NREMT Exam 2025 LATEST VERSION NEWEST ACTUAL EXAM COMPLETE 193
QUESTIONS AND CORRECT DETAILED ANSWERS
1. cardiogenic -the type of shock caused by inadequate function of the heart. This develops when
shock the heart cannot maintain suflcient output to meet the demands of the body
-caused by any disease or event which prevents heart pumping
-can occur directly after AMI up to 24 hours
2. Obstructive The type of shock that results when conditions that cause mechanical obstruction
shock of the cardiac muscle also impact pump function
ex. cardiac tamponade, tension pneumothorax
3. Beck's triad Signs of a cardiac tamponade. JVD, narrowing BP pressures, muffled heart sounds
4. Distributive The type of shock when there is widespread dilation of the small arterioles,
shock venules, or both. Blood pools in the expanded vascular beds and tissue perfusion
decreases
5. Types of distribu- Septic shock caused by severe infections; neurogenic shock caused by damage to
tive shock the spinal cord (bradycardia, low BP, warm skin); anaphylactic shock caused by
allergic reaction; psychogenic shock
6. Hypovolemic The type of shock that results from an inadequate amount of fluid or volume in
shock the system
-15% of blood volume
7. How do you treat Keep the patient warm, control bleeding, put the patient in a position of comfort,
for shock? and administer high-flow oxygen
8. brain damage -without enough oxygen, cardiac arrest or brain damage occurs within about 4
without oxygen minutes
-permanent brain damage within 6 minutes
-death likely within 10 minutes
9. FBAO -signs of blockage include inability to cough or speak or inability to ventilate
patient
, NREMT Exam 2025 LATEST VERSION NEWEST ACTUAL EXAM COMPLETE 193
QUESTIONS AND CORRECT DETAILED ANSWERS
-bending patient forward at the waist, support chest with one hand, use heel of
hand to give 5 back blows between shoulder blades
-then 5 abdominal thrusts
-alternate between the two until object is dislodged
-if patient loses consciousness, give CPR starting with chest compressions
-given even if patient has a pulse, so don't check
-before giving breaths, look inside mouth for any visible objects
10. FBAO in children -using thigh for support, lay facing down along forearm; ensure head is lower
than the body
-give 5 firm back blows between blades
-5 chest thrusts; place 2 to 3 fingers in the middle of the chest just below the
nipples. push down 1.5 inches.
-alternate, unless lose consciousness, then CPR
11. mouse to -mouth to mouth performed when patient does not have adequate breathing and
mouth/mouth to artificial ventilation not available
nose -open airway
-place barrier device
-pinch nose and form seal around patient's mouth
-check for FBAO if you do not see chest rise and fall
-give 1 breath every 5 to 6 seconds for adults and 1 every 3 for peds
12. Steps of CPR Determine unresponsiveness. Check for breathing for up to 10 seconds. Check
carotid pulse for up to 10 seconds. Begin CPR until AED is available. Give 30
compressions at 100 beats/min and then 2 breaths over the course of 1 second.
Once an advanced airway is inserted, ventilate at a rate of 8-10 breaths/min and
do not stop compressions.
This is exactly the same for children, except two-rescuer CPR is 15:2. If patient
experiences a return of spontaneous circulation, ventilate at a rate of 10-12
breaths/min.
, NREMT Exam 2025 LATEST VERSION NEWEST ACTUAL EXAM COMPLETE 193
QUESTIONS AND CORRECT DETAILED ANSWERS
13. compression to under 8 years old:
breath ratios -2 provider: 15:2
-1 provider: 30:2
-one third of chest diameter
older:
-30:2 always
-2 inches
14. AED procedure -if cardiac arrest was not seen by EMS, give 5 cycles of 30:2 before defibrillating
-if cardiac arrest was seen, one EMT begins compressions and the other applies
AED
-if only one EMT available, apply AED immediately
-check for pulse 2 minutes after defib
-if no shockable rhythm, wait 2 minutes and re-analyze
15. When to place If patient has adequate breathing and is uninjured. To maintain a patent airway
left lateral in an unresponsive patient.
16. What to do if you If the breath doesn't go in successfully, reposition the patient and try again. If
fail to ventilate there is still nothing, assume there is a foreign body obstruction and begin CPR
on an unresponsive apneic patient. Continue to attempt ventilations and open the
mouth and look in every time.
17. Pneumothorax -dyspnea, pleuritic chest pain that worsens during inspiration and expiration,
signs absent or decreased breath sounds
-rupture of visceral lining
18. Pulmonary em- -dyspnea, acute chest pain, hemoptysis, cyanosis, tachypnea, hypoxia, tachycar-
bolism signs dia?**
19. GCS Eye Opening Spontaneous = 4
To voice = 3
, NREMT Exam 2025 LATEST VERSION NEWEST ACTUAL EXAM COMPLETE 193
QUESTIONS AND CORRECT DETAILED ANSWERS
To pain = 2
None = 1
20. GCS Verbal Re- Oriented = 5
sponse Confused = 4
Inappropriate words = 3
Incomprehensible words = 2
None = 1
21. GCS Motor Re- Obeys commands = 6
sponse Localizes pain = 5
Withdraws (pain) = 4
Flexion (pain) = 3
Extension (pain) = 2
None = 1
22. Rule of nines Head = 9%
(adults) Front = 18%
Back = 18%
Each arm = 9%
Groin = 1%
Each leg = 18%
23. Rule of nines Head = 18%
(child) Front = 18%
Back = 18%
Each arm = 9%
Each leg = 14%
24. Cushing's triad Sign there might be an increase in intracranial pressure. Hypertension, bradycar-
dia, and abnormal breathing.
