NREMT STUDY GUIDE 2025/2026 MOST RECENT VERSION
/ ACTUAL COMPLETE REAL EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) ALREADY
GRADED A+ / NEWEST EXAM / JUST RELEASED!!
Where does gas exchange of oxygen and carbon dioxide
occur?
a. larynx
b. bronchioles
c. alveoli
d. main stem bronchi
ANS-Alveoli
The alveoli are where the lungs and the blood exchange oxygen
and carbon dioxide during the process of breathing in and
breathing out. Oxygen breathed in from the air passes through
the alveoli and into the blood and travels to the tissues
throughout the body.
What is the primary role of the epiglottis?
a. bringing oxygen into circulation
b. aids in food digestion
c. assist air flow to the larynx
d. prevent aspiration while eating
ANS-prevent aspiration while eating
The main job of the epiglottis is to close over the trachea while
you're eating to prevent food entering your airway.
What is the PRIMARY role of the mediastinum?
a. Protects vital structures of the chest
,b. Protects your diaphragm from collapse
c. Protects your lungs from collapse
d. Surrounds the heart's four chambers
ANS-protects vital structures of the chest
The mediastinum protects many vital structures including the
heart, large vessels, the trachea, and critical nerves.
You respond to a 8 year old male who states he is having
trouble breathing. His respiratory rate is 44 breaths/min and
you notice accessory muscle use on exam. You can hear an
audible wheeze present. What should your initial step be?
a. Start BVM ventilations
b. Attempt a head tilt-chin lift
c. Obtain his oxygen saturation
d. Gather a SAMPLE history
ANS-Obtain his oxygen saturation
This patient is able to speak so the airway is patent, we don't
have any oxygen data so we need that before we can go ahead
with oxygen administration. This will give the final piece of info
to start assessing his current status.
You are called to the home of a 4 year old female patient. The
patient has a persistent "barking cough" and has stridor on
exam. The mother tells you that this has gotten worse over the
last few nights, until tonight she had a "hard time" breathing.
What do you suspect?
a. Asthma Exacerbation
b. Bronchiolitis
c. Epiglottitis
d. Croup
ANS-Croup
,Remember the keys for croup, barking cough, stridor, gradual
onset, typically seen in young children. Epiglottitis can occur at
any age and has drooling, painful swallowing, stridor and a
more rapid onset, no barking cough.
From the list below name three action steps you can take to
help patients with croup or epiglottitis. (Pick 3)
a. Keep oxygen saturation above 94%
b. Keep the patient calm
c. Begin CPR if the patient has a pulse less than 100
d. Begin bag valve mask ventilations with rapid transport
e. Use blow-by oxygen
f. Immediately begin non-rebreather mask at 15LPM
a. keep oxygen saturation above 94%
ANS-b. keep patient calm
e. use blow-by oxygen
You are about to place an airway adjunct into your patient.
Which situation would you NOT place a nasopharyngeal
airway?
a. A semiconscious child who just had a seizure
b. A patient with ecchymosis behind one ear
c. An unconscious patient with an intact gag reflex
d. An semiconscious adult who cannot maintain their own
airway
ANS-a patient with ecchymosis behind one ear
Bruising behind one ear is known as the "Battle sign" and an
indication of a basilar skull fracture, which is a severe head
injury. Use of a nasopharyngeal airway with severe head
injuries is contraindicated.
, You are transporting a 53 year-old male who complains of
shortness of breath, dizziness, numbness in his hands, and a
dry mouth. His vital signs are: blood pressure 118/80 mmHg,
HR 120, RR of 32, SpO2 99%, and ETCO2 of 26 mmHg. What do
you suspect?
a. Hypokalemia
b. Hypoventilation syndrome
c. Pneumothorax
d. Hyperventilation syndrome
ANS-Hyperventilation syndrome
This patient is hyperventilating as demonstrated by his
increased respiratory rate and low end-tidal reading levels. A
high respiratory rate increases the amount of carbon dioxide
exhaled, accounting for the low end-tidal reading. His heart rate
is also a little elevated, possibly due to anxiety.
A 78 year old female is found lying on her bathroom floor
unconscious. Her caregiver reports finding her like this upon
arrival and is unsure what happened. You hear gurgling sounds
on inspiration. What is the next best step?
a. Suction her airway
b. Begin ventilations with a bag-valve mask
c. Insert an oropharyngeal airway
d. Provide nasal cannula at 2 L/min
ANS-suction her airway
The gurgling sounds on inspiration suggest her airway needs
to be cleared. You want to make sure you suction and clear her
airway before proceeding with treatment.
