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Exam NREMT EMT Book, EMT Interactive Practice Exam

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NREMT Emergency Medical Technicians Exam Sample Questions (Q11-Q16):

NEW QUESTION # 11
A patient has heart failure with pulmonary edema. They have shortness of breath, and crackles are present in both lungs. The patient is nauseated and has vomited once. The vital signs are BP 90/40, P
110, R 10, and SpO# 89% on room air. Which of the following signs or symptoms prevent the EMT from using CPAP? Select the three correct options.

A. Pulse rate
B. Nausea and vomiting
C. Blood pressure
D. Oxygen saturation
E. Crackles in both lungs
F. Respiratory rate

Answer: B,C,F

Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Contraindications to CPAP(Continuous Positive Airway Pressure) include:
* Hypotension: CPAP can reduce preload and worsen shock (BP < 90 systolic is a contraindication)
* Respiratory rate too low: A rate of 10 is at the low threshold; CPAP requires spontaneous adequate effort
* Active vomiting or nausea: CPAP increases aspiration risk
Crackles and hypoxia areindications, not contraindications, for CPAP. Pulse rate does not influence CPAP use directly.
References:
NREMT Airway Management and Cardiovascular Guidelines
National EMS Education Standards - Respiratory Failure and CPAP
AHA ACLS Provider Manual - Heart Failure and Pulmonary Edema Management

NEW QUESTION # 12
Heat exhaustion is most frequently associated with

A. Altered mental status
B. Hypovolemia
C. Hypertension
D. Bradycardia

Answer: B

Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Heat exhaustionresults from prolonged exposure to elevated temperatures, leading tofluid and electrolyte loss(especially sodium and water), causinghypovolemia. This can result in:
* Tachycardia
* Weakness
* Dizziness
* Profuse sweating
Unlikeheat stroke, mental status is typically preserved in heat exhaustion. Hypertension and bradycardia are not characteristic.
References:
NREMT Environmental Emergencies Module
National EMS Education Standards - Heat-Related Illnesses
AAOS Emergency Care (11th ed.), Chapter: Environmental Emergencies

NEW QUESTION # 13
A 78-year-old female tripped and fell while walking. Her left leg is rotated externally and shorter than her right leg. You should suspect

A. Proximal femur fracture
B. Pelvic fracture
C. Posterior hip dislocation
D. Colles' fracture

Answer: A

Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Anexternally rotated, shortened legis a classic sign of aproximal femur fracture, specifically afemoral neck or intertrochanteric fracture, commonly seen in elderly fall patients. This presentation reflectsmuscle pulland fracture displacement.
* Posterior hip dislocationscauseinternal rotation.
* Pelvic fracturesmay cause instability but not specific leg rotation/shortening.
* Colles' fractureis a distal radius (wrist) injury, unrelated to leg trauma.
References:
NREMT Trauma Module - Musculoskeletal Injuries
National EMS Education Standards - Geriatric Trauma
AAOS Emergency Care (11th ed.), Chapter: Orthopedic Injuries

NEW QUESTION # 14
Which of the following techniques are appropriate for examining a patient with an acute abdomen?
Select the two correct options.

A. Lie the patient supine with legs flexed
B. Visualize the abdomen before palpation
C. Palpate the abdomen prior to auscultation
D. Press softly if the abdomen has a pulsating mass
E. Begin palpation with the most painful quadrant

Answer: A,B

Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
In patients with acute abdominal pain, you mustfirst inspect (visualize)for distension, discoloration, or masses beforetouching. Palpation always beginsaway fromthe most painful area. The patient should be in asupine position with knees flexedto relax the abdominal muscles and ease the exam.
Palpating a pulsating masscould rupture an abdominal aortic aneurysm and is contraindicated.
References:
NREMT Cognitive Exam Blueprint - Medical Emergencies
Emergency Care and Transportation of the Sick and Injured (AAOS, 11th ed.) - Chapter: Abdominal and GI Emergencies EMT-B National Standard Curriculum, Module: Medical Emergencies

NEW QUESTION # 15
A 65-year-old patient with a history of angina reports chest pain and shortness of breath after playing golf. The patient stated the pain began one hour ago and has not stopped with rest. The vital signs are BP 86/64, P 112, R 22, and SpO# 89% on room air. Which of the following actions should the EMT do next?

A. Administer CPAP
B. Provide nebulized albuterol
C. Obtain a 12-lead ECG
D. Give nitroglycerin

Answer: C

Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
This is ahigh-risk cardiac eventdue to unstable angina or possiblemyocardial infarction. The EMT should:
* Administer oxygenif SpO# is <94%
* Avoid nitroglycerinif systolic BP is <90 mmHg
* Obtain a 12-lead ECGto identify ST-elevation MI (STEMI) and transmit it if trained and authorized CPAP is indicated forpulmonary edema, and albuterol is forbronchospasm, neither of which applies here.
References:
AHA ACLS and BLS Guidelines - ACS Management
NREMT Cardiology Guidelines - Chest Pain/MI
National EMS Education Standards - Cardiovascular Emergencies and ECG Recognition

NEW QUESTION # 16
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