NREMT Practice Test Bank
2026 - Multiple Choice,
Exams of Nursing Assured
A+ Certified Pass
- ANSWERS-re
The ultimate goal of any EMS quality improvement program is to:
• A:recognize all EMTs who demonstrate consistency in providing competent
patient care.
• B:provide protocols to all EMTs and hold them accountable if protocols are not
followed.
• C:deliver a consistently high standard of care to all patients who are
encountered.
• D:ensure that all personnel receive an adequate number of continuing
education hours. - ANSWERS-You selected C; This is correct!
Reason: Providing continuing education to all personnel, recognizing those who
consistently provide competent patient care, and holding all personnel
accountable for adhering to the EMS protocols are all components of any EMS
quality improvement program. The ultimate goal, however, is to provide, as a
system, a consistently high standard of care to all patients who are encountered.
,A set of regulations and ethical considerations that define the extent or limits of
an EMT's job is called:
• A:the Medical Practices Act.
• B:confidentiality.
• C:a duty to act.
• D:scope of practice. - ANSWERS-You selected D; This is correct!
Reason:The set of legal regulations and ethical considerations that define the job
of the EMT is called the scope of practice. The scope of practice provides a clear
delineation of the EMT's roles and responsibilities. Duty to act is defined as a legal
obligation to respond to every call for help while on duty and in your jurisdiction,
whether you are paid for your services or not. Confidentiality entails not releasing
any patient information to those not directly involved in the care of the patient.
The Medical Practices Act describes the minimum qualifications of those who may
engage in emergency medical care and establishes a means of certification.
The scene size-up includes all of the following components, EXCEPT:
• A:evaluating the mechanism of injury.
• B:determining if the scene is safe.
• C:assessing the need for assistance.
• D:donning personal protective gea - ANSWERS-You selected A; The correct
answer is D;
Reason: The components of the scene size-up include determining scene safety,
assessing the mechanism of injury (MOI) or nature of illness (NOI), determining
the number of patients, and requesting additional help if needed. Personal
,protective equipment (PPE) should be donned prior to beginning the scene size-
up.
You are called to transport a patient with terminal lung cancer from a skilled
nursing facility to the emergency department for evaluation of possible
pneumonia. As you are reviewing the transfer paperwork, you see that the patient
has a valid "do not attempt resuscitation" order. During transport, you should:
• A:monitor the patient because a DNAR order prohibits you from providing care.
• B:provide supportive care, such as oxygen, and keep the patient comfortable.
• C:perform CPR for only 2 minutes if the patient develops cardiac arrest.
• D:disregard the DNAR order because it is only valid in the hospital setting. -
ANSWERS-You selected B; This is correct!
Reason:A valid do not attempt resuscitation (DNAR) order gives you the legal
authority not to initiate resuscitative efforts if the patient develops cardiac arrest.
Because laws vary from state to state, you must be familiar with the DNAR laws
inherent to the state in which you work as an EMT. Many states have adopted out-
of-hospital DNAR orders; these are legal documents and should be adhered to if
they are valid. Generally speaking, a valid DNAR order must clearly state the
patient's medical problem(s), be signed by the patient or legal guardian, and be
signed by one or more physicians. In some states, DNAR orders have an expiration
date, while in others, no expiration date is included. Contact medical control for
guidance if the validity of a DNAR order is questionable. Even in the presence of a
valid DNAR order, you are still obligated to provide supportive measures, such as
oxygen, pain relief, and comfort. DNAR does not mean do not treat.
Which of the following statements BEST describes a mass-casualty incident?
• A:The number of patients overwhelms your resources.
, • B:More than three vehicles are involved in the incident.
• C:More than five patients are involved.
• D:At least half of the patients are critically injured. - ANSWERS-You selected A;
This is correct!
Reason:A mass-casualty incident (MCI) occurs any time the number of injured
patients overwhelms your available resources. It is not necessarily defined by the
number of patients, but rather your ability to effectively manage them. For
example, if you and your partner arrive at a scene and find two critically injured
patients, you have an MCI (albeit a small-scale MCI) because two EMTs and one
ambulance can only care for one critically ill or injured patient effectively.
While caring for a trauma patient, blood splashes into an EMT's eyes. This is an
example of:
• A:infection.
• B:indirect contact.
• C:transmission.
• D:exposure.
While caring for a trauma patient, blood splashes into an EMT's eyes. This is an
example of:
• A:infection.
• B:indirect contact.
• C:transmission.
• D:exposure. - ANSWERS-You selected D; This is correct!
