別格で売上ナンバーワンEMT試験にはは2026年最新のNREMT練習問試験合格させます [Q54-Q69]

別格で売上ナンバーワンEMT試験にはは2026年最新のNREMT練習問試験合格させます

Medical Technicians問題集でEMT試験完全版問題で試験学習ガイド

質問 # 54
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. Trendelenburg
• B. Head elevated 45°
• C. Supine
• D. Left lateral recumbent

正解：D

解説：
Comprehensive and Detailed Explanation From Exact Extract:
AfterROSCin an unresponsive patient, theleft 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

質問 # 55
A 76-year-old patient has behavioral changes that began this morning. The patient is also having trouble ambulating and speaking. Which of the following conditions should the EMT suspect? Select the two answer options that are correct.

• A. Infection
• B. Myocardial infarction
• C. Stroke
• D. Allergic reaction
• E. COPD exacerbation

正解：A、C

解説：
This question is really about recognizing that in an older adult, new confusion or behavior change is a red flag , especially when it appears suddenly. The added findings of difficulty speaking and trouble walking strongly support stroke , because the CDC lists sudden trouble speaking, confusion, and trouble walking as warning signs of stroke. ( CDC ) At the same time, EMTs are also taught to keep infection on the list in elderly patients with acute mental- status changes. In older adults, infection can present with delirium, confusion, weakness, and functional decline instead of classic fever-first symptoms, so B is also appropriate. ( CDC Stacks )

質問 # 56
A 60-year-old patient has crushing, midsternal chest pain that began about 5 minutes ago with exercise. The patient has no prescription medications. The vital signs are BP 142/102 mmHg, P 90/min, R 16/min, and SpO# 95% on room air. What treatments should the EMT provide? Select the two answer options that are correct.

• A. Attaching AED pads
• B. Aspirin administration
• C. Applying supplemental oxygen
• D. Sublingual nitroglycerin administration
• E. 12-lead acquisition and transmission

正解：A、B

解説：
The correct answers are D. Aspirin administration and E. Attaching AED pads.
This patient is presenting with classic signs of acute coronary syndrome (ACS):
* Crushing, midsternal chest pain
* Onset with exertion
* Age and risk profile
D). Aspirin administration is a priority intervention. Aspirin helps by inhibiting platelet aggregation and limiting clot formation in coronary arteries.
NREMT-aligned guidance states:
* "Administer aspirin to patients with suspected cardiac chest pain."
E). Attaching AED pads is also correct because patients with suspected cardiac ischemia are at risk for sudden cardiac arrest. Continuous cardiac monitoring (via AED pads or monitor) allows for rapid defibrillation if needed.
NREMT material emphasizes early readiness for deterioration:
* "Be prepared to manage sudden cardiac arrest in patients with chest pain." Why the other options are incorrect:
* A. Sublingual nitroglycerin administration:EMTs may only assist with nitroglycerin if it is prescribed to the patient. This patient has no prescription medications, so nitroglycerin is contraindicated.
* B. 12-lead acquisition and transmission:This is typically an ALS (paramedic-level) intervention, not standard EMT scope in NREMT context.
* C. Applying supplemental oxygen:The patient's SpO# is 95% on room air, which does not indicate hypoxia. NREMT guidelines recommend oxygen only if SpO# is low or patient is in respiratory distress.
NREMT guidance:
* "Oxygen should be administered based on patient need, not routinely." Exact Extracts:
* "Administer aspirin to patients with suspected cardiac chest pain."
* "Oxygen should be given only if the patient is hypoxic or shows signs of respiratory distress."
* "Be prepared for cardiac arrest in patients with suspected myocardial infarction." References:
NREMT EMT Education Standards - Cardiology / Acute Coronary Syndrome
NREMT National Continued Competency Program (NCCP) - Cardiac Emergencies Standard EMT Text (aligned with NREMT): Cardiovascular Emergencies

質問 # 57
Through which of the following routes is hepatitis A transmitted?

