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 32 year old male who has a history of asthma calls because he continues to wheeze despite taking
his prescribed medications. He tells you he used his inhaler six times today and once in the past 30
minutes. His vital signs are P 112, R 24, BP 142/94, and Sp02 is 88% on room air. You should administer
oxygen and
A. administer another dose from his inhaler.
B. provide fluid replacement.
C. begin rapid transport.
D. assist ventilations with a BVM.
A. administer another dose from his inhaler.
You observe a dark green fluid on a newborn male's face right after delivery. You should
A. clean the fluid off him.
B. suction his nose then mouth.
C. administer blow-by oxygen.
D. suction his mouth then nose.
A. clean the fluid off him.
A paramedic unit arrives after your team started CPR on a 58 year old male. Your AED indicated, "No
shock advised." The paramedic intubates the patient and asks you to ventilate while your partner
continues chest compressions. You should provide
A. one ventilation every 10 seconds.
B. one ventilation after 15 compressions.
C. 10 ventilations per minute.
D. two ventilations after 30 compressions.
C. 10 ventilations per minute.
A+ TEST BANK 1
, NRCME TEST BANK 2025
A 20 year old male has a gunshot wound to the left chest. You manage the wound and begin
transport. His initial vital signs are P 108, R 6 and shallow, and BP 96 systolic. You begin to assist his
ventilations and your partner reports he has no blood pressure. You should suspect the loss of his
blood pressure is due to
A. the loss of plasma proteins in the blood.
B. shunting of blood in the microcirculation.
C. a decrease in hydrostatic pressure.
D. the loss of venous return to the heart.
D. the loss of venous return to the heart.
A 56 year old male complains of chest pain and tells you he took four nitroglycerin tablets over the
past two hours. His vital signs are P 108, R 16, BP 98/78, and SpO2 is 94% on room air. You should
A. prepare for routine transport.
B. administer oxygen by nasal cannula.
C. prepare for rapid transport and apply the AED.
D. assist him with another dose of nitroglycerin.
B. administer oxygen by nasal cannula.
A 12 year old female who has a history of asthma has audible wheezes. You immediately administer
oxygen by non-rebreather mask. After one minute of oxygenation, she relaxes, becomes sleepy, and
her wheezes are no longer audible. You should suspect
A. she is in respiratory failure.
B. her vasoconstriction relaxed.
C. respiratory exhaustion has overcome her.
D. the high percentage of oxygen provided relief.
A. she is in respiratory failure.
If present, which of the following sounds should cause you the most concern in a victim who was
rescued from a fire?
A. Wheezes
B. Gurgling
C. Hoarse voice
D. Crackles
C. Hoarse voice
A patient who has left ventricular failure will have difficulty exchanging gases due to
A. pulmonary hypertension.
B. hypoperfusion.
C. reduced afterload.
D. fluid in the alveoli.
D. fluid in the alveoli.
A+ TEST BANK 2
, NRCME TEST BANK 2025
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 Sp02 is now 86% on oxygen by non-
rebreather mask. You should next
A. assist his ventilations with a BVM.
B. turn him onto his affected side.
C. re-examine him for an exit wound.
D. remove his dressing.
D. remove his dressing.
An unresponsive 6 year old male fell from his bicycle striking his head against a curb. He was wearing
a helmet that is broken in two. He has irregular breathing and you observe a large hematoma on the
top of his head. You should first
A. assist his ventilations with a BVM.
B. determine if he has adequete alveolar ventilation.
C. bandage his head and apply a cold pack over the bandage.
D. perform a neurological examination.
B. determine if he has adequete alveolar ventilation.
You are the first EMS provider to arrive on scene at a roll-over accident of a tour bus. You should first
A. assess the stability of the bus.
B. look for hazards to you and passengers.
C. determine how many passengers can walk.
D. implement the Incident Command System.
D. implement the Incident Command System.
The most common problem associated with a failure to obtain a proper mask seal when ventilating a
