NREMT
Exam Review
(600+ Practice Questions)
Verified Correct Answers
This Document Description:
This document contains a collection of
617 verified multiple-choices questions
and Correct answers.
Ideal for exam preparation and concept
reinforcement.
,1. Your team is performing CPR on a 68 year old male. You are assigned the airway. When
ventilating him, you should
A) ventilate him once with a BVM every 15 seconds.
B) use a two person ventilation technique.
C) ventilate him once when CPR stops after 30 compressions.
D) use a BVM that can refill in 3 seconds.
Correct Answer:
B) use a two person ventilation technique.
2. A 6 year old male has a fever and difficulty breathing. He is anxious, sitting in a tripod
position, and complains of a sore throat. You should suspect
A) rubeola.
B) pertussis.
C )esophagitis.
D) epiglottitis.
Correct Answer:
D) epiglottitis.
3. A 52 year old male complains of sudden onset of shortness of breath. He has some right-
sided chest pain. He tells you he thinks he has some odd type of flu because two days ago
he flew home from Asia. His vitals are P 108, R 18, BP 102/84, and SpO2 is 86% on room air.
You should suspect
A) pulmonary embolism.
B) cor pulmonale.
C) pneumonia.
D) Asian encephalitis.
Correct Answer:
A) pulmonary embolism.
4. The sign you should assess which indicates a child in respiratory distress has transitioned
to respiratory failure is a change in the
A) depth of sternal retractions.
B) level of consciousness.
C) intensity of wheezes.
, D) ability to speak in full sentences.
Correct Answer:
B) level of consciousness.
5. Relaxation of smooth muscles that cause relief of symptoms associated with asthma is
influenced by
A) alpha adrenergic medications.
B) beta-adrenergic medications.
C) glucocorticoids.
D) anaphylactoids.
Correct Answer:
B) beta-adrenergic medications.
6. Which of the following findings indicates a condition where air is trapped in the lower
airways?
A) Rhonchi
B) Rales
C) Wheezes
D) Pleural rub
Correct Answer:
C) Wheezes
7. A 25 year old male complains of shortness of breath over the past four hours after playing
soccer. His chest expansion is normal and he has no chest wall pain. You hear diminished
breath sounds over his right upper thorax. His vital signs are P 106, R 18, BP 126/84, and
SpO2 is 92% on room air. You should suspect
A) spontaneous pneumothorax.
B) pulmonary embolism.
C) costochondritis.
D) pleuritis.
Correct Answer:
A) spontaneous pneumothorax.
8. A 2 year old female who has had a cold for the past two days now has frequent barking
coughing. Her skin is warm to touch. She has inspiratory stridor, and her SpO2 is 98% on
room air. When transporting her, you should prepare for
, A) emesis.
B) respiratory arrest.
C) sepsis.
D) airway obstruction.
Correct Answer:
D) airway obstruction.
9. An 8 year old female who has a history of asthma self-administered her metered dose
inhaler prior to your arrival. Her vital signs are P 96, R 16, BP 108/78, and SpO2 is 94% on
room air. You auscultate her lung sounds over the lower lobes and should expect to hear
A) wheezes.
B) rhonchi.
C) bronchovesicular sounds.
D) crackles.
Correct Answer:
A) wheezes.
10. A 3 month old male has blue-tinged skin. His mother tells you he has tetralogy of Fallot.
You palpate a weak, thready pulse and see occasional breaths. You should
A) apply an AED.
B) begin compressions.
C) ventilate him.
D)administer blow-by oxygen.
Correct Answer:
C) ventilate him.
11. A 2 year old female was eating grapes and began to choke. When you arrive, she is
unresponsive and not breathing. You should first
A)inspect the airway, if the object is seen perform finger sweeps.
B) lift the child by the feet and perform back slaps.
C) begin chest compressions.
D) perform a series of abdominal thrusts.
Correct Answer:
C) begin chest compressions.
,12. Rapid ascent to high altitude without proper acclimatization may produce
A) anaerobic metabolism.
B) thrombophlebitis.
C) pulmonary edema.
D) pericarditis.
Correct Answer:
C) pulmonary edema.