• A. Saliva
• B. Urine
• C. Fecal
• D. Blood

正解：C

解説：
Comprehensive and Detailed Explanation From Exact Extract:
Hepatitis Avirus is transmittedexclusively via the fecal-oral route. Ingesting contaminated food or water allows the virus to enter the digestive tract, infecting liver cells. It's often spread through poor hand hygiene or unsanitary food handling.
It isnot bloodborne, unlike Hepatitis B and C. It is not commonly spread through saliva or urine.
References:
CDC: "Hepatitis A - Questions and Answers for Health Professionals"
NREMT Medical Guidelines - Communicable Disease
National EMS Education Standards - Infection Control and Prevention

質問 # 58
The crew is requested to respond by law enforcement to a riot scene in a large downtown area. Upon arrival, the EMT notices the police are in full riot gear, with multiple persons lying on the ground under arrest. There is a strong odor of chemicals in the air. What actions should the EMT prioritize during the scene survey?
Select the two answer options that are correct.

• A. Identify the number of patients.
• B. Flush the patients' eyes with water or saline.
• C. Determine the control agent being used.
• D. Have the police remove the patients' restraints.
• E. Remove the patients' clothing prior to triaging.

正解：A、C

解説：
Comprehensive and Detailed Explanation (Based on NREMT standards):
This scenario strongly suggests a hazardous environment involving chemical crowd-control agents such as tear gas or pepper spray. During the scene survey, NREMT prioritizes scene safety, hazard recognition, and incident size-up before any patient contact.
Option D (Determine the control agent being used) is correct because identifying the chemical agent helps determine the level of risk, appropriate personal protective equipment, and whether EMS can safely operate in the area.
Option E (Identify the number of patients) is correct because determining the number of patients is essential for assessing the scope of the incident and requesting additional resources if needed.
Option A is incorrect because removing restraints is not part of the initial scene survey and must be coordinated with law enforcement.
Option B is incorrect because patient decontamination occurs only after scene safety is ensured.
Option C is not a priority until hazards are identified and the scene is safe.
NREMT teaches that EMTs must never compromise their own safety and must fully assess hazards before providing care.

質問 # 59
A 21-year-old patient is nauseous and actively vomiting. The patient has a sweet odor on the breath. The skin is warm, flushed, and dry. The patient is breathing at 40/min. What should the EMT most strongly suspect is the cause of the patient ' s condition?

• A. Hyperosmolar hyperglycemic syndrome
• B. Toxic ingestion
• C. Diabetic ketoacidosis
• D. Hypoglycemia

正解：C

解説：
The correct answer is B. Diabetic ketoacidosis (DKA).
This question is testing recognition of classic signs of DKA, a life-threatening complication of diabetes characterized by hyperglycemia, ketosis, and metabolic acidosis.
The patient presents with hallmark findings:
* Sweet/fruity odor on the breath # caused by ketones (acetone)
* Nausea and vomiting # common in DKA
* Warm, flushed, dry skin # due to dehydration
* Rapid breathing (40/min) # Kussmaul respirations (deep, rapid breathing to compensate for acidosis) According to NREMT-aligned EMT educational material:
* "Patients with diabetic ketoacidosis often have a fruity odor on their breath."
* "Kussmaul respirations are deep and rapid breathing seen in metabolic acidosis."
* "DKA presents with dehydration, vomiting, and altered respiratory patterns." Why the other options are incorrect:
* A. Hyperosmolar hyperglycemic syndrome (HHS):Typically occurs in older patients and does not produce ketones, so no fruity breath odor.
* C. Toxic ingestion:Can cause vomiting, but does not classically produce fruity breath and Kussmaul respirations together.
* D. Hypoglycemia:Usually presents with cool, clammy skin, altered mental status, and normal or shallow respirations-not fruity breath or deep rapid breathing.
Key NREMT Concept:
* "Fruity breath odor + rapid deep respirations = Diabetic ketoacidosis." Exact Extracts:
* "A fruity odor on the breath is a sign of ketoacidosis."
* "Kussmaul respirations are deep, rapid respirations associated with acidosis."
* "DKA patients are often dehydrated with warm, dry skin."
References:
NREMT EMT Education Standards - Endocrine Emergencies
NREMT National Continued Competency Program (NCCP) - Medical Emergencies Standard EMT Text (aligned with NREMT): Endocrine and Metabolic Emergencies

質問 # 60
After handling a dressing contaminated with body fluid, you should

• A. clean your hands as soon as possible.
• B. ask the patient if he has a communicable disease.
• C. report a potential exposure to your safety officer.
• D. change your gloves prior to touching the same patient.

