NREMT Test Bank ABSITE EXAM COMPLETE
(2026) EXAM Questions and Answers
(Verified Answers) (Latest Update 2026)
UPDATE!!
A 3-year-old child has a sudden onset of respiratory distress. The mother denies any recent
illnesses or fever. You should suspect:
• A:lower respiratory infection.
• B:foreign body airway obstruction.
• C:croup.
• D:epiglottitis. - Correct Answer-You selected B; This is correct!
Reason:You should suspect a foreign body airway obstruction in any child who presents with an
acute onset of respiratory distress in the absence of fever. Croup, epiglottitis, and lower airway
infections (ie, bronchiolitis, bronchitis) commonly present with a fever. If the child is
experiencing a mild airway obstruction, in which he or she is moving adequate air, has a normal
level of consciousness, and pink skin, do not attempt to relieve the airway obstruction; doing so
may result in a severe airway obstruction. Offer oxygen and transport the child to the hospital
without delay. If signs of a severe airway obstruction are present (ie, ineffective cough,
decreased level of consciousness, cyanosis), you should perform abdominal thrusts until the
object is expelled or the child becomes unresponsive. If the child becomes unresponsive,
perform chest compressions.
During transport of a woman in labor, the patient tells you that she feels the urge to push. You
assess her and see the top of the baby's head bulging from the vagina. You should:
• A:ask the mother to take short, quick breaths until you arrive at the hospital.
• B:apply gentle pressure to the baby's head and notify the hospital immediately.
• C:advise your partner to stop the ambulance and assist with the delivery.
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,• D:allow the head to deliver and check for the location of the cord. - Correct Answer-You
selected C; This is correct!
Reason:If, during transport, the mother begins to deliver the infant, your first action should be
to advise your partner to stop the ambulance and assist you with the delivery. Delivery of a
baby should never be attempted in the back of a moving ambulance. During delivery, you
should apply gentle pressure to the top of the baby's head (be careful of the fontanelles) in
order to prevent an explosive delivery. After the head is delivered, you should quickly run your
fingers around its neck to determine if the cord is wrapped around its neck (nuchal cord). If a
nuchal cord is not present, suction the baby's mouth and nose and continue with the delivery.
If a woman is having her first child, the first stage of labor:
• A:is usually the longest and lasts an average of 16 hours.
• B:generally does not allow time for you to transport.
• C:is shorter than in women who have had other children.
• D:is typically very short and only lasts about 2 hours. - Correct Answer-You selected A; This is
correct!
Reason:There are three stages of labor: dilation of the cervix, delivery of the baby, and delivery
of the placenta. The first stage begins with the onset of contractions and ends when the cervix
is fully dilated. Since assessing for cervical dilation is not performed in the prehospital setting,
the first stage of labor is said to have ended when crowning occurs. Because the cervix has to
be stretched thin by uterine contractions until the opening is large enough for the fetus to pass
through into the vagina, the first stage is usually the longest, lasting an average of 16 hours for
a first delivery. With subsequent pregnancies, the first stage of labor typically progresses more
quickly. You will usually have enough time to transport the mother during the first stage of
labor, especially if this is her first pregnancy. It should be noted, however, than some
primigravida (pregnant for the first time) women progress through the first stage of labor very
quickly
A 3-year-old boy is found to be in cardiopulmonary arrest. As you begin one-rescuer CPR, your
partner prepares the AED. The appropriate compression to ventilation ratio for this child is:
• A:3:1
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,• B:30:2
• C:5:1
• D:15:2 - Correct Answer-You selected B; This is correct!
Reason:A universal compression to ventilation ratio of 30:2 is used for all one-rescuer CPR
(adult, child, and infant), with the exception of the newborn. A compression to ventilation ratio
of 3:1 is used for newborns (one- and two-rescuer). Two-rescuer infant and child CPR is
performed at a compression to ventilation ratio of 15:2. In this scenario, you are performing
one-rescuer CPR as your partner prepares the AED; therefore, you should give 30 compressions
and 2 breaths. However, when you and your partner resume CPR, give 15 compressions and 2
breaths.
You are dispatched to a residence for a 4-year-old female who is sick. Your assessment reveals
that she has increased work of breathing and is making a high-pitched sound during inhalation.
Her mother tells you that she has been running a high fever for the past 24 hours. Your MOST
immediate concern should be:
• A:preparing to treat her for a febrile seizure.
• B:determining if the child has a history of croup.
• C:assessing the need for ventilation assistance.
• D:taking her temperature to see how high it is - Correct Answer-You selected C; This is
correct!
