NREMT Paramedic Exam – 2025 Practice Questions with Answers
for Advanced Life Support Certification
This document contains expertly crafted practice questions and detailed answer explanations for the
2025 NREMT Paramedic (NRP) certification exam. It thoroughly covers all key content areas,
including advanced airway and ventilation, cardiology and ECG analysis, pharmacology, trauma
management, medical and OB/GYN emergencies, pediatrics, and EMS operations. Designed to match
the structure and difficulty of the actual National Registry Paramedic exam, this guide supports
confident and effective exam preparation.
1. Crenation: Shrinking of a cell due to osmosis.
2. Hemolysis: Breaking of a cell.
3. Atrophy (of a cell): Also involves the shrinking of a cell, but is not due to an
osmotic force, and is usually due to tissue breakdown.
4. Hypertrophy (of a cell): Enlarging or thickening of a cell.
5. Class 1 research: Most reliable and valid, it is the highest and best for
citation, research and policy development is derived from prospective,
controlled, randomized, double-blind studies.
6. Class 2 research: Biased, non-randomized, or retrospective studies with
weaker evidence.
, 7. Class 3 research: Case studies, medical opinions, or consensus documents.
8. Clinical research: Focuses on improving pt outcomes.
9. Evidence-based research: Aims to improve medical practices.
10. Descriptive statistics: Describes a phenomenon.
11. Inferential statistics: Can use information learned in the groups to make
predictions about the general public.
12. Pandemic disease: Meets two criteria, number 1 is it affects many people
across a large region, and number 2, is the disease is infectious in nature.
13. Trigeminal nerve: 5th cranial nerve, it is responsible for chewing and facial
sensation.
14. Oculomotor nerve: 3rd cranial nerve, controls eye movement.
15. Olfactory nerve: 1st cranial nerve, controls sense of smell.
16. Where do you cric someone?: Inferior to the thyroid cartilage, and superior
to the cricoid cartilage is the cricothyroid ligament (or membrane).
17. EMS systems do not rely on mobile phones only for long distance
communication why?: It can be overwhelmed, esp in a MCI.
18. What is the drug name most health care workers use?: Generic.
19. You have a neonate who is bradycardic at 48bpm, what should you do
first?: Begin compressions.
20. What is the antidote for a tylenol OD?: Mucomyst.
21. A pt who is in cardiac arrest and is intubated should get how many
breaths per minute?: 10, one breath every 6 seconds.
22. A pt has pinpoint pupils caused by a morphine OD, why does morphine
cause that?: Causes parasympathetic simulation which constricts the eyes.
for Advanced Life Support Certification
This document contains expertly crafted practice questions and detailed answer explanations for the
2025 NREMT Paramedic (NRP) certification exam. It thoroughly covers all key content areas,
including advanced airway and ventilation, cardiology and ECG analysis, pharmacology, trauma
management, medical and OB/GYN emergencies, pediatrics, and EMS operations. Designed to match
the structure and difficulty of the actual National Registry Paramedic exam, this guide supports
confident and effective exam preparation.
1. Crenation: Shrinking of a cell due to osmosis.
2. Hemolysis: Breaking of a cell.
3. Atrophy (of a cell): Also involves the shrinking of a cell, but is not due to an
osmotic force, and is usually due to tissue breakdown.
4. Hypertrophy (of a cell): Enlarging or thickening of a cell.
5. Class 1 research: Most reliable and valid, it is the highest and best for
citation, research and policy development is derived from prospective,
controlled, randomized, double-blind studies.
6. Class 2 research: Biased, non-randomized, or retrospective studies with
weaker evidence.
, 7. Class 3 research: Case studies, medical opinions, or consensus documents.
8. Clinical research: Focuses on improving pt outcomes.
9. Evidence-based research: Aims to improve medical practices.
10. Descriptive statistics: Describes a phenomenon.
11. Inferential statistics: Can use information learned in the groups to make
predictions about the general public.
12. Pandemic disease: Meets two criteria, number 1 is it affects many people
across a large region, and number 2, is the disease is infectious in nature.
13. Trigeminal nerve: 5th cranial nerve, it is responsible for chewing and facial
sensation.
14. Oculomotor nerve: 3rd cranial nerve, controls eye movement.
15. Olfactory nerve: 1st cranial nerve, controls sense of smell.
16. Where do you cric someone?: Inferior to the thyroid cartilage, and superior
to the cricoid cartilage is the cricothyroid ligament (or membrane).
17. EMS systems do not rely on mobile phones only for long distance
communication why?: It can be overwhelmed, esp in a MCI.
18. What is the drug name most health care workers use?: Generic.
19. You have a neonate who is bradycardic at 48bpm, what should you do
first?: Begin compressions.
20. What is the antidote for a tylenol OD?: Mucomyst.
21. A pt who is in cardiac arrest and is intubated should get how many
breaths per minute?: 10, one breath every 6 seconds.
22. A pt has pinpoint pupils caused by a morphine OD, why does morphine
cause that?: Causes parasympathetic simulation which constricts the eyes.
