NRCME TEST BANK 2025
NREMT TEST BANK VERIFIED
QUESTIONS AND ANWERS WITH
DETAILED RATIONALES 2025/2026
COMPLETE 600 QUESTIONS AND
CORRECT ANSWERS WITH
RATIONALES | ALREADY GRADED A+
A young male has an open abdominal wound through which a small loop of bowel is protruding.
There is minimal bleeding. The BEST way to treat his injury is to:
A:apply dry sterile gauze pads to the wound and then keep them continuously moist by pouring
sterile saline or water on them throughout transport.
B:apply a sterile trauma dressing moistened with sterile saline directly to the wound and secure the
moist dressing in place with a dry sterile dressing.
C:cover the wound with a dry sterile trauma dressing and tightly secure it in place by
circumferentially wrapping roller gauze around the abdomen.
D:gently clean the exposed loop of bowel with warm sterile saline, carefully replace it back into the
wound, and cover it with a dry sterile dressing.
B;
Rationale :
An abdominal evisceration occurs when a loop of bowel, an organ, or fat protrudes through an open
abdominal injury. Never try to replace an organ that is protruding from an open abdominal wound,
whether it is a small fold of peritoneum or nearly all of the intestines; this significantly increases the
risk of infection. Instead, cover it with sterile gauze pads or a sterile trauma dressing moistened with
sterile saline and secure the moist dressing in place with a dry sterile dressing. Some EMS protocols
call for an occlusive dressing over the organs, secured by trauma dressings. Do not apply excessive
pressure when dressing and bandaging the wound; this may force the protruding organ or loop of
bowel back into the abdominal cavity.
Displaced fractures of the proximal femur are characterized by:
A:a flexed hip joint and inward thigh rotation.
B:hip joint extension and external leg rotation.
A+ TEST BANK 1
, NRCME TEST BANK 2025
C:lengthening and internal rotation of the leg.
D:shortening and external rotation of the leg.
D;
Rationale :
Fractures of the proximal (upper) part of the femur are especially common in older people,
particularly those with osteoporosis, but may also occur as a result of high-energy trauma in younger
patients. Although they are usually called hip fractures, they rarely involve the hip joint. Instead, the
break goes through the neck of the femur, the middle region, or across the proximal shaft. Patients
with displaced fractures of the proximal femur display a very characteristic deformity. They lie with
the leg externally rotated, and the injured leg is usually shorter than the uninjured leg. If the fracture
is not displaced, this deformity is not present. A flexed hip joint and internal rotation of the thigh are
characteristic of a posterior hip dislocation. With the less common anterior hip dislocation, the limb is
in the opposite position, extended straight out, externally rotated, and pointing away from the
midline of the body.
A patient with a closed head injury opens his eyes in response to pain, is mumbling words that you
cannot understand, and pushes your hand away when you apply a painful stimulus. His Glasgow
Coma Scale (GCS) score is: EVM 456
A:9
B:6
C:8
D:7
A; This is correct!
Rationale :
The Glasgow Coma Scale (GCS) is a valuable tool used when assessing patients with a neurological
injury. It assesses three parameters: eye opening, verbal response, and motor response. A minimum
score on the GCS is 3 and a maximum score is 15. A patient who opens his or her eyes in response to
pain would receive a score of 2. Mumbling speech, moaning, or incomprehensible words equate to a
score of 2 for verbal response. Localization of a painful stimulus, such as pushing your hand away
from the source of pain, equates to a score of 5. Therefore, the patient has a GCS score of 9. It is
important to note that a patient's GCS score should be reassessed frequently. Review the entire GCS
in your EMT text and commit it to memory.
A 23-year-old unrestrained female struck the steering wheel with her chest when her passenger car
collided with a tree at a high rate of speed. Your assessment reveals that she is conscious, but has
signs of shock and an irregular pulse. The MOST appropriate treatment for this patient includes:
A+ TEST BANK 2
, NRCME TEST BANK 2025
A:applying an AED in case she develops cardiac arrest, high-flow oxygen, full spinal precautions, and
rapid transport.
B:insertion of an oral airway, assisted ventilations with a bag-mask device, full spinal precautions, and
rapid transport.
C:high-flow oxygen, summoning a paramedic unit to the scene to assess her cardiac rhythm, a
cervical collar, and transport as soon as possible.
D:high-flow oxygen or assisted ventilations as needed, full spinal precautions, blankets to keep her
warm, and rapid transport.
D;
Rationale :
The cause of this patient's shock may be a myocardial contusion, or bruising of the heart muscle.
Blunt trauma to the chest can injure the heart, making it unable to maintain adequate blood
pressure. In a myocardial contusion, the pulse is often irregular, but dangerous rhythms (eg, V-Fib, V-
Tach) are relatively uncommon. There is no special diagnostic test at this time, and there is no
prehospital treatment for the condition. Therefore, waiting at the scene for a paramedic unit would
only waste time. Apply high-flow oxygen, assist ventilations if the patient is breathing inadequately
(eg, slow or fast respirations, shallow breathing [reduced tidal volume]), treat the patient for shock
(eg, cover her with blankets, elevate her lower extremities [if local protocol permits]), and transport
rapidly. Because of the mechanism of injury, full spinal precautions should be taken. The patient is
conscious and likely has an intact gag reflex; therefore, an oral airway is contraindicated. The AED is
only applied to patients who are in cardiac arrest.
