NREMT STUDY GUIDE 2026 COMPLETE
EMT EXAM PREP | PRACTICE QUESTIONS &
ANSWERS
| GRADED A+ | GUARANTEED SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales Included
,You respond to a 8 year old male who states he is Obtain his oxygen saturation
having trouble breathing. His respiratory rate is 44
breaths/min and you notice accessory muscle use on This patient is able to speak so the airway is patent, we don't have any oxygen
exam. You can hear an audible wheeze present. What data so we need that before we can go ahead with oxygen administration. This
should your initial step be? will give the final piece of info to start assessing his current status.
a. Start BVM ventilations
b. Attempt a head tilt-chin lift
c. Obtain his oxygen saturation
d. Gather a SAMPLE history
You are called to the home of a 4 year old female Croup
patient. The patient has a persistent "barking cough"
and has stridor on exam. The mother tells you that this Remember the keys for croup, barking cough, stridor, gradual onset, typically
has gotten worse over the last few nights, until tonight seen in young children. Epiglottitis can occur at any age and has drooling, painful
she had a "hard time" breathing. What do you suspect? swallowing, stridor and a more rapid onset, no barking cough.
a. Asthma Exacerbation
b. Bronchiolitis
c. Epiglottitis
d. Croup
From the list below name three action steps you can a. keep oxygen saturation above 94%
take to help patients with croup or epiglottitis. (Pick 3) b. keep patient calm
a. Keep oxygen saturation above 94% e. use blow-by oxygen
b. Keep the patient calm
c. Begin CPR if the patient has a pulse less than 100
d. Begin bag valve mask ventilations with rapid transport
e. Use blow-by oxygen
f. Immediately begin non-rebreather mask at 15LPM
You are about to place an airway adjunct into your a patient with ecchymosis behind one ear
patient. Which situation would you NOT place a
nasopharyngeal airway? Bruising behind one ear is known as the "Battle sign" and an indication of a basilar
a. A semiconscious child who just had a seizure skull fracture, which is a severe head injury. Use of a nasopharyngeal airway with
b. A patient with ecchymosis behind one ear severe head injuries is contraindicated.
c. An unconscious patient with an intact gag reflex
d. An semiconscious adult who cannot maintain their own
airway
You are transporting a 53 year-old male who complains Hyperventilation syndrome
of shortness of breath, dizziness, numbness in his
hands, and a dry mouth. His vital signs are: blood This patient is hyperventilating as demonstrated by his increased respiratory rate
pressure 118/80 mmHg, HR 120, RR of 32, SpO2 99%, and low end-tidal reading levels. A high respiratory rate increases the amount of
and ETCO2 of 26 mmHg. What do you suspect? carbon dioxide exhaled, accounting for the low end-tidal reading. His heart rate is
a. Hypokalemia also a little elevated, possibly due to anxiety.
b. Hypoventilation syndrome
c. Pneumothorax
d. Hyperventilation syndrome
,A 78 year old female is found lying on her bathroom suction her airway
floor unconscious. Her caregiver reports finding her like
this upon arrival and is unsure what happened. You hear The gurgling sounds on inspiration suggest her airway needs to be cleared. You
gurgling sounds on inspiration. What is the next best want to make sure you suction and clear her airway before proceeding with
step? treatment.
a. Suction her airway
b. Begin ventilations with a bag-valve mask
c. Insert an oropharyngeal airway
d. Provide nasal cannula at 2 L/min
You assess a 23 year-old male who was struck in the Tension pneumothorax
right chest wall with an airbag after a motor vehicle
accident. The patient complains of pain on inspiration Tension pneumothorax is where one of the lungs collapses, and can commonly
and shortness of breath. You gather the following from happen with traumatic events like a motor vehicle crash. Its hallmark signs and
your physical assessment: unequal chest wall rise and symptoms are absent lung sounds on affected side and unequal rise and fall of
absent lungs sounds on the right side. What do you the chest.
suspect?
a. Flail chest
b. Cardiac tamponade
c. Tension pneumothorax
d. Right chest contusion
You arrive on scene to a 4 year-old girl choking on her Start chest compressions
food. She is unresponsive and not breathing. What is
the next best step in the management of this patient? Since the child is unresponsive and not breathing, this would be the best method
a. Start chest compressions to try and remove the foreign object.
b. Provide 5 back slaps
c. Inspect the airway with a finger sweep
d. Perform abdominal thrust
A 68 year-old male is experiencing an exacerbation of Provide oxygen by non-rebreather mask
his COPD. He states he is having a hard time breathing
and it is getting worse. His vital signs are as follows: BP The non-rebreather mask is correct as a higher concentration of oxygen can be
140/92, HR 118, RR of 25, SpO2 84% on oxygen by nasal administered than via the nasal cannula, especially since the patient has stated his
cannula at 3L/min. What is the next best step? symptoms are getting worse.
