This Exam contains:
100% Guarantee Pass.
2025\2026 update
Multiple-Choice questions.
Each Question Includes The Correct answers
>contains 450 questions and answers with
rationales
NREMT Exam QUESTIONS AND Answers
ALL 100%
VERIFIED
A 42-year-old male presents with fever, a severe headache, and a
stiff neck. He is conscious, but confused. His wife tells you that he
,does not have any medical problems and does not take any
medications. You should be MOST suspicious for:
• A:acute stroke.
• B:influenza.
• C:meningitis.
• D:tuberculosis.
( - You selected C; This is correct!
Rationale:Meningitis is an inflammation of the protective coverings
of the brain and spinal cord (meninges). Common signs and
symptoms of meningitis include fever, headache, neck stiffness
(nuchal rigidity), and vomiting. An altered mental status is common
in severe cases. Meningococcal meningitis, caused by a bacterium, is
the most contagious and potentially fatal type of meningitis. The
patient's signs and symptoms are not consistent with acute stroke,
tuberculosis (TB), or influenza (the flu). Although fever is common
with both TB and the flu, neither causes neck stiffness. Acute stroke
may be associated with a headache, especially a hemorrhagic stroke;
however, stroke patients typically do not have a fever.
All of the following are signs of gastrointestinal bleeding, EXCEPT:
• A:melena.
• B:hematemesis.
• C:tachycardia.
• D:hemoptysis. - You selected D; This is correct!
Rationale:Signs and symptoms of gastrointestinal (GI) bleeding
include abdominal pain; vomiting blood (hematemesis); the passage
of dark, tarry stools (melena); and bright red rectal bleeding
(hematochezia). If blood loss is significant, the patient may have
signs of shock (eg, tachycardia, diaphoresis, tachypnea,
hypotension). Hemoptysis (coughing up blood) is a sign of a
pulmonary injury, not GI bleeding.
, A 24-year-old female presents with a rash to her left leg and swollen,
painful knee joints. She tells you that she and her friends returned
from a hiking trip in the mountains a week ago. She is conscious and
alert with a blood pressure of 112/62 mm Hg, a pulse of 84
beats/min, and respirations of 14 breaths/min. Her symptoms are
MOST likely the result of: • A:Rocky Mountain spotted fever.
• B:tetanus. • C:Lyme disease.
• D:a localized allergic reaction. - You selected C; This is correct!
Rationale:The patient's symptoms and her history of a recent
hiking trip are consistent with Lyme disease, which was the result of
a tick bite. Ticks can carry two infectious diseases: Lyme disease and
Rocky Mountain spotted fever. Both are spread through the tick's
saliva, which is injected into the skin when the tick attaches itself.
The first symptom of Lyme disease, a rash that may spread to
several parts of the body, begins about 3 days after the bite of an
infected tick. The rash may eventually resemble a target bull's-eye
pattern in one third of patients. After a few more days or weeks,
painful swelling of the joints, particularly the knees, occurs. If
recognized and treated promptly with antibiotics, many patients
recover completely. Rocky Mountain spotted fever, which is not
limited to the Rocky Mountains, occurs within 7 to 10 days after
being bitten by an infected tick. Its symptoms include nausea,
vomiting, headache, weakness, paralysis, and possibly
cardiopulmonary failure.
A 50-year-old woman who is conscious and alert complains of a
severe migraine headache. When caring for her, you should
generally avoid:
• A:transporting her in a supine position.
• B:shining a light into her pupils.
• C:dimming the lights in the ambulance.
, • D:applying ice packs to her forehead. - You selected B; This is
correct!
Rationale:Patients with migraine or cluster headaches typically
have photophobia (light sensitivity). Any type of bright light,
especially if shone directly into the eyes, will cause the patient with
a headache unnecessary severe pain. Dimming the lights in the
ambulance and making the patient as comfortable as possible are
the treatments of choice for a patient with a headache. Some
patients benefit from ice packs applied to the forehead; just be sure
to wrap the ice pack with roller gauze. Oxygen also should be
administered as needed. Typically, the patient will prefer to lie
supine or on the side
A patient who overdosed on heroin would be expected to present
with:
• A:tachycardia.
• B:hyperpnea. • C:hypotension.
• D:dilated pupils. - The correct answer is C;
Rationale:Heroin is a Schedule I (illegal) narcotic that is typically
injected. As with all narcotics, legal or illegal, overdose causes
depression of the central nervous system (CNS), resulting in a
decreased level of consciousness; bradycardia; hypotension; and
slow, shallow (reduced tidal volume) breathing. Hyperpnea (deep
breathing) would not be present in a patient who overdosed on a
narcotic. In a narcotic overdose, the pupils are typically constricted
(miosis). Barbiturates, such as phenobarbital, are also CNS
depressants and cause the same symptoms seen with narcotic
overdose. The patient's pupils, however, are typically dilated
(mydriasis), not constricted.