patient is due to
A. not enough pressure on the mask over the bridge of the nose.
B. the hands of the provider being too small to secure the mask
C. not maintaining an open airway on the patient.
D. improper mask size selected.
C. not maintaining an open airway on the patient.
A 60 year old male complains of having the worst headache of his life. He's in a dark room sitting
quietly. His vital signs are P 96, R 16, BP 186/124, and SpO2 is 98% on room air. You should suspect the
cause of his headache is
A. stress.
B. ruptured aneurysm.
C. hypertension.
D. migraines.
A+ TEST BANK 3
, NRCME TEST BANK 2025
C. hypertension.
A tennis plaver was hit in the eve with a tennis ball. He is in great pain. As you examine his eye, you
should look for
A. corneal abrasions.
B. blood present in the iris.
C. pupillary response to light.
D. hemorrhage in the sclera.
B. blood present in the iris.
An unresponsive 4 ear old male drown and is apneic and pulseless. You should give two rescue
breaths and
A. administer 30 chest compressions at a one-inch depth.
B. administer 15 chest compressions at a two-inch depth.
C. administer 30 chest compressions at a two-inch depth.
D. administer 15 chest compressions at a one-inch depth.
C. administer 30 chest compressions at a two-inch depth.
When you assist a patient with an EpiPen(R) autoinjector, you are administering
A. epinephrine 0.1 mg.
B. norepinephrine 0.3 mg.
C. norepinephrine 0.1 mg.
D. epinephrine 0.3 mg.
D. epinephrine 0.3 mg.
A 39 year old male was struck by lightning in a field near a cell tower. When you arrive, he is
unresponsive and lying on the ground. The storm continues, and you see lightning nearby.
You should
A. wait for the storm to pass.
B. use an emergency move him to the ambulance.
C. drive away to a safe zone.
D. remove him only if there is a taller object nearby.
A. wait for the storm to pass.
A 19 year old male was playing basketball and tells you he feels like he "ran out of gas". You find him
sitting in the tripod position on a bench in the gym sweating. You auscultate decreased breath
sounds over his right lung. His vital signs are P 118, R 24 and shallow, and BP 128/84. You should
suspect
A. spontaneous pneumothorax.
B. pulmonary contusion.
C. pulmonary effusion.
D. subcutaneous emphysema.
A. spontaneous pneumothorax.
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 32 year old male who has a history of asthma calls because he continues to wheeze despite taking
his prescribed medications. He tells you he used his inhaler six times today and once in the past 30
minutes. His vital signs are P 112, R 24, BP 142/94, and Sp02 is 88% on room air. You should administer
oxygen and
A. administer another dose from his inhaler.
B. provide fluid replacement.
C. begin rapid transport.
D. assist ventilations with a BVM.
A. administer another dose from his inhaler.
You observe a dark green fluid on a newborn male's face right after delivery. You should
A. clean the fluid off him.
B. suction his nose then mouth.
C. administer blow-by oxygen.
D. suction his mouth then nose.
A. clean the fluid off him.
A paramedic unit arrives after your team started CPR on a 58 year old male. Your AED indicated, "No
shock advised." The paramedic intubates the patient and asks you to ventilate while your partner
continues chest compressions. You should provide
A. one ventilation every 10 seconds.
B. one ventilation after 15 compressions.
C. 10 ventilations per minute.
D. two ventilations after 30 compressions.
C. 10 ventilations per minute.
A+ TEST BANK 1
, NRCME TEST BANK 2025
A 20 year old male has a gunshot wound to the left chest. You manage the wound and begin
transport. His initial vital signs are P 108, R 6 and shallow, and BP 96 systolic. You begin to assist his
ventilations and your partner reports he has no blood pressure. You should suspect the loss of his
blood pressure is due to
A. the loss of plasma proteins in the blood.
B. shunting of blood in the microcirculation.
C. a decrease in hydrostatic pressure.
D. the loss of venous return to the heart.
D. the loss of venous return to the heart.
A 56 year old male complains of chest pain and tells you he took four nitroglycerin tablets over the
past two hours. His vital signs are P 108, R 16, BP 98/78, and SpO2 is 94% on room air. You should
A. prepare for routine transport.
B. administer oxygen by nasal cannula.
C. prepare for rapid transport and apply the AED.
D. assist him with another dose of nitroglycerin.
B. administer oxygen by nasal cannula.
A 12 year old female who has a history of asthma has audible wheezes. You immediately administer
oxygen by non-rebreather mask. After one minute of oxygenation, she relaxes, becomes sleepy, and
her wheezes are no longer audible. You should suspect
A. she is in respiratory failure.
B. her vasoconstriction relaxed.
C. respiratory exhaustion has overcome her.
D. the high percentage of oxygen provided relief.
A. she is in respiratory failure.
If present, which of the following sounds should cause you the most concern in a victim who was
rescued from a fire?