13. When assessing the work of breathing in a pediatric patient, you should assess
A) chest expansion, skin color, and presence of wheezes or stridor.
B) using inspection, palpation, percussion, and auscultation of the chest.
C) breath sounds bilaterally, and ventilation rate, quality, and volume.
D) airway sounds, positioning, and presence of any retractions or nasal flaring.
Correct Answer:
D) airway sounds, positioning, and presence of any retractions or nasal flaring.
14. A 7 year old female is being cared for at home with a ventilator. When you arrive, the
ventilator alarm is sounding. Your partner reports her pulse rate is 40. You should
A) troubleshoot the ventilator settings
B) increase the number of ventilation per minute delivered.
C) assist her ventilations with a BVM.
D) increase the volume of ventilation delivered by the ventilator.
Correct Answer:
C) assist her ventilations with a BVM.
15. The mother of a 3 month old male tells you that his apnea monitor alarmed and when she
checked on him he was not breathing. She stimulated him and called 9-1-1. He is now
breathing on his own. His vital signs are P 160, R 28, and SpO2 is 98% on room air. You
should first
A) determine what care she provided.
B) instruct her how to ventilate him.
C) administer blow-by oxygen at 6 L/minute
D) check the functions of the apnea monitor.
, Correct Answer:
A) determine what care she provided.
16. A 68 year old male who has a prior history of heart attack awakens with sudden onset of
shortness of breath. You auscultate rales bilaterally in his lower lung lobes. His vital signs
are P 96, R 20, BP 104/84, and SpO2 is 88% on room air. You should
A) assist his ventilation with a BVM.
B) transport him flat on the stretcher with his legs elevated.
C) administer oxygen until his SpO2 is 94% or greater.
D) apply an AED and push the analyze rhythm button.
Correct Answer:
C) administer oxygen until his SpO2 is 94% or greater.
17. When a patient suffers a pulmonary embolism the clot will have its greatest influence on
A) hydrostatic pressure.
B) oncotic pressure.
C) perfusion pressure.
D) ventilation pressure.
Correct Answer:
C) perfusion pressure.
18. A 32 year old male has been self-treating what he believes is pneumonia for the past
week. His family has urged him to go to the hospital but he has refused. His skin is hot to
touch. His vital signs are P 104, R 24, BP 96/78, and SpO2 is 88% on room air. You should
A) assist his ventilations until his SpO2 improves.
B) administer oxygen and transport rapidly.
C) lay him flat, warm him, and treat for shock.
D) administer aspirin for fever and oxygen for hypoxia.
Correct Answer:
B) administer oxygen and transport rapidly.
19. In order for a patient to progress to status asthmaticus, he must
A) not improve with medications when suffering an acute attack.
B) continue to wheeze after being medicated and then become hypoxic.
C) not improve through regular use of prescribed medications for two months.
, D) continue to wheeze over lower lobes for over two hours.
Correct Answer:
A) not improve with medications when suffering an acute attack.
20. What is the average minute volume of an adult at rest?
A) 3000 mL
B) 9000 mL
C) 500 mL
D) 6000 mL
Correct Answer:
D) 6000 mL
21. A 67 year old male is unresponsive and snoring. As you insert a tongue depressor to
insert an oropharyngeal airway, he has a gag reflex. You should
A) insert a nasopharyngeal airway.
B) suction his airway.
C) maintain a head-tilt chin-lift maneuver.
D) turn him to the recovery position.
Correct Answer:
A) insert a nasopharyngeal airway.
22. A 30 month old male has a fever of 102 degrees F, cough, and shortness of breath. You
observe increased work of breathing and auscultate diffuse wheezes and crackles. His
mother tells you he has never been this ill. You should suspect
A) croup.
B) bronchiolitis.
C) epiglottitis.
D) asthma.
Correct Answer:
A) croup.
23. Which of the following patient presentations represent the most severe stage of hypoxia?
A) A 68 year old male whose skin is cool and clammy whose vital signs are P 110, R 18, and BP
108/72
B) A sleepy and confused 69 year old male who has discolored fingernail beds
, C) A 73 year old female who is short of breath, tachypneic, and complains of a headache
D) A restless and agitated 72 year old female whose vital signs are P 110, R 14, and BP 148/92
Correct Answer:
B) A sleepy and confused 69 year old male who has discolored fingernail beds
24. An unresponsive 26 year old male was shot in the right chest. His vital signs are P 130
and thready, R 18, and BP 78 systolic. Where should you place your stethoscope to listen to
his breath sounds?
