NREMT Paramedic Practice Test

Chemoreceptors in the brain monitor the levels of carbon dioxide. When there is an increase of CO2 in the body, the brain sends a signal to increase respirations.

This respiratory drive is called the ________ drive?

You are called to the scene of a motorcycle versus tree for an 8-year-old male who was ejected off the back of the bike at a high rate of speed.

The patient is lying on the ground approximately 40 feet from the motorcycle with the right side of his face avulsed.

There is a large flap of skin partially attached to his face. How would you treat the patient’s avulsion?

What is the mnemonic for determining a patient’s level of consciousness?

Research shows that the most frequent cause of AED malfunction is caused by which factor?

You are called to the scene of a car versus tree accident. Upon arrival, you find the vehicle engulfed in flames, with fire showing from underneath the hood and inside the passenger compartment.

You can see that the operator of this vehicle is unconscious and slumped over the steering wheel. Which of the following is your first priority?

What two heart rhythms are shockable in the pediatric patient?

The mnemonic TICLS is used to determine if a pediatric patient is sick or not. What does the “T” represent?

When monitoring CO2 using continuous waveform capnography, what does a low CO2 reading indicate?

Following the pediatric advanced life support (PALS) guidelines, what is the drug dose when administering atropine to a pediatric patient in bradycardia with a pulse?

What is the lowest score a trauma patient can receive on the Glasgow Coma Score?

To calculate the minute volume, you would multiply the tidal volume by which of the following?

You are dispatched to a local park for a 32-year-old male having a panic attack after his girlfriend said she wanted to break up with him. The patient’s girlfriend is on the scene and says the patient has a history of anxiety and takes several medications, but she cannot remember the names.

Which of the following is a common anti-anxiety medication?

The paradoxical motion of the chest during exhalation is often caused by what type of injury?

Several conditions may mimic a stroke. Which of the following is one of those conditions?

Part 1 of 3

En-Route

You and another paramedic are dispatched to a shopping mall for a 40-year-old male reporting severe abdominal pain. Dispatch notes he is conscious and alert. Your response time is 7 minutes on a warm, cloudy spring afternoon. No additional units are dispatched, and a Level I specialty hospital is 3 miles from the scene.

Which of the following is correct regarding the response to this call?

Part 2 of 3

Scene

At the mall’s food court, staff guide you to a seating area where you find an alert, oriented 40-year-old male weighing approximately 250 pounds. He reports sudden, severe lower right quadrant abdominal pain, accompanied by nausea and occasional vomiting, starting 90 minutes ago. The pain has intensified, making it difficult for him to stand.

His medical history includes hyperlipidemia, asthma, and GERD. He takes atorvastatin, an albuterol inhaler, and omeprazole, and is allergic to penicillin and codeine. Initial vital signs are BP 148/86, HR 108, RR 22, SpO2 97% on room air, with a sinus rhythm on the monitor. His skin is warm and moist, and he rates his pain as 9/10, describing it as sharp, radiating to his lower back. You assist him to the stretcher and move to the ambulance. Further assessment reveals right lower quadrant tenderness and rebound tenderness. You initiate treatment per protocol and begin transport to the hospital.

En-Route

You and another paramedic are dispatched to a shopping mall for a 40-year-old male reporting severe abdominal pain. Dispatch notes he is conscious and alert. Your response time is 7 minutes on a warm, cloudy spring afternoon. No additional units are dispatched, and a Level I specialty hospital is 3 miles from the scene.

Which treatments are most appropriate for this patient while at the scene?

Select the 3 correct answer options.

Part 3 of 3

Post-Scene

During non-emergent transport, vital signs are BP 136/78, HR 98, RR 20, SpO2 98%. The patient rates his pain as 4/10 and reports reduced nausea. You provide a radio report to the hospital without questions or orders. At the ED, you transfer the patient to a treatment room, where a nurse assumes care. The patient is moved to the hospital bed, and the call concludes.

Scene

At the mall’s food court, staff guide you to a seating area where you find an alert, oriented 40-year-old male weighing approximately 250 pounds. He reports sudden, severe lower right quadrant abdominal pain, accompanied by nausea and occasional vomiting, starting 90 minutes ago. The pain has intensified, making it difficult for him to stand.

His medical history includes hyperlipidemia, asthma, and GERD. He takes atorvastatin, an albuterol inhaler, and omeprazole, and is allergic to penicillin and codeine. Initial vital signs are BP 148/86, HR 108, RR 22, SpO2 97% on room air, with a sinus rhythm on the monitor. His skin is warm and moist, and he rates his pain as 9/10, describing it as sharp, radiating to his lower back. You assist him to the stretcher and move to the ambulance. Further assessment reveals right lower quadrant tenderness and rebound tenderness. You initiate treatment per protocol and begin transport to the hospital.

En-Route

You and another paramedic are dispatched to a shopping mall for a 40-year-old male reporting severe abdominal pain. Dispatch notes he is conscious and alert. Your response time is 7 minutes on a warm, cloudy spring afternoon. No additional units are dispatched, and a Level I specialty hospital is 3 miles from the scene.

Which of the following should be included in the radio report to the hospital during transport?

A fixed suctioning unit should generate how much airflow when the tubing is clamped?

You are a paramedic called to a private residence for a 56-year-old male complaining of chest pain. En route, your field training officer asks you at what point of the patient assessment will you auscultate breath sounds. What is your response?

You have intubated an adult patient in cardiac arrest and are prepared to administer endotracheal medications as you cannot establish an IV.

What is the recommended dose of endotracheal medications?

How many phases are there of an ambulance call?

A massive and centrally located pulmonary embolism can lead to which type of shock?

What type of communication is taught in prehospital care that describes various verbal and nonverbal techniques and strategies to communicate with patients?

After intubating a pediatric patient, what is used to confirm and monitor endotracheal tube placement?

You are called to a private physician’s office to transport a 63-year-old male to the emergency department. The charge nurse tells you the patient has chronic congestive heart failure.

What is the definition of chronic?

You and your partner are called to assist at a multi-casualty incident (MCI) at an elementary school after law enforcement determined the scene safe.

Upon arrival, the Incident Commander says there was an active shooter and assigns you to triage the kindergarten class. Following the JumpSTART triage system, what tag will you label patients with a respiratory rate of less than 15 or greater than 45?

What is a pregnancy that has reached full term called?

When arriving at the scene of a possible hazardous materials incident, you would identify hazards by ______

You are transporting a 15-year-old female to the hospital with a chief complaint of generalized lower abdominal pain. The patient says she is sexually active and was recently diagnosed with PID.

What is PID?

Which of the following patients would be most appropriate for transport to a non-trauma center?