NREMT EMT COGNITIVE EXAM PREP |ACTUAL
QUESTIONS AND VERIFIED ANSWERS|BRAND NEW
2026-2027 UPDATE|GRADED A+
Question 1
A 54-year-old male is found sitting on his porch, clutching his chest and complaining of
severe, crushing chest pain. He states the pain began 20 minutes ago while gardening. His
skin is pale and diaphoretic, his respiratory rate is 24 breaths per minute, and his pulse is
104 beats per minute and regular. His blood pressure is 148/92, and his oxygen saturation
is 92% on room air. He denies any recent illnesses and states he has a history of
hypertension and high cholesterol. What is your most appropriate first step?
A. Administer oxygen at15 L/min via NRB and prepare for rapid transport.
B. Provide 325 mg of aspirin and assist the patient with his prescribed nitroglycerin.
C. Place the patient in a position of comfort and monitor his vitals.
D. Perform a full secondary assessment before providing any treatment.
CORRECT ANSWER
Correct - A
A: Correct. The patient's oxygen saturation is borderline low, and administering oxygen
takes priority to ensure adequate oxygenation, especially in the context of suspected
acute coronary syndrome (ACS). After oxygen, you can proceed with aspirin and
nitroglycerin as appropriate.
B: Incorrect. Aspirin and nitroglycerin are vital for ACS but should follow oxygen
administration in this case to stabilize the patient first.
C: Incorrect. Positioning and monitoring alone delay critical interventions like oxygen and
medications.
D: Incorrect. A full secondary assessment should not delay essential treatment for
suspected ACS.
Question 2
1
,A 72-year-old female is found sitting in her recliner, complaining of sudden-onset difficulty
breathing. She reports a history of congestive heart failure and states she feels like she's
"drowning." You note audible crackles during auscultation of her lungs, and she is
coughing up pink, frothy sputum. Her respiratory rate is 28 breaths per minute, her pulse
is 120 beats per minute, and her blood pressure is 190/100. Her oxygen saturation is 88%
on room air. What is your most appropriate next step?
A. Place the patient in a supine position and administer oxygen.
B. Administer oxygen via non-rebreather mask at 15 L/min and prepare for rapid transport.
C. Provide ventilatory support with a bag-valve mask and high-flow oxygen.
D. Administer 325 mg of aspirin and assist with prescribed nitroglycerin.
CORRECT ANSWER
Correct - B
A: Incorrect. A supine position can worsen pulmonary edema by increasing fluid
backflow into the lungs.
B: Correct. The patient shows signs of acute pulmonary edema secondary to CHF. High-
flow oxygen via a non-rebreather mask is the most appropriate first step to improve
oxygenation, along with sitting the patient upright to ease breathing.
C: Incorrect. Ventilatory support is unnecessary unless the patient is unable to maintain
their own respiratory effort.
D: Incorrect. While nitroglycerin may help reduce preload and aspirin is vital for ACS, the
immediate priority is oxygenation.
Question 3
A 24-year-old male is found sitting on the ground outside a gym, holding his head and
complaining of a severe headache that began suddenly during his workout. He reports
nausea and states he briefly lost vision in his right eye. His skin is warm and dry, his
respiratory rate is 20 breaths per minute, and his pulse is 90 beats per minute and regular.
His blood pressure is 170/98. He denies any medical history and does not take any
medications. What is your most appropriate first step?
2
, A. Administer oxygen at 2 L/min via nasal cannula.
B. Place the patient in a supine position and monitor for changes.
C. Assess for signs of stroke and prepare for rapid transport.
D. Encourage the patient to hydrate and rest while observing.
CORRECT ANSWER
Correct - C
A: Incorrect. Oxygen is not indicated unless there is evidence of respiratory distress.
B: Incorrect. Supine positioning is not ideal if increased intracranial pressure is suspected,
which may be the case here.
C: Correct. The patient's sudden severe headache, vision changes, and elevated blood
pressure suggest a potential stroke or intracranial hemorrhage. A stroke assessment and
rapid transport to a stroke-capable facility are essential.
D: Incorrect. Hydration and rest are not appropriate for a patient with these symptoms,
as they could delay definitive care.
Question 4
A 35-year-old female at a restaurant complains of difficulty breathing and throat swelling
after eating shrimp. She is panicked, and you note audible wheezing with inspiratory
stridor. Her skin is flushed, and her respiratory rate is 32 breaths per minute. Her pulse is
128 beats per minute, weak and thready, and her blood pressure is 96/60. She denies a
history of similar reactions but mentions seasonal allergies and no other medical
conditions. What is your most appropriate first step?
