NREMT Quiz Bank (New 2024/ 2025 Update) Questions and Verified Answers| 100% Correct| Grade A
QUESTION
A 16-year-old, 125-pound male ingested a bo... [Show More] ttle of aspirin approximately 20 minutes ago.
Medical control orders you to administer activated charcoal in a dose of 1 g/kg. How much
activated charcoal should you administer?
• A: 54 g
• B: 60 g
• C: 51 g
• D: 57 g
Answer:
You selected D; This is correct!
Reason: First, you must determine the patient's weight in kilograms (kg). Either of the following
formulae can be used to convert pounds to kilograms: Formula 1: weight (in pounds) ÷ 2.2 =
weight in kg. Formula 2: weight (in pounds) ÷ 2 - 10% = weight in kg. On the basis of the above
formulae, a 125-pound patient weighs 57 kg. Using formula 1, the equation is as follows: 125
(weight in pounds) ÷ 2.2 = 56.81 (57 [rounded to the nearest tenth]). Using formula 2, the
equation is as follows: 125 (weight in pounds) ÷ 2 = 62.5 (63 [rounded to the nearest tenth] - 6.3
(10% of 63) = 56.7 (57 [rounded to the nearest tenth]). Since the drug order is for 1 g/kg, you
should administer 57 g of activated charcoal to your 125-pound patient.
QUESTION
Which of the following is the MOST significant finding in a patient with a severe headache?
• A: Pain in both legs
• B: Chest discomfort
• C: Unilateral weakness
• D: Abdominal tenderness
Answer:
You selected C; This is correct!
Reason: Unilateral weakness (weakness on one side of the body) is a clinically significant
finding in a patient with a headache because it could indicate a stroke (ischemic or hemorrhagic).
Abdominal, chest, and leg pain are not common complaints associated with a headache, although
they should be noted and investigated if they are present.
QUESTION
When caring for a patient with severe hypothermia who is in cardiac arrest, you should:
• A: perform rescue breathing only.
• B: perform BLS and transport.
• C: avoid using the AED.
• D: hyperventilate the patient.
Answer:
The correct answer is B;
Reason: Patients with severe hypothermia (core body temperature < 86°F) who are in cardiac
arrest should be managed with basic life support (chest compressions and ventilations), passive
external rewarming (ie, removal of wet clothing, applying warm blankets) and rapid transport to
the hospital where they can be actively rewarmed. Because cold muscle is a poor conductor of
electricity, defibrillation, if indicated, should be limited to 1 attempt until the patient's body
temperature has been increased. Cardiac arrest patients with severe hypothermia generally do not
respond to defibrillation. Hyperventilation should be avoided as this may increase intrathoracic
pressure and impair blood flow back to the heart.
QUESTION
You should not attempt to actively rewarm a patient with moderate or severe hypothermia in the
field because:
• A: rewarming too quickly can cause a fatal cardiac dysrhythmia.
• B: the risk of inadvertently inducing hyperthermia is too high.
• C: it is painful for the patient and you cannot give analgesic drugs.
• D: active rewarming has been shown to cause severe hypertension.
Answer:
You selected A; This is correct!
Reason: When caring for a patient with hypothermia, your goal is to prevent further heat loss;
this involves removing wet clothing, applying warm blankets, and allowing the patient's body
temperature to rise gradually and naturally (passive rewarming). If the patient is moderately or
severely hypothermic, you should not try to rewarm him or her actively (placing heat on or into
the body). Rewarming too quickly may cause a fatal cardiac dysrhythmia, such as ventricular
fibrillation (V-Fib). Active rewarming may also cause rewarming shock, a condition in which the
blood vessels dilate when heat is applied to the body, resulting in significant hypotension. For
these reasons, active rewarming should only be performed in the controlled setting of a hospital.
QUESTION
You respond to a grocery store where a 39-year-old man reportedly experienced a seizure.
When you arrive at the scene, a clerk begins to escort you to the patient. She tells you that the
man stopped seizing about 5 minutes ago. If the patient truly experienced a seizure, you will
MOST likely find that he:
• A: has a slow heart rate.
• B: is fully conscious and alert.
• C: is not breathing and is cyanotic.
• D: is confused and disoriented.
Answer:
You selected D; This is correct!
Reason: Most seizures are followed by a postictal phase, in which the patient is unresponsive at
first and then gradually regains consciousness. In most cases, the postictal patient appears dazed,
confused, or disoriented; in some cases, he or she is combative. The postictal phase typically
lasts from 5 to 30 minutes. During the seizure, the patient is often not breathing or is breathing
inadequately; however, when the seizure stops, breathing usually resumes. You will also find
that most postictal patients are tachycardic; this is the result of an adrenalin surge that occurs
during the tonic-clonic phase of the seizure.
QUESTION
You are called to a local park for an ill person. It is a hot day and the humidity is high. When
you arrive, a bystander directs you to the patient, a young male who is semiconscious. His skin is
flushed, hot, and moist. Your FIRST action in the management of this patient should be to:
• A: begin rapid cooling measures.
• B: ensure an open airway.
• C: administer high-flow oxygen. [Show Less]