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+
You are called to assist an adult with chest pain. The patient has a cardiac history of two-posterior
myocardial infarctions. He is conscious and alert, stating he is having a hard time breathing, and the
chest pain worsens when he attempts to lay flat on his back. His skin is pale and hot, while
auscultation of his lung sounds reveals mild crackles. He reports the pain worsens on deep
inspiration and movement.
Based on the patient's history, and signs and symptoms, which of the following should you suspect?
A.
Unstable angina pectoris
B.
Pericarditis
C.
Myocardial infarction
D.
Cardiomyopathy
B.
You are the first ambulance to arrive on the scene of a single-car accident. As you approach the
scene, you see four patients, two have been ejected from their vehicle, and two are still in the
vehicle. What should be your next course of action?
A.
Call medical control, and advise them of the situation
A+ TEST BANK 1
, NRCME TEST BANK 2025
B.
Request additional resources, such as fire rescue, and additional ambulances to respond to the scene
C.
Begin immediate triage and treatment of the two patients ejected first while awaiting fire
department response
D.
Notify the local trauma center so they can prepare for the patients
B.
A 62 year old male who has a history of heart disease complains of chest pain. He tells you he has
been prescribed nitroglycerin. You should first
a. assess his vital signs.
b. prepare the AED.
c. administer oxygen by non-rebreather mask.
d. auscultate his lung sounds.
a. assess his vital signs
Which of the following, when imbalanced in the bloodstream, causes the fastest alteration in mental
status?
Water
Oxygen
Glucose
Electrolytes
oxygen
A 21 year old female tells you she was raped and beaten 15 minutes ago by a man who ran away. You
see facial swelling, human bites, and a hematoma on her head. Her vital signs are P 96, R 16, and BP
134/82. You should
transport her away from the scene and preserve evidence.
complete a full body exam and put her clothing in a paper bag.
scribe notes regarding the events that occurred.
place cold packs on her edematous areas and dress the bite marks.
place cold packs on her edematous areas and dress the bites marks
An unrestrained 19 year old male was involved in a car crash. He complains of pain near a scalp
laceration. Physical exam reveals a scalp laceration, fractures of his eight, ninth, and tenth ribs on his
right lower chest and a fractured right upper leg. His vital signs are P 112, R 16, BP 108/82, and SpO2 is
A+ TEST BANK 2
, NRCME TEST BANK 2025
98% on room air. Your management should focus on
fracture management.
hypoperfusion.
oxygenation.
hemorrhage control.
hypo perfusion
Which of the following is the earliest sign of a possible head injury?
Dilated pupils
Altered mental status
Battle's sign
Raccoon eyes
Altered mental status
A 31 year old male has an open chest wound that you have treated. En route to the hospital, he has
increasing shortness of breath, tachypnea, BP 98/72, and SpO2 is now 86% on oxygen by non-
rebreather mask. You should next
assist his ventilations with a BVM.
remove his dressing.
turn him onto his affected side.
re-examine him for an exit wound.
remove his dressing
!
A 48 year old female complains of a headache that is worse than others she has had and nausea. She
is in a darkened room. Her skin in diaphoretic and she is able to wrinkle her face on request. You
should suspect a
subdural hematoma.
migraine headache.
cluster headache.
stroke.
migraine headache
A 21 year old male was at a picnic when he was stung by a bee. He is short of breath, wheezing, and
has urticaria. His vital signs are P 102, R 20, BP 104/84, and SpO2 is 95% on room air. What is the first
A+ TEST BANK 3
, NRCME TEST BANK 2025
question you should ask him?
"Have you ever been hospitalized for a bee sting?"
"Did you feel like this the last time you were stung?"
"Are you allergic to bee stings?"
"Do you have an epinephrine autoinjector with you?"
do you have an epinephrine auto injector with you
An EMT responded to a 9-1-1 call, assessed a patient, assisted with the administration of an improper
medication, and rapidly transported the patient to the hospital. Legally, this EMT could be
prosecuted for
assault.
a breach of duty.
proximate cause.
negligence.
negligence
An anxious 2 year old female has a loud, frequent cough. You hear stridor and observe suprasternal
retractions. He father tells you she has no history of asthma. You should suspect
laryngotracheobronchitis.
flu-like symptoms.
pneumonia.
epiglottitis.
laryngotracheobronchitis
A 24 year old female complains of fever, weakness, and nausea. She is sexually active and tells you
she has a foul-smelling vaginal discharge. She has low abdominal pain on palpation. You should
suspect
dysmenorrhea.
urinary tract infection.
mittelschmerz.
pelvic inflammatory disease.
pelvic inflammatory disease
Which of the following is a principle to use when carrying a patient down a flight of stairs?
