NREMT CARDIOLOGY EXAM 2026 UPDATE QUESTIONS
AND CORRECT VERIFIED ANSWERS ALREADY GRADED
A+ (BRAND NEW VISION)
Which of the following would be the MOST effective way of minimizing the detrimental effects
associated with acute coronary syndrome?
A) Administer nitroglycerin in 15- to 20-minute intervals
B) Reassure the patient and provide prompt transport
C) Transport the patient rapidly, using lights and siren
D) Request ALS support for any patient who has chest pain - ANS-B) Reassure the patient and
provide prompt transport
A 50-year-old man's implanted defibrillator has fired twice within the last hour. He is conscious
and alert and complains of a "sore chest." Further assessment reveals that his chest pain is
reproducible to palpation and is localized to the area of his implanted defibrillator. Treatment
for him should include:
A) application of the AED and transport to the hospital.
B) prompt transport with continuous monitoring en route.
C) deactivating his defibrillator by running a magnet over it.
D) up to three doses of nitroglycerin and prompt transport. - ANS-B) prompt transport with
continuous monitoring en route.
The chest pain associated with an acute coronary syndrome is often described as:
A) sharp.
B) stabbing.
C) pressure.
D) cramping. - ANS-C) pressure.
,Tachycardia can be detrimental to a patient who is experiencing a cardiac problem because it
causes:
A) increased cardiac filling in between beats.
B) a profound decrease in oxygen consumption.
C) an associated increase in breathing difficulty.
D) increased cardiac oxygen usage and demand. - ANS-D) increased cardiac oxygen usage and
demand.
When the vital organs of an 85-year-old patient need additional blood flow, the heart may not
be able to meet the increased need because:
A) stroke volume increases as a person ages.
B) blood pressure decreases as a person ages.
C) the reserve capacity of the heart is reduced as a person ages.
D) the blood vessels become more elastic as a person ages. - ANS-C) the reserve capacity of the
heart is reduced as a person ages.
Common signs and symptoms of a hypertensive emergency include:
A) unequal pupils, irregular pulse, and pallor.
B) ringing in the ears, headache, and epistaxis.
C) chest discomfort, weak pulses, and cool skin.
D) vomiting without nausea and hemiparesis. - ANS-B) ringing in the ears, headache, and
epistaxis.
You assess an unresponsive 65-year-old man and find that he is apneic and pulseless. The
patient's wife tells you that he has an automatic implanted cardioverter/defibrillator. After
initiating CPR, you should:
A) deactivate the implanted defibrillator by running a magnet over it.
,B) apply the AED as soon as possible and analyze his cardiac rhythm.
C) ask the wife why and when he had the automatic defibrillator implanted.
D) avoid using the AED because the implanted defibrillator is more effective. - ANS-B) apply the
AED as soon as possible and analyze his cardiac rhythm.
Which of the following statements regarding sudden cardiac arrest and ventricular fibrillation is
correct?
A) For each minute that defibrillation is delayed, the chance of survival decreases by as much as
10%.
B) High-quality CPR often reverses ventricular fibrillation if it is initiated within 2 minutes of the
onset.
C) Most patients develop ventricular fibrillation within 10 minutes after the onset of sudden
cardiac arrest.
D) Patients with ventricular fibrillation are typically unconscious, are apneic, and have a weak
and irregular pulse. - ANS-A) For each minute that defibrillation is delayed, the chance of
survival decreases by as much as 10%.
A patient who is experiencing an acute myocardial infarction:
A) most often describes his or her chest pain as being sharp or tearing.
B) has chest pain or discomfort that does not change with each breath.
C) often experiences relief of his or her chest pain after taking nitroglycerin.
D) often complains of a different type of pain than a patient with angina. - ANS-B) has chest
pain or discomfort that does not change with each breath.
You have analyzed a cardiac arrest patient's rhythm three times with the AED, separated by 2-
minute cycles of CPR, and have received no shock messages each time. You should:
A) consider terminating resuscitation.
B) remove the AED and continue CPR.
C) continue CPR and transport at once.
, D) request a paramedic unit at the scene. - ANS-C) continue CPR and transport at once.
After applying the AED to an adult patient in cardiac arrest, you analyze her cardiac rhythm and
receive a shock advised message. Emergency medical responders, who arrived at the scene
before you, tell you that bystander CPR was not in progress upon their arrival. You should:
A) perform CPR for 2 minutes and then defibrillate.
B) detach the AED and prepare for immediate transport.
C) deliver the shock as indicated followed immediately by CPR.
D) notify medical control and request permission to cease resuscitation. - ANS-C) deliver the
shock as indicated followed immediately by CPR.
The myocardium receives its blood supply from the coronary arteries that branch directly from
the:
A) aorta.
B) vena cavae.
C) left atrium.
D) right ventricle. - ANS-A) aorta.
Treatment for a patient with congestive heart failure and shortness of breath may include:
A) prophylactic suctioning of the airway.
B) hyperventilation with a bag-valve-mask.
C) supine positioning and elevation of the legs.