A) Anterior, on a mid-axillary line
B) Posterior, below his scapula
C) Anterior, over the suprasternal notch
D) Posterior, below his clavicle
Correct Answer:
B) Posterior, below his scapula
25. A 72 year old female who has a history of emphysema is experiencing an exacerbation.
Her vital signs are P 110, R 24, BP 138/94, and SpO2 is 88% on oxygen by nasal cannula at 3
L/minute. You should
increase the oxygen flow rate to 6 L/minute.
administer oxygen by non-rebreather mask.
assist her with the administration of her prescribed nitroglycerin.
ventilate her with a BVM at a rate of 10/minute.
Correct Answer:
administer oxygen by non-rebreather mask.
26. A 26 year old male descended from climbing at high altitude and is short of breath. You
auscultate crackles in both lower lobes of his lungs. His vital signs are P 106, R 20, BP
142/82, and SpO2 is 82% on room air. You should first
administer oxygen by non-rebreather mask.
assess him for signs of cerebral edema.
assist his ventilation with a BVM.
rapidly transport him to a decompression chamber.
Correct Answer:
administer oxygen by non-rebreather mask.
,27. A 74 year old female who was holding her head collapsed suddenly. When you arrive she
is lying supine on the floor unresponsive. You hear gurgling sounds on inspiration. You
should first
insert a nasopharyngeal airway.
suction her airway.
logroll her to the recovery position.
ventilate her with a BVM.
Correct Answer:
suction her airway.
28. Which of the following changes in the lungs of the geriatric population leads to an
increase in respiratory infections?
Diminished ability to cough
Loss of lung parenchyma
Consolidation of pulmonary alveoli
Decreased production of surfactant
Correct Answer:
Diminished ability to cough
29. A 4 year old male has difficulty breathing. He has a sore throat, is leaning forward with
hands on his knees, and his skin is hot to touch. When he speaks his voice sounds hoarse.
His pulse oximeter reading is 94% on room air. You should
administer oxygen, keep him calm, and transport rapidly.
lay him flat, monitor his ABCs, and transport.
inspect his upper airway, monitor tracheal breath sounds, and transport rapidly.
administer high-flow oxygen, insert an oral airway, and transport.
Correct Answer:
administer oxygen, keep him calm, and transport rapidly.
30. Which of the following causes a reduction of surface area between the alveoli and the
capillaries in the lungs?
Cystic fibrosis
Emphysema
Pleuritis
Pneumothorax
, Correct Answer:
Emphysema
31. The pulse oximeter may provide a false reading if the patient has
empyema.
bulimia.
anemia.
natremia.
Correct Answer:
anemia.
32. A 13 year old female who has a history of asthma self-administered her metered dose
inhaler prior to your arrival. She remains short of breath and has wheezes throughout her
lung fields. After administration of oxygen, you should
transport her routinely to the hospital.
titrate her oxygen delivery to pulse oximeter reading.
ask her to demonstrate how she used the inhaler.
tell her to self-administer a second dose of her medication.
Correct Answer:
tell her to self-administer a second dose of her medication.
33. A tall, thin 21 year old male tells you he has increasing shortness of breath after playing
basketball. He tells you during the first part of practice he was tired and the longer he played
the more short of breath he became. You notice swelling around his neck and you hear
crackles when you palpate the skin. You should suspect
pernicious anemia.
cardiomegaly.
spontaneous pneumothorax.
pulmonary embolism.
Correct Answer:
spontaneous pneumothorax.
34. A 72 year old female called 9-1-1 because her home oxygen equipment is not working.
Her skin is cyanotic around her lips, fingers, and lower extremities. Her delivery device
shows a liter flow of 4 L/minute. Her vital signs are P 94, R 22, BP 116/82, and SpO2 is 84% on
home oxygen by nasal cannula. You should first
assure the nasal cannula does not have a kink in the hose.
