NREMT - Nationally Registered Emergency Medical Technician
WEST COST EMT 10TH EDITION FINAL EXAM (Complete
Study guide For NREMT Exam) Latest Update 2025|Already
Graded A+
QUESTION: Which of the following describes how albuterol helps a patient who is having an asthma
attack?
A. It decreases pulmonary capillary pressure.
B. It increases airway pressure in the alveoli.
C. It relaxes the smooth muscles of the bronchioles.
D. It reduces inflammation in the bronchus. ✓✓Correct Answer: It relaxes the smooth muscles of the
bronchioles.
QUESTION: A 9-year-old male has partial-thickness burns around his mouth after inhaling steam. He
has a history of asthma and has had a cold for three days. His mother tells you he has had chest
congestion and she was trying to break up the phlegm. He is drooling and tells you he cannot
swallow. You should first:
A. administer his metered-dose inhaler.
B. insert an oropharyngeal airway.
C. begin transport.
D. assess his vital signs. ✓✓Correct Answer: begin transport.
QUESTION: A 66-year-old male complains of difficulty breathing. He tells you that his asthma attack
began 20 minutes ago, and his inhaler isn't helping. You auscultate wheezes in all lung fields and
good chest rise with accessory muscle use. His vital signs are P 96, R 24, BP 146/88, and SpO2 is 93%
on room air. You should suspect his minute ventilation is:
A. adequate and administer CPAP.
B. adequate and administer oxygen.
C. inadequate and assist his ventilation.
D. inadequate and administer oxygen. ✓✓Correct Answer: adequate and administer oxygen.
1|Page
, QUESTION: A 93-year-old female complains of a sudden onset of difficulty breathing. She tells you
that she has a history of breast cancer. She tells you it is easier for her to breathe when she is sitting
up. She has decreased lung sounds when you auscultate her left mid-axillary line, sixth intercostal
space. Her vital signs are P 86, R 18, BP 144/92, and SpO2 is 95% on room air. You should:
A. administer oxygen by nasal cannula.
B. administer oxygen by non-rebreather mask.
C. administer aspirin.
D. assist with the administration of her nitroglycerin. ✓✓Correct Answer: administer oxygen by nasal
cannula.
QUESTION: A 47-year-old male complains of difficulty breathing, and he cannot stop coughing. His
conjunctivae are pale and moist. He has a 40 pack-year smoking history. You should first:
A. determine his past medical history.
B. collect a sample of his phlegm.
C. administer oxygen.
D. assess his vital signs. ✓✓Correct Answer: administer oxygen.
QUESTION: You are ventilating an unresponsive 47-year-old male who is in respiratory arrest. How
should you determine that you are delivering adequate tidal volume?
A. Look for slight chest rise.
B. Assess his pulse oximetry.
C. Auscultate for bronchial breath sounds.
D. Fully deflate the BVM. ✓✓Correct Answer: Look for slight chest rise.
QUESTION: An unresponsive 7-month-old female is lying limp in her father's arms. He tells you that
she was having an asthma attack but is better now. Her conjunctivae are pale and moist. You are
only able to auscultate faint wheezes in her upper chest. Her vital signs are P 76 and R 18. You
should first:
A. administer oxygen by non-rebreather mask.
B. assist her ventilation with a BVM.
C. assess her oxygen saturation level.
D. assist with the administration of her nebulized albuterol. ✓✓Correct Answer: assist her
ventilation with a BVM.
2|Page
, QUESTION: A 49-year-old male complains of a sore throat and has a muffled voice. He tells you the
sore throat started a week ago and has gotten worse. He looks sick, and his skin is hot to the touch.
He has a history of asthma. You auscultate a slight high-pitched sound occasionally in his upper
airway. His vital signs are P 102, R 16, BP 132/84, and SpO2 is 93% on room air. You should:
A. inspect his airway.
B. assist with the administration of his MDI.
C. place him supine.
D. administer oxygen. ✓✓Correct Answer: administer oxygen.
QUESTION: An unresponsive 22-year-old male is lying on the ground outside a bar. You do not see
any chest rise but palpate a carotid pulse. You should suspect:
A. respiratory arrest.
B. alcohol intoxication.
C. hypoglycemia.
D. head injury. ✓✓Correct Answer: respiratory arrest.
QUESTION: An 11-year-old male who has a history of cystic fibrosis complains of difficulty breathing.