正解：A

解説：
The correct answer is A because standard precautions require hand hygiene after contact with body fluids or contaminated items and immediately after glove removal . CDC guidance states to clean hands after contact with blood, body fluids, or contaminated surfaces and immediately after glove removal , and OSHA likewise requires handwashing immediately or as soon as feasible after removal of gloves . This is the EMT priority after handling a body-fluid-contaminated dressing.

質問 # 61
The EMT is first on scene at a motor vehicle collision. How should the EMT park the ambulance?

• A. Off the roadway as far as possible
• B. In a blocking position providing scene protection
• C. Close to the vehicles involved in the collision
• D. In a nearby parking lot

正解：B

解説：
The correct answer is D because when the ambulance is first on scene at a roadway incident, it should be positioned to protect the scene, patient, and crew from oncoming traffic . National roadway incident safety guidance states that the initial-arriving emergency vehicle should be placed in a blocking position to oncoming traffic, and responder safety resources specifically note that if the ambulance is first on scene, use it as the initial block . This matches NREMT scene size-up and safety principles, where provider safety and scene protection come before patient contact. ( U.S. Fire Administration )

質問 # 62
A 23-year-old male is pacing and has incomprehensible speech. During your assessment, he throws a chair against the wall. You should next:

• A. leave the scene.
• B. request Advanced Life Support.
• C. apply soft restraints.
• D. request law enforcement.

正解：A

解説：
The correct answer is A. leave the scene.
In EMS, scene safety is the top priority. If a patient becomes violent or poses an immediate threat, the EMT must remove themselves from danger immediately. The situation described-pacing, incomprehensible speech, and throwing a chair-indicates an actively violent and unsafe environment.
Why A is correct:
* The patient is demonstrating violent behavior, creating an unsafe scene.
* NREMT guidelines emphasize that EMTs should not remain in or enter unsafe scenes.
* The correct sequence is to retreat first, then request additional resources such as law enforcement.
Why the other options are incorrect:
* B. Apply soft restraints # Restraints should only be applied when the scene is safe and with adequate personnel, often including law enforcement.
* C. Request Advanced Life Support # ALS does not address immediate scene safety threats.
* D. Request law enforcement # This is appropriate, but only after ensuring your own safety by leaving the scene first.
Exact Extracts:
* "Scene safety is the first priority in patient care."
* "If a scene becomes unsafe, the EMT should retreat to a safe location."
* "Do not attempt to restrain a violent patient unless the scene is secure and adequate help is available." References:
NREMT EMT Education Standards - EMS Operations (Scene Safety)
National EMS Education Standards - Workforce Safety and Wellness
NREMT Candidate Handbook - Patient Assessment and Safety

質問 # 63
Heat exhaustion is most frequently associated with

• A. Hypertension
• B. Altered mental status
• C. Bradycardia
• D. Hypovolemia

正解：D

解説：
Heat exhaustion results from prolonged exposure to elevated temperatures, leading to fluid and electrolyte loss (especially sodium and water), causing hypovolemia. This can result in:
* Tachycardia
* Weakness
* Dizziness
* Profuse sweating
Unlike heat stroke, mental status is typically preserved in heat exhaustion. Hypertension and bradycardia are not characteristic.
References:
NREMT Environmental Emergencies Module
National EMS Education Standards - Heat-Related Illnesses
AAOS Emergency Care (11th ed.), Chapter: Environmental Emergencies

質問 # 64
A 33-year-old patient with an irregular heart rhythm has chest pain and shortness of breath. The vital signs are BP 124/92, P 170, R 24, and SpO# 89% on room air. Which of the following medications is most appropriate for this patient?