You assess a 23 year-old male who was struck in the right
chest wall with an airbag after a motor vehicle accident. The
/ ACTUAL COMPLETE REAL EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) ALREADY
GRADED A+ / NEWEST EXAM / JUST RELEASED!!
Where does gas exchange of oxygen and carbon dioxide
occur?
a. larynx
b. bronchioles
c. alveoli
d. main stem bronchi
ANS-Alveoli
The alveoli are where the lungs and the blood exchange oxygen
and carbon dioxide during the process of breathing in and
breathing out. Oxygen breathed in from the air passes through
the alveoli and into the blood and travels to the tissues
throughout the body.
What is the primary role of the epiglottis?
a. bringing oxygen into circulation
b. aids in food digestion
c. assist air flow to the larynx
d. prevent aspiration while eating
ANS-prevent aspiration while eating
The main job of the epiglottis is to close over the trachea while
you're eating to prevent food entering your airway.
What is the PRIMARY role of the mediastinum?
a. Protects vital structures of the chest
,b. Protects your diaphragm from collapse
c. Protects your lungs from collapse
d. Surrounds the heart's four chambers
ANS-protects vital structures of the chest
The mediastinum protects many vital structures including the
heart, large vessels, the trachea, and critical nerves.
You respond to a 8 year old male who states he is having
trouble breathing. His respiratory rate is 44 breaths/min and
you notice accessory muscle use on exam. You can hear an
audible wheeze present. What should your initial step be?
a. Start BVM ventilations
b. Attempt a head tilt-chin lift
c. Obtain his oxygen saturation
d. Gather a SAMPLE history
ANS-Obtain his oxygen saturation
This patient is able to speak so the airway is patent, we don't
have any oxygen data so we need that before we can go ahead
with oxygen administration. This will give the final piece of info
to start assessing his current status.
You are called to the home of a 4 year old female patient. The
patient has a persistent "barking cough" and has stridor on
exam. The mother tells you that this has gotten worse over the
last few nights, until tonight she had a "hard time" breathing.
What do you suspect?
a. Asthma Exacerbation
b. Bronchiolitis
c. Epiglottitis
d. Croup
ANS-Croup
,Remember the keys for croup, barking cough, stridor, gradual
onset, typically seen in young children. Epiglottitis can occur at
any age and has drooling, painful swallowing, stridor and a
more rapid onset, no barking cough.
From the list below name three action steps you can take to
help patients with croup or epiglottitis. (Pick 3)
a. Keep oxygen saturation above 94%
b. Keep the patient calm
c. Begin CPR if the patient has a pulse less than 100
d. Begin bag valve mask ventilations with rapid transport
e. Use blow-by oxygen
f. Immediately begin non-rebreather mask at 15LPM
a. keep oxygen saturation above 94%
ANS-b. keep patient calm
e. use blow-by oxygen
You are about to place an airway adjunct into your patient.
Which situation would you NOT place a nasopharyngeal
airway?
a. A semiconscious child who just had a seizure
b. A patient with ecchymosis behind one ear
c. An unconscious patient with an intact gag reflex
d. An semiconscious adult who cannot maintain their own
airway
ANS-a patient with ecchymosis behind one ear
Bruising behind one ear is known as the "Battle sign" and an
indication of a basilar skull fracture, which is a severe head
injury. Use of a nasopharyngeal airway with severe head
injuries is contraindicated.
, You are transporting a 53 year-old male who complains of
shortness of breath, dizziness, numbness in his hands, and a
dry mouth. His vital signs are: blood pressure 118/80 mmHg,
HR 120, RR of 32, SpO2 99%, and ETCO2 of 26 mmHg. What do
you suspect?
a. Hypokalemia
b. Hypoventilation syndrome
c. Pneumothorax
d. Hyperventilation syndrome
ANS-Hyperventilation syndrome
This patient is hyperventilating as demonstrated by his
increased respiratory rate and low end-tidal reading levels. A
high respiratory rate increases the amount of carbon dioxide
exhaled, accounting for the low end-tidal reading. His heart rate
is also a little elevated, possibly due to anxiety.
A 78 year old female is found lying on her bathroom floor
unconscious. Her caregiver reports finding her like this upon
arrival and is unsure what happened. You hear gurgling sounds
on inspiration. What is the next best step?
a. Suction her airway
b. Begin ventilations with a bag-valve mask
c. Insert an oropharyngeal airway
d. Provide nasal cannula at 2 L/min
ANS-suction her airway
The gurgling sounds on inspiration suggest her airway needs
to be cleared. You want to make sure you suction and clear her
airway before proceeding with treatment.
You assess a 23 year-old male who was struck in the right
chest wall with an airbag after a motor vehicle accident. The