Exam Review
(600+ Practice Questions)
Verified Correct Answers
This Document Description:
This document contains a collection of
617 verified multiple-choices questions
and Correct answers.
Ideal for exam preparation and concept
reinforcement.
,1. Your team is performing CPR on a 68 year old male. You are assigned the airway. When
ventilating him, you should
A) ventilate him once with a BVM every 15 seconds.
B) use a two person ventilation technique.
C) ventilate him once when CPR stops after 30 compressions.
D) use a BVM that can refill in 3 seconds.
Correct Answer:
B) use a two person ventilation technique.
2. A 6 year old male has a fever and difficulty breathing. He is anxious, sitting in a tripod
position, and complains of a sore throat. You should suspect
A) rubeola.
B) pertussis.
C )esophagitis.
D) epiglottitis.
Correct Answer:
D) epiglottitis.
3. A 52 year old male complains of sudden onset of shortness of breath. He has some right-
sided chest pain. He tells you he thinks he has some odd type of flu because two days ago
he flew home from Asia. His vitals are P 108, R 18, BP 102/84, and SpO2 is 86% on room air.
You should suspect
A) pulmonary embolism.
B) cor pulmonale.
C) pneumonia.
D) Asian encephalitis.
Correct Answer:
A) pulmonary embolism.
4. The sign you should assess which indicates a child in respiratory distress has transitioned
to respiratory failure is a change in the
A) depth of sternal retractions.
B) level of consciousness.
C) intensity of wheezes.
, D) ability to speak in full sentences.
Correct Answer:
B) level of consciousness.
5. Relaxation of smooth muscles that cause relief of symptoms associated with asthma is
influenced by
A) alpha adrenergic medications.
B) beta-adrenergic medications.
C) glucocorticoids.
D) anaphylactoids.
Correct Answer:
B) beta-adrenergic medications.
6. Which of the following findings indicates a condition where air is trapped in the lower
airways?
A) Rhonchi
B) Rales
C) Wheezes
D) Pleural rub
Correct Answer:
C) Wheezes
7. A 25 year old male complains of shortness of breath over the past four hours after playing
soccer. His chest expansion is normal and he has no chest wall pain. You hear diminished
breath sounds over his right upper thorax. His vital signs are P 106, R 18, BP 126/84, and
SpO2 is 92% on room air. You should suspect
A) spontaneous pneumothorax.
B) pulmonary embolism.
C) costochondritis.
D) pleuritis.
Correct Answer:
A) spontaneous pneumothorax.
8. A 2 year old female who has had a cold for the past two days now has frequent barking
coughing. Her skin is warm to touch. She has inspiratory stridor, and her SpO2 is 98% on
room air. When transporting her, you should prepare for
, A) emesis.
B) respiratory arrest.
C) sepsis.
D) airway obstruction.
Correct Answer:
D) airway obstruction.
9. An 8 year old female who has a history of asthma self-administered her metered dose
inhaler prior to your arrival. Her vital signs are P 96, R 16, BP 108/78, and SpO2 is 94% on
room air. You auscultate her lung sounds over the lower lobes and should expect to hear
A) wheezes.
B) rhonchi.
C) bronchovesicular sounds.
D) crackles.
Correct Answer:
A) wheezes.
10. A 3 month old male has blue-tinged skin. His mother tells you he has tetralogy of Fallot.
You palpate a weak, thready pulse and see occasional breaths. You should
A) apply an AED.
B) begin compressions.
C) ventilate him.
D)administer blow-by oxygen.
Correct Answer:
C) ventilate him.
11. A 2 year old female was eating grapes and began to choke. When you arrive, she is
unresponsive and not breathing. You should first
A)inspect the airway, if the object is seen perform finger sweeps.
B) lift the child by the feet and perform back slaps.
C) begin chest compressions.
D) perform a series of abdominal thrusts.
Correct Answer:
C) begin chest compressions.
,12. Rapid ascent to high altitude without proper acclimatization may produce
A) anaerobic metabolism.
B) thrombophlebitis.
C) pulmonary edema.
D) pericarditis.
Correct Answer:
C) pulmonary edema.
