2025 Latest NREMT Certification Exam Prep Test Bank 2
with 235 Questions and Correct Answers with Rationales |
EMT Certification Test 2025-2026 Practice Test Bank|
Emergency Medical Tech Exam 2025(new!)
A 22-year-old man was stabbed in the chest with a large knife. The patient is
pulseless and apneic, and the knife is impaled in the center of his chest. Treatment
should include:
• A:stabilizing the knife, starting CPR, and providing rapid transport.
• B:removing the knife, applying an occlusive dressing, and providing rapid
transport.
• C:removing the knife, starting CPR, and providing rapid transport.
• D:stabilizing the knife, applying an occlusive dressing, and providing rapid
transport.
The correct answer is C;
Reason:
There are two indications for removing an impaled object: when the object is
causing airway compromise and when the object interferes with your ability to
perform CPR. A knife impaled in the center of the chest, which is where chest
compressions are performed, in a patient who is in cardiac arrest must be carefully
removed. Quickly cover the wound to control any bleeding (an occlusive dressing
covered by a sterile dressing is preferred) and begin CPR immediately.
A 19-year-old female has a closed, swollen deformity to her left forearm. You are
unable to palpate a radial pulse and the skin distal to the injury is cold and pale.
Several attempts to contact medical control have failed and you are approximately
45 miles away from the closest hospital. You should:
• A:apply an air splint to her forearm, keep her arm below the level of her heart,
place an icepack over the injury, and transport.
• B:begin transport at once, gently manipulate her arm en route until distal
circulation is restored, and apply an air splint.
• C:splint her entire arm with rigid board splints, elevate the limb above the level
of her heart, and transport immediately.
pg. 1
,• D:make one attempt to restore distal circulation by applying gentle manual
traction in line with the long axis of the limb.
The correct answer is D;
Reason:
Cold, pale skin and an absent distal pulse indicates that blood flow distal to the
injury is compromised. You should notify medical control, who will likely direct
you to attempt to restore distal circulation. However, if you are unable to contact
medical control and your transport time will be lengthy, you should make ONE
attempt to restore distal circulation by applying gentle manual traction in line with
the long axis of the limb. Be careful, as excessive manipulation can worsen the
vascular problem. If you are unsuccessful after one attempt, splint the limb in the
most comfortable position for the patient and transport at once. If distal circulation
is restored, splint the limb in whatever position allows the strongest distal pulse.
You should elevate the limb above the level of the heart to help minimize swelling.
An icepack may also help reduce pain and swelling.
Which of the following is the MOST correct technique for ventilating an apneic
adult who has a pulse?
• A:Deliver each breath over 1 second at a rate of 10 to 12 breaths/min.
• B:Hyperventilate at a rate between 20 and 24 breaths/min.
• C:Ventilate at a rate of 15 breaths/min and look for visible chest rise.
• D:Deliver each breath over 1 second at a rate of 8 to 10 breaths/min.
The correct answer is A;
Reason:
When ventilating an apneic adult who has a pulse, deliver each breath over a
period of 1 second, at a rate of 10 to 12 breaths/min (one breath every 5 to 6
seconds), while observing for visible chest rise. A ventilation rate of 8 to 10
breaths/min (one breath every 6 to 8 seconds) is appropriate for infants (except
newborns), children, and adult patients in cardiac arrest after an advanced airway
device (eg, ET tube, multilumen airway, supraglottic airway) has been inserted. Do
NOT hyperventilate the patient; doing so may impede blood return to the heart,
thus reducing cardiac output, secondary to hyperinflation of the lungs.
Hyperventilation also increases the incidence of gastric distention, regurgitation,
and aspiration.
pg. 2
,During your assessment of a 70-year-old man with crushing chest pain, you note
that his blood pressure is 80/50 mm Hg. Your MOST important action should be
to:
• A:assess his oxygen saturation.
• B:give high-flow oxygen.
• C:transport without delay.
• D:keep the patient warm.
You selected C; This is correct!
Reason:
Patients with chest pain, pressure, or discomfort with a systolic BP less than 100
mm Hg should be transported to the hospital without delay. Hypotension in a
patient with chest pain indicates cardiogenic shock due to severe cardiac damage
and requires treatment that can only be given at the hospital. Any delay in transport
delays definitive care and increases the patient's chance of death. High-flow
oxygen, thermal management, and assessment of oxygen saturation are clearly
important; however, your primary focus should be to get the patient to the hospital
as soon as possible.
Hypoxia is defined as:
• A:inadequate oxygen to the body's cells and tissues.
• B:an excess amount of carbon dioxide in arterial blood.
• C:decreased oxygen content in arterial blood.
• D:an absence of oxygen to the vital body organs.
You selected A; This is correct!
