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NREMT Paramedic Cognitive Exam practice questions

217 free questions with answers and explanations.

Practice test
  1. 201.A paramedic is called to a residence for a 4-year-old child who has ingested an unknown quantity of household cleaner. The child is crying, has burns around the mouth, and is drooling. What is the MOST critical prehospital intervention for this patient?Operations
  2. 202.A 60-year-old male presents with severe pain and deformity to his right lower leg after falling from a roof. The bone is protruding through the skin, and there is active bleeding. Distal pulses are present but weak, and the foot is cool to the touch. Which of the following is the MOST appropriate initial management step AFTER addressing life threats?Trauma
  3. 203.A 65-year-old male with a history of COPD is experiencing an acute exacerbation. He is alert and oriented, in moderate respiratory distress, and his SpO2 is 88% on room air. His respiratory rate is 24 breaths/min, and he has diffuse wheezing. What is the most appropriate initial oxygen delivery device and flow rate for this patient?Airway, Respiration & Ventilation
  4. 204.A 40-year-old male presents with a deep laceration to his left thigh after falling onto a piece of jagged metal. The wound is actively bleeding and appears to have penetrated muscle tissue. He is alert and oriented, his skin is warm and dry, and his radial pulses are strong. Which of the following is the MOST appropriate initial management step for hemorrhage control in this patient?Trauma
  5. 205.A 22-year-old male is involved in a high-speed motor vehicle collision. On assessment, he is unconscious, has unequal pupils (left pupil dilated and sluggishly reactive), and his right arm and leg are exhibiting decorticate posturing. His blood pressure is 180/90 mmHg, heart rate is 60 bpm, and respiratory rate is 10 breaths/min. These findings are MOST indicative of which of the following conditions?Trauma
  6. 206.A paramedic is dispatched to a construction site for a 32-year-old male who has fallen approximately 20 feet onto a concrete surface. The patient is unconscious, breathing shallowly at 8 breaths/minute, and has a large laceration to his forehead with active bleeding. Prior to initiating any patient care, what is the MOST critical immediate action for the paramedic?Operations
  7. 207.A paramedic is called to a local park for a 16-year-old male who collapsed during a soccer game. Upon arrival, bystanders are performing CPR. The AED is retrieved and applied, and it advises 'no shock advised'. What is the MOST appropriate next action?Operations
  8. 208.A 5-year-old child weighing 44 lbs (20 kg) is experiencing severe respiratory distress due to an acute asthma exacerbation. After administering albuterol and ipratropium, the child's condition has not improved, and accessory muscle use is prominent. The physician orders methylprednisolone. What is the correct dose of methylprednisolone for this child?Airway, Respiration & Ventilation
  9. 209.A 50-year-old male is found unresponsive after being struck by a vehicle while cycling. He has significant facial trauma, including a suspected fractured mandible and avulsed teeth. Gurgling sounds are noted with each breath. His SpO2 is 88% on room air, and respirations are shallow at 8 breaths/min. Which of the following is the MOST appropriate initial airway management technique?Trauma
  10. 210.A 68-year-old male with a history of congestive heart failure (CHF) presents with acute onset of shortness of breath, orthopnea, and bilateral crackles. His blood pressure is 160/90 mmHg, heart rate 110 bpm, respiratory rate 28 bpm, and SpO2 88% on room air. After administering oxygen and establishing IV access, which of the following is the MOST appropriate next intervention?Cardiology & Resuscitation
  11. 211.A paramedic is dispatched to a residence for a 72-year-old male experiencing an acute exacerbation of COPD. The patient is alert but anxious, sitting upright, and using accessory muscles to breathe. His respiratory rate is 28 breaths/minute, heart rate is 110 bpm, and SpO2 is 88% on room air. Lung sounds reveal diffuse wheezing and rhonchi. What is the MOST appropriate initial oxygen delivery device for this patient?Operations
  12. 212.A 70-year-old female presents with sudden onset of dizziness, weakness, and lightheadedness. Her ECG shows a regular rhythm with a ventricular rate of 30 bpm, P waves present but not consistently followed by QRS complexes, and a variable PR interval. She is hypotensive and confused. Which of the following is the MOST appropriate initial intervention?Cardiology & Resuscitation
  13. 213.A 30-year-old male presents with palpitations, lightheadedness, and a heart rate of 190 bpm. His ECG shows a regular narrow-complex tachycardia. He is alert and oriented, BP 120/80 mmHg, SpO2 98%. Vagal maneuvers have been attempted and were unsuccessful. Which of the following is the MOST appropriate next intervention?Cardiology & Resuscitation
  14. 214.A 50-year-old male presents with sudden onset of severe epigastric pain, nausea, and vomiting. He denies chest pain. His ECG shows ST elevation in leads II, III, and aVF. His blood pressure is 130/80 mmHg, heart rate 90 bpm, and SpO2 96% on room air. Which of the following findings would be MOST concerning if nitroglycerin were administered?Cardiology & Resuscitation
  15. 215.A paramedic is managing a 45-year-old male with a suspected opioid overdose. The patient is apneic and pulseless. After initiating high-quality CPR, the paramedic prepares to administer naloxone. The protocol states 2 mg IV/IO. The medication is supplied in a prefilled syringe containing 4 mg in 10 mL. How many milliliters should the paramedic administer?Operations
  16. 216.A 35-year-old male falls 20 feet from a ladder, landing on his back. He is conscious and complaining of severe back pain. Assessment reveals tenderness and crepitus over his mid-thoracic spine. His lower extremities are weak with diminished sensation. Vital signs are stable. Which of the following is the MOST critical immediate intervention for this patient?Trauma
  17. 217.A 65-year-old male with a history of hypertension and diabetes presents with sudden onset of severe, tearing chest pain radiating to his back. His blood pressure is 180/100 mmHg in the right arm and 140/80 mmHg in the left arm. His heart rate is 98 bpm and regular. Which of the following is the MOST appropriate initial medication to administer?Cardiology & Resuscitation