13. When assessing the work of breathing in a pediatric patient, you should assess
A) chest expansion, skin color, and presence of wheezes or stridor.
B) using inspection, palpation, percussion, and auscultation of the chest.
C) breath sounds bilaterally, and ventilation rate, quality, and volume.
D) airway sounds, positioning, and presence of any retractions or nasal flaring.
Correct Answer:
D) airway sounds, positioning, and presence of any retractions or nasal flaring.
14. A 7 year old female is being cared for at home with a ventilator. When you arrive, the
ventilator alarm is sounding. Your partner reports her pulse rate is 40. You should
A) troubleshoot the ventilator settings
B) increase the number of ventilation per minute delivered.
C) assist her ventilations with a BVM.
D) increase the volume of ventilation delivered by the ventilator.
Correct Answer:
C) assist her ventilations with a BVM.
15. The mother of a 3 month old male tells you that his apnea monitor alarmed and when she
checked on him he was not breathing. She stimulated him and called 9-1-1. He is now
breathing on his own. His vital signs are P 160, R 28, and SpO2 is 98% on room air. You
should first
A) determine what care she provided.
B) instruct her how to ventilate him.
C) administer blow-by oxygen at 6 L/minute
D) check the functions of the apnea monitor.
, Correct Answer:
A) determine what care she provided.
16. A 68 year old male who has a prior history of heart attack awakens with sudden onset of
shortness of breath. You auscultate rales bilaterally in his lower lung lobes. His vital signs
are P 96, R 20, BP 104/84, and SpO2 is 88% on room air. You should
A) assist his ventilation with a BVM.
B) transport him flat on the stretcher with his legs elevated.
C) administer oxygen until his SpO2 is 94% or greater.
D) apply an AED and push the analyze rhythm button.
Correct Answer:
C) administer oxygen until his SpO2 is 94% or greater.
17. When a patient suffers a pulmonary embolism the clot will have its greatest influence on
A) hydrostatic pressure.
B) oncotic pressure.
C) perfusion pressure.
D) ventilation pressure.
Correct Answer:
C) perfusion pressure.
18. A 32 year old male has been self-treating what he believes is pneumonia for the past
week. His family has urged him to go to the hospital but he has refused. His skin is hot to
touch. His vital signs are P 104, R 24, BP 96/78, and SpO2 is 88% on room air. You should
A) assist his ventilations until his SpO2 improves.
B) administer oxygen and transport rapidly.
C) lay him flat, warm him, and treat for shock.
D) administer aspirin for fever and oxygen for hypoxia.
Correct Answer:
B) administer oxygen and transport rapidly.
19. In order for a patient to progress to status asthmaticus, he must
A) not improve with medications when suffering an acute attack.
B) continue to wheeze after being medicated and then become hypoxic.
C) not improve through regular use of prescribed medications for two months.
, D) continue to wheeze over lower lobes for over two hours.
Correct Answer:
A) not improve with medications when suffering an acute attack.
20. What is the average minute volume of an adult at rest?
A) 3000 mL
B) 9000 mL
C) 500 mL
D) 6000 mL
Correct Answer:
D) 6000 mL
21. A 67 year old male is unresponsive and snoring. As you insert a tongue depressor to
insert an oropharyngeal airway, he has a gag reflex. You should
A) insert a nasopharyngeal airway.
B) suction his airway.
C) maintain a head-tilt chin-lift maneuver.
D) turn him to the recovery position.
Correct Answer:
A) insert a nasopharyngeal airway.
22. A 30 month old male has a fever of 102 degrees F, cough, and shortness of breath. You
observe increased work of breathing and auscultate diffuse wheezes and crackles. His
mother tells you he has never been this ill. You should suspect
A) croup.
B) bronchiolitis.
C) epiglottitis.
D) asthma.
Correct Answer:
A) croup.
23. Which of the following patient presentations represent the most severe stage of hypoxia?
A) A 68 year old male whose skin is cool and clammy whose vital signs are P 110, R 18, and BP
108/72
B) A sleepy and confused 69 year old male who has discolored fingernail beds
, C) A 73 year old female who is short of breath, tachypneic, and complains of a headache
D) A restless and agitated 72 year old female whose vital signs are P 110, R 14, and BP 148/92
Correct Answer:
B) A sleepy and confused 69 year old male who has discolored fingernail beds
24. An unresponsive 26 year old male was shot in the right chest. His vital signs are P 130
and thready, R 18, and BP 78 systolic. Where should you place your stethoscope to listen to
his breath sounds?
