Medical Tests NREMT Online Practice Questions and Exam Preparation

Medical Tests NREMT Online Questions & Answers

• Question 311:

  You’re on scene at a high school football game. A football player collapsed to the ground. He has a pulse, a respiratory rate of 4 breaths per minute, breaths are very shallow and he is grunting slightly. Airway management should include ____.

  A. doing a head tilt-chin lift maneuver, placing an oral airway and transporting.
  B. administering supplemental oxygen with a nasal cannula at 2 LPM.
  C. placing a nasal airway and a non-rebreather with an oxygen flow of 10 LPM.
  D. performing manual ventilation with supplemental oxygen.
  D. performing manual ventilation with supplemental oxygen.

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  Explanation/Reference:

• Question 312:

  The endotracheal tube is primarily intended to:

  A. Provide a medication route.
  B. Be used for suctioning the hypopharynx.
  C. Be placed into the oesophagus.
  D. Be inserted into the trachea.
  D. Be inserted into the trachea.

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  Explanation/Reference:

• Question 313:

  What is the best step for a responsive cardiac emergency patient with palpable pulses?

  A. Attach and apply the AED immediately.
  B. Begin CPR, starting with respirations.
  C. Do not use the AED.
  D. Check vitals and apply AED if heart rate is bradycardic.
  C. Do not use the AED.

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  Explanation/Reference:

• Question 314:

  Which of the following agencies is responsible for regulation of EMS radio communications?

  A. Federal Communications Commission (FCC)
  B. National Highway Traffic Safety Administration (NHTSA)
  C. National Association of Emergency Medical Technicians (NAEMT)
  D. Federal Emergency Management Agency (FEMA)
  A. Federal Communications Commission (FCC)

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  Explanation/Reference:

  The Federal Communications Commission (FCC) is responsible for the control and regulation of all nongovernmental radio communications within the United States. The National Highway Traffic Safety Administration (NHTSA) is the governmental agency responsible for developing EMS curricula. The Federal Emergency Management Agency (FEMA) is responsible for disaster response and management. The National Association of Emergency Medical Technicians (NAEMT) is a nongovernmental professional organization dedicated to the advancement of EMS as a profession.

• Question 315:

  To be effective, hand washing should continue for at least ____.

  A. 1-2 minutes
  B. 45-50 seconds
  C. 25-30 seconds
  D. 10-15 seconds
  D. 10-15 seconds

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  Explanation/Reference:

  Rub your hands together vigorously with soap for at least 10 to 15 seconds, then rinse in running water.

• Question 316:

  What is the minimum recommended area for a helicopter landing zone?

  A. 120’ by 120’ or larger
  B. 80’ by 90’ or larger
  C. 30’ x 30’ or larger
  D. 60’ by 60’ or larger
  D. 60’ by 60’ or larger

• Question 317:

  The clinician's best role in the assessment and treatment of a Stroke patient is rapid recognition and transport to a stroke center. What is window of opportunity from the onset of symptoms and treatment?

  A. any time before symptoms resolve
  B. three hours
  C. in the first 24 hours
  D. once you have a stroke there is no chance to fix it
  B. three hours

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  Explanation/Reference:

  Anytime there is a blockage not allowing blood flow the quicker blood flow is returned the better the results. It is well established if tPa is infused within three hours of onset of symptoms there is a greater chance that all deficits will resolve without lasting effects.

• Question 318:

  You arrive to find the patient actively seizing. What is your primary concern with this patient?

  A. What type of seizure is the patient having?
  B. Past medical history
  C. Last seizure
  D. Airway
  D. Airway

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  Explanation/Reference:

  When a patient is actively seizing all muscles are contracting erratically with out coordination so there are ineffective respirations. Plus with every muscle contracting there is an increase in oxygen demand so the patient will be in oxygen debt. Also there may be a partial or complete airway obstruction.

• Question 319:

  Which of the following items is not a desired outcome of continued quality improvement (CQI) programs in an EMS system?

  A. Provide statistics on call volume, patient profiles, and skills performed.
  B. Develop and implement a disciplinary policy for any type of variance in care rendered by the EMS providers.
  C. Allow the opportunity to identify potential topics for continuing education for the system's emergency providers.
  D. Provide a system of internal checks and balances that assures quality care is delivered, and system weaknesses are identified.
  B. Develop and implement a disciplinary policy for any type of variance in care rendered by the EMS providers.

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  Explanation/Reference:

  The benefits of a well-run Continuous Quality Improvement program for an Emergency Medical Service system goes well beyond the ability to assess system performance. It allows for the collection of data for statistical analysis, provides a means by which areas of system weakness can be determined and addressed in a checks and balance manner, and also allows the ability to determine what type of continuing education courses may be offered since many times case studies are done on interesting calls. One thing that Continuous Quality Improvement programs should not do is develop and implement punitive recourses, should an area of improvement be identified. This would lead to providers who get better at hiding system weaknesses through inaccurate patient care reports and who are apprehensive to bring up concerns with management.

• Question 320:

  What airway opening maneuver should be used on a man that has fallen off a ladder and is suffering from respiratory distress?

  A. Head Tilt - Chin Lift
  B. Intubation
  C. Bite Block
  D. Jaw Thrust
  D. Jaw Thrust

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  Explanation/Reference:

  The "Jaw Thrust" maneuver should be used to open the airway of any patient who has suffered a traumatic injury