NREMT Cognitive Exam Assessment Test
Questions With Correct Answers
In |which |of |the |following |situations |would |you |most |likely |encounter |agonal |gasps?
A) |ANY |PT. |WHO |IS |UNRESPONSIVE |DUE |TO |HYPOXIA
b) |occlusion |of |the |posterior |pharynx |by |the |tongue
c) |shortly |after |the |pt. |becomes |unresponsive |& |pulseless
d) |significant |hypoxemia, |regardless |of |the |cause |- |CORRECT |ANSWER✔✔-c)
After |an |adult |cardiac |arrest |patient |has |been |intubated |by |a |paramedic, |you |are |providing |
ventilations |as |your |partner |performs |chest |compressions. |When |ventilating |the |patient, |you |
should
A. |deliver |2 |breaths |during |a |brief |pause |in |chest |compressions.
B. |deliver |each |breath |over |1 |second |at |a |rate |of |10 |breaths/min
C. |hyperventilate |the |patient |to |maximize |carbon |dioxide |elimination.
D. |deliver |each |breath |over |2 |seconds |at |a |rate |of |15 |breaths/min. |- |CORRECT |ANSWER✔✔-B) |
deliver |each |breath |over |1 |second |at |a |rate |of |10 |breaths/min.
During |your |assessment |of |a |trauma |patient, |you |note |massive |facial |injuries, |weak |radial |
pulses, |and |clammy |skin. |What |should |be |your |MOST |immediate |concern?
a) |potential |obstruction |of |the |airway
b) |internal |bleeding |and |severe |shock
c) |applying |100 |% |supplemental |O2
,d) |providing |rapid |transport |to |a |trauma |center |- |CORRECT |ANSWER✔✔-a
Clinically, |reduced |tidal |volume |would |MOST |likely |present |with |respirations |that |are: |- |
CORRECT |ANSWER✔✔-shallow
A |patient |presents |with |ineffective |breathing |that |has |no |identifiable |pattern. |What |term |is |
used |to |describe |this |type |of |breathing? |- |CORRECT |ANSWER✔✔-Ataxic
After |an |initial |attempt |to |ventilate |a |patient |fails, |you |reposition |the |patient's |head |and |
reattempt |ventilation |without |success. |You |should |next
A. |perform |chest |compressions, |open |the |airway, |and |look |into |the |mouth
B. |use |a |flow-restricted |oxygen-powered |ventilation |device
C. |initiate |airway |obstruction |removal |techniques |and |provide |transport
D. |continue |to |reposition |the |patient's |head |at |the |scene |until |you |are |able |to |secure |a |patent |
airway |- |CORRECT |ANSWER✔✔-a
An |unresponsive |60-year-old |male |is |apneic |and |has |a |weak, |rapid |pulse. |His |O2 |saturation |
reads |79%. |You |should:
a) |deliver |one |breath |over |1 |second |every |5 |to |6 |seconds
b) |use |a |pocket |face |mask |to |deliver |12 |to |20 |breaths |/ |min
c) |hyperventilate |him |until |his |O2 |saturation |improves
d) |deliver |a |min. |of |10 |breaths/min, |each |over |1 |sec. |- |CORRECT |ANSWER✔✔-a
You |are |ventilating |an |apneic |adult |with |a |BVM |device |and |high-flow |O2. |Her |pulse |rate |is |130
|beats/min |and |she |has |cyanosis |to |her |face |& |chest. |Which |of |the |following |is |the |MOST |
reliable |indicator |of |adequately |performed |ventilations |in |this |patient?
,a) |Slight |dissipation |of |her |cyanosis
b) |noted |abdominal |rise |with |each |ventilation
c) |decreased |compliance |with |each |ventilation
d) |a |decrease |in |her |heart |rate |to |90 |beats/min |- |CORRECT |ANSWER✔✔-d
If |an |adult |patient |presents |with |a |respiratory |rate |of |26 |breaths/min, |your |initial |action |
should |be |to:
• |A:evaluate |his |mental |status |and |the |depth |of |his |respirations.
• |B:begin |assisting |his |ventilations |with |a |bag-mask |device.
• |C:apply |oxygen |via |a |nonrebreathing |mask |and |take |his |vital |signs.
