
can administer a drug called naloxone (Narcan) to reverse the effects of narcotic
drugs. The AED is not indicated for this patient; it is only applied to patients in
cardiac arrest.
In the patient with diabetes, insulin shock typically presents with:
* A: clammy skin and a rapid onset.
* B: dry skin and a slow onset.
* C: dry skin and a rapid onset.
* D: clammy skin and a slow onset. - The correct answer is A;
Rationale: In the patient with diabetes, insulin shock (hypoglycemic crisis)
presents with cool, clammy skin and a rapid onset. The brain is critically
dependent on glucose and responds quickly when the body is in short supply.
Diabetic coma (hyperglycemic crisis) typically presents with warm, dry skin and a
slow onset, sometimes occurring over a period of days.