25. Appendicitis pain
QUESTIONS AND CORRECT DETAILED ANSWERS
1. cardiogenic -the type of shock caused by inadequate function of the heart. This develops when
shock the heart cannot maintain suflcient output to meet the demands of the body
-caused by any disease or event which prevents heart pumping
-can occur directly after AMI up to 24 hours
2. Obstructive The type of shock that results when conditions that cause mechanical obstruction
shock of the cardiac muscle also impact pump function
ex. cardiac tamponade, tension pneumothorax
3. Beck's triad Signs of a cardiac tamponade. JVD, narrowing BP pressures, muffled heart sounds
4. Distributive The type of shock when there is widespread dilation of the small arterioles,
shock venules, or both. Blood pools in the expanded vascular beds and tissue perfusion
decreases
5. Types of distribu- Septic shock caused by severe infections; neurogenic shock caused by damage to
tive shock the spinal cord (bradycardia, low BP, warm skin); anaphylactic shock caused by
allergic reaction; psychogenic shock
6. Hypovolemic The type of shock that results from an inadequate amount of fluid or volume in
shock the system
-15% of blood volume
7. How do you treat Keep the patient warm, control bleeding, put the patient in a position of comfort,
for shock? and administer high-flow oxygen
8. brain damage -without enough oxygen, cardiac arrest or brain damage occurs within about 4
without oxygen minutes
-permanent brain damage within 6 minutes
-death likely within 10 minutes
9. FBAO -signs of blockage include inability to cough or speak or inability to ventilate
patient
, NREMT Exam 2025 LATEST VERSION NEWEST ACTUAL EXAM COMPLETE 193
QUESTIONS AND CORRECT DETAILED ANSWERS
-bending patient forward at the waist, support chest with one hand, use heel of
hand to give 5 back blows between shoulder blades
-then 5 abdominal thrusts
-alternate between the two until object is dislodged
-if patient loses consciousness, give CPR starting with chest compressions
-given even if patient has a pulse, so don't check
-before giving breaths, look inside mouth for any visible objects
10. FBAO in children -using thigh for support, lay facing down along forearm; ensure head is lower
than the body
-give 5 firm back blows between blades
-5 chest thrusts; place 2 to 3 fingers in the middle of the chest just below the
nipples. push down 1.5 inches.
-alternate, unless lose consciousness, then CPR
11. mouse to -mouth to mouth performed when patient does not have adequate breathing and
mouth/mouth to artificial ventilation not available
nose -open airway
-place barrier device
-pinch nose and form seal around patient's mouth
-check for FBAO if you do not see chest rise and fall
-give 1 breath every 5 to 6 seconds for adults and 1 every 3 for peds
12. Steps of CPR Determine unresponsiveness. Check for breathing for up to 10 seconds. Check
carotid pulse for up to 10 seconds. Begin CPR until AED is available. Give 30
compressions at 100 beats/min and then 2 breaths over the course of 1 second.
Once an advanced airway is inserted, ventilate at a rate of 8-10 breaths/min and
do not stop compressions.
This is exactly the same for children, except two-rescuer CPR is 15:2. If patient
experiences a return of spontaneous circulation, ventilate at a rate of 10-12
breaths/min.
, NREMT Exam 2025 LATEST VERSION NEWEST ACTUAL EXAM COMPLETE 193
QUESTIONS AND CORRECT DETAILED ANSWERS
13. compression to under 8 years old:
breath ratios -2 provider: 15:2
-1 provider: 30:2
-one third of chest diameter
older:
-30:2 always
-2 inches
14. AED procedure -if cardiac arrest was not seen by EMS, give 5 cycles of 30:2 before defibrillating
-if cardiac arrest was seen, one EMT begins compressions and the other applies
AED
-if only one EMT available, apply AED immediately
-check for pulse 2 minutes after defib
-if no shockable rhythm, wait 2 minutes and re-analyze
15. When to place If patient has adequate breathing and is uninjured. To maintain a patent airway
left lateral in an unresponsive patient.
16. What to do if you If the breath doesn't go in successfully, reposition the patient and try again. If
fail to ventilate there is still nothing, assume there is a foreign body obstruction and begin CPR
on an unresponsive apneic patient. Continue to attempt ventilations and open the
mouth and look in every time.
17. Pneumothorax -dyspnea, pleuritic chest pain that worsens during inspiration and expiration,
signs absent or decreased breath sounds
-rupture of visceral lining
18. Pulmonary em- -dyspnea, acute chest pain, hemoptysis, cyanosis, tachypnea, hypoxia, tachycar-
bolism signs dia?**
19. GCS Eye Opening Spontaneous = 4
To voice = 3
, NREMT Exam 2025 LATEST VERSION NEWEST ACTUAL EXAM COMPLETE 193
QUESTIONS AND CORRECT DETAILED ANSWERS
To pain = 2
None = 1
20. GCS Verbal Re- Oriented = 5
sponse Confused = 4
Inappropriate words = 3
Incomprehensible words = 2
None = 1
21. GCS Motor Re- Obeys commands = 6
sponse Localizes pain = 5
Withdraws (pain) = 4
Flexion (pain) = 3
Extension (pain) = 2
None = 1
22. Rule of nines Head = 9%
(adults) Front = 18%
Back = 18%
Each arm = 9%
Groin = 1%
Each leg = 18%
23. Rule of nines Head = 18%
(child) Front = 18%
Back = 18%
Each arm = 9%
Each leg = 14%
24. Cushing's triad Sign there might be an increase in intracranial pressure. Hypertension, bradycar-
dia, and abnormal breathing.
25. Appendicitis pain
