NREMT Practice Test Bank - Multiple Choice (2025/2026 Latest
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A 3-year-old boy is found to be in cardiopulmonary arrest. As you begin one-rescuer CPR, your
partner prepares the AED. The appropriate compression to ventilation ratio for this child is:
• A:3:1
• B:30:2
• C:5:1
• D:15:2 - correct answer You selected B; This is correct!
Reason:A universal compression to ventilation ratio of 30:2 is used for all one-rescuer CPR
(adult, child, and infant), with the exception of the newborn. A compression to ventilation ratio
of 3:1 is used for newborns (one- and two-rescuer). Two-rescuer infant and child CPR is
performed at a compression to ventilation ratio of 15:2. In this scenario, you are performing one-
rescuer CPR as your partner prepares the AED; therefore, you should give 30 compressions and
2 breaths. However, when you and your partner resume CPR, give 15 compressions and 2
breaths.
A 3-year-old child has a sudden onset of respiratory distress. The mother denies any recent
illnesses or fever. You should suspect:
• A:lower respiratory infection.
• B:foreign body airway obstruction.
• C:croup.
• D:epiglottitis. - correct answer You selected B; This is correct!
Reason:You should suspect a foreign body airway obstruction in any child who presents with an
acute onset of respiratory distress in the absence of fever. Croup, epiglottitis, and lower airway
infections (ie, bronchiolitis, bronchitis) commonly present with a fever. If the child is
experiencing a mild airway obstruction, in which he or she is moving adequate air, has a normal
level of consciousness, and pink skin, do not attempt to relieve the airway obstruction; doing so
may result in a severe airway obstruction. Offer oxygen and transport the child to the hospital
,without delay. If signs of a severe airway obstruction are present (ie, ineffective cough,
decreased level of consciousness, cyanosis), you should perform abdominal thrusts until the
object is expelled or the child becomes unresponsive. If the child becomes unresponsive, perform
chest compressions.
A 3-year-old female presents with respiratory distress. She is conscious, crying, and clinging to
her mother. She has mild intercostal retractions and an oxygen saturation of 93%. The MOST
effective way of delivering oxygen to her involves:
• A:ventilations with a flow-restricted, oxygen-powered device.
• B:gently restraining her and assisting her ventilations.
• C:asking the mom to hold an oxygen mask near her face.
• D:a nonrebreathing mask with the flow rate at 6 to 8 L/min. - correct answer You selected C;
This is correct!
Reason:Do not assume that a child will simply allow you to administer oxygen to him or her as
you would to an adult. The child in this scenario, who is in respiratory distress and is mildly
hypoxemic (SpO2 of 93%), should receive supplemental oxygen; however, it should be given in
a nonthreatening manner. Agitating a sick or injured child causes an increase in oxygen
consumption and demand, which may cause the child's condition to deteriorate. In this scenario,
ask the child's mother to hold an oxygen mask near the child's face (blow-by oxygen). Closely
monitor her condition and be prepared to assist her ventilations with a bag-mask device if she
deteriorates. An oxygen flow rate of 6 to 8 L/min is too low for a nonrebreathing mask; a flow-
rate of 12 to 15 L/min should be used. Do NOT use a flow-restricted, oxygen-powered
ventilation device (FROPVD) on any child; doing so may cause severe gastric distention and
lung injury. Allow the child to assume a position of comfort and transport.
A 4-year-old boy ingested an unknown quantity of drain cleaner. He is alert, has a patent airway,
and has adequate breathing. You should:
• A:administer 1 g/kg of activated charcoal.
• B:give 15 mL of ipecac and contact medical control.
• C:contact poison control and give him oxygen.
,• D:give oxygen and perform a head-to-toe exam. - correct answer You selected C; This is
correct!
Reason:Once you determine that a poisoning has occurred, and have identified the poison, you
should contact the poison control center at once: (800) 222-1222. Give the patient high-flow
oxygen or assist his or her ventilations if necessary. Induction of vomiting with syrup of ipecac is
no longer recommended because of the risk of aspiration. Activated charcoal is contraindicated
in patients who have ingested a corrosive substance (eg, drain cleaner) or a petroleum product
(eg, gasoline, motor oil). A head-to-toe exam is not practical in this situation, at least initially.
Follow the directions given to you by the poison control center, transport the child without delay,
and monitor his condition en route.
A 4-year-old girl fell from a third-story window and landed on her head. She is semiconscious
with slow, irregular breathing and is bleeding from her mouth and nose. You should:
• A:suction her oropharynx, open her airway with the jaw-thrust maneuver, insert an
oropharyngeal airway, and assist her ventilations.
• B:open her airway with the jaw-thrust maneuver while manually stabilizing her head, suction
her oropharynx, and assist her ventilations.
• C:open her airway by carefully tilting her head back, suction her oropharynx, and administer
high-flow oxygen via nonrebreathing mask.
