NREMT PREP EXAM QUESTIONS AND
ANSWERS. VERIFIED 2025/2026.
What is cardiac tamponade? - ANS A buildup of blood or other fluid in the pericardial sac that
puts pressure on the heart, preventing it from pumping correctly.
What are the signs and symptoms of cardiac tamponade? - ANS Dyspnea, orthopnea, clear
lung sounds, rapid and weak pulse, decrease in systolic BP, pulsus paradoxus, narrowing pulse
pressure, muffled heart tones.
What is cardiogenic shock? - ANS A condition characterized by acute onset of chest pain or
shortness of breath, altered mental status, general weakness, restlessness, confusion, coma,
dyspnea, productive cough, labored breathing, paroxysmal nocturnal dyspnea, tripoding,
tachycardia.
What is the treatment for a flailed chest? - ANS Stabilize the flail segment with a bulky
dressing; do not use a sandbag.
What is the treatment for a sucking chest wound? - ANS Occlusive dressing sealed on 3 sides;
monitor for loss of compliance while bagging.
What does a high heart rate and low blood pressure indicate? - ANS Bleed or dehydration.
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,What does flat jugular veins when supine indicate? - ANS Bleed, dehydration, or HHNK.
What does hot skin in a shock patient indicate? - ANS Septic shock.
What should be suspected in a female patient on birth control and/or smoking with shortness
of breath? - ANS Pulmonary embolism.
What are the signs of an allergic reaction or anaphylactic shock? - ANS Hives and laryngeal
edema.
What does cool, clammy skin indicate? - ANS Shock.
What should be suspected with sudden onset of vomiting or diarrhea? - ANS Allergic reaction
or anaphylactic shock.
What is the difference between neurogenic shock and spinal shock? - ANS Spinal shock is
temporary.
What should be suspected with bright red blood in stool (hematochezia)? - ANS Hemorrhoid.
What are the signs and symptoms of neurogenic shock? - ANS Cool, clammy skin above,
warm dry skin below, low BP, low HR.
What is the most common cause of SVT? - ANS Wolff-Parkinson White Syndrome (WPW).
What does crushing substernal chest pain indicate? - ANS Myocardial infarction.
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,What is the treatment for myocardial infarction? - ANS Morphine 2-4mg IVP, Oxygen, Nitro
.3-.4mg sublingual, Aspirin 160-325mg PO.
What should be suspected with sudden onset of shortness of breath? - ANS Pulmonary
embolism.
What does JVD indicate? - ANS Right side heart failure.
What does black, tarry stools indicate? - ANS Lower GI bleed.
What should be suspected if a patient states 'My heart is beating out of my chest'? - ANS SVT.
What should be suspected in tall, skinny males with sudden onset of shortness of breath? -
ANS Spontaneous pneumothorax.
What genetic disease presents with weakness in arterial walls and often has a history of
aneurysms? - ANS Marfan's syndrome.
What is the #1 cause of pulmonary edema? - ANS Left side heart failure.
What is the #1 cause of left side heart failure? - ANS Myocardial infarction.
What is the #1 cause of right side heart failure? - ANS Left side heart failure.
What is the only reason not to disrobe a trauma patient? - ANS The environment.
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, What are the signs and symptoms of abruptio placentae? - ANS Vaginal bleeding with pain,
sudden sharp tearing pain, stiff board-like abdomen, massive hemorrhage, 3rd trimester.
What are the signs and symptoms of acute mountain sickness? - ANS Lightheadedness,
breathlessness, weakness, headache, nausea, vomiting at 6600ft.
What are the signs and symptoms of Addison's disease? - ANS Progressive weakness, fatigue,
decreased appetite, weight loss, hyperpigmentation of the skin, vomiting or diarrhea.
What are the signs and symptoms of Alzheimer's disease? - ANS Short term memory loss,
shuffling gait, stiffness of body muscles, aphasia, psychiatric disturbances, decorticate.
What is Prinzmetal's angina? - ANS Angina caused by artery spasm.
What are the signs and symptoms of angina pectoris? - ANS Sudden onset of chest
discomfort, radiating pain, epigastric pain, SOB, elevated BP during episode, pain lasting 3-5
minutes, as long as 15 minutes.
What is stable angina? - ANS Angina that occurs with activity and is relieved by rest.
What should be suspected in any female of childbearing age with abdominal pain? -
ANS Ectopic pregnancy.
What is unstable angina? - ANS Angina that occurs at rest and lasts beyond 15 minutes.
What are the signs and symptoms of asthma? - ANS Dyspnea, wheezing, cough, one or two
word dyspnea, pulsus paradoxus, tachycardia, decreased O2 saturation, agitated, anxious.
