Medical Examination NREMT Questions & Answers

• Question 31:

  Upon arriving on any scene what is the most important action an EMT should do?

  A. Position him/her self to get out of the squad quickly

  B. Position the squad for easy access

  C. Position the squad to protect the scene

  D. Position the squad a block away and walk up to the scene

  Correct Answer: C

  Scene safety should the number one concern for any emergency responder to any scene. By positioning the squad in a way to block the scene from traffic which might not be paying attention then all responders can work with in the scene safely. Ease of access to the vehicle is of concern but not at the risk of not making a scene safer.

• Question 32:

  Arriving on scene of a multi car accident the in charge EMT tells dispatch that they have arrived and what they have found. "Squad 3 on scene there is a three car accident all patients are out and walking on the scene." What is the this information called?

  A. Scene arrival notification

  B. Dispatch information

  C. Scene size up

  D. Report to receiving facility

  Correct Answer: C

  A scene size up allows for several things 1) lets other responding companies to know what to expect once they arrive on scene. 2) Allows for an upgrading or downgrading of the assignment. 3) lets dispatch know what to expect in adding extra resources.

• Question 33:

  When you arrive at the receiving facility you must transfer care to the ED staff. By giving a report to the attending nursing staff about the past medical history the patients complaint assessment and interventions you have just allowed for what?

  A. Continuity of care

  B. Quantum of care

  C. Prime directive

  D. Quality transfer of care

  Correct Answer: A

  Giving report to the receiving facility's staff allows for continuity of care and continued care. This not only allows for a more speedy response by the receiving facility but eliminates unneeded repeated assessments and evaluations.

• Question 34:

  Which of the following patients would be appropriate for air medical transport from your scene?

  A. 55 year male with an isolated lower leg fracture secondary to stepping in a hole at a construction site

  B. 55 year male with multiple bee stings with no complaints of shortness of breath, difficulty swallowing or hives

  C. 55 year male status post fall from standing complaining of ankle swelling and contusion to left elbow.

  D. 55 year male high speed motor cycle accident vs. a cement highway barrier

  Correct Answer: D

  The high speed motor cycle mechanism is perhaps the highest degree of concern in this question. The other mechanisms do not have the potential of multiple organ systems being involved. The bee stings while they are painful if there is no signs of anaphylaxis then there is little risk of being ground transported or even left home to follow their physicians directions.

• Question 35:

  You have called an air medical service to come pick up your accident victim from your scene. The helicopter contacts you when they are 5 minutes out they ask for landing zone (LZ) information which of the following should be included in this safety brief?

  A. Over head obstructions

  B. Type of surface, road way, gravel or field

  C. High tension power lines a quarter of a mile from the LZ

  D. All of the above

  Correct Answer: D

  Any obstructions which would interfere with the approach and departure of the aircraft is very important. Power lines are especially critical as they are impossible to see from the air so the air medical crew will rely on the personnel on the ground to point that information out. Type of surface is important to anticipate dust, grass or other debris which will become airborne during landing. High tension power lines which are in the area are equally important as they may be in the approach or departure pattern.

• Question 36:

  When is it acceptable to take a patient directly from the hot zone without going through decontamination?

  A. When the patient requires life saving interventions

  B. Never, no matter how sick the patient is they must be decontaminated

  C. Anytime the EMS commander deems it acceptable

  D. Only minor exposure patients only

  Correct Answer: B

  It is never acceptable to skip the decontamination the risk of exposure of the EMS crew and other health care providers is too great allow patients by-pass decon. Most decon teams are capable of handling life threats as the patient is going through the decontamination process.

• Question 37:

  EMS will be set up in which zone during a HazMat incident?

  A. Hot zone

  B. Warm zone

  C. Luke warm zone

  D. Cold zone

  Correct Answer: D

  The EMS crew is not protected with the appropriate personal protective gear to operate in the hot or warm zones. Patients must be decontaminated thoroughly prior to the EMS sector taking over care of the patient. There are not exceptions here, the potential of exposure to the hazardous material is too great.

• Question 38:

  While responding to a Hazardous Materials incident the EMT should approach the scene from _________?

  A. Up wind, Up hill, Up river

  B. Up wind, Up hill, down river

  C. Down wind, Down hill, Down river

  D. Down wind, Over a hill, Down river

  Correct Answer: A

  When responding to a known HazMat incident the Emergency responders need to approach the scene from up wind, up hill and up river. This keeps the plumb ahead of the responders and avoids exposure of the emergency workers.

• Question 39:

  Headlights are often over looked as part of the emergency warning lighting system, the headlights should be used while______________?

  A. On the road

  B. Responding to a call

  C. Returning from a call

  D. Transporting to the hospital

  Correct Answer: B

  Emergency warning lights are often over looked in busy high traffic areas, headlights can make difference when safety counts. Even during daylight hours they increase the chances that the ambulance will be seen. Some headlights are wired to flash when the other emergency warning lights are on which enhances the distance down range the ambulance can be seen.

• Question 40:

  While responding ambulances are particularly at risk of collisions in these areas?

  A. Pulling out of their bay

  B. Freeway driving

  C. Intersections

  D. Arriving on scene

  Correct Answer: C

  Cars sitting at intersections may block the view of the ambulance operator and can not see other cars approaching. Cars approaching the intersection when the light is changing may not want to stop and accelerates through or cars sitting at a stop light might not be paying attention will accelerate without looking