NREMT PARAMEDIC COACH FINAL EXAM |ACTUAL
QUESTIONS & VERIFIED ANSWERS 2026-2027
UPDATED EDITION |GRADED A+
Question 1
You arrive on scene to a 23 year-old male with complaints of difficulty breathing after
playing a game of football with friends. You notice he is in the tripod position and his skin
is pale. He states he has no past medical history of respiratory problems and has no known
allergies. His vital signs are as follows: BP 114/76, HR 110, RR 28 and shallow, SpO2 95% on
room air. You should...
CORRECT ANSWER
Administer oxygen with nonrebreather mask and rapid transport
Question 2
You arrive on scene to a patient that has crashed his car into a tree on a quiet street. No
other cars were involved. He was wearing a seatbelt. Upon assessment, you determine he
is unresponsive, has no pulse, and is not breathing. You notice there are no signs of
trauma. What do you suspect MOST likely caused this patient to crash?
CORRECT ANSWER
Acute coronary syndrome
Question 3
You arrive on scene to a 7 year-old female who is having a seizure. She begins to vomit.
How long should you suction for?
CORRECT ANSWER
10 seconds
1
@THE STUDY VAULT
,Question 4
You arrive on scene to a 82 year-old female in a nursing home. The nursing staff tells you
she has become increasingly short of breath and they are not sure why. Which of the
following are early signs and symptoms of respiratory distress?
CORRECT ANSWER
Tachycardia, diaphoresis, headache
Question 5
Which of the following is the appropriate method to correct an error in your
documentation?
CORRECT ANSWER
Cross out the error with a line, initial it, then continue with your documentation
Question 6
Your patient is a 32 year-old male who was in a motorcycle accident. He sustained multiple
rib fractures on the left side of his chest. How many lobes of the lung could be affected on
the left side?
CORRECT ANSWER
2
Question 7
You are off duty at the grocery store when you witness an elderly male collapse in front of
you. You have a worker call 911 and have another grab the AED while you confirm he is
pulseless and apneic. What should you do next?
CORRECT ANSWER
2
@THE STUDY VAULT
,Apply an AED, analyze rhythm and shock if advised
Question 8
You arrive on scene to a 72 year-old male with severe difficulty breathing. His spouse tells
you he has COPD. You notice cyanosis around his lips and nailbeds, and he is having a hard
time keeping his eyes open. He is unresponsive to any of your commands and flexes in
reaction to pain. He is currently on oxygen by nasal cannula at 3 LPM. What is the next
best step?
CORRECT ANSWER
Provide ventilations with bag-valve mask
Question 9
You are treating a 32 year-old male who was penetrated in the left upper neck with a
knife. You are successfully managing his hemorrhage and hypotension while in transport.
After a few minutes, the patient states his face is numb and you notice the right side of his
face is drooping. What do you suspect?
CORRECT ANSWER
Ischemic stroke
Question 10
You arrive on scene to a 28 year-old male who fell off a 10 foot ladder after trying to clean
his roof. He is lying unresponsive on the ground. You notice cyanosis around his lips and
nailbeds and hear gurgling respirations. His respiratory rate is 4 breaths per minute and he
has a weak radial pulse. Select TWO next best steps to perform to manage this patient.
CORRECT ANSWER
Maintain cervical spine and Suction to clear possible fluids
3
@THE STUDY VAULT
, Question 11
Which of the following is the function of the right ventricle?
CORRECT ANSWER
Pump deoxygenated blood to pulmonary artery
Question 12
Which of the following is the normal ETCO2 level in an adult?
CORRECT ANSWER
35-45 mmHg
Question 13
You arrive on scene to a 20 year-old male shot in the upper right chest. He is lying supine
and looks anxious. You notice when he inhales his wound makes a gurgling sound. His vital
signs are as follows: BP 86/78, HR 128, RR 40 breaths per minute and shallow, SpO2 93%.
What is the next best step?
CORRECT ANSWER
Apply 3-sided occlusive dressing, provide ventilations with bag valve mask, rapidly
transport
Question 14
Which of the following best describes the purpose of pursed lip breathing?
