NREMT Future EMT Group Practice Test

These questions are part of the practice quiz. Start practicing

• Which condition is most closely associated with painless hematemesis in a patient with cirrhosis?
• A 25-year-old male has a gunshot wound in his right chest. Your partner reports a weak, thready pulse. You see irregular, slow breathing. You should first:
• Which finding is a sign of right-sided heart failure?
• Which patient profile is most commonly associated with spontaneous pneumothorax?
• A 72-year-old female who has a history of mental illness complains of a headache. Within five minutes she becomes unresponsive. Which condition is most likely?
• In an ectopic pregnancy, the fertilized ovum is most commonly implanted in the fallopian tube.
• Which presentation represents the most severe stage of hypoxia?
• Absence seizures typically present with brief staring spells lasting about 15 seconds; which diagnosis is most consistent?
• A 16-year-old male was stabbed in the left lower quadrant. He is upset but vitals are stable. What should you do first?
• A sexually active young woman presents with lower abdominal pain, fever, foul-smelling discharge, and pain with intercourse. This presentation is most consistent with which condition?
• When a patient shows signs of hypoxia, what is the best immediate airway management option?
• Administration of oral glucose depends on the patient's ability to:
• In a gunshot wound to the abdomen, which organ is least likely to be injured?
• Which patient is most consistent with left‑sided heart failure?
• During CPR, what is the recommended immediate action after delivering a shock?
• A 2-year-old with a two-day cold, barking cough, inspiratory stridor, and SpO2 98% on room air is being transported. What should you prepare for?
• Which of the following can lead to hypovolemic shock?
• Which PPE is recommended when caring for a patient with suspected meningitis to prevent droplet transmission?
• A 72-year-old female who had been able to talk and walk awoke with right‑sided weakness. When should you record the time she was last known normal?
• A 12 year old male tells you he ate peanut butter by mistake. He has audible wheezes and his skin is pale. His pulse is weak and rapid. You should suspect:
• Agonal respirations are:
• During adult CPR, as a second rescuer, you should prepare to administer two ventilations after:
• The major cause of Sudden Infant Death Syndrome is best described as unknown.
• Which finding is most indicative of left‑sided heart failure in a patient with dyspnea?
• In the meningitis case, which finding most strongly supports the diagnosis?
• Which symptom is NOT commonly associated with meningitis?
• An elderly female smoker is unable to speak, has cold clammy skin, and her head rests on her chest. Her SpO2 is 78% on home oxygen at 3 L/min. What should you do first?
• A 71-year-old female awoke with sudden shortness of breath. She has a history of myocardial infarction. What is the first action you should take given SpO2 of 91% on room air?
• A 3-month-old recently alerted by apnea monitor and now breathing on own has vital signs P 160, R 28, SpO2 98% on room air. What should be the first consideration?
• Which of the following is the proper rate and depth for adult chest compressions?
• You are resuscitating a 54-year-old male. After the AED delivers a shock, you should next:
• A 74-year-old patient is unresponsive and you hear gurgling sounds on inspiration. What is the first action you should take?
• Placenta previa most commonly presents with which symptom in the third trimester?
• A 60-year-old man with dark stools for a week should make you suspect which condition?
• A 64 year old female has difficulty breathing after being kicked by a horse. You observe paradoxical left chest wall movement. Her initial vital signs are P 108, R 18, BP 110/84, and SpO2 is 95% on oxygen by nasal cannula. As you prepare to transport her, you observe her respiratory rate is increasing while her SpO2 is decreasing. Which of the following should be the goals of your treatment? Select the single best option.
• Administration of epinephrine by autoinjector depends on which factor?
• In a pediatric patient with fever, cough, and respiratory distress with diffuse wheezes and crackles, which diagnosis is most likely?
• A 7-year-old being cared for at home on a ventilator has an alarm and a pulse rate of 40. What is the best immediate action?
• The signs seen in a hypoglycemic patient are primarily due to which physiological mechanism?
• A 62-year-old male with chest pain who says it began one hour ago. You auscultate crackles, blood pressure 142/82, SpO2 94% RA. After aspirin, en route he sweats and wheezes and BP drops to 106/82. You should suspect:
• In a trauma patient with suspected spinal injury above C-4, which respiratory finding would you most expect?
• In a patient with signs of hypoxia, which airway device is most appropriate?
• You can enhance blood flow during CPR by:
• Which statement best describes acute coronary syndrome in terms of its mechanism?
• In a chest gunshot wound, which on-scene action is essential before transport?
• In a breech delivery with crowning, which observation is most typical in the birth canal?
• What is the action of aspirin when taken for chest pain?
• What is the most appropriate initial treatment for anaphylaxis in a peanut-allergic child?
