NRCME TEST BANK 2025
NREMT TEST BANK VERIFIED
QUESTIONS AND ANWERS WITH
DETAILED RATIONALES 2025/2026
COMPLETE 600 QUESTIONS AND
CORRECT ANSWERS WITH
RATIONALES | ALREADY GRADED A+
You are assessing a 70-year-old male who complains of pain in both of his legs. He is conscious and
alert, has a blood pressure of 160/90 mm Hg, a pulse rate of 110 beats/min, and respirations of 14
breaths/min and unlabored. Further assessment reveals edema to both of his feet and legs and
jugular venous distention. This patient's primary problem is MOST likely:
A:left heart failure.
B:chronic hypertension.
C:right heart failure.
D:pulmonary edema.
The correct answer is C;
rationale:
If the right side of the heart is damaged, fluid collects in the body (edema), often showing in the feet
and legs. The collection of fluid in the part of the body that is closest to the ground is called
dependent edema. The swelling causes relatively few symptoms other than discomfort. Another
feature of right heart failure is jugular venous distention, which is an indication of blood backing up
into the systemic circulation. Left heart failure typically presents with shortness of breath due to
fluid in the lungs (pulmonary edema), which indicates blood backing up from the left side of the
heart into the lungs. In severe pulmonary edema, the patient may cough up pink, frothy sputum.
Right heart failure and/or left heart failure are also referred to as congestive heart failure (CHF).
Chronic hypertension cannot be established on the basis of a single blood pressure reading.
A 65-year-old man has generalized weakness and chest pressure. He has a bottle of prescribed
nitroglycerin, but states that he has not taken any of his medication. As your partner prepares to
administer oxygen, you should:
A+ TEST BANK 1
, NRCME TEST BANK 2025
A:assist the patient with his nitroglycerin with medical control approval.
B:apply the AED and prepare the patient for immediate transport.
C:perform a secondary assessment and obtain baseline vital signs.
D:administer up to 325 mg of aspirin if the patient is not allergic to it.
The correct answer is D;
rationale:
Aspirin has clearly been shown to reduce mortality and morbitiy associated with acute coronary
syndrome (ACS) and should be given as early as possible; the dose is 160 to 325 mg. Even though this
patient has chest pain and prescribed nitroglycerin, you must first complete a secondary assessment
and obtain baseline vital signs. Medical control will need this information—specifically the patient's
blood pressure—in order to determine whether you should assist the patient with his nitroglycerin.
The AED is not indicated for this patient because he is not in cardiac arrest.
Which of the following patients is the BEST candidate for the administration of nitroglycerin?
A:A man with chest pain, expired nitroglycerin spray, and a blood pressure of 110/80 mm Hg
B:A woman who has taken three doses of prescribed nitroglycerin without relief of chest pain
C:An elderly man with crushing substernal chest pain and a blood pressure of 80/60 mm Hg
D:A woman with chest pain, prescribed nitroglycerin, and a blood pressure of 104/76 mm Hg
You selected D; This is correct!
rationale:
Nitroglycerin should be administered to patients who have the prescribed, unexpired drug with them
and a systolic blood pressure of greater than 100 mm Hg. No more than three (3) nitroglycerin
tablets or sprays should be administered to a patient in the prehospital setting. An expired
medication should never be administered to any patient, even if the medication is otherwise
indicated for his or her condition.
An unresponsive patient with multi-systems trauma has slow, shallow breathing; weak radial pulses;
and severe bleeding from a lower extremity wound. You should direct your partner to:
A:assist the patient's ventilations while you control the bleeding.
B:apply oxygen via nonrebreathing mask while you control the bleeding.
C:radio for a paramedic ambulance to respond to the scene.
D:prepare the long spine board and straps for rapid spinal immobilization.
A+ TEST BANK 2
, NRCME TEST BANK 2025
You selected A; This is correct!
rationale:
The goal of the primary assessment is to rapidly identify and correct all life-threatening injuries or
conditions. In the case of this patient, as your partner maintains in-line cervical spine control, he or
she should assist the patient's ventilations. An unresponsive patient with slow, shallow breathing is
not breathing adequately and should be treated with ventilatory assistance, not a nonrebreathing
mask. As your partner is managing the patient's airway and providing ventilatory assistance, you
should apply direct pressure (or a tourniquet, if needed) to the extremity wound to control the
bleeding. It is important for you and your partner to work together so that all life-threats can be
corrected as soon as possible. Most EMS systems work with two-person crews and do not have the
luxury of a third EMT. If the police or fire department is on the scene, you can ask them to gather
equipment for you. The request for an ALS ambulance is based on factors such as the patient's
condition and transport time to the closest appropriate hospital.
The MOST obvious way to reduce heat loss from radiation and convection is to:
A:move to a warmer environment.
B:increase metabolism by shivering.
C:wear a thick wind-proof jacket.
D:move away from a cold object.
You selected A; This is correct!