• D:manually stabilize her head, open her airway with the jaw-thrust maneuver, insert a
nasopharyngeal airway, and suction her oropharynx. - correct answer The correct answer is B;
Reason:In any semi- or unconscious patient with a head injury, you should manually stabilize the
head and open the airway with the jaw-thrust maneuver. If there are any secretions in the mouth,
suction the oropharynx. If possible, insert a simple airway adjunct. The patient in this scenario is
semiconscious and likely has an intact gag reflex; therefore, you should not attempt to insert an
oropharyngeal airway. Conversely, you should not insert a nasopharyngeal airway in patients
with a head injury, especially if there is fluid or blood draining from the nose (a sign of a skull
fracture). After ensuring a patent airway, you should turn your attention to the patient's
, breathing. Slow, irregular breathing will not provide adequate minute volume and should be
treated with ventilatory assistance.
A 5-year-old boy was struck by a car when he ran out into the street. When you arrive at the
scene and approach the child, you see him lying supine approximately 15 feet from the car.
Based on the child's age and mechanism of injury, which of the following should you suspect to
be his PRIMARY injury?
• A:Head injury
• B:Upper thorax injury
• C:Lower leg injury
• D:Pelvic injury - correct answer The correct answer is D;
Reason:Children are smaller than adults; therefore, when they are injured by the same
mechanism of injury as an adult, the location of their injuries may differ from those of an adult.
For example, when an adult is struck by a vehicle, the primary injury typically occurs at or below
the knees, depending on the height of the bumper at the time of impact. Because the child is
shorter, initial impact typically occurs at or near the pelvis. Secondary injury occurs when child's
chest collides with the vehicle's grille. Tertiary injury occurs when the child strikes the side of
his or her head on the pavement after being propelled away from the vehicle. In some cases, the
child is pulled underneath the vehicle and is dragged.
A 6-year-old boy complains of pain to the right lower quadrant of his abdomen. Assessment of
this child's abdomen should include:
• A:palpating the right lower quadrant first.
• B:auscultating bowel sounds for 2 minutes.
• C:avoiding palpation of the abdomen.
• D:palpating the left upper quadrant first. - correct answer You selected D; This is correct!
Reason: When assessing the abdomen of any patient, you should determine the location of the
pain and palpate that area last. Begin by palpating the abdomen furthest away from the area of
pain; in this case, the left upper quadrant is furthest away from the right lower quadrant.
Update) verified answers| Guaranteed Success
A 3-year-old boy is found to be in cardiopulmonary arrest. As you begin one-rescuer CPR, your
partner prepares the AED. The appropriate compression to ventilation ratio for this child is:
• A:3:1
• B:30:2
• C:5:1
• D:15:2 - correct answer You selected B; This is correct!
Reason:A universal compression to ventilation ratio of 30:2 is used for all one-rescuer CPR
(adult, child, and infant), with the exception of the newborn. A compression to ventilation ratio
of 3:1 is used for newborns (one- and two-rescuer). Two-rescuer infant and child CPR is
performed at a compression to ventilation ratio of 15:2. In this scenario, you are performing one-
rescuer CPR as your partner prepares the AED; therefore, you should give 30 compressions and
2 breaths. However, when you and your partner resume CPR, give 15 compressions and 2
breaths.
A 3-year-old child has a sudden onset of respiratory distress. The mother denies any recent
illnesses or fever. You should suspect:
• A:lower respiratory infection.
• B:foreign body airway obstruction.
• C:croup.
• D:epiglottitis. - correct answer You selected B; This is correct!
Reason:You should suspect a foreign body airway obstruction in any child who presents with an
acute onset of respiratory distress in the absence of fever. Croup, epiglottitis, and lower airway
infections (ie, bronchiolitis, bronchitis) commonly present with a fever. If the child is
experiencing a mild airway obstruction, in which he or she is moving adequate air, has a normal
level of consciousness, and pink skin, do not attempt to relieve the airway obstruction; doing so
may result in a severe airway obstruction. Offer oxygen and transport the child to the hospital
,without delay. If signs of a severe airway obstruction are present (ie, ineffective cough,
decreased level of consciousness, cyanosis), you should perform abdominal thrusts until the
object is expelled or the child becomes unresponsive. If the child becomes unresponsive, perform
chest compressions.
A 3-year-old female presents with respiratory distress. She is conscious, crying, and clinging to
her mother. She has mild intercostal retractions and an oxygen saturation of 93%. The MOST
effective way of delivering oxygen to her involves:
• A:ventilations with a flow-restricted, oxygen-powered device.
• B:gently restraining her and assisting her ventilations.
• C:asking the mom to hold an oxygen mask near her face.
• D:a nonrebreathing mask with the flow rate at 6 to 8 L/min. - correct answer You selected C;
This is correct!