A. Wheezes
B. Gurgling
C. Hoarse voice
D. Crackles
C. Hoarse voice
A patient who has left ventricular failure will have difficulty exchanging gases due to
A. pulmonary hypertension.
B. hypoperfusion.
C. reduced afterload.
D. fluid in the alveoli.
D. fluid in the alveoli.
A+ TEST BANK 2
, NRCME TEST BANK 2025
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 Sp02 is now 86% on oxygen by non-
rebreather mask. You should next
A. assist his ventilations with a BVM.
B. turn him onto his affected side.
C. re-examine him for an exit wound.
D. remove his dressing.
D. remove his dressing.
An unresponsive 6 year old male fell from his bicycle striking his head against a curb. He was wearing
a helmet that is broken in two. He has irregular breathing and you observe a large hematoma on the
top of his head. You should first
A. assist his ventilations with a BVM.
B. determine if he has adequete alveolar ventilation.
C. bandage his head and apply a cold pack over the bandage.
D. perform a neurological examination.
B. determine if he has adequete alveolar ventilation.
You are the first EMS provider to arrive on scene at a roll-over accident of a tour bus. You should first
A. assess the stability of the bus.
B. look for hazards to you and passengers.
C. determine how many passengers can walk.
D. implement the Incident Command System.
D. implement the Incident Command System.
The most common problem associated with a failure to obtain a proper mask seal when ventilating a
patient is due to
A. not enough pressure on the mask over the bridge of the nose.
B. the hands of the provider being too small to secure the mask
C. not maintaining an open airway on the patient.
D. improper mask size selected.
C. not maintaining an open airway on the patient.
A 60 year old male complains of having the worst headache of his life. He's in a dark room sitting
quietly. His vital signs are P 96, R 16, BP 186/124, and SpO2 is 98% on room air. You should suspect the
cause of his headache is
A. stress.
B. ruptured aneurysm.
C. hypertension.
D. migraines.
A+ TEST BANK 3
, NRCME TEST BANK 2025
C. hypertension.
A tennis plaver was hit in the eve with a tennis ball. He is in great pain. As you examine his eye, you
should look for
A. corneal abrasions.
B. blood present in the iris.
C. pupillary response to light.
D. hemorrhage in the sclera.
B. blood present in the iris.
An unresponsive 4 ear old male drown and is apneic and pulseless. You should give two rescue
breaths and
A. administer 30 chest compressions at a one-inch depth.
B. administer 15 chest compressions at a two-inch depth.
C. administer 30 chest compressions at a two-inch depth.
D. administer 15 chest compressions at a one-inch depth.
C. administer 30 chest compressions at a two-inch depth.
When you assist a patient with an EpiPen(R) autoinjector, you are administering
A. epinephrine 0.1 mg.
B. norepinephrine 0.3 mg.
C. norepinephrine 0.1 mg.
D. epinephrine 0.3 mg.
D. epinephrine 0.3 mg.
A 39 year old male was struck by lightning in a field near a cell tower. When you arrive, he is
unresponsive and lying on the ground. The storm continues, and you see lightning nearby.
You should
A. wait for the storm to pass.
B. use an emergency move him to the ambulance.
C. drive away to a safe zone.
D. remove him only if there is a taller object nearby.
A. wait for the storm to pass.
A 19 year old male was playing basketball and tells you he feels like he "ran out of gas". You find him
sitting in the tripod position on a bench in the gym sweating. You auscultate decreased breath
sounds over his right lung. His vital signs are P 118, R 24 and shallow, and BP 128/84. You should
suspect
A. spontaneous pneumothorax.
B. pulmonary contusion.
C. pulmonary effusion.
D. subcutaneous emphysema.
A. spontaneous pneumothorax.
A+ TEST BANK 4
