NREMT Cardiology and Resuscitation
Exam Questions with Correct Answers
You are assessing an unresponsive 42-year-old male who was found lying in the snow.
You do not observe any breathing or feel a pulse during the normal assessment time
frame. You should next:
A. assess for an additional 10 seconds.
B. ventilate him.
C. attach the AED and analyze his rhythm.
D. begin chest compressions. - Answer-begin chest compressions.
An unresponsive 63-year-old female is in cardiac arrest after an opioid overdose. You
should first:
A. attach the AED and analyze her rhythm.
B. ventilate her.
C. administer naloxone.
D. begin chest compressions. - Answer-begin chest compressions.
An unresponsive 3-month-old female is in cardiac arrest. While you and your partner
are resuscitating her, you should compress her chest:
A. over the upper third of her sternum.
B. approximately one half of the anterior-posterior diameter of the chest.
C. using a two thumb — encircling hands technique.
D. using a two-finger technique. - Answer-using a two thumb — encircling hands
technique.
A 56-year-old male complains of a sudden onset of difficulty breathing. He has a history
of heart problems and high blood pressure. You auscultate fine crackles in the bases of
his lungs. His vital signs are P 98, R 18, BP 154/88, and SpO2 is 95% on room air. You
should suspect:
A. pulmonary edema.
B. decreased pulmonary interstitial fluid.
C. bronchiolitis.
D. chemical pneumonitis. - Answer-pulmonary edema.
An unresponsive 91-year-old male was found outside on a cold night. He was in cardiac
arrest, so you began chest compressions. His extremities are cold, but his abdomen is
warm. The AED indicates that shock is advised. You should:
A. withhold defibrillation and move him into the ambulance.
B. defibrillate him and ventilate him.
C. withhold defibrillation and actively rewarm him.
D. defibrillate him and resume chest compressions. - Answer-defibrillate him and
resume chest compressions.
,A 9-year-old male complains of pain in the middle of his chest. He tells you that the pain
increases with deep inspiration. His mother tells you that he has had frequent coughing
for the past week. She denies any other medical history and tells you he is up-to-date
with his vaccinations. His lungs are clear to auscultation. His vital signs are P 110, R 18,
BP 110/70, and SpO2 is 97% on room air. You should suspect:
A. laryngotracheobronchitis.
B. pertussis.
C. chest pain of a non-cardiac origin.
D. chest pain of a cardiac origin. - Answer-chest pain of a non-cardiac origin.
A 3-year-old male was in cardiac arrest. You successfully resuscitated him, but he
remains unresponsive. His vital signs are P 124, R 22, BP 94/70, and SpO2 is 100% on
oxygen by non-rebreather mask. You should:
A. resume chest compressions.
B. assist his ventilation.
C. begin to cool him.
D. switch to a nasal cannula. - Answer-switch to a nasal cannula.
You are resuscitating a 6-year-old male who is in cardiac arrest. After you analyze his
rhythm, the AED announces, "No shock advised." You should immediately:
A. ventilate him twice.
B. assess his breathing.
C. resume chest compressions.
D.assess his pulse. - Answer-resume chest compressions.
A 32-year-old male complains of nearly passing out and nausea. He tells you he feels a
fluttering in his chest. He has a 26 pack-year smoking history. You auscultate scattered
rhonchi in the bases of his lungs. His vital signs are P 168, R 14, BP 92/58, and SpO2 is
94% on room air. You should suspect:
A. indigestion.
B. reduced cardiac output.
C. respiratory failure.
D. vasovagal syncope. - Answer-reduced cardiac output.
A 65-year-old male complains of generalized weakness. He tells you that he almost
passed out earlier today. His lungs are clear to auscultation. His vital signs are P 44, R
16, BP 96/68, and SpO2 is 94% on room air. You should suspect:
A.respiratory distress.
B. respiratory failure.
C. obstructive shock.
D. cardiogenic shock. - Answer-cardiogenic shock.
You are resuscitating a 6-year-old male who is in cardiac arrest. After you analyze his
rhythm, the AED announces, "No shock advised." You should immediately:
A. ventilate him twice.
B. assess his breathing.
, C. resume chest compressions.
