NREMT Prac ce Test Bank Mul ple
Choice Ques ons and Answers 2026 –
Pass with Confidence
260 pages
Hypoglycemia and acute ischemic stroke can present similarly because:
• A:both oxygen and glucose are needed for brain func on.
• B:the majority of stroke pa ents have a history of diabetes.
• C:the most common cause of a stroke is hypoglycemia.
• D:they are both caused by low levels of glucose in the blood. - ANSWER • A:both oxygen
and glucose are needed for brain func on.
Reason: Although stroke and hypoglycemia are two dis nctly different condi ons, their signs
and symptoms are o en similar. This is because the brain requires both oxygen and glucose to
func on normally. An acute ischemic stroke is caused by a lack of oxygen to a part of the brain
due to a blocked cerebral artery, whereas hypoglycemia (low blood glucose level) deprives the
en re brain of glucose. In either case, the pa ent presents with signs of impaired brain func on
(ie, slurred speech, weakness, altered mental status). Both condi ons may lead to permanent
brain damage or death if not treated promptly.
When dealing with an emo onally disturbed pa ent, you should be MOST concerned with:
• A:gathering all of the pa ent's medica ons.
• B:safely transpor ng to the hospital.
,• C:whether the pa ent could harm you.
• D:obtaining a complete medical history. - ANSWER You selected C; This is correct!
Reason: When managing any pa ent with an emo onal or psychiatric crisis, your primary
concern is your own safety. Safely transpor ng the pa ent to the hospital is your ul mate goal.
If possible, you should a empt to obtain a medical history and should take any of the pa ent's
prescribed medica ons to the hospital. However, this should not supercede your own safety or
interfere with safely transpor ng the pa ent.
You are at the scene where a man panicked while swimming in a small lake. Your ini al a empt
to rescue him should include:
• A:rowing a small ra to the vic m.
• B:reaching for the vic m with a long s ck.
• C:throwing a rope to the vic m.
• D:swimming to the vic m to rescue him. - ANSWER You selected B; This is correct!
Reason: General rules to follow when a emp ng to rescue a pa ent from the water include
"reach, throw, row, and then go." In this case, you should a empt to reach the vic m by having
him grab hold of a large s ck or similar object. If this is unsuccessful, throw the vic m a rope or
flota on device (if available). If these are not available, row to the pa ent in a small ra (if
available). Going into the water to retrieve the vic m is a last resort. The rescuer must be a
strong swimmer because pa ents who are in danger of drowning are in a state of blind panic
and will make every a empt to keep themselves afloat, even if it means forcing the rescuer
underwater.
How should you classify a pa ent's nature of illness if he or she has a low blood glucose level,
bizarre behavior, and shallow breathing?
• A:Behavioral emergency
• B:Altered mental status
• C:Respiratory emergency
,• D:Cardiac compromise - ANSWER The correct answer is B;
Reason: The nature of illness (NOI) is the medical equivalent to mechanism of injury (MOI).
Altered mental status should be the suspected NOI in any pa ent with any fluctua on in level of
consciousness, which can range from bizarre behavior to complete unresponsiveness. Causes of
an altered mental status include hypo- or hyperglycemia, head trauma, stroke, behavioral crises,
drug overdose, and shock, among others.
A young female is unresponsive a er overdosing on an unknown type of drug. Her respira ons
are slow and shallow and her pulse is slow and weak. Which of the following drugs is the LEAST
likely cause of her condi on?
• A:Seconal
• B:Heroin
• C:Cocaine
• D:Valium - ANSWER The correct answer is C;
Reason: Of the drugs listed, cocaine would be the least likely cause of the pa ent's condi on.
Cocaine is a central nervous system (CNS) s mulant; you would expect her to be hypertensive,
tachycardic, tachypneic, and perhaps even violent. Heroin, Valium, and Seconal are all CNS
depressants and could explain her condi on. Heroin is an illegal narco c (opiate), Valium is a
benzodiazepine seda ve-hypno c drug, and Seconal is a barbiturate. Narco cs,
benzodiazepines, and barbiturates are all CNS depressants. When taken in excess, they cause a
decreased level of consciousness, respiratory depression, bradycardia, and hypotension.
Ac vated charcoal is contraindicated for a pa ent who is:
• A:conscious and alert and has ingested a large amount of Motrin.
