NREMT PRACTICE TEST BANK - N N N N
MULTIPLE CHOICE EXAM QUESTIONS WITH 1OO%
N N N N N N
COMPLETE SOLUTIONS
N N N
Hypoglycemia and acute ischemic stroke can present similarly because:
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• A:both oxygen and glucose are needed for brain function.
n n n n n n n n n
• B:the majority of stroke patients have a history of diabetes.
n n n n n n n n n n
• C:the most common cause of a stroke is hypoglycemia.
n n n n n n n n n
• D:they are both caused by low levels of glucose in the blood. -
n n n n n n n n n n n n n
CORRECT ANSWER-• A:both oxygen and glucose are needed for brain function.
n n n n n n n n n n n
Reason: Although stroke and hypoglycemia are two distinctly different conditions,
n n n n n n n n n n
their signs and symptoms are often similar. This is because the brain requires both
n n n n n n n n n n n n n n
oxygen and glucose to function normally. An acute ischemic stroke is caused by a la
n n n n n n n n n n n n n n
ck of oxygen to a part of the brain due to a blocked cerebral artery, whereas hypogl
n n n n n n n n n n n n n n n n
ycemia (low blood glucose level) deprives the entire brain of glucose. In either case
n n n n n n n n n n n n n
, the patient presents with signs of impaired brain function (ie, slurred speech, wea
n n n n n n n n n n n n n
kness, altered mental status). Both conditions may lead to permanent brain damag
n n n n n n n n n n n
e or death if not treated promptly.
n n n n n n
When dealing with an emotionally disturbed patient, you should be MOST concern
n n n n n n n n n n n
ed with: n
• A:gathering all of the patient's medications.
n n n n n n
• B:safely transporting to the hospital.
n n n n n
• C:whether the patient could harm you.
n n n n n n
NREMTnPracticenTestnBankn-nMultiplenChoicenEXAMnQUESTIONSnWITHn1OO%nCOMPLETEnSOLUTIONSn
,• D:obtaining a complete medical history. - CORRECT ANSWER-
n n n n n n n n
You selected C; This is correct!
n n n n n
Reason: When managing any patient with an emotional or psychiatric crisis, your p
n n n n n n n n n n n n
rimary concern is your own safety. Safely transporting the patient to the hospital is
n n n n n n n n n n n n n n
your ultimate goal. If possible, you should attempt to obtain a medical history and s
n n n n n n n n n n n n n n
hould take any of the patient's prescribed medications to the hospital. However, th
n n n n n n n n n n n n
is should not supercede your own safety or interfere with safely transporting the p
n n n n n n n n n n n n n
atient.
You are at the scene where a man panicked while swimming in a small lake. Your ini
n n n n n n n n n n n n n n n n
tial attempt to rescue him should include:
n n n n n n
• A:rowing a small raft to the victim.
n n n n n n n
• B:reaching for the victim with a long stick.
n n n n n n n n
• C:throwing a rope to the victim.
n n n n n n
• D:swimming to the victim to rescue him. - CORRECT ANSWER-
n n n n n n n n n n
You selected B; This is correct!
n n n n n
Reason: General rules to follow when attempting to rescue a patient from the wate
n n n n n n n n n n n n n
r include "reach, throw, row, and then go." In this case, you should attempt to reac
n n n n n n n n n n n n n n n
h the victim by having him grab hold of a large stick or similar object. If this is unsuc
n n n n n n n n n n n n n n n n n n
cessful, throw the victim a rope or flotation device (if available). If these are not ava
n n n n n n n n n n n n n n n
ilable, row to the patient in a small raft (if available). Going into the water to retriev
n n n n n n n n n n n n n n n n
e the victim is a last resort. The rescuer must be a strong swimmer because patient
n n n n n n n n n n n n n n n
s who are in danger of drowning are in a state of blind panic and will make every att
n n n n n n n n n n n n n n n n n n
empt to keep themselves afloat, even if it means forcing the rescuer underwater.
n n n n n n n n n n n n
How should you classify a patient's nature of illness if he or she has a low blood gluc
n n n n n n n n n n n n n n n n n
ose level, bizarre behavior, and shallow breathing?