Reason:
Hypoxia is a dangerous condition in which the body's cells and tissues do not have
enough oxygen. Hypoxemia is a decreased amount of oxygen in arterial blood.
Untreated hypoxemia will lead to hypoxia. An absence of oxygen to any part of the
body is called anoxia. An excess amount of carbon dioxide in arterial blood is
called hypercarbia. If the body cannot bring in enough oxygen, it is also unable to
eliminate carbon dioxide from the blood; therefore, hypoxemia and hypercarbia
occur together.
In contrast to the contractions associated with true labor, Braxton-Hicks
contractions:
pg. 3
, • A:consistently become stronger and are not alleviated by changing position.
• B:may be intensified by activity and are accompanied by a pink discharge.
• C:do not increase in intensity and are alleviated by a change in position.
• D:generally follow rupture of the amniotic sac and occur with regularity.
You selected C; This is correct!
Reason:During pregnancy, the mother may experience false labor, or Braxton-
Hicks contractions, in which there are contractions but they do not represent true
labor. Unlike true labor contractions, Braxton-Hicks contractions do not increase in
intensity, are not regular, and are typically alleviated by activity or a change in
position. The contractions associated with true labor, once they begin, consistently
get stronger and closer together and are regular; a change in position does not
relieve the contractions. True labor is also commonly followed by, or in some
cases preceded by, a rupture of the amniotic sac (bag of waters) and a pink or red
vaginal discharge that is generally accompanied by mucus (bloody show).
A 5-year-old boy was struck by a car when he ran out into the street. When you
arrive at the scene and approach the child, you see him lying supine approximately
15 feet from the car. Based on the child's age and mechanism of injury, which of
the following should you suspect to be his PRIMARY injury?
• A:Head injury
• B:Upper thorax injury
• C:Lower leg injury
• D:Pelvic injury
The correct answer is D;
Reason:Children are smaller than adults; therefore, when they are injured by the
same mechanism of injury as an adult, the location of their injuries may differ from
those of an adult. For example, when an adult is struck by a vehicle, the primary
injury typically occurs at or below the knees, depending on the height of the
bumper at the time of impact. Because the child is shorter, initial impact typically
occurs at or near the pelvis. Secondary injury occurs when child's chest collides
with the vehicle's grille. Tertiary injury occurs when the child strikes the side of his
or her head on the pavement after being propelled away from the vehicle. In some
cases, the child is pulled underneath the vehicle and is dragged.
pg. 4
with 235 Questions and Correct Answers with Rationales |
EMT Certification Test 2025-2026 Practice Test Bank|
Emergency Medical Tech Exam 2025(new!)
A 22-year-old man was stabbed in the chest with a large knife. The patient is
pulseless and apneic, and the knife is impaled in the center of his chest. Treatment
should include:
• A:stabilizing the knife, starting CPR, and providing rapid transport.
• B:removing the knife, applying an occlusive dressing, and providing rapid
transport.
• C:removing the knife, starting CPR, and providing rapid transport.
• D:stabilizing the knife, applying an occlusive dressing, and providing rapid
transport.
The correct answer is C;
Reason:
There are two indications for removing an impaled object: when the object is
causing airway compromise and when the object interferes with your ability to
perform CPR. A knife impaled in the center of the chest, which is where chest
compressions are performed, in a patient who is in cardiac arrest must be carefully
removed. Quickly cover the wound to control any bleeding (an occlusive dressing
covered by a sterile dressing is preferred) and begin CPR immediately.
A 19-year-old female has a closed, swollen deformity to her left forearm. You are
unable to palpate a radial pulse and the skin distal to the injury is cold and pale.
Several attempts to contact medical control have failed and you are approximately
45 miles away from the closest hospital. You should:
• A:apply an air splint to her forearm, keep her arm below the level of her heart,
place an icepack over the injury, and transport.
• B:begin transport at once, gently manipulate her arm en route until distal
circulation is restored, and apply an air splint.
• C:splint her entire arm with rigid board splints, elevate the limb above the level
of her heart, and transport immediately.
pg. 1
,• D:make one attempt to restore distal circulation by applying gentle manual
traction in line with the long axis of the limb.
The correct answer is D;
Reason:
Cold, pale skin and an absent distal pulse indicates that blood flow distal to the
injury is compromised. You should notify medical control, who will likely direct
you to attempt to restore distal circulation. However, if you are unable to contact
medical control and your transport time will be lengthy, you should make ONE
attempt to restore distal circulation by applying gentle manual traction in line with
the long axis of the limb. Be careful, as excessive manipulation can worsen the
vascular problem. If you are unsuccessful after one attempt, splint the limb in the
most comfortable position for the patient and transport at once. If distal circulation
is restored, splint the limb in whatever position allows the strongest distal pulse.
