Prepare for the National Registry EMT (NREMT) exam with these practice questions and answers. This guide covers airway management, trauma care, medical emergencies, patient assessment, and EMS operations.
Q: You arrive to find a 48 year old male complaining that his chest feels heavy. The patient is awake and talking to you. During your assessment, you note that his skin is pale, cool, and clammy. Your first step is to:A. apply your AEDB. administer supplemental oxygenC. obtain a past medical historyD. assist the patient in taking his neighbor’s nitroglycerin
Answer: B(Your first step is to administer supplemental oxygen. When treating chest pain, it is important to get oxygen to the patient as soon as possible to help alleviate damage to the heart muscle.)
Q: Which of the following is the correct flow of blood through the heart and lungs?A. inferior/superior vena cavae, lungs, right atrium, right ventricle, left venntricle, aortaB. inferior/superior vena cavae, left atrium, left ventricle, lungs, right atrium, left ventricle, aortaC. inferior/superior vena cavae, lings, aorta, left atrium, left ventricle, right atrium, left ventricleD. inferior/superior vena cavae, right atrium, right ventricle, lungs, left ventricle, aorta
Answer: D
Q: The mitral or bicuspid valve,A. prevents blood from back flowing into the left atriumB. prevents blood from back flowing into the right atriumC. prevents the blood from back flowing into the lungsD. is located between the left atrium and the right ventricle
Answer: A(The mitral or bicuspid valve is located between the left atrium and the left atrium and the left ventricle. It prevents the blood from back flowing into the left atrium.)
Q: Which of the following is NOT true of the treatment of an impaled object?A. remove if blocking the airwayB. stabilize in placeC. remove to accommodate transport of the patientD. control the bleeding
Answer: C(The treatment of a patient with an impaled object includes: securing the object in place, exposing the wound area, controlling bleeding, and using a bulky dressing to help stabilize the object. The only time it is permissible to remove an impaled object is if it is impeding the breathing of a patient.)
Q: The electrical impulse generated in the right atrium is called the:A. atrioventricular nodeB. purkinje fibersC. sinoatriual nodeD. bundle of his
Answer: C
Q: You are treating a patient that has been involved in a motor vehicle accident. You can lift a flap of skin on the patient’s head. This type of injury would e referred to as a(n):A. avulsionB. lacerationC. eviscerationD. puncture
Answer: A(A puncture is created by an object that is typically sharp and pointed. A laceration is defined as a jagged cut. An evisceration is typically referred to as organs protruding.)
Q: Ligaments connect:A. muscle to boneB. bones to tendonC. bone to boneD. muscle to tendons
Answer: C
Q: Which of the following heat emergencies is considered a true emergency?A. heat crampsB. heat exhaustionC. heat infarctionD. heat stroke
Answer: D(Heat strokes are considered a true life threatening emergency. A heat stroke typically occurs after a patient as experienced heat cramps and heat exhaustion.)
Q: You are treating a patient who has overdosed on a narcotic. The greatest risk for this patient is:A. respiratory depressionB. seizuresC. hypertensionD. hyperactivity
Answer: A
Q: Which of the following is NOT an imminent sign that birthing is going to occur?A. crowning has occurredB. contractions are 5 minutes apartC. the patient feels the infant’s head moving down her birth canalD. the patient’s abdomen is very hard
Answer: B
Q: Which of the following patient characteristics does NOT represent a potential for violence?A. quick irregular movementsB. threatening postureC. large, muscular individualD. loud, thunderous voice
Answer: C
Q: There are hollow and solid organs in the abdomen. The gallbladder is considered a hollow organ. A ruptured hollow organ such as the gallbladder is most commonly associated with:A. severe bleedingB. inflammation and infectionC. gall stonesD. appendicitis
Answer: B
Q: A 29 year old male has taken LSD. The patient appears very anxious and in a panic state. He is showing signs of paranoia. You should:A. agree withe everything the patient saysB. restrain the patientC. be aggressive and talk very straight and stern to the patientD. talk the patient down by reassuring the patient
Answer: D
Q: The most serious side effect of alcohol consumption is:A. liver damageB. hepatitisC. deathD. loss of consciousness
Answer: C
Q: You arrive on the scene of an incident where a 16 year old male fell approximately 12 feet. That would be considered:A. a trauma alertB. a significant mechanism of injuryC. not a significant mechanism of injuryD. a case with a load ‘n’ go patient
Answer: C(A patient over the age of 8 is considered an adult for most medical care purposes. A fall of greater than 20 feet is considered a significant injury in adults. If this had been an infant or child, it would have been a significant mechanism of injury since any fall greater than 10 feet would be considered a significant mechanism of injury.)
Q: When assessing a 35 year old patient complaining she is short of breath, you note that her breathing is in excess of 28 times per minute. This is considered:A. neuropneaB. apneaC. bradypneaD. tachypnea
Answer: D(Respiratory rates greater than 20 breaths per minute are considered tachypnea. Less than 12 breaths per minute is bradypnea and absent breathing is apnea.)