100% Guarantee Pass.
2025\2026 update
Multiple-Choice questions.
Each Question Includes The Correct answers
>contains 450 questions and answers with
rationales
NREMT Exam QUESTIONS AND Answers
ALL 100%
VERIFIED
A 42-year-old male presents with fever, a severe headache, and a
stiff neck. He is conscious, but confused. His wife tells you that he
,does not have any medical problems and does not take any
medications. You should be MOST suspicious for:
• A:acute stroke.
• B:influenza.
• C:meningitis.
• D:tuberculosis.
( - You selected C; This is correct!
Rationale:Meningitis is an inflammation of the protective coverings
of the brain and spinal cord (meninges). Common signs and
symptoms of meningitis include fever, headache, neck stiffness
(nuchal rigidity), and vomiting. An altered mental status is common
in severe cases. Meningococcal meningitis, caused by a bacterium, is
the most contagious and potentially fatal type of meningitis. The
patient's signs and symptoms are not consistent with acute stroke,
tuberculosis (TB), or influenza (the flu). Although fever is common
with both TB and the flu, neither causes neck stiffness. Acute stroke
may be associated with a headache, especially a hemorrhagic stroke;
however, stroke patients typically do not have a fever.
All of the following are signs of gastrointestinal bleeding, EXCEPT:
• A:melena.
• B:hematemesis.
• C:tachycardia.
• D:hemoptysis. - You selected D; This is correct!
Rationale:Signs and symptoms of gastrointestinal (GI) bleeding
include abdominal pain; vomiting blood (hematemesis); the passage
of dark, tarry stools (melena); and bright red rectal bleeding
(hematochezia). If blood loss is significant, the patient may have
signs of shock (eg, tachycardia, diaphoresis, tachypnea,
hypotension). Hemoptysis (coughing up blood) is a sign of a
pulmonary injury, not GI bleeding.
, A 24-year-old female presents with a rash to her left leg and swollen,
painful knee joints. She tells you that she and her friends returned
from a hiking trip in the mountains a week ago. She is conscious and
alert with a blood pressure of 112/62 mm Hg, a pulse of 84
beats/min, and respirations of 14 breaths/min. Her symptoms are
MOST likely the result of: • A:Rocky Mountain spotted fever.
• B:tetanus. • C:Lyme disease.
• D:a localized allergic reaction. - You selected C; This is correct!
Rationale:The patient's symptoms and her history of a recent
hiking trip are consistent with Lyme disease, which was the result of
a tick bite. Ticks can carry two infectious diseases: Lyme disease and
Rocky Mountain spotted fever. Both are spread through the tick's
saliva, which is injected into the skin when the tick attaches itself.
The first symptom of Lyme disease, a rash that may spread to
several parts of the body, begins about 3 days after the bite of an
infected tick. The rash may eventually resemble a target bull's-eye
pattern in one third of patients. After a few more days or weeks,
painful swelling of the joints, particularly the knees, occurs. If
recognized and treated promptly with antibiotics, many patients
recover completely. Rocky Mountain spotted fever, which is not
limited to the Rocky Mountains, occurs within 7 to 10 days after
being bitten by an infected tick. Its symptoms include nausea,
vomiting, headache, weakness, paralysis, and possibly
cardiopulmonary failure.
A 50-year-old woman who is conscious and alert complains of a
severe migraine headache. When caring for her, you should
generally avoid:
• A:transporting her in a supine position.
• B:shining a light into her pupils.
• C:dimming the lights in the ambulance.
, • D:applying ice packs to her forehead. - You selected B; This is
correct!
Rationale:Patients with migraine or cluster headaches typically
have photophobia (light sensitivity). Any type of bright light,
especially if shone directly into the eyes, will cause the patient with
a headache unnecessary severe pain. Dimming the lights in the
ambulance and making the patient as comfortable as possible are
the treatments of choice for a patient with a headache. Some
patients benefit from ice packs applied to the forehead; just be sure
to wrap the ice pack with roller gauze. Oxygen also should be
administered as needed. Typically, the patient will prefer to lie
supine or on the side
A patient who overdosed on heroin would be expected to present
with:
• A:tachycardia.
• B:hyperpnea. • C:hypotension.
• D:dilated pupils. - The correct answer is C;
Rationale:Heroin is a Schedule I (illegal) narcotic that is typically
injected. As with all narcotics, legal or illegal, overdose causes
depression of the central nervous system (CNS), resulting in a
decreased level of consciousness; bradycardia; hypotension; and
slow, shallow (reduced tidal volume) breathing. Hyperpnea (deep
breathing) would not be present in a patient who overdosed on a
narcotic. In a narcotic overdose, the pupils are typically constricted
(miosis). Barbiturates, such as phenobarbital, are also CNS
depressants and cause the same symptoms seen with narcotic
overdose. The patient's pupils, however, are typically dilated
(mydriasis), not constricted.