a. Rapid transport and reassess vital signs in 5 minutes
b. Start ventilations with bag-valve mask
c. Provide oxygen by non-rebreather mask
d. Titrate oxygen flow rate on nasal cannula to 6L/min
, A 21 year-old male was shot in the left chest, below the Posterior, below the scapula
clavicle. Where should you place the stethoscope to
best hear his lung sounds? Below our scapula is a large area of the lungs to auscultate breath sounds.
a. Anterior chest, below xiphoid process
b. Anterior chest, above suprasternal notch
c. Posterior, above occiput
d. Posterior, below the scapula
A 10 year-old boy complains of sore throat and pain Epiglottitis
when swallowing. He presents in the tripod position and
has a fever of 101 degrees F. His parents state he went to The patient presents with the hallmark symptoms of epiglottitis, sudden sore
bed fine and woke up suddenly with symptoms. You throat and pain when swallowing. It is also common for children to wake up the
suspect: next day suddenly with these symptoms. He is also demonstrating signs of
a. Croup respiratory distress as he presents in the tripod position.
b. Epiglottitis
c. Bacterial Tracheitis
d. Bronchiolitis
You arrive on scene to a patient with a history of COPD Fowler's position
having an exacerbation. He requires rapid transport to
the emergency department. What is the best position This position is where the head of the stretcher is elevated 45-60 degrees, so the
for the patient to be transported on the stretcher? patient is sitting upright. This position is typically the most comfortable for patients
a. Trendelenburg position with difficulty breathing.
b. Supine position
c. Prone position
d. Fowler's position
You and your partner arrive on scene to a 7 year-old Provide manual stabilization of cervical spine and gather additional rescuers to
male who has tripped and fell into a pool, hitting his perform 2-rescuer CPR at a 15:2 ratio.
head. You find he has no respirations and no pulse.
What is the next best step in the management of this AHA guidelines suggest 2-rescuer CPR for a child is performed at a 15:2 ratio and
patient? that manual stabilization of C-spine is preferred when performing CPR.
a. Provide manual stabilization of cervical spine and
gather additional rescuers to perform 2-rescuer CPR at a
15:2 ratio.
b. Apply cervical collar and deliver 2-rescuer CPR at 30:2
ratio.
c. Insert nasopharyngeal airway and begin bag-valve
mask ventilations at 12-20 breaths/min
d. Apply cervical collar, insert nasopharyngeal airway,
and gather additional rescuers to perform 2-rescuer CPR
at 15:2 ratio.
When a person inhales, the diaphragm moves... Down
a. Up
b. Down The diaphragm moves down on inspiration to allow room for the lungs to expand.
c. Anterior
d. Posterior
EMT EXAM PREP | PRACTICE QUESTIONS &
ANSWERS
| GRADED A+ | GUARANTEED SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales Included
,You respond to a 8 year old male who states he is Obtain his oxygen saturation
having trouble breathing. His respiratory rate is 44
breaths/min and you notice accessory muscle use on This patient is able to speak so the airway is patent, we don't have any oxygen
exam. You can hear an audible wheeze present. What data so we need that before we can go ahead with oxygen administration. This
should your initial step be? will give the final piece of info to start assessing his current status.
a. Start BVM ventilations
b. Attempt a head tilt-chin lift
c. Obtain his oxygen saturation
d. Gather a SAMPLE history
You are called to the home of a 4 year old female Croup
patient. The patient has a persistent "barking cough"
and has stridor on exam. The mother tells you that this Remember the keys for croup, barking cough, stridor, gradual onset, typically
has gotten worse over the last few nights, until tonight seen in young children. Epiglottitis can occur at any age and has drooling, painful
she had a "hard time" breathing. What do you suspect? swallowing, stridor and a more rapid onset, no barking cough.
a. Asthma Exacerbation
b. Bronchiolitis
c. Epiglottitis
d. Croup
From the list below name three action steps you can a. keep oxygen saturation above 94%
take to help patients with croup or epiglottitis. (Pick 3) b. keep patient calm
a. Keep oxygen saturation above 94% e. use blow-by oxygen
b. Keep the patient calm
c. Begin CPR if the patient has a pulse less than 100
d. Begin bag valve mask ventilations with rapid transport
e. Use blow-by oxygen
f. Immediately begin non-rebreather mask at 15LPM
You are about to place an airway adjunct into your a patient with ecchymosis behind one ear
patient. Which situation would you NOT place a
nasopharyngeal airway? Bruising behind one ear is known as the "Battle sign" and an indication of a basilar
a. A semiconscious child who just had a seizure skull fracture, which is a severe head injury. Use of a nasopharyngeal airway with
b. A patient with ecchymosis behind one ear severe head injuries is contraindicated.
c. An unconscious patient with an intact gag reflex
d. An semiconscious adult who cannot maintain their own
airway
You are transporting a 53 year-old male who complains Hyperventilation syndrome
of shortness of breath, dizziness, numbness in his
hands, and a dry mouth. His vital signs are: blood This patient is hyperventilating as demonstrated by his increased respiratory rate
pressure 118/80 mmHg, HR 120, RR of 32, SpO2 99%, and low end-tidal reading levels. A high respiratory rate increases the amount of
and ETCO2 of 26 mmHg. What do you suspect? carbon dioxide exhaled, accounting for the low end-tidal reading. His heart rate is
a. Hypokalemia also a little elevated, possibly due to anxiety.