D. assess his pulse. - Answer-resume chest compressions.
An unresponsive 54-year-old female is apneic and pulseless. Your partner begins chest
compressions while you attach the AED and analyze the rhythm. The AED announces,
"Shock advised." You should suspect:
A. supraventricular tachycardia.
B. pulseless electrical activity.
C. asystole.
D. pulseless ventricular tachycardia. - Answer-pulseless ventricular tachycardia.
A 50-year-old male has a new onset of palpitations in his chest. He denies pain or
difficulty breathing. He has a history of smoking and hypertension. You auscultate
coarse crackles scattered in his lower lungs. His vital signs are P 116 and irregular, R
14, BP 148/92, and SpO2 is 95% on room air. You should:
A. assist with the administration of nitroglycerin.
B. administer oxygen by non-rebreather mask.
C. transport him.
D. administer oxygen by nasal cannula. - Answer-transport him.
An unresponsive 10-month-old female is lying in her crib. You observe cyanosis in her
lips and tongue. Her vital signs are P 76, R 18 and shallow, and her capillary refill is four
seconds. You should first:
A. assist her ventilation.
B. assess her pulse oximetry.
C. assess her blood pressure.
D. begin chest compressions. - Answer-assist her ventilation.
An unresponsive 10-month-old male is apneic and pulseless. While you are performing
chest compressions, you observe that he appears to be breathing. You should next:
A.
assess for a pulse.
B.
continue compressions.
C.
auscultate his lung sounds.
D.
analyze his rhythm with the AED. - Answer-assess for a pulse.
A 45-year-old male complains of a sudden onset of a severe headache. He tells you it
started 15 minutes ago. He is unable to hold his right arm outstretched while you assess
him. His vital signs are P 68, R 14, BP 132/76, and SpO2 is 97% on room air. His blood
glucose level is 71 mg/dL. You should transport him and:
A. administer oral glucose.
B. administer oxygen.
C. notify the receiving hospital of your findings.
Exam Questions with Correct Answers
You are assessing an unresponsive 42-year-old male who was found lying in the snow.
You do not observe any breathing or feel a pulse during the normal assessment time
frame. You should next:
A. assess for an additional 10 seconds.
B. ventilate him.
C. attach the AED and analyze his rhythm.
D. begin chest compressions. - Answer-begin chest compressions.
An unresponsive 63-year-old female is in cardiac arrest after an opioid overdose. You
should first:
A. attach the AED and analyze her rhythm.
B. ventilate her.
C. administer naloxone.
D. begin chest compressions. - Answer-begin chest compressions.
An unresponsive 3-month-old female is in cardiac arrest. While you and your partner
are resuscitating her, you should compress her chest:
A. over the upper third of her sternum.
B. approximately one half of the anterior-posterior diameter of the chest.
C. using a two thumb — encircling hands technique.
D. using a two-finger technique. - Answer-using a two thumb — encircling hands
technique.
A 56-year-old male complains of a sudden onset of difficulty breathing. He has a history
of heart problems and high blood pressure. You auscultate fine crackles in the bases of
his lungs. His vital signs are P 98, R 18, BP 154/88, and SpO2 is 95% on room air. You
should suspect:
A. pulmonary edema.
B. decreased pulmonary interstitial fluid.
C. bronchiolitis.
D. chemical pneumonitis. - Answer-pulmonary edema.
An unresponsive 91-year-old male was found outside on a cold night. He was in cardiac
arrest, so you began chest compressions. His extremities are cold, but his abdomen is
warm. The AED indicates that shock is advised. You should:
A. withhold defibrillation and move him into the ambulance.
B. defibrillate him and ventilate him.
C. withhold defibrillation and actively rewarm him.
D. defibrillate him and resume chest compressions. - Answer-defibrillate him and
resume chest compressions.
