01
Choose one
1 point
You arrive at a roadside incident involving a damaged vehicle, leaking fuel, and a nearby downed power line. No patient is currently trapped in immediate view. What is the most appropriate first action?
Free Practice Quiz Question List
10 Integrated NREMT Practice and Review Online Quiz Questions
Use this free practice quiz with 30 questions to review 10 Integrated NREMT Practice and Review, test your knowledge, and prepare for your next test or exam.
30 questions
02
Choose one
1 point
An unresponsive adult has a definite pulse but is taking only two shallow breaths per minute. Which intervention should the EMT prioritize?
- A
Apply a nasal cannula and reassess after several minutes
- B
Provide bag-mask ventilations with supplemental oxygen
- C
Give oral glucose because the patient is unresponsive
- D
Transport without providing ventilatory support
03
Choose one
1 point
A conscious adult suddenly becomes unable to speak and produces only a silent cough after choking on food. What should the EMT do?
- A
Encourage the patient to drink water
- B
Perform a blind finger sweep
- C
Give five back blows followed by five abdominal thrusts
- D
Place the patient supine and wait for spontaneous improvement
04
Choose one
1 point
A patient has life-threatening bleeding from a lower-leg laceration. Firm direct pressure and a pressure dressing have failed. What is the next appropriate intervention?
- A
Apply a tourniquet proximal to the wound and tighten it until bleeding stops
- B
Remove the dressing repeatedly to look for the exact bleeding vessel
- C
Elevate the limb and delay transport for reassessment
- D
Apply an ice pack instead of further hemorrhage control
05
Choose one
1 point
A patient develops wheezing, facial swelling, hives, and dizziness shortly after eating. The patient has a prescribed epinephrine auto-injector. What should the EMT do first, within authorized protocol?
- A
Wait for a complete medical history before treating
- B
Assist with the prescribed epinephrine auto-injector when authorized
- C
Give an oral antihistamine instead of epinephrine
- D
Have the patient walk to the ambulance
06
Choose one
1 point
A diabetic patient is confused, pale, and diaphoretic. The patient is awake, follows commands, and can swallow safely; a glucose reading is low. What is the most appropriate treatment?
- A
Administer insulin to correct the low glucose level
- B
Place food in the patient's mouth even if swallowing is impaired
- C
Administer oral glucose according to protocol and reassess
- D
Give water only and wait for the glucose level to normalize
07
Choose one
1 point
A patient has sudden speech difficulty and one-sided weakness. Which information is most important to communicate promptly to the receiving facility?
- A
Last known well time and blood-glucose result
- B
The patient's preferred meal and vaccination history
- C
The patient's complete lifetime surgical history before transport
- D
Only the time the ambulance left the scene
08
Choose one
1 point
A patient with a penetrating chest injury becomes increasingly short of breath while awaiting transport. What is the most appropriate EMT approach?
- A
Delay transport until a complete secondary assessment is finished
- B
Apply an occlusive dressing according to protocol, monitor closely, and expedite transport
- C
Pack the wound deeply with gauze
- D
Give oral fluids while the patient remains supine
09
Choose one
1 point
An alert young child in respiratory distress is sitting upright and leaning forward while crying. Which approach is best?
- A
Force the child to lie flat for a complete examination
- B
Separate the child from the caregiver to improve cooperation
- C
Allow a position of comfort, minimize agitation, and provide appropriate respiratory support
- D
Use a tongue depressor to inspect the airway immediately
10
Choose one
1 point
A patient in the third trimester becomes pale and dizzy while lying flat after a minor collision. Airway and breathing are adequate. What positioning change is most appropriate?
- A
Use a left lateral tilt or otherwise displace the uterus from the vena cava
- B
Keep the patient flat and elevate both legs
- C
Have the patient stand and walk to the ambulance
- D
Give oral fluids before completing the assessment
11
Choose one
1 point
At a bus crash with many injured people, several walking and others trapped, what should the EMT do first after confirming scene safety?
