NREMT EMR EXAM 2025-2026 ACTUAL EXAM 150
QUESTIONS AND CORRECT VERIFIED ANSWERS) WITH
RATIONALES |GUARANTEE A+ GRADE
The primary assessment of an adult with chest pain includes: - correct answer -Determine the
transport priority.
Determining the patient transport priority is a component of the primary assessment. Scene
safety is determined during the scene size up. Determining specifics about the patients pain
and reassessing vitals are done later in the assessment process.
You are caring for a six-year-old patient with respiratory distress. The pulse oximeter (Sa02)
reads 93%. Your management of the patient should include: - correct answer -Administer
sufficient oxygen to maintain a pulse oximeter reading of at least 94%
Oxygen is indicated for patients with signs or symptoms of hypoxia, including a pulse oximeter
below 94%. EMTs should not withhold oxygen from a patient with a pulse oximeter below 94%.
EMTs do not contact the patient€™s physician for medical direction, nor do they administer
MDIs which are not prescribed to the patient.
Which of the following interventions should be performed first for an unresponsive patient with
a suspected spinal cord injury? - correct answer -Jaw thrust maneuver.
The head-tilt, chin-lift is contraindicated for patients with suspected spinal injury. Manual
airway techniques, in this case the jaw thrust maneuver, should be performed before inserting
a mechanical airway adjunct.
You are caring for a 22-year-old female who complains of respiratory distress after exercising.
She is alert, speaking full sentences, and has a persistent cough. She is most likely experiencing:
- correct answer -Respiratory distress with adequate breathing.
The patient is alert and speaking full sentences. These signs indicate the patient is breathing
adequately. Respiratory paralysis and respiratory arrest are not possible because the patient is
alert and speaking.
,Your 5-year-old patient is unresponsive. A carotid pulse is present at 40 beats per minute.
Breaths are shallow at six per minute. You should immediately: - correct answer -Begin chest
compressions
CPR, beginning with chest compressions, is indicated for unresponsive children with a pulse
rate below 60.
Which of the following medications is intended to decrease myocardial workload and increase
myocardial blood flow? - correct answer -Nitroglycerin
Nitroglycerin is a vasodilator, so it can increase blood flow to the heart and reduce systemic
vascular resistance. Activated charcoal is an adsorbent, aspirin is an anti-platelet aggregate, and
epinephrine is a sympathomimetic.
You are caring for a multi-system trauma patient with possible internal bleeding. Select the
correct statement about the rapid scan for a multi-system trauma patient: - correct answer -
The rapid scan is used to identify life-threatening conditions.
The rapid scan is part of the primary assessment and is meant to identify any lift-threatening
conditions not already discovered. It is not used to identify low priority injuries, this should be
done during the secondary assessment. Any patient with the potential for life threatening
conditions, conscious or unconscious, should receive a rapid scan.
Your patient is a construction worker who fell from a residential rooftop. He is responsive to
pain. Breaths are shallow and irregular. You should: - correct answer -provide artificial
ventilations with a bag-mask device and high flow oxygen.
Your pediatric patient has spontaneous respirations. This means the patient is breathing: -
correct answer -without assistance.
Spontaneous breaths are unassisted breaths taken by the patient. Spontaneous breaths may
occur at any rate or tidal volume and with or without difficulty.
A nonrebreather mask should be administered to patients who: - correct answer -are breathing
adequately with signs of hypoxia.
, A nonrebreather mask is indicated for spontaneously breathing patients with adequate
ventilations and signs of hypoxia. Patients with inadequate, slow, or shallow ventilations should
be ventilated.
You are dispatched to the local jail for a prisoner found unresponsive in her cell. Her airway is
clear. Respirations are rapid and shallow. The pulse oximeter (SaO2) reads 90%. Your first
action should be to: - correct answer -begin positive pressure ventilations.
This patient requires artificial ventilations based on inadequate ventilations, a low pulse
oximeter, and a decreased LOC. This should take place before assessing the blood glucose,
blood pressure, or patient transport.
Which of the following findings indicates partial obstruction of the upper airway? - correct
answer -stridor.
Stridor occurs in the upper airway. Rales, rhonchi and wheezes occur in the lower airway.
To determine if CPR is indicated for an unresponsive patient less than one year of age, you
should assess the: - correct answer -brachial pulse.
You respond to a preschool facility for an ill child. Upon arrival, you find an unresponsive 8-
month-old. The infant has a palpable pulse of 50 beats per minute. Your next action should be
to: - correct answer -CPR, beginning with chest compressions, is indicated for unresponsive
children with a pulse rate below 60. This should be done before transport. The AED is not
indicated for patients with a pulse.
During a hazardous materials incident, you should take standard precautions: - correct answer -
before making contact with the patient.
A 19-year-old female is found unconscious in her apartment living room. While surveying the
apartment, your partner yells from the patient's bedroom "she has an SVN machine in here".
This suggests the patient has a history of: - correct answer -respiratory problems.
An SVN machine is used to nebulize bronchodilator medications. This indicates a probable
history of respiratory problems.