Reason:The child is clearly experiencing respiratory distress and probably has croup
(laryngotracheobronchitis), a viral upper airway infection. The presence of stridor (high-pitched
sound heard during inhalation) indicates swelling of the upper airway. Your most immediate
concern should be assessing the adequacy of her breathing and determining if ventilation
assistance is necessary. If signs of respiratory failure are present (eg, signs of physical
exhaustion, bradycardia, bradypnea [slow respirations]), you must begin assisting her
ventilations with a bag-mask device; otherwise, she will likely deteriorate and develop cardiac
arrest. She may experience a febrile seizure if her fever acutely spikes; although this is a
concern, it is not the most immediate concern in a child with an airway or breathing problem.
Which of the following injuries is MOST indicative of child abuse?
3|Page
, • A:Multiple bruises to the shins
• B:Small laceration to the chin
• C:Burned hand with splash marks
• D:Bruising to the upper back - Correct Answer-You selected D; This is correct!
Reason:In order to detect child abuse, you must be familiar with injury locations and patterns
consistent with an accident versus those that were intentionally inflicted. It is common for
children to trip, fall, and strike their chin or forehead on a solid object; therefore, chin
lacerations and hematomas to the forehead are common injuries. Small children frequently hit
their legs on coffee tables, resulting in bruises to the shins. If a child accidentally sticks his or
her hand in hot water, the hand is quickly pulled back by reflex, resulting in a splash pattern of
burns. Injuries found in anatomically unlikely areas, such as the torso (back or front), upper
arms and legs, or genitalia, should raise your index of suspicion. Burns that are not
accompanied by splash marks should also make you suspicious. For example, if a child's hand or
foot is intentionally held in hot water, you will see a clear line of demarcation (stocking-glove
effect) without evidence of splash burns.
Which of the following statements regarding crowning is correct?
• A:It is safe to transport the patient during crowning if the hospital is close.
• B:Gentle pressure should be applied to the baby's head during crowning.
• C:Crowning always occurs immediately after the amniotic sac has ruptured.
• D:Crowning represents the end of the second stage of labor. - Correct Answer-You selected B;
This is correct!
Reason:Crowning occurs when the baby's head is visible at the vaginal opening; it is an obvious
sign of delivery in progress. When crowning is observed, you should apply gentle pressure to
the infant's head to prevent an explosive delivery. Care must be taken to avoid putting pressure
on the fontanelles (the soft spots on the infant's head). Crowning represents the end of the first
stage of labor and the beginning of the second stage; it does not always occur immediately
after the amniotic sac has ruptured. If the infant's head is born and the amniotic sac is still
intact, you need to pinch the thin membrane with your fingers, which will usually cause the sac
to easily rupture, and then suction the infant's mouth and nose.
4|Page
(2026) EXAM Questions and Answers
(Verified Answers) (Latest Update 2026)
UPDATE!!
A 3-year-old child has a sudden onset of respiratory distress. The mother denies any recent
illnesses or fever. You should suspect:
• A:lower respiratory infection.
• B:foreign body airway obstruction.
• C:croup.
• D:epiglottitis. - Correct Answer-You selected B; This is correct!
Reason:You should suspect a foreign body airway obstruction in any child who presents with an
acute onset of respiratory distress in the absence of fever. Croup, epiglottitis, and lower airway
infections (ie, bronchiolitis, bronchitis) commonly present with a fever. If the child is
experiencing a mild airway obstruction, in which he or she is moving adequate air, has a normal
level of consciousness, and pink skin, do not attempt to relieve the airway obstruction; doing so
may result in a severe airway obstruction. Offer oxygen and transport the child to the hospital
without delay. If signs of a severe airway obstruction are present (ie, ineffective cough,
decreased level of consciousness, cyanosis), you should perform abdominal thrusts until the
object is expelled or the child becomes unresponsive. If the child becomes unresponsive,
perform chest compressions.
During transport of a woman in labor, the patient tells you that she feels the urge to push. You
assess her and see the top of the baby's head bulging from the vagina. You should:
• A:ask the mother to take short, quick breaths until you arrive at the hospital.
• B:apply gentle pressure to the baby's head and notify the hospital immediately.
• C:advise your partner to stop the ambulance and assist with the delivery.
1|Page
,• D:allow the head to deliver and check for the location of the cord. - Correct Answer-You
selected C; This is correct!
Reason:If, during transport, the mother begins to deliver the infant, your first action should be
to advise your partner to stop the ambulance and assist you with the delivery. Delivery of a
baby should never be attempted in the back of a moving ambulance. During delivery, you
should apply gentle pressure to the top of the baby's head (be careful of the fontanelles) in
order to prevent an explosive delivery. After the head is delivered, you should quickly run your
fingers around its neck to determine if the cord is wrapped around its neck (nuchal cord). If a
nuchal cord is not present, suction the baby's mouth and nose and continue with the delivery.
If a woman is having her first child, the first stage of labor:
• A:is usually the longest and lasts an average of 16 hours.
• B:generally does not allow time for you to transport.
• C:is shorter than in women who have had other children.
• D:is typically very short and only lasts about 2 hours. - Correct Answer-You selected A; This is
correct!
