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NREMT Emergency Medical Technicians Exam Sample Questions (Q63-Q68):

NEW QUESTION # 63
You have achieved ROSC (Return of Spontaneous Circulation) in a 77-year-old female. She remains unresponsive and her vital signs are BP 94/58, P 82, and R 18. In what position should she be placed?

A. Left lateral recumbent
B. Trendelenburg
C. Head elevated 45°
D. Supine

Answer: A

Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
AfterROSCin an unresponsive patient, theleft lateral recumbent position(also called the recovery position) is preferred to:
* Maintain an open airway
* Prevent aspiration if vomiting occurs
* Promote drainage of secretions
Supine or Trendelenburg positions increase the risk of aspiration. Elevating the head to 45° may reduce intracranial pressure, but it's not standard post-ROSC care in an unresponsive patient unless airway protection is ensured.
References:
NREMT Cardiology Guidelines - Post-Resuscitation Care
American Heart Association BLS/ACLS Algorithms - ROSC Protocol
EMS Education Standards - Transport Positioning

NEW QUESTION # 64
A 3-year-old patient ingested laundry detergent. The patient is drowsy and has crackles in all lung fields. What should most concern the EMT at this time? Select the three answer options that are correct.

A. Acid reflux
B. Seizure
C. Vomiting
D. Hypoglycemia
E. Esophageal perforation
F. Respiratory failure

Answer: C,E,F

Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Laundry detergent ingestion - especially in the case ofliquid detergent pods- is associated withcaustic airway and gastrointestinal injuries. The presence ofcracklesanddrowsinessare signs of aspiration and possiblerespiratory failure. Vomiting increases the risk ofaspiration pneumonitis, andesophageal perforationis a life-threatening complication from corrosive ingestion.
While seizure and hypoglycemia are possible complications of toxic ingestion, they are not as immediately linked to the detergent profile as airway injury and aspiration risk.
References:
NREMT Pediatric Toxicology and Airway Emergencies
National Poison Data System (NPDS) Annual Report
AAOS Emergency Care Textbook (11th ed.) - Pediatric Poisoning and Toxin Exposure

NEW QUESTION # 65
A 42-year-old male states, "I can't breathe" after being shot in his upper thigh. Bystanders have applied direct pressure to his thigh and the bleeding is controlled. You should first

A. Assess for other life-threatening injuries
B. Apply a tourniquet
C. Administer oxygen
D. Replace the bystander's dressing with sterile gauze

Answer: C

Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Thepatient's complaint of difficulty breathingis anairway/breathing issueand takes precedence over a controlled extremity bleed. The first action is toadminister oxygenand evaluate respiratory effort.
Though reassessing the wound is important,oxygenation is the prioritywhen airway compromise or respiratory distress is present. Tourniquets are foruncontrolled bleeding, which is not the case here.
References:
NREMT Trauma Assessment Guidelines
National EMS Education Standards - Primary Assessment Priorities
Brady Emergency Care (13th ed.) - Chapter: Patient Assessment

NEW QUESTION # 66
Which of the following sections are designated by command at an MCI? Select the three correct options.

A. Staging
B. Catering
C. Finance
D. Aviation
E. Logistics
F. Planning

Answer: C,E,F

Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
InIncident Command System (ICS)for Mass Casualty Incidents (MCI), the four major sections are:
* Planning: Collects data and develops response strategies
* Logistics: Supplies and personnel
* Finance/Administration: Cost tracking, contracts, compensation
Stagingis atactical location, not a management section.Catering and aviationare not command-level ICS designations unless part of specific tasks under logistics or operations.
References:
NIMS ICS Framework - FEMA (ICS-100/700)
NREMT EMS Operations - MCI Command Structure
National EMS Education Standards - Incident Management

NEW QUESTION # 67
A patient has facial drooping, left side paralysis, and slurred speech. The vital signs are BP 160/100, P
100, R 20, and SpO2 96% on room air. Which of the following interventions is appropriate for this patient?

A. Avoid asking the patient questions due to dysphasia
B. Place the patient in a supine position
C. Protect the left arm during transport
D. Administer oxygen at 12 LPM

Answer: C

Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
The patient's symptoms are consistent with astroke (CVA). Proper prehospital care focuses on maintaining airway, breathing, circulation, and protecting the affected limbs.Positioning the patient with head elevated (not supine) reduces intracranial pressure and aspiration risk.
Protecting theparalyzed side (e.g., left arm)from injury during transport is critical. EMS should still communicate with the patient - even if speech is impaired - and perform a stroke assessment using tools likeCincinnati Prehospital Stroke Scale (CPSS)orFAST.
References:
NREMT Medical Emergencies: Neurological Conditions
AHA Stroke Guidelines - Prehospital Management
National EMS Education Standards - Stroke Assessment Protocols

NEW QUESTION # 68
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