Medical Tests NREMT Online Practice Questions and Exam Preparation

Medical Tests NREMT Online Questions & Answers

• Question 241:

  A 65-year-old male with terminal brain cancer calls 911 for shortness of breath. The patient has a Do Not Resuscitate order. What should you do for this patient?

  A. Discuss the situation with the family and try to persuade them not to have the patient transported.
  B. Administer oxygen and transport the patient to the most appropriate emergency room.
  C. Contact medical direction about administering oxygen and not transporting the patient.
  D. Contact the patient's oncologist for directions on the patient's care.
  B. Administer oxygen and transport the patient to the most appropriate emergency room.

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  Explanation/Reference:

  The patient has the right to comfort care even if he is a DNR. This means that the patient has the right to receive oxygen and medications for pain. The patient has the right to make his own medical decisions unless his family has the medical power of attorney to decide if the patent is transported. Patients have the right to die with dignity.

• Question 242:

  Which of the following is generally not considered a weapon of mass destruction (WMD)?

  A. a machine gun
  B. a chemical agent designed to harm people
  C. a weaponized virus
  D. a “dirty” bomb
  A. a machine gun

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  Explanation/Reference:

• Question 243:

  What is the following device ?

  A device designed to facilitate the blind intubation of a patient. It consists of a cuffed double-lumen tube with one blind end. Inflation of the cuff allows the device to function as an endotracheal tube and closes off the esophagus, allowing ventilation and preventing reflux of gastric contents.

  A. Nasal Gastric Tube
  B. Dual Lumen Airway
  C. Endothracheal Tube
  D. Non Rebreather
  B. Dual Lumen Airway

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  Explanation/Reference:

  This device is also known as a Combi-Tube

• Question 244:

  In any traumatic event where there is tissue damage which is bleeding, the bleeding needs to be controlled. Which is the proper steps to bleeding control?

  A. Direct pressure, elevation, tourniquet, digital pressure
  B. Direct pressure, digital pressure, elevation, tourniquet
  C. Tourniquet, elevation, pressure dressing, direct pressure
  D. Direct pressure, pressure dressing, tourniquet
  B. Direct pressure, digital pressure, elevation, tourniquet

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  Explanation/Reference:

  Direct pressure stops 90% of all bleeding. If direct pressure does not work in the first minuet or two digital pressure points, compress the artery proximal to the bleeding, elevation and finally a tourniquet if not controlled or excessive bleeding. Pressure dressings should only be used once bleeding has stopped.

• Question 245:

  When approaching a scene of trauma incident your first order of business?

  A. Airway
  B. C-Spine control
  C. Body substance Isolation
  D. Scene safety
  D. Scene safety

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  Explanation/Reference:

  Scene safety must be the first order of business upon approaching the scene, if you are injured then you can not help those you were called to help, plus you will now compound the incident since you are now a victim. Body substance isolation is important after you arrive the scene and approach the patient (s). Once you find the patient then Airway/C-spine control are the next steps.

• Question 246:

  Your patient is a 16-year-old male, who fell approximately 15 feet. This call should be considered:

  A. Not a traumatic emergency
  B. A traumatic emergency, that requires airlifting the patient to the nearest level 1 trauma center
  C. A significant mechanism of injury
  D. Not a significant mechanism of injury
  D. Not a significant mechanism of injury

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  Explanation/Reference:

  At the age of 16, medically, this patient is considered an adult and therefore, a fall less than 20 feet in height is not considered a significant mechanism of injury.

• Question 247:

  A high pitched sound resulting from turbulent air flow in the upper airway. It may be inspiratory, expiratory or present on both inspiration and expiration. Is called?

  A. Respiratory Arrest
  B. Wheezing
  C. Stridor
  D. Asthma
  C. Stridor

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  Explanation/Reference:

  Stridor is indicative of a severe upper airway obstruction.

• Question 248:

  Which of the following patients would need a rapid trauma assessment the most?

  A. A young woman with a gunshot wound to the chest
  B. An elderly man who is conscious, but who is also complaining of severe chest pain
  C. A teenage boy who is unconscious, but who has no obvious injuries
  D. A middle-aged man who has fallen from a height of five feet
  A. A young woman with a gunshot wound to the chest

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  Explanation/Reference:

• Question 249:

  Who is responsible for the daily inspection of an ambulance?

  A. the chief or supervisor
  B. the staff assigned to the vehicle for that shift
  C. the government licensing authority
  D. the staff who last used the vehicle
  B. the staff assigned to the vehicle for that shift

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  Explanation/Reference:

• Question 250:

  You are transporting an elderly male patient in respiratory distress with a history of COPD...

  The patient has very shallow, rapid respirations with minimal chest wall motion and slight wheezing in the upper lung fields.

  Given this situation, what would you expect the arterial carbon dioxide levels to be?

  A. Not enough information to determine
  B. Normal
  C. Lowered
  D. Elevated
  D. Elevated

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  Explanation/Reference:

  1.

  COPD (Chronic Obstructive Pulmonary Disease) makes it difficult for patients to exhale fully. This leads to a buildup of carbon dioxide (CO2) in the blood.

  2.

  Shallow, rapid respirations with minimal chest wall motion indicate the patient is not effectively moving air in and out of their lungs. This further exacerbates the CO2 buildup.

  3.

  Wheezing in the upper lung fields suggests airway constriction, further hindering airflow and gas exchange. In summary: The combination of COPD, shallow breathing, and wheezing strongly suggests elevated arterial CO2 levels