NREMT FINAL{MEDICAL,OBSTETRICS&GYNECOLOGY}
EXAM 2024-2025 ACTUAL EXAM 300+ REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERWERS WITH
RATIONALES (VERIFIED ANSWERWERS) |ALREADY GRADED
A||EXCELLENT TOOL FOR STUDYING FOR NREMT AND
FINAL
A 58-year-old female was sexually assaulted. Her only complaint is minor vaginal bleeding and lower
pelvic pain. She reluctantly agrees to go to the hospital with you but wants to use the bathroom first.
Her vital signs are P 84, R 16, BP 132/86, and SpO2 is 98% on room air. You should:
A. explain why she should wait to use the bathroom until she gets to the hospital.
B. allow her to use the bathroom only if she allows a female responder on scene observe.
C. ask her to leave any bloody garments or sanitary products in the trash after she finishes.
D. tell her that her vital signs are unstable and that you need to trANSWERport her immediately. -
ANSWERWER-A. explain why she should wait to use the bathroom until she gets to the hospital.
A 73-year-old female complains of pain in her lower abdomen and pelvis. She tells you the pain increases
during intercourse. Recently, she has had a foul-smelling vaginal discharge. You should suspect:
A. inflammatory bowel disease.
B. urinary tract infection.
C. nephrolithiasis.
D. pelvic inflammatory disease. - ANSWERWER-D. pelvic inflammatory disease.
A 37-year-old female who is pregnant with identical twins is in labor. You have already delivered the first
neonate, and your partner is assessing him. As she has a contraction, you observe the second neonate's
buttock beginning to deliver. You should:
A. place her in the knee-chest position and trANSWERport immediately.
B. insert two fingers between the neonate and the vaginal wall.
C. apply gentle traction on the neonate and turn him counterclockwise as his head delivers.
D. support the neonate and assist with the delivery. - ANSWERWER-D. support the neonate and assist
with the delivery.
,Why should you administer a DuoDote® autoinjector to your partner after he was exposed to sarin gas?
A. The medications help to remove cyanide from his circulatory system.
B. The medications help to counteract the effects on his nervous system.
C. The medications stop the action of acetylcholinesterase.
D. The medications stop the action of phosgene. - ANSWERWER-B. The medications help to counteract
the effects on his nervous system.
, -year-
A 78 old male is having difficulty breathing. He has a history of dementia and COPD. His daughter
tells you his breathing gets worse when he walks up the steps. He tells you that he is fine and doesn't
want to go to the hospital. He is dyspneic and unable to identify his daughter. You should: A. secure all
four limbs and trANSWERport him.
B. explain the risks and allow him to refuse service.
C. administer oxygen and trANSWERport him.
D. ask him to walk up the stairs. - ANSWERWER-C. administer oxygen and trANSWERport him.
An unresponsive 28-year-old female has hot, clammy skin and a foul-smelling vaginal discharge. Her
lungs are clear to auscultation, and you observe good chest rise. Her vital signs are P 110, R 24, BP
86/58, and SpO2 is 92% on room air. You should: A. assist her ventilation.
B. obtain a sample of the discharge for the hospital.
C. administer oxygen.
D. remove her clothing and place a moistened sheet over her. - ANSWERWER-C. administer oxygen.
An 86-year-old female complains of pain in her sacral area. You observe a four-centimeter decubitus
ulcer in the area. Her son tells you that she is bedridden and that he cares for her. Her bedding is wet
and smells like urine. You should suspect: A. physical abuse.
B. psychological neglect.
C. physical neglect.
D. psychological abuse. - ANSWERWER-C. physical neglect.
Why can a 4-year-old female who is in sickle cell crisis experience chest pain? A.
Her cells are unable to metabolize oxygen.
B. Her pulmonary microcirculation is occluded.
C. Her capillary beds are lacerated.
D. Her hemoglobin is unable to trANSWERport oxygen to the cells. - ANSWERWER-B. Her pulmonary
microcirculation is occluded.
A 24 old male has a single episode of tonic/clonic seizure activity. He is awake when you arrive and is
unaware of what happened. He tells you he ran out of his seizure medication. His vital signs are P 72, R
16, BP 138/68, and SpO2 is 95% on room air. You should: A. administer oxygen.