QUESTIONS AND CORRECT VERIFIED ANSWERS) WITH
RATIONALES |GUARANTEE A+ GRADE
The primary assessment of an adult with chest pain includes: - correct answer -Determine the
transport priority.
Determining the patient transport priority is a component of the primary assessment. Scene
safety is determined during the scene size up. Determining specifics about the patients pain
and reassessing vitals are done later in the assessment process.
You are caring for a six-year-old patient with respiratory distress. The pulse oximeter (Sa02)
reads 93%. Your management of the patient should include: - correct answer -Administer
sufficient oxygen to maintain a pulse oximeter reading of at least 94%
Oxygen is indicated for patients with signs or symptoms of hypoxia, including a pulse oximeter
below 94%. EMTs should not withhold oxygen from a patient with a pulse oximeter below 94%.
EMTs do not contact the patient€™s physician for medical direction, nor do they administer
MDIs which are not prescribed to the patient.
Which of the following interventions should be performed first for an unresponsive patient with
a suspected spinal cord injury? - correct answer -Jaw thrust maneuver.
The head-tilt, chin-lift is contraindicated for patients with suspected spinal injury. Manual
airway techniques, in this case the jaw thrust maneuver, should be performed before inserting
a mechanical airway adjunct.
You are caring for a 22-year-old female who complains of respiratory distress after exercising.
She is alert, speaking full sentences, and has a persistent cough. She is most likely experiencing:
- correct answer -Respiratory distress with adequate breathing.
The patient is alert and speaking full sentences. These signs indicate the patient is breathing
adequately. Respiratory paralysis and respiratory arrest are not possible because the patient is
alert and speaking.
,Your 5-year-old patient is unresponsive. A carotid pulse is present at 40 beats per minute.
Breaths are shallow at six per minute. You should immediately: - correct answer -Begin chest
compressions
CPR, beginning with chest compressions, is indicated for unresponsive children with a pulse
rate below 60.
Which of the following medications is intended to decrease myocardial workload and increase
myocardial blood flow? - correct answer -Nitroglycerin
Nitroglycerin is a vasodilator, so it can increase blood flow to the heart and reduce systemic
vascular resistance. Activated charcoal is an adsorbent, aspirin is an anti-platelet aggregate, and
epinephrine is a sympathomimetic.
You are caring for a multi-system trauma patient with possible internal bleeding. Select the
correct statement about the rapid scan for a multi-system trauma patient: - correct answer -
The rapid scan is used to identify life-threatening conditions.
The rapid scan is part of the primary assessment and is meant to identify any lift-threatening
conditions not already discovered. It is not used to identify low priority injuries, this should be
done during the secondary assessment. Any patient with the potential for life threatening
conditions, conscious or unconscious, should receive a rapid scan.
Your patient is a construction worker who fell from a residential rooftop. He is responsive to
pain. Breaths are shallow and irregular. You should: - correct answer -provide artificial
ventilations with a bag-mask device and high flow oxygen.
Your pediatric patient has spontaneous respirations. This means the patient is breathing: -
correct answer -without assistance.
Spontaneous breaths are unassisted breaths taken by the patient. Spontaneous breaths may
occur at any rate or tidal volume and with or without difficulty.
A nonrebreather mask should be administered to patients who: - correct answer -are breathing
adequately with signs of hypoxia.
, A nonrebreather mask is indicated for spontaneously breathing patients with adequate
ventilations and signs of hypoxia. Patients with inadequate, slow, or shallow ventilations should
be ventilated.
You are dispatched to the local jail for a prisoner found unresponsive in her cell. Her airway is
clear. Respirations are rapid and shallow. The pulse oximeter (SaO2) reads 90%. Your first
action should be to: - correct answer -begin positive pressure ventilations.
This patient requires artificial ventilations based on inadequate ventilations, a low pulse
oximeter, and a decreased LOC. This should take place before assessing the blood glucose,
blood pressure, or patient transport.
Which of the following findings indicates partial obstruction of the upper airway? - correct
answer -stridor.
Stridor occurs in the upper airway. Rales, rhonchi and wheezes occur in the lower airway.
To determine if CPR is indicated for an unresponsive patient less than one year of age, you
should assess the: - correct answer -brachial pulse.
You respond to a preschool facility for an ill child. Upon arrival, you find an unresponsive 8-
month-old. The infant has a palpable pulse of 50 beats per minute. Your next action should be
to: - correct answer -CPR, beginning with chest compressions, is indicated for unresponsive
children with a pulse rate below 60. This should be done before transport. The AED is not
indicated for patients with a pulse.
During a hazardous materials incident, you should take standard precautions: - correct answer -
before making contact with the patient.
A 19-year-old female is found unconscious in her apartment living room. While surveying the
apartment, your partner yells from the patient's bedroom "she has an SVN machine in here".
This suggests the patient has a history of: - correct answer -respiratory problems.
An SVN machine is used to nebulize bronchodilator medications. This indicates a probable
history of respiratory problems.
