NREMT FINAL EXAM 2024
You and your partner Grimes are called to the scene of a
stabbing. There are two patients reported. A woman with a stab
wound to the URQ and a man with a stab wound to the LRQ. The
woman with the wound in the URQ is having problems breathing,
has a pulse of 103, respirations of 35, and they are shallow. The
patient with the stab wound to the LRQ is complaining of severe
abdominal pain and has a pulse of 48 and a respiration rate of 24.
Which patient is most likely to have a low blood pressure? Why? –
Correct Answer – The man, because of the nature and location
of the injury, he may be losing blood internally. His pulse is too
slow as well
Rationale: The man with the pulse of 48 and a knife wound to the
lower right quadrant suggests internal bleeding which would lower
the blood pressure.
What is a hemorrhage? – Correct Answer – Severe bleeding
Rationale: Hemorrhage or severe bleeding is the leading cause
of shock or hypoperfusion.
During shock, the blood vessels contract, making the skin
__. – Correct Answer – Cool
Rationale: The skin gets cool during shock.
What is a burn that involves the epidermis and the dermis but no
underlying tissue?
- Correct Answer – Partial thickness burn
Rationale: Superficial is just the epidermis, secondary or partial
thickness is epidermis and dermis.
Your patient has suffered a chainsaw vs. leg injury. His wife who
is a nurse tells dispatch that he has lost about 400 mL of blood.
You know that a person can lose approximately___________
before they are in any real danger. - Correct Answer – 500 mL
Rationale: Approximately 500 mL. A small child can die from
blood loss of 300 mL.
With regard to the SAMPLE history, a patient’s pale skin would be
considered __.
- Correct Answer – A sign
Rationale: If you can visibly witness it, then it is a sign. A patient
would have to give you a symptom verbally or otherwise.
Checking the brachial pulse should be done where on the body? - Correct Answer – The cubital fossa
Rationale: The brachial pulse can be felt on the medial aspect of
the elbow in the crease (cubital fossa). The brachial can also be
assessed on the medial side of the arm, between the bicep and
tricep, in between the elbow and the armpit.
You and your partner Antone arrive on scene to find a woman in
her 30’s lying on a couch. Which of the following would determine
your next actions? - Correct Answer – The patient’s level of consciousness
Rationale: Whether or not a person is conscious or unconscious
would determine what you do next. Determining LOC, comes
even before ABC’s.
The outer most layer of skin tissue is called?
- Correct Answer – The epidermis
Rationale: The epidermis is the outer layer. Inside that is the
dermis and further below that is the subcutaneous layer.
Which question would help you determine the patient’s chief
complaint? - Correct Answer – What can I do for you?
You arrive on scene to find a female patient actively having
contractions every 10-12 minutes apart. A visual inspection of the
patient reveals no visible crowning. Which stage of labor would
you consider this patient to be in? - Correct Answer – 1st stage of labor
Rationale: The first stage of labor is dilation of the cervix. This
can have contractions at varying intervals, and can also have
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For reference https://www.nremt.org/