NREMT Practice Exam
During your assessment, you find crepitus and instability to the
right rib cage. Lung sounds are equal but there is paradoxical
chest movement. You suspect:
(A) a tension pneumothorax.
(B) a massive hemothorax.
(C) a flail chest.
(D) an abdominal aneurysm.
- Correct Answer – (C) a flail chest
Rationale: Flail chest is defined as three or more adjacent ribs
that are fractured in two or more places. This segment of the
chest is free to move with the pressure changes of respirations.
A high-pitched noise associated with upper airway constriction is
known as
(A) wheezes.
(B) rhonchi.
(C) stridor.
(D) rales. – Correct Answer – (C) Stridor
Rationale: Stridor is defined as a high-pitched sound associated
caused by obstruction in the trachea or larynx.
Which statement correctly relates to pediatric seizures?
(A) Febrile seizures typically occur on the 1st day of a febrile
illness and have tonic-clonic activity.
(B) Always suspect a fever to be the cause of a seizure if the
temperature is more than 101°F.
(C) Infants and children between the ages of 4 months and 8
years commonly suffer from febrile seizures.
(D) Febrile seizures do not require transport if the patient can be
cooled.
- Correct Answer – (A) Febrile seizures typically occur on the 1st
day of a febrile illness and have tonic-clonic activity.
A patient was burned and has blisters to the chest, abdomen,
entire right arm, and front of the right leg. According to the rule of
nines, what is the percent of burns?
(A) 40.5%
(B) 36%
(C) 45%
(D) 31.5% – Correct Answer – (B) 36% (chest = 9%, abdomen =
9%, entire arm 9%, front of the leg = 9%)
When using the rule of nines for calculating burns, which of the
following is a correct modification for a child?
(A) The front of each arm for a child is 7% compared to 9% for an
adult.
(B) The front of each leg for a child is 4% compared to 9% on an
adult.
(C) The head of a child is 18% compared to 9% on an adult.
(D) The entire leg of a child is 9% compared to 18% on an adult. –
Correct Answer – (C) The head of a child is 18% compared to
9% on an adult.
You arrive to find a 6 year old child who is in the tripod position
and drooling. The child has a fever and difficulty swallowing. What
do you suspect?
(A) bronchiolitis.
(B) croup.
(C) epiglottitis.
(D) meningitis.
- Correct Answer – (C) Epiglottitis
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