• A. Epinephrine
• B. Albuterol
• C. Oxygen
• D. Nitroglycerin

正解：C

解説：
The correct answer is A. Oxygen.
This patient is presenting with:
* Tachycardia (P 170) with irregular rhythm
* Chest pain and shortness of breath
* Hypoxia (SpO# 89% on room air)
The most immediate life threat is hypoxia, which must be corrected first according to the ABCs (Airway, Breathing, Circulation) priority used in NREMT standards.
Oxygen is indicated because:
* SpO# is below 94%, indicating inadequate oxygenation.
* The patient is symptomatic with respiratory and cardiac complaints.
NREMT-aligned EMT guidelines emphasize:
* "Administer oxygen to patients with suspected hypoxia or SpO# less than 94%."
* "Ensure adequate oxygenation as a priority in patients with respiratory distress or cardiac compromise." Why the other options are incorrect:
* B. Albuterol: Used for bronchospasm (e.g., asthma, COPD). This patient's problem is cardiac rhythm disturbance, not bronchoconstriction.
* C. Epinephrine: Indicated for anaphylaxis or cardiac arrest; it would increase heart rate, worsening this patient's tachycardia.
* D. Nitroglycerin: May be considered for chest pain of cardiac origin, but oxygen takes priority due to hypoxia. Also, nitroglycerin requires careful assessment and is not the first intervention when SpO# is critically low.
Exact Extracts (NREMT-aligned EMT educational references):
* "Administer oxygen to any patient with signs of hypoxia."
* "SpO# less than 94% indicates the need for supplemental oxygen."
* "Follow the ABCs: airway, breathing, and circulation as the highest priority." Clinical Priority Summary:
Even though the patient has a cardiac issue, oxygenation must be corrected first, making oxygen the most appropriate immediate medication.
References:
NREMT EMT Education Standards - Airway, Respiration & Ventilation
NREMT National Continued Competency Program (NCCP) - Patient Assessment & Management AAOS Emergency Care and Transportation of the Sick and Injured (NREMT-aligned)

質問 # 65
A 78-year-old female tripped and fell while walking. Her left leg is rotated externally and shorter than her right leg. You should suspect

• A. Proximal femur fracture
• B. Posterior hip dislocation
• C. Colles' fracture
• D. Pelvic fracture

正解：A

解説：
Comprehensive and Detailed Explanation From Exact Extract:
Anexternally rotated, shortened legis a classic sign of aproximal femur fracture, specifically afemoral neck or intertrochanteric fracture, commonly seen in elderly fall patients. This presentation reflectsmuscle pulland fracture displacement.
* Posterior hip dislocationscauseinternal rotation.
* Pelvic fracturesmay cause instability but not specific leg rotation/shortening.
* Colles' fractureis a distal radius (wrist) injury, unrelated to leg trauma.
References:
NREMT Trauma Module - Musculoskeletal Injuries
National EMS Education Standards - Geriatric Trauma
AAOS Emergency Care (11th ed.), Chapter: Orthopedic Injuries

質問 # 66
Sectors under the Incident Management System are designed to:

• A. separate fire, EMS, and law enforcement responsibilities.
• B. identify the different operational groups based on their responsibilities.
• C. divide the tasks evenly among the different agencies.
• D. help maintain the span of control.

正解：D

解説：
The correct answer is D. help maintain the span of control.
Within the Incident Command System (ICS), sectors (or divisions/groups) are created to organize resources and personnel in a way that ensures effective supervision and management. The primary purpose of establishing sectors is to prevent any one supervisor from being overwhelmed, thereby maintaining an effective span of control.
According to NREMT EMS Operations and ICS principles, span of control refers to the number of individuals or resources that one supervisor can effectively manage, typically recommended to be between 3 and 7, ideally 5.
Why D is correct:
* Sectors are specifically implemented to break large incidents into manageable sections, ensuring supervisors maintain control over a limited number of personnel.
* This directly supports maintaining safe, efficient, and organized incident operations.
Why the other options are incorrect:
* A. separate fire, EMS, and law enforcement responsibilities # ICS promotes integration, not separation, of agencies.
* B. identify the different operational groups based on their responsibilities # While groups are organized by function, this is not the primary purpose of sectors.
* C. divide the tasks evenly among the different agencies # ICS does not aim for equal distribution; it focuses on effective management and safety.
Exact Extracts:
* "Span of control refers to the number of individuals or resources that one supervisor can effectively manage."
* "Maintaining an effective span of control is essential to safe and efficient incident management."
* "Divisions and groups are established to divide an incident into manageable sections." References:
NREMT EMT Education Standards - EMS Operations (Incident Management Systems) National Incident Management System (NIMS) Guidelines NREMT Candidate Handbook - Incident Command and Control

質問 # 67
A 65-year-old patient is unresponsive after falling from standing. Which of the following signs would be most indicative of increasing intracranial pressure? Select the three answer options that are correct.

