NREMT PRACTICE TEST BANK LATEST EXAM
2026/2027 WITH 470 QUESTIONS AND EXPERT-
VERIFIED CORRECT ANSWERS | ALREADY
GRADED A+ | GUARANTEED PASS| MULTIPLE
CHOICE QUESTIONS
A 30-year-old man with a history of schizophrenia cut his wrists and is bleeding
profusely. He is confused, combative, and has slurred speech. With the assistance
of law enforcement personnel, you and your partner physically restrain him in
order to provide care and transport. In this situation, a court of law would MOST
likely:
• A:conclude that you should have had a court order to restrain.
• B:determine that the patient had decision-making capacity.
• C:agree that you and your partner are guilty of assault and battery.
• D:consider your actions in providing care to be appropriate. - ANSWER-You
selected D; This is correct!
Reason:An adult with decision-making capacity (ie, a mentally competent adult)
has the legal right to refuse medical treatment, even if that treatment involves
lifesaving care. In psychiatric cases, however, a court of law would likely consider
your actions in providing lifesaving care to be appropriate, particularly if you have
a reasonable belief that the patient would harm him- or herself or others without
,your intervention. In addition, a patient who is in any way impaired, whether by
mental illness, medical condition, or intoxication, may not be considered
competent to refuse treatment and transport. If you are unsure of a patient's
decision-making capacity, err on the side of treatment and transport. Few would
argue that it would be easier to defend why you treated a patient than to justify or
defend why you abandoned a patient.
After removing a patient from the water, your assessment reveals that he is not
breathing and is continuously regurgitating large amounts of water. You should:
• A:perform abdominal thrusts to remove the water.
• B:begin rescue breathing after he stops regurgitating.
• C:alternate suctioning with artificial ventilations.
• D:place him on his side and press on his abdomen. - ANSWER-You selected C;
This is correct!
Reason:In cases where a patient is not breathing and is regurgitating (passively
vomiting) secretions at the same time, you must address both issues. This is
accomplished most effectively by suctioning for 15 seconds and then ventilating
for 2 minutes. This alternating sequence should be repeated until all secretions are
cleared from the airway. You should turn the patient onto his side to facilitate
drainage of liquid, but do not apply pressure to his abdomen. Manual gastric
decompression, which involves applying pressure to the patient's abdomen, is a
dangerous maneuver because it will force more water from the stomach, which the
patient could potentially aspirate. Manual gastric decompression should ONLY be
performed if gastric distention is so severe that it is impossible to ventilate a
patient AND a paramedic is not present to insert a gastric tube into the stomach.
Abdominal thrusts are used to remove a solid foreign body from the airway, not
liquid.
Approximately 5 minutes after being stung by a bee, a 21-year-old male develops
hives and begins experiencing difficulty breathing. When you arrive at the scene,
you note that his level of consciousness is decreased, his breathing is labored, and
,wheezing can be heard without a stethoscope. The patient has a bee sting kit, but
has not used it. You should:
• A:give him high-flow oxygen via a nonrebreathing mask, cover him with a
blanket and elevate his legs, and assist him in swallowing the antihistamine tablets
that are in his bee sting kit.
• B:provide positive-pressure ventilations, initiate rapid transport, and coordinate a
rendezvous with a paramedic unit so they can administer the epinephrine from his
bee sting kit.
• C:assist his ventilations with a bag-mask device, administer epinephrine from his
bee sting kit after receiving approval from medical control, and prepare for
immediate transport.
• D:administer hi - ANSWER-You selected C; This is correct!
Reason: The patient is in anaphylactic shock and needs epinephrine immediately.
Epinephrine is given to patients with anaphylactic shock because it constricts the
blood vessels and dilates the bronchioles, thus improving perfusion and breathing.
