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NREMT EXAM REVIEW 2026/2027 COMPLETE (150)
CURRENT TESTING QUESTIONS AND CORRECT
ANSWERS WITH DETAILED RATIONALES.
NREMT
Prepare effectively for the NREMT Exam with this focused review resource. It supports
review of essential EMT concepts, patient assessment, airway and respiratory care,
trauma, medical emergencies, pharmacology, and emergency response procedures.
Use the material to reinforce your knowledge, review high-yield topics, and identify
areas that may require additional study. This resource is suited for EMT students,
emergency medical technician trainees, and candidates preparing for the NREMT
certification examination.
MULTIPLE CHOICE.
Airway, Breathing, & Ventilation (Questions 1-25)
1. What is the maximum recommended flow rate for a nasal cannula?
• A. 2 L/min
• B. 4 L/min
• C. 6 L/min
• D. 8 L/min
Correct Answer: C
Rationale: A nasal cannula delivers oxygen at flow rates of 1–6 L/min,
providing an FiO₂ of 24–44%. Flow rates above 6 L/min can cause mucosal
drying and are not recommended without humidification.
2. Which airway maneuver is contraindicated in a patient with a
suspected cervical spine injury?
• A. Jaw-thrust maneuver
• B. Head-tilt, chin-lift maneuver
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• C. Recovery position
• D. Suctioning
Correct Answer: B
Rationale: The head-tilt, chin-lift maneuver involves extending the neck,
which can worsen a cervical spine injury. The jaw-thrust maneuver is the
preferred technique for opening the airway in trauma patients with
suspected spinal injury, as it minimizes neck movement.
3. A 45-year-old patient is semiconscious with an intact gag reflex
following a seizure. Which airway adjunct is MOST appropriate?
• A. Oropharyngeal airway (OPA)
• B. Nasopharyngeal airway (NPA)
• C. Endotracheal tube
• D. Supraglottic airway
Correct Answer: B
Rationale: An NPA is tolerated by patients with an intact gag reflex and
can be used in semiconscious patients. An OPA is contraindicated in
patients with an intact gag reflex as it can stimulate vomiting and
aspiration.
4. What is the correct compression-to-ventilation ratio for a single rescuer
performing CPR on an adult?
• A. 15:2
• B. 30:2
• C. 30:1
• D. 15:1
Correct Answer: B
Rationale: The current AHA guidelines recommend a compression-to-
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ventilation ratio of 30:2 for single-rescuer adult CPR. This maximizes the
number of chest compressions while providing adequate ventilations.
5. A patient with a suspected basilar skull fracture requires airway
management. Which airway adjunct is contraindicated?
• A. Oropharyngeal airway
• B. Nasopharyngeal airway
• C. Endotracheal tube
• D. Supraglottic airway
Correct Answer: B
Rationale: An NPA is contraindicated in patients with suspected basilar
skull fracture because of the risk of intracranial placement of the tube
through a fracture. Signs of basilar skull fracture include raccoon eyes,
Battle's sign, and CSF otorrhea or rhinorrhea.
6. Which of the following is a sign of adequate ventilation in a
spontaneously breathing patient?
• A. Cyanosis
• B. Use of accessory muscles
• C. Equal bilateral breath sounds
• D. Tachypnea
Correct Answer: C
Rationale: Equal bilateral breath sounds indicate that air is moving
adequately into both lungs. Cyanosis, use of accessory muscles, and
tachypnea are all signs of respiratory distress or inadequate ventilation.
7. What is the proper technique for inserting an oropharyngeal airway?
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• A. Insert directly with the tip pointing downward
• B. Insert with the tip pointing toward the roof of the mouth, then rotate
180°
• C. Insert sideways, then rotate 90°
• D. Insert with the tip pointing toward the cheek, then rotate 180°
Correct Answer: B
Rationale: An OPA should be inserted with the tip pointing toward the roof
of the mouth (or sideways in an infant) and then rotated 180° as it passes
the soft palate. This technique prevents pushing the tongue backward into
the pharynx.
8. A patient is breathing 8 times per minute with shallow respirations.
What is the appropriate action?
• A. Administer oxygen via nasal cannula at 2 L/min
• B. Place the patient in the recovery position
• C. Assist ventilations with a bag-valve-mask (BVM) device
• D. Reassess in 5 minutes
Correct Answer: C
Rationale: A respiratory rate of less than 10 breaths per minute with
shallow depth indicates inadequate ventilation. The patient requires
assisted ventilations with a BVM device to maintain adequate oxygenation
and ventilation.
9. Which of the following is the MOST reliable indicator of adequate
artificial ventilation?
