NREMT Practice Questions Part 3

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 tweezers
B. cutting around it with a knife
C. scraping it away with a rigid object
D. grabbing it with your fingers

In legal terms, a tort is a(n)
A. civil wrong committed by one individual against another
B. criminal wrongdoing
C. action by an employee for a workers' compensation claim
D. breach of contract

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 pulses
B. increased rate of breathing, nasal flaring, intercostal or supraclavicular retractions, mottled skin color, abdominal muscle tone
C. altered mental status, respiratory rate of over 60 or under 20 breaths per minute, severe retractions, severe use of accessory muscles
D. inability to cough, crying with tears but no sounds, cyanosis, abdominal or chest-wall movements with absent breath sounds

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 child
B. administer a dose of the child's prescribed seizure-control medication
C. maintain ABCs, monitor vital signs and transport the patient immediately
D. ensure a patent airway and request medical direction regarding transport

All of the following are signs of possible child abuse except:
a. the presence of multiple bruises in various stages of healing
B. a single, severe traumatic event that occurred for no reason
C. injuries inconsistent with the mechanism described
D. conflicting histories of the injury from the guardians/parents

The head of a newborn infant has just been delivered. You should
A. suction the baby's mouth and nostrils with a bulb syringe
B. push down on the baby's upper shoulder to facilitate the rest of the delivery
C. push up on the baby's lower shoulder to facilitate the rest of the delivery
D. ventilate the baby with a pediatric bag-valve mask and high-flow oxygen

Emergency care for a responsive 7 year old child with a foreign body airway obstruction includes
A. holding the child on your knee and performing back blows
B. standing behind the child and performing sub-diaphragmatic thrusts
C. placing the child supine on the floor and attempting to see the obstruction
D. placing the child supine on the floor and performing abdominal thrusts

A 2 year old male is in respiratory failure when he has
A. altered mental status and breathing rate of 68 per minute
B. limp muscle tone and weak or absent distal pulses
C. nasal flaring and mottled skin color
D. breathing rate of 6 per minute and heart rate of 50 per minute

A sign or symptom of a predelivery emergency is:
A. the mother's skin is dry
B. profuse vaginal bleeding
C. the presence of a bloody show
D. a contraction every 20 minutes

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 ear
B. angle of the jaw
C. corner of the mouth
D. mastoid process

Vitreous humor is found:
A. behind the lens of the eye
B. in the bone marrow of the upper arm
C. in front of the lens of the eye
D. in the joint lubrication of the upper arm

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 transport
B. deliver the infant with the cord wrapped around its neck
C. clamp the cord in two places and cut it between clamps
D. suction the infant's mouth and nose to clear secretions

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 transport
B. provide positive pressure ventilations at the rate of 60 per minute with a bag valve mask
C. monitor the infant for one minute and reassess vital signs to see if the heart rate increases
D. administer free-flow oxygen by holding an oxygen mask or tubing over the newborn's face

The presence of a bloody show during the first stage of labor is a sign that
A. the delivery of the patient is imminent
B. the newborn is in danger of respiratory distress
C. labor is progressing normally
D. the second stage of labor has begun

Your patient has experienced a spontaneous abortion or miscarriage. You should
A. remove any tissues from the vagina
B. discard any expelled tissues
C. place a sanitary napkin in the vagina
D. treat the patient for shock

What is the first treatment when a mother bleeds excessively from her vagina after delivery?
A. massage her abdomen gently
B. administer oxygen
C. transport her immediately
D. treat her for shock

Emergency care for an infant when meconium is present in the amniotic fluid includes
A. stimulating the infant to cough to expel the meconium
B. performing bag-valve-mask ventilation to improve lung compliance
C. performing back blows and chest thrusts to remove the meconium
D. suctioning and notifying the hospital that meconium was present

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 patient
B. collecting evidence of the rape and bagging it in plastic
C. allowing the patient to shower and change clothes
D. preserving evidence in a paper bag and reassuring the victim

The reason to position a pregnant woman on her left side is to
A. reduce the pressure of the fetus on maternal circulation
B. make labor proceed more slowly by slowing down contractions
C. help turn a breech fetus in the birth canal to the vertex position
D. ensure that there is sufficient blood flow to the placenta

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 should
A. protect the airway and monitor vital signs while transporting
B. prepare for an imminent on-scene delivery
C. position the mother on her left side and begin transport
D. notify dispatch of the need for ALS assistance

