1
NREMT Paramedic Exam Prep/ 200 Practice Questions
with Correct Verified Answers/ Latest Update 2024
During which wave, complex, interval, or segment of an 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 - ANS - D.
You are preparing to perform synchronized electrical 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 - ANS - A.
You are ordered to administer 3 mg/min of lidocaine via intravenous infusion to your cardiac patient who
presents with a heart rate greater than 130 beats per minute as well as greater than 10 multifocal PVCs
every minute. Therefore, you quickly but carefully mix 2 grams of the medication in 500 mL of normal
saline and attach micro-drip tubing to the solution bag.
Which of the following drip rates would effectively deliver the ordered dose of lidocaine?
, 2
A. 15 gtts/min
B. 30 gtts/min
C. 60 gtts/min
D. 45 gtts/min - ANS - D.
You are ordered to administer 0.3 mL of epinephrine for a moderate allergic reaction. What is the
preferred initial route of administration of epinephrine for an allergic reaction?
A. Subcutaneous
B. Intramuscular
C. Intravenous
D. Endotracheal - ANS - B.
You are preparing to perform fluid replacement on an adult trauma patient who lost a significant amount
of his circulating blood volume when you note the presence of a drastic systolic blood pressure decline
from 100 mmHg to 86 mmHg systolic after the patient's bleeding is controlled. The patient has no
obvious new bleeding, but his abdomen is distended and is painful on palpation. There are no obvious
masses, bruises, or deformity, and he has active bowel sounds over the epigastric region.
Which of the following intravenous fluids would be most appropriate in this situation if the medical
command physician recommends a fluid challenge?
A. 0.9% normal saline
B. 0.45% sodium chloride
C. 0.45% normal saline with 5% dextrose
D. Lactated Ringer's solution - ANS - D.
What type of communication system operational mode is required for an EMS agency to be able to
communicate simultaneously in both directions while also performing telemetry transmission?
A. Multiplex mode
B. Duplex mode
, 3
C. Simplex mode
D. Complex mode - ANS - A.
You suspect your adult trauma patient has a potential complete spinal cord transection. If so, which of
the following would you expect to find?
A. Total loss of pain and sensation below the waist bilaterally with some loss of movement below the
waist
B. Bradycardia associated with loss in vascular tone
C. Total absence of pain, sensation, and movement (paralysis) below the point of the transection (injury)
D. Right-sided paralysis with decreased sensation on the opposite side of the body - ANS - C.
You are on-scene with a patient who you suspect may be experiencing a myocardial infarction. He is
conscious and alert, anxious, and has dilated pupils. He complains of substernal chest pain and admits to
recent cocaine use. How does the use of cocaine increase the risk of experiencing an acute myocardial
infarction?
A. It speeds the heart rate to the point of asystole
B. It causes the blood in the periphery to clot and travel to the coronary arteries
C. It actually numbs the heart, making coronary perfusion difficult
D. It causes coronary artery constriction and increases the chance of dislodging a thrombus or plaque -
ANS - D.
You are on-scene with a patient who was struck by a 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 - ANS - C.
, 4
Your adult patient is showing signs and symptoms of 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 - ANS - D.
When monitoring the electrical activity of a patient's heart, which standard limb lead records the
difference in electrical potential between the left leg and the right arm when the left leg is positive and
the right arm is negative?
A. Augmented limb lead aVL
B. Bipolar limb lead II (LII)
C. Bipolar limb lead III (LIII)
D. Bipolar limb lead I (LI) - ANS - B.
You are evaluating a trauma patient who may have sustained a spinal cord injury. Which of the following
would you expect to see in a trauma patient with a spinal cord injury with autonomic nervous system
involvement?
A. Bradycardia, hypotension, and a loss of sweating or shivering ability
B. Bradycardia, hypertension, warm, dry skin, and numbness of fingertips
C. Tachycardia, hypertension, one-sided paralysis, and amnesia
D. Tachycardia, hypotension, diaphoresis, cool, and clammy skin - ANS - A.
You are on-scene with an adult patient exhibiting unusual activity and appears to be intoxicated. He is
anxious and hyperactive. His heart rate and respirations are fast, but his blood pressure remains within
normal range for his age. The patient denies alcohol or drug consumption but reports he has diabetes.
His blood glucose level is found to be 54 milligrams per deciliter.