Reason:Do not assume that a child will simply allow you to administer oxygen to him or her as
you would to an adult. The child in this scenario, who is in respiratory distress and is mildly
hypoxemic (SpO2 of 93%), should receive supplemental oxygen; however, it should be given in
a nonthreatening manner. Agitating a sick or injured child causes an increase in oxygen
consumption and demand, which may cause the child's condition to deteriorate. In this scenario,
ask the child's mother to hold an oxygen mask near the child's face (blow-by oxygen). Closely
monitor her condition and be prepared to assist her ventilations with a bag-mask device if she
deteriorates. An oxygen flow rate of 6 to 8 L/min is too low for a nonrebreathing mask; a flow-
rate of 12 to 15 L/min should be used. Do NOT use a flow-restricted, oxygen-powered
ventilation device (FROPVD) on any child; doing so may cause severe gastric distention and
lung injury. Allow the child to assume a position of comfort and transport.
A 4-year-old boy ingested an unknown quantity of drain cleaner. He is alert, has a patent airway,
and has adequate breathing. You should:
• A:administer 1 g/kg of activated charcoal.
• B:give 15 mL of ipecac and contact medical control.
• C:contact poison control and give him oxygen.
,• D:give oxygen and perform a head-to-toe exam. - correct answer You selected C; This is
correct!
Reason:Once you determine that a poisoning has occurred, and have identified the poison, you
should contact the poison control center at once: (800) 222-1222. Give the patient high-flow
oxygen or assist his or her ventilations if necessary. Induction of vomiting with syrup of ipecac is
no longer recommended because of the risk of aspiration. Activated charcoal is contraindicated
in patients who have ingested a corrosive substance (eg, drain cleaner) or a petroleum product
(eg, gasoline, motor oil). A head-to-toe exam is not practical in this situation, at least initially.
Follow the directions given to you by the poison control center, transport the child without delay,
and monitor his condition en route.
A 4-year-old girl fell from a third-story window and landed on her head. She is semiconscious
with slow, irregular breathing and is bleeding from her mouth and nose. You should:
• A:suction her oropharynx, open her airway with the jaw-thrust maneuver, insert an
oropharyngeal airway, and assist her ventilations.
• B:open her airway with the jaw-thrust maneuver while manually stabilizing her head, suction
her oropharynx, and assist her ventilations.
• C:open her airway by carefully tilting her head back, suction her oropharynx, and administer
high-flow oxygen via nonrebreathing mask.
• D:manually stabilize her head, open her airway with the jaw-thrust maneuver, insert a
nasopharyngeal airway, and suction her oropharynx. - correct answer The correct answer is B;
Reason:In any semi- or unconscious patient with a head injury, you should manually stabilize the
head and open the airway with the jaw-thrust maneuver. If there are any secretions in the mouth,
suction the oropharynx. If possible, insert a simple airway adjunct. The patient in this scenario is
semiconscious and likely has an intact gag reflex; therefore, you should not attempt to insert an
oropharyngeal airway. Conversely, you should not insert a nasopharyngeal airway in patients
with a head injury, especially if there is fluid or blood draining from the nose (a sign of a skull
fracture). After ensuring a patent airway, you should turn your attention to the patient's
, breathing. Slow, irregular breathing will not provide adequate minute volume and should be
treated with ventilatory assistance.
A 5-year-old boy was struck by a car when he ran out into the street. When you arrive at the
scene and approach the child, you see him lying supine approximately 15 feet from the car.
Based on the child's age and mechanism of injury, which of the following should you suspect to
be his PRIMARY injury?
• A:Head injury
• B:Upper thorax injury
• C:Lower leg injury
• D:Pelvic injury - correct answer The correct answer is D;
Reason:Children are smaller than adults; therefore, when they are injured by the same
mechanism of injury as an adult, the location of their injuries may differ from those of an adult.
For example, when an adult is struck by a vehicle, the primary injury typically occurs at or below
the knees, depending on the height of the bumper at the time of impact. Because the child is
shorter, initial impact typically occurs at or near the pelvis. Secondary injury occurs when child's
chest collides with the vehicle's grille. Tertiary injury occurs when the child strikes the side of
his or her head on the pavement after being propelled away from the vehicle. In some cases, the
child is pulled underneath the vehicle and is dragged.
A 6-year-old boy complains of pain to the right lower quadrant of his abdomen. Assessment of
this child's abdomen should include:
• A:palpating the right lower quadrant first.
• B:auscultating bowel sounds for 2 minutes.
• C:avoiding palpation of the abdomen.
• D:palpating the left upper quadrant first. - correct answer You selected D; This is correct!
Reason: When assessing the abdomen of any patient, you should determine the location of the
pain and palpate that area last. Begin by palpating the abdomen furthest away from the area of
pain; in this case, the left upper quadrant is furthest away from the right lower quadrant.
