NREMT Practice Questions w/ Rationale
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1. The primary assessment of an adult with chest pain includes:
A. Identifying the specific cause of the patient's pain.
B. Ensuring the scene is safe.
C. Determine the transport priority.
D. Reassessing vital signs.: C
(Determining the patient's transport priority is a component of the primary assess-
ment. Scene safety is determined during the scene size up. Determining specifics
about the patient's pain and reassessing vitals are done later in the assessment
process.)
2. You are caring for a six-year-old patient with respiratory distress. The pulse
oximeter (Sa02) reads 93%. Your management of the patient should include:
A. Withhold oxygen until the patient develops accessory muscle use.
B. Contacting the patient's pediatrician prior to transport.
C. Administering a metered dose inhaler if prescribed to a parent or sibling.
D. Administer sufficient oxygen to maintain a pulse oximeter reading of at
least 94%.: D
(Rationale: Oxygen is indicated for patients with signs or symptoms of hypoxia,
including a pulse oximeter below 94%. EMTs should not withhold oxygen from a
patient with a pulse oximeter below 94%. EMTs do not contact the patient's physician
for medical direction, nor do they administer MDIs which are not prescribed to the
patient. )
3. Which of the following interventions should be performed first for an unre-
sponsive patient with a suspected spinal cord injury?
A. Head-tilt, chin-lift.
B. Jaw thrust maneuver.
C. Oropharyngeal airway.
D. Nasopharyngeal airway.:
4. You are caring for a 22-year-old female who complains of respiratory dis-
tress after exercising. She is alert, speaking full sentences, and has a persis-
tent cough. She is most likely experiencing:
A. Respiratory distress with adequate breathing.
B. Respiratory distress with inadequate breathing.
C. Respiratory paralysis.
D. Respiratory arrest.:
5. Your 5-year-old patient is unresponsive. A carotid pulse is present at 40
beats per minute. Breaths are shallow at six per minute. You should immedi-
ately:
A. Apply a nonrebreather mask.
B. Begin artificial ventilations.
, NREMT Practice Questions w/ Rationale
Study online at https://quizlet.com/_3k94w8
C. Place the patient in the recovery position.
D. Begin chest compressions:
6. Which of the following medications is intended to decrease myocardial
workload and increase myocardial blood flow?
A. Nitroglycerin
B. Activated charcoal
C. Aspirin
D. Epinephrine:
7. You are caring for a multi-system trauma patient with possible internal
bleeding. Select the correct statement about the rapid scan for a multi-system
trauma patient:
A. The rapid scan is used to identify all injuries.
B. The rapid scan is used to identify life-threatening conditions.
C. The rapid scan is another term for the secondary exam.
D. The rapid scan is not required on conscious patients.:
8. Life-threatening bleeding should be found and treated during the:
A. Primary assessment.
B. Scene size up.
C. Secondary assessment.
D. Patient history.:
9. Your patient is unresponsive following blunt trauma to the head. Which of
the following is the EMT's first priority for an unresponsive patient?
A. Assess respiratory rate.
B. Open the airway.
C. Perform a SAMPLE history.
D. Determine if CPR is indicated:
10. You are called for a drowning victim at a family barbecue. Upon arrival, two
family members approach you yelling, swearing, and demanding to know what
took so long. One of the family members pushes you. You should:
A. retreat and request immediate assistance from law enforcement.
B. explain to the family where you responded from and why you were delayed.
C. order the family members to back off and take you to the patient.
D. tell the family that assaulting an EMS provider is a felony.:
11. Your 6-year-old patient jumped from a swing and injured his right leg. You
note deformity to the right leg above the ankle. The patient most likely has a
fracture to the:
A. proximal radius.
B. distal ulna.
, NREMT Practice Questions w/ Rationale
Study online at https://quizlet.com/_3k94w8
C. proximal fibula.
D. distal tibia.:
12. The foramen magnum:
A. connects the forearm to the humerus.
B. is an opening at the base of the skull.
C. attaches the patella to the knee joint.
D. allows lateral movement of the head.:
13. Which of the following is the most frequent cause of airway obstruction?
A. fluid.
B. toys.
C. vomit.
D. the tongue.:
14. Continuous positive airway pressure (CPAP) can reduce respiratory dis-
tress by:
A. helping to keep the alveoli open.
B. stimulating sleep apnea.
C. relieving foreign body airway obstruction.
D. increasing the need for intubation.:
15. Which of the following is true during inhalation of a spontaneously breath-
ing patient?
A. There is a drop in pressure within the thorax.
B. There is an increase in pressure within the thorax.
C. Air is being pushed into the lungs.
D. The diaphragm and intercostal muscles are relaxed.:
16. You are first on the scene of a motor vehicle collision involving multiple
vehicles. Which of the following should you do first:
A. Start the triage process.
B. Begin extrication of trapped patients.
C. Request additional resources.
D. Perform a primary assessment.:
17. Which of the following is the first priority at a hazardous material incident?
A. identify the hazardous material.
B. request additional resources.
C. ensure your own safety.
D. evacuate bystanders.:
18. Carbon monoxide exposure is dangerous because it:
A. collapses red blood cells.
B. causes pulmonary edema.
Study online at https://quizlet.com/_3k94w8
1. The primary assessment of an adult with chest pain includes:
A. Identifying the specific cause of the patient's pain.
B. Ensuring the scene is safe.
C. Determine the transport priority.
D. Reassessing vital signs.: C
(Determining the patient's transport priority is a component of the primary assess-
ment. Scene safety is determined during the scene size up. Determining specifics
about the patient's pain and reassessing vitals are done later in the assessment
process.)