• B:emo onally upset and has ingested two bo les of aspirin.
• C:agitated and claims to have ingested a bo le of Tylenol.
• D:awake and alert and has swallowed a commercial drain cleaner. - ANSWER You
selected D; This is correct!
, Reason:Ac vated charcoal adsorbs (s cks to) many ingested substances, preven ng them from
being absorbed into the body by the stomach or intes nes. In some cases, you may give
ac vated charcoal to pa ents who have ingested certain substances, if approved by medical
control or local protocol. Ac vated charcoal is contraindicated for pa ents who have ingested
an acid or alkali (ie, drain cleaner) or a petroleum product (ie, gasoline), who have a decreased
level of consciousness and cannot protect their own airway, or who are unable to swallow.
The MOST obvious way to reduce heat loss from radia on and convec on is to:
• A:move away from a cold object.
• B:increase metabolism by shivering.
• C:wear a thick wind-proof jacket.
• D:move to a warmer environment. - ANSWER you selected D; This is correct!
Reason:In a cold environment, the body has two ways of staying warm: genera ng heat
(thermogenesis) and reducing heat loss. Radia on is the transfer of heat by radiant energy. The
body can lose heat by radia on, such as when a person stands in a cold room. Convec on
occurs when heat is transferred to circula ng air, as when cool air moves across the body's
surface. A person standing in windy cold weather, wearing lightweight clothing, is losing heat to
the environment mostly by convec on. The quickest and most obvious way to decrease heat
loss from radia on and convec on is to move out of the cold environment and seek shelter
from wind. Shivering increases the body's metabolism and is a mechanism for genera ng heat,
not reducing heat loss. Layers of clothing trap air and provide excellent insula on; thus, layered
clothing decreases heat loss be er than a single, thick jacket. Conduc on is the direct transfer
of heat from a part of the body to a colder object by direct contact, as when a warm hand
touches cold metal or ice. The most obvious way to decrease heat loss by conduc on is to
remove your hand from the cold object.
A near-drowning is MOST accurately defined as:
• A:complica ons within 24 hours following submersion in water.
• B:immediate death due to prolonged submersion in water.
Choice Ques ons and Answers 2026 –
Pass with Confidence
260 pages
Hypoglycemia and acute ischemic stroke can present similarly because:
• A:both oxygen and glucose are needed for brain func on.
• B:the majority of stroke pa ents have a history of diabetes.
• C:the most common cause of a stroke is hypoglycemia.
• D:they are both caused by low levels of glucose in the blood. - ANSWER • A:both oxygen
and glucose are needed for brain func on.
Reason: Although stroke and hypoglycemia are two dis nctly different condi ons, their signs
and symptoms are o en similar. This is because the brain requires both oxygen and glucose to
func on normally. An acute ischemic stroke is caused by a lack of oxygen to a part of the brain
due to a blocked cerebral artery, whereas hypoglycemia (low blood glucose level) deprives the
en re brain of glucose. In either case, the pa ent presents with signs of impaired brain func on
(ie, slurred speech, weakness, altered mental status). Both condi ons may lead to permanent
brain damage or death if not treated promptly.
When dealing with an emo onally disturbed pa ent, you should be MOST concerned with:
• A:gathering all of the pa ent's medica ons.
• B:safely transpor ng to the hospital.
,• C:whether the pa ent could harm you.
• D:obtaining a complete medical history. - ANSWER You selected C; This is correct!
Reason: When managing any pa ent with an emo onal or psychiatric crisis, your primary
concern is your own safety. Safely transpor ng the pa ent to the hospital is your ul mate goal.
If possible, you should a empt to obtain a medical history and should take any of the pa ent's
prescribed medica ons to the hospital. However, this should not supercede your own safety or
interfere with safely transpor ng the pa ent.
You are at the scene where a man panicked while swimming in a small lake. Your ini al a empt
to rescue him should include:
• A:rowing a small ra to the vic m.
• B:reaching for the vic m with a long s ck.
• C:throwing a rope to the vic m.
• D:swimming to the vic m to rescue him. - ANSWER You selected B; This is correct!
