NREMT Practice Test Bank - Multiple Choice

• A:float a buoyant backboard un- out. Open the patient's airway, without
der him, remove him from the manipulating the neck, and begin rescue
pond, and begin rescue breath- breathing while still in the water. Float
ing. a buoyant backboard under the patient,
• B:move him to a supine position secure him to it, and remove him from
by rotating the entire upper half the water. After removing the victim from
of his body as a single unit. the water, assess for a pulse. If the victim
• C:stabilize his head as you re- is pulseless, begin CPR, dry him off, and
move it from the water and open apply the AED as soon as possible.
his airway by tilting his head
back.
• D:grab him by his clothing, re-
move him from the pond, and as-
sess for breathing and a pulse.

27. Which of the following patients You selected A; This is correct!

with diabetes is the BEST candi-
date for oral glucose?
• A:A confused patient who has
cool, clammy skin
• B:A semiconscious patient with
pale, clammy skin
• C:An unresponsive patient who
took too much insulin
• D:A confused patient with sus-
pected hyperglycemia
Reason:Oral glucose is indicated for pa-
tients with diabetes who are in insulin
shock (hypoglycemic crisis), or for any
patient with symptomatic hypoglycemia
(as documented by glucometer). The
patient must be conscious and alert
enough to be able to swallow the glu-
cose, which comes in a tube of gel. If the
patient is unresponsive or otherwise un-
able to swallow the glucose, you should
provide rapid transport, providing the ap-
propriate airway management en route,
and consider an ALS intercept.

28. A 40-year-old woman presents You selected C; This is correct!

with widespread hives that she
noticed about 45 minutes af-
ter taking penicillin. She is con-
scious and alert and denies
difficulty breathing. Her breath
sounds are clear to auscultation
bilaterally, her vital signs are sta-
Reason:The patient is experiencing an
allergic reaction, but she is not in ana-
phylactic shock. Urticaria (hives) is com-
mon to all allergic reactions, regardless
of severity; however, wheezing and hy-
potension, which she does not have, are

14 / 259