NREMT Paramedic Exam Prep/ 200 Practice Questions
with Correct Verified Answers/ Latest Update 2024
During which wave, complex, interval, or segment of an 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 - ANS - D.
You are preparing to perform synchronized electrical 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 - ANS - A.
You are ordered to administer 3 mg/min of lidocaine via intravenous infusion to your cardiac patient who
presents with a heart rate greater than 130 beats per minute as well as greater than 10 multifocal PVCs
every minute. Therefore, you quickly but carefully mix 2 grams of the medication in 500 mL of normal
saline and attach micro-drip tubing to the solution bag.
Which of the following drip rates would effectively deliver the ordered dose of lidocaine?
, 2
A. 15 gtts/min
B. 30 gtts/min
C. 60 gtts/min
D. 45 gtts/min - ANS - D.
You are ordered to administer 0.3 mL of epinephrine for a moderate allergic reaction. What is the
preferred initial route of administration of epinephrine for an allergic reaction?
A. Subcutaneous
B. Intramuscular
C. Intravenous
D. Endotracheal - ANS - B.
You are preparing to perform fluid replacement on an adult trauma patient who lost a significant amount
of his circulating blood volume when you note the presence of a drastic systolic blood pressure decline
from 100 mmHg to 86 mmHg systolic after the patient's bleeding is controlled. The patient has no
obvious new bleeding, but his abdomen is distended and is painful on palpation. There are no obvious
masses, bruises, or deformity, and he has active bowel sounds over the epigastric region.
Which of the following intravenous fluids would be most appropriate in this situation if the medical
command physician recommends a fluid challenge?
A. 0.9% normal saline
B. 0.45% sodium chloride
C. 0.45% normal saline with 5% dextrose
D. Lactated Ringer's solution - ANS - D.
What type of communication system operational mode is required for an EMS agency to be able to
communicate simultaneously in both directions while also performing telemetry transmission?
A. Multiplex mode
B. Duplex mode
, 3
C. Simplex mode
D. Complex mode - ANS - A.
You suspect your adult trauma patient has a potential complete spinal cord transection. If so, which of
the following would you expect to find?
A. Total loss of pain and sensation below the waist bilaterally with some loss of movement below the
waist
B. Bradycardia associated with loss in vascular tone
C. Total absence of pain, sensation, and movement (paralysis) below the point of the transection (injury)
D. Right-sided paralysis with decreased sensation on the opposite side of the body - ANS - C.
You are on-scene with a patient who you suspect may be experiencing a myocardial infarction. He is
conscious and alert, anxious, and has dilated pupils. He complains of substernal chest pain and admits to
recent cocaine use. How does the use of cocaine increase the risk of experiencing an acute myocardial
infarction?
A. It speeds the heart rate to the point of asystole
B. It causes the blood in the periphery to clot and travel to the coronary arteries
C. It actually numbs the heart, making coronary perfusion difficult
D. It causes coronary artery constriction and increases the chance of dislodging a thrombus or plaque -
ANS - D.
You are on-scene with a patient who was struck by a 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 - ANS - C.
, 4
Your adult patient is showing signs and symptoms of 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 - ANS - D.
When monitoring the electrical activity of a patient's heart, which standard limb lead records the
difference in electrical potential between the left leg and the right arm when the left leg is positive and
the right arm is negative?
A. Augmented limb lead aVL
B. Bipolar limb lead II (LII)
C. Bipolar limb lead III (LIII)
D. Bipolar limb lead I (LI) - ANS - B.
You are evaluating a trauma patient who may have sustained a spinal cord injury. Which of the following
would you expect to see in a trauma patient with a spinal cord injury with autonomic nervous system
involvement?
A. Bradycardia, hypotension, and a loss of sweating or shivering ability
B. Bradycardia, hypertension, warm, dry skin, and numbness of fingertips
C. Tachycardia, hypertension, one-sided paralysis, and amnesia
D. Tachycardia, hypotension, diaphoresis, cool, and clammy skin - ANS - A.
You are on-scene with an adult patient exhibiting unusual activity and appears to be intoxicated. He is
anxious and hyperactive. His heart rate and respirations are fast, but his blood pressure remains within
normal range for his age. The patient denies alcohol or drug consumption but reports he has diabetes.
His blood glucose level is found to be 54 milligrams per deciliter.
