NR EMT Final Exam | 2025/2026 Edition | Exam
Questions with 100% Verified Correct Answers
National Registry Emergency Medical Technician (EMT) Certification Exam — Patient
Assessment, Airway Management, Trauma, Cardiology, Medical Emergencies, EMS Operations |
Expert-Verified Q&A | Exam-Ready for NREMT Certification
Introduction
This document presents a complete and up-to-date collection of 200 verified questions and
correct answers from the National Registry EMT Final Exam for 2025/2026. Covering all
essential domains such as scene size-up, primary assessment, ventilation, bleeding control,
pharmacologic interventions, and triage, this document supports high performance on the
official NREMT certification exam.
Answer Format
All correct answers are clearly shown in bold and green, with concise explanations for rapid
review of key concepts in emergency care, life support, and EMS protocols.
NREMT Final Exam Q&A | Verified 2025/2026 Content | Certification-Aligned |
Built for Exam Confidence
1. What is the first step in the primary assessment of a trauma patient?
a) Check for responsiveness
b) Ensure scene safety
c) Control severe bleeding
d) Open the airway
b) Ensure scene safety
Rationale: NREMT protocol emphasizes ensuring scene safety first to protect both the patient
and EMS provider before initiating assessment or treatment.
2. A patient with snoring respirations likely has:
a) A partial airway obstruction by the tongue
b) A complete airway obstruction
c) Pulmonary edema
d) Tension pneumothorax
a) A partial airway obstruction by the tongue
Rationale: Snoring respirations indicate partial airway obstruction, often due to the tongue
falling back in an unconscious patient.
3. What is the compression-to-ventilation ratio for two-rescuer adult CPR?
a) 15:2
,b) 30:2
c) 5:1
d) 10:1
b) 30:2
Rationale: AHA guidelines specify a 30:2 compression-to-ventilation ratio for two-rescuer adult
CPR to optimize circulation and oxygenation.
4. What is the most appropriate treatment for an open chest wound?
a) Apply a non-occlusive dressing
b) Apply a vented occlusive dressing
c) Pack the wound with gauze
d) Leave the wound open
b) Apply a vented occlusive dressing
Rationale: A vented occlusive dressing prevents air entry while allowing air to escape, reducing
the risk of tension pneumothorax.
5. Which medication is commonly administered by EMTs for chest pain?
a) Epinephrine
b) Aspirin
c) Albuterol
d) Naloxone
b) Aspirin
Rationale: Aspirin is administered for suspected acute coronary syndrome to reduce platelet
aggregation, per NREMT protocols.
6. What is the first action for a patient with suspected spinal injury?
a) Apply a cervical collar
b) Administer oxygen
c) Perform a neurological exam
d) Check for distal pulses
a) Apply a cervical collar
Rationale: Manual cervical spine stabilization followed by a cervical collar is critical to prevent
further spinal cord injury.
7. A patient is unresponsive with no pulse. What is the next step after
confirming scene safety?
a) Administer oxygen
b) Begin chest compressions
c) Apply an AED
d) Open the airway
b) Begin chest compressions
Rationale: AHA guidelines prioritize immediate chest compressions for cardiac arrest to restore
circulation.
8. What is the primary treatment for anaphylaxis?
a) Albuterol
,b) Epinephrine
c) Nitroglycerin
d) Aspirin
b) Epinephrine
Rationale: Epinephrine (0.3–0.5 mg IM) is the first-line treatment for anaphylaxis to reverse
airway constriction and hypotension.
9. A patient with a suspected fracture has a deformity. What is the best
action?
a) Reduce the fracture
b) Apply a splint
c) Administer pain medication
d) Apply ice only
b) Apply a splint
Rationale: Splinting stabilizes the fracture, reduces pain, and prevents further injury, per
NREMT protocols.
10. What is the normal respiratory rate for an adult at rest?
a) 6–10 breaths/min
b) 12–20 breaths/min
c) 20–30 breaths/min
d) 30–40 breaths/min
b) 12–20 breaths/min
Rationale: Normal adult respiratory rate is 12–20 breaths per minute, per standard EMS
assessment guidelines.
