NREMT Test Bank - ACTUAL EXAM
2026/2027 WITH COMPLETE QUESTIONS
AND CORRECT ANSWERS RATED A+
A 52-year-old woman crashed her minivan into a tree. She is pinned at the legs by
the steering wheel and is semiconscious. After gaining access to the patient, you
should:
• A:have the fire department disentangle the patient and quickly remove her from
the car.
• B:perform a primary assessment and provide any life-saving care before
extrication.
• C:rapidly assess her from head to toe, obtain vital signs, and apply a cervical
collar.
• D:immediately apply high-flow oxygen to the patient and allow extrication to
begin. - Correct AnswerYou selected B; This is correct!
Reason:Unless there is an immediate threat of fire, explosion, or other danger,
you should perform a primary assessment and begin any live-saving care as soon
as you have gained access to the patient. If you wait to do this until after the
patient has been disentangled, it may be too late; the patient may already be
dead. After you have assessed the patient and treated any immediate threats to
life, allow extrication to commence. Once the patient has been freed from the
vehicle, continue any life-saving care and perform a rapid head-to-toe assessment
to identify and treat other life-threatening injuries. Another EMT can obtain vital
signs as you rapidly assess the patient. Prepare for immediate transport after the
rapid head-to-toe assessment has been performed and the appropriate spinal
precautions have been taken.
Page 1 of 303
,Which of the following is the MOST practical method of standard precautions
when treating multiple patients during a mass-casualty incident?
• A:Asking each patient you treat if he or she has a communicable disease
• B:Placing clean gloves over soiled gloves in between patient contacts
• C:Thoroughly washing your hands in between patient contacts
• D:Changing your gloves in between contact with different patients - Correct
AnswerYou selected D; This is correct!
Reason:Although the most effective means of preventing the spread of disease
involves thorough hand-washing, this is not practical at the scene of a mass-
casualty incident; you usually do not have the time or facilities to do this. In a
situation where you are treating multiple patients, you should change your gloves
in between patients; this will help prevent cross-contamination. The concept of
standard precautions is based on the assumption that ALL bodily fluids are
potentially infectious; thus, there is no need to ask a patient if he or she has a
communicable disease. Furthermore, to make such an inquiry is unethical.
Upon arriving at a scene in which a tanker truck overturned and is spilling an
unknown liquid on the ground, you should:
• A:quickly identify the material.
• B:turn off your warning lights.
• C:park upwind from the scene.
• D:stay downhill from the scene. - Correct AnswerYou selected C; This is correct!
Reason:At the scene of a potential or actual hazardous materials incident, you
should park the ambulance in an area that is both upwind and uphill from the
incident. However, you must be prepared to quickly relocate if the wind direction
changes. Staying uphill is important because many hazardous materials collect in
low-lying areas, such as valleys. After ensuring that you are in a safe place,
Page 2 of 303
,attempt to identify the chemical involved by reading the placard on the tanker
(with binoculars) and referencing the placard number in the emergency response
guidebook (ERG).
Who has ultimate authority for all issues regarding patient care at the scene of a
mass-casualty incident?
• A:Incident commander
• B:Most experienced EMT
• C:EMS medical director
• D:Treatment officer - Correct AnswerYou selected C; This is correct!
Reason:The incident commander (IC) is responsible for all logistical and
operational aspects of a mass-casualty incident (MCI), such as designating section
officers and working in conjunction with other agencies (eg, police, fire, EMS). For
all issues regarding patient care, the EMS medical director has ultimate authority.
Although the treatment officer is responsible for overseeing all emergency care
provided at the scene, and EMTs working in the treatment area are providing
direct patient care, these personnel are still functioning under the physician's
license. During an MCI, the IC (or his or her designee) is typically in contact with
the medical director, who is located at the base station hospital, via mobile phone
or two-way radio. In some cases, the medical director may be physically present at
the incident.
Following an apparent terrorist attack, numerous patients present with shortness
of breath and persistent coughing. A green haze is noted in the area in which the
patients are located. Which of the following agents should you suspect they were
exposed to?
• A:Tabun (GA)
• B:Phosgene oxime
Page 3 of 303
, • C:V agent (VX)
• D:Chlorine (CL) - Correct AnswerThe correct answer is D;
Reason:The patient's signs and symptoms are indicative of a pulmonary (choking)
agent, specifically chlorine (CL). Chlorine (CL) was the first chemical agent ever
used in warfare. It has a distinct odor of bleach and creates a green haze when
released as a gas. Initially, it produces upper airway irritation and a choking
sensation. Later signs and symptoms include shortness of breath, chest tightness,
hoarseness and stridor as the result of upper airway swelling, and gasping or
persistent coughing. Phosgene, not to be confused with phosgene oxime (a
blistering [vesicant] agent), is also a pulmonary (choking) agent. Tabun (GA) and V
agent (VX) are examples of chemical nerve agents. Nerve agents are among the
most deadly chemicals developed. Designed to kill large numbers of people with
small quantities, nerve agents can cause cardiac arrest within seconds to minutes
of exposure.
Upon arriving at the scene of a crash involving a large truck, you immediately note
the presence of an orange placard on the side of the tank that the truck is pulling.
This indicates that the vehicle is carrying a/an ______________ agent.
• A:explosive
• B:flammable
• C:corrosive
• D:radioactive - Correct AnswerThe correct answer is A;
Reason:The color of a warning placard indicates the general classification of agent
being carried, while the United Nations (UN) number in the center of the placard
indicates the exact agent being carried. For example, a red placard bearing the UN
number 1203 indicates gasoline; red indicates the classification (flammable), and
1203 indicates the exact agent (gasoline). Orange placards indicate explosive or
blasting agents, placards that are half yellow and half white indicate radioactive
Page 4 of 303
2026/2027 WITH COMPLETE QUESTIONS
AND CORRECT ANSWERS RATED A+
A 52-year-old woman crashed her minivan into a tree. She is pinned at the legs by
the steering wheel and is semiconscious. After gaining access to the patient, you
should:
• A:have the fire department disentangle the patient and quickly remove her from
the car.
