NREMT Paramedic Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

NREMT Paramedic Questions and Answers | Latest Version | 2025/2026 | Correct & Verified Patient presents with sudden onset chest pain radiating to the left arm, sweating, and shortness of breath. What is your immediate priority on scene? Initiate oxygen therapy and prepare for rapid transport while monitoring vitals and administering aspirin if not contraindicated. You are treating a trauma patient with visible external bleeding from the thigh. What is your next best action? Apply direct pressure, followed by a tourniquet proximal to the site if bleeding is uncontrolled. An adult patient is unresponsive, has no pulse, and is not breathing. What do you do first? Begin high-quality chest compressions immediately. A patient with a spinal injury complains of difficulty breathing and has weak diaphragmatic movement. Which spinal level is most likely injured? C3 to C5 spinal level. 2 What is the primary concern when treating a patient with a flail chest segment? Impaired ventilation due to paradoxical chest movement. What should you do if a patient begins seizing during transport? Protect the patient from injury, maintain an open airway, and provide oxygen. A patient is found with pinpoint pupils, respiratory depression, and altered mental status. What is the suspected cause? Opioid overdose. What is the most effective way to confirm correct endotracheal tube placement in a cardiac arrest patient? Continuous waveform capnography. Why is it critical to avoid hyperventilation in a head injury patient? Hyperventilation can cause cerebral vasoconstriction and reduce brain perfusion. 3 A diabetic patient is found unconscious with a blood glucose level of 35 mg/dL. What is your immediate treatment? Administer IV dextrose or IM glucagon if IV access is unavailable. You are called to a scene where a patient has a deep laceration to the neck with bubbling blood. What is your first priority? Apply an occlusive dressing to prevent air embolism. What is the proper rate of ventilation for an adult patient with a pulse but inadequate respirations? One breath every 5 to 6 seconds. A burn patient presents with hoarseness, singed nasal hairs, and carbonaceous sputum. What should you anticipate? Impending airway compromise requiring advanced airway management. A pediatric patient has bradycardia and is unresponsive. What is most likely the primary cause of the bradycardia? Hypoxia. 4 What is the appropriate action for a tension pneumothorax with signs of shock and tracheal deviation? Perform needle decompression in the affected side’s second intercostal space, midclavicular line. During CPR, what is the maximum pause duration recommended between compressions for rhythm checks or defibrillation? Less than 10 seconds. What is the best method to determine fluid resuscitation success in a hypotensive trauma patient? Improvement in mental status and radial pulse quality. You suspect cardiac tamponade in a patient with hypotension, jugular vein distension, and muffled heart sounds. What is this triad called? Beck’s triad. What is the most reliable indicator of return of spontaneous circulation (ROSC) during resuscitation? 5 Sudden increase in end-tidal CO2. A patient overdosed on tricyclic antidepressants and has a wide QRS on ECG. What treatment should be administered? Sodium bicarbonate. What is the best position for a pregnant trauma patient in the third trimester? Left lateral tilt to relieve pressure on the inferior vena