NREMT Exam 2026 Questions and
Answers (100% Correct Answers)
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cardiogenic shock Ans: -the type of shock caused by
inadequate function of the heart. This develops when the heart
cannot maintain sufficient output to meet the demands of the
body
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-caused by any disease or event which prevents heart pumping
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-can occur directly after AMI up to 24 hours
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Obstructive shock Ans: The type of shock that results when
conditions that cause mechanical obstruction of the cardiac
muscle also impact pump function
ex. cardiac tamponade, tension pneumothorax
Beck's triad Ans: Signs of a cardiac tamponade. JVD, narrowing
BP pressures, muffled heart sounds
Distributive shock Ans: The type of shock when there is
widespread dilation of the small arterioles, venules, or both.
Blood pools in the expanded vascular beds and tissue
perfusion decreases
Types of distributive shock Ans: Septic shock caused by severe
infections; neurogenic shock caused by damage to the spinal
cord (bradycardia, low BP, warm skin); anaphylactic shock
caused by allergic reaction; psychogenic shock
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Hypovolemic shock Ans: The type of shock that results from
an inadequate amount of fluid or volume in the system
-15% of blood volume
How do you treat for shock? Ans: Keep the patient warm,
control bleeding, put the patient in a position of comfort, and
administer high-flow oxygen
brain damage without oxygen Ans: -without enough oxygen,
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cardiac arrest or brain damage occurs within about 4 minutes
-permanent brain damage within 6 minutes
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-death likely within 10 minutes
FBAO Ans: -signs of blockage include inability to cough or
speak or inability to ventilate patient
-bending patient forward at the waist, support chest with one
hand, use heel of hand to give 5 back blows between shoulder
blades
-then 5 abdominal thrusts
-alternate between the two until object is dislodged
-if patient loses consciousness, give CPR starting with chest
compressions
-given even if patient has a pulse, so don't check
-before giving breaths, look inside mouth for any visible
objects
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FBAO in children Ans: -using thigh for support, lay facing
down along forearm; ensure head is lower than the body
-give 5 firm back blows between blades
-5 chest thrusts; place 2 to 3 fingers in the middle of the chest
just below the nipples. push down 1.5 inches.
-alternate, unless lose consciousness, then CPR
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mouse to mouth/mouth to nose Ans: -mouth to mouth
performed when patient does not have adequate breathing and
artificial ventilation not available
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-open airway
-place barrier device
-pinch nose and form seal around patient's mouth
-check for FBAO if you do not see chest rise and fall
-give 1 breath every 5 to 6 seconds for adults and 1 every 3 for
peds
Steps of CPR Ans: Determine unresponsiveness. Check for
breathing for up to 10 seconds. Check carotid pulse for up to
10 seconds. Begin CPR until AED is available. Give 30
compressions at 100 beats/min and then 2 breaths over the
course of 1 second. Once an advanced airway is inserted,
ventilate at a rate of 8-10 breaths/min and do not stop
compressions.
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This is exactly the same for children, except two-rescuer CPR is
15:2. If patient experiences a return of spontaneous
circulation, ventilate at a rate of 10-12 breaths/min.
compression to breath ratios Ans: under 8 years old:
-2 provider: 15:2
-1 provider: 30:2
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-one third of chest diameter
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older:
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-30:2 always
-2 inches
AED procedure Ans: -if cardiac arrest was not seen by EMS,
give 5 cycles of 30:2 before defibrillating
-if cardiac arrest was seen, one EMT begins compressions and
the other applies AED
-if only one EMT available, apply AED immediately
-check for pulse 2 minutes after defib
-if no shockable rhythm, wait 2 minutes and re-analyze
When to place left lateral Ans: If patient has adequate
breathing and is uninjured. To maintain a patent airway in an
unresponsive patient.