Reason:There are three stages of labor: dilation of the cervix, delivery of the baby, and delivery
of the placenta. The first stage begins with the onset of contractions and ends when the cervix
is fully dilated. Since assessing for cervical dilation is not performed in the prehospital setting,
the first stage of labor is said to have ended when crowning occurs. Because the cervix has to
be stretched thin by uterine contractions until the opening is large enough for the fetus to pass
through into the vagina, the first stage is usually the longest, lasting an average of 16 hours for
a first delivery. With subsequent pregnancies, the first stage of labor typically progresses more
quickly. You will usually have enough time to transport the mother during the first stage of
labor, especially if this is her first pregnancy. It should be noted, however, than some
primigravida (pregnant for the first time) women progress through the first stage of labor very
quickly
A 3-year-old boy is found to be in cardiopulmonary arrest. As you begin one-rescuer CPR, your
partner prepares the AED. The appropriate compression to ventilation ratio for this child is:
• A:3:1
2|Page
,• B:30:2
• C:5:1
• D:15:2 - Correct Answer-You selected B; This is correct!
Reason:A universal compression to ventilation ratio of 30:2 is used for all one-rescuer CPR
(adult, child, and infant), with the exception of the newborn. A compression to ventilation ratio
of 3:1 is used for newborns (one- and two-rescuer). Two-rescuer infant and child CPR is
performed at a compression to ventilation ratio of 15:2. In this scenario, you are performing
one-rescuer CPR as your partner prepares the AED; therefore, you should give 30 compressions
and 2 breaths. However, when you and your partner resume CPR, give 15 compressions and 2
breaths.
You are dispatched to a residence for a 4-year-old female who is sick. Your assessment reveals
that she has increased work of breathing and is making a high-pitched sound during inhalation.
Her mother tells you that she has been running a high fever for the past 24 hours. Your MOST
immediate concern should be:
• A:preparing to treat her for a febrile seizure.
• B:determining if the child has a history of croup.
• C:assessing the need for ventilation assistance.
• D:taking her temperature to see how high it is - Correct Answer-You selected C; This is
correct!
Reason:The child is clearly experiencing respiratory distress and probably has croup
(laryngotracheobronchitis), a viral upper airway infection. The presence of stridor (high-pitched
sound heard during inhalation) indicates swelling of the upper airway. Your most immediate
concern should be assessing the adequacy of her breathing and determining if ventilation
assistance is necessary. If signs of respiratory failure are present (eg, signs of physical
exhaustion, bradycardia, bradypnea [slow respirations]), you must begin assisting her
ventilations with a bag-mask device; otherwise, she will likely deteriorate and develop cardiac
arrest. She may experience a febrile seizure if her fever acutely spikes; although this is a
concern, it is not the most immediate concern in a child with an airway or breathing problem.
Which of the following injuries is MOST indicative of child abuse?
3|Page
, • A:Multiple bruises to the shins
• B:Small laceration to the chin
• C:Burned hand with splash marks
• D:Bruising to the upper back - Correct Answer-You selected D; This is correct!
Reason:In order to detect child abuse, you must be familiar with injury locations and patterns
consistent with an accident versus those that were intentionally inflicted. It is common for
children to trip, fall, and strike their chin or forehead on a solid object; therefore, chin
lacerations and hematomas to the forehead are common injuries. Small children frequently hit
their legs on coffee tables, resulting in bruises to the shins. If a child accidentally sticks his or
her hand in hot water, the hand is quickly pulled back by reflex, resulting in a splash pattern of
burns. Injuries found in anatomically unlikely areas, such as the torso (back or front), upper
arms and legs, or genitalia, should raise your index of suspicion. Burns that are not
accompanied by splash marks should also make you suspicious. For example, if a child's hand or
foot is intentionally held in hot water, you will see a clear line of demarcation (stocking-glove
effect) without evidence of splash burns.
Which of the following statements regarding crowning is correct?
• A:It is safe to transport the patient during crowning if the hospital is close.
• B:Gentle pressure should be applied to the baby's head during crowning.
• C:Crowning always occurs immediately after the amniotic sac has ruptured.
• D:Crowning represents the end of the second stage of labor. - Correct Answer-You selected B;
This is correct!
Reason:Crowning occurs when the baby's head is visible at the vaginal opening; it is an obvious
sign of delivery in progress. When crowning is observed, you should apply gentle pressure to
the infant's head to prevent an explosive delivery. Care must be taken to avoid putting pressure
on the fontanelles (the soft spots on the infant's head). Crowning represents the end of the first
stage of labor and the beginning of the second stage; it does not always occur immediately
after the amniotic sac has ruptured. If the infant's head is born and the amniotic sac is still
intact, you need to pinch the thin membrane with your fingers, which will usually cause the sac
to easily rupture, and then suction the infant's mouth and nose.
4|Page