A) Anterior, on a mid-axillary line
B) Posterior, below his scapula
C) Anterior, over the suprasternal notch
D) Posterior, below his clavicle
Correct Answer:
B) Posterior, below his scapula
25. A 72 year old female who has a history of emphysema is experiencing an exacerbation.
Her vital signs are P 110, R 24, BP 138/94, and SpO2 is 88% on oxygen by nasal cannula at 3
L/minute. You should
increase the oxygen flow rate to 6 L/minute.
administer oxygen by non-rebreather mask.
assist her with the administration of her prescribed nitroglycerin.
ventilate her with a BVM at a rate of 10/minute.
Correct Answer:
administer oxygen by non-rebreather mask.
26. A 26 year old male descended from climbing at high altitude and is short of breath. You
auscultate crackles in both lower lobes of his lungs. His vital signs are P 106, R 20, BP
142/82, and SpO2 is 82% on room air. You should first
administer oxygen by non-rebreather mask.
assess him for signs of cerebral edema.
assist his ventilation with a BVM.
rapidly transport him to a decompression chamber.
Correct Answer:
administer oxygen by non-rebreather mask.
,27. A 74 year old female who was holding her head collapsed suddenly. When you arrive she
is lying supine on the floor unresponsive. You hear gurgling sounds on inspiration. You
should first
insert a nasopharyngeal airway.
suction her airway.
logroll her to the recovery position.
ventilate her with a BVM.
Correct Answer:
suction her airway.
28. Which of the following changes in the lungs of the geriatric population leads to an
increase in respiratory infections?
Diminished ability to cough
Loss of lung parenchyma
Consolidation of pulmonary alveoli
Decreased production of surfactant
Correct Answer:
Diminished ability to cough
29. A 4 year old male has difficulty breathing. He has a sore throat, is leaning forward with
hands on his knees, and his skin is hot to touch. When he speaks his voice sounds hoarse.
His pulse oximeter reading is 94% on room air. You should
administer oxygen, keep him calm, and transport rapidly.
lay him flat, monitor his ABCs, and transport.
inspect his upper airway, monitor tracheal breath sounds, and transport rapidly.
administer high-flow oxygen, insert an oral airway, and transport.
Correct Answer:
administer oxygen, keep him calm, and transport rapidly.
30. Which of the following causes a reduction of surface area between the alveoli and the
capillaries in the lungs?
Cystic fibrosis
Emphysema
Pleuritis
Pneumothorax
, Correct Answer:
Emphysema
31. The pulse oximeter may provide a false reading if the patient has
empyema.
bulimia.
anemia.
natremia.
Correct Answer:
anemia.
32. A 13 year old female who has a history of asthma self-administered her metered dose
inhaler prior to your arrival. She remains short of breath and has wheezes throughout her
lung fields. After administration of oxygen, you should
transport her routinely to the hospital.
titrate her oxygen delivery to pulse oximeter reading.
ask her to demonstrate how she used the inhaler.
tell her to self-administer a second dose of her medication.
Correct Answer:
tell her to self-administer a second dose of her medication.
33. A tall, thin 21 year old male tells you he has increasing shortness of breath after playing
basketball. He tells you during the first part of practice he was tired and the longer he played
the more short of breath he became. You notice swelling around his neck and you hear
crackles when you palpate the skin. You should suspect
pernicious anemia.
cardiomegaly.
spontaneous pneumothorax.
pulmonary embolism.
Correct Answer:
spontaneous pneumothorax.
34. A 72 year old female called 9-1-1 because her home oxygen equipment is not working.
Her skin is cyanotic around her lips, fingers, and lower extremities. Her delivery device
shows a liter flow of 4 L/minute. Her vital signs are P 94, R 22, BP 116/82, and SpO2 is 84% on
home oxygen by nasal cannula. You should first
assure the nasal cannula does not have a kink in the hose.
