NREMT ACTUAL EXAM (Latest Update 2026)
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You arrive to find a 48-year-old male complaining that his chest feels heavy. The patient
is awake and talking to you. During your assessment, you note that his skin is pale, cool,
and clammy. Your first step is to:
a. Apply your AED
b. Administer supplemental oxygen
c. Obtain a past medical history
d. Assist the patient in taking his neighbor's nitroglycerin
✔️ Correct Answer: B
Rationale:
Your first step is to administer supplemental oxygen. When treating chest pain, it is
important to get oxygen to the patient as soon as possible to help alleviate damage to
the heart muscle. NCLEX focus: cardiovascular emergencies and oxygen therapy.
,Which of the following is the correct flow of blood through the heart and lungs?
a. Inferior/superior vena cavae, lungs, right atrium, right ventricle, left ventricle, aorta
b. Inferior/superior vena cavae, left atrium, left ventricle, lungs, right atrium, left
ventricle, aorta
c. Inferior/superior vena cavae, lungs, aorta, left atrium, left ventricle, right atrium, left
ventricle
d. Inferior/superior vena cavae, right atrium, right ventricle, lungs, left ventricle, aorta
✔️ Correct Answer: D
Rationale:
Blood flows from the inferior and superior vena cavae into the right atrium, then to the
right ventricle, through the lungs for oxygenation, into the left atrium, left ventricle, and
out the aorta to the body. NCLEX focus: cardiovascular anatomy and physiology.
The mitral or bicuspid valve:
a. Prevents blood from back flowing into the left atrium
b. Prevents blood from back flowing into the right atrium
c. Prevents the blood from back flowing into the lungs
d. Is located between the left atrium and the right ventricle
✔️ Correct Answer: A
Rationale:
The mitral or bicuspid valve is located between the left atrium and the left ventricle. It
prevents blood from back flowing into the left atrium. NCLEX focus: cardiac anatomy
and valve function.
Which of the following is NOT true of the treatment of an impaled object?
a. Remove if blocking the airway
b. Stabilize in place
c. Remove to accommodate transport of the patient
d. Control the bleeding
,✔️ Correct Answer: C
Rationale:
The treatment of a patient with an impaled object includes: securing the object in place,
exposing the wound area, controlling bleeding, and using a bulky dressing to help
stabilize the object. The only time it is permissible to remove an impaled object is if it is
impeding the breathing of a patient. NCLEX focus: trauma management and impaled
object care.
The electrical impulse generated in the right atrium is called the:
a. Atrioventricular node
b. Purkinje fibers
c. Sinoatrial node
d. Bundle of His
✔️ Correct Answer: C
Rationale:
The sinoatrial (SA) node is the natural pacemaker of the heart, located in the right
atrium. It generates the electrical impulses that initiate the heartbeat. NCLEX focus:
cardiac conduction system.
You are treating a patient that has been involved in a motor vehicle accident. You can
lift a flap of skin on the patient's head. This type of injury would be referred to as a(n):
a. Avulsion
b. Laceration
c. Evisceration
d. Puncture
✔️ Correct Answer: A
Rationale:
An avulsion is a tearing injury in which a flap of skin is partially or completely torn away.
A puncture is created by a sharp, pointed object. A laceration is a jagged cut. An
evisceration refers to organs protruding from a wound. NCLEX focus: wound types and
classification.
, Ligaments connect:
a. Muscle to bone
b. Bones to tendon
c. Bone to bone
d. Muscle to tendons
✔️ Correct Answer: C
Rationale:
Ligaments connect bone to bone, providing stability to joints. Tendons connect muscle
to bone. NCLEX focus: musculoskeletal anatomy.
Which of the following heat emergencies is considered a true emergency?
a. Heat cramps
b. Heat exhaustion
c. Heat infarction
d. Heat stroke
✔️ Correct Answer: D
Rationale:
Heat stroke is considered a true life-threatening emergency. A heat stroke typically
occurs after a patient has experienced heat cramps and heat exhaustion. NCLEX focus:
heat emergencies and environmental emergencies.
You are treating a patient who has overdosed on a narcotic. The greatest risk for this
patient is:
a. Respiratory depression
b. Seizures
c. Hypertension
d. Hyperactivity