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NREMT Practice Test Bank - Multiple
Choice 2026|Comprehensive Q&A For
Certification Success
A 32-year-old man who was stung by a bee has diffuse hives, facial
swelling, and difficulty breathing. When he breathes, you hear audible
stridor. What does this indicate?
• A:Narrowing of the two mainstem bronchi
• B:Swelling of the upper airway structures
• C:Narrowing of the bronchioles in the lungs
• D:Swelling of the lower airway structures - correct-answer -You selected
B; This is correct!
Reason:This patient is experiencing a severe allergic reaction (anaphylaxis).
Stridor, which is a high-pitched sound heard on inhalation, indicates
swelling of the structures and tissues of the upper airway. If not promptly
treated, the patient's airway may close completely, resulting in respiratory
arrest. Narrowing of the bronchioles in the lungs causes wheezing, a
whistling sound that may be heard during inhalation, exhalation, or both.
A behavioral crisis is MOST accurately defined as:
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• A:any reaction to an event that interferes with the activities of daily living
or has become unacceptable to the patient, family, or community.
• B:an acute psychiatric emergency characterized by violent behavior,
mood swings, and a loss of connection to reality.
• C:a persistent feeling of sadness, despair, or hopelessness that
incapacitates the patient and prevents him or her from interacting
socially.
• D:a chronic mental health problem in which the patient experiences
frequent thoughts of suicide or other self-destructive behavior. - correct-
answer -You selected A; This is correct!
Reason:The definition of a behavioral crisis or emergency is any reaction to
an event that interferes with the activities of daily living (eg, bathing,
dressing, eating) or has become unacceptable to the patient, his or her
family, or the general community. Some patients react to an event with
violent behavior or suicidal thoughts; others react with depression.
Regardless of the reaction, it significantly interferes with the patient's life or
is unacceptable to his or her family and/or the community
You are called to an assisted living center where an attendant found a 72-
year-old man unresponsive. The patient had recent hip surgery and has
been taking Vicodin for pain. His respirations are slow and shallow and his
pulse is slow and weak. You should:
• A:apply the AED in case he develops cardiac arrest.
• B:request an ALS ambulance to respond to the scene.
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• C:begin ventilation assistance with a bag-mask device.
• D:apply high-flow oxygen via a nonrebreathing mask. - correct-answer -
You selected C; This is correct!
Reason:Vicodin is a combination of hydrocodone and acetaminophen
(APAP), the active ingredient in Tylenol. Hydrocodone is a potent narcotic
analgesic. When taken in excess, it can suppress the central nervous system
and cause respiratory depression, bradycardia, and hypotension. Initial
management of any patient who has overdosed on a medication of this
type is to ensure a patent airway and support breathing. Because the
patient is breathing inadequately (slow and shallow), immediate
ventilation assistance is needed. Consider requesting an ALS ambulance if
transport time to the nearest hospital will be lengthy. Paramedics can
administer a drug called naloxone (Narcan) to reverse the effects of
narcotic drugs. The AED is not indicated for this patient; it is only applied
to patients in cardiac arrest.
In the patient with diabetes, insulin shock typically presents with:
• A:clammy skin and a rapid onset.
• B:dry skin and a slow onset.
• C:dry skin and a rapid onset.
• D:clammy skin and a slow onset. - correct-answer -The correct answer is
A;
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Reason:In the patient with diabetes, insulin shock (hypoglycemic crisis)
presents with cool, clammy skin and a rapid onset. The brain is critically
dependent on glucose and responds quickly when the body is in short
supply. Diabetic coma (hyperglycemic crisis) typically presents with warm,
dry skin and a slow onset, sometimes occurring over a period of days.
Your FIRST action in managing a patient with an altered mental status
should be to:
• A:determine if the patient is breathing adequately.
• B:administer one tube of oral glucose.
• C:administer high-flow supplemental oxygen.
• D:ask a family member how the patient normally acts. - correct-answer -
You selected A; This is correct!
Reason:When treating a patient with an altered mental status, you must
first ensure a patent airway and determine if the patient is breathing
adequately. If the patient is breathing adequately, administer supplemental
oxygen and continue your assessment. If the patient is not breathing
adequately (ie, fast or slow rate, shallow breathing [reduced tidal volume]),
assist his or her ventilations. It is important to ask a family member, if
available, how the patient normally acts; this will help establish a baseline.
