National Registry Practice Exam

This is a practice exam for the National Registry EMT-Basic exam. It is not based off of questions from the actually exam but off of the book!This is a practice exam for the National Registry EMT-Basic exam. It is not based off of questions from the actually exam but off of the book!

If you scored lower than you thought you would its a good thing, thats the point. Don't get too cocky going into the test but do go in with confidence, if you tell yourself your going to ace it the chances are your going to fail. Tell yourself your going to do the best you can and don't worry about the number grade, if you go into it saying your going to try your best then you will and the chances are your best is just fine so just relax and take your time! Good luck!!!

Created by: Rob
What is your age?
Under 18 Years Old
18 to 24 Years Old
25 to 30 Years Old
31 to 40 Years Old
41 to 50 Years Old
51 to 60 Years Old
Over 60 Years Old
What is your gender?
Male
Female
1. What part of the nervous system controls the body's voluntary activities?
Central
Sensory
Somatic
Autonomic
2. You receive a call to a local gymnasium for a basketball player with a dislocated shoulder. Upon arrival, you find the patient, a 17-year-old male, sitting on the ground. He is holding his left arm in a fixed position away from his body. There is an obvious anterior bulge to the area of injury. You Should:
gently attempt to move his arm toward his body.
place a pillow under his arm and apply a swathe.
assess distal pulse, motor, and sensory functions.
flex his arm at the elbow and then a apply a sling.
3. The MOST significant complication associated with facial injuries is:
damage to the eyes.
airway comprimise.
cervical spine injury.
mandibular immobility.
4. Which of the following musculoskeletal injuries would pose the greatest threat to a patient's life?
An amputated extremity.
Bilateral femur fractures.
Nondisplaced long bone fractures.
Pelvic fracture with hypotension.
5. Capillary sphincters are:
under complete control of the voluntary portion of the nervous system.
capable of dilating in order to increase perfusion to crucial body organs.
responsible for constricting to compensate for decreased cell perfusion.
circular muscular walls that regulate blood flow through the capillaries.
6. The energy of a moving object is called:
latent energy.
kinetic energy.
potential energy.
converted energy.
7. A 70-year-old female was recently discharged from the hospital following a total hip replacement. Today, she presents with an altered mental status, tachycardia, and a blood pressure of 100/64 mm Hg. Her skin is warm and moist. You should be MOST suspicious that she is experiencing:
septic shock.
pump failure.
a local infection.
decompensated shock.
8. Which of the following would MOST likely result in hemorrhagic shock?
Severe vomiting
Liver laceration
Excessive sweating
Repeated diarrhea
Severe irritable rectal itch
9. You are dispatched to a call for a 27-year-old male with unknown complications. Upon arrival you find the patient lying prone with a pop bottle stuck in his rectum, you should:
Call for ALS
Place him in recovery position and transport immediately.
Place patient on the cot in the prone position and transport immediately.
Shove it in further.
10. Pleural fluid is contained between the:
visceral and parietal pleurae.
parietal pleura and the heart.
visceral pleura and the lung.
parietal pleura and chest wall.
11. During your rapid trauma assessment of a 30-year-old male who fell 25 feet, you note crepitus when palpating his plevis. Your partner advises you that the patient's blood pressure is 80/50 mm Hg and his heart rate is 120 BPM and weak. After completing the rapid trauma assessment, you should:
defer spinal immobilization and transport to a trauma center.
perform a focused physical exam with emphasis on the pelvis.
stabilize the pelvis with the PASG and transport immediately.
log roll the patient onto a long backboard and transport at once.
12. The ideal procedure for moving an injured patient from the ground to a backboard is:
the clothes drag.
the four-person log roll.
to use a scoop stretcher.
the direct patient carry.
13. With regard to musculoskeletal injuries, the zone of injury is defined as the:
area of obvious deformity over the site of impact.
exact part of the bone or joint that was disrupted.
area of soft tissue damage surrounding the injury.
part of the body that sustained secondary injury.
14. A 30-year-old female was robbed and assaulted by a gang as she was leaving a nightclub. She has massive facial trauma and slow, gurgling respirations. As your partner assumes manual stabilization of her head, you should:
begin immediate venilatory assistance.
visualize her mouth for obvious wounds.
apply oxygen via nonrebreathing mask.
suction her oropharynx for 15 seconds.
15. What is the function of the sternocleidomastoid muscle?
Connects the scapulae together
Allows movement of the head.
Primary muscle of respiration
Allows flexion of the neck
16. Bone marrow produces:
platelets
lymphocytes
red blood cells
white blood cells
17. A 4-year-old female has a peanut lodged in the external auditory canal of her right ear. You should:
use tweezers to try to remove the object.
remove the peanut with a cotton-tip swab.
Firmly smack the left side of the child's head to dis-lodge the peanut.
transport her to the emergency department.
thoroughly flush her ear with sterile saline.
18. Hemoptysis is defined as:
vomiting blood
coughing up blood
abnormal blood clotting
blood in the pleural space