He tells you he has been coughing up thick mucus. His vital signs are P 92, R 24, BP 118/76, and SpO2
is 91% on room air. You should:
A. administer a bronchodilator.
B. apply CPAP.
C. administer humidified oxygen.
D. assist his ventilation. ✓✓Correct Answer: administer humidified oxygen.
QUESTION: An 86-year-old female who has a history of emphysema complains of chest pain. Her
initial SpO2 was 92% on home oxygen by nasal cannula, 3 L/minute. You administered oxygen by
non-rebreather, 12 L/minute. Her SpO2 is now 100%, and her chest pain is resolved after aspirin and
nitroglycerin administration. You should next:
A. decrease the flow rate to 6 L/minute.
B. switch to a simple face mask.
C. discontinue oxygen administration.
D. transport her. ✓✓Correct Answer: switch to a simple face mask.
3|Page
, QUESTION: Bystanders tell you that an unresponsive 22-year-old male fell 10 feet off a ladder and
landed head first. You hear irregular, gasping respirations and palpate a carotid pulse. You should
first:
A. apply a cervical collar.
B. perform a jaw-thrust maneuver.
C. insert a nasopharyngeal airway.
D. assess his vital signs. ✓✓Correct Answer: perform a jaw-thrust maneuver.
QUESTION: Which of the following may be a direct impact of positive pressure ventilation on
perfusion when ventilating an infant?
A. Decreased cardiac output
B. Increased systemic resistance
C. Increased V/Q mismatch
D. Decreased preload ✓✓Correct Answer: Decreased preload
QUESTION: A 40-year-old female was exposed to fumes from a chemical at work when she opened
a container that is now closed. She complains of difficulty breathing. After ensuring the scene is safe,
you should:
A. read the Material Safety Data Sheet.
B. activate a Hazmat response.
C. decontaminate her.
D. flush her with water. ✓✓Correct Answer: read the Material Safety Data Sheet.
QUESTION: An unresponsive 30-year-old female was the unrestrained driver involved in a car crash.
Your partner stabilizes her head and tells you she is breathing and has a carotid pulse. As you
examine her airway, you see blood, broken teeth, and hear gurgling sounds. You should first:
A. insert an oropharyngeal airway.
B. apply a cervical collar.
C. suction her airway.
D. assist her ventilation. ✓✓Correct Answer: suction her airway.
QUESTION: A febrile 69-year-old male complains of body aches and decreased appetite. He tells you
he has had the flu for a week. His skin is cyanotic and diaphoretic. You auscultate rhonchi and
4|Page
WEST COST EMT 10TH EDITION FINAL EXAM (Complete
Study guide For NREMT Exam) Latest Update 2025|Already
Graded A+
QUESTION: Which of the following describes how albuterol helps a patient who is having an asthma
attack?
A. It decreases pulmonary capillary pressure.
B. It increases airway pressure in the alveoli.
C. It relaxes the smooth muscles of the bronchioles.
D. It reduces inflammation in the bronchus. ✓✓Correct Answer: It relaxes the smooth muscles of the
bronchioles.
QUESTION: A 9-year-old male has partial-thickness burns around his mouth after inhaling steam. He
has a history of asthma and has had a cold for three days. His mother tells you he has had chest
congestion and she was trying to break up the phlegm. He is drooling and tells you he cannot
swallow. You should first:
A. administer his metered-dose inhaler.
B. insert an oropharyngeal airway.
C. begin transport.
D. assess his vital signs. ✓✓Correct Answer: begin transport.
QUESTION: A 66-year-old male complains of difficulty breathing. He tells you that his asthma attack
began 20 minutes ago, and his inhaler isn't helping. You auscultate wheezes in all lung fields and
good chest rise with accessory muscle use. His vital signs are P 96, R 24, BP 146/88, and SpO2 is 93%
on room air. You should suspect his minute ventilation is:
A. adequate and administer CPAP.
B. adequate and administer oxygen.
C. inadequate and assist his ventilation.
D. inadequate and administer oxygen. ✓✓Correct Answer: adequate and administer oxygen.
1|Page
, QUESTION: A 93-year-old female complains of a sudden onset of difficulty breathing. She tells you
that she has a history of breast cancer. She tells you it is easier for her to breathe when she is sitting
up. She has decreased lung sounds when you auscultate her left mid-axillary line, sixth intercostal
space. Her vital signs are P 86, R 18, BP 144/92, and SpO2 is 95% on room air. You should:
A. administer oxygen by nasal cannula.
B. administer oxygen by non-rebreather mask.
C. administer aspirin.
D. assist with the administration of her nitroglycerin. ✓✓Correct Answer: administer oxygen by nasal
cannula.