Q: You arrive on the scene of a patient who fell from a ladder. You should open the patient’s airway by using:A. head-tilt/chin-liftB. jaw thrust maneuverC. neck-lift/head-tiltD. head-tilt/jaw-thrust
Answer: B
Q: You arrive on the scene, finding an unconscious patient. There are no other individuals in the vicinity to give any other information or permission to treat the patient. Even though the patient cannot give you consent to treat him, you begin to do so because of”A. expressed consentB. implied consentC. advanced directivesD. emergency consent
Answer: B
Q: The AED is used to treat patients in:A. asystoleB. ventricular tachycardia with a pulseC. ventricular fibrillationD. pulseless electrical activity
Answer: C
Q: You arrive on the scene to discover a 65-year-old female lying on the floor of her living room. Your first step in the care of this patient is to”A. begin chest compressionsB. apply the AEDC. maintain an open airwayD. assess level of consciousness
Answer: D
Q: You arrive on the scene to find an unconscious patient about 14 years of age. Where would you assess for a pulse on this patient?A. carotid arteryB. brachial arteryC. femoral arteryD. radial artery
Answer: A
Q: The appropriate care for a patient with epistaxis is to:A. have the patient lay down and remain calmB. pinch the nostrils and have the patient lean forwardC. pinch the nostrils and have the patient lean backD. have the patient lay in a supine position with his head lower than the body
Answer: B(Epistaxis is a nose bleed. In these cases you should have the patient pinch their nose and lean forward.)
Q: During your assessment of a patient’s chest you note that the left side of the chest moves opposite to the right. This is called:A. crepitusB. paradigmal motionC. subcutaneous emphysemaD. paradoxical movement
Answer: D
Q: A minute after a baby is born, the heart rate is less than 60 beat per minute. You should:A. blow by oxygenB. attempt to stimulate the newbornC. aggressively warm the newbornD. begin chest compressions
Answer: D
Q: You arrive on the scene to find an unresponsive female patient who is in her car in the garage. The car is still running and the door is closed. Looking through an outside window, your next action would be to:A. attempt and immediate rescueB. open the large garage door and any other outside openingsC. wait for the car to run out of gasD. shut the car off immediately and remove the patie
Answer: B
Q: When you listen to the lungs of an asthma patient you would expect to hear:A. wheezesB. ralesC. stridorD. rhonchi
Answer: A
Q: Tidal volume is best defined as the:A. volume of air inhaled on a single breathB. volume of air that remains in the upper airwayC. total volume of air that the lungs are capable of holdingD. volume of air moved in and out of the lungs each minute
Answer: A(average is 500 ml)
Q: During transport of a patient with a head injury, what assessment factor will provide you with the most information regarding the patient’s condition?A. pupil sizeB. heart rateC. mental statusD. blood pressure
Answer: C
Q: Which of the following would findings would be most significant during an assessment of a patient with a severe headache?A. pain in both legsB. chest discomfortC. unilateral weaknessD. abdominal tenderness
Answer: C
Q: Seizures in children most often are the result of:A. a life threatening infectionB. a temperature greater than 102 FC. an abrupt rise in body temperatureD. an inflammatory process in the brain
Answer: C
Q: A 34-year-old woman, who is 36 weeks pregnant, is having a seizure. After you protect her airway and ensure adequate ventilation, you should transport her:A. on her left sideB. in the prone positionC. in the supine positionD. in a semisitting position
Answer: A
Q: Snoring respirations are most rapidly managed byA. suctioning the oropharynxB. initiating assisted ventilationsC. correctly positioning the headD. inserting an oropharyngeal airway
Answer: C
Q: The scene size-up includes all of the following components, except:A. determining scene safetyB. applying personal protective gearC. assessing the need for assistanceD. evaluating the mechanism of injury
Answer: B
Q: Which of the following actions should be carried out during the initial assessment?A. assessing the skinB. palpating the craniumC. auscultating the lungsD. obtaining a blood pressure
Answer: A
Q: Firefighters have rescued a man from his burning house. He is conscious and in considerably respiratory distress. He has a brassy cough and singed nasal hairs. The most immediate threat to this patient’s life is:A. hypothermiaB. severe burnsC. severe infectionD. closure of the airway
Answer: D(Because of the signs and symptoms that this patient is exhibiting, you must be immediately concerned with the potential for closure of the airway and be prepared to assist ventilations. Signs of airway burns include respiratory distress, singed nasal hairs, a brassy cough, difficulty breathing and coughing up soot sputum. Infection, the burns themselves and hypothermia should concern you; however, airway problems are the greatest threat to human life.)
Q: Immediately upon delivery of a newborn’s head, you should first:A. dry the faceB. cover the eyesC. suction the noseD. suction the mouth
Answer: D
Q: Which of the following conditions would most likely cause flushed skin?A. shockB. hypoxiaC. exposure to heatD. low blood pressure
Answer: C(Flushed or red skin commonly is seen in patients who are exposed to heat. Fever can also cause flushed skin. Shock and low blood pressure generally cause the skin to become pale, and hypoxia causes cyanosis, a bluish-gray tint to the skin.)
Q: After a patient has a seizure, they will have a gradual state of awakening. This phase of a seizure is called:A. the tonic phaseB. the postictal phaseC. the clonic phaseD. an aura
Answer: B
Q: The process of losing heat through direct contact is called:A. radiationB. convectionC. conductionD. evaporation
Answer: C
Q: You are called to assist s SCUBA diver who is having trouble breathing. The patient states that it started approximately 15 minutes after she surfaced. She complains of chest pain, dizziness, blurred vision and nausea and vomiting. The patient is most likely suffering from:A. pneumothoraxB. decompression sicknessC. barotraumaD. an air embolism
Answer: D(Any of these could be associated with dive incidents but these signs and symptoms are indicative of an air embolism. Divers who suffer from decompression sickness, or the bends, typically do not develop signs and symptoms of the bends for 12 to 24 hours after their dive. Barotrauma usually occurs as the diver is ascending or descending.)