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
ANSWERS. VERIFIED 2025/2026.
What is cardiac tamponade? - ANS A buildup of blood or other fluid in the pericardial sac that
puts pressure on the heart, preventing it from pumping correctly.
What are the signs and symptoms of cardiac tamponade? - ANS Dyspnea, orthopnea, clear
lung sounds, rapid and weak pulse, decrease in systolic BP, pulsus paradoxus, narrowing pulse
pressure, muffled heart tones.
What is cardiogenic shock? - ANS A condition characterized by acute onset of chest pain or
shortness of breath, altered mental status, general weakness, restlessness, confusion, coma,
dyspnea, productive cough, labored breathing, paroxysmal nocturnal dyspnea, tripoding,
tachycardia.
What is the treatment for a flailed chest? - ANS Stabilize the flail segment with a bulky
dressing; do not use a sandbag.
What is the treatment for a sucking chest wound? - ANS Occlusive dressing sealed on 3 sides;
monitor for loss of compliance while bagging.
What does a high heart rate and low blood pressure indicate? - ANS Bleed or dehydration.
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,What does flat jugular veins when supine indicate? - ANS Bleed, dehydration, or HHNK.
What does hot skin in a shock patient indicate? - ANS Septic shock.
What should be suspected in a female patient on birth control and/or smoking with shortness
of breath? - ANS Pulmonary embolism.
What are the signs of an allergic reaction or anaphylactic shock? - ANS Hives and laryngeal
edema.
What does cool, clammy skin indicate? - ANS Shock.
What should be suspected with sudden onset of vomiting or diarrhea? - ANS Allergic reaction
or anaphylactic shock.
What is the difference between neurogenic shock and spinal shock? - ANS Spinal shock is
temporary.
What should be suspected with bright red blood in stool (hematochezia)? - ANS Hemorrhoid.
What are the signs and symptoms of neurogenic shock? - ANS Cool, clammy skin above,
warm dry skin below, low BP, low HR.
What is the most common cause of SVT? - ANS Wolff-Parkinson White Syndrome (WPW).
What does crushing substernal chest pain indicate? - ANS Myocardial infarction.
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,What is the treatment for myocardial infarction? - ANS Morphine 2-4mg IVP, Oxygen, Nitro
.3-.4mg sublingual, Aspirin 160-325mg PO.
What should be suspected with sudden onset of shortness of breath? - ANS Pulmonary
embolism.
What does JVD indicate? - ANS Right side heart failure.
What does black, tarry stools indicate? - ANS Lower GI bleed.
What should be suspected if a patient states 'My heart is beating out of my chest'? - ANS SVT.
What should be suspected in tall, skinny males with sudden onset of shortness of breath? -
ANS Spontaneous pneumothorax.
What genetic disease presents with weakness in arterial walls and often has a history of
aneurysms? - ANS Marfan's syndrome.
What is the #1 cause of pulmonary edema? - ANS Left side heart failure.
What is the #1 cause of left side heart failure? - ANS Myocardial infarction.
What is the #1 cause of right side heart failure? - ANS Left side heart failure.
What is the only reason not to disrobe a trauma patient? - ANS The environment.
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, What are the signs and symptoms of abruptio placentae? - ANS Vaginal bleeding with pain,
sudden sharp tearing pain, stiff board-like abdomen, massive hemorrhage, 3rd trimester.
What are the signs and symptoms of acute mountain sickness? - ANS Lightheadedness,
breathlessness, weakness, headache, nausea, vomiting at 6600ft.
What are the signs and symptoms of Addison's disease? - ANS Progressive weakness, fatigue,
decreased appetite, weight loss, hyperpigmentation of the skin, vomiting or diarrhea.
What are the signs and symptoms of Alzheimer's disease? - ANS Short term memory loss,
shuffling gait, stiffness of body muscles, aphasia, psychiatric disturbances, decorticate.
What is Prinzmetal's angina? - ANS Angina caused by artery spasm.
What are the signs and symptoms of angina pectoris? - ANS Sudden onset of chest
discomfort, radiating pain, epigastric pain, SOB, elevated BP during episode, pain lasting 3-5
minutes, as long as 15 minutes.
What is stable angina? - ANS Angina that occurs with activity and is relieved by rest.
What should be suspected in any female of childbearing age with abdominal pain? -
ANS Ectopic pregnancy.
What is unstable angina? - ANS Angina that occurs at rest and lasts beyond 15 minutes.
What are the signs and symptoms of asthma? - ANS Dyspnea, wheezing, cough, one or two
word dyspnea, pulsus paradoxus, tachycardia, decreased O2 saturation, agitated, anxious.
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