Before administering oral glucose, you should assess the patient's blood
glucose level to determine if hypoglycemia is the cause of his or her
problem and then decide if the patient is able to swallow the glucose, if
NREMT Practice Test Bank - Multiple
Choice 2026|Comprehensive Q&A For
Certification Success
A 32-year-old man who was stung by a bee has diffuse hives, facial
swelling, and difficulty breathing. When he breathes, you hear audible
stridor. What does this indicate?
• A:Narrowing of the two mainstem bronchi
• B:Swelling of the upper airway structures
• C:Narrowing of the bronchioles in the lungs
• D:Swelling of the lower airway structures - correct-answer -You selected
B; This is correct!
Reason:This patient is experiencing a severe allergic reaction (anaphylaxis).
Stridor, which is a high-pitched sound heard on inhalation, indicates
swelling of the structures and tissues of the upper airway. If not promptly
treated, the patient's airway may close completely, resulting in respiratory
arrest. Narrowing of the bronchioles in the lungs causes wheezing, a
whistling sound that may be heard during inhalation, exhalation, or both.
A behavioral crisis is MOST accurately defined as:
,2 | Page
• A:any reaction to an event that interferes with the activities of daily living
or has become unacceptable to the patient, family, or community.
• B:an acute psychiatric emergency characterized by violent behavior,
mood swings, and a loss of connection to reality.
• C:a persistent feeling of sadness, despair, or hopelessness that
incapacitates the patient and prevents him or her from interacting
socially.
• D:a chronic mental health problem in which the patient experiences
frequent thoughts of suicide or other self-destructive behavior. - correct-
answer -You selected A; This is correct!
Reason:The definition of a behavioral crisis or emergency is any reaction to
an event that interferes with the activities of daily living (eg, bathing,
dressing, eating) or has become unacceptable to the patient, his or her
family, or the general community. Some patients react to an event with
violent behavior or suicidal thoughts; others react with depression.
Regardless of the reaction, it significantly interferes with the patient's life or
is unacceptable to his or her family and/or the community
You are called to an assisted living center where an attendant found a 72-
year-old man unresponsive. The patient had recent hip surgery and has
been taking Vicodin for pain. His respirations are slow and shallow and his
pulse is slow and weak. You should:
• A:apply the AED in case he develops cardiac arrest.
• B:request an ALS ambulance to respond to the scene.
,3 | Page
• C:begin ventilation assistance with a bag-mask device.
• D:apply high-flow oxygen via a nonrebreathing mask. - correct-answer -
You selected C; This is correct!
Reason:Vicodin is a combination of hydrocodone and acetaminophen
(APAP), the active ingredient in Tylenol. Hydrocodone is a potent narcotic
analgesic. When taken in excess, it can suppress the central nervous system
and cause respiratory depression, bradycardia, and hypotension. Initial
management of any patient who has overdosed on a medication of this
type is to ensure a patent airway and support breathing. Because the
patient is breathing inadequately (slow and shallow), immediate
ventilation assistance is needed. Consider requesting an ALS ambulance if
transport time to the nearest hospital will be lengthy. Paramedics can
administer a drug called naloxone (Narcan) to reverse the effects of
narcotic drugs. The AED is not indicated for this patient; it is only applied
to patients in cardiac arrest.
In the patient with diabetes, insulin shock typically presents with:
• A:clammy skin and a rapid onset.
• B:dry skin and a slow onset.
• C:dry skin and a rapid onset.
• D:clammy skin and a slow onset. - correct-answer -The correct answer is
A;
, 4 | Page
Reason:In the patient with diabetes, insulin shock (hypoglycemic crisis)
presents with cool, clammy skin and a rapid onset. The brain is critically
dependent on glucose and responds quickly when the body is in short
supply. Diabetic coma (hyperglycemic crisis) typically presents with warm,
dry skin and a slow onset, sometimes occurring over a period of days.
Your FIRST action in managing a patient with an altered mental status
should be to:
• A:determine if the patient is breathing adequately.
• B:administer one tube of oral glucose.
• C:administer high-flow supplemental oxygen.
• D:ask a family member how the patient normally acts. - correct-answer -
You selected A; This is correct!
Reason:When treating a patient with an altered mental status, you must
first ensure a patent airway and determine if the patient is breathing
adequately. If the patient is breathing adequately, administer supplemental
oxygen and continue your assessment. If the patient is not breathing
adequately (ie, fast or slow rate, shallow breathing [reduced tidal volume]),
assist his or her ventilations. It is important to ask a family member, if
available, how the patient normally acts; this will help establish a baseline.
Before administering oral glucose, you should assess the patient's blood
glucose level to determine if hypoglycemia is the cause of his or her
problem and then decide if the patient is able to swallow the glucose, if