Q: You are called to the home of a 20-year-old male who is depressed. The patient states he is going to kill himself. Your first step in treating this patient after the scene is safe is to:A. restrain the patient to prevent him from hurting himselfB. ask the patient why he wants to do something so stupidC. ask the patient how he plans t kill himselfD. turn the scene over to law enforcement
Answer: C(At this point, the scene is safe and the patient does not appear to be a threat to anyone. Restraining him would not be appropriate. No matter how you feel about what the patient is going to do, it is inappropriate for you to say that the patient is going to do something stupid. You should continue your treatment of the patient and not turn the scene over to law enforcement.)
Q: The patient is bleeding severely from the lower leg. You have applied direct pressure and elevated the leg. Your next step is to:A. apply a tourniquetB. apply direct pressureC. apply pressure at the pressure pointD. elevate the arm
Answer: C
Q: When treating an eye injury involving an impaled object, it is important to:A. cover both eyes and stabilize the objectB. cover the affected eye and stabilize the objectC. stabilize the object and do not cover either eyeD. remove the object and cover both eyes
Answer: A
Q: You have successfully converted your cardiac arrest patient out of v-fib with your AED. The patient has a pulse and respirations are 6 per minute. You should:A. continue CPRB. monitor patientC. administer 15 LPM via NRBD. continue to assist the patient with ventilations via a BVM and oxygen
Answer: D
Q: Which of the following arryhythmias should be shocked using an AED?A. asystoleB. ventricular tachycardiaC. pulseless electrial activityD. atrial fibrillation
Answer: B
Q: A soft-tissue injury that results in a flap of torn skin is referred to as:A. an incisionB. an avulsionC. an abrasionD. a laceration
Answer: B
Q: When is it most appropriate to clamp and cut the umbilical cord?A. as soon as the cord stops pulsatingB. after the placenta has completely deliveredC. before the newborn has taken its first breathD. immediately following delivery of the newborn
Answer: A
Q: You are treating a patient with a fractured femur. The most appropriate splint to use for this patient would be:A. a ladder splintB. the other legC. two board splintD. a traction splint
Answer: D(A traction splint is used for femur fractures. Ladder splints are used for angulated fractures. Board splints are good to use for extremity fractures.)
Q: Albuterol is a medication administered by:A. injectionB. inhalationC. absorptionD. orally
Answer: B(Albuterol is a bronchodilator)
Q: You arrive on the scene of a tanker truck carrying a hazardous material. You should position your vehicle:A. 2,000 feet from the tanker truckB. uphillC. upwindD. all of the above
Answer: D
Q: You are treating a 35 year old conscious choking victim. The patient suddenly goes unresponsive. Your next step is to:A. attempt to ventilate the patientB. perform CPRC. deliver 5 abdominal thrustsD. deliver 5 chest thrusts
Answer: B
Q: You are the triage officer at the scene of a mass casualty incident. Which of the following patients should be treated first?A. A 37-year-old female patient who is unresponsiveB. An 18-year-old male patient who is not breathing and has no pulseC. A 29-year-old male patient with a femur fractureD. An 8-year-old patient who is conscious but is having trouble breathing
Answer: A
Q: When treating children, all of the following are important considerations except:A. the fact that they are more susceptible to hypothermiaB. the padding is needed when immobilizingC. that they should be treated just like adultsD. that they have smaller airways
Answer: C
Q: When established a landing zone for a medical helicopter, the minimum area secured should beA. 100′ x 100’B. 200′ x 200’C. 50′ x 50’D. 60′ x 60′
Answer: A
Q: A 20-year-old patient was sexually assaulted. The patient states that she is hemorrhaging profusely from the vagina. You shouldA. do nothing and transport immediatelyB. apply a sterile sanitary napkinC. pack the vagina with sterile dressingsD. have the patient squeeze her leg together and transport immediately
Answer: B
Q: A 45-year-old male was involved in a MVA. The patient is complaining of shortness of breath and chest pain. You recognize that the patient has JVD and the patient’s pulse is weak and thready. You believe the patient has a pericardial tamponade. You distinguish that this is the problem with the patient by nothing or discoveringA. decreased heart soundsB. patient has JVDC. narrowing pulse pressureD. patient is complaining of chest pain
Answer: C
Q: You arrive on scene to find a patient who had a productive cough for the past two weeks. The patient is complaining of a fever and night sweats. Your next step would be toA. obtain a better medical historyB. obtain vital signsC. immediately transport the patient to the hospitalD. put the HEPA mask on
Answer: D
Q: You arrive at an emergency room to find that the nurses are busy taking care of other patients. You are getting off shift and want to get back to the station. You and your partner move the patient into a hospital bed, lay the report on the bed with the patient, and leave. You and your partner have just committedA. abandonmentB. negligenceC. appropriate patient careD. vicarious liability
Answer: A
Q: Which artery do you typically assess on an infant?A. brachial arteryB. carotid arteryC. femoral arteryD. radial artery
Answer: A
Q: You are treating a patient suffering from anaphylactic shock. Which of the signs and symptoms would you likely see in this patient?A. urticaria, bradycardia, tachypnea, and stridorB. subcutaneous emphysema, bradycardia, dyspnea, and wheezingC. urticaria, hypertension, tachypnea, and tachycardiaD. urticaria, tachycardia, tachypnea, and hypotension
