Welcome to the final part of our Primary Assessment practice test series! This quiz covers advanced scenarios and critical decision-making skills to ensure you’re ready for the NREMT exam. As Part 9 of 9, it ties together everything you’ve learned about assessing and managing patients in the field.
Key topics tested in this part:
– Rapid assessment of multi-system trauma patients
– Prioritizing interventions in critical situations
– Communication with medical control during emergencies
– Documentation best practices for primary assessments
Study tips: Focus on memorizing the order of interventions (e.g., ABCs vs. DCAP-BTLS) and practice time-management under pressure. Review your mistakes—each question is a learning opportunity!
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- Primary Assessment (39-43% of exam) > Airway Assessment 0%
- Primary Assessment (39-43% of exam) > Breathing Assessment 0%
- Primary Assessment (39-43% of exam) > Chief Complaint 0%
- Primary Assessment (39-43% of exam) > Circulation Assessment 0%
- Primary Assessment (39-43% of exam) > Initial Impression 0%
- Primary Assessment (39-43% of exam) > Mental Status 0%
- Primary Assessment (39-43% of exam) > Priority Determination 0%
- Primary Assessment (39-43% of exam) > Resuscitation 0%
- Primary Assessment (39-43% of exam) > Scene Size-Up 0%
- Primary Assessment (39-43% of exam) > Transport Decision 0%
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Question 1 of 19
1. Question
1. A patient has a blood pressure of 140/90 with no symptoms. What does this indicate?
CorrectIncorrectHint
HTN Stage 2 = ≥140/90. Hypertensive emergency = high BP + symptoms (chest pain, severe headache, vision changes, AMS). Asymptomatic = follow up, not emergency.
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Question 2 of 19
2. Question
2. A patient makes incomprehensible sounds but does not speak words. What is the verbal component of GCS?
CorrectIncorrectHint
GCS Verbal: 5=normal, 4=confused, 3=inappropriate words, 2=incomprehensible sounds, 1=none. Moaning = 2.
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Question 3 of 19
3. Question
3. A patient with epiglottitis has a muffled voice and is drooling. What should you avoid?
CorrectIncorrectHint
Epiglottitis: Drooling, muffled voice, tripod position, fever. DON’T look in throat with tongue blade. Keep calm, don’t agitate, allow preferred position, rapid transport.
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Question 4 of 19
4. Question
4. You arrive to find three patients. Patient A is screaming with a leg deformity. Patient B is unresponsive with snoring respirations. Patient C has a bleeding arm laceration. Which patient do you assess first?
CorrectIncorrectHint
Unresponsive + snoring = airway obstruction. This is your first patient. Screaming patient is breathing. Bleeding is next. ABCs = Airway first, always.
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Question 5 of 19
5. Question
5. At a crime scene, what is your PRIMARY concern?
CorrectIncorrectHint
Crime scene: Patient care first, but be mindful of evidence. Don’t move things unnecessarily. Note what you see. Let police handle the investigation.
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Question 6 of 19
6. Question
6. A patient with kidney failure missed dialysis and is now short of breath with leg swelling. What should you suspect?
CorrectIncorrectHint
Missed dialysis + SOB + edema = fluid overload. Pulmonary edema risk. Position upright, oxygen, transport. These patients need dialysis.
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Question 7 of 19
7. Question
7. A patient appears acutely ill with grunting respirations. What does grunting typically indicate?
CorrectIncorrectHint
Grunting = serious respiratory distress. Body trying to keep alveoli open. Common in pneumonia, respiratory infections. Pediatric warning sign. Act fast.
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Question 8 of 19
8. Question
8. What is the appropriate ventilation rate during CPR with an advanced airway in place?
CorrectIncorrectHint
CPR with advanced airway: Continuous compressions + 10-12 breaths/min. One breath every 5-6 seconds. Don’t pause compressions for breaths.
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Question 9 of 19
9. Question
9. A patient with a known heart condition has chest pain that is different from their usual angina. What should you recommend?
CorrectIncorrectHint
“Different from usual” = concerning. New onset, worse, different location, unrelieved by nitro = emergency. Don’t wait. Transport and evaluate.
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Question 10 of 19
10. Question
10. A patient has suffered a significant blunt neck injury. What airway concern should you have?
CorrectIncorrectHint
Blunt neck trauma = airway risk. Swelling, hematoma, laryngeal injury. Can deteriorate rapidly. Monitor closely, prepare for difficult airway. C-spine too.
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Question 11 of 19
11. Question
11. A patient has an SpO2 of 82% on room air. What does this indicate?
CorrectIncorrectHint
SpO2 < 90% = significant hypoxemia = intervene. < 94% with symptoms = oxygen. Normal = 95-100%. Treat the patient, not just the number.
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Question 12 of 19
12. Question
12. A patient has a blood pressure of 180/110 with severe headache and blurred vision. What should you suspect?
CorrectIncorrectHint
Hypertensive emergency = high BP + end-organ symptoms (headache, vision changes, chest pain, AMS, dyspnea). SBP often >180. Emergent but controlled lowering.
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Question 13 of 19
13. Question
13. A patient opens eyes only to painful stimuli, makes incomprehensible sounds, and extends to pain. What is the GCS?
CorrectIncorrectHint
E2 (to pain) + V2 (sounds) + M2 (extension) = GCS 6. Extension = decerebrate posturing = severe brain injury.
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Question 14 of 19
14. Question
14. You have one ambulance and four patients from a collision. One is deceased, one has an open femur fracture, one is ambulatory with abrasions, and one is confused with abdominal pain. Who goes first?
CorrectIncorrectHint
Triage: ABCs first. Confused = possible shock or head injury. Open fracture is bad but patient is alert. Ambulatory = lowest priority. Don’t transport dead with living.
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Question 15 of 19
15. Question
15. A patient with a history of alcoholism presents with confusion and ataxia. What should you consider?
CorrectIncorrectHint
Alcoholic with confusion/ataxia? Think: Thiamine deficiency (Wernicke’s), hypoglycemia, withdrawal, head injury. Don’t just write off as “drunk.”
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Question 16 of 19
16. Question
16. A patient is lying still on the floor and appears to be sleeping. When you approach, you notice uneven chest rise. What should you do?
CorrectIncorrectHint
Uneven chest rise = abnormal. Could be diaphragm injury, pneumothorax, flail chest. Don’t assume sleep. Assess immediately.
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Question 17 of 19
17. Question
17. What is the purpose of determining the number of patients at a scene?
CorrectIncorrectHint
Scene size-up: How many patients? Do I have enough resources? Call for help early if needed. Better to cancel extra units than delay care.
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Question 18 of 19
18. Question
18. A patient in cardiac arrest has return of spontaneous circulation (ROSC). What should you do?
CorrectIncorrectHint
ROSC is not the end. Continue support, monitor closely, transport to appropriate facility. Risk of rearrest is real. Maintain airway, oxygen, monitor rhythm.
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Question 19 of 19
19. Question
19. A patient with a suspected stroke needs transport. What time is critical to document?
CorrectIncorrectHint
Stroke = document “last known well” time. Determines tPA eligibility (within 4.5 hours). Time is brain. Every minute counts. Ask witnesses, check phone records.
You’ve made it to the final stretch! Consistent practice builds confidence, and this quiz will help you identify weak spots before exam day. Take your time, learn from each question, and trust your training. Ready to ace the NREMT? Take the quiz now and boost your readiness!
📚 More Primary Assessment Practice:
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