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The National Register Emergency Medical Technician (EMT) cognitive test is a computer adaptive test (CAT).This means that each candidate is evaluated based on the position of the responses on a spectrum. Once a candidate gets the correct answers, the computer will automatically enter more difficult questions to continue testing the candidate's skill level. The number of items a candidate can expect from the EMT exam will be between 70 and 120. Each exam will have between 60 and 110 “live” elements that will be counted towards the final score. The exam will also include 10 pilot questions that do not affect the final score. The maximum time allowed to complete the exam is 2 hours. To pass the exam, candidates must meet a standard skill level. The standard of success is defined by the ability to provide safe and effective entry-level emergency medical care.
NEW QUESTION # 116
A 3-year-old patient has drooling and stridor. The vital signs are BP 82/40, P 132, R 34, SpO# 94%, and T
102.4°F (39.1°C). Which of the following interventions should the EMT perform?
Answer: C
Explanation:
The correct answer is D. Apply humidified oxygen.
This pediatric patient presents with:
* Drooling
* Stridor
* Fever (102.4°F)
These are classic signs of epiglottitis, a life-threatening upper airway infection.
Critical Concept: DO NOT agitate or manipulate the airway
In suspected epiglottitis:
* The airway is severely inflamed and unstable
* Any attempt to visualize, suction, or insert an airway adjunct can cause:
* Sudden airway closure
* Complete obstruction
NREMT-aligned guidance states:
* "Avoid examining the airway in patients with suspected epiglottitis."
* "Do not insert airway adjuncts or suction unless absolutely necessary." Why D is correct:
* Humidified oxygen helps improve oxygenation without irritating the airway
* It is the safest and most appropriate intervention
* Keep the child calm and in a position of comfort
Why the other options are incorrect:
* A. Visualize the airway # Dangerous; may cause airway collapse
* B. Suction posterior pharynx # Can trigger complete obstruction
* C. Insert an oropharyngeal airway # Contraindicated in this condition Exact Extracts (NREMT-aligned EMT educational references):
* "Drooling, stridor, and fever suggest epiglottitis."
* "Do not place anything in the mouth."
* "Provide oxygen and avoid agitating the child."
Clinical Priority Summary:
In suspected epiglottitis, the priority is to maintain a calm environment and provide oxygen without airway manipulation, making D the correct answer.
References:
NREMT EMT Education Standards - Airway, Respiration & Ventilation (Pediatrics) NREMT National Continued Competency Program (NCCP) AAOS Emergency Care and Transportation of the Sick and Injured (NREMT-aligned)
NEW QUESTION # 117
A 3-year-old patient has a nontraumatic nosebleed. Which of the following actions should the EMT perform?
Select the two answer options that are correct.
Answer: A,C
Explanation:
The correct answers are A and B because standard EMT care for epistaxis (nosebleed) includes having the patient lean forward and applying direct pressure by pinching the nostrils .
Leaning forward prevents blood from draining into the airway or stomach, reducing the risk of aspiration or vomiting. Pinching the nostrils provides direct pressure to control bleeding , which is the primary intervention emphasized in NREMT-aligned bleeding control guidelines.
Send the next question.
NEW QUESTION # 118
A 30-year-old patient is injured in a motor vehicle collision. The patient cannot move their diaphragm, and they are apneic. In which of the following locations should the EMT suspect the spinal injury occurred?
Answer: A
Explanation:
The diaphragm is innervated by the phrenic nerve, which originates from spinal nerve roots C3-C5.
NREMT teaching highlights the phrase: "C3, 4, and 5 keep the diaphragm alive." Option A (C4) is correct because an injury at or above this level can paralyze the diaphragm, resulting in apnea and immediate respiratory failure.
Option B (T1) and C (T3) affect intercostal muscles but not the diaphragm.
Option D (L4) affects lower extremity function only.
NREMT emphasizes that high cervical spine injuries are immediately life-threatening due to loss of ventilatory control.
NEW QUESTION # 119
A 3-year-old patient ingested laundry detergent. The patient is drowsy and has crackles in all lung fields. What should most concern the EMT at this time? Select the three answer options that are correct.
Answer: A,D,F
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Laundry detergent ingestion - especially in the case ofliquid detergent pods- is associated withcaustic airway and gastrointestinal injuries. The presence ofcracklesanddrowsinessare signs of aspiration and possiblerespiratory failure. Vomiting increases the risk ofaspiration pneumonitis, andesophageal perforationis a life-threatening complication from corrosive ingestion.
While seizure and hypoglycemia are possible complications of toxic ingestion, they are not as immediately linked to the detergent profile as airway injury and aspiration risk.
References:
NREMT Pediatric Toxicology and Airway Emergencies
National Poison Data System (NPDS) Annual Report
AAOS Emergency Care Textbook (11th ed.) - Pediatric Poisoning and Toxin Exposure
NEW QUESTION # 120
When using the SALT method for triage, which of the following interventions should the EMT perform during the individual assessment step?
Answer: B
Explanation:
SALT (Sort, Assess, Lifesaving interventions, Treatment/Transport) is a mass casualty triage method recommended by the CDC and the National Association of EMS Physicians (NAEMSP). During the " Assess
" step, responders:
* Check respirations
* Provide lifesaving interventions such as rescue breaths if the patient is not breathing but has a pulse
* Evaluate mentation (e.g., ability to follow commands)
Airway adjuncts and full transport do not happen at this stage. Scorecards and pediatric-specific modifications are addressed later in the protocol.
References:
NREMT EMS Operations - Mass Casualty and Triage Guidelines
CDC SALT Mass Casualty Triage Guidelines
National EMS Education Standards - Disaster Response
NEW QUESTION # 121
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