You should elevate the limb above the level of the heart to help minimize swelling.
An icepack may also help reduce pain and swelling.
Which of the following is the MOST correct technique for ventilating an apneic
adult who has a pulse?
• A:Deliver each breath over 1 second at a rate of 10 to 12 breaths/min.
• B:Hyperventilate at a rate between 20 and 24 breaths/min.
• C:Ventilate at a rate of 15 breaths/min and look for visible chest rise.
• D:Deliver each breath over 1 second at a rate of 8 to 10 breaths/min.
The correct answer is A;
Reason:
When ventilating an apneic adult who has a pulse, deliver each breath over a
period of 1 second, at a rate of 10 to 12 breaths/min (one breath every 5 to 6
seconds), while observing for visible chest rise. A ventilation rate of 8 to 10
breaths/min (one breath every 6 to 8 seconds) is appropriate for infants (except
newborns), children, and adult patients in cardiac arrest after an advanced airway
device (eg, ET tube, multilumen airway, supraglottic airway) has been inserted. Do
NOT hyperventilate the patient; doing so may impede blood return to the heart,
thus reducing cardiac output, secondary to hyperinflation of the lungs.
Hyperventilation also increases the incidence of gastric distention, regurgitation,
and aspiration.
pg. 2
,During your assessment of a 70-year-old man with crushing chest pain, you note
that his blood pressure is 80/50 mm Hg. Your MOST important action should be
to:
• A:assess his oxygen saturation.
• B:give high-flow oxygen.
• C:transport without delay.
• D:keep the patient warm.
You selected C; This is correct!
Reason:
Patients with chest pain, pressure, or discomfort with a systolic BP less than 100
mm Hg should be transported to the hospital without delay. Hypotension in a
patient with chest pain indicates cardiogenic shock due to severe cardiac damage
and requires treatment that can only be given at the hospital. Any delay in transport
delays definitive care and increases the patient's chance of death. High-flow
oxygen, thermal management, and assessment of oxygen saturation are clearly
important; however, your primary focus should be to get the patient to the hospital
as soon as possible.
Hypoxia is defined as:
• A:inadequate oxygen to the body's cells and tissues.
• B:an excess amount of carbon dioxide in arterial blood.
• C:decreased oxygen content in arterial blood.
• D:an absence of oxygen to the vital body organs.
You selected A; This is correct!
Reason:
Hypoxia is a dangerous condition in which the body's cells and tissues do not have
enough oxygen. Hypoxemia is a decreased amount of oxygen in arterial blood.
Untreated hypoxemia will lead to hypoxia. An absence of oxygen to any part of the
body is called anoxia. An excess amount of carbon dioxide in arterial blood is
called hypercarbia. If the body cannot bring in enough oxygen, it is also unable to
eliminate carbon dioxide from the blood; therefore, hypoxemia and hypercarbia
occur together.
In contrast to the contractions associated with true labor, Braxton-Hicks
contractions:
pg. 3
, • A:consistently become stronger and are not alleviated by changing position.
• B:may be intensified by activity and are accompanied by a pink discharge.
• C:do not increase in intensity and are alleviated by a change in position.
• D:generally follow rupture of the amniotic sac and occur with regularity.
You selected C; This is correct!
Reason:During pregnancy, the mother may experience false labor, or Braxton-
Hicks contractions, in which there are contractions but they do not represent true
labor. Unlike true labor contractions, Braxton-Hicks contractions do not increase in
intensity, are not regular, and are typically alleviated by activity or a change in
position. The contractions associated with true labor, once they begin, consistently
get stronger and closer together and are regular; a change in position does not
relieve the contractions. True labor is also commonly followed by, or in some
cases preceded by, a rupture of the amniotic sac (bag of waters) and a pink or red
vaginal discharge that is generally accompanied by mucus (bloody show).
A 5-year-old boy was struck by a car when he ran out into the street. When you
arrive at the scene and approach the child, you see him lying supine approximately
15 feet from the car. Based on the child's age and mechanism of injury, which of
the following should you suspect to be his PRIMARY injury?
• A:Head injury
• B:Upper thorax injury
• C:Lower leg injury
• D:Pelvic injury
The correct answer is D;
Reason:Children are smaller than adults; therefore, when they are injured by the
same mechanism of injury as an adult, the location of their injuries may differ from
those of an adult. For example, when an adult is struck by a vehicle, the primary
injury typically occurs at or below the knees, depending on the height of the
bumper at the time of impact. Because the child is shorter, initial impact typically
occurs at or near the pelvis. Secondary injury occurs when child's chest collides
with the vehicle's grille. Tertiary injury occurs when the child strikes the side of his
or her head on the pavement after being propelled away from the vehicle. In some
cases, the child is pulled underneath the vehicle and is dragged.
pg. 4
