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

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Question 101

You have achieved ROSC (Return of Spontaneous Circulation) in a 77-year-old female. She remains unresponsive and her vital signs are BP 94/58, P 82, and R 18. In what position should she be placed?

A.Supine
B.Left lateral recumbent
C.Trendelenburg
D.Head elevated 45°

Correct Answer: B

After ROSC in an unresponsive patient, the left lateral recumbent position (also called the recovery position) is preferred to:
Maintain an open airway
Prevent aspiration if vomiting occurs
Promote drainage of secretions
Supine or Trendelenburg positions increase the risk of aspiration. Elevating the head to 45° may reduce intracranial pressure, but it's not standard post-ROSC care in an unresponsive patient unless airway protection is ensured.
References:
NREMT Cardiology Guidelines - Post-Resuscitation Care
American Heart Association BLS/ACLS Algorithms - ROSC Protocol
EMS Education Standards - Transport Positioning

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Question 102

Which of the following components can be determined by assessing the mechanism of injury? Select the two correct options.

A.Extent of injury
B.Destination facility
C.Chances of survival
D.Patient's medical history
E.Need for additional resources

Correct Answer: A,E

Comprehensive and Detailed Explanation From Exact Extract:
Mechanism of Injury (MOI)assessment is a cornerstone of trauma care. It helps providers determine:
* Extent of injury: High-speed collisions, falls from height, or penetrating trauma suggest internal injuries even if external signs are limited.
* Need for additional resources: MOI may indicate the necessity ofALS backup,air transport, or technical rescue.
MOI cannot determine a patient'smedical historyor guarantee survival predictions. Thedestination facility depends on multiple factors including triage protocols, vital signs, and local trauma system regulations.
References:
NREMT Trauma Assessment Skills Sheet
National EMS Education Standards - Trauma Module
AAOS Emergency Care and Transportation (11th ed.), Chapter: Mechanism of Injury and Trauma Assessment

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Question 103

A 21-year-old patient has difficulty swallowing. The patient is leaning forward and drooling. The skin is hot to the touch. The vital signs are BP 128/82 mmHg, P 116/min, R 22/min, and SpO# 94% on room air. What should the EMT do for this patient? Select the two correct options.

A.Transport the patient in the recovery position
B.Transport the patient in a position of comfort
C.Administer humidified oxygen
D.Place the patient on CPAP
E.Suction the airway

Correct Answer: B,E

This patient is showing signs of epiglottitis or a serious upper airway obstruction - drooling, difficulty swallowing, fever, and tripod positioning.
EMT actions should include:
* Position of comfort to avoid airway agitation
* Gentle suctioning if secretions threaten airway
Do not force the patient to lie flat, as this may worsen airway compromise. CPAP and humidified oxygen may be considered in hospital care but not as first-line interventions during prehospital airway management in epiglottitis.
References:
NREMT Airway Management Guidelines - Upper Airway Obstruction
National EMS Education Standards - Respiratory Emergencies
AAOS Emergency Care and Transportation (11th ed.) - Chapter on Airway and Breathing Emergencies

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Question 104

A 40-year-old patient is unresponsive following an electrical injury. What is the most likely cause of the patient's mental status?

A.Cardiac dysrhythmia
B.Internal bleeding
C.Nerve damage
D.Seizure

Correct Answer: A

Comprehensive and Detailed Explanation (Based on NREMT standards):
Electrical injuries commonly disrupt the heart's electrical conduction system. NREMT teaching emphasizes that cardiac dysrhythmias are the leading cause of unresponsiveness following electrical exposure, even when external burns appear minor.
Option A is correct because electrical current can induce lethal dysrhythmias such as ventricular fibrillation or asystole, resulting in sudden loss of consciousness.
Option B is incorrect because internal bleeding is not a primary consequence of electrical injury.
Option C may occur but does not typically cause immediate unresponsiveness.
Option D is less likely than cardiac involvement and is not the most common cause.
NREMT stresses continuous cardiac monitoring and rapid transport for all electrical injury patients due to the high risk of sudden cardiac arrest.

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Question 105

Which of the following is the most reliable indicator of effective respiration in a patient?

A.Respiratory rate
B.Mental status
C.Pulse oximetry reading
D.Skin color

Correct Answer: B

Mental status reflects perfusion and oxygen delivery to the brain, which is highly sensitive to hypoxia and hypercapnia. Even if respiratory rate and SpO# are normal, altered mental status suggests ineffective gas exchange or hypoperfusion.
Pulse oximetry may be falsely normal in CO poisoning or poor perfusion. Skin color is subjective and not as sensitive or specific as neurological status.
References:
NREMT Assessment Standards - Airway & Neurological Assessment
AHA BLS Manual - Recognition of Effective Ventilation
Brady Emergency Care (13th ed.) - Patient Assessment and Respiratory Emergencies

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