NREMT Paramedic Actual Exam 200 Questions and Answers |
Fall 2025/2026 Update | 100% Correct
What should be the goal of your pre-hospital intervention with this patient after ensuring his
airway and applying oxygen therapy?
A. Fluid resuscitation to maintain a systolic blood pressure of 80-90 systolic
B. Fluid resuscitation to maintain a blood pressure of at least 100 systolic
C. To control the hemorrhage with pharmacologic intervention
D. Maintaining a high blood oxygen saturation to continue perfusion at the cellular level -
answer>>>A.
Your adult patient presents with dyspnea that developed over the last few days and worsened
today. During auscultation of the patient's lungs, his vocal sounds become louder over the left
lower lobe of his lung. What does this likely indicate?
A. Consolidation (fluid, mucus) is present in the left lower lobe of the patient's lung
B. Consolidation (clear lung sounds) is present everywhere but in the left lower lobe of the
patient's lung
C. A pneumothorax likely exists in the left lower lobe of the patient's lung
D. The patient is likely experiencing an acute asthma attack - answer>>>A.
Your adult patient was involved in a structure fire and received possible airway burns. The patient
complains of shortness of breath, but there are no obvious burns noted in his oropharynx.
However, his dyspnea fails to improve after several minutes of high-flow oxygen therapy, and his
lung sounds reveal a grating sound during equal inspiration/exhalation.
Which of the following should you suspect?
A. A loss of pulmonary surfactant
B. Bronchoconstriction
,C. Fluid accumulation in the small airways
D. Associated rib fracture - answer>>>A.
You are treating a post femoral fracture patient with suspected deep vein thrombosis in his right
upper thigh. What should be the main concern while treating and transporting the patient to the
hospital?
A. Immobilize the right leg and apply hot packs to the suspected occlusion site to improve distal
circulation
B. Allow the patient to assume a position of comfort and monitor closely for a pulmonary
embolism
C. Fully immobilizing the patient and monitoring distal circulation, sensation, and heart tones
D. Immobilizing the right leg and making sure it stays lower than the heart while assessing distal
pulses - answer>>>B.
You are on-scene with a cardiac history patient experiencing unstable ventricular tachycardia that
is not responding well to prehospital interventions. The patient and family want the patient
transported to a hospital across town; however, there is a facility more capable of handling the
cardiac event much closer.
Which of the following would be most appropriate?
A. Transport the patient to the closer facility, then explain to the patient and family on arrival at
the appropriate facility
B. Transport the patient to the facility of his or her choice, regardless of medical condition
C. Explain the situation to the patient and family, then transport him to the closer facility to
benefit the patient
D. Tell the patient and family they have no choice and transport the patient to the closer facility -
answer>>>C.
Thyroid storm is caused by the acute hyperfunction of the thyroid gland and is a true medical
emergency that requires emergent hospital intervention. Which of the following signs and
symptoms would a paramedic expect a patient experiencing a thyroid storm to exhibit?
A. Tachycardia, bradypnea, hypothermia, gastrointestinal upset, and listlessness
,B. Bradycardia, tachypnea, hypothermia, palpitations, and lethargy
C. Tachycardia, tachypnea, hyperthermia, palpitations, and delirium
D. Bradycardia, bradypnea, hyperthermia, confusion, and delirium - answer>>>C.
Your adult hemodialysis patient is in cardiac arrest one hour after completing a dialysis treatment.
He is found to be apneic and asystolic with adequate CPR in progress. Which of the following
should be administered during the resuscitation attempt?
A. Sodium bicarbonate and magnesium sulfate
B. Amiodarone and magnesium sulfate
C. Sodium bicarbonate and calcium chloride
D. Potassium and dopamine - answer>>>C.
After assisting a pregnant patient to deliver her full-term newborn at home, you quickly dry the
infant and open his airway to help begin spontaneous respiration. However, after a few seconds,
you realize the newborn has copious secretions in his airway preventing effective spontaneous
respiration.