Answer: D
Q: When you grab a backboard, you realize that blood remains from an earlier call. With your hand covered in blood, your first step towards decontamination should be:A. contacting your Infection Control OfficerB. washing your hands with soap and waterC. completing exposure control formsD. going to the emergency department for admission
Answer: B
Q: Which of the following is the most common cause of suicide?A. alcoholB. drugsC. depressionD. the holidays
Answer: C
Q: You are called to the scene of a possible drowning at a local pool. When you arrive on the scene, a bystander is holding the patient at the surface of the water. The patient is unconscious. Your next step is to:A. being rescue breathingB. remove the patient from the poolC. start CPRD. apply cervical and spinal immobilization
Answer: D
Q: You arrive on the scene of a patient who says that she was bitten by fire ants. She has bites all over her legs. Your first step in treating this patient would be to:A. apply high flow oxygen and remove any jewelryB. cleanse the bites with alcohol to remove the stingC. transport the patient to the hospitalD. use her epi-injector
Answer: D
Q: You are treating a patient with frostbite. Which of the following actions should be taken?A. break any blisters on the woundB. apply direct heat to the affected areaC. rub or massage the affected areaD. remove any jewelry from the afflicted limb
Answer: A
Q: You are suctioning your patient’s airway. One of the biggest side effects of suctioning is:A. hypoxiaB. aspirationC. suction powerD. suction catheter clogging
Answer: A
Q: Which of the following are the signs and symptoms of shock in the early stages?A. tachycardia, anxious, restless, skin pale, cool, clammyB. bradycardia, anxious, restless, skin pale, cool, and clammyC. tachycardia, hypotension, increased breathingD, bradycardia, hypotension, skin pale, cool, clammy
Answer: A
Q: Which of the following pressures is considered narrowed?A. 30B. 20C. 20D. 35
Answer: A
Q: You are treating a patient with shortness of breath. You want to deliver 6 liters per minute of oxygen. You would deliver this flow rate with a:A. nasal cannulaB. simple face maskC. partial re-breatherD. non-rebreather
Answer: B
Q: Which of the following is the first line of defense in fighting against infectious diseases?A. vaccinationsB. hand washingC. using BSID. using 100% bleach
Answer: A
Q: The production of insulin occurs in theA. pancreasB. liverC. gallbladderD. kidney
Answer: B
Q: You are treating a 62-year-old female patient who is complaining of shortness of breath, chest pain, and is coughing up a frothy sputum. You would suspect this patient has:A. right sided congestive heart failureB. left sided congestive heart failureC. emphysemaD. pneumonia
Answer: B
Q: You arrive on the scene of a 2 year old that has a barking cough, low-grade fever, and cold-like symptoms. You suspect
Answer: A
Q: The three main bones of the arm are the:A. humerus, tibia, and radiusB. humerus, ulna, and fibulaC. humerus, tibia, and fibulaD. humerus, ulna, and radius
Answer: B
Q: Which of the following is not considered a significant mechanism of injury for an adult?A. roll-over vehicleB. falls greater than 10 feetC. penetrations of head, chest, or abdomenD. ejection from vehicle
Answer: B
Q: Your patient has what appears to be a dislocated shoulder. Treatment for this patient should be:A. sling and swathe the injured shoulderB. immobilize the arm to the side of the patientC. reset the shoulder and then immobilizeD. wrap the upper body in a pillow and immobilize both arms
Answer: B
Q: You arrive on the scene to discover a patient who refuses to allow you to touch her. You feel the patient is in need in treatment and attempt to take her blood pressure. You have just committed:A. an assaultB. batteryC. negligenceD. an act befitting your profession
Answer: C
Q: You are assessing a 24-year-old male who was involved in a bar room brawl. Witnesses say the patient was struck with a barstool. The patient is unresponsive. You note battle signs on your assessment. This is a sign of:A. intracranial bleedingB. basilar skull fractureC. epidural hematomaD. subdural hematoma
Answer: B
Q: Your patient is vomiting large amounts of bright red blood. The patient does not complain of any pain or tenderness in the abdomen during your assessment. The patient’s pulse is 128 and he is having difficulty breathing. His skin is pale, cool and clammy. You noticed he has a jaundiced appearance. You would suspect this patient has:A. pancreatitisB. esophageal varicesC. abdominal aortic aneurysmD. appendicitis
Answer: A
Q: There are three stages of labor. In the second stage of labor.A. labor pains developC. the cervix becomes dilatedC. the baby is bornD. the placenta is expelled
Answer: A
Q: kjpo
Answer: A
Q: joj
Answer: B
Q: You are at the scene of a mass casualty incident. Who is in charge of the overall scene?A. the EMT-BB. the incident commanderC. the paramedicD. the medical director
Answer: C
Q: You arrive at the scene of a possible unconscious patient located in a lab setting. On the exterior of the room there is a NFPA diamond with a 4 in the blue portion of the diamond. This is an:A. extreme health hazardB. extreme fire hazardC. extreme reactivity hazardD. extreme water reactivity
Answer: A
Q: You have just intubated a patient in cardiac arrest. Your partner tells you he hears breath sounds on the right side but not on the left. You would suspect:A. intubated the right stem bronchusB. intubated the left stem bronchusC. are in the proper positionD. are in the esophagus
Answer: A