11. A patient with chest pain has a blood pressure of 90/60 mmHg. Can
nitroglycerin be administered?
a) Yes, administer one dose
b) No, it is contraindicated
c) Yes, administer two doses
d) Only after oxygen administration
b) No, it is contraindicated
Rationale: Nitroglycerin is contraindicated if systolic BP is below 100 mmHg due to the risk of
worsening hypotension.
12. What is the correct depth for adult chest compressions?
a) 1–2 inches
b) 2–2.4 inches
c) 3–4 inches
d) 4–5 inches
b) 2–2.4 inches
Rationale: AHA guidelines recommend a compression depth of 5–6 cm (approximately 2–2.4
inches) for effective adult CPR.
, 13. A patient is experiencing a seizure. What is the primary action?
a) Restrain the patient
b) Protect the patient from injury
c) Administer oxygen via mask
d) Insert an oropharyngeal airway
b) Protect the patient from injury
Rationale: During a seizure, protecting the patient from harm by clearing the area and
cushioning the head is the priority.
14. What is the flow rate for a non-rebreather mask?
a) 2–6 L/min
b) 6–10 L/min
c) 10–15 L/min
d) 15–20 L/min
c) 10–15 L/min
Rationale: A non-rebreather mask delivers high-flow oxygen at 10–15 L/min to provide near
100% FiO2.
15. A patient with suspected opioid overdose is unresponsive. What is the
first medication to administer?
a) Epinephrine
b) Naloxone
c) Aspirin
d) Albuterol
b) Naloxone
Rationale: Naloxone reverses opioid overdose by antagonizing opioid receptors, restoring
respiration.
16. What is the primary sign of tension pneumothorax?
a) Hyperresonance on percussion
b) Tracheal deviation
c) Bilateral wheezing
d) Increased breath sounds
b) Tracheal deviation
Rationale: Tracheal deviation away from the affected side is a hallmark sign of tension
pneumothorax due to mediastinal shift.
17. What is the compression rate for adult CPR?
a) 60–80 per minute
b) 80–100 per minute
c) 100–120 per minute
d) 120–140 per minute
c) 100–120 per minute
Rationale: AHA guidelines recommend a compression rate of 100–120 per minute, matching
the tempo of “Stayin’ Alive.”
Questions with 100% Verified Correct Answers
National Registry Emergency Medical Technician (EMT) Certification Exam — Patient
Assessment, Airway Management, Trauma, Cardiology, Medical Emergencies, EMS Operations |
Expert-Verified Q&A | Exam-Ready for NREMT Certification
Introduction
This document presents a complete and up-to-date collection of 200 verified questions and
correct answers from the National Registry EMT Final Exam for 2025/2026. Covering all
essential domains such as scene size-up, primary assessment, ventilation, bleeding control,
pharmacologic interventions, and triage, this document supports high performance on the
official NREMT certification exam.
Answer Format
All correct answers are clearly shown in bold and green, with concise explanations for rapid
review of key concepts in emergency care, life support, and EMS protocols.
NREMT Final Exam Q&A | Verified 2025/2026 Content | Certification-Aligned |
Built for Exam Confidence
1. What is the first step in the primary assessment of a trauma patient?
a) Check for responsiveness
b) Ensure scene safety
c) Control severe bleeding
d) Open the airway
b) Ensure scene safety
Rationale: NREMT protocol emphasizes ensuring scene safety first to protect both the patient
and EMS provider before initiating assessment or treatment.
2. A patient with snoring respirations likely has:
a) A partial airway obstruction by the tongue
b) A complete airway obstruction
c) Pulmonary edema
d) Tension pneumothorax
a) A partial airway obstruction by the tongue
Rationale: Snoring respirations indicate partial airway obstruction, often due to the tongue
falling back in an unconscious patient.
3. What is the compression-to-ventilation ratio for two-rescuer adult CPR?
a) 15:2
,b) 30:2
c) 5:1
d) 10:1
b) 30:2
Rationale: AHA guidelines specify a 30:2 compression-to-ventilation ratio for two-rescuer adult
CPR to optimize circulation and oxygenation.
4. What is the most appropriate treatment for an open chest wound?
a) Apply a non-occlusive dressing
b) Apply a vented occlusive dressing
c) Pack the wound with gauze
d) Leave the wound open
b) Apply a vented occlusive dressing
Rationale: A vented occlusive dressing prevents air entry while allowing air to escape, reducing
the risk of tension pneumothorax.
