1|Page
NREMT EXAM AND PRACTICE EXAM NEWEST 2026
TEST BANK| NREMT EXAM PREP WITH COMPLETE
650 REAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+ (MOST RECENT!!)
A young woman reports significant weight loss over the last month,
persistent fever, and night sweats. When you assess her, you note the
presence of dark purple lesions covering her trunk and upper extremities.
You should suspect:
A. end-stage cancer.
B. HIV/AIDS.
C. tuberculosis.
D rheumatic fever. - Correct Answer - B
Weight loss, fever, and night sweats could indicate tuberculosis or
HIV/AIDS; however, the dark purple lesions on the skin, which are
called Kaposi's sarcoma, are malignant skin tumors and are a classic
finding in patients in the later stages of AIDS.
A 42-year-old male presents with fever, a severe headache, and a stiff
neck. He is conscious, but confused. His wife tells you that he does not
have any medical problems and does not take any medications. You
should be MOST suspicious for:
A. acute stroke.
B. influenza.
C. meningitis.
D. tuberculosis. - Correct Answer - C;
,2|Page
Meningitis is an inflammation of the protective coverings of the brain
and spinal cord (meninges). Common signs and symptoms of meningitis
include fever, headache, neck stiffness (nuchal rigidity), and vomiting.
An altered mental status is common in severe cases. Meningococcal
meningitis, caused by a bacterium, is the most contagious and
potentially fatal type of meningitis. The patient's signs and symptoms are
not consistent with acute stroke, tuberculosis (TB), or influenza (the flu).
Although fever is common with both TB and the flu, neither causes neck
stiffness. Acute stroke may be associated with a headache, especially a
hemorrhagic stroke; however, stroke patients typically do not have a
fever.
A 50-year-old woman who is conscious and alert complains of a severe
migraine headache. When caring for her, you should generally avoid:
A. transporting her in a supine position.
B. shining a light into her pupils.
C. dimming the lights in the ambulance.
D. applying ice packs to her forehead. - Correct Answer - B;
Patients with migraine or cluster headaches typically have photophobia
(light sensitivity). Any type of bright light, especially if shone directly
into the eyes, will cause the patient with a headache unnecessary severe
pain. Dimming the lights in the ambulance and making the patient as
comfortable as possible are the treatments of choice for a patient with a
headache. Some patients benefit from ice packs applied to the forehead;
just be sure to wrap the ice pack with roller gauze. Oxygen also should
be administered as needed. Typically, the patient will prefer to lie supine
or on the side
A patient who overdosed on heroin would be expected to present with:
A. tachycardia.
,3|Page
B. hyperpnea.
C. hypotension.
D. dilated pupils. - Correct Answer - C;
Heroin is a Schedule I (illegal) narcotic that is typically injected. As with
all narcotics, legal or illegal, overdose causes depression of the central
nervous system (CNS), resulting in a decreased level of consciousness;
bradycardia; hypotension; and slow, shallow (reduced tidal volume)
breathing. Hyperpnea (deep breathing) would not be present in a patient
who overdosed on a narcotic. In a narcotic overdose, the pupils are
typically constricted (miosis). Barbiturates, such as phenobarbital, are
also CNS depressants and cause the same symptoms seen with narcotic
overdose. The patient's pupils, however, are typically dilated
(mydriasis), not constricted.
A 16-year-old, 125-pound male ingested a bottle of aspirin
approximately 20 minutes ago. Medical control orders you to administer
activated charcoal in a dose of 1 g/kg. How much activated charcoal
should you administer?
A. 54 g
B. 60 g
C. 51 g
D. 57 g - Correct Answer - D;
First, you must determine the patient's weight in kilograms (kg). Either
of the following formulae can be used to convert pounds to kilograms:
Formula 1: weight (in pounds) ÷ 2.2 = weight in kg. Formula 2: weight
(in pounds) ÷ 2 - 10% = weight in kg. On the basis of the above
formulae, a 125-pound patient weighs 57 kg. Using formula 1, the
equation is as follows: 125 (weight in pounds) ÷ 2.2 = 56.81 (57
[rounded to the nearest tenth]). Using formula 2, the equation is as
follows: 125 (weight in pounds) ÷ 2 = 62.5 (63 [rounded to the nearest
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tenth] - 6.3 (10% of 63) = 56.7 (57 [rounded to the nearest tenth]). Since
the drug order is for 1 g/kg, you should administer 57 g of activated
charcoal to your 125-pound patient.
Which of the following is the MOST significant finding in a patient with
a severe headache?
A. Pain in both legs
B. Chest discomfort
C. Unilateral weakness
D. Abdominal tenderness - Correct Answer - C;
Unilateral weakness (weakness on one side of the body) is a clinically
significant finding in a patient with a headache because it could indicate
a stroke (ischemic or hemorrhagic). Abdominal, chest, and leg pain are
not common complaints associated with a headache, although they
should be noted and investigated if they are present.
When caring for a patient with severe hypothermia who is in cardiac
arrest, you should:
A. perform rescue breathing only.
B. perform BLS and transport.
C. avoid using the AED.
D. hyperventilate the patient. - Correct Answer - B;
Patients with severe hypothermia (core body temperature < 86°F) who
are in cardiac arrest should be managed with basic life support (chest
compressions and ventilations), passive external rewarming (ie, removal
of wet clothing, applying warm blankets) and rapid transport to the
hospital where they can be actively rewarmed. Because cold muscle is a
poor conductor of electricity, defibrillation, if indicated, should be
limited to 1 attempt until the patient's body temperature has been
NREMT EXAM AND PRACTICE EXAM NEWEST 2026
TEST BANK| NREMT EXAM PREP WITH COMPLETE
650 REAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+ (MOST RECENT!!)
A young woman reports significant weight loss over the last month,
persistent fever, and night sweats. When you assess her, you note the
presence of dark purple lesions covering her trunk and upper extremities.
