NREMT Exam Review – 600+ Practice Questions & Verified Answers for EMT Certification Exam Prep EMT Complete Study Guide (PDF)

NREMT Exam Study Guide
(2026/2027) – 1000+ Practice
Questions, Verified Answers &
Rationales for EMT Certification
Exam Review (PDF)



1. A 58-year-old male complains of sudden onset of severe, "tearing" chest pain
that radiates to his back. His blood pressure is 100/60 in the right arm and 130/70
in the left arm. Which of the following is the most appropriate initial action?

 A. Administer nitroglycerin
 B. Administer aspirin
 C. Transport immediately with high-flow oxygen <u>(Correct)</u>
 D. Perform a 12-lead ECG




2. An unresponsive 6-month-old infant has a heart rate of 40/min. What is the
priority intervention?

 A. Begin chest compressions

, B. Ventilate with a BVM and 100% oxygen <u>(Correct)</u>
 C. Check for a pulse for 10 seconds
 D. Attach an AED




3. A patient is found in a prone position after a fall from a ladder. He is
unresponsive with a patent airway. What is the correct way to move him onto a
long spine board?

 A. Log roll the patient as a unit while maintaining spinal
alignment <u>(Correct)</u>
 B. Lift the patient by his arms and legs to the board
 C. Roll the patient onto his side and slide the board under him
 D. Perform a rapid extrication using a vest-style device




4. Which of the following is a reliable sign of adequate breathing in a 3-year-old
child?

 A. Nasal flaring
 B. Expiratory grunting
 C. Symmetric chest rise and fall <u>(Correct)</u>
 D. Use of accessory muscles




5. A 45-year-old female has a history of schizophrenia and is taking haloperidol.
She presents with a fever of 104°F, muscle rigidity, and altered mental status. You
suspect:

 A. Serotonin syndrome
 B. Neuroleptic malignant syndrome <u>(Correct)</u>
 C. Dystonic reaction
 D. Tardive dyskinesia

, 6. You are ventilating a 70-kg apneic adult with a BVM and an oropharyngeal
airway. You should deliver oxygen at a rate of:

 A. 8-10 breaths/min
 B. 10-12 breaths/min <u>(Correct)</u>
 C. 12-20 breaths/min
 D. 20-24 breaths/min




7. A patient has a penetrating injury to the chest with a sucking wound. What is
the priority?

 A. Apply an occlusive dressing taped on three sides
 B. Apply an occlusive dressing taped on four sides <u>(Correct)</u>
 C. Insert a chest tube
 D. Cover the wound with sterile gauze




8. The main function of the atrioventricular (AV) node is to:

 A. Initiate the electrical impulse
 B. Delay the electrical impulse before it passes to the ventricles <u>(Correct)</u>
 C. Speed up the electrical impulse to the ventricles
 D. Depolarize the ventricles directly




9. A patient with a history of COPD has a respiratory rate of 8/min and oxygen
saturation of 80%. What is the most appropriate oxygen delivery device?

 A. Nasal cannula at 2 L/min
 B. Bag-valve-mask with 100% oxygen <u>(Correct)</u>
 C. Non-rebreather mask at 15 L/min
 D. Venturi mask at 40%

, 10. Which of the following medical conditions is most likely to present with
"coffee-ground" emesis?

 A. Esophageal varices
 B. Mallory-Weiss tear
 C. Peptic ulcer disease <u>(Correct)</u>
 D. Gastroenteritis




11. A 28-year-old male is hypotensive and tachycardic after a motorcycle crash.
His abdomen is distended and firm. What is the primary cause of his shock?

 A. Cardiogenic
 B. Neurogenic
 C. Obstructive
 D. Hemorrhagic <u>(Correct)</u>




12. The correct position for the oropharyngeal airway (OPA) is with the:

 A. Tip pointing toward the roof of the mouth (hard palate) when initially
inserting <u>(Correct)</u>
 B. Tip pointing toward the tongue
 C. Flange resting on the teeth
 D. Curve following the natural shape of the airway




13. A 12-lead ECG shows ST-segment elevation in leads II, III, and aVF. Which part
of the heart is likely affected?

 A. Anterior wall
 B. Lateral wall
 C. Septal wall