NREMT ADVANCED CERTIFICATION
PRACTICE EXAM QUESTIONS AND
ANSWERS
1. A 68-year-old male is complaining of sudden onset chest pain and shortness of breath. His
blood pressure is 88/50 mmHg, pulse is 110 and irregular, and respirations are 24. Crackles
are heard in the lower lung fields. What is the most likely cause of his shock?
A. Hypovolemic shock
B. Anaphylactic shock
C. Septic shock
D. Cardiogenic shock
Answer: D
Conceptual Explanation: Cardiogenic shock occurs when the heart cannot pump enough
blood to meet the body’s needs, often following an MI. The presence of pulmonary edema
(crackles) and hypotension suggests the pump is failing.
,2. Which of the following is the most appropriate initial action for a patient in respiratory
arrest with a suspected spinal injury?
A. Jaw-thrust maneuver
B. Head-tilt, chin-lift
C. Insertion of a Combitube
D. Perform a cricothyrotomy
Answer: A
Conceptual Explanation: The jaw-thrust maneuver is the preferred method for opening
the airway in patients with suspected spinal trauma to minimize neck movement.
3. A 24-year-old female is 38 weeks pregnant and reports a sudden onset of sharp, tearing
abdominal pain and vaginal bleeding. Her abdomen is rigid and tender. What is the most
likely diagnosis?
A. Placenta previa
B. Abruptio placentae
C. Preeclampsia
D. Ectopic pregnancy
Answer: B
Conceptual Explanation: Abruptio placentae is the premature separation of the placenta
from the uterine wall, characterized by dark red bleeding and severe, constant pain.
, 4. You are treating a 10-year-old child with a partial-thickness burn to the entire right arm
and the anterior chest. According to the Rule of Nines, what percentage of the body surface
area is burned?
A. 18%
B. 27%
C. 13.5%
D. 22.5%
Answer: A
Conceptual Explanation: In a child, the entire arm is 9% and the anterior chest/abdomen
is 18%. Since only the anterior chest (half of the torso front) is mentioned (9%), 9% (arm)
+ 9% (chest) = 18%.
5. A patient presents with altered mental status, bradycardia, and irregular respirations
following a head injury. These signs are collectively known as:
A. Beck’s triad
B. Cushing’s triad
C. Whipple’s triad
D. Virchow’s triad
Answer: B
PRACTICE EXAM QUESTIONS AND
ANSWERS
1. A 68-year-old male is complaining of sudden onset chest pain and shortness of breath. His
blood pressure is 88/50 mmHg, pulse is 110 and irregular, and respirations are 24. Crackles
are heard in the lower lung fields. What is the most likely cause of his shock?
A. Hypovolemic shock
B. Anaphylactic shock
C. Septic shock
D. Cardiogenic shock
Answer: D
Conceptual Explanation: Cardiogenic shock occurs when the heart cannot pump enough
blood to meet the body’s needs, often following an MI. The presence of pulmonary edema
(crackles) and hypotension suggests the pump is failing.
,2. Which of the following is the most appropriate initial action for a patient in respiratory
arrest with a suspected spinal injury?
A. Jaw-thrust maneuver
B. Head-tilt, chin-lift
C. Insertion of a Combitube
D. Perform a cricothyrotomy
Answer: A
Conceptual Explanation: The jaw-thrust maneuver is the preferred method for opening
the airway in patients with suspected spinal trauma to minimize neck movement.
3. A 24-year-old female is 38 weeks pregnant and reports a sudden onset of sharp, tearing
abdominal pain and vaginal bleeding. Her abdomen is rigid and tender. What is the most
likely diagnosis?
A. Placenta previa
B. Abruptio placentae
C. Preeclampsia
D. Ectopic pregnancy
Answer: B
Conceptual Explanation: Abruptio placentae is the premature separation of the placenta
from the uterine wall, characterized by dark red bleeding and severe, constant pain.
, 4. You are treating a 10-year-old child with a partial-thickness burn to the entire right arm
and the anterior chest. According to the Rule of Nines, what percentage of the body surface
area is burned?
A. 18%
B. 27%
C. 13.5%
D. 22.5%
Answer: A
Conceptual Explanation: In a child, the entire arm is 9% and the anterior chest/abdomen
is 18%. Since only the anterior chest (half of the torso front) is mentioned (9%), 9% (arm)
+ 9% (chest) = 18%.
5. A patient presents with altered mental status, bradycardia, and irregular respirations
following a head injury. These signs are collectively known as:
A. Beck’s triad
B. Cushing’s triad
C. Whipple’s triad
D. Virchow’s triad
Answer: B