• A patient suddenly experiences difficulty breathing and has diminished breath sounds on one side of the chest. Which condition is most likely?
• An unresponsive 2-year-old child who is choking and not breathing: what is the first action you should take?
• Which statement best describes anemia?
• Which symptom is most characteristic of acute coronary syndrome?
• In a heat-related illness with altered mental status, which action is most appropriate before transport?
• Esophageal varices are most directly caused by which condition?
• Which scenario among patients with diabetes is most likely to be hypoglycemic?
• A 19-year-old male college student is acting oddly. When you question his roommates in regards to his drinking alcohol, they tell you he has not been drinking. His skin feels hot to touch and you find purple spots over his upper thorax. As you prepare to assess his vital signs he seizes. You should suspect:
• A 2-month-old male has a fever of 103 degrees F and will not nurse. While his mother holds him his eyes are open and he is not moving. His vital signs are P 170 and R 38. You should suspect:
• Which beverage is appropriate to raise blood glucose quickly in a conscious diabetic patient?
• After managing a chest wound, what is the most appropriate on-scene action?
• When assessing work of breathing in a pediatric patient, which indicators are most relevant?
• The fruity breath odor in diabetic ketoacidosis is due to the presence of which substance in the breath?
• In a pulseless, unresponsive patient, which action should you perform first?
• An 8-year-old with a history of asthma self-administers a metered-dose inhaler before you arrive. Auscultation over the lower lungs would most likely reveal which sound?
• A plant has a smell of bitter almonds indicating poisoning. Which toxin is most likely?
• Which condition is least likely to present with altered mental status?
• You respond to an 18 year old male who has been assaulted with a baseball bat. He was hit in the chest. He is unresponsive, apneic, and pulseless. The condition is likely related to:
• Which description best describes the recommended chest compression technique to maximize blood flow during compressions?
• A 4 year old male has blank staring periods that last 15 seconds. He is fully conscious when the episodes begin and after they end suddenly. You should suspect:
• Which finding indicates air is trapped in the lower airways?
• Inhaled toxic gas exposure with an abnormal inspiratory sound, which sound is most concerning?
• Which of the following is the most common inhaled poison?
• In hypovolemic shock, which hormone is most helpful in maintaining blood pressure?
• Immediately after birth, which finding is most concerning for the newborn?
• A 52-year-old female lives in a home without air conditioning. It has been hot for six days. Her skin is hot to touch, and she babbles when she speaks. Before transporting her, you should:
• A 63-year-old male with a history of alcoholism is vomiting bright red blood; which condition is suspected?
• The major complication for a patient who has type I diabetes is the:
• Which illness is commonly known as whooping cough?
• In a patient with a history of diabetes who presents with fruity breath and hot, dry skin, what is the most appropriate initial action?
• A car pulls up to your ambulance with an unresponsive 1 year old female who is apneic and pulseless in the back seat. While your partner notifies dispatch and retrieves the AED, you should start CPR, providing:
• Poor ejection from the left ventricle during systole results in:
• Which of the following is most likely to cause septic shock?
• You have a patient vomiting large amounts of bright red blood, with no abdominal pain, pale, cool, clammy and jaundiced skin; pulse 128. Which condition is most likely?
• Immediately following delivery of a newborn's head, what is the next step in assisting delivery?
• A third-trimester patient with blurred vision, vomiting, edema, and severe hypertension is most likely to have which condition?
• Which device is used to deliver a shock to a patient in cardiac arrest?
• Which auscultation finding is most consistent with a pneumothorax?
• Vasovagal syncope presents most similarly to which category of shock?
• A 27-year-old female at 26 weeks gestation experiences contractions and feels lower abdominal pressure with vaginal bulging. What should you do?
• Which hormone is most helpful in maintaining blood pressure in a patient who has hypovolemic shock?
• Which condition is most likely to require a fast-acting bronchodilator as rescue therapy?
• In breech deliveries, which scenario is most complicated?
• A 19-year-old male was shot in the abdomen with a small caliber weapon. When you arrive he is conscious and upset about being shot. He complains of no other injuries. His vital signs are P 104, R 14, BP 108/82. You should first:
• After delivering a shock with an AED to a 5-year-old female, you should next:
• Placental abruption is most likely when vaginal bleeding is accompanied by which finding?
• A 68 year old male is experiencing lower abdominal pain and says he frequently goes to the bathroom but seems he cant "empty" his bladder. You should suspect:
• During placenta delivery in a natural birth, which action is appropriate?
• Which condition is categorized as COPD?
• A 7 year old is being cared for at home with a ventilator. When you arrive, the ventilator alarm is going off. Your partner reports her pulse rate is 40. You should:
• A patient may develop hypoglycemia by all of the following EXCEPT:
• Which scenario is classic for commotio cordis?
