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 44-year-old man has a traumatic leg amputation just below the knee. He is unresponsive; is
breathing rapidly and shallowly; and has pale, cool, clammy skin. He is lying in a large pool of blood
and the wound is bleeding profusely. To control this bleeding, you should:
A) locate the femoral artery and apply pressure to it until the bleeding stops.
B) cover the wound with a trauma dressing and apply a proximal tourniquet.
C) apply an icepack to the wound to constrict the vessels and stop the bleeding.
D) apply a pressure dressing and elevate the injured extremity at least 12 inches.
B) cover the wound with a trauma dressing and apply a proximal tourniquet.
In most cases, external bleeding can be controlled with direct pressure and a securely placed
pressure dressing. However, if this is unsuccessful, you should apply a proximal tourniquet
immediately or the patient will bleed to death. The patient in this scenario has clearly lost a lot of
blood; he is unresponsive and has obvious signs of shock. Of the options listed, covering the wound
with a trauma dressing (while applying direct pressure) and then applying a proximal tourniquet will
be the most effective means of controlling this severe hemorrhage. Evidence has shown that
locating and applying adequate pressure to an arterial pressure point is often difficult and time-
consuming; the patient in this scenario does not have that kind of time!
A patient is unresponsive with snoring respirations. His arm is amputated just above the elbow and is
bleeding heavily. The EMT should:
A) open the patient's airway.
B) apply a proximal tourniquet.
C) administer high-flow oxygen.
D) ventilate with a bag-valve mask device.
A+ TEST BANK 1
, NRCME TEST BANK 2025
B) apply a proximal tourniquet.
Major hemorrhage kills patients faster than a compromised airway, so in this case, bleeding control
has the highest priority. The EMT should apply a proximal tourniquet and stop the bleeding
immediately. Attention can then turn to the patient's airway and breathing status. As with any
patient, treatment priorities must focus on injuries or conditions that will be the MOST immediately
fatal.
A man has a large laceration to his right calf after the chainsaw he was using slipped. The wound
extends down to the muscle and dark red blood is flowing heavily from the wound. The EMT should:
A) apply a tourniquet proximal to the wound.
B) position the patient supine and elevate his leg 12 inches.
C) check distal circulation and then splint the entire extremity.
D) apply manual pressure to the wound with a sterile dressing.
D) apply manual pressure to the wound with a sterile dressing.
Immediate treatment for external hemorrhage involves applying direct pressure to the wound. In
many cases, this will be all that is required. However, if the wound continues to bleed despite the use
of direct pressure, a proximal tourniquet should be applied. The patient with hemorrhage and shock
should be positioned supine; do not elevate his or her legs. If direct pressure alone controls the
bleeding, it would not be unreasonable to splint the affected extremity; doing so minimizes
movement of the extremity and may further assist in bleeding control by facilitating hemostasis.
When assessing distal circulation in a patient with a swollen deformed femur, you should:
A) palpate for a dorsalis pedis pulse.
B) assess the pulse behind the knee.
C) touch his foot with a blunt object.
D) ask the patient to wiggle his toes.
A) palpate for a dorsalis pedis pulse.
Care for a musculoskeletal injury includes assessing distal circulatory, sensory, and motor functions
before and after applying a splint. In the case of a femur injury, the dorsalis pedis (pedal) pulse,
located on top of the foot, is the most distal pulse relative to the injury. If a pedal pulse can be
palpated, circulation distal to the injury is present. The popliteal pulse is located behind the knee; it is
proximal to the pedal pulse. Touching the patient's foot and asking him if he can feel it and asking
him to wiggle his toes are assessing sensory and motor functions, respectively, not circulatory
function.
A+ TEST BANK 2
, NRCME TEST BANK 2025
A gang member was cut on the left side of the neck during a fight and is bleeding heavily from the
wound. His airway is patent and his breathing is adequate. You should immediately:
A) apply high-flow oxygen via a nonrebreathing mask at 15 L/min.
B) apply a tight pressure dressing and secure it in place with tape.
C) perform a head-to-toe assessment to find and treat other injuries.
D) cover the wound with an occlusive dressing and apply direct pressure.
D) cover the wound with an occlusive dressing and apply direct pressure.
