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NREMT Test Level 1
NREMT practice questions
| Question | Answer |
|---|---|
| What causes the fruity or acetone breath often seen in type 1 diabetes? | excess of glucose in the system - Diabetic ketoacidosis (DKA) |
| If there is a major open wound to the neck, what kind of dressing should be applied? | An all-sided occlusive dressing |
| What is placeta previa? | the placenta is near or covers the cervical opening |
| What is placenta abruption? | the placenta detaches from the uterus prematurely (usually 3rd trimester) |
| Which of the following is the division point between the upper and lower airway? | Laryngopharynx |
| What are the shockable rhythms of an AED? | Ventricular Fibrillation & Ventricular Tachycardia |
| A male patient riding a motorcycle collided with a car. He is found conscious, 10 yards from the motorcycle, and has a bleeding laceration on his torso. When you assess his mental status, you find that he is A/O x1. This is a finding consistent with: | a brain injury |
| What is coronary blood flow, and why is it important? | Coronary blood flow is the blood supplied to the heart itself. The heart is an organ, and just like any other organ without a blood supply, it will die due to lack of oxygen. |
| In the mnemonic “CBRNE,” the letter “R” stands for “radiological”, as in a radiological terrorist attack. Under which of the remaining types of terrorist attacks would an anthrax poisoning fall? | the mnemonic CBRNE is used: C-Chemical, B-Biologic, R-Radiologic, N-Nuclear, and E-Explosive. Anthrax poisoning would fall under the “biologic” category of terrorist attacks because anthrax is a bacterium |
| A 36-year-old pregnant female is experiencing unusually painful cramps when you arrive. She tells you she has 2 kids, has had 3 miscarriages, and is 6 months pregnant. What is her GPA? | This patient’s GPA is 6/2/3. Gravida (“G”)the number of pregnancies:6; Para (“P”) is the number of live birth pregnancies: 2; Abortus (“A”) the number of aborted pregnancies, both voluntary and involuntary: 3 |
| A condition characterized by high blood pressure & high protein count in the urine that usually occurs after the 20th week of pregnancy is: | Preclampsia |
| Which triad characterized Cardiac Tamponade & Why? | Beck's Triad - narrowing pulse pressure, jugular vein distention and muffled heart sounds. Beck's triad is cardiac related. |
| Describe agonal respirations or breaths: | It is when the patient has gasping breathing noises, labored breathing, and strange vocalizations. - It is a key indicator the patient is suffering from cardiac arrest, and CPR must be performed immediately if no pulse present. |
| What is a least common signs or symptoms seen with a spinal injury? | Fever, loss of bladder control, trouble breathing |
| Asthma patients - Signs & symptoms & things to know | They have mucosal edema in the bronchioles, wheezing on exhalation (in airway/chest), possible cyanosis,&poss stridor sounds in upper airway Severe signs include: severe sweating, faintness, nausea, panting, rapid pulse rate, and pale, cold, moist skin. |
| What should you not do when suctioning a patient's airway? What should you do? | Do not provide oxygen until airway is clear. You should: limit suctioning to 10-15 seconds, used PPEs, & Remove the rigid tip or catheter & use large bore suction tubing if copious, thick secretions or vomitus are present |
| A patient with either type of diabetes has an issue with what organ secreting what hormone? | Pancreas secreting insulin |
| In order to prove the EMT was at fault for the patient’s death, the family will need to prove what 4 elements? | Duty to Act, Breach of duty, Damages/Injury, & Causation |
| What is the order in which delivering a baby occurs? | Stage 1: Contraction -Dilation Stage 2: Dilation - Expulsion Stage 3: Expulsion to delivery of Placenta |
| What is a GCS, and what score indicates severe cognitive dysfunction? | Glasgow Coma Scale is used to determine an adult’s mental capacity through three categories (Eyes-4/Verbal-5/Motor-6). A GCS of 8 or below indicates severe brain injury. |
| When analyzing the abdomen, what are the general signs you are looking for? | Tenderness/pain, rigidity, guarding, distention |
| The final stage of Hyperthermia is: | Heat stroke |
| What is the primary concern if a patient inhales a harmful chemical/toxin? | Damage to the alveoli since the patient inhaled the substance into their lungs. |
| The practice of protecting yourself from the patient’s body fluids or bacteria is called: | Body substance isolation (BSI) -isolates you &patient from mixing bodily substances of any form (patient's blood, your sweat, patient’s mucus etc). You protect yourself from the patient’s bodily fluids by wearing personal protective equipment (PPE). |
| A 34yo male fell down the stairs & has a large bruise on his head. He is A&Ox4, w/ pulse 88. During transport he becomes altered. Vitals are now: BP 210/105, pulse 56, and 1 pupil is unequal & nonreactive to light. What is this patient suffering from? | He could be suffering from Epidural hematoma, Subdural hematoma & or Intracranial hematoma. Each of these types of hematomas (brain bleeds) is serious and requires immediate medical attention. |
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