Q: You are attempting to intubate a patient. The vocal cords appear anterior and you are having a difficult time visualizing them. You couldA. have your partner tryB. ask your partner to perform the Sellick maneuverC. insert the laryngoscope furtherD. wait until you get to the hospital
Answer: B
Q: Which of the following medications is an EMT-B not allowed to assist the patient in taking?A. the neighbor’s nitroglycerin for chest painB. an albuterol inhaler for shortness of breathC. the patient’s nitroglycerin of chest painD. the patient’s epipen for an allergic reaction
Answer: B
Q: Which of the following is not part of the history or secondary exam?A. form a general impression of the patientB. take the patient’s historyC. conduct a physical examD. take baseline vitals
Answer: C
Q: In which age is capillary refill most useful?A. infants onlyB. patients less than six years of ageC. patients greater than six years of ageD. all ages
Answer: B
Q: You are assessing a conscious patient complaining of chest pain. Which mnemonic will assist you in assessing the patient’s current chief complaint?A. DCAP-BTLSB. SAMPLEC. OPQRSTD. ABC
Answer: A
Q: The patient you are treating has white, waxy skin on both hands. The patient’s hands feel as if they’re frozen. They are swollen and you notice that blisters are forming. Which of the following would you not want to do in caring for the patient.A. rub the handsB. remove any jewelryC. cover the hands with dry sterile dressingsD. leave blisters intact
Answer: C
Q: The kidneys are located in theA. upper abdominal quadrantB. peritoneumC. lower abdominal quadrantD. pelvic region
Answer: C
Q: The right side of the heart has a three-flap valve called theA. tri-valveB. semilunar valveC. mitral valveD. tricuspid valve
Answer: B
Q: Which of the following is a late sign of shock?A. hypotensionB. tachycardiaC. cyanosisD. anxiety
Answer: C
Q: You should never approach a helicopter from the:A. frontB. rearC. leftD. right
Answer: A
Q: EMTs should wear high-efficiency particulate air (HEPA) respirators when they are in contact with patients who would have which of the following?A. HIVB. TBC. open woundsD. hepatitis B
Answer: A
Q: You are called to assist a 60-year-old female who consists of a severe headache. Upon entering the home, you smell a strong odor of natural gas. What is your first action?A. check the patient’s airway, breathing and circulationB. insert a nasopharyngeal airway and assess vital signsC. remove the patient from the house to your ambulanceD. open all the windows and determine the source of the gas leak
Answer: D
Q: The most common electrical rhythm disturbance that results in sudden cardiac arrest is called:A. pulseless electrical activityB. ventricular fibrillationC. ventricular tachycardiaD. asystole
Answer: C
Q: Which of the following is the highest priority patient?A. 57 year old male with chest pain and systolic blood pressure of 80B. 40 year old female with moderate pain from a leg injuryC. 75 year old male who appears confused but responds to commandsD. 25 year old female in labor with contractions six minutes apart
Answer: A
Q: Of the following, which body fluid has the most potential to transmit blood-borne diseases?A. nasal dischargeB. vomitusC. amniotic fluidD. feces
Answer: D
Q: Your patient is an 11-month-old female. How can you determine if she was decreased mental status and is responsive to verbal stimuli?A. she will be upset when you take her from her mother’s armsB. she will be unable to tell you how old she is if you ask herC. she will attempt to locate her parents’ voices when they speakD. she will try to pull away from a painful stimulus on her toe
Answer: A
Q: What is the best method to assess circulation in an infant?A. palpate the carotid pulseB. palpate the brachial pulseC. palpate the radial pulseD. observe capillary refill time
Answer: B
Q: A 45 year old male is experiencing chest discomfort. After placing him in his position of comfort, your next action should be toA. ventilate the patient with a nonrebreather mask at 15L/minB. ventilate the patient with the bag-valve-mask at 15L/minC. administer oxygen by nonrebreather mask at 15L/minD. administer oxygen by the nasal cannula at 6L/min
Answer: D
Q: Which patient should receive a rapid trauma survey to determine hidden injuries?A. alert 2-year-old child in car seat who was in a medium-speed crashB. alert 20-year-old male who fell ten feet and is complaining of leg painC. alert 65-year-old female who fell in the bathtub and is complaining of wrist painD. alert 11-year-old who tripped while roller-skating and fell down three steps
Answer: A
Q: After arriving at the hospital you notice blood on your stretcher. The most appropriate way to disinfect the stretcher is a(n)A. 1:10 ratio of bleach to water solutionB. 1:100 ratio of bleach to water solutionC. 1:1000 ratio of bleach to water solutionD. straight bleach solution
Answer: D
Q: In which of the following situations may an EMT-B place their hands in a patient’s vagina?A. there is never an incident that allows thisB. a breech birthC. to examine the vaginaD. to relieve pressure on a prolapsed cord
Answer: D
Q: Which of the following is NOT a risk for a stroke?A. previous TIAB. diabetesC. hypervolemiaD. hypertension
Answer: D
Q: During your assessment you find a possible fractured leg and hear the bones grinding together. This is called:A. crepitusB. complete fractureC. subcutaneous fractureD. multi-linear fracture
Answer: D
Q: You are the first on the scene of a mass casualty incident. Your responsibility is toA. treat the first patient with life-threatening injuryB. begin removing the patients from the sceneC. establish treatmentD. begin triaging the patients
Answer: C
Q: To assess the motor function in the lower extremities of a responsive patient you want to:A. ask the patient to wiggle his toesB. ask the patient to bend his kneesC. carefully move the patient’s legD. touch the skin of the patient’s foot