You selected A; This is correct!
rationale:
In a cold environment, the body has two ways of staying warm: generating heat (thermogenesis)
and reducing heat loss. Radiation is the transfer of heat by radiant energy. The body can lose heat by
radiation, such as when a person stands in a cold room. Convection occurs when heat is transferred
to circulating air, as when cool air moves across the body's surface. A person standing in windy cold
weather, wearing lightweight clothing, is losing heat to the environment mostly by convection. The
quickest and most obvious way to decrease heat loss from radiation and convection is to move out
of the cold environment and seek shelter from wind. Shivering increases the body's metabolism and
is a mechanism for generating heat, not reducing heat loss. Layers of clothing trap air and provide
excellent insulation; thus, layered clothing decreases heat loss better than a single, thick jacket.
Conduction is the direct transfer of heat from a part of the body to a colder object by direct contact,
as when a warm hand touches cold metal or ice. The most obvious way to decrease heat loss by
conduction is to remove your hand from the cold object.
A+ TEST BANK 3
, NRCME TEST BANK 2025
You are called to a local nightclub for an injured patient. Law enforcement personnel have secured
the scene. Upon arrival, you see a young man who is lying on the ground screaming in pain; bright
red blood is spurting from an apparent stab wound to his groin area. You should:
A:control the bleeding.
B:prevent hypothermia.
C:ensure an open airway.
D:apply 100% oxygen.
You selected A; This is correct!
rationale:
This patient's airway is obviously patent; he is screaming in pain. Blood spurting from the groin area
indicates arterial bleeding from the femoral artery. If this bleeding is not controlled immediately, the
patient will die. Oxygen and other shock treatment (ie, keeping him warm) should be initiated after
this life-threatening bleeding is controlled. If you take the time to set up and administer oxygen prior
to managing the bleeding, the patient will die. Base your treatment priorities on what will kill the
patient first.
When caring for a patient with an acute behavioral crisis, your primary concern should be:
A:ensuring you and your partner's safety.
B:obtaining a complete past medical history.
C:gathering all of the patient's medications.
D:providing safe transport to the hospital.
You selected A; This is correct!
rationale:
When caring for a patient with a behavioral or emotional crisis, your primary concern should be for
your own personal safety as well as your partner's safety. Your ultimate goal is to transport the
patient to the hospital safely. Gather as much medical history information as possible, but keep in
mind that many patients experiencing an emotional or behavioral crisis will not readily provide this
information. It is important to remember that patients with emotional or behavioral crises may
appear calm initially; however, there is always the potential for them to turn violent.
A+ TEST BANK 4
NREMT TEST BANK VERIFIED
QUESTIONS AND ANWERS WITH
DETAILED RATIONALES 2025/2026
COMPLETE 600 QUESTIONS AND
CORRECT ANSWERS WITH
RATIONALES | ALREADY GRADED A+
You are assessing a 70-year-old male who complains of pain in both of his legs. He is conscious and
alert, has a blood pressure of 160/90 mm Hg, a pulse rate of 110 beats/min, and respirations of 14
breaths/min and unlabored. Further assessment reveals edema to both of his feet and legs and
jugular venous distention. This patient's primary problem is MOST likely:
A:left heart failure.
B:chronic hypertension.
C:right heart failure.
D:pulmonary edema.
The correct answer is C;
rationale:
If the right side of the heart is damaged, fluid collects in the body (edema), often showing in the feet
and legs. The collection of fluid in the part of the body that is closest to the ground is called
dependent edema. The swelling causes relatively few symptoms other than discomfort. Another
feature of right heart failure is jugular venous distention, which is an indication of blood backing up
into the systemic circulation. Left heart failure typically presents with shortness of breath due to
fluid in the lungs (pulmonary edema), which indicates blood backing up from the left side of the
heart into the lungs. In severe pulmonary edema, the patient may cough up pink, frothy sputum.
Right heart failure and/or left heart failure are also referred to as congestive heart failure (CHF).
Chronic hypertension cannot be established on the basis of a single blood pressure reading.
A 65-year-old man has generalized weakness and chest pressure. He has a bottle of prescribed
nitroglycerin, but states that he has not taken any of his medication. As your partner prepares to
administer oxygen, you should:
A+ TEST BANK 1
, NRCME TEST BANK 2025
A:assist the patient with his nitroglycerin with medical control approval.
B:apply the AED and prepare the patient for immediate transport.
C:perform a secondary assessment and obtain baseline vital signs.
D:administer up to 325 mg of aspirin if the patient is not allergic to it.
The correct answer is D;
rationale:
Aspirin has clearly been shown to reduce mortality and morbitiy associated with acute coronary
syndrome (ACS) and should be given as early as possible; the dose is 160 to 325 mg. Even though this
patient has chest pain and prescribed nitroglycerin, you must first complete a secondary assessment
and obtain baseline vital signs. Medical control will need this information—specifically the patient's
blood pressure—in order to determine whether you should assist the patient with his nitroglycerin.
The AED is not indicated for this patient because he is not in cardiac arrest.