Begin assisting his ventilations with a bag-mask device; his breathing is inadequate
(eg, decreased LOC, wheezing, labored breathing). After receiving permission
from medical control, give the epinephrine from his bee sting kit (AnaKit) via
intramuscular injection and transport at once. Some EMS protocols may not
require you to contact medical control before giving epinephrine to a patient whose
condition is critical. Ordinarily, you would instruct the patient to chew and
swallow the antihistamine tablets after giving epinephrine. However, the patient's
level of consciousness contraindicates placing anything in his mouth.
Which of the following signs is LEAST suggestive of a diabetic emergency?
• A:Fruity breath odor
• B:Bradycardia
• C:Combativeness
• D:Tachycardia - ANSWER-You selected B; This is correct!
, Reason:Bradycardia is not commonly associated with either hyperglycemia or
hypoglycemia. Tachycardia and combativeness can occur in patients with
hyperglycemia or hypoglycemia. A fruity breath odor is noted exclusively in
patients with diabetic ketoacidosis (diabetic coma, hyperglycemic crisis).
A 46-year-old man presents with generalized weakness and shortness of breath
after he was bitten on the leg by a rattlesnake. His blood pressure is 106/58 mm Hg
and his pulse rate is 112 beats/min. In addition to supplemental oxygen, further
treatment for this patient should include:
• A:ice packs to the wound and splinting.
• B:proximal arterial constricting band and splinting.
• C:splinting and lowering of the affected part.
• D:elevation of the affected part and ice packs. - ANSWER-The correct answer is
C;
Reason:Care for a patient with a bite from a pit viper (rattlesnake, copperhead,
water moccasin) includes keeping the patient calm, administering supplemental
oxygen, splinting the affected part, and keeping it below the level of the heart. Do
NOT apply ice to a snakebite; this will cause local vasoconstriction and may force
the venom deeper into the patient's circulation. If a constricting band is applied, it
should be proximal to the bite and should be tight enough to slow venous return
only, not cut off arterial supply.
Which of the following is a later sign of hepatitis?
• A:Fever and vomiting
• B:Jaundice
• C:Loss of appetite
• D:Fatigue - ANSWER-You selected B; This is correct!
2026/2027 WITH 470 QUESTIONS AND EXPERT-
VERIFIED CORRECT ANSWERS | ALREADY
GRADED A+ | GUARANTEED PASS| MULTIPLE
CHOICE QUESTIONS
A 30-year-old man with a history of schizophrenia cut his wrists and is bleeding
profusely. He is confused, combative, and has slurred speech. With the assistance
of law enforcement personnel, you and your partner physically restrain him in
order to provide care and transport. In this situation, a court of law would MOST
likely:
• A:conclude that you should have had a court order to restrain.
• B:determine that the patient had decision-making capacity.
• C:agree that you and your partner are guilty of assault and battery.
• D:consider your actions in providing care to be appropriate. - ANSWER-You
selected D; This is correct!
Reason:An adult with decision-making capacity (ie, a mentally competent adult)
has the legal right to refuse medical treatment, even if that treatment involves
lifesaving care. In psychiatric cases, however, a court of law would likely consider
your actions in providing lifesaving care to be appropriate, particularly if you have
a reasonable belief that the patient would harm him- or herself or others without
,your intervention. In addition, a patient who is in any way impaired, whether by
mental illness, medical condition, or intoxication, may not be considered
competent to refuse treatment and transport. If you are unsure of a patient's
decision-making capacity, err on the side of treatment and transport. Few would
argue that it would be easier to defend why you treated a patient than to justify or
defend why you abandoned a patient.
After removing a patient from the water, your assessment reveals that he is not
breathing and is continuously regurgitating large amounts of water. You should:
• A:perform abdominal thrusts to remove the water.
• B:begin rescue breathing after he stops regurgitating.
• C:alternate suctioning with artificial ventilations.
• D:place him on his side and press on his abdomen. - ANSWER-You selected C;
This is correct!
