NREMT PARAMEDIC EXAM |ACTUAL QUESTIONS &
VERIFIED ANSWERS 2026-2027 UPDATED EDITION
|GRADED A+
Question 1
You are called to assist an adult with chest pain. The patient has a cardiac history of two-
posterior myocardial infarctions. He is conscious and alert, stating he is having a hard time
breathing, and the chest pain worsens when he attempts to lay flat on his back. His skin is
pale and hot, while auscultation of his lung sounds reveals mild crackles. He reports the
pain worsens on deep inspiration and movement.
Based on the patient's history, and signs and symptoms, which of the following should you
suspect?
A.
Unstable angina pectoris
B.
Pericarditis
C.
Myocardial infarction
D.
Cardiomyopathy
CORRECT ANSWER
B.
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,Question 2
You are the first ambulance to arrive on the scene of a single-car accident. As you
approach the scene, you see four patients, two have been ejected from their vehicle, and
two are still in the vehicle. What should be your next course of action?
A.
Call medical control, and advise them of the situation
B.
Request additional resources, such as fire rescue, and additional ambulances to respond to
the scene
C.
Begin immediate triage and treatment of the two patients ejected first while awaiting fire
department response
D.
Notify the local trauma center so they can prepare for the patients
CORRECT ANSWER
B.
Question 3
A patient is experiencing a possible neurological emergency from a blunt force closed head
injury. He is found to have abnormal pupillary reactions to light and has lost the ability to
move his eyes from side to side to follow your finger movements. He is also unable to
identify the number of fingers you are holding up. He reports he is able to see the fingers
but is not able to focus enough to identify how many fingers are present.
Which of the following cranial nerves should you suspect may be involved in his injury?
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,A.
Cranial nerves I, V, and VI
B.
Cranial nerves V and VII
C.
Cranial nerves IX and X
D.
Cranial nerves II, III, and IV
CORRECT ANSWER
D.
Question 4
Simply put, shock is a state of hypoperfusion due to several different causes. Which one of
the following types of shock would be considered distributive shock?
A.
Hypovolemic shock
B.
Cardiogenic shock
C.
Anaphylactic shock
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, D.
Toxic shock syndrome
CORRECT ANSWER
C.
Question 5
Which of the following is responsible for initiating the sympathetic response to shock
during a traumatic event?
A.
Increased oxygen level and increased PCO2
B.
Increased peripheral vascular resistance and alkalosis
C.
Decreased perfusion and increased acidosis
D.
Peripheral vasodilation and increased capillary permeability
CORRECT ANSWER
C.
Question 6
4
@THE STUDY VAULT
VERIFIED ANSWERS 2026-2027 UPDATED EDITION
|GRADED A+
Question 1
You are called to assist an adult with chest pain. The patient has a cardiac history of two-
posterior myocardial infarctions. He is conscious and alert, stating he is having a hard time
breathing, and the chest pain worsens when he attempts to lay flat on his back. His skin is
pale and hot, while auscultation of his lung sounds reveals mild crackles. He reports the
pain worsens on deep inspiration and movement.
Based on the patient's history, and signs and symptoms, which of the following should you
suspect?
A.
Unstable angina pectoris
B.
Pericarditis
C.
Myocardial infarction
D.
Cardiomyopathy
CORRECT ANSWER
B.
1
@THE STUDY VAULT
,Question 2
You are the first ambulance to arrive on the scene of a single-car accident. As you
approach the scene, you see four patients, two have been ejected from their vehicle, and
two are still in the vehicle. What should be your next course of action?
A.
Call medical control, and advise them of the situation
B.
Request additional resources, such as fire rescue, and additional ambulances to respond to
the scene
C.
Begin immediate triage and treatment of the two patients ejected first while awaiting fire
department response
D.
Notify the local trauma center so they can prepare for the patients
CORRECT ANSWER
B.
Question 3
A patient is experiencing a possible neurological emergency from a blunt force closed head
injury. He is found to have abnormal pupillary reactions to light and has lost the ability to
move his eyes from side to side to follow your finger movements. He is also unable to
identify the number of fingers you are holding up. He reports he is able to see the fingers
but is not able to focus enough to identify how many fingers are present.
Which of the following cranial nerves should you suspect may be involved in his injury?
2
@THE STUDY VAULT
,A.
Cranial nerves I, V, and VI
B.
Cranial nerves V and VII
C.
Cranial nerves IX and X
D.
Cranial nerves II, III, and IV
CORRECT ANSWER
D.
Question 4
Simply put, shock is a state of hypoperfusion due to several different causes. Which one of
the following types of shock would be considered distributive shock?
A.
Hypovolemic shock
B.
Cardiogenic shock
C.
Anaphylactic shock
3
@THE STUDY VAULT
, D.
Toxic shock syndrome
CORRECT ANSWER
C.
Question 5
Which of the following is responsible for initiating the sympathetic response to shock
during a traumatic event?
A.
Increased oxygen level and increased PCO2
B.
Increased peripheral vascular resistance and alkalosis
C.
Decreased perfusion and increased acidosis
D.
Peripheral vasodilation and increased capillary permeability
CORRECT ANSWER
C.
Question 6
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@THE STUDY VAULT
