1|Page
NREMT COGNITIVE EXAM PREP NEWEST 2025
TEST BANK| COMPLETE 450 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY
GRADED A+| BRAND NEW!!
A 78-year-old female tells you she woke up with difficulty breathing.
She is sitting on the edge of her bed with her legs dependent. You
auscultate fine crackles in her bases. Her vital signs are P 100, R 18, BP
168/100, and SpO2 is 92% on room air. You should suspect:
pleurisy.
pneumonia.
portal hypertension.
pulmonary edema. - Correct Answer - pulmonary edema.
An 80-year-old female complains of a sudden irregular heartbeat. She
tells you she feels weak and nauseated. Her vital signs are P 128 and
irregular, R 16, BP 148/92, and SpO2 is 95% on room air. You should
suspect:
cardiac arrhythmia.
stroke.
cardiogenic shock.
ventricular fibrillation. - Correct Answer - cardiac arrythmia
pg. 1
,2|Page
Which of the following is a simple technique that should be used at the
scene of all crashes where the vehicle is on its wheels to ensure the
safety of the patient and rescuers?
Ensuring the vehicle is in Park and turned off
Cribbing the vehicle and deflating the tires
Disconnecting the battery
Allowing the capacitor in airbags to discharge - Correct Answer -
Ensuring the vehicle is in Park and turned off
A 55-year-old female jumped out of a second-story window and injured
her right leg. She tells you she is depressed and that there is no hope for
her. She recently lost her job, and her husband left her. You should
suspect that she is:
suicidal.
schizophrenic.
looking for attention.
delusional. - Correct Answer - suicidal
An unresponsive 10-month-old female is lying in her crib. You observe
cyanosis in her lips and tongue. Her vital signs are P 76, R 18 and
shallow, and her capillary refill is four seconds. You should first:
assess her pulse oximetry.
begin chest compressions.
assist her ventilation.
assess her blood pressure. - Correct Answer - assist her ventilation.
pg. 2
,3|Page
A 67-year-old female has a history of emphysema. She tells you that she
suddenly started to have sharp right shoulder pain and increased
difficulty breathing after placing items on a high shelf. Her skin is pale
and diaphoretic. You auscultate slight wheezes in both bases and absent
lung sound in the apex of her right lung. Her vital signs are P 88, R 22,
BP 138/84, and SpO2 is 87% on home oxygen 3 L/minute by nasal
cannula. You should:
assist her ventilations with a BVM.
position her in the right lateral recumbent position.
administer oxygen by non-rebreather mask.
apply CPAP. - Correct Answer - administer oxygen by non-rebreather
mask.
An unresponsive 18-year-old female is obviously in her third trimester
of pregnancy. Bystanders called when they saw her collapse and begin to
have a seizure. She is no longer seizing, but she is postictal. Her face,
hands, ankles, and feet appear swollen. Her abdomen is relaxed and soft
to palpation. Her vital signs are P 98, R 16, BP 168/104, and SpO2 is
93% on room air. You should:
administer oxygen.
transport her supine.
transport her with her pelvis elevated.
assist her ventilation. - Correct Answer - administer oxygen.
A 23-year-old female complains of shortness of breath. She has a history
of lupus. You observe a rash across both cheeks and the bridge of her
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nose. Her lungs are clear to auscultation. Her vital signs are P 88, R 20,
BP 126/76, and SpO2 is 95% on room air. You should:
transport her in a position of comfort.
apply cold packs to her rash.
administer oxygen.
don an N-95 mask. - Correct Answer - O2
A 16-year-old female complains of a runny nose and a low-grade fever.
She has a burst of rapid coughing with an inspiratory whooping sound.
While she is coughing her skin becomes cyanotic. After she stops
coughing her skin color returns to normal. You should suspect:
tuberculosis.
pneumonia.
rubella.
pertussis. - Correct Answer - pertussis
A 48-year-old female has fatigue and shortness of breath. She has a
history of sickle cell anemia and tells you she is in crisis. Her lungs are
clear to auscultation. Her vital signs are P 98, R 20, BP 148/84, and
SpO2 is 93% on room air. You should suspect:
sickle cell crisis.
acute myocardial infarction.
pneumonia.
new onset of asthma. - Correct Answer - sickle cell crisis
pg. 4
NREMT COGNITIVE EXAM PREP NEWEST 2025
TEST BANK| COMPLETE 450 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY
GRADED A+| BRAND NEW!!