Reason: General rules to follow when a emp ng to rescue a pa ent from the water include
"reach, throw, row, and then go." In this case, you should a empt to reach the vic m by having
him grab hold of a large s ck or similar object. If this is unsuccessful, throw the vic m a rope or
flota on device (if available). If these are not available, row to the pa ent in a small ra (if
available). Going into the water to retrieve the vic m is a last resort. The rescuer must be a
strong swimmer because pa ents who are in danger of drowning are in a state of blind panic
and will make every a empt to keep themselves afloat, even if it means forcing the rescuer
underwater.
How should you classify a pa ent's nature of illness if he or she has a low blood glucose level,
bizarre behavior, and shallow breathing?
• A:Behavioral emergency
• B:Altered mental status
• C:Respiratory emergency
,• D:Cardiac compromise - ANSWER The correct answer is B;
Reason: The nature of illness (NOI) is the medical equivalent to mechanism of injury (MOI).
Altered mental status should be the suspected NOI in any pa ent with any fluctua on in level of
consciousness, which can range from bizarre behavior to complete unresponsiveness. Causes of
an altered mental status include hypo- or hyperglycemia, head trauma, stroke, behavioral crises,
drug overdose, and shock, among others.
A young female is unresponsive a er overdosing on an unknown type of drug. Her respira ons
are slow and shallow and her pulse is slow and weak. Which of the following drugs is the LEAST
likely cause of her condi on?
• A:Seconal
• B:Heroin
• C:Cocaine
• D:Valium - ANSWER The correct answer is C;
Reason: Of the drugs listed, cocaine would be the least likely cause of the pa ent's condi on.
Cocaine is a central nervous system (CNS) s mulant; you would expect her to be hypertensive,
tachycardic, tachypneic, and perhaps even violent. Heroin, Valium, and Seconal are all CNS
depressants and could explain her condi on. Heroin is an illegal narco c (opiate), Valium is a
benzodiazepine seda ve-hypno c drug, and Seconal is a barbiturate. Narco cs,
benzodiazepines, and barbiturates are all CNS depressants. When taken in excess, they cause a
decreased level of consciousness, respiratory depression, bradycardia, and hypotension.
Ac vated charcoal is contraindicated for a pa ent who is:
• A:conscious and alert and has ingested a large amount of Motrin.
• B:emo onally upset and has ingested two bo les of aspirin.
• C:agitated and claims to have ingested a bo le of Tylenol.
• D:awake and alert and has swallowed a commercial drain cleaner. - ANSWER You
selected D; This is correct!
, Reason:Ac vated charcoal adsorbs (s cks to) many ingested substances, preven ng them from
being absorbed into the body by the stomach or intes nes. In some cases, you may give
ac vated charcoal to pa ents who have ingested certain substances, if approved by medical
control or local protocol. Ac vated charcoal is contraindicated for pa ents who have ingested
an acid or alkali (ie, drain cleaner) or a petroleum product (ie, gasoline), who have a decreased
level of consciousness and cannot protect their own airway, or who are unable to swallow.
The MOST obvious way to reduce heat loss from radia on and convec on is to:
• A:move away from a cold object.
• B:increase metabolism by shivering.
• C:wear a thick wind-proof jacket.
• D:move to a warmer environment. - ANSWER you selected D; This is correct!
Reason:In a cold environment, the body has two ways of staying warm: genera ng heat
(thermogenesis) and reducing heat loss. Radia on is the transfer of heat by radiant energy. The
body can lose heat by radia on, such as when a person stands in a cold room. Convec on
occurs when heat is transferred to circula ng air, as when cool air moves across the body's
surface. A person standing in windy cold weather, wearing lightweight clothing, is losing heat to
the environment mostly by convec on. The quickest and most obvious way to decrease heat
loss from radia on and convec on is to move out of the cold environment and seek shelter
from wind. Shivering increases the body's metabolism and is a mechanism for genera ng heat,
not reducing heat loss. Layers of clothing trap air and provide excellent insula on; thus, layered
clothing decreases heat loss be er than a single, thick jacket. Conduc on is the direct transfer
of heat from a part of the body to a colder object by direct contact, as when a warm hand
touches cold metal or ice. The most obvious way to decrease heat loss by conduc on is to
remove your hand from the cold object.
A near-drowning is MOST accurately defined as:
• A:complica ons within 24 hours following submersion in water.
• B:immediate death due to prolonged submersion in water.