Neck lacerations are extremely dangerous and can result in severe bleeding and shock, air embolism,
or both. If a jugular vein is lacerated, air can be sucked into the wound, enter the circulatory system,
and cause a pulmonary embolism. You should immediately apply an occlusive dressing to the wound
(prevents entrainment of air), place a bulky dressing over the occlusive dressing, and apply direct
pressure. Your patient has a patent airway and is breathing adequately; although high-flow oxygen is
important and should be given as soon as possible, it does not take priority over control of life-
threatening external hemorrhage. After treating all airway, breathing, and circulation problems,
perform a head-to-toe assessment (if indicated) and prepare for rapid transport.
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:
A) 6
B) 7
C) 8
D) 9
D) 9
The Glasgow Coma Scale (GCS) is a valuable tool used when assessing patients with a neurologic
injury. It assesses three parameters: eye opening, verbal response, and motor response. The
minimum score on the GCS is 3 and the 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.
During a soccer game, an 18-year-old woman injured her knee. Her knee is in a flexed position and is
obviously deformed. You should:
A) assess circulatory function distal to her injury.
B) straighten the knee to facilitate immobilization.
C) manually stabilize the leg above and below the knee.
D) immobilize the knee in the position in which it was found.
A+ TEST BANK 3
, NRCME TEST BANK 2025
C) manually stabilize the leg above and below the knee.
Treatment for any musculoskeletal injury begins by providing manual stabilization above and below
the injury (in this case, the distal femur and proximal tibia); this will prevent further injury. Distal
circulatory (pulse), sensory, and motor functions should then be assessed. After manually stabilizing
the injury and assessing distal circulatory, sensory, and motor functions, you should appropriately
splint the injury. Reassess distal circulatory, sensory, and motor functions after the splint has been
applied. Because of the vascularity of the knee, as well as the presence of major nerves in that area,
you should not straighten an injured knee. Joint injuries should be immobilized in the position found.
If there is no distal pulse and transport will be delayed, medical control may authorize you to make
one attempt to gently manipulate the joint to restore a pulse.
A football player complains of severe neck pain and tingling in his arms and legs after being tackled.
He is conscious and alert, has a patent airway, and is breathing adequately. He is in a supine position
and is still wearing his helmet, which is tight-fitting. The MOST appropriate treatment for this patient
includes:
A) manually stabilizing his head with his helmet still on, removing the face mask, securing him onto a
long backboard, and restricting spinal motion with a lateral head stabilizer.
B) manually stabilizing his head, carefully removing his helmet, applying a cervical collar, securing
him onto a long backboard, and restricting spinal motion with a lateral head stabilizer.
C) carefully removing his helmet, manually stabilizing his head, applying a cervical collar, applying a
vest-style spinal immobilization device, and placing him in a seated position.
D) manually stabilizing his head, leaving his helmet on, applying a vest-style spinal immobilization
device, securing him onto a long backboard, and restricting spinal motion with a lateral head
stabilizer.
A) manually stabilizing his head with his helmet still on, removing the face mask, securing him onto a
long backboard, and restricting spinal motion with a lateral head stabilizer.
A helmet that fits well prevents the patient's head from moving and should be left on, provided
there are no impending airway or breathing problems, it does not interfere with your assessment
and treatment of airway or ventilation problems, and you can properly restrict spinal motion. You
should also leave the helmet on if there is any chance that removing it will further injure the patient.
The mask on most sports helmets can be removed, without affecting helmet position or function, by
using a trainer's tool designed for cutting retaining clips or unscrewing the retaining clips from the
face mask. Your patient has severe neck pain and tingling in his extremities; these are obvious signs
of a spinal injury. However, he is conscious and alert, has a patent airway, is breathing adequately,
and his helmet is tight-fitting. Thus, the safest approach is to leave his helmet on and remove the
face mask. Secure him to a long backboard, keeping him supine, and restrict lateral movement of his
head with a commercial stabilizer or rolled towels. A vest-style device is more suitable for seated
patients; it is impractical to use on supine patients.
In which of the following situations would external bleeding be the MOST difficult to control?