- A
Complete a detailed assessment of the first patient found
- B
Begin rapid triage and request additional resources
- C
Transport the nearest patient before assessing anyone else
- D
Obtain a full set of vital signs from every patient before prioritizing
12
Choose one
1 point
An alert adult with resolved chest pressure demonstrates understanding of the risks of refusing transport and continues to decline. What is the most appropriate EMT action?
- A
Restrain the patient because chest pressure automatically removes the right to refuse
- B
Leave immediately without discussing risks because the patient declined
- C
Explain risks, benefits, and alternatives, follow refusal procedures, and document thoroughly
- D
Tell the patient that refusal is impossible whenever chest symptoms occur
13
Choose one
1 point
You arrive at a one-car collision with a strong gasoline odor and a vehicle against a damaged utility pole. The driver is calling for help from inside. What should you do first?
- A
Enter the vehicle and begin spinal motion restriction
- B
Remove the driver immediately through the nearest door
- C
Park uphill and upwind, establish a safe perimeter, and request appropriate resources
- D
Approach the vehicle to determine whether the driver is breathing
14
Choose one
1 point
A 68-year-old patient is unresponsive in bed, has snoring respirations and a pulse, and has no obvious trauma. What is the most appropriate initial intervention?
- A
Insert an oropharyngeal airway immediately
- B
Open the airway with a head tilt–chin lift and assess breathing
- C
Apply a nonrebreather mask at high flow
- D
Place the patient in the recovery position without further assessment
15
Choose one
1 point
An unresponsive patient with a history of opioid use has a pulse but is breathing four times per minute with shallow chest movement. What is the priority intervention?
- A
Apply a nasal cannula at 6 L/min
- B
Assist ventilations with a bag-mask device and supplemental oxygen
- C
Administer oral glucose
- D
Place the patient in a seated position
16
Choose one
1 point
A conscious adult suddenly grasps the throat, cannot speak, and has a silent cough. What should you do?
- A
Encourage the patient to continue coughing
- B
Perform a blind finger sweep
- C
Give repeated cycles of five back blows followed by five abdominal thrusts
- D
Give five chest compressions while the patient is standing
17
Choose one
1 point
A construction worker has a deep thigh laceration with rapidly pooling bright-red blood. Direct pressure with gauze has not controlled the bleeding. What should you do next?
- A
Apply a tourniquet proximal to the wound
- B
Elevate the leg above the level of the heart
- C
Apply an ice pack and reassess in 10 minutes
- D
Remove the gauze and inspect the wound repeatedly
18
Choose one
1 point
A patient with a penetrating left-chest wound is anxious, tachypneic, and developing increasing respiratory distress. A dressing is partly covering the wound. What is the most appropriate action?
- A
Seal the wound completely and delay transport for a detailed secondary assessment
- B
Apply an occlusive dressing according to protocol, monitor closely, and expedite transport
- C
Pack the wound deeply with gauze
- D
Place the patient supine and administer oral fluids
19
Choose one
1 point
A patient develops wheezing, facial swelling, hives, and dizziness after eating peanuts. The patient has a prescribed epinephrine auto-injector. What should the EMT do?
- A
Assist the patient with the epinephrine auto-injector if authorized by protocol
- B
Delay epinephrine until a blood pressure reading is obtained twice
- C
Give the patient an oral antihistamine instead of epinephrine
- D
Have the patient walk to the ambulance to improve circulation
20
Choose one
1 point
A confused adult with diabetes is pale and diaphoretic. The patient is awake, follows commands, and can swallow without difficulty; the blood-glucose reading is low. Which intervention is most appropriate?
- A
Administer oral glucose according to protocol and reassess
- B
Give insulin to stabilize the blood glucose
- C
Give the patient water only
- D
Place food in the patient’s mouth while the patient is drowsy
21
Choose one
1 point
A 74-year-old patient has sudden facial droop and right-arm weakness. The patient was last seen normal at 08:00, and the current time is 08:45. What information is most important to communicate to the receiving facility?