• A. The patient's skin color improves
• B. The patient's pulse oximetry reads 100%
• C. The patient's chest rises and falls symmetrically
NREMT EXAM REVIEW 2026/2027 COMPLETE (150)
CURRENT TESTING QUESTIONS AND CORRECT
ANSWERS WITH DETAILED RATIONALES.
NREMT
Prepare effectively for the NREMT Exam with this focused review resource. It supports
review of essential EMT concepts, patient assessment, airway and respiratory care,
trauma, medical emergencies, pharmacology, and emergency response procedures.
Use the material to reinforce your knowledge, review high-yield topics, and identify
areas that may require additional study. This resource is suited for EMT students,
emergency medical technician trainees, and candidates preparing for the NREMT
certification examination.
MULTIPLE CHOICE.
Airway, Breathing, & Ventilation (Questions 1-25)
1. What is the maximum recommended flow rate for a nasal cannula?
• A. 2 L/min
• B. 4 L/min
• C. 6 L/min
• D. 8 L/min
Correct Answer: C
Rationale: A nasal cannula delivers oxygen at flow rates of 1–6 L/min,
providing an FiO₂ of 24–44%. Flow rates above 6 L/min can cause mucosal
drying and are not recommended without humidification.
2. Which airway maneuver is contraindicated in a patient with a
suspected cervical spine injury?
• A. Jaw-thrust maneuver
• B. Head-tilt, chin-lift maneuver
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• C. Recovery position
• D. Suctioning
Correct Answer: B
Rationale: The head-tilt, chin-lift maneuver involves extending the neck,
which can worsen a cervical spine injury. The jaw-thrust maneuver is the
preferred technique for opening the airway in trauma patients with
suspected spinal injury, as it minimizes neck movement.
3. A 45-year-old patient is semiconscious with an intact gag reflex
following a seizure. Which airway adjunct is MOST appropriate?
• A. Oropharyngeal airway (OPA)
• B. Nasopharyngeal airway (NPA)
• C. Endotracheal tube
• D. Supraglottic airway
Correct Answer: B
Rationale: An NPA is tolerated by patients with an intact gag reflex and
can be used in semiconscious patients. An OPA is contraindicated in
patients with an intact gag reflex as it can stimulate vomiting and
aspiration.
4. What is the correct compression-to-ventilation ratio for a single rescuer
performing CPR on an adult?
• A. 15:2
• B. 30:2
• C. 30:1
• D. 15:1
Correct Answer: B
Rationale: The current AHA guidelines recommend a compression-to-
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ventilation ratio of 30:2 for single-rescuer adult CPR. This maximizes the
number of chest compressions while providing adequate ventilations.
5. A patient with a suspected basilar skull fracture requires airway
management. Which airway adjunct is contraindicated?
• A. Oropharyngeal airway
• B. Nasopharyngeal airway
• C. Endotracheal tube
• D. Supraglottic airway
Correct Answer: B
Rationale: An NPA is contraindicated in patients with suspected basilar
skull fracture because of the risk of intracranial placement of the tube
through a fracture. Signs of basilar skull fracture include raccoon eyes,
Battle's sign, and CSF otorrhea or rhinorrhea.
6. Which of the following is a sign of adequate ventilation in a
spontaneously breathing patient?
• A. Cyanosis
• B. Use of accessory muscles
• C. Equal bilateral breath sounds
• D. Tachypnea
Correct Answer: C
Rationale: Equal bilateral breath sounds indicate that air is moving
adequately into both lungs. Cyanosis, use of accessory muscles, and
tachypnea are all signs of respiratory distress or inadequate ventilation.
7. What is the proper technique for inserting an oropharyngeal airway?
, Page 4 of 64
• A. Insert directly with the tip pointing downward
• B. Insert with the tip pointing toward the roof of the mouth, then rotate
180°
• C. Insert sideways, then rotate 90°
• D. Insert with the tip pointing toward the cheek, then rotate 180°
Correct Answer: B
Rationale: An OPA should be inserted with the tip pointing toward the roof
of the mouth (or sideways in an infant) and then rotated 180° as it passes
the soft palate. This technique prevents pushing the tongue backward into
the pharynx.
8. A patient is breathing 8 times per minute with shallow respirations.
What is the appropriate action?
• A. Administer oxygen via nasal cannula at 2 L/min
• B. Place the patient in the recovery position
• C. Assist ventilations with a bag-valve-mask (BVM) device
• D. Reassess in 5 minutes
Correct Answer: C
Rationale: A respiratory rate of less than 10 breaths per minute with
shallow depth indicates inadequate ventilation. The patient requires
assisted ventilations with a BVM device to maintain adequate oxygenation
and ventilation.
9. Which of the following is the MOST reliable indicator of adequate
artificial ventilation?
• A. The patient's skin color improves
• B. The patient's pulse oximetry reads 100%
• C. The patient's chest rises and falls symmetrically