A) Scalp laceration, BP of 130/70 mm Hg
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 44-year-old man has a traumatic leg amputation just below the knee. He is unresponsive; is
breathing rapidly and shallowly; and has pale, cool, clammy skin. He is lying in a large pool of blood
and the wound is bleeding profusely. To control this bleeding, you should:
A) locate the femoral artery and apply pressure to it until the bleeding stops.
B) cover the wound with a trauma dressing and apply a proximal tourniquet.
C) apply an icepack to the wound to constrict the vessels and stop the bleeding.
D) apply a pressure dressing and elevate the injured extremity at least 12 inches.
B) cover the wound with a trauma dressing and apply a proximal tourniquet.
In most cases, external bleeding can be controlled with direct pressure and a securely placed
pressure dressing. However, if this is unsuccessful, you should apply a proximal tourniquet
immediately or the patient will bleed to death. The patient in this scenario has clearly lost a lot of
blood; he is unresponsive and has obvious signs of shock. Of the options listed, covering the wound
with a trauma dressing (while applying direct pressure) and then applying a proximal tourniquet will
be the most effective means of controlling this severe hemorrhage. Evidence has shown that
locating and applying adequate pressure to an arterial pressure point is often difficult and time-
consuming; the patient in this scenario does not have that kind of time!
A patient is unresponsive with snoring respirations. His arm is amputated just above the elbow and is
bleeding heavily. The EMT should:
A) open the patient's airway.
B) apply a proximal tourniquet.
C) administer high-flow oxygen.
D) ventilate with a bag-valve mask device.
A+ TEST BANK 1
, NRCME TEST BANK 2025
B) apply a proximal tourniquet.
Major hemorrhage kills patients faster than a compromised airway, so in this case, bleeding control
has the highest priority. The EMT should apply a proximal tourniquet and stop the bleeding
immediately. Attention can then turn to the patient's airway and breathing status. As with any
patient, treatment priorities must focus on injuries or conditions that will be the MOST immediately
fatal.
A man has a large laceration to his right calf after the chainsaw he was using slipped. The wound
extends down to the muscle and dark red blood is flowing heavily from the wound. The EMT should:
A) apply a tourniquet proximal to the wound.
B) position the patient supine and elevate his leg 12 inches.
C) check distal circulation and then splint the entire extremity.
D) apply manual pressure to the wound with a sterile dressing.
D) apply manual pressure to the wound with a sterile dressing.
Immediate treatment for external hemorrhage involves applying direct pressure to the wound. In
many cases, this will be all that is required. However, if the wound continues to bleed despite the use
of direct pressure, a proximal tourniquet should be applied. The patient with hemorrhage and shock
should be positioned supine; do not elevate his or her legs. If direct pressure alone controls the
bleeding, it would not be unreasonable to splint the affected extremity; doing so minimizes
movement of the extremity and may further assist in bleeding control by facilitating hemostasis.
When assessing distal circulation in a patient with a swollen deformed femur, you should:
A) palpate for a dorsalis pedis pulse.
B) assess the pulse behind the knee.
C) touch his foot with a blunt object.
D) ask the patient to wiggle his toes.
A) palpate for a dorsalis pedis pulse.
Care for a musculoskeletal injury includes assessing distal circulatory, sensory, and motor functions
before and after applying a splint. In the case of a femur injury, the dorsalis pedis (pedal) pulse,
located on top of the foot, is the most distal pulse relative to the injury. If a pedal pulse can be
palpated, circulation distal to the injury is present. The popliteal pulse is located behind the knee; it is
proximal to the pedal pulse. Touching the patient's foot and asking him if he can feel it and asking
him to wiggle his toes are assessing sensory and motor functions, respectively, not circulatory
function.
A+ TEST BANK 2
, NRCME TEST BANK 2025
A gang member was cut on the left side of the neck during a fight and is bleeding heavily from the
wound. His airway is patent and his breathing is adequate. You should immediately:
A) apply high-flow oxygen via a nonrebreathing mask at 15 L/min.
B) apply a tight pressure dressing and secure it in place with tape.
C) perform a head-to-toe assessment to find and treat other injuries.
D) cover the wound with an occlusive dressing and apply direct pressure.
D) cover the wound with an occlusive dressing and apply direct pressure.