• A male patient with his genitals caught in a zipper has minimal bleeding. Which dressing is appropriate?
• After playing soccer, a 25-year-old male has shortness of breath and diminished breath sounds over the right upper thorax. What condition should you suspect?
• An anaphylactic reaction occurs due to which type of immune interaction?
• In an ectopic pregnancy, the fertilized ovum is most likely implanted in which location?
• Immediately after delivery of a neonate, which complication should you prioritize preventing?
• In the third trimester, mild contractions that mimic early labor are called what?
• Which of the following is least likely to cause death in anaphylaxis?
• In a febrile 2-month-old with poor feeding and lethargy, which diagnosis should be suspected?
• A 56-year-old man is unresponsive and pulseless after a motor vehicle collision with no obvious injuries. What is the most likely cause?
• Which finding best supports intracerebral hemorrhage in an elderly patient?
• Which sign combination most strongly suggests epiglottitis in a child?
• A 56-year-old female has generalized weakness and has been outside all night in 40 degrees F weather. She is shivering and her hands are cold to the touch. To determine if she has hypothermia, you should:
• Which statement correctly matches septic shock with its precipitating factor?
• An unresponsive, snoring 67-year-old patient has a gag reflex when a tongue depressor is used. What airway adjunct is indicated?
• In chest pain management, which statement best describes aspirin's pharmacologic action?
• Which approach best describes proper ventilation during CPR for an adult when a second rescuer is present?
• Heat stroke results in hot, dry skin primarily because sweat production is impaired.
• A law enforcement restrained a 26-year-old male who collapsed unresponsive, apneic, and pulseless. What is the first action you should take?
• Immediately after birth, what is an essential step to prevent hypothermia in the newborn?
• During your assessment of a patient with blunt chest trauma, you note that the patient has shallow breathing and paradoxical movement of the left chest wall. You should:
• A 20-year-old male playing basketball has chest pain with diminished breath sounds on the left and high blood pressure. Which diagnosis is most likely?
• To assess facial droop in a suspected stroke, which command best assesses facial symmetry?
• A patient with history of Hepatitis C and liver cirrhosis is jaundiced and vomiting large amounts of blood; which condition is suspected?
• Anemia is an abnormally low level of which blood component?
• A 32-year-old female complains of chills and tells you she has a urinary tract infection. Her skin is hot to touch and flushed. Her vitals are P 102, R 16, BP 138/78, and SpO2 is 94% on room air. You should suspect an early onset of:
• Vasovagal syncope mimics which type of shock?
• In a trauma patient with a penetrating chest wound, what is the immediate action you should take on scene?
• A 72-year-old female suddenly collapsed in church. When you arrive, she is awake but feels funny. Witnesses tell you she did not have a pulse and after three minutes she woke up. You should suspect:
• A 31-year-old female with a history of diabetes collapses and is unresponsive. Her respirations are very slow. Which action should you perform first?
• In a peanut-allergic child who develops signs of anaphylaxis, which action should be taken first?
• The best position to place an uninjured, unresponsive patient during transport is:
• A 34-year-old female presents with abdominal cramping and moderate vaginal bleeding. She had a positive pregnancy test six weeks ago. Which condition should you suspect?
• A breech presentation occurs when which part presents first?
• A 19-year-old female with fever, lower abdominal pain, foul-smelling vaginal discharge, and pain with intercourse is most consistent with which condition?
• In a footling breech with foot presenting, which action should EMS avoid?
• A pregnant patient with severe hypertension, edema, and visual changes is most likely to have which condition?
• Immediately after delivery of the head, the umbilical cord is around the neonate's neck. Which action should you take?
• An unresponsive 26-year-old male is found in an alley outside a bar. His skin is pale and clammy. His vital signs are P 118, R 16, BP 104/82, and SpO2 is 95% on room air. You should suspect:
• Acute coronary syndrome is defined as which of the following?
• Which medication is a fast-acting rescue inhaler?
• A patient who has cardiac tamponade will have hypoperfusion of the brain due to a/an:
• An unresponsive 56 year old male has no chest rise. You are unable to palpate a carotid pulse. You should next:
• A chest trauma patient with an irregular pulse is most consistent with which diagnosis?
• Which condition may present with sudden respiratory distress and cyanosis in a third-trimester patient?
• Which oxygen delivery device is appropriate for a patient who is hypoxic and breathing spontaneously but can tolerate a device and needs a higher oxygen concentration than a nasal cannula?
• A 54-year-old obese female presents with facial droop, arm drift, and weak grips of her right hand after vomiting; which condition is suspected?
• In a patient with asthma presenting with shortness of breath, which lung sound is most likely to be heard?
• You encounter an unresponsive 30-year-old female lying in snow with no breathing and no pulse. Her hands are cold and stiff, skin cyanotic, abdomen warm. You should suspect cardiac arrest and do what?
