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National Registry Emergency Medical Technician Questions 249–256 (page: 33)

Updated On: 5-Jul-2026

А 68-year-old patient has pain across the chest, radiating to the neck and arms.
What additional signs or symptoms could indicate the patient may be having an acute myocardial infarction, and not angina? (Choose three.)

  1. Having pale or grayish skin
  2. Pain subsiding when at rest
  3. Being induced by extreme stress
  4. Pain lasting longer than 10 minutes
  5. Pain being relieved with nitroglycerin
  6. Nitroglycerin providing little or no relief

Answer(s): A,D,F

Explanation:

An acute myocardial infarction often presents with signs of poor perfusion such as pale or gray skin, prolonged chest pain lasting more than several minutes, and minimal or no relief from nitroglycerin due to ongoing myocardial injury.



А 24-year-old patient is in cardiac arrest after being submerged in cold water.
Which of the following circumstances should occur prior to considering termination of resuscitation efforts?

  1. Patient has been adequately rewarmed
  2. Water has been removed from the lungs
  3. There are ten minutes of resuscitation support given
  4. AED indicates three consecutive "no shock advised" messages

Answer(s): A

Explanation:

In hypothermic cardiac arrest, resuscitation should continue until the patient is adequately rewarmed because hypothermia can protect the brain and mimic death, making survival possible even after prolonged arrest.



Which of the following are signs or symptoms of a hypertensive emergency? (Choose two.)

  1. Epistaxis
  2. Orthopnea
  3. Hyperglycemia
  4. Bronchospasm
  5. Headache

Answer(s): A,E

Explanation:

A hypertensive emergency can present with symptoms of elevated intracranial pressure and vascular stress such as severe headache and epistaxis due to significantly elevated blood pressure.



А 65-year-old patient was in cardiac arrest and has a return of spontaneous circulation with agonal respirations.
What actions should the EMT take? (Choose two.)

  1. Reanalyze the rhythm with the AED
  2. Maintain oxygen saturation above 92%
  3. Ventilate with a BVM 10 times per minute
  4. Assess the patient's vital signs every 15 minutes
  5. Administer high-flow oxygen with a non-rebreather mask

Answer(s): B,C

Explanation:

After return of spontaneous circulation with agonal respirations, the patient requires assisted ventilations at an appropriate rate to support breathing and maintaining adequate oxygenation to ensure sufficient tissue perfusion.



You find yourself treating a thirty-year-old male who has been stabbed in his abdomen during a fight. The blade has been impaled in his right lower abdominal quadrant.
What is most important to do in this case?

  1. It is important to stabilize the knife in place.
  2. It is important to remove the knife and apply direct pressure.
  3. It is important to place your patient on his side.
  4. It is important to transport your patient in a seated position.

Answer(s): A

Explanation:

Impaled objects must always be stabilized in place unless they obstruct the management of the airway or prevent you from being able to perform CPR. This particular patient would most likely be transported in the Trendelenburg position in order to aid in the treatment of shock.



You are treating a patient who has partial-thickness burns over a large surface area.
What should you do?

  1. You should immerse the burn area into water.
  2. You should leave the burn area exposed.
  3. You should apply a dry, sterile burn sheet.
  4. You should offer your patient ice packs in order to reduce the pain.

Answer(s): C

Explanation:

Partial thickness burns must always be covered with a sterile burn sheet. Immersing a burn, which covers a large surface area into water or applying ice to the burn, would increase the risk of hypothermia. You would increase the risk of infection if you were to leave the burn area exposed.



You arrive on scene of a patient who fell from a ladder.
Which of the following information is NOT an important factor in care of the patient?

  1. Height of the ladder
  2. Distance the patient fell from
  3. Surface the patient landed on
  4. What part of the body hit first

Answer(s): A

Explanation:

The height of the ladder is unimportant in your assessment as the patient may not have been at the top of the ladder when he fell.



You are at the scene of an MVA, in which there are three patients, all of which have minor visible injuries. Two are refusing treatment and the last is complaining of neck and back pain. How should you proceed?

  1. Treat all three patients, they are visibly injured and need medical attention.
  2. Obtain signed refusals from the first two patients then proceed to the third.
  3. Treat the third patient, nothing else is needed for the other two.
  4. Have your partner obtain refusals from the two patients who refused treatment, while you treat the last patient.

Answer(s): D

Explanation:

All patient refusals must be an informed refusal and in writing. If you treat all three patients even though they refused you are guilty of battery.



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