Reason:In cases where a patient is not breathing and is regurgitating (passively
vomiting) secretions at the same time, you must address both issues. This is
accomplished most effectively by suctioning for 15 seconds and then ventilating
for 2 minutes. This alternating sequence should be repeated until all secretions are
cleared from the airway. You should turn the patient onto his side to facilitate
drainage of liquid, but do not apply pressure to his abdomen. Manual gastric
decompression, which involves applying pressure to the patient's abdomen, is a
dangerous maneuver because it will force more water from the stomach, which the
patient could potentially aspirate. Manual gastric decompression should ONLY be
performed if gastric distention is so severe that it is impossible to ventilate a
patient AND a paramedic is not present to insert a gastric tube into the stomach.
Abdominal thrusts are used to remove a solid foreign body from the airway, not
liquid.
Approximately 5 minutes after being stung by a bee, a 21-year-old male develops
hives and begins experiencing difficulty breathing. When you arrive at the scene,
you note that his level of consciousness is decreased, his breathing is labored, and
,wheezing can be heard without a stethoscope. The patient has a bee sting kit, but
has not used it. You should:
• A:give him high-flow oxygen via a nonrebreathing mask, cover him with a
blanket and elevate his legs, and assist him in swallowing the antihistamine tablets
that are in his bee sting kit.
• B:provide positive-pressure ventilations, initiate rapid transport, and coordinate a
rendezvous with a paramedic unit so they can administer the epinephrine from his
bee sting kit.
• C:assist his ventilations with a bag-mask device, administer epinephrine from his
bee sting kit after receiving approval from medical control, and prepare for
immediate transport.
• D:administer hi - ANSWER-You selected C; This is correct!
Reason: The patient is in anaphylactic shock and needs epinephrine immediately.
Epinephrine is given to patients with anaphylactic shock because it constricts the
blood vessels and dilates the bronchioles, thus improving perfusion and breathing.
Begin assisting his ventilations with a bag-mask device; his breathing is inadequate
(eg, decreased LOC, wheezing, labored breathing). After receiving permission
from medical control, give the epinephrine from his bee sting kit (AnaKit) via
intramuscular injection and transport at once. Some EMS protocols may not
require you to contact medical control before giving epinephrine to a patient whose
condition is critical. Ordinarily, you would instruct the patient to chew and
swallow the antihistamine tablets after giving epinephrine. However, the patient's
level of consciousness contraindicates placing anything in his mouth.
Which of the following signs is LEAST suggestive of a diabetic emergency?
• A:Fruity breath odor
• B:Bradycardia
• C:Combativeness
• D:Tachycardia - ANSWER-You selected B; This is correct!
, Reason:Bradycardia is not commonly associated with either hyperglycemia or
hypoglycemia. Tachycardia and combativeness can occur in patients with
hyperglycemia or hypoglycemia. A fruity breath odor is noted exclusively in
patients with diabetic ketoacidosis (diabetic coma, hyperglycemic crisis).
A 46-year-old man presents with generalized weakness and shortness of breath
after he was bitten on the leg by a rattlesnake. His blood pressure is 106/58 mm Hg
and his pulse rate is 112 beats/min. In addition to supplemental oxygen, further
treatment for this patient should include:
• A:ice packs to the wound and splinting.
• B:proximal arterial constricting band and splinting.
• C:splinting and lowering of the affected part.
• D:elevation of the affected part and ice packs. - ANSWER-The correct answer is
C;
Reason:Care for a patient with a bite from a pit viper (rattlesnake, copperhead,
water moccasin) includes keeping the patient calm, administering supplemental
oxygen, splinting the affected part, and keeping it below the level of the heart. Do
NOT apply ice to a snakebite; this will cause local vasoconstriction and may force
the venom deeper into the patient's circulation. If a constricting band is applied, it
should be proximal to the bite and should be tight enough to slow venous return
only, not cut off arterial supply.
Which of the following is a later sign of hepatitis?
• A:Fever and vomiting
• B:Jaundice
• C:Loss of appetite
• D:Fatigue - ANSWER-You selected B; This is correct!