n n n n n n
NREMTnPracticenTestnBankn-nMultiplenChoicenEXAMnQUESTIONSnWITHn1OO%nCOMPLETEnSOLUTIONSn
,• A:Behavioral emergency
n n
• B:Altered mental status
n n n
• C:Respiratory emergency
n n
• D:Cardiac compromise - CORRECT ANSWER-The correct answer is B;
n n n n n n n n n
Reason: The nature of illness (NOI) is the medical equivalent to mechanism of injur
n n n n n n n n n n n n n
y (MOI). Altered mental status should be the suspected NOI in any patient with any
n n n n n n n n n n n n n n n
fluctuation in level of consciousness, which can range from bizarre behavior to com
n n n n n n n n n n n n
plete unresponsiveness. Causes of an altered mental status include hypo-
n n n n n n n n n
nor hyperglycemia, head trauma, stroke, behavioral crises, drug overdose, and shoc
n n n n n n n n n n
k, among others.
n n
A young female is unresponsive after overdosing on an unknown type of drug. Her
n n n n n n n n n n n n n n
respirations are slow and shallow and her pulse is slow and weak. Which of the foll
n n n n n n n n n n n n n n n
owing drugs is the LEAST likely cause of her condition?
n n n n n n n n n
• A:Seconal
n
• B:Heroin
n
• C:Cocaine
n
• D:Valium - CORRECT ANSWER-The correct answer is C;
n n n n n n n n
Reason: Of the drugs listed, cocaine would be the least likely cause of the patient's
n n n n n n n n n n n n n n n
condition. Cocaine is a central nervous system (CNS) stimulant; you would expect h
n n n n n n n n n n n n
er to be hypertensive, tachycardic, tachypneic, and perhaps even violent. Heroin, V
n n n n n n n n n n n
alium, and Seconal are all CNS depressants and could explain her condition. Heroin
n n n n n n n n n n n n n
is an illegal narcotic (opiate), Valium is a benzodiazepine sedative-
n n n n n n n n n
hypnotic drug, and Seconal is a barbiturate. Narcotics, benzodiazepines, and barbit
n n n n n n n n n n
urates are all CNS depressants. When taken in excess, they cause a decreased level
n n n n n n n n n n n n n n
of consciousness, respiratory depression, bradycardia, and hypotension.
n n n n n n
NREMTnPracticenTestnBankn-nMultiplenChoicenEXAMnQUESTIONSnWITHn1OO%nCOMPLETEnSOLUTIONSn
, Activated charcoal is contraindicated for a patient who is:
n n n n n n n n
• A:conscious and alert and has ingested a large amount of Motrin.
n n n n n n n n n n n
• B:emotionally upset and has ingested two bottles of aspirin.
n n n n n n n n n
• C:agitated and claims to have ingested a bottle of Tylenol.
n n n n n n n n n n
• D:awake and alert and has swallowed a commercial drain cleaner. -
n n n n n n n n n n n
CORRECT ANSWER-You selected D; This is correct!
n n n n n n n
Reason:Activated charcoal adsorbs (sticks to) many ingested substances, preventin n n n n n n n n
g them from being absorbed into the body by the stomach or intestines. In some ca
n n n n n n n n n n n n n n n
ses, you may give activated charcoal to patients who have ingested certain substan
n n n n n n n n n n n n
ces, if approved by medical control or local protocol. Activated charcoal is contrain
n n n n n n n n n n n n
dicated for patients who have ingested an acid or alkali (ie, drain cleaner) or a petr
n n n n n n n n n n n n n n n
oleum product (ie, gasoline), who have a decreased level of consciousness and can
n n n n n n n n n n n n
not protect their own airway, or who are unable to swallow.
n n n n n n n n n n
The MOST obvious way to reduce heat loss from radiation and convection is to:
n n n n n n n n n n n n n
• A:move away from a cold object.
n n n n n n
• B:increase metabolism by shivering.
n n n n
• C:wear a thick wind-proof jacket.
n n n n n
• D:move to a warmer environment. - CORRECT ANSWER-
n n n n n n n n
you selected D; This is correct!
n n n n n
Reason:In a cold environment, the body has two ways of staying warm: generating
n n n n n n n n n n n n n
heat (thermogenesis) and reducing heat loss. Radiation is the transfer of heat by ra
n n n n n n n n n n n n n
diant energy. The body can lose heat by radiation, such as when a person stands in
n n n n n n n n n n n n n n n n
a cold room. Convection occurs when heat is transferred to circulating air, as when
n n n n n n n n n n n n n n
cool air moves across the body's surface. A person standing in windy cold weather,
n n n n n n n n n n n n n n
wearing lightweight clothing, is losing heat to the environment mostly by convectio
n n n n n n n n n n n
n. The quickest and most obvious way to decrease heat loss from radiation and con
n n n n n n n n n n n n n n
NREMTnPracticenTestnBankn-nMultiplenChoicenEXAMnQUESTIONSnWITHn1OO%nCOMPLETEnSOLUTIONSn
MULTIPLE CHOICE EXAM QUESTIONS WITH 1OO%
N N N N N N
COMPLETE SOLUTIONS
N N N
Hypoglycemia and acute ischemic stroke can present similarly because:
n n n n n n n n
• A:both oxygen and glucose are needed for brain function.
