NREMT Advanced-EMT Questions and
Answers | Latest Version | 2025/2026 |
Correct & Verified
What is the most appropriate fluid for volume replacement in a trauma patient with hypotension?
✔✔ Normal saline (0.9% sodium chloride).
What is the preferred site for IV insertion in an alert, cooperative adult?
✔✔ The antecubital vein of the upper extremity.
What size IV catheter is best for rapid fluid resuscitation in a trauma patient?
✔✔ 18 gauge or larger.
What is the maximum time allowed for attempting an IV before switching to an IO route in
critical patients?
✔✔ 90 seconds.
What should you do if you accidentally puncture through a vein during IV insertion?
✔✔ Withdraw slightly and reattempt to thread the catheter.
1
,What is the most reliable sign that an IV is correctly placed in a vein?
✔✔ Blood flashback in the catheter hub.
What should you do immediately after inserting the IV catheter into the vein?
✔✔ Remove the needle and secure the catheter.
What medication is commonly used to reverse opioid overdose at the AEMT level?
✔✔ Naloxone.
What is the primary effect of naloxone on the respiratory system?
✔✔ It restores normal respiratory effort by reversing opioid-induced depression.
What is the preferred route of naloxone administration in a patient with no IV access?
✔✔ Intranasal.
What should you do after administering naloxone and the patient wakes up?
✔✔ Monitor airway, breathing, and prepare for repeat dosing if necessary.
2
,What is the action of dextrose when given to a hypoglycemic patient?
✔✔ It raises blood glucose levels by providing a concentrated sugar solution.
What concentration of dextrose is typically used for adult patients?
✔✔ Dextrose 50% (D50).
What is the preferred treatment for hypoglycemia in an unconscious pediatric patient without IV
access?
✔✔ Intraosseous dextrose.
What is a major complication of extravasation of dextrose?
✔✔ Tissue necrosis at the site.
What is the most appropriate action if the IV site becomes red and swollen during fluid
administration?
✔✔ Discontinue the IV and start a new one in a different location.
3
, What is the priority intervention for a patient with signs of anaphylaxis?
✔✔ Administer intramuscular epinephrine.
What is the mechanism of action of epinephrine in anaphylaxis?
✔✔ It constricts blood vessels and dilates bronchioles.
What is the first-line fluid for treatment of anaphylactic shock?
✔✔ Normal saline bolus.
What is the correct position for a hypotensive patient in anaphylaxis with no respiratory distress?
✔✔ Supine with legs elevated.
What is the initial dose of epinephrine for an adult in anaphylaxis?
✔✔ 0.3 mg intramuscularly.
What should you do before administering any IV medication?
✔✔ Check for correct medication, dose, route, time, and patient.
4
Answers | Latest Version | 2025/2026 |
Correct & Verified
What is the most appropriate fluid for volume replacement in a trauma patient with hypotension?
✔✔ Normal saline (0.9% sodium chloride).
What is the preferred site for IV insertion in an alert, cooperative adult?
✔✔ The antecubital vein of the upper extremity.
What size IV catheter is best for rapid fluid resuscitation in a trauma patient?
✔✔ 18 gauge or larger.
What is the maximum time allowed for attempting an IV before switching to an IO route in
critical patients?
✔✔ 90 seconds.
What should you do if you accidentally puncture through a vein during IV insertion?
✔✔ Withdraw slightly and reattempt to thread the catheter.
1
,What is the most reliable sign that an IV is correctly placed in a vein?
✔✔ Blood flashback in the catheter hub.
What should you do immediately after inserting the IV catheter into the vein?
✔✔ Remove the needle and secure the catheter.
What medication is commonly used to reverse opioid overdose at the AEMT level?
✔✔ Naloxone.
What is the primary effect of naloxone on the respiratory system?
✔✔ It restores normal respiratory effort by reversing opioid-induced depression.
What is the preferred route of naloxone administration in a patient with no IV access?
✔✔ Intranasal.
What should you do after administering naloxone and the patient wakes up?
✔✔ Monitor airway, breathing, and prepare for repeat dosing if necessary.
2
,What is the action of dextrose when given to a hypoglycemic patient?
✔✔ It raises blood glucose levels by providing a concentrated sugar solution.
What concentration of dextrose is typically used for adult patients?
✔✔ Dextrose 50% (D50).
What is the preferred treatment for hypoglycemia in an unconscious pediatric patient without IV
access?
✔✔ Intraosseous dextrose.
What is a major complication of extravasation of dextrose?
✔✔ Tissue necrosis at the site.
What is the most appropriate action if the IV site becomes red and swollen during fluid
administration?
✔✔ Discontinue the IV and start a new one in a different location.
3
, What is the priority intervention for a patient with signs of anaphylaxis?
✔✔ Administer intramuscular epinephrine.
What is the mechanism of action of epinephrine in anaphylaxis?
✔✔ It constricts blood vessels and dilates bronchioles.
What is the first-line fluid for treatment of anaphylactic shock?
✔✔ Normal saline bolus.
What is the correct position for a hypotensive patient in anaphylaxis with no respiratory distress?
✔✔ Supine with legs elevated.
What is the initial dose of epinephrine for an adult in anaphylaxis?
✔✔ 0.3 mg intramuscularly.
What should you do before administering any IV medication?
✔✔ Check for correct medication, dose, route, time, and patient.
4