D) up to three doses of sublingual nitroglycerin. - ANS-D) up to three doses of sublingual
nitroglycerin.
blood volume - ANS-4-6 L
AND CORRECT VERIFIED ANSWERS ALREADY GRADED
A+ (BRAND NEW VISION)
Which of the following would be the MOST effective way of minimizing the detrimental effects
associated with acute coronary syndrome?
A) Administer nitroglycerin in 15- to 20-minute intervals
B) Reassure the patient and provide prompt transport
C) Transport the patient rapidly, using lights and siren
D) Request ALS support for any patient who has chest pain - ANS-B) Reassure the patient and
provide prompt transport
A 50-year-old man's implanted defibrillator has fired twice within the last hour. He is conscious
and alert and complains of a "sore chest." Further assessment reveals that his chest pain is
reproducible to palpation and is localized to the area of his implanted defibrillator. Treatment
for him should include:
A) application of the AED and transport to the hospital.
B) prompt transport with continuous monitoring en route.
C) deactivating his defibrillator by running a magnet over it.
D) up to three doses of nitroglycerin and prompt transport. - ANS-B) prompt transport with
continuous monitoring en route.
The chest pain associated with an acute coronary syndrome is often described as:
A) sharp.
B) stabbing.
C) pressure.
D) cramping. - ANS-C) pressure.
,Tachycardia can be detrimental to a patient who is experiencing a cardiac problem because it
causes:
A) increased cardiac filling in between beats.
B) a profound decrease in oxygen consumption.
C) an associated increase in breathing difficulty.
D) increased cardiac oxygen usage and demand. - ANS-D) increased cardiac oxygen usage and
demand.
When the vital organs of an 85-year-old patient need additional blood flow, the heart may not
be able to meet the increased need because:
A) stroke volume increases as a person ages.
B) blood pressure decreases as a person ages.
C) the reserve capacity of the heart is reduced as a person ages.
D) the blood vessels become more elastic as a person ages. - ANS-C) the reserve capacity of the
heart is reduced as a person ages.
Common signs and symptoms of a hypertensive emergency include:
A) unequal pupils, irregular pulse, and pallor.
B) ringing in the ears, headache, and epistaxis.
C) chest discomfort, weak pulses, and cool skin.
D) vomiting without nausea and hemiparesis. - ANS-B) ringing in the ears, headache, and
epistaxis.
You assess an unresponsive 65-year-old man and find that he is apneic and pulseless. The
patient's wife tells you that he has an automatic implanted cardioverter/defibrillator. After
initiating CPR, you should:
A) deactivate the implanted defibrillator by running a magnet over it.
,B) apply the AED as soon as possible and analyze his cardiac rhythm.
C) ask the wife why and when he had the automatic defibrillator implanted.
D) avoid using the AED because the implanted defibrillator is more effective. - ANS-B) apply the
AED as soon as possible and analyze his cardiac rhythm.
Which of the following statements regarding sudden cardiac arrest and ventricular fibrillation is
correct?
A) For each minute that defibrillation is delayed, the chance of survival decreases by as much as
10%.
B) High-quality CPR often reverses ventricular fibrillation if it is initiated within 2 minutes of the
onset.
C) Most patients develop ventricular fibrillation within 10 minutes after the onset of sudden
cardiac arrest.
D) Patients with ventricular fibrillation are typically unconscious, are apneic, and have a weak
and irregular pulse. - ANS-A) For each minute that defibrillation is delayed, the chance of
survival decreases by as much as 10%.
A patient who is experiencing an acute myocardial infarction:
A) most often describes his or her chest pain as being sharp or tearing.
B) has chest pain or discomfort that does not change with each breath.
C) often experiences relief of his or her chest pain after taking nitroglycerin.
D) often complains of a different type of pain than a patient with angina. - ANS-B) has chest
pain or discomfort that does not change with each breath.
You have analyzed a cardiac arrest patient's rhythm three times with the AED, separated by 2-
minute cycles of CPR, and have received no shock messages each time. You should:
A) consider terminating resuscitation.
B) remove the AED and continue CPR.
C) continue CPR and transport at once.
, D) request a paramedic unit at the scene. - ANS-C) continue CPR and transport at once.
After applying the AED to an adult patient in cardiac arrest, you analyze her cardiac rhythm and
receive a shock advised message. Emergency medical responders, who arrived at the scene
before you, tell you that bystander CPR was not in progress upon their arrival. You should:
A) perform CPR for 2 minutes and then defibrillate.
B) detach the AED and prepare for immediate transport.
C) deliver the shock as indicated followed immediately by CPR.
D) notify medical control and request permission to cease resuscitation. - ANS-C) deliver the
shock as indicated followed immediately by CPR.
The myocardium receives its blood supply from the coronary arteries that branch directly from
the:
A) aorta.
B) vena cavae.
C) left atrium.
D) right ventricle. - ANS-A) aorta.
Treatment for a patient with congestive heart failure and shortness of breath may include:
A) prophylactic suctioning of the airway.
B) hyperventilation with a bag-valve-mask.
C) supine positioning and elevation of the legs.
D) up to three doses of sublingual nitroglycerin. - ANS-D) up to three doses of sublingual
nitroglycerin.
blood volume - ANS-4-6 L