n n n n n n n n n
• B:the majority of stroke patients have a history of diabetes.
n n n n n n n n n n
• C:the most common cause of a stroke is hypoglycemia.
n n n n n n n n n
• D:they are both caused by low levels of glucose in the blood. -
n n n n n n n n n n n n n
CORRECT ANSWER-• A:both oxygen and glucose are needed for brain function.
n n n n n n n n n n n
Reason: Although stroke and hypoglycemia are two distinctly different conditions,
n n n n n n n n n n
their signs and symptoms are often similar. This is because the brain requires both
n n n n n n n n n n n n n n
oxygen and glucose to function normally. An acute ischemic stroke is caused by a la
n n n n n n n n n n n n n n
ck of oxygen to a part of the brain due to a blocked cerebral artery, whereas hypogl
n n n n n n n n n n n n n n n n
ycemia (low blood glucose level) deprives the entire brain of glucose. In either case
n n n n n n n n n n n n n
, the patient presents with signs of impaired brain function (ie, slurred speech, wea
n n n n n n n n n n n n n
kness, altered mental status). Both conditions may lead to permanent brain damag
n n n n n n n n n n n
e or death if not treated promptly.
n n n n n n
When dealing with an emotionally disturbed patient, you should be MOST concern
n n n n n n n n n n n
ed with: n
• A:gathering all of the patient's medications.
n n n n n n
• B:safely transporting to the hospital.
n n n n n
• C:whether the patient could harm you.
n n n n n n
NREMTnPracticenTestnBankn-nMultiplenChoicenEXAMnQUESTIONSnWITHn1OO%nCOMPLETEnSOLUTIONSn
,• D:obtaining a complete medical history. - CORRECT ANSWER-
n n n n n n n n
You selected C; This is correct!
n n n n n
Reason: When managing any patient with an emotional or psychiatric crisis, your p
n n n n n n n n n n n n
rimary concern is your own safety. Safely transporting the patient to the hospital is
n n n n n n n n n n n n n n
your ultimate goal. If possible, you should attempt to obtain a medical history and s
n n n n n n n n n n n n n n
hould take any of the patient's prescribed medications to the hospital. However, th
n n n n n n n n n n n n
is should not supercede your own safety or interfere with safely transporting the p
n n n n n n n n n n n n n
atient.
You are at the scene where a man panicked while swimming in a small lake. Your ini
n n n n n n n n n n n n n n n n
tial attempt to rescue him should include:
n n n n n n
• A:rowing a small raft to the victim.
n n n n n n n
• B:reaching for the victim with a long stick.
n n n n n n n n
• C:throwing a rope to the victim.
n n n n n n
• D:swimming to the victim to rescue him. - CORRECT ANSWER-
n n n n n n n n n n
You selected B; This is correct!
n n n n n
Reason: General rules to follow when attempting to rescue a patient from the wate
n n n n n n n n n n n n n
r include "reach, throw, row, and then go." In this case, you should attempt to reac
n n n n n n n n n n n n n n n
h the victim by having him grab hold of a large stick or similar object. If this is unsuc
n n n n n n n n n n n n n n n n n n
cessful, throw the victim a rope or flotation device (if available). If these are not ava
n n n n n n n n n n n n n n n
ilable, row to the patient in a small raft (if available). Going into the water to retriev
n n n n n n n n n n n n n n n n
e the victim is a last resort. The rescuer must be a strong swimmer because patient
n n n n n n n n n n n n n n n
s who are in danger of drowning are in a state of blind panic and will make every att
n n n n n n n n n n n n n n n n n n
empt to keep themselves afloat, even if it means forcing the rescuer underwater.
n n n n n n n n n n n n
How should you classify a patient's nature of illness if he or she has a low blood gluc
n n n n n n n n n n n n n n n n n
ose level, bizarre behavior, and shallow breathing?