QUESTION: A 47-year-old male complains of difficulty breathing, and he cannot stop coughing. His
conjunctivae are pale and moist. He has a 40 pack-year smoking history. You should first:
A. determine his past medical history.
B. collect a sample of his phlegm.
C. administer oxygen.
D. assess his vital signs. ✓✓Correct Answer: administer oxygen.
QUESTION: You are ventilating an unresponsive 47-year-old male who is in respiratory arrest. How
should you determine that you are delivering adequate tidal volume?
A. Look for slight chest rise.
B. Assess his pulse oximetry.
C. Auscultate for bronchial breath sounds.
D. Fully deflate the BVM. ✓✓Correct Answer: Look for slight chest rise.
QUESTION: An unresponsive 7-month-old female is lying limp in her father's arms. He tells you that
she was having an asthma attack but is better now. Her conjunctivae are pale and moist. You are
only able to auscultate faint wheezes in her upper chest. Her vital signs are P 76 and R 18. You
should first:
A. administer oxygen by non-rebreather mask.
B. assist her ventilation with a BVM.
C. assess her oxygen saturation level.
D. assist with the administration of her nebulized albuterol. ✓✓Correct Answer: assist her
ventilation with a BVM.
2|Page
, QUESTION: A 49-year-old male complains of a sore throat and has a muffled voice. He tells you the
sore throat started a week ago and has gotten worse. He looks sick, and his skin is hot to the touch.
He has a history of asthma. You auscultate a slight high-pitched sound occasionally in his upper
airway. His vital signs are P 102, R 16, BP 132/84, and SpO2 is 93% on room air. You should:
A. inspect his airway.
B. assist with the administration of his MDI.
C. place him supine.
D. administer oxygen. ✓✓Correct Answer: administer oxygen.
QUESTION: An unresponsive 22-year-old male is lying on the ground outside a bar. You do not see
any chest rise but palpate a carotid pulse. You should suspect:
A. respiratory arrest.
B. alcohol intoxication.
C. hypoglycemia.
D. head injury. ✓✓Correct Answer: respiratory arrest.
QUESTION: An 11-year-old male who has a history of cystic fibrosis complains of difficulty breathing.
He tells you he has been coughing up thick mucus. His vital signs are P 92, R 24, BP 118/76, and SpO2
is 91% on room air. You should:
A. administer a bronchodilator.
B. apply CPAP.
C. administer humidified oxygen.
D. assist his ventilation. ✓✓Correct Answer: administer humidified oxygen.
QUESTION: An 86-year-old female who has a history of emphysema complains of chest pain. Her
initial SpO2 was 92% on home oxygen by nasal cannula, 3 L/minute. You administered oxygen by
non-rebreather, 12 L/minute. Her SpO2 is now 100%, and her chest pain is resolved after aspirin and
nitroglycerin administration. You should next:
A. decrease the flow rate to 6 L/minute.
B. switch to a simple face mask.
C. discontinue oxygen administration.
D. transport her. ✓✓Correct Answer: switch to a simple face mask.
3|Page
, QUESTION: Bystanders tell you that an unresponsive 22-year-old male fell 10 feet off a ladder and
landed head first. You hear irregular, gasping respirations and palpate a carotid pulse. You should
first:
A. apply a cervical collar.
B. perform a jaw-thrust maneuver.
C. insert a nasopharyngeal airway.
D. assess his vital signs. ✓✓Correct Answer: perform a jaw-thrust maneuver.
QUESTION: Which of the following may be a direct impact of positive pressure ventilation on
perfusion when ventilating an infant?
A. Decreased cardiac output
B. Increased systemic resistance
C. Increased V/Q mismatch
D. Decreased preload ✓✓Correct Answer: Decreased preload
QUESTION: A 40-year-old female was exposed to fumes from a chemical at work when she opened
a container that is now closed. She complains of difficulty breathing. After ensuring the scene is safe,
you should:
A. read the Material Safety Data Sheet.
B. activate a Hazmat response.
C. decontaminate her.
D. flush her with water. ✓✓Correct Answer: read the Material Safety Data Sheet.
QUESTION: An unresponsive 30-year-old female was the unrestrained driver involved in a car crash.
Your partner stabilizes her head and tells you she is breathing and has a carotid pulse. As you
examine her airway, you see blood, broken teeth, and hear gurgling sounds. You should first:
A. insert an oropharyngeal airway.
B. apply a cervical collar.
C. suction her airway.
D. assist her ventilation. ✓✓Correct Answer: suction her airway.
QUESTION: A febrile 69-year-old male complains of body aches and decreased appetite. He tells you
he has had the flu for a week. His skin is cyanotic and diaphoretic. You auscultate rhonchi and
4|Page