CORRECT ANSWER
Prevent collapse of bronchioles during exhalation
4
@THE STUDY VAULT
QUESTIONS & VERIFIED ANSWERS 2026-2027
UPDATED EDITION |GRADED A+
Question 1
You arrive on scene to a 23 year-old male with complaints of difficulty breathing after
playing a game of football with friends. You notice he is in the tripod position and his skin
is pale. He states he has no past medical history of respiratory problems and has no known
allergies. His vital signs are as follows: BP 114/76, HR 110, RR 28 and shallow, SpO2 95% on
room air. You should...
CORRECT ANSWER
Administer oxygen with nonrebreather mask and rapid transport
Question 2
You arrive on scene to a patient that has crashed his car into a tree on a quiet street. No
other cars were involved. He was wearing a seatbelt. Upon assessment, you determine he
is unresponsive, has no pulse, and is not breathing. You notice there are no signs of
trauma. What do you suspect MOST likely caused this patient to crash?
CORRECT ANSWER
Acute coronary syndrome
Question 3
You arrive on scene to a 7 year-old female who is having a seizure. She begins to vomit.
How long should you suction for?
CORRECT ANSWER
10 seconds
1
@THE STUDY VAULT
,Question 4
You arrive on scene to a 82 year-old female in a nursing home. The nursing staff tells you
she has become increasingly short of breath and they are not sure why. Which of the
following are early signs and symptoms of respiratory distress?
CORRECT ANSWER
Tachycardia, diaphoresis, headache
Question 5
Which of the following is the appropriate method to correct an error in your
documentation?
CORRECT ANSWER
Cross out the error with a line, initial it, then continue with your documentation
Question 6
Your patient is a 32 year-old male who was in a motorcycle accident. He sustained multiple
rib fractures on the left side of his chest. How many lobes of the lung could be affected on
the left side?
CORRECT ANSWER
2
Question 7
You are off duty at the grocery store when you witness an elderly male collapse in front of
you. You have a worker call 911 and have another grab the AED while you confirm he is
pulseless and apneic. What should you do next?
CORRECT ANSWER
2
@THE STUDY VAULT
,Apply an AED, analyze rhythm and shock if advised
Question 8
You arrive on scene to a 72 year-old male with severe difficulty breathing. His spouse tells
you he has COPD. You notice cyanosis around his lips and nailbeds, and he is having a hard
time keeping his eyes open. He is unresponsive to any of your commands and flexes in
reaction to pain. He is currently on oxygen by nasal cannula at 3 LPM. What is the next
best step?
CORRECT ANSWER
Provide ventilations with bag-valve mask
Question 9
You are treating a 32 year-old male who was penetrated in the left upper neck with a
knife. You are successfully managing his hemorrhage and hypotension while in transport.
After a few minutes, the patient states his face is numb and you notice the right side of his
face is drooping. What do you suspect?
CORRECT ANSWER
Ischemic stroke
Question 10
You arrive on scene to a 28 year-old male who fell off a 10 foot ladder after trying to clean
his roof. He is lying unresponsive on the ground. You notice cyanosis around his lips and
nailbeds and hear gurgling respirations. His respiratory rate is 4 breaths per minute and he
has a weak radial pulse. Select TWO next best steps to perform to manage this patient.
CORRECT ANSWER
Maintain cervical spine and Suction to clear possible fluids
3
@THE STUDY VAULT
, Question 11
Which of the following is the function of the right ventricle?
CORRECT ANSWER
Pump deoxygenated blood to pulmonary artery
Question 12
Which of the following is the normal ETCO2 level in an adult?
CORRECT ANSWER
35-45 mmHg
Question 13
You arrive on scene to a 20 year-old male shot in the upper right chest. He is lying supine
and looks anxious. You notice when he inhales his wound makes a gurgling sound. His vital
signs are as follows: BP 86/78, HR 128, RR 40 breaths per minute and shallow, SpO2 93%.
What is the next best step?
CORRECT ANSWER
Apply 3-sided occlusive dressing, provide ventilations with bag valve mask, rapidly
transport
Question 14
Which of the following best describes the purpose of pursed lip breathing?
CORRECT ANSWER
Prevent collapse of bronchioles during exhalation
4
@THE STUDY VAULT
