MASSACHUSETTS PARAMEDIC EXAM (NREMT)
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES Q&A 2026 |INSTANT
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1. Which of the following is the primary purpose of the rapid
trauma assessment?
A. Diagnose internal injuries
B. Identify life-threatening conditions
C. Document patient history
D. Assess for emotional trauma
Rationale: Rapid trauma assessment focuses on quickly
identifying life-threatening conditions that require immediate
intervention.
Correct Answer: B. Identify life-threatening conditions
2. A patient presents with anaphylaxis after a bee sting. Which
of the following should be administered first?
A. Diphenhydramine
B. Albuterol
C. Epinephrine
D. Corticosteroids
,Rationale: Epinephrine is the first-line treatment for
anaphylaxis to counteract airway compromise and
hypotension.
Correct Answer: C. Epinephrine
3. What is the normal range for adult respiratory rate?
A. 8–12 breaths/min
B. 12–20 breaths/min
C. 20–28 breaths/min
D. 25–35 breaths/min
Rationale: Normal adult respiration is between 12–20 breaths
per minute. Values outside this range may indicate respiratory
distress.
Correct Answer: B. 12–20 breaths/min
4. Which of the following best describes the proper placement
of an oropharyngeal airway (OPA)?
A. Inserted upside down and rotated 180°
B. Inserted laterally without rotation
C. Inserted directly without rotation
D. Inserted only in conscious patients
Rationale: The OPA is inserted upside down and then rotated
180° to prevent trauma to oral structures.
Correct Answer: A. Inserted upside down and rotated 180°
,5. A 60-year-old patient with chest pain is most likely
experiencing:
A. Asthma exacerbation
B. Myocardial infarction
C. Stroke
D. Sepsis
Rationale: In adults over 40, sudden chest pain is most
commonly associated with myocardial infarction until proven
otherwise.
Correct Answer: B. Myocardial infarction
6. Which medication is commonly used to treat bradycardia in
a symptomatic patient?
A. Adenosine
B. Atropine
C. Amiodarone
D. Epinephrine
Rationale: Atropine increases heart rate by blocking
parasympathetic stimulation, making it the first-line treatment
for symptomatic bradycardia.
Correct Answer: B. Atropine
, 7. During CPR, what is the recommended compression-to-
ventilation ratio for an adult patient with a single rescuer?
A. 15:2
B. 30:2
C. 30:1
D. 15:1
Rationale: For adult patients, a single rescuer should perform
30 chest compressions followed by 2 ventilations.
Correct Answer: B. 30:2
8. Which of the following vital signs is most concerning in a
trauma patient?
A. Heart rate 88 bpm
B. Blood pressure 82/50 mmHg
C. Respiratory rate 16 breaths/min
D. Oxygen saturation 96%
Rationale: Hypotension (BP <90 mmHg systolic) is a critical sign
of shock or severe blood loss.
Correct Answer: B. Blood pressure 82/50 mmHg
9. Which of the following is a contraindication for
administering nitroglycerin?
A. Chest pain due to angina
B. Systolic BP 100 mmHg
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES Q&A 2026 |INSTANT
DOWNLOAD PDF
1. Which of the following is the primary purpose of the rapid
trauma assessment?
A. Diagnose internal injuries
B. Identify life-threatening conditions
C. Document patient history
D. Assess for emotional trauma
Rationale: Rapid trauma assessment focuses on quickly
identifying life-threatening conditions that require immediate
intervention.
Correct Answer: B. Identify life-threatening conditions
2. A patient presents with anaphylaxis after a bee sting. Which
of the following should be administered first?
A. Diphenhydramine
B. Albuterol
C. Epinephrine
D. Corticosteroids
,Rationale: Epinephrine is the first-line treatment for
anaphylaxis to counteract airway compromise and
hypotension.
Correct Answer: C. Epinephrine
3. What is the normal range for adult respiratory rate?
A. 8–12 breaths/min
B. 12–20 breaths/min
C. 20–28 breaths/min
D. 25–35 breaths/min
Rationale: Normal adult respiration is between 12–20 breaths
per minute. Values outside this range may indicate respiratory
distress.
Correct Answer: B. 12–20 breaths/min
4. Which of the following best describes the proper placement
of an oropharyngeal airway (OPA)?
A. Inserted upside down and rotated 180°
B. Inserted laterally without rotation
C. Inserted directly without rotation
D. Inserted only in conscious patients
Rationale: The OPA is inserted upside down and then rotated
180° to prevent trauma to oral structures.
Correct Answer: A. Inserted upside down and rotated 180°
,5. A 60-year-old patient with chest pain is most likely
experiencing:
A. Asthma exacerbation
B. Myocardial infarction
C. Stroke
D. Sepsis
Rationale: In adults over 40, sudden chest pain is most
commonly associated with myocardial infarction until proven
otherwise.
Correct Answer: B. Myocardial infarction
6. Which medication is commonly used to treat bradycardia in
a symptomatic patient?
A. Adenosine
B. Atropine
C. Amiodarone
D. Epinephrine
Rationale: Atropine increases heart rate by blocking
parasympathetic stimulation, making it the first-line treatment
for symptomatic bradycardia.
Correct Answer: B. Atropine
, 7. During CPR, what is the recommended compression-to-
ventilation ratio for an adult patient with a single rescuer?
A. 15:2
B. 30:2
C. 30:1
D. 15:1
Rationale: For adult patients, a single rescuer should perform
30 chest compressions followed by 2 ventilations.
Correct Answer: B. 30:2
8. Which of the following vital signs is most concerning in a
trauma patient?
A. Heart rate 88 bpm
B. Blood pressure 82/50 mmHg
C. Respiratory rate 16 breaths/min
D. Oxygen saturation 96%
Rationale: Hypotension (BP <90 mmHg systolic) is a critical sign
of shock or severe blood loss.
Correct Answer: B. Blood pressure 82/50 mmHg
9. Which of the following is a contraindication for
administering nitroglycerin?
A. Chest pain due to angina
B. Systolic BP 100 mmHg