2. You are caring for a six-year-old patient with respiratory distress. The pulse
oximeter (Sa02) reads 93%. Your management of the patient should include:
A. Withhold oxygen until the patient develops accessory muscle use.
B. Contacting the patient's pediatrician prior to transport.
C. Administering a metered dose inhaler if prescribed to a parent or sibling.
D. Administer sufficient oxygen to maintain a pulse oximeter reading of at
least 94%.: D
(Rationale: Oxygen is indicated for patients with signs or symptoms of hypoxia,
including a pulse oximeter below 94%. EMTs should not withhold oxygen from a
patient with a pulse oximeter below 94%. EMTs do not contact the patient's physician
for medical direction, nor do they administer MDIs which are not prescribed to the
patient. )
3. Which of the following interventions should be performed first for an unre-
sponsive patient with a suspected spinal cord injury?
A. Head-tilt, chin-lift.
B. Jaw thrust maneuver.
C. Oropharyngeal airway.
D. Nasopharyngeal airway.:
4. You are caring for a 22-year-old female who complains of respiratory dis-
tress after exercising. She is alert, speaking full sentences, and has a persis-
tent cough. She is most likely experiencing:
A. Respiratory distress with adequate breathing.
B. Respiratory distress with inadequate breathing.
C. Respiratory paralysis.
D. Respiratory arrest.:
5. Your 5-year-old patient is unresponsive. A carotid pulse is present at 40
beats per minute. Breaths are shallow at six per minute. You should immedi-
ately:
A. Apply a nonrebreather mask.
B. Begin artificial ventilations.
, NREMT Practice Questions w/ Rationale
Study online at https://quizlet.com/_3k94w8
C. Place the patient in the recovery position.
D. Begin chest compressions:
6. Which of the following medications is intended to decrease myocardial
workload and increase myocardial blood flow?
A. Nitroglycerin
B. Activated charcoal
C. Aspirin
D. Epinephrine:
7. You are caring for a multi-system trauma patient with possible internal
bleeding. Select the correct statement about the rapid scan for a multi-system
trauma patient:
A. The rapid scan is used to identify all injuries.
B. The rapid scan is used to identify life-threatening conditions.
C. The rapid scan is another term for the secondary exam.
D. The rapid scan is not required on conscious patients.:
8. Life-threatening bleeding should be found and treated during the:
A. Primary assessment.
B. Scene size up.
C. Secondary assessment.
D. Patient history.:
9. Your patient is unresponsive following blunt trauma to the head. Which of
the following is the EMT's first priority for an unresponsive patient?
A. Assess respiratory rate.
B. Open the airway.
C. Perform a SAMPLE history.
D. Determine if CPR is indicated:
10. You are called for a drowning victim at a family barbecue. Upon arrival, two
family members approach you yelling, swearing, and demanding to know what
took so long. One of the family members pushes you. You should:
A. retreat and request immediate assistance from law enforcement.
B. explain to the family where you responded from and why you were delayed.
C. order the family members to back off and take you to the patient.
D. tell the family that assaulting an EMS provider is a felony.:
11. Your 6-year-old patient jumped from a swing and injured his right leg. You
note deformity to the right leg above the ankle. The patient most likely has a
fracture to the:
A. proximal radius.
B. distal ulna.
, NREMT Practice Questions w/ Rationale
Study online at https://quizlet.com/_3k94w8
C. proximal fibula.
D. distal tibia.:
12. The foramen magnum:
A. connects the forearm to the humerus.
B. is an opening at the base of the skull.
C. attaches the patella to the knee joint.
D. allows lateral movement of the head.:
13. Which of the following is the most frequent cause of airway obstruction?
A. fluid.
B. toys.
C. vomit.
D. the tongue.:
14. Continuous positive airway pressure (CPAP) can reduce respiratory dis-
tress by:
A. helping to keep the alveoli open.
B. stimulating sleep apnea.
C. relieving foreign body airway obstruction.
D. increasing the need for intubation.:
15. Which of the following is true during inhalation of a spontaneously breath-
ing patient?
A. There is a drop in pressure within the thorax.
B. There is an increase in pressure within the thorax.
C. Air is being pushed into the lungs.
D. The diaphragm and intercostal muscles are relaxed.:
16. You are first on the scene of a motor vehicle collision involving multiple
vehicles. Which of the following should you do first:
A. Start the triage process.
B. Begin extrication of trapped patients.
C. Request additional resources.
D. Perform a primary assessment.:
17. Which of the following is the first priority at a hazardous material incident?
A. identify the hazardous material.
B. request additional resources.
C. ensure your own safety.
D. evacuate bystanders.:
18. Carbon monoxide exposure is dangerous because it:
A. collapses red blood cells.
B. causes pulmonary edema.
