NREMT practice exam questions

Which of the following is true regarding the Emergency Response Guide (ERG):

The ERG helps identify the evacuation distance for specific hazardous materials

An elderly female reportedly had a severe headache for the last 24 hours. She was recently found unconscious in bed. Her family reports she has a history of hypertension and transient ischemic attacks (TIAs). The patient's current condition is most likely due to:

a hemorrhagic stroke - if TIA it would resolve in 24 hours

Acute hypoglycemia typically causes:

a sudden loss of consciousness

A 36-year-old female presents with a sudden onset of difficulty breathing. She is anxious, has intercostal retractions and nasal flaring. Her respiratory rate is 24 breaths per minute. You do not have a pulse oximeter. You should:

administer oxygen via NRB at 15 lpm

Which of the following statements about use of the automated external defibrillator (AED) is correct?

adult AED pads can be used on pediatric patients if pediatric pads are not available

Which of the following describes the purpose of administering aspirin to a suspected myocardial infarction patient?

aspirin is an anti-platelet aggregation in coronary arteries

An elderly patient reportedly collapsed on a golf course almost 10 minutes ago. You assess her level of consciousness and determine she is unresponsive. Which of the following should you do first:

assess pulse and begin CPR if needed - unresponsive patients should be assessed in a CAB manner

A nonrebreather mask should be administered to patients who:

breathing adequately with signs of hypoxia - NRB is for spontaneous breathers with adequate ventilations - patients with inadequate, slow or shallow ventilations should be ventilated

In unresponsive patients over one year of age, you should palpate the:

carotid pulse

Select the patient condition that is most likely to require transport to a specialized facility.

cerebrovascular accident

Nerve agents and choking agents are examples of:

chemical agents

Shallow respirations and bradypnea will likely cause:

decrease in minute volume

Your patient is unresponsive following blunt trauma to the head. Which of the following is the EMT's first priority for an unresponsive patient?

determine if CPR is indicated

You are treating a patient with respiratory distress. He has a history of multiple myocardial infarctions. Lung sounds indicate pulmonary edema. You note the patient does NOT have any JVD or pedal edema. The patient is most likely experiencing:

left heart failure - pulmonary edema indicates LHF - pedal edema and JVD indicate RHF

You are dispatched for a homeless person found unresponsive. You find the patient prone on the sidewalk unresponsive to pain. You should first:

log roll the patient into a supine position - in case there is a need to initiate CPR

Which of the following is a common cause of seizures?

poisoning

Your patient is a construction worker who fell from a residential rooftop. He is responsive to pain. Breaths are shallow and irregular. You should:

provide artificial ventilations with a bag-mask device and high-flow oxygen

Coordinating efforts through a unified command system at a mass casualty incident will likely:

reduce duplication of effort and freelancing

Carbon monoxide exposure is dangerous because it:

reduces delivery of oxygen

You are caring for a trauma patient with a closed head injury. The patient is responsive to painful stimuli. The BP is 160/100, pulse is 60 beats/min and respirations are 8 per minute. You should:

stabilize life-threatening conditions and limit your on-scene time to 10 minutes

Your patient has been exposed to a chemical that over-stimulates the parasympathetic nervous system. You would expect this patient to exhibit:

vomiting

You respond to a preschool facility for an ill child. Upon arrival, you find an unresponsive 8-month-old. The infant has a palpable pulse of 50 beats per minute. Your next action should be to:

begin chest compressions

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 immediately:

begin chest compressions

Which of the following statements regarding febrile seizures is correct?

febrile seizures pose little risk of permanent injury

Inadequate oxygen delivery to the body's tissues is called:

hypoxia

You are caring for a 10-year-old child who was an unrestrained passenger in a vehicle that was struck from the rear. The child complains of neck pain. Which of the following should be done first?

manual cervical spine precautions