NREMT COMPREHENSIVE PRACTICE
EXAM 2026/2027 QUESTIONS AND
ANSWERS
1. A 67-year-old male presents with sudden onset of sharp, tearing chest pain radiating to his
back. His blood pressure is 160/90 in the right arm and 130/70 in the left arm. What should
you suspect?
A. Acute Myocardial Infarction
B. Tension Pneumothorax
C. Pulmonary Embolism
D. Aortic Dissection
Answer: D
Conceptual Explanation: The tearing nature of the pain and the significant discrepancy in
blood pressure between arms are classic signs of a thoracic aortic dissection.
2. Which of the following findings is most indicative of a tension pneumothorax rather than a
simple pneumothorax?
A. JVD and tracheal deviation away from the affected side
,B. Sudden onset of dyspnea
C. Diminished breath sounds on the affected side
D. Sharp pleuritic chest pain
Answer: A
Conceptual Explanation: While both cause respiratory distress and decreased breath
sounds, the presence of obstructive shock signs like JVD and late-stage tracheal deviation
indicates tension.
3. A patient in a motor vehicle accident has a bruise over the RUQ and is complaining of pain
in the right shoulder. This referred pain is known as:
A. Kehr’s sign
B. Grey Turner’s sign
C. Cullen’s sign
D. Murphy’s sign
Answer: A
Conceptual Explanation: Kehr’s sign is referred pain to the shoulder caused by blood or
irritation in the peritoneal cavity, commonly involving the spleen (left) or liver (right).
4. You are treating a 4-year-old who is lethargic, has a respiratory rate of 10, and a heart rate
of 58. What is your immediate priority?
A. Perform chest compressions at 15:2 ratio
, B. Begin BVM ventilations with high-flow oxygen
C. Apply the AED immediately
D. Administer blow-by oxygen via a non-rebreather
Answer: B
Conceptual Explanation: In pediatrics, bradycardia is usually a result of hypoxia. The
primary intervention for a symptomatic pediatric patient with a low heart rate and
respiratory rate is BVM ventilations.
5. An adult patient was pulled from a burning building. He has full-thickness burns to his
entire chest and abdomen and the anterior surface of both arms. Using the Rule of Nines,
calculate the BSA percentage.
A. 18%
B. 45%
C. 36%
D. 27%
Answer: D
Conceptual Explanation: The anterior torso (chest and abdomen) is 18%. The anterior
surfaces of both arms are 4.5% each (total 9%). 18 + 9 = 27%.
EXAM 2026/2027 QUESTIONS AND
ANSWERS
1. A 67-year-old male presents with sudden onset of sharp, tearing chest pain radiating to his
back. His blood pressure is 160/90 in the right arm and 130/70 in the left arm. What should
you suspect?
A. Acute Myocardial Infarction
B. Tension Pneumothorax
C. Pulmonary Embolism
D. Aortic Dissection
Answer: D
Conceptual Explanation: The tearing nature of the pain and the significant discrepancy in
blood pressure between arms are classic signs of a thoracic aortic dissection.
2. Which of the following findings is most indicative of a tension pneumothorax rather than a
simple pneumothorax?
A. JVD and tracheal deviation away from the affected side
,B. Sudden onset of dyspnea
C. Diminished breath sounds on the affected side
D. Sharp pleuritic chest pain
Answer: A
Conceptual Explanation: While both cause respiratory distress and decreased breath
sounds, the presence of obstructive shock signs like JVD and late-stage tracheal deviation
indicates tension.
3. A patient in a motor vehicle accident has a bruise over the RUQ and is complaining of pain
in the right shoulder. This referred pain is known as:
A. Kehr’s sign
B. Grey Turner’s sign
C. Cullen’s sign
D. Murphy’s sign
Answer: A
Conceptual Explanation: Kehr’s sign is referred pain to the shoulder caused by blood or
irritation in the peritoneal cavity, commonly involving the spleen (left) or liver (right).
4. You are treating a 4-year-old who is lethargic, has a respiratory rate of 10, and a heart rate
of 58. What is your immediate priority?
A. Perform chest compressions at 15:2 ratio
, B. Begin BVM ventilations with high-flow oxygen
C. Apply the AED immediately
D. Administer blow-by oxygen via a non-rebreather
Answer: B
Conceptual Explanation: In pediatrics, bradycardia is usually a result of hypoxia. The
primary intervention for a symptomatic pediatric patient with a low heart rate and
respiratory rate is BVM ventilations.
5. An adult patient was pulled from a burning building. He has full-thickness burns to his
entire chest and abdomen and the anterior surface of both arms. Using the Rule of Nines,
calculate the BSA percentage.
A. 18%
B. 45%
C. 36%
D. 27%
Answer: D
Conceptual Explanation: The anterior torso (chest and abdomen) is 18%. The anterior
surfaces of both arms are 4.5% each (total 9%). 18 + 9 = 27%.