• |D:apply |the |pulse |oximeter |and |assess |his |oxygen |saturation. |- |CORRECT |ANSWER✔✔-a
Aspirin |may |be |contraindicated |in |patients |with:
a) |glaucoma
b) |diabetes
c) |stomach |ulcers
d) |ibuprofen |allergy |- |CORRECT |ANSWER✔✔-c) |stomach |ulcers
A |49-year-old |woman |presents |with |a |headache, |nausea, |and |ringing |in |her |ears. |She |is |
conscious |and |alert |and |states |that |she |has |hypertension |and |type |2 |diabetes. |Her |BP |is |
202/114 |mmHg, |her |pulse |is |60 |beats/min. |What |should |you |do?
a) |place |her |in |supine
b) |give |her |one |tube |of |oral |glucose
c) |prepare |for |immediate |transport
, d) |summon |an |ALS |unit |to |the |scene |- |CORRECT |ANSWER✔✔-c
a...likely |only |make |her |headache |worse
b...without |knowing |the |blood |glucose |lvl, |this |is |inappropriate
d...if |it |does |not |delay |transport |(but |c |is |far |more |important)
Which |part |of |the |assessment |process |would |MOST |likely |provide |clues |as |to |the |possible |
underlying |cause |of |medical |pt.'s |c.c.?
a) |vital |signs
b) |mental |status
c) |medical |history
d) |primary |assessment |- |CORRECT |ANSWER✔✔-c
All |of |the |following |are |signs |of |gastrointestinal |bleeding, |EXCEPT:
a) |melena
b) |hemoptysis
c) |tachycardia
d) |hematemesis |- |CORRECT |ANSWER✔✔-b |(coughing |up |blood) |...sign |of |pulmonary |injury
A |48-year-old |male |became |acutely |hypoxic, |experienced |a |seizure, |and |is |now |postictal. |The |
MOST |effective |way |to |prevent |another |seizure |is |to:
a) |place |him |in |the |recovery |position
b) |give |him |oral |glucose |if |he |can |swallow
c) |administer |high-flow |O2 |
Questions With Correct Answers
In |which |of |the |following |situations |would |you |most |likely |encounter |agonal |gasps?
A) |ANY |PT. |WHO |IS |UNRESPONSIVE |DUE |TO |HYPOXIA
b) |occlusion |of |the |posterior |pharynx |by |the |tongue
c) |shortly |after |the |pt. |becomes |unresponsive |& |pulseless
d) |significant |hypoxemia, |regardless |of |the |cause |- |CORRECT |ANSWER✔✔-c)
After |an |adult |cardiac |arrest |patient |has |been |intubated |by |a |paramedic, |you |are |providing |
ventilations |as |your |partner |performs |chest |compressions. |When |ventilating |the |patient, |you |
should
A. |deliver |2 |breaths |during |a |brief |pause |in |chest |compressions.
B. |deliver |each |breath |over |1 |second |at |a |rate |of |10 |breaths/min
C. |hyperventilate |the |patient |to |maximize |carbon |dioxide |elimination.
D. |deliver |each |breath |over |2 |seconds |at |a |rate |of |15 |breaths/min. |- |CORRECT |ANSWER✔✔-B) |
deliver |each |breath |over |1 |second |at |a |rate |of |10 |breaths/min.
During |your |assessment |of |a |trauma |patient, |you |note |massive |facial |injuries, |weak |radial |
pulses, |and |clammy |skin. |What |should |be |your |MOST |immediate |concern?
