NREMT EMT COGNITIVE EXAM |ACTUAL
QUESTIONS AND VERIFIED ANSWERS|BRAND NEW
2026-2027 UPDATE|GRADED A+
Question 1
In which of the following situations would you most likely encounter agonal gasps?
A) ANY PT. WHO IS UNRESPONSIVE DUE TO HYPOXIA
B) occlusion of the posterior pharynx by the tongue
C) shortly after the pt. Becomes unresponsive & pulseless
D) significant hypoxemia, regardless of the cause
CORRECT ANSWER
C)
Question 2
After an adult cardiac arrest patient has been intubated by a paramedic, you are providing
ventilations as your partner performs chest compressions. When ventilating the patient,
you should
A. Deliver 2 breaths during a brief pause in chest compressions.
B. Deliver each breath over 1 second at a rate of 10 breaths/min
C. Hyperventilate the patient to maximize carbon dioxide elimination.
D. Deliver each breath over 2 seconds at a rate of 15 breaths/min.
CORRECT ANSWER
B) deliver each breath over 1 second at a rate of 10 breaths/min.
1
,Question 3
During your assessment of a trauma patient, you note massive facial injuries, weak radial
pulses, and clammy skin. What should be your MOST immediate concern?
A) potential obstruction of the airway
B) internal bleeding and severe shock
C) applying 100 % supplemental O2
D) providing rapid transport to a trauma center
CORRECT ANSWER
A
Question 4
After an initial attempt to ventilate a patient fails, you reposition the patient's head and
reattempt ventilation without success. You should next
A. Perform chest compressions, open the airway, and look into the mouth
B. Use a flow-restricted oxygen-powered ventilation device
C. Initiate airway obstruction removal techniques and provide transport
D. Continue to reposition the patient's head at the scene until you are able to secure a
patent airway
CORRECT ANSWER
A
Question 5
An unresponsive 60-year-old male is apneic and has a weak, rapid pulse. His O2 saturation
reads 79%. You should:
2
,A) deliver one breath over 1 second every 5 to 6 seconds
B) use a pocket face mask to deliver 12 to 20 breaths / min
C) hyperventilate him until his O2 saturation improves
D) deliver a min. Of 10 breaths/min, each over 1 sec.
CORRECT ANSWER
A
Question 6
You are ventilating an apneic adult with a BVM device and high-flow O2. Her pulse rate is
130 beats/min and she has cyanosis to her face & chest. Which of the following is the
MOST reliable indicator of adequately performed ventilations in this patient?
A) Slight dissipation of her cyanosis
B) noted abdominal rise with each ventilation
C) decreased compliance with each ventilation
D) a decrease in her heart rate to 90 beats/min
CORRECT ANSWER
D
Question 7
If an adult patient presents with a respiratory rate of 26 breaths/min, your initial action
should be to:
• A:evaluate his mental status and the depth of his respirations.
• B:begin assisting his ventilations with a bag-mask device.
3
, • C:apply oxygen via a nonrebreathing mask and take his vital signs.
• D:apply the pulse oximeter and assess his oxygen saturation.
CORRECT ANSWER
A
Question 8
Aspirin may be contraindicated in patients with:
A) glaucoma
B) diabetes
C) stomach ulcers
D) ibuprofen allergy
CORRECT ANSWER
C) stomach ulcers
Question 9
A 49-year-old woman presents with a headache, nausea, and ringing in her ears. She is
conscious and alert and states that she has hypertension and type 2 diabetes. Her BP is
202/114 mmhg, her pulse is 60 beats/min. What should you do?
A) place her in supine
B) give her one tube of oral glucose
C) prepare for immediate transport
D) summon an ALS unit to the scene
CORRECT ANSWER
C
4
QUESTIONS AND VERIFIED ANSWERS|BRAND NEW
2026-2027 UPDATE|GRADED A+
Question 1
In which of the following situations would you most likely encounter agonal gasps?
A) ANY PT. WHO IS UNRESPONSIVE DUE TO HYPOXIA
B) occlusion of the posterior pharynx by the tongue
C) shortly after the pt. Becomes unresponsive & pulseless
D) significant hypoxemia, regardless of the cause
CORRECT ANSWER
C)
Question 2
After an adult cardiac arrest patient has been intubated by a paramedic, you are providing
ventilations as your partner performs chest compressions. When ventilating the patient,
you should
A. Deliver 2 breaths during a brief pause in chest compressions.
B. Deliver each breath over 1 second at a rate of 10 breaths/min
C. Hyperventilate the patient to maximize carbon dioxide elimination.
D. Deliver each breath over 2 seconds at a rate of 15 breaths/min.
CORRECT ANSWER
B) deliver each breath over 1 second at a rate of 10 breaths/min.
1
,Question 3
During your assessment of a trauma patient, you note massive facial injuries, weak radial
pulses, and clammy skin. What should be your MOST immediate concern?
A) potential obstruction of the airway
B) internal bleeding and severe shock
C) applying 100 % supplemental O2
D) providing rapid transport to a trauma center
CORRECT ANSWER
A
Question 4
After an initial attempt to ventilate a patient fails, you reposition the patient's head and
reattempt ventilation without success. You should next
A. Perform chest compressions, open the airway, and look into the mouth
B. Use a flow-restricted oxygen-powered ventilation device
C. Initiate airway obstruction removal techniques and provide transport
D. Continue to reposition the patient's head at the scene until you are able to secure a
patent airway
CORRECT ANSWER
A
Question 5
An unresponsive 60-year-old male is apneic and has a weak, rapid pulse. His O2 saturation
reads 79%. You should:
2
,A) deliver one breath over 1 second every 5 to 6 seconds
B) use a pocket face mask to deliver 12 to 20 breaths / min
C) hyperventilate him until his O2 saturation improves
D) deliver a min. Of 10 breaths/min, each over 1 sec.
CORRECT ANSWER
A
Question 6
You are ventilating an apneic adult with a BVM device and high-flow O2. Her pulse rate is
130 beats/min and she has cyanosis to her face & chest. Which of the following is the
MOST reliable indicator of adequately performed ventilations in this patient?
A) Slight dissipation of her cyanosis
B) noted abdominal rise with each ventilation
C) decreased compliance with each ventilation
D) a decrease in her heart rate to 90 beats/min
CORRECT ANSWER
D
Question 7
If an adult patient presents with a respiratory rate of 26 breaths/min, your initial action
should be to:
• A:evaluate his mental status and the depth of his respirations.
• B:begin assisting his ventilations with a bag-mask device.
3
, • C:apply oxygen via a nonrebreathing mask and take his vital signs.
• D:apply the pulse oximeter and assess his oxygen saturation.
CORRECT ANSWER
A
Question 8
Aspirin may be contraindicated in patients with:
A) glaucoma
B) diabetes
C) stomach ulcers
D) ibuprofen allergy
CORRECT ANSWER
C) stomach ulcers
Question 9
A 49-year-old woman presents with a headache, nausea, and ringing in her ears. She is
conscious and alert and states that she has hypertension and type 2 diabetes. Her BP is
202/114 mmhg, her pulse is 60 beats/min. What should you do?
A) place her in supine
B) give her one tube of oral glucose
C) prepare for immediate transport
D) summon an ALS unit to the scene
CORRECT ANSWER
C
4