Neck lacerations are extremely dangerous and can result in severe bleeding and shock, air embolism,
or both. If a jugular vein is lacerated, air can be sucked into the wound, enter the circulatory system,
and cause a pulmonary embolism. You should immediately apply an occlusive dressing to the wound
(prevents entrainment of air), place a bulky dressing over the occlusive dressing, and apply direct
pressure. Your patient has a patent airway and is breathing adequately; although high-flow oxygen is
important and should be given as soon as possible, it does not take priority over control of life-
threatening external hemorrhage. After treating all airway, breathing, and circulation problems,
perform a head-to-toe assessment (if indicated) and prepare for rapid transport.
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:
A) 6
B) 7
C) 8
D) 9
D) 9
The Glasgow Coma Scale (GCS) is a valuable tool used when assessing patients with a neurologic
injury. It assesses three parameters: eye opening, verbal response, and motor response. The
minimum score on the GCS is 3 and the 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.
During a soccer game, an 18-year-old woman injured her knee. Her knee is in a flexed position and is
obviously deformed. You should:
A) assess circulatory function distal to her injury.
B) straighten the knee to facilitate immobilization.
C) manually stabilize the leg above and below the knee.
D) immobilize the knee in the position in which it was found.
A+ TEST BANK 3
, NRCME TEST BANK 2025
C) manually stabilize the leg above and below the knee.
Treatment for any musculoskeletal injury begins by providing manual stabilization above and below
the injury (in this case, the distal femur and proximal tibia); this will prevent further injury. Distal
circulatory (pulse), sensory, and motor functions should then be assessed. After manually stabilizing
the injury and assessing distal circulatory, sensory, and motor functions, you should appropriately
splint the injury. Reassess distal circulatory, sensory, and motor functions after the splint has been
applied. Because of the vascularity of the knee, as well as the presence of major nerves in that area,
you should not straighten an injured knee. Joint injuries should be immobilized in the position found.
If there is no distal pulse and transport will be delayed, medical control may authorize you to make
one attempt to gently manipulate the joint to restore a pulse.
A football player complains of severe neck pain and tingling in his arms and legs after being tackled.
He is conscious and alert, has a patent airway, and is breathing adequately. He is in a supine position
and is still wearing his helmet, which is tight-fitting. The MOST appropriate treatment for this patient
includes:
A) manually stabilizing his head with his helmet still on, removing the face mask, securing him onto a
long backboard, and restricting spinal motion with a lateral head stabilizer.
B) manually stabilizing his head, carefully removing his helmet, applying a cervical collar, securing
him onto a long backboard, and restricting spinal motion with a lateral head stabilizer.
C) carefully removing his helmet, manually stabilizing his head, applying a cervical collar, applying a
vest-style spinal immobilization device, and placing him in a seated position.
D) manually stabilizing his head, leaving his helmet on, applying a vest-style spinal immobilization
device, securing him onto a long backboard, and restricting spinal motion with a lateral head
stabilizer.
A) manually stabilizing his head with his helmet still on, removing the face mask, securing him onto a
long backboard, and restricting spinal motion with a lateral head stabilizer.
A helmet that fits well prevents the patient's head from moving and should be left on, provided
there are no impending airway or breathing problems, it does not interfere with your assessment
and treatment of airway or ventilation problems, and you can properly restrict spinal motion. You
should also leave the helmet on if there is any chance that removing it will further injure the patient.
The mask on most sports helmets can be removed, without affecting helmet position or function, by
using a trainer's tool designed for cutting retaining clips or unscrewing the retaining clips from the
face mask. Your patient has severe neck pain and tingling in his extremities; these are obvious signs
of a spinal injury. However, he is conscious and alert, has a patent airway, is breathing adequately,
and his helmet is tight-fitting. Thus, the safest approach is to leave his helmet on and remove the
face mask. Secure him to a long backboard, keeping him supine, and restrict lateral movement of his
head with a commercial stabilizer or rolled towels. A vest-style device is more suitable for seated
patients; it is impractical to use on supine patients.
In which of the following situations would external bleeding be the MOST difficult to control?
A) Scalp laceration, BP of 130/70 mm Hg
A+ TEST BANK 4
