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Following is the Test Prep EMT Exam Format
Format: Multiple choices, multiple answers
NREMT Emergency Medical Technicians Exam Sample Questions (Q25-Q30):
NEW QUESTION # 25
A 24-year-old patient was involved in an MVC. The EMT is completing the patient care report. Which of the following statements indicate pertinent negatives? Select the two correct options.
Answer: B,E
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Pertinent negativesare findings that arenot present, butwould be clinically relevant if they were. For example:
* "No neck or back pain"helps rule out spinal injury
* "No loss of consciousness"informs head trauma assessment
Statements about behavior or initial refusal (B, E) may be documented under patient behavior or refusal, but they are not pertinent negatives. Positive findings like abdominal tenderness arepertinent positives.
References:
NREMT Documentation Standards
National EMS Education Standards - Communication and Documentation
Brady Emergency Care (13th ed.) - Patient Care Reporting
NEW QUESTION # 26
A 30-year-old patient has a stab wound to the left forearm that is bleeding profusely. Which of the following interventions should the EMT perform first?
Answer: D
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Thefirst step in hemorrhage controlfor external bleeding is alwaysdirect pressureusing gloved hands or dressing. Only if this fails or the bleeding issevere and life-threatening(especially from extremities) should a tourniquetbe applied.
Assessing the airway is critical in overall trauma care but not thefirst priorityin isolated extremity hemorrhage. Severity assessment is secondary tobleeding control.
References:
NREMT Trauma Skills: Bleeding Control/Shock
Tactical Combat Casualty Care (TCCC) Guidelines - Hemorrhage Management National EMS Education Standards - Soft Tissue Injuries
NEW QUESTION # 27
A 38-year-old patient is unconscious with slow, shallow, and gasping breaths. The patient is not moving.
What should the EMT perform first?
Answer: D
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
In anyunresponsive patient, the first step is toassess and open the airwayto determine patency and identify obstruction or inadequate breathing.
Gasping respirations (agonal) are not effective; they requireBVM ventilationsupport. The airway must be openbefore checking for a pulse or performing auscultation. A secondary assessment is performed only after primary survey and stabilization.
References:
AHA BLS Provider Manual (2020) - Unresponsive Patient Algorithm
NREMT Airway Skills - Primary Assessment
National EMS Education Standards - Airway, Breathing, Circulation (ABC) Sequence
NEW QUESTION # 28
An infectious disease spread by the fecal-oral route that is considered an acute infection with a currently available vaccine is
Answer: B
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Hepatitis Ais transmitted primarily via thefecal-oral route, often through contaminated food or water. It leads to anacuteliver infection, not a chronic condition. Unlike Hepatitis C, which has no vaccine, Hepatitis A has an effective vaccineand is preventable with proper hygiene and immunization.
Hepatitis Bis spread through blood and sexual contact, not fecal-oral.Hepatitis Eis also fecal-oral but is rare in the U.S. and doesn't have a widely used vaccine.
References:
CDC Hepatitis A Fact Sheet (2023)
NREMT Infectious Disease Control Guidelines
AAOS "Emergency Care and Transportation of the Sick and Injured" (11th ed.), Chapter: Infectious and Communicable Diseases
NEW QUESTION # 29
In order for a plaintiff to recover damages in a lawsuit against an EMT, there must be a duty to perform, breach of duty, damage, and
Answer: C
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
To establishnegligence, four legal elements must be proven:
* Duty to act- a legal obligation to provide care.
* Breach of duty- failing to meet the standard of care.
* Damages- harm occurred.
* Proximate causation- the breach directly caused the damage.
"Proximate causation" means the EMT's action or inaction is closely linked to the harm suffered by the patient.
References:
NREMT Candidate Handbook - Legal and Ethical Guidelines
"Emergency Care" (13th ed., Limmer & O'Keefe) - Chapter: Medical, Legal, and Ethical Issues National EMS Education Standards - Professionalism and Ethics
NEW QUESTION # 30
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