,A 9-year-old male complains of pain in the middle of his chest. He tells you that the pain
increases with deep inspiration. His mother tells you that he has had frequent coughing
for the past week. She denies any other medical history and tells you he is up-to-date
with his vaccinations. His lungs are clear to auscultation. His vital signs are P 110, R 18,
BP 110/70, and SpO2 is 97% on room air. You should suspect:
A. laryngotracheobronchitis.
B. pertussis.
C. chest pain of a non-cardiac origin.
D. chest pain of a cardiac origin. - Answer-chest pain of a non-cardiac origin.
A 3-year-old male was in cardiac arrest. You successfully resuscitated him, but he
remains unresponsive. His vital signs are P 124, R 22, BP 94/70, and SpO2 is 100% on
oxygen by non-rebreather mask. You should:
A. resume chest compressions.
B. assist his ventilation.
C. begin to cool him.
D. switch to a nasal cannula. - Answer-switch to a nasal cannula.
You are resuscitating a 6-year-old male who is in cardiac arrest. After you analyze his
rhythm, the AED announces, "No shock advised." You should immediately:
A. ventilate him twice.
B. assess his breathing.
C. resume chest compressions.
D.assess his pulse. - Answer-resume chest compressions.
A 32-year-old male complains of nearly passing out and nausea. He tells you he feels a
fluttering in his chest. He has a 26 pack-year smoking history. You auscultate scattered
rhonchi in the bases of his lungs. His vital signs are P 168, R 14, BP 92/58, and SpO2 is
94% on room air. You should suspect:
A. indigestion.
B. reduced cardiac output.
C. respiratory failure.
D. vasovagal syncope. - Answer-reduced cardiac output.
A 65-year-old male complains of generalized weakness. He tells you that he almost
passed out earlier today. His lungs are clear to auscultation. His vital signs are P 44, R
16, BP 96/68, and SpO2 is 94% on room air. You should suspect:
A.respiratory distress.
B. respiratory failure.
C. obstructive shock.
D. cardiogenic shock. - Answer-cardiogenic shock.
You are resuscitating a 6-year-old male who is in cardiac arrest. After you analyze his
rhythm, the AED announces, "No shock advised." You should immediately:
A. ventilate him twice.
B. assess his breathing.
, C. resume chest compressions.
D. assess his pulse. - Answer-resume chest compressions.
An unresponsive 54-year-old female is apneic and pulseless. Your partner begins chest
compressions while you attach the AED and analyze the rhythm. The AED announces,
"Shock advised." You should suspect:
A. supraventricular tachycardia.
B. pulseless electrical activity.
C. asystole.
D. pulseless ventricular tachycardia. - Answer-pulseless ventricular tachycardia.
A 50-year-old male has a new onset of palpitations in his chest. He denies pain or
difficulty breathing. He has a history of smoking and hypertension. You auscultate
coarse crackles scattered in his lower lungs. His vital signs are P 116 and irregular, R
14, BP 148/92, and SpO2 is 95% on room air. You should:
A. assist with the administration of nitroglycerin.
B. administer oxygen by non-rebreather mask.
C. transport him.
D. administer oxygen by nasal cannula. - Answer-transport him.
An unresponsive 10-month-old female is lying in her crib. You observe cyanosis in her
lips and tongue. Her vital signs are P 76, R 18 and shallow, and her capillary refill is four
seconds. You should first:
A. assist her ventilation.
B. assess her pulse oximetry.
C. assess her blood pressure.
D. begin chest compressions. - Answer-assist her ventilation.
An unresponsive 10-month-old male is apneic and pulseless. While you are performing
chest compressions, you observe that he appears to be breathing. You should next:
A.
assess for a pulse.
B.
continue compressions.
C.
auscultate his lung sounds.
D.
analyze his rhythm with the AED. - Answer-assess for a pulse.
A 45-year-old male complains of a sudden onset of a severe headache. He tells you it
started 15 minutes ago. He is unable to hold his right arm outstretched while you assess
him. His vital signs are P 68, R 14, BP 132/76, and SpO2 is 97% on room air. His blood
glucose level is 71 mg/dL. You should transport him and:
A. administer oral glucose.
B. administer oxygen.
C. notify the receiving hospital of your findings.