• A. Hypertension
• B. Cheyne-Stokes respirations
• C. Bradycardia
• D. Hypotension
• E. Tachycardia
• F. Kussmaul respirations

正解：A、B、C

解説：
The correct answers are B. Bradycardia, C. Hypertension, and F. Cheyne-Stokes respirations.
This question is testing recognition of increased intracranial pressure (ICP), specifically the classic findings known as Cushing's triad and abnormal breathing patterns.
Why B and C are correct (Cushing's Triad):
Cushing's triad is a hallmark of increased ICP and includes:
* Hypertension (widening pulse pressure)
* Bradycardia
* Irregular respirations
NREMT-aligned trauma guidelines state:
* "Increasing intracranial pressure may present with hypertension and bradycardia."
* These are late and critical signs of brain herniation risk.
Why F is correct (Cheyne-Stokes respirations):
Cheyne-Stokes respirations are:
* An abnormal breathing pattern (alternating periods of apnea and rapid breathing)
* Associated with brain injury and increased ICP
Guidelines emphasize:
* "Irregular breathing patterns such as Cheyne-Stokes may indicate brain injury." Why the other options are incorrect:
* A. Tachycardia: Typically seen in shock, not increased ICP.
* D. Hypotension: Suggests shock; ICP usually causes hypertension.
* E. Kussmaul respirations: Associated with metabolic acidosis (e.g., diabetic ketoacidosis), not ICP.
Exact Extracts:
* "Cushing's triad includes hypertension, bradycardia, and irregular respirations."
* "Irregular respirations such as Cheyne-Stokes are associated with brain injury."
* "These findings indicate increasing intracranial pressure and possible herniation." References:
NREMT EMT Education Standards - Trauma (Head Injury and Traumatic Brain Injury) NREMT National Continued Competency Program (NCCP) - Trauma Emergencies Prehospital Emergency Care (EMT) - Neurologic Trauma Management

質問 # 68
Which of the following findings are indicative of increasing intracranial pressure? Select the two answer options that are correct.

• A. Bradycardia
• B. Hypotension
• C. Muffled heart sounds
• D. Tachypnea
• E. Widening pulse pressure

正解：A、E

解説：
The correct answers are C. Bradycardia and E. Widening pulse pressure.
This question is based on recognizing increased intracranial pressure (ICP), specifically components of Cushing's reflex (Cushing's triad).
Cushing's triad includes:
* Bradycardia
* Hypertension with widening pulse pressure
* Irregular respirations
Why C is correct (Bradycardia):
As ICP increases, pressure on the brainstem leads to:
* Vagal stimulation
* Slowing of the heart rate
NREMT-aligned guidance:
* "Bradycardia is a late sign of increased intracranial pressure."
Why E is correct (Widening pulse pressure):
ICP causes:
* Increased systolic pressure
* Decreased diastolic pressure
This results in a widening pulse pressure, a hallmark of worsening ICP.
Guidelines state:
* "Hypertension with widening pulse pressure is associated with increased intracranial pressure." Why the other options are incorrect:
* A. Tachypnea: Early stress response; ICP causes irregular, not simply rapid breathing.
* B. Hypotension: Opposite of ICP findings; suggests shock.
* D. Muffled heart sounds: Associated with cardiac tamponade, not ICP.
Exact Extracts:
* "Cushing's triad includes bradycardia, hypertension, and irregular respirations."
* "Widening pulse pressure is a sign of increased intracranial pressure."
* "These are late signs indicating possible brain herniation."
References:
NREMT EMT Education Standards - Trauma (Head Injury and Traumatic Brain Injury) NREMT National Continued Competency Program (NCCP) - Trauma Emergencies Prehospital Emergency Care (EMT) - Neurologic Trauma Management

質問 # 69
......

最適な道は練習テストNREMT EMT問題集：https://www.goshiken.com/NREMT/EMT-mondaishu.html

EMT問題集が待ってます試験問題解答：https://drive.google.com/open?id=1lOcKrbFgquA40ZCbY7EZMP-J2241UEUf