EXAM 2024-2025 ACTUAL EXAM 300+ REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERWERS WITH
RATIONALES (VERIFIED ANSWERWERS) |ALREADY GRADED
A||EXCELLENT TOOL FOR STUDYING FOR NREMT AND
FINAL
A 58-year-old female was sexually assaulted. Her only complaint is minor vaginal bleeding and lower
pelvic pain. She reluctantly agrees to go to the hospital with you but wants to use the bathroom first.
Her vital signs are P 84, R 16, BP 132/86, and SpO2 is 98% on room air. You should:
A. explain why she should wait to use the bathroom until she gets to the hospital.
B. allow her to use the bathroom only if she allows a female responder on scene observe.
C. ask her to leave any bloody garments or sanitary products in the trash after she finishes.
D. tell her that her vital signs are unstable and that you need to trANSWERport her immediately. -
ANSWERWER-A. explain why she should wait to use the bathroom until she gets to the hospital.
A 73-year-old female complains of pain in her lower abdomen and pelvis. She tells you the pain increases
during intercourse. Recently, she has had a foul-smelling vaginal discharge. You should suspect:
A. inflammatory bowel disease.
B. urinary tract infection.
C. nephrolithiasis.
D. pelvic inflammatory disease. - ANSWERWER-D. pelvic inflammatory disease.
A 37-year-old female who is pregnant with identical twins is in labor. You have already delivered the first
neonate, and your partner is assessing him. As she has a contraction, you observe the second neonate's
buttock beginning to deliver. You should:
A. place her in the knee-chest position and trANSWERport immediately.
B. insert two fingers between the neonate and the vaginal wall.
C. apply gentle traction on the neonate and turn him counterclockwise as his head delivers.
D. support the neonate and assist with the delivery. - ANSWERWER-D. support the neonate and assist
with the delivery.
,Why should you administer a DuoDote® autoinjector to your partner after he was exposed to sarin gas?
A. The medications help to remove cyanide from his circulatory system.
B. The medications help to counteract the effects on his nervous system.
C. The medications stop the action of acetylcholinesterase.
D. The medications stop the action of phosgene. - ANSWERWER-B. The medications help to counteract
the effects on his nervous system.
, -year-
A 78 old male is having difficulty breathing. He has a history of dementia and COPD. His daughter
tells you his breathing gets worse when he walks up the steps. He tells you that he is fine and doesn't
want to go to the hospital. He is dyspneic and unable to identify his daughter. You should: A. secure all
four limbs and trANSWERport him.
B. explain the risks and allow him to refuse service.
C. administer oxygen and trANSWERport him.
D. ask him to walk up the stairs. - ANSWERWER-C. administer oxygen and trANSWERport him.
An unresponsive 28-year-old female has hot, clammy skin and a foul-smelling vaginal discharge. Her
lungs are clear to auscultation, and you observe good chest rise. Her vital signs are P 110, R 24, BP
86/58, and SpO2 is 92% on room air. You should: A. assist her ventilation.
B. obtain a sample of the discharge for the hospital.
C. administer oxygen.
D. remove her clothing and place a moistened sheet over her. - ANSWERWER-C. administer oxygen.
An 86-year-old female complains of pain in her sacral area. You observe a four-centimeter decubitus
ulcer in the area. Her son tells you that she is bedridden and that he cares for her. Her bedding is wet
and smells like urine. You should suspect: A. physical abuse.
B. psychological neglect.
C. physical neglect.
D. psychological abuse. - ANSWERWER-C. physical neglect.
Why can a 4-year-old female who is in sickle cell crisis experience chest pain? A.
Her cells are unable to metabolize oxygen.
B. Her pulmonary microcirculation is occluded.
C. Her capillary beds are lacerated.
D. Her hemoglobin is unable to trANSWERport oxygen to the cells. - ANSWERWER-B. Her pulmonary
microcirculation is occluded.
A 24 old male has a single episode of tonic/clonic seizure activity. He is awake when you arrive and is
unaware of what happened. He tells you he ran out of his seizure medication. His vital signs are P 72, R
16, BP 138/68, and SpO2 is 95% on room air. You should: A. administer oxygen.