n n n n n n
NREMTnPracticenTestnBankn-nMultiplenChoicenEXAMnQUESTIONSnWITHn1OO%nCOMPLETEnSOLUTIONSn
,• A:Behavioral emergency
n n
• B:Altered mental status
n n n
• C:Respiratory emergency
n n
• D:Cardiac compromise - CORRECT ANSWER-The correct answer is B;
n n n n n n n n n
Reason: The nature of illness (NOI) is the medical equivalent to mechanism of injur
n n n n n n n n n n n n n
y (MOI). Altered mental status should be the suspected NOI in any patient with any
n n n n n n n n n n n n n n n
fluctuation in level of consciousness, which can range from bizarre behavior to com
n n n n n n n n n n n n
plete unresponsiveness. Causes of an altered mental status include hypo-
n n n n n n n n n
nor hyperglycemia, head trauma, stroke, behavioral crises, drug overdose, and shoc
n n n n n n n n n n
k, among others.
n n
A young female is unresponsive after overdosing on an unknown type of drug. Her
n n n n n n n n n n n n n n
respirations are slow and shallow and her pulse is slow and weak. Which of the foll
n n n n n n n n n n n n n n n
owing drugs is the LEAST likely cause of her condition?
n n n n n n n n n
• A:Seconal
n
• B:Heroin
n
• C:Cocaine
n
• D:Valium - CORRECT ANSWER-The correct answer is C;
n n n n n n n n
Reason: Of the drugs listed, cocaine would be the least likely cause of the patient's
n n n n n n n n n n n n n n n
condition. Cocaine is a central nervous system (CNS) stimulant; you would expect h
n n n n n n n n n n n n
er to be hypertensive, tachycardic, tachypneic, and perhaps even violent. Heroin, V
n n n n n n n n n n n
alium, and Seconal are all CNS depressants and could explain her condition. Heroin
n n n n n n n n n n n n n
is an illegal narcotic (opiate), Valium is a benzodiazepine sedative-
n n n n n n n n n
hypnotic drug, and Seconal is a barbiturate. Narcotics, benzodiazepines, and barbit
n n n n n n n n n n
urates are all CNS depressants. When taken in excess, they cause a decreased level
n n n n n n n n n n n n n n
of consciousness, respiratory depression, bradycardia, and hypotension.
n n n n n n
NREMTnPracticenTestnBankn-nMultiplenChoicenEXAMnQUESTIONSnWITHn1OO%nCOMPLETEnSOLUTIONSn
, Activated charcoal is contraindicated for a patient who is:
n n n n n n n n
• A:conscious and alert and has ingested a large amount of Motrin.
n n n n n n n n n n n
• B:emotionally upset and has ingested two bottles of aspirin.
n n n n n n n n n
• C:agitated and claims to have ingested a bottle of Tylenol.
n n n n n n n n n n
• D:awake and alert and has swallowed a commercial drain cleaner. -
n n n n n n n n n n n
CORRECT ANSWER-You selected D; This is correct!
n n n n n n n
Reason:Activated charcoal adsorbs (sticks to) many ingested substances, preventin n n n n n n n n
g them from being absorbed into the body by the stomach or intestines. In some ca
n n n n n n n n n n n n n n n
ses, you may give activated charcoal to patients who have ingested certain substan
n n n n n n n n n n n n
ces, if approved by medical control or local protocol. Activated charcoal is contrain
n n n n n n n n n n n n
dicated for patients who have ingested an acid or alkali (ie, drain cleaner) or a petr
n n n n n n n n n n n n n n n
oleum product (ie, gasoline), who have a decreased level of consciousness and can
n n n n n n n n n n n n
not protect their own airway, or who are unable to swallow.
n n n n n n n n n n
The MOST obvious way to reduce heat loss from radiation and convection is to:
n n n n n n n n n n n n n
• A:move away from a cold object.
n n n n n n
• B:increase metabolism by shivering.
n n n n
• C:wear a thick wind-proof jacket.
n n n n n
• D:move to a warmer environment. - CORRECT ANSWER-
n n n n n n n n
you selected D; This is correct!
n n n n n
Reason:In a cold environment, the body has two ways of staying warm: generating
n n n n n n n n n n n n n
heat (thermogenesis) and reducing heat loss. Radiation is the transfer of heat by ra
n n n n n n n n n n n n n
diant energy. The body can lose heat by radiation, such as when a person stands in
n n n n n n n n n n n n n n n n
a cold room. Convection occurs when heat is transferred to circulating air, as when
n n n n n n n n n n n n n n
cool air moves across the body's surface. A person standing in windy cold weather,
n n n n n n n n n n n n n n
wearing lightweight clothing, is losing heat to the environment mostly by convectio
n n n n n n n n n n n
n. The quickest and most obvious way to decrease heat loss from radiation and con
n n n n n n n n n n n n n n
NREMTnPracticenTestnBankn-nMultiplenChoicenEXAMnQUESTIONSnWITHn1OO%nCOMPLETEnSOLUTIONSn