• A 36-year-old female eight months pregnant has painless vaginal bleeding. Which condition should you suspect?
• A tall, thin 21-year-old male reports increasing shortness of breath after activity, with neck swelling and crackles on palpation. Which diagnosis should be suspected?
• A 23-year-old female in the third trimester has low abdominal pain and dark-colored vaginal bleeding. The pain increases with contractions every ten minutes. Which condition should you suspect?
• Which skin finding is most consistent with hypoglycemia?
• A 21-year-old female complains of dull, aching lower quadrant abdominal pain and has missed her last menstrual period. She becomes faint when standing, with vital signs P 100, R 16, BP 112/84. Which condition should you suspect?
• A 42 year old male was the unrestrained driver involved in a single-car crash in a rural area at 3:00 AM. When you arrive at 3:45 he is unresponsive and slumped over the steering wheel. You observe a large bruise over his chest. After initial stabilization, you determine his vital signs are P 86 and irregular, R 18, and BP 116/82. You should suspect:
• Which clinical history most strongly suggests esophageal variceal bleeding?
• Which nerve is most closely associated with diaphragmatic breathing?
• In an elderly patient who is vomiting large amounts of dark, foul-smelling liquids with diffuse colicky abdominal pain and cool, clammy skin, the most appropriate immediate action is to:
• A 4-year-old child with fever, sore throat, and hoarseness is leaning forward with hands on his knees; SpO2 is 94% on room air. What is the recommended management?
• For a patient with a suspected airborne infection such as tuberculosis, which PPE is most appropriate?
• An adult patient with a gunshot wound to the thigh has a low respiratory rate but stable blood pressure; what should you do next?
• Agonal respirations are described as which of the following?
• During CPR for an adult patient with a compromised airway, which ventilation approach is recommended?
• If a foot is presenting in a breech birth, which action is recommended?
• Esophageal varices are primarily caused by which condition?
• Which symptom combination is most characteristic of meningitis?
• Elevated jugular venous pressure is most commonly associated with which condition?
• A 35-year-old female who is gravida 5, para 4 is in active labor and reports that her last delivery was very fast. You should prepare for which type of delivery?
• What is the primary cause of acute coronary syndrome?
• Which of the following are the most reliable signs that a patient is in hypovolemic shock?
• In a 6-year-old with fever, difficulty breathing, anxiety, tripod position, and sore throat, which condition is most suspected?
• Which obstetric emergency involves premature separation of the placenta from the uterus?
• In a patient experiencing anaphylaxis, which intervention is most appropriate as first-line treatment?
• What is the most common cause of seizures in children?
• During delivery, after the head is delivered, what is the recommended next step for clearing the airway if needed?
• A 56-year-old male requests another dose of nitroglycerin for chest pain. His vitals are P 118, R 16, BP 106/86, and SpO2 94% on room air. What is the most appropriate action?
• Which finding is most indicative of hypovolemic shock in a trauma patient?
• Left-sided heart failure commonly results in which finding?
• In a third-trimester unresponsive patient with apneic pulseless arrest, which condition is most likely?
• A 45-year-old male complains of dull chest pain. You should first:
• A 30-month-old child has a fever of 102 F, cough, and shortness of breath with increased work of breathing; auscultation shows diffuse wheezes and crackles. What should you suspect?
• In diabetic emergencies, which condition is characterized by dehydration, hyperglycemia, and ketonuria?
• In a patient with chest pain, which action is most appropriate to perform first in the prehospital setting?
• For a patient on a ventilator who has a low heart rate and an alarm, what is the most appropriate immediate action?
• In a single-rescuer adult CPR scenario, what is the recommended compression-to-ventilation ratio?
• Which nerves arise from C3-C5 and control the diaphragm for breathing?
• In anemia, which laboratory value is typically decreased?
• A 56-year-old male is in respiratory arrest following a head-on car crash while not wearing a seat belt. He has significant facial and torso trauma. You palpate an irregularity to his cervical spine at C-4. You should suspect his arrest is due to:
• Heat stroke results in hot, dry skin primarily because?
• A fruity breath odor is commonly found in which diabetic condition?
• A 42-year-old female with a history of type II diabetes has an altered level of consciousness. Which of the following should you provide her?
• Which statement is true regarding acute coronary syndrome?
• A 3-year-old with high fever, headache, stiff neck, abdominal rash, and photophobia: which Standard Precautions should be taken?
• In the described peanut-allergic case, which sign indicates airway involvement requiring urgent treatment?
• A patient coughing up pink frothy sputum most likely has which condition?
• A 19-year-old with fever, hot skin, purple spots on the upper chest, and a seizure. Which diagnosis is most likely?