2026 - Multiple Choice,
Exams of Nursing Assured
A+ Certified Pass
- ANSWERS-re
The ultimate goal of any EMS quality improvement program is to:
• A:recognize all EMTs who demonstrate consistency in providing competent
patient care.
• B:provide protocols to all EMTs and hold them accountable if protocols are not
followed.
• C:deliver a consistently high standard of care to all patients who are
encountered.
• D:ensure that all personnel receive an adequate number of continuing
education hours. - ANSWERS-You selected C; This is correct!
Reason: Providing continuing education to all personnel, recognizing those who
consistently provide competent patient care, and holding all personnel
accountable for adhering to the EMS protocols are all components of any EMS
quality improvement program. The ultimate goal, however, is to provide, as a
system, a consistently high standard of care to all patients who are encountered.
,A set of regulations and ethical considerations that define the extent or limits of
an EMT's job is called:
• A:the Medical Practices Act.
• B:confidentiality.
• C:a duty to act.
• D:scope of practice. - ANSWERS-You selected D; This is correct!
Reason:The set of legal regulations and ethical considerations that define the job
of the EMT is called the scope of practice. The scope of practice provides a clear
delineation of the EMT's roles and responsibilities. Duty to act is defined as a legal
obligation to respond to every call for help while on duty and in your jurisdiction,
whether you are paid for your services or not. Confidentiality entails not releasing
any patient information to those not directly involved in the care of the patient.
The Medical Practices Act describes the minimum qualifications of those who may
engage in emergency medical care and establishes a means of certification.
The scene size-up includes all of the following components, EXCEPT:
• A:evaluating the mechanism of injury.
• B:determining if the scene is safe.
• C:assessing the need for assistance.
• D:donning personal protective gea - ANSWERS-You selected A; The correct
answer is D;
Reason: The components of the scene size-up include determining scene safety,
assessing the mechanism of injury (MOI) or nature of illness (NOI), determining
the number of patients, and requesting additional help if needed. Personal
,protective equipment (PPE) should be donned prior to beginning the scene size-
up.
You are called to transport a patient with terminal lung cancer from a skilled
nursing facility to the emergency department for evaluation of possible
pneumonia. As you are reviewing the transfer paperwork, you see that the patient
has a valid "do not attempt resuscitation" order. During transport, you should:
• A:monitor the patient because a DNAR order prohibits you from providing care.
• B:provide supportive care, such as oxygen, and keep the patient comfortable.
• C:perform CPR for only 2 minutes if the patient develops cardiac arrest.
• D:disregard the DNAR order because it is only valid in the hospital setting. -
ANSWERS-You selected B; This is correct!
Reason:A valid do not attempt resuscitation (DNAR) order gives you the legal
authority not to initiate resuscitative efforts if the patient develops cardiac arrest.
Because laws vary from state to state, you must be familiar with the DNAR laws
inherent to the state in which you work as an EMT. Many states have adopted out-
of-hospital DNAR orders; these are legal documents and should be adhered to if
they are valid. Generally speaking, a valid DNAR order must clearly state the
patient's medical problem(s), be signed by the patient or legal guardian, and be
signed by one or more physicians. In some states, DNAR orders have an expiration
date, while in others, no expiration date is included. Contact medical control for
guidance if the validity of a DNAR order is questionable. Even in the presence of a
valid DNAR order, you are still obligated to provide supportive measures, such as
oxygen, pain relief, and comfort. DNAR does not mean do not treat.
Which of the following statements BEST describes a mass-casualty incident?
• A:The number of patients overwhelms your resources.
, • B:More than three vehicles are involved in the incident.
• C:More than five patients are involved.
• D:At least half of the patients are critically injured. - ANSWERS-You selected A;
This is correct!
Reason:A mass-casualty incident (MCI) occurs any time the number of injured
patients overwhelms your available resources. It is not necessarily defined by the
number of patients, but rather your ability to effectively manage them. For
example, if you and your partner arrive at a scene and find two critically injured
patients, you have an MCI (albeit a small-scale MCI) because two EMTs and one
ambulance can only care for one critically ill or injured patient effectively.
While caring for a trauma patient, blood splashes into an EMT's eyes. This is an
example of:
• A:infection.
• B:indirect contact.
• C:transmission.
• D:exposure.
While caring for a trauma patient, blood splashes into an EMT's eyes. This is an
example of:
• A:infection.
• B:indirect contact.
• C:transmission.
• D:exposure. - ANSWERS-You selected D; This is correct!