- A
The patient’s preferred breakfast food
- B
The patient’s last known well time and blood-glucose result
- C
Whether the patient has received a flu vaccine
- D
The patient’s complete lifetime surgical history before transport
22
Choose one
1 point
A pregnant patient in the third trimester becomes dizzy and pale while lying flat after a minor collision. The airway is patent and breathing is adequate. What is the most appropriate action?
- A
Keep the patient flat and elevate both legs
- B
Position the patient with a left lateral tilt or otherwise displace the uterus from the vena cava
- C
Give the patient oral fluids immediately
- D
Have the patient stand and walk to the ambulance
23
Choose one
1 point
A 3-year-old child with respiratory distress is sitting upright, leaning forward, and crying. The child has nasal flaring and retractions but is still alert. Which approach is best?
- A
Force the child to lie supine for a complete examination
- B
Separate the child from the caregiver immediately
- C
Allow the child to remain in a position of comfort, minimize agitation, and provide age-appropriate respiratory support
- D
Place a tongue depressor in the child’s mouth to inspect the airway
24
Choose one
1 point
An adult suddenly collapses, is unresponsive, is not breathing normally, and has no definite pulse. An AED is immediately available. What should occur next?
- A
Search for a medication list before beginning care
- B
Begin CPR, apply the AED as soon as possible, and follow its prompts
- C
Transport immediately without initiating resuscitation
- D
Give two liters of oxygen by nonrebreather mask
25
Choose one
1 point
You arrive at a one-car collision. A strong odor of gasoline is present, and the vehicle is resting against a damaged utility pole. The driver is calling for help from inside the vehicle. What should you do first?
- A
Enter the vehicle and begin spinal motion restriction
- B
Remove the driver immediately through the nearest door
- C
Park uphill and upwind, establish a safe perimeter, and request appropriate resources
- D
Approach the vehicle to determine whether the driver is breathing
26
Choose one
1 point
A 68-year-old patient is found unresponsive in bed with snoring respirations, a pulse, and no obvious trauma. What is the most appropriate initial intervention?
- A
Insert an oropharyngeal airway immediately
- B
Open the airway with a head tilt–chin lift and assess breathing
- C
Apply a nonrebreather mask at high flow
- D
Place the patient in the recovery position without further assessment
27
Choose one
1 point
A construction worker has a deep thigh laceration with bright-red blood rapidly pooling on the ground. Direct pressure with gauze has not controlled the bleeding. What should you do next?
- A
Apply a tourniquet proximal to the wound
- B
Elevate the leg above the level of the heart
- C
Apply an ice pack and reassess in 10 minutes
- D
Remove the gauze and inspect the wound repeatedly
28
Choose one
1 point
A pregnant patient in the third trimester becomes dizzy and pale while lying flat after a minor collision. The airway is patent, and breathing is adequate. What is the most appropriate action?
- A
Keep the patient flat and elevate both legs
- B
Position the patient with a left lateral tilt or otherwise displace the uterus from the vena cava
- C
Give the patient oral fluids immediately
- D
Have the patient stand and walk to the ambulance
29
Choose one
1 point
After confirming scene safety at a bus crash involving 20 injured people, with some patients walking toward you and others trapped inside the bus, what should the EMT do first?
- A
Treat the most severely injured patient until care is complete
- B
Transport the first patient found before assessing others
- C
Begin rapid triage and request additional resources
- D
Perform a complete set of vital signs on every patient
30
Choose one
1 point
During transport, an EMT notices that a patient's mental status and respiratory effort are worsening even though the patient's initial vital signs were within normal limits. What is the most appropriate next action?
- A
Continue the current plan because the first set of vital signs was normal
- B
Complete a detailed history before repeating any assessment
- C
Reassess the patient promptly, address any new life threat, and escalate care or transport as indicated
- D
Wait until arrival at the hospital to report the change