5. Which medication is commonly administered by EMTs for chest pain?
a) Epinephrine
b) Aspirin
c) Albuterol
d) Naloxone
b) Aspirin
Rationale: Aspirin is administered for suspected acute coronary syndrome to reduce platelet
aggregation, per NREMT protocols.
6. What is the first action for a patient with suspected spinal injury?
a) Apply a cervical collar
b) Administer oxygen
c) Perform a neurological exam
d) Check for distal pulses
a) Apply a cervical collar
Rationale: Manual cervical spine stabilization followed by a cervical collar is critical to prevent
further spinal cord injury.
7. A patient is unresponsive with no pulse. What is the next step after
confirming scene safety?
a) Administer oxygen
b) Begin chest compressions
c) Apply an AED
d) Open the airway
b) Begin chest compressions
Rationale: AHA guidelines prioritize immediate chest compressions for cardiac arrest to restore
circulation.
8. What is the primary treatment for anaphylaxis?
a) Albuterol
,b) Epinephrine
c) Nitroglycerin
d) Aspirin
b) Epinephrine
Rationale: Epinephrine (0.3–0.5 mg IM) is the first-line treatment for anaphylaxis to reverse
airway constriction and hypotension.
9. A patient with a suspected fracture has a deformity. What is the best
action?
a) Reduce the fracture
b) Apply a splint
c) Administer pain medication
d) Apply ice only
b) Apply a splint
Rationale: Splinting stabilizes the fracture, reduces pain, and prevents further injury, per
NREMT protocols.
10. What is the normal respiratory rate for an adult at rest?
a) 6–10 breaths/min
b) 12–20 breaths/min
c) 20–30 breaths/min
d) 30–40 breaths/min
b) 12–20 breaths/min
Rationale: Normal adult respiratory rate is 12–20 breaths per minute, per standard EMS
assessment guidelines.
11. A patient with chest pain has a blood pressure of 90/60 mmHg. Can
nitroglycerin be administered?
a) Yes, administer one dose
b) No, it is contraindicated
c) Yes, administer two doses
d) Only after oxygen administration
b) No, it is contraindicated
Rationale: Nitroglycerin is contraindicated if systolic BP is below 100 mmHg due to the risk of
worsening hypotension.
12. What is the correct depth for adult chest compressions?
a) 1–2 inches
b) 2–2.4 inches
c) 3–4 inches
d) 4–5 inches
b) 2–2.4 inches
Rationale: AHA guidelines recommend a compression depth of 5–6 cm (approximately 2–2.4
inches) for effective adult CPR.
, 13. A patient is experiencing a seizure. What is the primary action?
a) Restrain the patient
b) Protect the patient from injury
c) Administer oxygen via mask
d) Insert an oropharyngeal airway
b) Protect the patient from injury
Rationale: During a seizure, protecting the patient from harm by clearing the area and
cushioning the head is the priority.
14. What is the flow rate for a non-rebreather mask?
a) 2–6 L/min
b) 6–10 L/min
c) 10–15 L/min
d) 15–20 L/min
c) 10–15 L/min
Rationale: A non-rebreather mask delivers high-flow oxygen at 10–15 L/min to provide near
100% FiO2.
15. A patient with suspected opioid overdose is unresponsive. What is the
first medication to administer?
a) Epinephrine
b) Naloxone
c) Aspirin
d) Albuterol
b) Naloxone
Rationale: Naloxone reverses opioid overdose by antagonizing opioid receptors, restoring
respiration.
16. What is the primary sign of tension pneumothorax?
a) Hyperresonance on percussion
b) Tracheal deviation
c) Bilateral wheezing
d) Increased breath sounds
b) Tracheal deviation
Rationale: Tracheal deviation away from the affected side is a hallmark sign of tension
pneumothorax due to mediastinal shift.
17. What is the compression rate for adult CPR?
a) 60–80 per minute
b) 80–100 per minute
c) 100–120 per minute
d) 120–140 per minute
c) 100–120 per minute
Rationale: AHA guidelines recommend a compression rate of 100–120 per minute, matching
the tempo of “Stayin’ Alive.”