19. One of the primary waste products of normal cellular metabolism that must be removed from the body by the lungs is:
lactic acid
carbon dioxide
pyruvic acid
carbon monoxide
20. The major mass of the brain is called the:
cerebrum
cerebellum
brain stem
meninges
21. Hypoperfusion is another name for:
shock
cyanosis
hypoxemia
cellular death.
22. When placing a patient onto a long backboard the EMT at the patient's_______ is in charge of all patient movements.
head
chest
waist
lower extremities
23. Your squad (425) is dispatched to an MVA at the intersection of 134 and 50, they have advised you that there has been one ejection and a possible entrapment. The correct way to inform dispatch that you are en-route after they have acknowledge you is:
425 en-route
425 en-route to 134 & 50, do you have any patient information for me and would you also go ahead and put care-flight on stand-by.
425 responding to the crash, you got any patient info?
425 we're rollin
24. Abnormal variations in pupil size and reaction would MOST likely be observed in a patient with:
retinitis
contact lenses
conjunctivitis
a head injury
25. Skeletal muscle is attached to the bone by tough, ropelike fibrous structures called:
fascia
tendons
cartilage
ligaments
26. Blind nasotracheal intubation should ONLY be performed on patients who:
are unconscious and apneic
have damaged vocal cords
are breathing spontaneously
have experienced head trauma.
27. When you assess capillary refill time (CRT) in an infant, normal color to the tested area should return within:
1 second
2 seconds
3 seconds
4 seconds
28. The normal respiratory rate for an adult should range from:
10 to 15 BPM
12 to 20 BPM
18 to 24 BPM
24 to 28 BPM
29. Immediately after you place an ET tube in the trachea, you should remove the stylet and then:
attach the BVM and ventilate the patient.
listen for breath sounds to confirm placement
secure the ET tube with the appropriate device
inflate the distal cuff and detach the syringe
30. Clinical signs of labored breathing include all of the following, EXCEPT:
shallow chest movement.
use of accessory muscles
supraclavicular retractions
gasping attempts to breathe
31. You have inserted an ET tube but are unable to hear breath sounds on the left side of the chest. You Should:
treat the patient for a pneumothorax and transport immediately
extubate the patient and preoxygenate for at least 2 to 3 minutes.
advance the tube as you are auscultating the patient's breath sounds
withdraw the tube approximately 1 inch and reassess breath sounds
32. In the prehospital setting, gastric tubes are used primarily to:
remove gastric toxins
administer medications
provide gastric nutrition
decompress the stomach
33. In contrast to the curved blade, the straight (Miller) blade:
directly lifts the epiglottis and exposes the vocal cords
indirectly lifts the epiglottis by fitting into the vallecula
is contraindicated in infants and children less than 5 years of age
has a broad flange and provides better tongue displacement.
34. A decrease in blood pressure may indicate all of the following conditions, EXCEPT:
loss of blood volume
a closed head injury
loss of vascular tone
decreased cardiac pumping
35. You are transporting an intubated 24-year-old female when her level of consciousness improves and she becomes extremely combative. Without assisted ventilation, she appears to be breathing adequately. You should:
request a paramedic to give her a sedative drug
contact medical control for further instructions
have suction available and remove the ET tube
carefully restrain her and continue ventilations
36. Which of the following conditions would MOST likely cause the pupils to remain significantly constricted?
severe cerebral hypoxia
intracranial hemorrhaging
overdose of an opiate drug
oculomotor nerve pressure
37. You should assess an infant or child's skin color on his or her:
arms and legs
fingers and toes
chest abdomen
palms and soles
38. The distal cuff on an ET tube should be inflated with _______ mL of air after it is placed into the trachea
10
20
15
25
39. When taking a patient's blood pressure in an upper extremity, the diaphragm of the stethoscope is normally placed over which artery?
brachial
femoral
popliteal
radial
40. The Sellick maneuver is performed by applying pressure to the:
tracheal rings.
thyroid cartilage
cricoid cartilage
cricothyroid membrane
41. Bradycardia is defined as a pulse rate less than _______ beats per minute and tachycardia is defined as a heart rate greater than ________ beats per minute.
60, 100
50, 110
40, 120
30, 130
42. Pain that moves from its point of origin to another body location is said to be:
radiating
referred
palliating
provoking
43. The pressure exerted against the walls of the artery when the left ventricle contracts is called the:
blood pressure
systolic pressure
diastolic pressure
pulse pressure
44. When you inspect a patient's pupils with a penlight, the pupils should normally react to the light by:
constricting
enlarging
dilating
fluttering
45. Prior to attempting endotracheal intubation, the EMT-B should:
ventilate the patient for at least 30 seconds
contact a medic and obtain permission
obtain authorization from medical control
suction the patient's airway for 30 seconds
46. Uncuffed ET tubes should be used in children less than ______ years of age.
8
10
12
15
47. A patient breathing with reduced tidal volume will have respirations that are:
deep
shallow
regular
normal
48. A single intubation attempt in the adult patient should not exceed:
20 seconds
30 seconds
40 seconds
45 seconds

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