Use at least four personnel to carry the patient
Place the patient's head down so he can see you
Secure the patient's hands in the device being used
Secure the patient's head first then body to the device
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+
You are called to assist an adult with chest pain. The patient has a cardiac history of two-posterior
myocardial infarctions. He is conscious and alert, stating he is having a hard time breathing, and the
chest pain worsens when he attempts to lay flat on his back. His skin is pale and hot, while
auscultation of his lung sounds reveals mild crackles. He reports the pain worsens on deep
inspiration and movement.
Based on the patient's history, and signs and symptoms, which of the following should you suspect?
A.
Unstable angina pectoris
B.
Pericarditis
C.
Myocardial infarction
D.
Cardiomyopathy
B.
You are the first ambulance to arrive on the scene of a single-car accident. As you approach the
scene, you see four patients, two have been ejected from their vehicle, and two are still in the
vehicle. What should be your next course of action?
A.
Call medical control, and advise them of the situation
A+ TEST BANK 1
, NRCME TEST BANK 2025
B.
Request additional resources, such as fire rescue, and additional ambulances to respond to the scene
C.
Begin immediate triage and treatment of the two patients ejected first while awaiting fire
department response
D.
Notify the local trauma center so they can prepare for the patients
B.
A 62 year old male who has a history of heart disease complains of chest pain. He tells you he has
been prescribed nitroglycerin. You should first
a. assess his vital signs.
b. prepare the AED.
c. administer oxygen by non-rebreather mask.
d. auscultate his lung sounds.
a. assess his vital signs
Which of the following, when imbalanced in the bloodstream, causes the fastest alteration in mental
status?
Water
Oxygen
Glucose
Electrolytes
oxygen
A 21 year old female tells you she was raped and beaten 15 minutes ago by a man who ran away. You
see facial swelling, human bites, and a hematoma on her head. Her vital signs are P 96, R 16, and BP
134/82. You should
transport her away from the scene and preserve evidence.
complete a full body exam and put her clothing in a paper bag.
scribe notes regarding the events that occurred.
place cold packs on her edematous areas and dress the bite marks.
place cold packs on her edematous areas and dress the bites marks
An unrestrained 19 year old male was involved in a car crash. He complains of pain near a scalp
laceration. Physical exam reveals a scalp laceration, fractures of his eight, ninth, and tenth ribs on his
right lower chest and a fractured right upper leg. His vital signs are P 112, R 16, BP 108/82, and SpO2 is
A+ TEST BANK 2
, NRCME TEST BANK 2025
98% on room air. Your management should focus on
fracture management.
hypoperfusion.
oxygenation.
hemorrhage control.
hypo perfusion
Which of the following is the earliest sign of a possible head injury?
Dilated pupils
Altered mental status
Battle's sign
Raccoon eyes
Altered mental status
A 31 year old male has an open chest wound that you have treated. En route to the hospital, he has
increasing shortness of breath, tachypnea, BP 98/72, and SpO2 is now 86% on oxygen by non-
rebreather mask. You should next
assist his ventilations with a BVM.
remove his dressing.
turn him onto his affected side.
re-examine him for an exit wound.
remove his dressing
!
A 48 year old female complains of a headache that is worse than others she has had and nausea. She
is in a darkened room. Her skin in diaphoretic and she is able to wrinkle her face on request. You
should suspect a
subdural hematoma.
migraine headache.
cluster headache.
stroke.
migraine headache
A 21 year old male was at a picnic when he was stung by a bee. He is short of breath, wheezing, and
has urticaria. His vital signs are P 102, R 20, BP 104/84, and SpO2 is 95% on room air. What is the first
A+ TEST BANK 3
, NRCME TEST BANK 2025
question you should ask him?
"Have you ever been hospitalized for a bee sting?"
"Did you feel like this the last time you were stung?"
"Are you allergic to bee stings?"
"Do you have an epinephrine autoinjector with you?"
do you have an epinephrine auto injector with you
An EMT responded to a 9-1-1 call, assessed a patient, assisted with the administration of an improper
medication, and rapidly transported the patient to the hospital. Legally, this EMT could be
prosecuted for
assault.
a breach of duty.
proximate cause.
negligence.
negligence
An anxious 2 year old female has a loud, frequent cough. You hear stridor and observe suprasternal
retractions. He father tells you she has no history of asthma. You should suspect
laryngotracheobronchitis.
flu-like symptoms.
pneumonia.
epiglottitis.
laryngotracheobronchitis
A 24 year old female complains of fever, weakness, and nausea. She is sexually active and tells you
she has a foul-smelling vaginal discharge. She has low abdominal pain on palpation. You should
suspect
dysmenorrhea.
urinary tract infection.
mittelschmerz.
pelvic inflammatory disease.
pelvic inflammatory disease
Which of the following is a principle to use when carrying a patient down a flight of stairs?
Use at least four personnel to carry the patient
Place the patient's head down so he can see you
Secure the patient's hands in the device being used
Secure the patient's head first then body to the device
A+ TEST BANK 4
