NREMT Practice Questions and Answers
1.When assessing the work of breathing in a pediatric patient, you
should assess
A. chest expansion, skin color, and presence of wheezes or stridor
B. using inspection, palpation, percussion, and auscultation of chest
C. breath sounds bilaterally, ventilation rate, quality, and volume
D. airway sounds, positioning, and presence of any retractions or nasal flar-
ing
ANS: D. airway sounds, positioning, and presence of any retractions or
nasal flaring
2.Your team is performing CPR on a 68 year old male. You are assigned
the airway. When ventilating him, you should:
A. ventilate him once when CPR stops after 30 compressions
B. Use a two person ventilation technique
C. Use a BVM that can refill in 3 seconds
D.Ventilate every 15 seconds with BVM
ANS: B. Use a two person ventilation technique
3.A 20 year old male was playing basketball and suddenly developed chest
pain and respiratory difficulty. He is alert and oriented. He complains of
chest pain. His vitals are P=140, R=24, Bp=160/90. He has diminished breath
sounds on the left side. He is likely suffering from:
A. tension pneumothorax
,B. simple pneumothorax
C. heat exhaustion
D. heat stroke
ANS: B. simple pneumothorax
4.A tall, thin 21 year old male tells you he has increasing shortness of
breath after playing basketball. He tells you during the first part of practice
he was tired and the longer he played the more short of breath he became.
You notice swelling around his neck and you hear crackles when you
palpate the skin. You should suspect:
A. pulmonary embolism
B. spontaneous pneumothorax
C. pernicious anemia
D. cardiomegaly
ANS: B. spontaneous pneumothorax
5.Which of the following patient presentations represent the most
severe stage of hypoxia?
A. A restless and agitated 72 year old female with vitals: P=110, R=14, and
BP= 148/92
B. A 68 year old male with skin that is cool and clammy. His vitals: P= 110, R
18, and BP= 108/72
C. A sleepy and confused 69 year old male with discolored fingernail beds
D. A 73 year old female with shortness of breath, headache, and tachypenic
ANS: C. A sleepy and confused 69 year old male with discolored
,fingernail beds
6.A 2 year old female who has had a cold for the past two days now has
frequent barking coughing. Her skin is warm to touch. She has inspiratory
stridor, and her SpO2 is 98% on room air. When transporting her, you
should prepare for:
A. respiratory arrest
B. sepsis
C. emesis
D. airway obstruction
ANS: D. airway obstruction
7.A 67 year old male is unresponsive and snoring. As you insert a tongue
depressor to insert an oropharyngeal airway, he has a gag reflex. You
should:
A. insert a nasopharyngeal airway
B. turn him to the recovery position
C. suction his airway
D. maintain head-tilt chin-lift
ANS: A. insert a nasopharyngeal airway
8.A 6 year old male has a fever and difficulty breathing. He is anxious,
sitting in a tripod position, and complains of a sore throat. You should
suspect:
A. rubeola
, B. pertussis
C. epiglottitis
D. esophagitis
ANS: C. epiglottitis
9.The mother of a 3 month old male tells you that his apnea monitor
alarmed and when she checked on him he was not breathing. She
stimulated him and called 9-1-1. He is now breathing on his own. His vital
signs are P 160, R 28, and SpO2 is 98% on room air. You should first:
A. administer blow-by oxygen at 6 L/minute
B. check the functions of the apnea monitor
C. determine what care she provided
D. instruct her how to ventilate him
ANS: C. determine what care she provided
10.A 71 year old female awoke suddenly complaining of shortness of
breath. She tells you she had a heart attack six months ago. Her vitals are P
96, R 16, BP 108/84, and SpO2 is 91% on room air. You should first:
A. administer oxygen by NRB
B. ask if she takes nitroglycerin
C. lay her flat and elevate legs
D. listen to her lungs for wheezes
ANS: A. administer oxygen by NRB
11.A 74 year old female who was holding her head collapsed suddenly.