When arriving at the scene of a possible hazardous materials incident, you would identify hazards by
A. thoroughly investigating the scene yourself
B. interviewing victims and bystanders
C. scanning binoculars from a safe distance
D. assisting law enforcement officers in the search

For which of these procedures should you wear gloves, gown, mask, and protective eyewear?
A. performing endotracheal intubation
B. performing oral/nasal intubation
C. cleaning contaminated instruments
D. bleeding control with spurting blood

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 responder
B. you begin CPR on a cardiac arrest patient but stop when the ALS team takes over care
C. with the approval of medical direction, you do not transport a patient who feels fine after having a seizure
D.you refuse to help a patient administer nitroglycerin that has been prescribed for someone else

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 should
A. enter the store immediately to care for the manager
B. leave immediately and seek cover a distance away
C. wait until the police tell you it is safe to enter the scene
D. request medical direction to determine if you can enter

What is the first thing you should do after receiving orders from the medical direction physician?
A.carry out the orders immediately
B. repeat the orders exactly as you heard them
C. question anything you did not understand
D. document the orders in your report

Your pregnant patient is experiencing contractions. She feels like she needs to move her bowels. This may indicate that
A. birth is still some time away
B. birth is imminent
C. she is going into shock
D. the baby is still very high in the birth control

Which statement about a patient's right to refuse care is correct?
A. a child who is old enough to understand danger is old enough to refuse care and transport
B. an adult patient who is of sound mind and understands the consequences can refuse treatment
C. no one can authorize treatment or transport for any other individual, regardless of his or her age
D. EMTs should leave immediately whenever a patient says that he or she will refuse care

Which situation requires that an emergency patient be moved?
A. your patient has undergone cardiac arrest while seated in a chair
B. your patient is found on the ground, unresponsive, and alone
C. your patient is found in his bed, displaying early symptoms of shock
D. your patient is showing signs of inadequate breathing and shock

Bacterial meningitis has an incubation period of
A. weeks to months, depending on the type
B. 11-21 days
C. 2-10 days
D. 2-6 weeks

You can assess a pregnant woman's uterine contractions by placing your gloved hand on
A. her abdomen, below the navel
B. her abdomen, above the naval
C. the right side of her abdomen
D. the left side of her abdomen

The purpose of incident management system is to provide a(n)
A. clear chain of command in case of legal liability
B. means of evaluating the EMS system's response to an event
C. orderly method for communications and decision making
D. training program for first responders

A 23-year-old pregnant female is bleeding profusely from her vagina. All of the following actions are appropriate EXCEPT:
A. providing high-concentration oxygen
B. placing a sanitary napkin in the vagina
C. replacing pads as they become soaked
D. rapid transport to the hospital

In a multiple casualty situation, which patient should be assigned the highest priority?
A. adequate breathing, responsive, venous bleeding
B. adequate breathing, responsive, suspected spine injury
C. inadequate breathing, responsive, suspected broken tibia
D. inadequate breathing, unresponsive, suspected internal bleeding

Your patient is an 84-year-old female having difficulty breathing. Her daughter, age 45, is with her. When communicating with this patient, you should assume that she is
A. incompetent; speak directly with the daughter
B. hard of hearing; speaking extremely slowly and loudly
C. competent and able to understand; speak respectfully
D. confused explain your treatment clearly to the daughter

Which statement about patient confidentiality is correct?
A. patients who are cared for in a public place lose their right to confidentiality
B. the right to confidentiality does not apply to minors or to wards of the state
C. the patient who signs a statement releasing confidential information relinquishes all rights to privacy
D. a patient must sign a written release before an confidential information can be disclosed

Your patient, a 69-year-old male, is in cardiac arrest. His wife informs you that their physician has written a DNR order for the patient, but she does not have the written order. You should:
A. provide all necessary care to save the patient's life
B. obey the DNR order and leave immediately

Your patient is a 6-year-old female who fell off her bicycle. She has a suspected broken ankle, no respiratory compromise, and no suspected internal injuries. After providing necessary care at the scene, you are transporting the child and her father to the hospital. The father loudly insists that you use your siren and lights en route. You should
A. request medical direction in dealing with the father
B. request permission from dispatch to use lights and sirens
C. refuse, because it may cause an unnecessary hazard
D. comply, it will relax the father and comfort the patient