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NREMT EXAM PREP LATEST UPDATE 2025 TEST
BANK| COMPLETE 500 ACCURATE QUESTIONS
AND CORRECT DETAILED ANSWER S
(VERIFIED ANSWERS WITH RATIONALES )
ALREADY GRADED A+
A young female is unresponsive after overdosing on an unknown type of drug. Her respirations are slow and shallow and her pulse is slow and weak. Which of the following drugs is the LEAST likely cause of her condition?
• A: Seconal
• B: Heroin
• C: Cocaine
• D: Valium The correct answer is C;
Reason: Of the drugs listed, cocaine would be the least likely cause of
the patient's condition. Cocaine is a central nervous system (CNS) stimulant; you would expect her to be hypertensive, tachycardic, tachypneic, and perhaps even violent. Heroin, Valium, and Seconal are all CNS depressants and could explain her condition. Heroin is an illegal narcotic (opiate), Valium is a benzodiazepine sedative-hypnotic drug, and Seconal is a barbiturate. Narcotics, benzodiazepines, and barbiturates are all CNS depressants. When taken in excess, they cause a decreased level of consciousness, respiratory depression, bradycardia, and hypotension.
Activated charcoal is contraindicated for a patient who is:
• A: conscious and alert and has ingested a large amount of Motrin. 1 / 4
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• B: emotionally upset and has ingested two bottles of aspirin.
• C: agitated and claims to have ingested a bottle of Tylenol.
• D: awake and alert and has swallowed a commercial drain cleaner.
You selected D; This is correct!
Reason: Activated charcoal adsorbs (sticks to) many ingested
substances, preventing them from being absorbed into the body by the stomach or intestines. In some cases, you may give activated charcoal to patients who have ingested certain substances, if approved by medical control or local protocol. Activated charcoal is contraindicated for patients who have ingested an acid or alkali (i.e., drain cleaner) or a petroleum product (i.e., gasoline), who have a decreased level of consciousness and cannot protect their own airway, or who are unable to swallow.
The MOST obvious way to reduce heat loss from radiation and
convection is to:
• A: move away from a cold object.
• B: increase metabolism by shivering.
• C: wear a thick wind-proof jacket.
• D: move to a warmer environment. you selected D; This is correct!
Reason: In a cold environment, the body has two ways of staying warm: generating heat (thermogenesis) and reducing heat loss. Radiation is the transfer of heat by radiant energy. The body can lose heat by radiation, such as when a person stands in a cold room. Convection occurs when heat is transferred to circulating air, as when cool air moves across the body's surface. A person standing in windy cold weather, wearing lightweight clothing, is losing heat to the environment mostly by convection. The quickest and most obvious way to decrease heat loss 2 / 4
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pg. 3 from radiation and convection is to move out of the cold environment and seek shelter from wind. Shivering increases the body's metabolism and is a mechanism for generating heat, not reducing heat loss. Layers of clothing trap air and provide excellent insulation; thus, layered clothing decreases heat loss better than a single, thick jacket. Conduction is the direct transfer of heat from a part of the body to a colder object by direct contact, as when a warm hand touches cold metal or ice. The most obvious way to decrease heat loss by conduction is to remove your hand from the cold object.
A near-drowning is MOST accurately defined as:
• A: complications within 24 hours following submersion in water.
• B: immediate death due to prolonged submersion in water.
• C: survival for at least 24 hours following submersion in water.
• D: death greater than 24 hours following submersion in water. You
selected C; This is correct!
Reason: Collectively, drowning and near-drowning are referred to as
submersion injuries. Drowning is defined as death after submersion in a liquid medium, usually water. In a drowning, death is either immediate or occurs within 24 hours following submersion. Near-drowning is defined as survival, at least temporarily (24 hours), after submersion. It should be noted, however, that complications such as pneumonia and pulmonary edema can cause death greater than 24 hours following submersion. For this reason, all patients with a submersion injury should be transported to the hospital, even if they appear fine at the scene.
A young woman reports significant weight loss over the last month, persistent fever, and night sweats. When you assess her, you note the 3 / 4
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pg. 4 presence of dark purple lesions covering her trunk and upper extremities.
You should suspect:
• A: end-stage cancer.
• B: HIV/AIDS.
• C: tuberculosis.
• D: rheumatic fever. You selected B; This is correct!
Reason: Weight loss, fever, and night sweats could indicate tuberculosis
or HIV/AIDS; however, the dark purple lesions on the skin, which are called Kaposi's sarcoma, are malignant skin tumors and are a classic finding in patients in the later stages of AIDS.
A 48-year-old male became acutely hypoxic, experienced a seizure, and is now postictal. The MOST effective way to prevent another seizure is
to:
• A: dim the lights in the back of the ambulance.
• B: place him in the recovery position.
• C: administer high-flow supplemental oxygen.
• D: give him oral glucose if he can swallow. You selected C; This is
correct!
Reason: You should administer high-flow oxygen to all patients who are
actively seizing and to patients who experienced a seizure and are postictal. This is especially true if the seizure was caused by hypoxia.Increasing the oxygen content of the blood, which minimizes hypoxia, may prevent another seizure. The recovery position is appropriate for uninjured patients with a decreased level of consciousness and adequate breathing; it will help maintain the airway and facilitate drainage of secretions from the mouth, but will not prevent another seizure. Oral
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