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NREMT Certification
EMT Exam
NREMT.EMT.v2026-05-16.q134 Dumps

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Question 86

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?

A.Assess the airway
B.Place a tourniquet
C.Apply direct pressure
D.Determine severity of wound

Correct Answer: C

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

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Question 87

A law enforcement officer requests that you place the clothes from a sexual assault victim in a bag for transport to the hospital. Which type of bag should you use?

A.Paper
B.Cloth
C.Polypropylene
D.Plastic

Correct Answer: A

In cases of sexual assault, preserving evidence integrity is critical. Clothing or other forensic evidence must be placed in paper bags. Plastic or non-breathable materials can trap moisture, promoting mold or degradation of evidence like DNA or bodily fluids.
This approach follows chain-of-custody protocols used by law enforcement and medical facilities for handling forensic material.
References:
NREMT EMS Operations - Evidence Preservation and Forensics
U).S. Department of Justice: "A National Protocol for Sexual Assault Medical Forensic Examinations" National EMS Education Standards - Legal and Ethical Principles

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Question 88

The ability to assess a situation quickly, appropriately take control, set action priorities, and give clear and concise direction can best be described as

A.leadership ability.
B.stability and adaptability.
C.professional character.
D.resourcefulness and improvisation.

Correct Answer: A

The correct answer is A because these described qualities- rapid situation assessment, taking control, prioritizing actions, and giving clear direction -are core elements of leadership in EMS .
NREMT-aligned EMS education identifies leadership as the ability to direct others effectively, make decisions under pressure, and coordinate patient care activities , especially during emergency scenes.
Strong leadership ensures efficient scene management, clear communication, and optimal patient outcomes.

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Question 89

A 23-year-old patient reports loss of appetite, vomiting, fatigue, and joint pain. The patient has yellow sclera and right upper quadrant pain. Which of the following conditions is most likely the cause of the signs and symptoms?

A.Diverticulitis
B.Appendicitis
C.Viral hepatitis
D.Cholecystitis

Correct Answer: C

The correct answer is C. Viral hepatitis.
Key findings in this scenario:
Loss of appetite (anorexia)
Vomiting
Fatigue
Joint pain (arthralgia)
Yellow sclera (jaundice)
Right upper quadrant (RUQ) pain
Why Viral Hepatitis is correct:
Viral hepatitis is an inflammation of the liver and commonly presents with:
Jaundice (yellowing of sclera/skin)
RUQ abdominal pain
Fatigue and malaise
Nausea/vomiting and loss of appetite
Joint pain (especially early in disease)
NREMT-aligned references state:
"Hepatitis commonly presents with jaundice, fatigue, and right upper quadrant pain."
"Patients may also report nausea, vomiting, and anorexia."
Why the other options are incorrect:
A). Diverticulitis# Typically causes left lower quadrant pain, not jaundice B). Appendicitis# Causes right lower quadrant pain, not jaundice or systemic liver signs D). Cholecystitis# Causes RUQ pain, but jaundice and systemic symptoms (joint pain, fatigue) are more consistent with hepatitis Exact Extracts (NREMT-aligned EMT educational references):
"Jaundice is a hallmark sign of liver dysfunction."
"Hepatitis presents with RUQ pain, nausea, vomiting, and fatigue."
"Patients may have systemic symptoms such as malaise and joint pain."
Clinical Priority Summary:
The presence of jaundice, RUQ pain, and systemic symptoms strongly indicates viral hepatitis, making C the correct answer.
References:
NREMT EMT Education Standards - Medical Emergencies (Gastrointestinal/Hepatic) NREMT National Continued Competency Program (NCCP) AAOS Emergency Care and Transportation of the Sick and Injured (NREMT-aligned)

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Question 90

A 60-year-old has severe shortness of breath. Audible wheezing is present. The patient has a history of COPD, asthma, and diabetes with prescribed medications. The vital signs are BP 138/80, P 110, R 30, and SpO# 89% on room air. What actions should the EMT take? Select the two answer options that are correct.

A.Administer 3 LPM of oxygen by nasal cannula.
B.Apply continuous positive airway pressure.
C.Place the patient in the recovery position.
D.Administer a beta-2 agonist.
E.Provide rescue breathing.

Correct Answer: B,D

The correct answers are B. Apply continuous positive airway pressure (CPAP) and D. Administer a beta-2 agonist.
This patient is in moderate to severe respiratory distress with:
Tachypnea (R 30)
Hypoxia (SpO# 89%)
Wheezing # indicates bronchoconstriction (asthma/COPD exacerbation)
Why B is correct (CPAP):
CPAP helps keep alveoli open, improves oxygenation, and reduces work of breathing.
It is indicated in patients who are awake, breathing, and in respiratory distress with hypoxia.
Especially beneficial in COPD exacerbations.
Why D is correct (Beta-2 agonist):
Beta-2 agonists (e.g., albuterol) relax bronchial smooth muscle, relieving wheezing and bronchospasm.
This directly treats the underlying problem in asthma/COPD exacerbation.
Why the other options are incorrect:
A). 3 LPM nasal cannula # Too low for significant hypoxia (SpO# 89%); patient needs more aggressive support C). Recovery position # Used for unconscious patients, not alert patients in respiratory distress E). Rescue breathing # Indicated for inadequate respirations, but this patient is breathing (though rapid) Exact Extracts:
"CPAP is indicated for patients with respiratory distress who are breathing spontaneously."
"Beta-agonists are used to relieve bronchospasm in asthma and COPD."
"Patients with wheezing benefit from bronchodilator therapy."
References:
NREMT EMT Education Standards - Airway, Respiration & Ventilation
National EMS Education Standards - Respiratory Emergencies
NREMT Candidate Handbook - Patient Management

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