Which of the following should you do to safely and effectively clear the infant's airway?
A. Use a portable suction machine with a rigid suction catheter to suction his posterior airway
B. Use a bulb syringe to suction his nose first and his mouth second
C. With assistance, use two bulb syringes to suction his mouth and nose simultaneously
D. Use a bulb syringe to suction his mouth first and then his nose second - answer>>>D.
You are called to assist an adult female with a possible allergic reaction. You arrive to find a 22-
year-old patient who is just beginning to have difficulty breathing. She has itching, urticaria, and
hives after a bee-sting. During the possible allergic reaction, what is occurring at the cellular level?
A. The mast cells are retaining the vasoactive amines, resulting in a localized response to the sting
B. The cells begin a hypermetabolic state associated with the patient's increased activity level
after the sting
, C. An anaerobic metabolism has begun at the local level and is now moving into the vasculature
D. The mast cells have degranulated, releasing serotonin and histamines into the general
circulation - answer>>>D.
If the city council in your area enacts a law concerning the classification of first responders, what
type of law allows this to occur in the US?
A. Civil law
B. Legislative law
C. Administrative law
D. Common law - answer>>>B.
You are treating a 20-year-old patient who sustained a full-thickness burn to his entire right lower
leg. During your evaluation, it is quickly determined the patient has no sensation or distal pulses
peripherally in the affected limb. If circulation is not quickly returned to the extremity, which of
the following is most likely to occur?
A. Crush injury syndrome
B. Burn shock syndrome
C. Compartment syndrome
D. Lactic acidosis syndrome - answer>>>C.
You are called to assist a 50-year-old patient with rapid-onset pain in his right lower calf. The
patient denies trauma but has a past medical history of hypertension and heart disease. The right
lower leg is cool and pale, and the patient reports cramp-like pain in the area that began while he
was sitting. His left leg remains asymptomatic.
Which of the following conditions should be suspected until proven otherwise?
A. Acute femoral artery occlusion
B. Acute iliac artery occlusion
C. Acute abdominal aorta occlusion
Fall 2025/2026 Update | 100% Correct
What should be the goal of your pre-hospital intervention with this patient after ensuring his
airway and applying oxygen therapy?
A. Fluid resuscitation to maintain a systolic blood pressure of 80-90 systolic
B. Fluid resuscitation to maintain a blood pressure of at least 100 systolic
C. To control the hemorrhage with pharmacologic intervention
D. Maintaining a high blood oxygen saturation to continue perfusion at the cellular level -
answer>>>A.
Your adult patient presents with dyspnea that developed over the last few days and worsened
today. During auscultation of the patient's lungs, his vocal sounds become louder over the left
lower lobe of his lung. What does this likely indicate?
A. Consolidation (fluid, mucus) is present in the left lower lobe of the patient's lung
B. Consolidation (clear lung sounds) is present everywhere but in the left lower lobe of the
patient's lung
C. A pneumothorax likely exists in the left lower lobe of the patient's lung
D. The patient is likely experiencing an acute asthma attack - answer>>>A.
Your adult patient was involved in a structure fire and received possible airway burns. The patient
complains of shortness of breath, but there are no obvious burns noted in his oropharynx.
However, his dyspnea fails to improve after several minutes of high-flow oxygen therapy, and his
lung sounds reveal a grating sound during equal inspiration/exhalation.
Which of the following should you suspect?
A. A loss of pulmonary surfactant
B. Bronchoconstriction
,C. Fluid accumulation in the small airways
D. Associated rib fracture - answer>>>A.
You are treating a post femoral fracture patient with suspected deep vein thrombosis in his right
upper thigh. What should be the main concern while treating and transporting the patient to the
hospital?
A. Immobilize the right leg and apply hot packs to the suspected occlusion site to improve distal
circulation
B. Allow the patient to assume a position of comfort and monitor closely for a pulmonary
embolism
C. Fully immobilizing the patient and monitoring distal circulation, sensation, and heart tones
D. Immobilizing the right leg and making sure it stays lower than the heart while assessing distal
pulses - answer>>>B.
