NREMT Paramedic Practice – 2025 Practice Questions with
Answers for National Registry Exam Preparation
This document provides a comprehensive set of high-level practice questions and detailed answer
explanations for the 2025 NREMT Paramedic certification exam. Topics include advanced airway
management, cardiology, pharmacology, trauma care, medical emergencies, pediatrics, obstetrics, and
EMS operations. Tailored to reflect the format and rigor of the actual National Registry exam, this
resource is ideal for paramedic students aiming for a confident, first-time pass.
1. stridor: Harsh or high-pitched respiratory sound, swelling, fb in upper airway.
Croup is an example
2. Snoring: The sound of the soft tissue of the upper airway creating a partial
obstruction of air flow. The tongue blocking the airway is an example.
3. gurgling: indicates presence of fluid in the upper airway, need for suctioning
4. Decorticate: elbows and hands flexed, and legs flexed. They are internally
rotated
(the lets look bowlegged) (make an O with their arms: corticate)
5. Decerebrate (worse): Stiffened and internally rotated elbows and legs, teeth
clenched, legs stiff and feet extended.
,6. Babinski's response: dorsiflexion (splaying) of toes
-abnormal plantae reflex response if over 18 months
7. mydriasis: dilation of the pupil. Appears in cardiac arrest, shock, cerebral
hypoxia, cocaine, epinephrine, and amphetamines.
8. Miosis: Constricted pupils. Narcotics, CNS disorder, glaucoma medication,
bright light
9. anisocoria: unequal pupil size that may indicate serious neurologic dysfunction
10. nystagmus: involuntary rapid eye movements - often reported as horizontal,
vertical, or rotary
, .
11. subcutaneous emphysema: Air under the skin; crepitus
sound
12. rales (crackles): Fluid in small airways (aveoli). Common in
CHF, pulonary edema, drowning, pneumonia, and COPD
13. Rhonchi: Coarse, low-pitched breath sounds heard in patients
with chronic mucus in the upper airways. Found in Bronchitus,
COPD, and pneumonia.
14. Wheezing: The production of whistling sounds during
expiration such as occurs in asthma and bronchiolitis.
15. Bronchial lung sounds: heard over trachea/upper sternum; expiratory sound
predominates; is higher pitched and louder; if heard in other locations it
indicates consolidation -- a space that usually contains air now has fluid
16 Bronchovesicular: Heard over scapula and 2/3rd intercostal space lateral to
sternum.
17. Apneustic breathing: Characterized by prolonged inspirations unrelieved by
attempts to exhale, which indicates trauma to the pons. AKA long, deep breaths
that are stopped during inspirations then periods of apnea.
Answers for National Registry Exam Preparation
This document provides a comprehensive set of high-level practice questions and detailed answer
explanations for the 2025 NREMT Paramedic certification exam. Topics include advanced airway
management, cardiology, pharmacology, trauma care, medical emergencies, pediatrics, obstetrics, and
EMS operations. Tailored to reflect the format and rigor of the actual National Registry exam, this
resource is ideal for paramedic students aiming for a confident, first-time pass.
1. stridor: Harsh or high-pitched respiratory sound, swelling, fb in upper airway.
Croup is an example
2. Snoring: The sound of the soft tissue of the upper airway creating a partial
obstruction of air flow. The tongue blocking the airway is an example.
3. gurgling: indicates presence of fluid in the upper airway, need for suctioning
4. Decorticate: elbows and hands flexed, and legs flexed. They are internally
rotated
(the lets look bowlegged) (make an O with their arms: corticate)
5. Decerebrate (worse): Stiffened and internally rotated elbows and legs, teeth
clenched, legs stiff and feet extended.
,6. Babinski's response: dorsiflexion (splaying) of toes
-abnormal plantae reflex response if over 18 months
7. mydriasis: dilation of the pupil. Appears in cardiac arrest, shock, cerebral
hypoxia, cocaine, epinephrine, and amphetamines.
8. Miosis: Constricted pupils. Narcotics, CNS disorder, glaucoma medication,
bright light
9. anisocoria: unequal pupil size that may indicate serious neurologic dysfunction
10. nystagmus: involuntary rapid eye movements - often reported as horizontal,
vertical, or rotary
, .
11. subcutaneous emphysema: Air under the skin; crepitus
sound
12. rales (crackles): Fluid in small airways (aveoli). Common in
CHF, pulonary edema, drowning, pneumonia, and COPD
13. Rhonchi: Coarse, low-pitched breath sounds heard in patients
with chronic mucus in the upper airways. Found in Bronchitus,
COPD, and pneumonia.
14. Wheezing: The production of whistling sounds during
expiration such as occurs in asthma and bronchiolitis.
15. Bronchial lung sounds: heard over trachea/upper sternum; expiratory sound
predominates; is higher pitched and louder; if heard in other locations it
indicates consolidation -- a space that usually contains air now has fluid
16 Bronchovesicular: Heard over scapula and 2/3rd intercostal space lateral to
sternum.
17. Apneustic breathing: Characterized by prolonged inspirations unrelieved by
attempts to exhale, which indicates trauma to the pons. AKA long, deep breaths
that are stopped during inspirations then periods of apnea.
