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NREMT EMT Daily Question

Past questions

Try each one first, then tap to see the answer and the explanation.

Question 1 · Secondary Assessment

A 25-year-old fell from a ladder and struck the head. On your first assessment the patient opened the eyes spontaneously, was oriented, and obeyed commands. Fifteen minutes later the patient opens the eyes only to voice, is confused, and localizes to pain.

What does this change indicate?

  • A. A declining level of consciousness that suggests a worsening brain injury
  • B. Expected tiredness after a stressful fall that needs no change in the plan of care
  • C. Improvement, because the patient is now calmer than before
  • D. A normal variation in scoring between assessments by different people
Show the answer
A. A declining level of consciousness that suggests a worsening brain injury

A falling Glasgow Coma Scale score (from 15 to about 12) is one of the most important trends after head trauma and suggests rising intracranial pressure; the EMT should reassess the airway, upgrade priority and notify the hospital.

Question 2 · Operations

Which body-mechanics principle reduces the risk of back injury when lifting?

  • A. Bend at the waist and keep the load away from the body to protect the knees.
  • B. Lift with sudden jerky movements.
  • C. Twist while lifting to position the patient.
  • D. Keep the back straight, bend at the knees, and hold the load close.
Show the answer
D. Keep the back straight, bend at the knees, and hold the load close.

Proper mechanics include a straight back, knee bend, and load held close.

Question 3 · Operations

Blood has contaminated the ambulance floor after a call. Appropriate PPE is available.

What is the correct cleaning sequence?

  • A. Clean up the visible blood first, then disinfect for the required contact time.
  • B. Wipe with a dry towel only.
  • C. Leave the blood until the end of the shift.
  • D. Use alcohol hand gel on the floor.
Show the answer
A. Clean up the visible blood first, then disinfect for the required contact time.

Gross contamination is removed first, then an appropriate disinfectant is applied and left wet for the required contact time.

Question 4 · Operations

You post a de-identified but still recognizable description of an unusual call on social media.

What ethical and legal problem does this create?

  • A. None, because names were omitted.
  • B. Only a problem if the patient complains.
  • C. Potential breach of confidentiality and professional standards.
  • D. Acceptable, because the post was shared for educational purposes with other providers.
Show the answer
C. Potential breach of confidentiality and professional standards.

Even de-identified posts that allow recognition violate confidentiality expectations.

Question 5 · Operations

After a particularly stressful pediatric cardiac-arrest call, you notice a colleague becoming withdrawn and irritable over several shifts.

What is an appropriate wellness response?

  • A. Ignore the behavior; it will pass.
  • B. Tell the colleague to toughen up.
  • C. Encourage the colleague to seek peer support or employee-assistance resources.
  • D. Publicly discuss the call details at the station to desensitize everyone who responded.
Show the answer
C. Encourage the colleague to seek peer support or employee-assistance resources.

Recognizing stress reactions and encouraging use of support resources promotes wellness.

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