A. Administer oxygen at 15 L/min via non-rebreather mask.
B. Provide an intramuscular injection of epinephrine.
C. Place the patient supine and begin ventilatory support.
D. Transport immediately to the nearest emergency department.
CORRECT ANSWER
Correct - B
3
QUESTIONS AND VERIFIED ANSWERS|BRAND NEW
2026-2027 UPDATE|GRADED A+
Question 1
A 54-year-old male is found sitting on his porch, clutching his chest and complaining of
severe, crushing chest pain. He states the pain began 20 minutes ago while gardening. His
skin is pale and diaphoretic, his respiratory rate is 24 breaths per minute, and his pulse is
104 beats per minute and regular. His blood pressure is 148/92, and his oxygen saturation
is 92% on room air. He denies any recent illnesses and states he has a history of
hypertension and high cholesterol. What is your most appropriate first step?
A. Administer oxygen at15 L/min via NRB and prepare for rapid transport.
B. Provide 325 mg of aspirin and assist the patient with his prescribed nitroglycerin.
C. Place the patient in a position of comfort and monitor his vitals.
D. Perform a full secondary assessment before providing any treatment.
CORRECT ANSWER
Correct - A
A: Correct. The patient's oxygen saturation is borderline low, and administering oxygen
takes priority to ensure adequate oxygenation, especially in the context of suspected
acute coronary syndrome (ACS). After oxygen, you can proceed with aspirin and
nitroglycerin as appropriate.
B: Incorrect. Aspirin and nitroglycerin are vital for ACS but should follow oxygen
administration in this case to stabilize the patient first.
C: Incorrect. Positioning and monitoring alone delay critical interventions like oxygen and
medications.
D: Incorrect. A full secondary assessment should not delay essential treatment for
suspected ACS.
Question 2
1
,A 72-year-old female is found sitting in her recliner, complaining of sudden-onset difficulty
breathing. She reports a history of congestive heart failure and states she feels like she's
"drowning." You note audible crackles during auscultation of her lungs, and she is
coughing up pink, frothy sputum. Her respiratory rate is 28 breaths per minute, her pulse
is 120 beats per minute, and her blood pressure is 190/100. Her oxygen saturation is 88%
on room air. What is your most appropriate next step?
A. Place the patient in a supine position and administer oxygen.
B. Administer oxygen via non-rebreather mask at 15 L/min and prepare for rapid transport.
C. Provide ventilatory support with a bag-valve mask and high-flow oxygen.
D. Administer 325 mg of aspirin and assist with prescribed nitroglycerin.
CORRECT ANSWER
Correct - B
A: Incorrect. A supine position can worsen pulmonary edema by increasing fluid
backflow into the lungs.
B: Correct. The patient shows signs of acute pulmonary edema secondary to CHF. High-
flow oxygen via a non-rebreather mask is the most appropriate first step to improve
oxygenation, along with sitting the patient upright to ease breathing.
C: Incorrect. Ventilatory support is unnecessary unless the patient is unable to maintain
their own respiratory effort.
D: Incorrect. While nitroglycerin may help reduce preload and aspirin is vital for ACS, the
immediate priority is oxygenation.
Question 3
A 24-year-old male is found sitting on the ground outside a gym, holding his head and
complaining of a severe headache that began suddenly during his workout. He reports
nausea and states he briefly lost vision in his right eye. His skin is warm and dry, his
respiratory rate is 20 breaths per minute, and his pulse is 90 beats per minute and regular.
His blood pressure is 170/98. He denies any medical history and does not take any
medications. What is your most appropriate first step?
2
, A. Administer oxygen at 2 L/min via nasal cannula.
B. Place the patient in a supine position and monitor for changes.
C. Assess for signs of stroke and prepare for rapid transport.
D. Encourage the patient to hydrate and rest while observing.
CORRECT ANSWER
Correct - C
A: Incorrect. Oxygen is not indicated unless there is evidence of respiratory distress.
B: Incorrect. Supine positioning is not ideal if increased intracranial pressure is suspected,
which may be the case here.
C: Correct. The patient's sudden severe headache, vision changes, and elevated blood
pressure suggest a potential stroke or intracranial hemorrhage. A stroke assessment and
rapid transport to a stroke-capable facility are essential.
D: Incorrect. Hydration and rest are not appropriate for a patient with these symptoms,
as they could delay definitive care.
Question 4
A 35-year-old female at a restaurant complains of difficulty breathing and throat swelling
after eating shrimp. She is panicked, and you note audible wheezing with inspiratory
stridor. Her skin is flushed, and her respiratory rate is 32 breaths per minute. Her pulse is
128 beats per minute, weak and thready, and her blood pressure is 96/60. She denies a
history of similar reactions but mentions seasonal allergies and no other medical
conditions. What is your most appropriate first step?
A. Administer oxygen at 15 L/min via non-rebreather mask.
B. Provide an intramuscular injection of epinephrine.
C. Place the patient supine and begin ventilatory support.
D. Transport immediately to the nearest emergency department.
CORRECT ANSWER
Correct - B
3