Answer: B
Q: Which patient can safely receive only a focused physical examination rather than a rapid trauma assessment?A. 10 year old male with deformed right lower leg who is responsive after falling off his bicycleB. 20 year old female who complains of severe pain in her ankle after stepping off a curbC. 70 year old male who complains of neck pain after a medium speed car collisionD. 30 year old male who is unresponsive but only has minor cuts on the extremities
Answer: C
Q: Immediately after delivering a shock with an AED t a patient in cardiac arrest, you should:A. check for a pulseB. check breathing and provide rescue breaths as necessaryC. analyze with the AED and shock again if indicatedD. do CPR
Answer: D
Q: In which of the following situations should you call for immediate assistance?A. you must care for two critical patients with gunshot woundsB. your patient is a 26 year old female in active laborC. your patient is a child with fever who has had a brief seizureD. your partner is needed to stabilize the cervical spine
Answer: B
Q: The air sacs in the lung where oxygen-carbon dioxide exchange occurs are theA. bronchiolesB. bronchiC. epiglottisD. alveoli
Answer: A
Q: Which of the following is a sign of inadequate breathing?A. warm, dry skinB. no audible soundsC. equal chest expansionD. accessory muscle use
Answer: A
Q: Pink or bloody sputum is often seen in patients withA. pulmonary edemaB. anaphylaxisC. allergic reactionD. flu
Answer: D
Q: A patient complaining of facial paralysis on one side of his face with tearing, localized pain, and sensitivity may be suffering from the most common form of facial paralysis called:A. dystoniaB. muscular dystrophyC. amyotrophic lateral sclerosisD. bell’s palsy
Answer: D
Q: A gurgling sound heard with artificial ventilation is a sign thatA. the patient must be suctioned immediatelyB. supplemental oxygen should be added to the gas-valve maskC. the airway is most likely open, patent, and clearD. the patient is trying to communicate with you
Answer: C
Q: If a person was hit by an object described in the following, which would have the potential to cause the most damage?A. one-pound object traveling at 10 mphB. two-pound object traveling at 20 mphC. one-pound object traveling at 30 mphD. one-pound object traveling at 20 mph
Answer: D
Q: Which rhythm often converts to ventricular fibrillation?A. asystoleB. ventricular tachycardiaC. atrial fibrillationD. atrial tachycardia
Answer: B
Q: You are transporting a patient who has been resuscitated but is still unresponsive. You should check the patient’s pulse every:A. 30 secondsB. 1 minuteC. 5 minutesD. ten minutes
Answer: B
Q: What is the primary action of nitroglycerin?A. lower the blood pressureB. contract the heart musclesC. slow the heart rate downD. dilate the coronary arteries
Answer: A
Q: Patients commonly describe heart attack pain as which of the following characteristics?A. like pin needlesB. crushing or squeezingC. intermittent (it comes and goes)D. less severe than indigestion
Answer: B
Q: In pedestrian versus automobile impacts, which of the following statements are true?A. children often turn toward the impact and are often thrown down and under the vehicleB. adults tend to turn toward the vehicle before impactC. children often turn towards the impact and are often scooped and thrown over the vehicleD. there tends to be no difference in the way adults and children respond in these situations
Answer: C
Q: Your patient has profuse bleeding from a wound on her lower leg but no signs of skeletal injury. The steps you should take to stop the bleeding in the correct order, are:A. direct pressure, elevation, pressure dressing and pressure pointB. pressure point, tourniquet, and concentrated or diffuse direct pressureC. pneumatic anti-shock garments (PASG), lower extremity elevation, and diffuse direct pressureD. elevation, pressure point, pressure dressing and PASG
Answer: C
Q: Where should you place your hands when using the head-tilt chin-lift maneuver to open an unconscious patient’s airway?A. on the nose, with the fingertips pinching it closed, and under the neckB. on the nose, with the fingertips pinching it closed, and on the foreheadC. on the forehead, with the other hand under the neckD. on the forehead, with the fingertips of the other hand under the lower jaw
Answer: A
Q: When performing the modified jaw-thrust maneuver to open your patient’s airway, which of the following steps is NOT correct?A. stabilize the patient’s cervical spine with your forearmsB. rest your elbows on the same surface as the patientC. tilt the head by applying gentle pressure to the foreheadD. use your index fingers to push the angles of the lower jaw forward
Answer: C
Q: Following an explosion, a patient is trapped in a collapsed structure and suffers crush injuries to both lower extremities. How would the injuries be classified based on the blast-injury phase?A. primary blast injuryB. secondary blast injuryC. tertiary blast injuryD. none of the above
Answer: D
Q: When splinting an injured limb, you should assess pulse, motor function, and sensation distal to the injuryA. after applying the splintB. before applying the splintC. while applying the splintD. before and after applying the splint
Answer: C
Q: The golden hour in emergency medicine refers to the first 60 minutes after theA. arrival of EMSB. occurrence of multisystem traumaC. arrival at the emergency roomD. start of surgery
Answer: A