a) |potential |obstruction |of |the |airway
b) |internal |bleeding |and |severe |shock
c) |applying |100 |% |supplemental |O2
,d) |providing |rapid |transport |to |a |trauma |center |- |CORRECT |ANSWER✔✔-a
Clinically, |reduced |tidal |volume |would |MOST |likely |present |with |respirations |that |are: |- |
CORRECT |ANSWER✔✔-shallow
A |patient |presents |with |ineffective |breathing |that |has |no |identifiable |pattern. |What |term |is |
used |to |describe |this |type |of |breathing? |- |CORRECT |ANSWER✔✔-Ataxic
After |an |initial |attempt |to |ventilate |a |patient |fails, |you |reposition |the |patient's |head |and |
reattempt |ventilation |without |success. |You |should |next
A. |perform |chest |compressions, |open |the |airway, |and |look |into |the |mouth
B. |use |a |flow-restricted |oxygen-powered |ventilation |device
C. |initiate |airway |obstruction |removal |techniques |and |provide |transport
D. |continue |to |reposition |the |patient's |head |at |the |scene |until |you |are |able |to |secure |a |patent |
airway |- |CORRECT |ANSWER✔✔-a
An |unresponsive |60-year-old |male |is |apneic |and |has |a |weak, |rapid |pulse. |His |O2 |saturation |
reads |79%. |You |should:
a) |deliver |one |breath |over |1 |second |every |5 |to |6 |seconds
b) |use |a |pocket |face |mask |to |deliver |12 |to |20 |breaths |/ |min
c) |hyperventilate |him |until |his |O2 |saturation |improves
d) |deliver |a |min. |of |10 |breaths/min, |each |over |1 |sec. |- |CORRECT |ANSWER✔✔-a
You |are |ventilating |an |apneic |adult |with |a |BVM |device |and |high-flow |O2. |Her |pulse |rate |is |130
|beats/min |and |she |has |cyanosis |to |her |face |& |chest. |Which |of |the |following |is |the |MOST |
reliable |indicator |of |adequately |performed |ventilations |in |this |patient?
,a) |Slight |dissipation |of |her |cyanosis
b) |noted |abdominal |rise |with |each |ventilation
c) |decreased |compliance |with |each |ventilation
d) |a |decrease |in |her |heart |rate |to |90 |beats/min |- |CORRECT |ANSWER✔✔-d
If |an |adult |patient |presents |with |a |respiratory |rate |of |26 |breaths/min, |your |initial |action |
should |be |to:
• |A:evaluate |his |mental |status |and |the |depth |of |his |respirations.
• |B:begin |assisting |his |ventilations |with |a |bag-mask |device.
• |C:apply |oxygen |via |a |nonrebreathing |mask |and |take |his |vital |signs.
• |D:apply |the |pulse |oximeter |and |assess |his |oxygen |saturation. |- |CORRECT |ANSWER✔✔-a
Aspirin |may |be |contraindicated |in |patients |with:
a) |glaucoma
b) |diabetes
c) |stomach |ulcers
d) |ibuprofen |allergy |- |CORRECT |ANSWER✔✔-c) |stomach |ulcers
A |49-year-old |woman |presents |with |a |headache, |nausea, |and |ringing |in |her |ears. |She |is |
conscious |and |alert |and |states |that |she |has |hypertension |and |type |2 |diabetes. |Her |BP |is |
202/114 |mmHg, |her |pulse |is |60 |beats/min. |What |should |you |do?
a) |place |her |in |supine
b) |give |her |one |tube |of |oral |glucose
c) |prepare |for |immediate |transport
, d) |summon |an |ALS |unit |to |the |scene |- |CORRECT |ANSWER✔✔-c
a...likely |only |make |her |headache |worse
b...without |knowing |the |blood |glucose |lvl, |this |is |inappropriate
d...if |it |does |not |delay |transport |(but |c |is |far |more |important)
Which |part |of |the |assessment |process |would |MOST |likely |provide |clues |as |to |the |possible |
underlying |cause |of |medical |pt.'s |c.c.?
a) |vital |signs
b) |mental |status
c) |medical |history
d) |primary |assessment |- |CORRECT |ANSWER✔✔-c
All |of |the |following |are |signs |of |gastrointestinal |bleeding, |EXCEPT:
a) |melena
b) |hemoptysis
c) |tachycardia
d) |hematemesis |- |CORRECT |ANSWER✔✔-b |(coughing |up |blood) |...sign |of |pulmonary |injury
A |48-year-old |male |became |acutely |hypoxic, |experienced |a |seizure, |and |is |now |postictal. |The |
MOST |effective |way |to |prevent |another |seizure |is |to:
a) |place |him |in |the |recovery |position
b) |give |him |oral |glucose |if |he |can |swallow
c) |administer |high-flow |O2 |