Which of the following patients is the BEST candidate for the administration of nitroglycerin?
A:A man with chest pain, expired nitroglycerin spray, and a blood pressure of 110/80 mm Hg
B:A woman who has taken three doses of prescribed nitroglycerin without relief of chest pain
C:An elderly man with crushing substernal chest pain and a blood pressure of 80/60 mm Hg
D:A woman with chest pain, prescribed nitroglycerin, and a blood pressure of 104/76 mm Hg
You selected D; This is correct!
rationale:
Nitroglycerin should be administered to patients who have the prescribed, unexpired drug with them
and a systolic blood pressure of greater than 100 mm Hg. No more than three (3) nitroglycerin
tablets or sprays should be administered to a patient in the prehospital setting. An expired
medication should never be administered to any patient, even if the medication is otherwise
indicated for his or her condition.
An unresponsive patient with multi-systems trauma has slow, shallow breathing; weak radial pulses;
and severe bleeding from a lower extremity wound. You should direct your partner to:
A:assist the patient's ventilations while you control the bleeding.
B:apply oxygen via nonrebreathing mask while you control the bleeding.
C:radio for a paramedic ambulance to respond to the scene.
D:prepare the long spine board and straps for rapid spinal immobilization.
A+ TEST BANK 2
, NRCME TEST BANK 2025
You selected A; This is correct!
rationale:
The goal of the primary assessment is to rapidly identify and correct all life-threatening injuries or
conditions. In the case of this patient, as your partner maintains in-line cervical spine control, he or
she should assist the patient's ventilations. An unresponsive patient with slow, shallow breathing is
not breathing adequately and should be treated with ventilatory assistance, not a nonrebreathing
mask. As your partner is managing the patient's airway and providing ventilatory assistance, you
should apply direct pressure (or a tourniquet, if needed) to the extremity wound to control the
bleeding. It is important for you and your partner to work together so that all life-threats can be
corrected as soon as possible. Most EMS systems work with two-person crews and do not have the
luxury of a third EMT. If the police or fire department is on the scene, you can ask them to gather
equipment for you. The request for an ALS ambulance is based on factors such as the patient's
condition and transport time to the closest appropriate hospital.
The MOST obvious way to reduce heat loss from radiation and convection is to:
A:move to a warmer environment.
B:increase metabolism by shivering.
C:wear a thick wind-proof jacket.
D:move away from a cold object.
You selected A; This is correct!
You selected A; This is correct!
rationale:
In a cold environment, the body has two ways of staying warm: generating heat (thermogenesis)
and reducing heat loss. Radiation is the transfer of heat by radiant energy. The body can lose heat by
radiation, such as when a person stands in a cold room. Convection occurs when heat is transferred
to circulating air, as when cool air moves across the body's surface. A person standing in windy cold
weather, wearing lightweight clothing, is losing heat to the environment mostly by convection. The
quickest and most obvious way to decrease heat loss from radiation and convection is to move out
of the cold environment and seek shelter from wind. Shivering increases the body's metabolism and
is a mechanism for generating heat, not reducing heat loss. Layers of clothing trap air and provide
excellent insulation; thus, layered clothing decreases heat loss better than a single, thick jacket.
Conduction is the direct transfer of heat from a part of the body to a colder object by direct contact,
as when a warm hand touches cold metal or ice. The most obvious way to decrease heat loss by
conduction is to remove your hand from the cold object.
A+ TEST BANK 3
, NRCME TEST BANK 2025
You are called to a local nightclub for an injured patient. Law enforcement personnel have secured
the scene. Upon arrival, you see a young man who is lying on the ground screaming in pain; bright
red blood is spurting from an apparent stab wound to his groin area. You should:
A:control the bleeding.
B:prevent hypothermia.
C:ensure an open airway.
D:apply 100% oxygen.
You selected A; This is correct!
rationale:
This patient's airway is obviously patent; he is screaming in pain. Blood spurting from the groin area
indicates arterial bleeding from the femoral artery. If this bleeding is not controlled immediately, the
patient will die. Oxygen and other shock treatment (ie, keeping him warm) should be initiated after
this life-threatening bleeding is controlled. If you take the time to set up and administer oxygen prior
to managing the bleeding, the patient will die. Base your treatment priorities on what will kill the
patient first.
When caring for a patient with an acute behavioral crisis, your primary concern should be:
A:ensuring you and your partner's safety.
B:obtaining a complete past medical history.
C:gathering all of the patient's medications.
D:providing safe transport to the hospital.
You selected A; This is correct!
rationale:
When caring for a patient with a behavioral or emotional crisis, your primary concern should be for
your own personal safety as well as your partner's safety. Your ultimate goal is to transport the
patient to the hospital safely. Gather as much medical history information as possible, but keep in
mind that many patients experiencing an emotional or behavioral crisis will not readily provide this
information. It is important to remember that patients with emotional or behavioral crises may
appear calm initially; however, there is always the potential for them to turn violent.
A+ TEST BANK 4