Q: Your patient is a 25-year-old female who is severely hypothermic after having plunged into an icy river. Although she was rescued after only a few minutes in the water, she is showing a diminished level of responsiveness. Your care should includeA. encouraging the patient to walk in order to improve her circulationB. covering the patient in blankets and turning up the heat in the ambulanceC. giving her hot coffee or tea to drink and massaging her extremitiesD. beginning active rewarming measures under direct medical direction
Answer: D
Q: Your unconscious patient has blood in his airway. You should:A. use a suction unit to immediately clear the airwayB. apply oxygen using a nonrebreather mask at 15L/minC. use a bag-valve mask to clear the airwayD. perform a finger sweep to remove the blockage
Answer: A
Q: Your patient is behaving abnormally but refuses treatment after falling down a flight of stairs. Before transporting the patient without consent, you should:A. document the presence of any injuryB. ask bystanders to serve as witnessesC. have bystanders help talk him into careD. contact medical direction for advice
Answer: C
Q: You should not suction a patient’s airway for more than 15 seconds because:A. the patient’s tongue may be injuredB. the suction unit’s batter may drain too quicklyC. the patient will become hypoxic during this timeD. you may cause the patient to vomit
Answer: A
Q: Which of the following is true regarding using a pocket mask to ventilate a nonbreathing patient?A. there is direct contact between the rescuer and the patient’s mouthB. oxygen cannot be connected to the maskC. a one-way valve prevents exhaled air from contacting the rescuerD. oxygen levels of 100% may be achieved
Answer: B
Q: To which patient should you administer oral glucose?A. 60-year-old female behaving as if she is intoxicated, and whose daughter informs you that she takes insulin by injectionB. 45-year-old male with a history of diabetes behaving erratically after falling and hitting his head in the bathtubC. 70-year-old male with a long history of diabetes who is unconscious and cannot swallowD. 52-year-old female who tells you that she is feeling dizzy and has low blood sugar
Answer: D
Q: The focused history for patients with altered mental status should include questions about a history of trauma, diabetes, seizures and which of the following?A. heart diseaseB. pregnancyC. feverD. stress
Answer: B
Q: All of the following may be signs of an allergic reaction except:A. headache and dizzinessB. rapid, labored breathingC. decreased blood pressureD. decreased heart rate
Answer: A
Q: Under medical direction, the EMT-Basic may administer epinephrine to a patient with respiratory distress or hypoperfusion resulting from an allergic reaction if the:A. patient has no history of heart diseaseB. patient is in severe respiratory distress or arrestC. medication has been prescribed for this patientD. medication has been stored in the refrigerator
Answer: B
Q: Ethics is best described as:A. the principles of conduct, concerns for what is right or wrong, good or badB. a code of conduct put forward by a society or some other group such as religionC. the principle of doing good for the patientD. the obligation to treat all patients fairly
Answer: A
Q: A sign of generalized cold emergency, or hypothermia, is cool skin on theA. feet or handsB. earsC. faceD. abdomen
Answer: B
Q: Which of the following indicates that a patient with hyperthermia is in serious danger?A. hot skinB. moist skinC. muscles crampsD. dizziness
Answer: B
Q: Your patient has been stung by a bee, and the stinger is present in the wound. You should attempt to remove it by:A. grabbing it with sterile tweezersB. cutting around it with a knifeC. scraping it away with a rigid objectD. grabbing it with your fingers
Answer: A
Q: In legal terms, a tort is a(n)A. civil wrong committed by one individual against anotherB. criminal wrongdoingC. action by an employee for a workers’ compensation claimD. breach of contract
Answer: C
Q: Which of the following are signs of early respiratory distress in children and infants?A. breathing rate of less than ten per minute, limp muscle tone, slow or absent heart rate, weak or absent distal pulsesB. increased rate of breathing, nasal flaring, intercostal or supraclavicular retractions, mottled skin color, abdominal muscle toneC. altered mental status, respiratory rate of over 60 or under 20 breaths per minute, severe retractions, severe use of accessory musclesD. inability to cough, crying with tears but no sounds, cyanosis, abdominal or chest-wall movements with absent breath sounds
Answer: `
Q: Your patient is an 8-year-old female who had a single, brief seizure at school. Her mother arrives at the same time you do and reports that her daughter has seizures often and is under medical treatment. What should you do?A. request advanced life support (ALS) and law enforcement backup so you can transport your childB. administer a dose of the child’s prescribed seizure-control medicationC. maintain ABCs, monitor vital signs and transport the patient immediatelyD. ensure a patent airway and request medical direction regarding transport
Answer: D
Q: All of the following are signs of possible child abuse except:a. the presence of multiple bruises in various stages of healingB. a single, severe traumatic event that occurred for no reasonC. injuries inconsistent with the mechanism describedD. conflicting histories of the injury from the guardians/parents
Answer: D
Q: The head of a newborn infant has just been delivered. You shouldA. suction the baby’s mouth and nostrils with a bulb syringeB. push down on the baby’s upper shoulder to facilitate the rest of the deliveryC. push up on the baby’s lower shoulder to facilitate the rest of the deliveryD. ventilate the baby with a pediatric bag-valve mask and high-flow oxygen
Answer: D
