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Practice Test 9 - NREMT AEMT Level

20 questions. Answer them in any order, then submit to see your score and every explanation.

  1. An AEMT responds to a 22-year-old male who fell from a second-story balcony. He is conscious, oriented to person and place only, has a large hematoma on his forehead, and smells of alcohol. He is adamant about refusing transport. What is the most appropriate action for the AEMT to take?
  2. Which combination of treatments is most appropriate for this patient in the prehospital setting?
  3. You arrive at a home for a 50-year-old female with a new medication reaction. She began a new pain medication today after dental work. She has a diffuse rash, feels lightheaded, and reports shortness of breath. A medical alert bracelet indicates "Opioid allergy." She is sitting on the floor supported by family. Lung sounds reveal mild wheezes; she is speaking in full sentences but appears fatigued. Vitals: BP 98/64, HR 112, RR 22, SpO2 95% on room air. Family has opened windows, stopped the medication, and called 911. No epinephrine has been administered. Based on the scenario, what is the recommended dosage of epinephrine for this patient?
  4. Home: 30F asthma flare after cleaning dusty basement; BP 126/80, HR 118, RR 30, SpO2 90%. Audible wheeze, speaks short phrases. Meds: albuterol MDI. Which intervention should be prioritized for this patient?
  5. You respond to a home for a 36-year-old female with a reaction after taking a new over-the-counter supplement. She has a diffuse rash and reports dizziness and shortness of breath. She is wearing a medical alert bracelet that states "Anaphylaxis risk." Lung sounds reveal wheezes; she is speaking in short phrases. Vitals: BP 94/58, HR 120, RR 26, SpO2 92% on room air. Family has stopped the supplement, called 911, and placed her supine with legs elevated. No epinephrine has been given. Based on the scenario, what is the recommended dosage of epinephrine for this patient?
  6. You are responding with lights and sirens to a reported MVC on a busy highway during rush hour. Which driving practice is most critical for ensuring the safety of your crew and the public?
  7. A 38-year-old with severe asthma is alert, sitting upright, RR 28, HR 118, BP 148/90, SpO2 89% on room air. He has an intact gag reflex and tolerates an NPA. You apply CPAP and monitor response. Which assessment finding indicates successful CPAP application in this scenario?
  8. At the station after a call, a crew member is telling a story in the dayroom about a humorous situation involving the patient you just transported. A visiting family member of another firefighter is also present in the room and can overhear the conversation. What is the most appropriate action?
  9. Based on this presentation, which action is most appropriate for the AEMT to take?
  10. While responding to an emergency call with lights and sirens, the ambulance operator approaches a red light at a busy intersection. State law allows emergency vehicles to proceed through a red light after coming to a complete stop. However, cross-traffic is heavy and not yielding. What is the operator's primary legal responsibility?
  11. An 88-pound adult female is experiencing anaphylaxis with severe respiratory distress and hypotension. According to standard AEMT protocols for weight-based dosing (0.01 mg/kg), what is the correct initial dose and administration of epinephrine?
  12. What is the AEMT's most appropriate next action?
  13. What is the most likely cause of this patient's respiratory compromise?
  14. Which of the following clinical findings is most indicative of Diabetic Ketoacidosis (DKA) rather than a Hyperosmolar Hyperglycemic State (HHS)?
  15. You respond to a term labor with a visible prolapsed cord after rupture of membranes. Maternal vitals are stable; contractions are frequent and strong. You place her in knee-chest position, administer oxygen, and prepare immediate transport. You contact medical direction with the emergent finding and request destination guidance. Which symptom indicates the specific complication of a prolapsed cord?
  16. What is the total volume of the fluid bolus you should prepare to administer?
  17. Which piece of information gathered during your scene size-up and initial assessment is most concerning for a significant underlying injury?
  18. What is the most critical instruction to provide to the occupant of the vehicle?
  19. What is your best course of action?
  20. What is the AEMT's most appropriate next action?

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