Medical Tests NREMT Online Practice Questions and Exam Preparation

Medical Tests NREMT Online Questions & Answers

• Question 391:

  Which of the following is an often fatal complication of diabetes and is also the first indication of diabetes in many young patients?

  A. Cardiovascular disease
  B. Diabetes Ketoacidosis (DKA)
  C. Hypertension
  D. Hypoglycemia
  B. Diabetes Ketoacidosis (DKA)

  ---

  Explanation/Reference:

  Often the first signs and symptoms of diabetes on set is diabetic Ketoacidosis. When there is no fuel, glucose, for the cells to burn the cells will burn fat and protein which does not burn clean. The incomplete combustion produce acids which are not cleared and build up which can be fatal if not treated aggressively. Hypertension and cardiovascular disease are long term complications of diabetes.

• Question 392:

  A normal heart rate for a newborn is typically ____ than that of a one-year-old.

  A. the same
  B. faster
  C. slower
  D. It depends on the weight of the baby.
  B. faster

  ---

  Explanation/Reference:

• Question 393:

  Your patient is suffering from Epistaxis. How will you treat your patient?

  A. There is no treatment for Epistaxis.
  B. Pack the area with gauze.
  C. Pinch the nostrils and have the patient lean forward.
  D. Pinch the nostrils and have the patient tilt there head backwards.
  C. Pinch the nostrils and have the patient lean forward.

  ---

  Explanation/Reference:

  Epistaxis is a nosebleed. Having them tilt there head back could cause them to aspirate blood, become sick or vomit.

• Question 394:

  Your patient is a 62-year-old man with a history of heart disease. He is experiencing chest pain. Your first action should be to:

  A. Place the pads for the automated external defibrillator on his chest.
  B. Begin CPR while preparing the automated external defibrillator.
  C. Ask him if he has taken his nitroglycerin, and if not, offer to assist him.
  D. Place him in a comfortable position and administer high-flow oxygen.
  D. Place him in a comfortable position and administer high-flow oxygen.

  ---

  Explanation/Reference:

  Your first action would be to administer oxygen and place the patient in a comfortable position; next, if not contraindicated, you would request permission to administer nitroglycerin. You should first obtain a set of vital signs to ensure he is not in cardiogenic shock. Never put defibrillator pads onto a conscious patient with a pulse; this procedure is contraindicated. AED pads are not serving the same function as the electrodes used by ALS providers to monitor the heart rhythm.

• Question 395:

  As an EMT you release information on a patient to the newspaper. The patient felt he has been slandered.

  Which specific area of the law may the patient sue under?

  A. Federal
  B. Criminal
  C. Tort D. Constitutional
  C. Tort D. Constitutional

  ---

  Explanation/Reference:

  Slander is not considered criminal law. While constitutional and federal law may apply the best answer is the broad area in all states called "tort law." These types of laws deal with differences between individuals - such as this example where one person was providing information about another person with previous and appropriate consent.

• Question 396:

  Arriving on scene of any allergic reaction what is the clinicians first concern regarding the patient?

  A. What caused the reaction?
  B. Is the airway swelling and respiratory effort?
  C. Will I get stung?
  D. Are there hives?
  B. Is the airway swelling and respiratory effort?

  ---

  Explanation/Reference:

  Airway edema and bronchial constriction/ edema (reactive airway) should be the first concern for the EMT to attend. With out an airway the patient will die, with out the ability to ventilate the patient then the patient will become hypoxic which may cause brain damage and death.

• Question 397:

  Which statement about disposable gloves is correct?

  A. You should remove gloves by grasping the ends of the fingers and pulling them off right side out.
  B. It is not necessary to wear gloves when suctioning or ventilating a patient with a bag-valve-mask device.
  C. Gloves protect both you and the patient from the transmission of infectious diseases.
  D. One pair of gloves is sufficient for any call, no matter how many patients there are.
  C. Gloves protect both you and the patient from the transmission of infectious diseases.

  ---

  Explanation/Reference:

  Because gloves protect both you and your patients, most protocols now call for EMTs to wear gloves for any patient contact. Remove gloves by pulling them off inside out, so you do not touch the soiled outer surface; change gloves for each new patient contact.

• Question 398:

  Select the best option to identify possible symptoms of a genitourinary (GU) injury.

  A. bloody stool, hematuria
  B. hematoma, ureteral bleeding
  C. perineal bleeding, ecchymosis
  D. hematuria, blood at opening of urethra
  D. hematuria, blood at opening of urethra

  ---

  Explanation/Reference:

• Question 399:

  Mental status can be assessed using the AVPU method.

  A. True
  B. False
  A. True

  ---

  Explanation/Reference:

• Question 400:

  Your patient has indicated fear about his illness, stating that he is afraid that he may die. This has made the interview difficult, as you have been unable to get the patient to give you many details regarding his symptoms or the events preceding them.

  Which of the following techniques is an acceptable method to focus the interview and get the needed information?

  A. Repeat back to the patient whatever relevant information you have obtained, and then ask him for further information.
  B. Reassure the patient by telling him everything will be fine.
  C. Sternly tell the patient that he must focus and tell you what you need to know.
  D. Decrease the physical distance between you and the patient, and relay to him that he may get worse if you can't obtain the needed information.
  A. Repeat back to the patient whatever relevant information you have obtained, and then ask him for further information.

  ---

  Explanation/Reference:

  Repeating your understanding of the situation back to the patient is useful is helping them realize what relevant information they have not yet revealed. It is typically not advisable to take an authoritarian role with a patient, as this may add to their emotional distress and worsen their communication ability. It is also not a good idea to give patients false assurances, such as telling them that they will be fine. Decreasing the physical distance can be intimidating to the patient, as can telling them that they may worsen if you can't get the necessary information. Both of these techniques will increase patient apprehension and will likely have a negative impact on communication.