1.When assessing the work of breathing in a pediatric patient, you
should assess
A. chest expansion, skin color, and presence of wheezes or stridor
B. using inspection, palpation, percussion, and auscultation of chest
C. breath sounds bilaterally, ventilation rate, quality, and volume
D. airway sounds, positioning, and presence of any retractions or nasal flar-
ing
ANS: D. airway sounds, positioning, and presence of any retractions or
nasal flaring
2.Your team is performing CPR on a 68 year old male. You are assigned
the airway. When ventilating him, you should:
A. ventilate him once when CPR stops after 30 compressions
B. Use a two person ventilation technique
C. Use a BVM that can refill in 3 seconds
D.Ventilate every 15 seconds with BVM
ANS: B. Use a two person ventilation technique
3.A 20 year old male was playing basketball and suddenly developed chest
pain and respiratory difficulty. He is alert and oriented. He complains of
chest pain. His vitals are P=140, R=24, Bp=160/90. He has diminished breath
sounds on the left side. He is likely suffering from:
A. tension pneumothorax
,B. simple pneumothorax
C. heat exhaustion
D. heat stroke
ANS: B. simple pneumothorax
4.A tall, thin 21 year old male tells you he has increasing shortness of
breath after playing basketball. He tells you during the first part of practice
he was tired and the longer he played the more short of breath he became.
You notice swelling around his neck and you hear crackles when you
palpate the skin. You should suspect:
A. pulmonary embolism
B. spontaneous pneumothorax
C. pernicious anemia
D. cardiomegaly
ANS: B. spontaneous pneumothorax
5.Which of the following patient presentations represent the most
severe stage of hypoxia?
A. A restless and agitated 72 year old female with vitals: P=110, R=14, and
BP= 148/92
B. A 68 year old male with skin that is cool and clammy. His vitals: P= 110, R
18, and BP= 108/72
C. A sleepy and confused 69 year old male with discolored fingernail beds
D. A 73 year old female with shortness of breath, headache, and tachypenic
ANS: C. A sleepy and confused 69 year old male with discolored
,fingernail beds
6.A 2 year old female who has had a cold for the past two days now has
frequent barking coughing. Her skin is warm to touch. She has inspiratory
stridor, and her SpO2 is 98% on room air. When transporting her, you
should prepare for:
A. respiratory arrest
B. sepsis
C. emesis
D. airway obstruction
ANS: D. airway obstruction
7.A 67 year old male is unresponsive and snoring. As you insert a tongue
depressor to insert an oropharyngeal airway, he has a gag reflex. You
should:
A. insert a nasopharyngeal airway
B. turn him to the recovery position
C. suction his airway
D. maintain head-tilt chin-lift
ANS: A. insert a nasopharyngeal airway
8.A 6 year old male has a fever and difficulty breathing. He is anxious,
sitting in a tripod position, and complains of a sore throat. You should
suspect:
A. rubeola
, B. pertussis
C. epiglottitis
D. esophagitis
ANS: C. epiglottitis
9.The mother of a 3 month old male tells you that his apnea monitor
alarmed and when she checked on him he was not breathing. She
stimulated him and called 9-1-1. He is now breathing on his own. His vital
signs are P 160, R 28, and SpO2 is 98% on room air. You should first:
A. administer blow-by oxygen at 6 L/minute
B. check the functions of the apnea monitor
C. determine what care she provided
D. instruct her how to ventilate him
ANS: C. determine what care she provided
10.A 71 year old female awoke suddenly complaining of shortness of
breath. She tells you she had a heart attack six months ago. Her vitals are P
96, R 16, BP 108/84, and SpO2 is 91% on room air. You should first:
A. administer oxygen by NRB
B. ask if she takes nitroglycerin
C. lay her flat and elevate legs
D. listen to her lungs for wheezes
ANS: A. administer oxygen by NRB
11.A 74 year old female who was holding her head collapsed suddenly.