• B:perform a primary assessment and provide any life-saving care before
extrication.
• C:rapidly assess her from head to toe, obtain vital signs, and apply a cervical
collar.
• D:immediately apply high-flow oxygen to the patient and allow extrication to
begin. - Correct AnswerYou selected B; This is correct!
Reason:Unless there is an immediate threat of fire, explosion, or other danger,
you should perform a primary assessment and begin any live-saving care as soon
as you have gained access to the patient. If you wait to do this until after the
patient has been disentangled, it may be too late; the patient may already be
dead. After you have assessed the patient and treated any immediate threats to
life, allow extrication to commence. Once the patient has been freed from the
vehicle, continue any life-saving care and perform a rapid head-to-toe assessment
to identify and treat other life-threatening injuries. Another EMT can obtain vital
signs as you rapidly assess the patient. Prepare for immediate transport after the
rapid head-to-toe assessment has been performed and the appropriate spinal
precautions have been taken.
Page 1 of 303
,Which of the following is the MOST practical method of standard precautions
when treating multiple patients during a mass-casualty incident?
• A:Asking each patient you treat if he or she has a communicable disease
• B:Placing clean gloves over soiled gloves in between patient contacts
• C:Thoroughly washing your hands in between patient contacts
• D:Changing your gloves in between contact with different patients - Correct
AnswerYou selected D; This is correct!
Reason:Although the most effective means of preventing the spread of disease
involves thorough hand-washing, this is not practical at the scene of a mass-
casualty incident; you usually do not have the time or facilities to do this. In a
situation where you are treating multiple patients, you should change your gloves
in between patients; this will help prevent cross-contamination. The concept of
standard precautions is based on the assumption that ALL bodily fluids are
potentially infectious; thus, there is no need to ask a patient if he or she has a
communicable disease. Furthermore, to make such an inquiry is unethical.
Upon arriving at a scene in which a tanker truck overturned and is spilling an
unknown liquid on the ground, you should:
• A:quickly identify the material.
• B:turn off your warning lights.
• C:park upwind from the scene.
• D:stay downhill from the scene. - Correct AnswerYou selected C; This is correct!
Reason:At the scene of a potential or actual hazardous materials incident, you
should park the ambulance in an area that is both upwind and uphill from the
incident. However, you must be prepared to quickly relocate if the wind direction
changes. Staying uphill is important because many hazardous materials collect in
low-lying areas, such as valleys. After ensuring that you are in a safe place,
Page 2 of 303
,attempt to identify the chemical involved by reading the placard on the tanker
(with binoculars) and referencing the placard number in the emergency response
guidebook (ERG).
Who has ultimate authority for all issues regarding patient care at the scene of a
mass-casualty incident?
• A:Incident commander
• B:Most experienced EMT
• C:EMS medical director
• D:Treatment officer - Correct AnswerYou selected C; This is correct!
Reason:The incident commander (IC) is responsible for all logistical and
operational aspects of a mass-casualty incident (MCI), such as designating section
officers and working in conjunction with other agencies (eg, police, fire, EMS). For
all issues regarding patient care, the EMS medical director has ultimate authority.
Although the treatment officer is responsible for overseeing all emergency care
provided at the scene, and EMTs working in the treatment area are providing
direct patient care, these personnel are still functioning under the physician's
license. During an MCI, the IC (or his or her designee) is typically in contact with
the medical director, who is located at the base station hospital, via mobile phone
or two-way radio. In some cases, the medical director may be physically present at
the incident.
Following an apparent terrorist attack, numerous patients present with shortness
of breath and persistent coughing. A green haze is noted in the area in which the
patients are located. Which of the following agents should you suspect they were
exposed to?
• A:Tabun (GA)
• B:Phosgene oxime
Page 3 of 303
, • C:V agent (VX)
• D:Chlorine (CL) - Correct AnswerThe correct answer is D;
Reason:The patient's signs and symptoms are indicative of a pulmonary (choking)
agent, specifically chlorine (CL). Chlorine (CL) was the first chemical agent ever
used in warfare. It has a distinct odor of bleach and creates a green haze when
released as a gas. Initially, it produces upper airway irritation and a choking
sensation. Later signs and symptoms include shortness of breath, chest tightness,
hoarseness and stridor as the result of upper airway swelling, and gasping or
persistent coughing. Phosgene, not to be confused with phosgene oxime (a
blistering [vesicant] agent), is also a pulmonary (choking) agent. Tabun (GA) and V
agent (VX) are examples of chemical nerve agents. Nerve agents are among the
most deadly chemicals developed. Designed to kill large numbers of people with
small quantities, nerve agents can cause cardiac arrest within seconds to minutes
of exposure.
Upon arriving at the scene of a crash involving a large truck, you immediately note
the presence of an orange placard on the side of the tank that the truck is pulling.
This indicates that the vehicle is carrying a/an ______________ agent.
• A:explosive
• B:flammable
• C:corrosive
• D:radioactive - Correct AnswerThe correct answer is A;
Reason:The color of a warning placard indicates the general classification of agent
being carried, while the United Nations (UN) number in the center of the placard
indicates the exact agent being carried. For example, a red placard bearing the UN
number 1203 indicates gasoline; red indicates the classification (flammable), and
1203 indicates the exact agent (gasoline). Orange placards indicate explosive or
blasting agents, placards that are half yellow and half white indicate radioactive
Page 4 of 303