.
You arrive at a residence where you find a man lying unresponsive in his front yard. There were no
witnesses to the event. In assessing this man, you should assume that he:
A:is having a diabetic reaction.
B:is having a heart attack.
C:has sustained an injury.
D:has a heat-related emergency.
C;
Rationale :
In the absence of any witnesses, you should assume that any patient who is found unresponsive has
A+ TEST BANK 3
, NRCME TEST BANK 2025
an injury until ruled out at the hospital. Apply spinal motion restriction precautions as needed. Do not
be so hasty to label your patient as a "medical" or "trauma" patient. Many patients have injuries and
medical conditions at the same time. For example, a patient can be driving his or her vehicle,
experience a heart attack, and run off the road and strike a tree.
A 42-year-old man has a large knife impaled in the center of his chest. He is unresponsive, pulseless,
and apneic. You should:
A:secure the knife in place with a bulky dressing and transport immediately.
B:carefully remove the knife, control the bleeding, and begin CPR.
C:stabilize the knife with bulky dressings, begin CPR, and transport at once.
D:carefully remove the knife, control the bleeding, and apply the AED.
B;
Rationale :
Generally, impaled objects should be stabilized in place and not removed; however, if they interfere
with the patient's airway or your ability to perform CPR, they must be carefully removed. The knife in
this patient is impaled in the center of his chest (the precordium), which is where chest
compressions are performed. Carefully remove the knife, control any external bleeding, begin CPR,
and transport immediately. The AED is not indicated for victims of traumatic cardiac arrest. Massive
blood loss is the most common cause of traumatic cardiac arrest, not a cardiac dysrhythmia;
therefore, the AED would be of little benefit.
A young man fell and landed on his outstretched hand, resulting in pain and deformity to the left
midshaft forearm. Distal circulation should be assessed at which of the following pulse locations?
A:Popliteal
B:Pedal
C:Radial
D:Brachial
C;
Rationale :
The radius and ulna are the bones of the forearm. The radial pulse can be palpated on the lateral
aspect (thumb side) of the wrist and is the most distal pulse site relative to the injury. The brachial
pulse is located on the medial aspect of the upper arm. The popliteal pulse is located behind the
knee. The pedal (dorsalis pedis) pulse is located on top of the foot.
A+ TEST BANK 4
NREMT TEST BANK VERIFIED
QUESTIONS AND ANWERS WITH
DETAILED RATIONALES 2025/2026
COMPLETE 600 QUESTIONS AND
CORRECT ANSWERS WITH
RATIONALES | ALREADY GRADED A+
A young male has an open abdominal wound through which a small loop of bowel is protruding.
There is minimal bleeding. The BEST way to treat his injury is to:
A:apply dry sterile gauze pads to the wound and then keep them continuously moist by pouring
sterile saline or water on them throughout transport.
B:apply a sterile trauma dressing moistened with sterile saline directly to the wound and secure the
moist dressing in place with a dry sterile dressing.
C:cover the wound with a dry sterile trauma dressing and tightly secure it in place by
circumferentially wrapping roller gauze around the abdomen.
D:gently clean the exposed loop of bowel with warm sterile saline, carefully replace it back into the
wound, and cover it with a dry sterile dressing.
B;
Rationale :
An abdominal evisceration occurs when a loop of bowel, an organ, or fat protrudes through an open
abdominal injury. Never try to replace an organ that is protruding from an open abdominal wound,
whether it is a small fold of peritoneum or nearly all of the intestines; this significantly increases the
risk of infection. Instead, cover it with sterile gauze pads or a sterile trauma dressing moistened with
sterile saline and secure the moist dressing in place with a dry sterile dressing. Some EMS protocols
call for an occlusive dressing over the organs, secured by trauma dressings. Do not apply excessive
pressure when dressing and bandaging the wound; this may force the protruding organ or loop of
bowel back into the abdominal cavity.
Displaced fractures of the proximal femur are characterized by:
A:a flexed hip joint and inward thigh rotation.
B:hip joint extension and external leg rotation.
A+ TEST BANK 1
, NRCME TEST BANK 2025
C:lengthening and internal rotation of the leg.
D:shortening and external rotation of the leg.
D;
Rationale :
Fractures of the proximal (upper) part of the femur are especially common in older people,
particularly those with osteoporosis, but may also occur as a result of high-energy trauma in younger
patients. Although they are usually called hip fractures, they rarely involve the hip joint. Instead, the
break goes through the neck of the femur, the middle region, or across the proximal shaft. Patients
with displaced fractures of the proximal femur display a very characteristic deformity. They lie with
the leg externally rotated, and the injured leg is usually shorter than the uninjured leg. If the fracture
is not displaced, this deformity is not present. A flexed hip joint and internal rotation of the thigh are
characteristic of a posterior hip dislocation. With the less common anterior hip dislocation, the limb is
in the opposite position, extended straight out, externally rotated, and pointing away from the
midline of the body.