You should suspect:
A. end-stage cancer.
B. HIV/AIDS.
C. tuberculosis.
D rheumatic fever. - Correct Answer - B
Weight loss, fever, and night sweats could indicate tuberculosis or
HIV/AIDS; however, the dark purple lesions on the skin, which are
called Kaposi's sarcoma, are malignant skin tumors and are a classic
finding in patients in the later stages of AIDS.
A 42-year-old male presents with fever, a severe headache, and a stiff
neck. He is conscious, but confused. His wife tells you that he does not
have any medical problems and does not take any medications. You
should be MOST suspicious for:
A. acute stroke.
B. influenza.
C. meningitis.
D. tuberculosis. - Correct Answer - C;
,2|Page
Meningitis is an inflammation of the protective coverings of the brain
and spinal cord (meninges). Common signs and symptoms of meningitis
include fever, headache, neck stiffness (nuchal rigidity), and vomiting.
An altered mental status is common in severe cases. Meningococcal
meningitis, caused by a bacterium, is the most contagious and
potentially fatal type of meningitis. The patient's signs and symptoms are
not consistent with acute stroke, tuberculosis (TB), or influenza (the flu).
Although fever is common with both TB and the flu, neither causes neck
stiffness. Acute stroke may be associated with a headache, especially a
hemorrhagic stroke; however, stroke patients typically do not have a
fever.
A 50-year-old woman who is conscious and alert complains of a severe
migraine headache. When caring for her, you should generally avoid:
A. transporting her in a supine position.
B. shining a light into her pupils.
C. dimming the lights in the ambulance.
D. applying ice packs to her forehead. - Correct Answer - B;
Patients with migraine or cluster headaches typically have photophobia
(light sensitivity). Any type of bright light, especially if shone directly
into the eyes, will cause the patient with a headache unnecessary severe
pain. Dimming the lights in the ambulance and making the patient as
comfortable as possible are the treatments of choice for a patient with a
headache. Some patients benefit from ice packs applied to the forehead;
just be sure to wrap the ice pack with roller gauze. Oxygen also should
be administered as needed. Typically, the patient will prefer to lie supine
or on the side
A patient who overdosed on heroin would be expected to present with:
A. tachycardia.
,3|Page
B. hyperpnea.
C. hypotension.
D. dilated pupils. - Correct Answer - C;
Heroin is a Schedule I (illegal) narcotic that is typically injected. As with
all narcotics, legal or illegal, overdose causes depression of the central
nervous system (CNS), resulting in a decreased level of consciousness;
bradycardia; hypotension; and slow, shallow (reduced tidal volume)
breathing. Hyperpnea (deep breathing) would not be present in a patient
who overdosed on a narcotic. In a narcotic overdose, the pupils are
typically constricted (miosis). Barbiturates, such as phenobarbital, are
also CNS depressants and cause the same symptoms seen with narcotic
overdose. The patient's pupils, however, are typically dilated
(mydriasis), not constricted.
A 16-year-old, 125-pound male ingested a bottle of aspirin
approximately 20 minutes ago. Medical control orders you to administer
activated charcoal in a dose of 1 g/kg. How much activated charcoal
should you administer?
A. 54 g
B. 60 g
C. 51 g
D. 57 g - Correct Answer - D;
First, you must determine the patient's weight in kilograms (kg). Either
of the following formulae can be used to convert pounds to kilograms:
Formula 1: weight (in pounds) ÷ 2.2 = weight in kg. Formula 2: weight
(in pounds) ÷ 2 - 10% = weight in kg. On the basis of the above
formulae, a 125-pound patient weighs 57 kg. Using formula 1, the
equation is as follows: 125 (weight in pounds) ÷ 2.2 = 56.81 (57
[rounded to the nearest tenth]). Using formula 2, the equation is as
follows: 125 (weight in pounds) ÷ 2 = 62.5 (63 [rounded to the nearest
, 4|Page
tenth] - 6.3 (10% of 63) = 56.7 (57 [rounded to the nearest tenth]). Since
the drug order is for 1 g/kg, you should administer 57 g of activated
charcoal to your 125-pound patient.
Which of the following is the MOST significant finding in a patient with
a severe headache?
A. Pain in both legs
B. Chest discomfort
C. Unilateral weakness
D. Abdominal tenderness - Correct Answer - C;
Unilateral weakness (weakness on one side of the body) is a clinically
significant finding in a patient with a headache because it could indicate
a stroke (ischemic or hemorrhagic). Abdominal, chest, and leg pain are
not common complaints associated with a headache, although they
should be noted and investigated if they are present.
When caring for a patient with severe hypothermia who is in cardiac
arrest, you should:
A. perform rescue breathing only.
B. perform BLS and transport.
C. avoid using the AED.
D. hyperventilate the patient. - Correct Answer - B;
Patients with severe hypothermia (core body temperature < 86°F) who
are in cardiac arrest should be managed with basic life support (chest
compressions and ventilations), passive external rewarming (ie, removal
of wet clothing, applying warm blankets) and rapid transport to the
hospital where they can be actively rewarmed. Because cold muscle is a
poor conductor of electricity, defibrillation, if indicated, should be
limited to 1 attempt until the patient's body temperature has been