A 78-year-old female tells you she woke up with difficulty breathing.
She is sitting on the edge of her bed with her legs dependent. You
auscultate fine crackles in her bases. Her vital signs are P 100, R 18, BP
168/100, and SpO2 is 92% on room air. You should suspect:
pleurisy.
pneumonia.
portal hypertension.
pulmonary edema. - Correct Answer - pulmonary edema.
An 80-year-old female complains of a sudden irregular heartbeat. She
tells you she feels weak and nauseated. Her vital signs are P 128 and
irregular, R 16, BP 148/92, and SpO2 is 95% on room air. You should
suspect:
cardiac arrhythmia.
stroke.
cardiogenic shock.
ventricular fibrillation. - Correct Answer - cardiac arrythmia
pg. 1
,2|Page
Which of the following is a simple technique that should be used at the
scene of all crashes where the vehicle is on its wheels to ensure the
safety of the patient and rescuers?
Ensuring the vehicle is in Park and turned off
Cribbing the vehicle and deflating the tires
Disconnecting the battery
Allowing the capacitor in airbags to discharge - Correct Answer -
Ensuring the vehicle is in Park and turned off
A 55-year-old female jumped out of a second-story window and injured
her right leg. She tells you she is depressed and that there is no hope for
her. She recently lost her job, and her husband left her. You should
suspect that she is:
suicidal.
schizophrenic.
looking for attention.
delusional. - Correct Answer - suicidal
An unresponsive 10-month-old female is lying in her crib. You observe
cyanosis in her lips and tongue. Her vital signs are P 76, R 18 and
shallow, and her capillary refill is four seconds. You should first:
assess her pulse oximetry.
begin chest compressions.
assist her ventilation.
assess her blood pressure. - Correct Answer - assist her ventilation.
pg. 2
,3|Page
A 67-year-old female has a history of emphysema. She tells you that she
suddenly started to have sharp right shoulder pain and increased
difficulty breathing after placing items on a high shelf. Her skin is pale
and diaphoretic. You auscultate slight wheezes in both bases and absent
lung sound in the apex of her right lung. Her vital signs are P 88, R 22,
BP 138/84, and SpO2 is 87% on home oxygen 3 L/minute by nasal
cannula. You should:
assist her ventilations with a BVM.
position her in the right lateral recumbent position.
administer oxygen by non-rebreather mask.
apply CPAP. - Correct Answer - administer oxygen by non-rebreather
mask.
An unresponsive 18-year-old female is obviously in her third trimester
of pregnancy. Bystanders called when they saw her collapse and begin to
have a seizure. She is no longer seizing, but she is postictal. Her face,
hands, ankles, and feet appear swollen. Her abdomen is relaxed and soft
to palpation. Her vital signs are P 98, R 16, BP 168/104, and SpO2 is
93% on room air. You should:
administer oxygen.
transport her supine.
transport her with her pelvis elevated.
assist her ventilation. - Correct Answer - administer oxygen.
A 23-year-old female complains of shortness of breath. She has a history
of lupus. You observe a rash across both cheeks and the bridge of her
pg. 3
, 4|Page
nose. Her lungs are clear to auscultation. Her vital signs are P 88, R 20,
BP 126/76, and SpO2 is 95% on room air. You should:
transport her in a position of comfort.
apply cold packs to her rash.
administer oxygen.
don an N-95 mask. - Correct Answer - O2
A 16-year-old female complains of a runny nose and a low-grade fever.
She has a burst of rapid coughing with an inspiratory whooping sound.
While she is coughing her skin becomes cyanotic. After she stops
coughing her skin color returns to normal. You should suspect:
tuberculosis.
pneumonia.
rubella.
pertussis. - Correct Answer - pertussis
A 48-year-old female has fatigue and shortness of breath. She has a
history of sickle cell anemia and tells you she is in crisis. Her lungs are
clear to auscultation. Her vital signs are P 98, R 20, BP 148/84, and
SpO2 is 93% on room air. You should suspect:
sickle cell crisis.
acute myocardial infarction.
pneumonia.
new onset of asthma. - Correct Answer - sickle cell crisis
pg. 4