Instant Access NREMT.EMT.v2026-05-16.q134 Actual Practice Test Engine for Free (Page 20)

Question 91

Which of the following is an acute sign of closed head trauma?

A.Memory loss
B.Beck ' s Triad
C.Battle ' s sign
D.Raccoon eyes

Question 92

A 9-month-old patient is unresponsive in a crib. The patient is not breathing. Which of the following actions should the EMT perform first?

A.Immediately transport.
B.Give two rescue breaths.
C.Begin chest compressions.
D.Assess for a brachial pulse.

Question 93

A 60-year-old patient has crushing, midsternal chest pain that began about 5 minutes ago with exercise. The patient has no prescription medications. The vital signs are BP 142/102 mmHg, P 90/min, R 16/min, and SpO# 95% on room air. What treatments should the EMT provide? Select the two answer options that are correct.

A.Sublingual nitroglycerin administration
B.12-lead acquisition and transmission
C.Applying supplemental oxygen
D.Aspirin administration
E.Attaching AED pads

Correct Answer: D,E

The correct answers are D. Aspirin administration and E. Attaching AED pads.
This patient is presenting with classic signs of acute coronary syndrome (ACS):
Crushing, midsternal chest pain
Onset with exertion
Age and risk profile
D). Aspirin administration is a priority intervention. Aspirin helps by inhibiting platelet aggregation and limiting clot formation in coronary arteries.
NREMT-aligned guidance states:
"Administer aspirin to patients with suspected cardiac chest pain."
E). Attaching AED pads is also correct because patients with suspected cardiac ischemia are at risk for sudden cardiac arrest. Continuous cardiac monitoring (via AED pads or monitor) allows for rapid defibrillation if needed.
NREMT material emphasizes early readiness for deterioration:
"Be prepared to manage sudden cardiac arrest in patients with chest pain." Why the other options are incorrect:
A). Sublingual nitroglycerin administration:EMTs may only assist with nitroglycerin if it is prescribed to the patient. This patient has no prescription medications, so nitroglycerin is contraindicated.
B). 12-lead acquisition and transmission:This is typically an ALS (paramedic-level) intervention, not standard EMT scope in NREMT context.
C). Applying supplemental oxygen:The patient's SpO# is 95% on room air, which does not indicate hypoxia.
NREMT guidelines recommend oxygen only if SpO# is low or patient is in respiratory distress.
NREMT guidance:
"Oxygen should be administered based on patient need, not routinely."
Exact Extracts:
"Administer aspirin to patients with suspected cardiac chest pain."
"Oxygen should be given only if the patient is hypoxic or shows signs of respiratory distress."
"Be prepared for cardiac arrest in patients with suspected myocardial infarction." References:
NREMT EMT Education Standards - Cardiology / Acute Coronary Syndrome
NREMT National Continued Competency Program (NCCP) - Cardiac Emergencies Standard EMT Text (aligned with NREMT): Cardiovascular Emergencies

Question 94

A 23-year-old female has a tear in her perineum following delivery. This is best treated by:

A.packing her vagina with gauze.
B.elevating her pelvis.
C.having her keep her legs flexed.
D.applying direct pressure.

Question 95

A 33-year-old patient was the restrained driver involved in a front-end collision. The patient reports severe abdominal pain. The patient is 32 weeks pregnant, with mild vaginal bleeding. The patient is anxious, with cold, pale skin. The vital signs are BP 78/42, P 136, R 36, and SpO# 92% on room air. Which of the following conditions should the EMT most strongly suspect?

A.Placenta previa
B.Ectopic pregnancy
C.Abruptio placentae
D.Spontaneous abortion

Question 91

Question 92

Question 93

Question 94

Question 95

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