You are on-scene with a cardiac history patient experiencing unstable ventricular tachycardia that
is not responding well to prehospital interventions. The patient and family want the patient
transported to a hospital across town; however, there is a facility more capable of handling the
cardiac event much closer.
Which of the following would be most appropriate?
A. Transport the patient to the closer facility, then explain to the patient and family on arrival at
the appropriate facility
B. Transport the patient to the facility of his or her choice, regardless of medical condition
C. Explain the situation to the patient and family, then transport him to the closer facility to
benefit the patient
D. Tell the patient and family they have no choice and transport the patient to the closer facility -
answer>>>C.
Thyroid storm is caused by the acute hyperfunction of the thyroid gland and is a true medical
emergency that requires emergent hospital intervention. Which of the following signs and
symptoms would a paramedic expect a patient experiencing a thyroid storm to exhibit?
A. Tachycardia, bradypnea, hypothermia, gastrointestinal upset, and listlessness
,B. Bradycardia, tachypnea, hypothermia, palpitations, and lethargy
C. Tachycardia, tachypnea, hyperthermia, palpitations, and delirium
D. Bradycardia, bradypnea, hyperthermia, confusion, and delirium - answer>>>C.
Your adult hemodialysis patient is in cardiac arrest one hour after completing a dialysis treatment.
He is found to be apneic and asystolic with adequate CPR in progress. Which of the following
should be administered during the resuscitation attempt?
A. Sodium bicarbonate and magnesium sulfate
B. Amiodarone and magnesium sulfate
C. Sodium bicarbonate and calcium chloride
D. Potassium and dopamine - answer>>>C.
After assisting a pregnant patient to deliver her full-term newborn at home, you quickly dry the
infant and open his airway to help begin spontaneous respiration. However, after a few seconds,
you realize the newborn has copious secretions in his airway preventing effective spontaneous
respiration.
Which of the following should you do to safely and effectively clear the infant's airway?
A. Use a portable suction machine with a rigid suction catheter to suction his posterior airway
B. Use a bulb syringe to suction his nose first and his mouth second
C. With assistance, use two bulb syringes to suction his mouth and nose simultaneously
D. Use a bulb syringe to suction his mouth first and then his nose second - answer>>>D.
You are called to assist an adult female with a possible allergic reaction. You arrive to find a 22-
year-old patient who is just beginning to have difficulty breathing. She has itching, urticaria, and
hives after a bee-sting. During the possible allergic reaction, what is occurring at the cellular level?
A. The mast cells are retaining the vasoactive amines, resulting in a localized response to the sting
B. The cells begin a hypermetabolic state associated with the patient's increased activity level
after the sting
, C. An anaerobic metabolism has begun at the local level and is now moving into the vasculature
D. The mast cells have degranulated, releasing serotonin and histamines into the general
circulation - answer>>>D.
If the city council in your area enacts a law concerning the classification of first responders, what
type of law allows this to occur in the US?
A. Civil law
B. Legislative law
C. Administrative law
D. Common law - answer>>>B.
You are treating a 20-year-old patient who sustained a full-thickness burn to his entire right lower
leg. During your evaluation, it is quickly determined the patient has no sensation or distal pulses
peripherally in the affected limb. If circulation is not quickly returned to the extremity, which of
the following is most likely to occur?
A. Crush injury syndrome
B. Burn shock syndrome
C. Compartment syndrome
D. Lactic acidosis syndrome - answer>>>C.
You are called to assist a 50-year-old patient with rapid-onset pain in his right lower calf. The
patient denies trauma but has a past medical history of hypertension and heart disease. The right
lower leg is cool and pale, and the patient reports cramp-like pain in the area that began while he
was sitting. His left leg remains asymptomatic.
Which of the following conditions should be suspected until proven otherwise?
A. Acute femoral artery occlusion
B. Acute iliac artery occlusion
C. Acute abdominal aorta occlusion
