Texas Paramedic Licensing Exam
(NREMT-P) Questions And Correct
Answers (Verified Answers) Plus
Rationales 2026 Q&A | Instant
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1. What is the primary effect of epinephrine in cardiac arrest?
A. Decreases myocardial oxygen demand
B. Increases coronary and cerebral perfusion pressure
C. Slows conduction through the AV node
D. Causes peripheral vasodilation
Epinephrine increases systemic vascular resistance, which improves
coronary and cerebral perfusion during CPR.
2. Which rhythm is most effectively treated with defibrillation?
A. Asystole
B. Ventricular fibrillation
C. Sinus tachycardia
D. PEA
Ventricular fibrillation is a shockable rhythm that responds well to
defibrillation.
3. A 35-year-old male has a GCS of 3, snoring respirations, and no gag
reflex. What is the best airway intervention?
,A. Nasopharyngeal airway
B. Oropharyngeal airway
C. Nasotracheal intubation
D. Endotracheal intubation
With no gag reflex and unconsciousness, definitive airway control via
endotracheal intubation is indicated.
4. What is the most reliable indicator of proper ET tube placement?
A. Bilateral chest rise
B. Absence of gastric sounds
C. End-tidal CO2 waveform
D. Capnography with waveform
Waveform capnography is the gold standard for confirming ET tube
placement.
5. Which medication is a parasympatholytic used in bradycardia?
A. Atropine
B. Epinephrine
C. Dopamine
D. Adenosine
Atropine blocks the parasympathetic nervous system, increasing heart
rate.
6. Which of the following best describes Beck’s triad?
A. Hypotension, hypertension, bradycardia
B. JVD, muffled heart sounds, hypotension
C. Tachypnea, wheezing, cyanosis
D. Hypertension, bradycardia, irregular respirations
Beck’s triad is classic for cardiac tamponade: JVD, muffled heart sounds,
and hypotension.
7. What is the proper dose of adenosine for a stable adult patient with
SVT?
, A. 6 mg rapid IV push
B. 12 mg over 2 minutes
C. 0.5 mg IV
D. 1 mg IV
Adenosine is initially given as a 6 mg rapid IV push for stable
supraventricular tachycardia.
8. A patient with a sudden onset of sharp chest pain and dyspnea after a
long flight may have:
A. Pneumonia
B. Pericarditis
C. Pulmonary embolism
D. Pneumothorax
A pulmonary embolism is likely due to prolonged immobility and presents
with pleuritic chest pain and dyspnea.
9. What is the pediatric dose of epinephrine 1:10,000 during cardiac
arrest?
A. 0.5 mg/kg
B. 0.01 mg/kg IV/IO
C. 0.1 mg/kg IM
D. 0.1 mL/kg
Epinephrine 1:10,000 is dosed at 0.01 mg/kg IV/IO in pediatric cardiac
arrest.
10. What is the correct depth of chest compressions for an adult?
A. 1 inch
B. 1.5 inches
C. At least 2 inches
D. 3 inches
High-quality CPR requires compressing the chest at least 2 inches in adults.
(NREMT-P) Questions And Correct
Answers (Verified Answers) Plus
Rationales 2026 Q&A | Instant
Download Pdf
1. What is the primary effect of epinephrine in cardiac arrest?
A. Decreases myocardial oxygen demand
B. Increases coronary and cerebral perfusion pressure
C. Slows conduction through the AV node
D. Causes peripheral vasodilation
Epinephrine increases systemic vascular resistance, which improves
coronary and cerebral perfusion during CPR.
2. Which rhythm is most effectively treated with defibrillation?
A. Asystole
B. Ventricular fibrillation
C. Sinus tachycardia
D. PEA
Ventricular fibrillation is a shockable rhythm that responds well to
defibrillation.
3. A 35-year-old male has a GCS of 3, snoring respirations, and no gag
reflex. What is the best airway intervention?
,A. Nasopharyngeal airway
B. Oropharyngeal airway
C. Nasotracheal intubation
D. Endotracheal intubation
With no gag reflex and unconsciousness, definitive airway control via
endotracheal intubation is indicated.
4. What is the most reliable indicator of proper ET tube placement?
A. Bilateral chest rise
B. Absence of gastric sounds
C. End-tidal CO2 waveform
D. Capnography with waveform
Waveform capnography is the gold standard for confirming ET tube
placement.
5. Which medication is a parasympatholytic used in bradycardia?
A. Atropine
B. Epinephrine
C. Dopamine
D. Adenosine
Atropine blocks the parasympathetic nervous system, increasing heart
rate.
6. Which of the following best describes Beck’s triad?
A. Hypotension, hypertension, bradycardia
B. JVD, muffled heart sounds, hypotension
C. Tachypnea, wheezing, cyanosis
D. Hypertension, bradycardia, irregular respirations
Beck’s triad is classic for cardiac tamponade: JVD, muffled heart sounds,
and hypotension.
7. What is the proper dose of adenosine for a stable adult patient with
SVT?
, A. 6 mg rapid IV push
B. 12 mg over 2 minutes
C. 0.5 mg IV
D. 1 mg IV
Adenosine is initially given as a 6 mg rapid IV push for stable
supraventricular tachycardia.
8. A patient with a sudden onset of sharp chest pain and dyspnea after a
long flight may have:
A. Pneumonia
B. Pericarditis
C. Pulmonary embolism
D. Pneumothorax
A pulmonary embolism is likely due to prolonged immobility and presents
with pleuritic chest pain and dyspnea.
9. What is the pediatric dose of epinephrine 1:10,000 during cardiac
arrest?
A. 0.5 mg/kg
B. 0.01 mg/kg IV/IO
C. 0.1 mg/kg IM
D. 0.1 mL/kg
Epinephrine 1:10,000 is dosed at 0.01 mg/kg IV/IO in pediatric cardiac
arrest.
10. What is the correct depth of chest compressions for an adult?
A. 1 inch
B. 1.5 inches
C. At least 2 inches
D. 3 inches
High-quality CPR requires compressing the chest at least 2 inches in adults.