b. Hypoventilation syndrome
c. Pneumothorax
d. Hyperventilation syndrome
,A 78 year old female is found lying on her bathroom suction her airway
floor unconscious. Her caregiver reports finding her like
this upon arrival and is unsure what happened. You hear The gurgling sounds on inspiration suggest her airway needs to be cleared. You
gurgling sounds on inspiration. What is the next best want to make sure you suction and clear her airway before proceeding with
step? treatment.
a. Suction her airway
b. Begin ventilations with a bag-valve mask
c. Insert an oropharyngeal airway
d. Provide nasal cannula at 2 L/min
You assess a 23 year-old male who was struck in the Tension pneumothorax
right chest wall with an airbag after a motor vehicle
accident. The patient complains of pain on inspiration Tension pneumothorax is where one of the lungs collapses, and can commonly
and shortness of breath. You gather the following from happen with traumatic events like a motor vehicle crash. Its hallmark signs and
your physical assessment: unequal chest wall rise and symptoms are absent lung sounds on affected side and unequal rise and fall of
absent lungs sounds on the right side. What do you the chest.
suspect?
a. Flail chest
b. Cardiac tamponade
c. Tension pneumothorax
d. Right chest contusion
You arrive on scene to a 4 year-old girl choking on her Start chest compressions
food. She is unresponsive and not breathing. What is
the next best step in the management of this patient? Since the child is unresponsive and not breathing, this would be the best method
a. Start chest compressions to try and remove the foreign object.
b. Provide 5 back slaps
c. Inspect the airway with a finger sweep
d. Perform abdominal thrust
A 68 year-old male is experiencing an exacerbation of Provide oxygen by non-rebreather mask
his COPD. He states he is having a hard time breathing
and it is getting worse. His vital signs are as follows: BP The non-rebreather mask is correct as a higher concentration of oxygen can be
140/92, HR 118, RR of 25, SpO2 84% on oxygen by nasal administered than via the nasal cannula, especially since the patient has stated his
cannula at 3L/min. What is the next best step? symptoms are getting worse.
a. Rapid transport and reassess vital signs in 5 minutes
b. Start ventilations with bag-valve mask
c. Provide oxygen by non-rebreather mask
d. Titrate oxygen flow rate on nasal cannula to 6L/min
, A 21 year-old male was shot in the left chest, below the Posterior, below the scapula
clavicle. Where should you place the stethoscope to
best hear his lung sounds? Below our scapula is a large area of the lungs to auscultate breath sounds.
a. Anterior chest, below xiphoid process
b. Anterior chest, above suprasternal notch
c. Posterior, above occiput
d. Posterior, below the scapula
A 10 year-old boy complains of sore throat and pain Epiglottitis
when swallowing. He presents in the tripod position and
has a fever of 101 degrees F. His parents state he went to The patient presents with the hallmark symptoms of epiglottitis, sudden sore
bed fine and woke up suddenly with symptoms. You throat and pain when swallowing. It is also common for children to wake up the
suspect: next day suddenly with these symptoms. He is also demonstrating signs of
a. Croup respiratory distress as he presents in the tripod position.
b. Epiglottitis
c. Bacterial Tracheitis
d. Bronchiolitis
You arrive on scene to a patient with a history of COPD Fowler's position
having an exacerbation. He requires rapid transport to
the emergency department. What is the best position This position is where the head of the stretcher is elevated 45-60 degrees, so the
for the patient to be transported on the stretcher? patient is sitting upright. This position is typically the most comfortable for patients
a. Trendelenburg position with difficulty breathing.
b. Supine position
c. Prone position
d. Fowler's position
You and your partner arrive on scene to a 7 year-old Provide manual stabilization of cervical spine and gather additional rescuers to
male who has tripped and fell into a pool, hitting his perform 2-rescuer CPR at a 15:2 ratio.
head. You find he has no respirations and no pulse.
What is the next best step in the management of this AHA guidelines suggest 2-rescuer CPR for a child is performed at a 15:2 ratio and
patient? that manual stabilization of C-spine is preferred when performing CPR.
a. Provide manual stabilization of cervical spine and
gather additional rescuers to perform 2-rescuer CPR at a
15:2 ratio.
b. Apply cervical collar and deliver 2-rescuer CPR at 30:2
ratio.
c. Insert nasopharyngeal airway and begin bag-valve
mask ventilations at 12-20 breaths/min
d. Apply cervical collar, insert nasopharyngeal airway,
and gather additional rescuers to perform 2-rescuer CPR
at 15:2 ratio.
When a person inhales, the diaphragm moves... Down
a. Up
b. Down The diaphragm moves down on inspiration to allow room for the lungs to expand.
c. Anterior
d. Posterior