Q: Emergency care for a responsive 7 year old child with a foreign body airway obstruction includesA. holding the child on your knee and performing back blowsB. standing behind the child and performing sub-diaphragmatic thrustsC. placing the child supine on the floor and attempting to see the obstructionD. placing the child supine on the floor and performing abdominal thrusts
Answer: A
Q: A 2 year old male is in respiratory failure when he hasA. altered mental status and breathing rate of 68 per minuteB. limp muscle tone and weak or absent distal pulsesC. nasal flaring and mottled skin colorD. breathing rate of 6 per minute and heart rate of 50 per minute
Answer: B
Q: A sign or symptom of a predelivery emergency is:A. the mother’s skin is dryB. profuse vaginal bleedingC. the presence of a bloody showD. a contraction every 20 minutes
Answer: C
Q: Select the correct-sized oral airway for a small child by measuring from the corner of the patient’s mouth to what structure:A. pinnea of the earB. angle of the jawC. corner of the mouthD. mastoid process
Answer: D
Q: Vitreous humor is found:A. behind the lens of the eyeB. in the bone marrow of the upper armC. in front of the lens of the eyeD. in the joint lubrication of the upper arm
Answer: A
Q: You are assisting with childbirth in the field. As the infant’s head is delivered, you discover that the umbilical cord is wrapped tightly around the neck. You should immediately:A. place the mother on her side and transportB. deliver the infant with the cord wrapped around its neckC. clamp the cord in two places and cut it between clampsD. suction the infant’s mouth and nose to clear secretions
Answer: C
Q: You have just assisted in delivering an infant with a pink body, a pulse rate of 106 per minute, and a good muscle tone. The infant is crying lustily. How should you care for this newborn?A. wrap the newborn in clean towels and give her to the mother to hold during transportB. provide positive pressure ventilations at the rate of 60 per minute with a bag valve maskC. monitor the infant for one minute and reassess vital signs to see if the heart rate increasesD. administer free-flow oxygen by holding an oxygen mask or tubing over the newborn’s face
Answer: B
Q: The presence of a bloody show during the first stage of labor is a sign thatA. the delivery of the patient is imminentB. the newborn is in danger of respiratory distressC. labor is progressing normallyD. the second stage of labor has begun
Answer: B
Q: Your patient has experienced a spontaneous abortion or miscarriage. You shouldA. remove any tissues from the vaginaB. discard any expelled tissuesC. place a sanitary napkin in the vaginaD. treat the patient for shock
Answer: B
Q: What is the first treatment when a mother bleeds excessively from her vagina after delivery?A. massage her abdomen gentlyB. administer oxygenC. transport her immediatelyD. treat her for shock
Answer: A
Q: Emergency care for an infant when meconium is present in the amniotic fluid includesA. stimulating the infant to cough to expel the meconiumB. performing bag-valve-mask ventilation to improve lung complianceC. performing back blows and chest thrusts to remove the meconiumD. suctioning and notifying the hospital that meconium was present
Answer: C
Q: In addition to caring for injuries, emergency care for a rape victim should focus on which of the following?A. performing a pelvic or rectal exam on the patientB. collecting evidence of the rape and bagging it in plasticC. allowing the patient to shower and change clothesD. preserving evidence in a paper bag and reassuring the victim
Answer: B
Q: The reason to position a pregnant woman on her left side is toA. reduce the pressure of the fetus on maternal circulationB. make labor proceed more slowly by slowing down contractionsC. help turn a breech fetus in the birth canal to the vertex positionD. ensure that there is sufficient blood flow to the placenta
Answer: B
Q: The patient is a 29-year-old female pregnant with her second child. She is 39-weeks pregnant and a saw a bloody show approximately 4 hours ago. Her contractions are 2 minutes apart and lasting 60 seconds. Transport time is approximately 45 minutes. You shouldA. protect the airway and monitor vital signs while transportingB. prepare for an imminent on-scene deliveryC. position the mother on her left side and begin transportD. notify dispatch of the need for ALS assistance
Answer: D
Q: When arriving at the scene of a possible hazardous materials incident, you would identify hazards byA. thoroughly investigating the scene yourselfB. interviewing victims and bystandersC. scanning binoculars from a safe distanceD. assisting law enforcement officers in the search
Answer: C
Q: For which of these procedures should you wear gloves, gown, mask, and protective eyewear?A. performing endotracheal intubationB. performing oral/nasal intubationC. cleaning contaminated instrumentsD. bleeding control with spurting blood
Answer: D
Q: Which of the following situations represents your abandonment of a patient?A. you begin assessing a patient, but turn responsibility for that patient over to a first responderB. you begin CPR on a cardiac arrest patient but stop when the ALS team takes over careC. with the approval of medical direction, you do not transport a patient who feels fine after having a seizureD.you refuse to help a patient administer nitroglycerin that has been prescribed for someone else
Answer: A
Q: You are called to a store where a holdup has been committed. Police are already on the scene searching for the gunman. Through the store window, you see the store manager, who has been shot. You shouldA. enter the store immediately to care for the managerB. leave immediately and seek cover a distance awayC. wait until the police tell you it is safe to enter the sceneD. request medical direction to determine if you can enter
Answer: C