A patient with a closed head injury opens his eyes in response to pain, is mumbling words that you
cannot understand, and pushes your hand away when you apply a painful stimulus. His Glasgow
Coma Scale (GCS) score is: EVM 456
A:9
B:6
C:8
D:7
A; This is correct!
Rationale :
The Glasgow Coma Scale (GCS) is a valuable tool used when assessing patients with a neurological
injury. It assesses three parameters: eye opening, verbal response, and motor response. A minimum
score on the GCS is 3 and a maximum score is 15. A patient who opens his or her eyes in response to
pain would receive a score of 2. Mumbling speech, moaning, or incomprehensible words equate to a
score of 2 for verbal response. Localization of a painful stimulus, such as pushing your hand away
from the source of pain, equates to a score of 5. Therefore, the patient has a GCS score of 9. It is
important to note that a patient's GCS score should be reassessed frequently. Review the entire GCS
in your EMT text and commit it to memory.
A 23-year-old unrestrained female struck the steering wheel with her chest when her passenger car
collided with a tree at a high rate of speed. Your assessment reveals that she is conscious, but has
signs of shock and an irregular pulse. The MOST appropriate treatment for this patient includes:
A+ TEST BANK 2
, NRCME TEST BANK 2025
A:applying an AED in case she develops cardiac arrest, high-flow oxygen, full spinal precautions, and
rapid transport.
B:insertion of an oral airway, assisted ventilations with a bag-mask device, full spinal precautions, and
rapid transport.
C:high-flow oxygen, summoning a paramedic unit to the scene to assess her cardiac rhythm, a
cervical collar, and transport as soon as possible.
D:high-flow oxygen or assisted ventilations as needed, full spinal precautions, blankets to keep her
warm, and rapid transport.
D;
Rationale :
The cause of this patient's shock may be a myocardial contusion, or bruising of the heart muscle.
Blunt trauma to the chest can injure the heart, making it unable to maintain adequate blood
pressure. In a myocardial contusion, the pulse is often irregular, but dangerous rhythms (eg, V-Fib, V-
Tach) are relatively uncommon. There is no special diagnostic test at this time, and there is no
prehospital treatment for the condition. Therefore, waiting at the scene for a paramedic unit would
only waste time. Apply high-flow oxygen, assist ventilations if the patient is breathing inadequately
(eg, slow or fast respirations, shallow breathing [reduced tidal volume]), treat the patient for shock
(eg, cover her with blankets, elevate her lower extremities [if local protocol permits]), and transport
rapidly. Because of the mechanism of injury, full spinal precautions should be taken. The patient is
conscious and likely has an intact gag reflex; therefore, an oral airway is contraindicated. The AED is
only applied to patients who are in cardiac arrest.
.
You arrive at a residence where you find a man lying unresponsive in his front yard. There were no
witnesses to the event. In assessing this man, you should assume that he:
A:is having a diabetic reaction.
B:is having a heart attack.
C:has sustained an injury.
D:has a heat-related emergency.
C;
Rationale :
In the absence of any witnesses, you should assume that any patient who is found unresponsive has
A+ TEST BANK 3
, NRCME TEST BANK 2025
an injury until ruled out at the hospital. Apply spinal motion restriction precautions as needed. Do not
be so hasty to label your patient as a "medical" or "trauma" patient. Many patients have injuries and
medical conditions at the same time. For example, a patient can be driving his or her vehicle,
experience a heart attack, and run off the road and strike a tree.
A 42-year-old man has a large knife impaled in the center of his chest. He is unresponsive, pulseless,
and apneic. You should:
A:secure the knife in place with a bulky dressing and transport immediately.
B:carefully remove the knife, control the bleeding, and begin CPR.
C:stabilize the knife with bulky dressings, begin CPR, and transport at once.
D:carefully remove the knife, control the bleeding, and apply the AED.
B;
Rationale :
Generally, impaled objects should be stabilized in place and not removed; however, if they interfere
with the patient's airway or your ability to perform CPR, they must be carefully removed. The knife in
this patient is impaled in the center of his chest (the precordium), which is where chest
compressions are performed. Carefully remove the knife, control any external bleeding, begin CPR,
and transport immediately. The AED is not indicated for victims of traumatic cardiac arrest. Massive
blood loss is the most common cause of traumatic cardiac arrest, not a cardiac dysrhythmia;
therefore, the AED would be of little benefit.
A young man fell and landed on his outstretched hand, resulting in pain and deformity to the left
midshaft forearm. Distal circulation should be assessed at which of the following pulse locations?
A:Popliteal
B:Pedal
C:Radial
D:Brachial
C;
Rationale :
The radius and ulna are the bones of the forearm. The radial pulse can be palpated on the lateral
aspect (thumb side) of the wrist and is the most distal pulse site relative to the injury. The brachial
pulse is located on the medial aspect of the upper arm. The popliteal pulse is located behind the
knee. The pedal (dorsalis pedis) pulse is located on top of the foot.
A+ TEST BANK 4
