NREMT TEST BANK WITH VERIFIED QUESTIONS
AND ANSWERS (HACKED EXAM) 2026
A 24-year-old female presents with a rash to her left leg and swollen, painful knee joints. She
tells you that she and her friends returned from a hiking trip in the mountains a week ago.
She is conscious and alert with a blood pressure of 112/62 mm Hg, a pulse of 84 beats/min,
and respirations of 14 breaths/min. Her symptoms are MOST likely the result of:
• A:Rocky Mountain spotted fever.
• B:tetanus.
• C:Lyme disease.
• D:a localized allergic reaction.
You selected C; This is correct!
Reason:The patient's symptoms and her history of a recent hiking trip are consistent with Lyme
disease, which was the result of a tick bite. Ticks can carry two infectious diseases: Lyme disease
and Rocky Mountain spotted fever. Both are spread through the tick's saliva, which is injected
into the skin when the tick attaches itself. The first symptom of Lyme disease, a rash that may
spread to several parts of the body, begins about 3 days after the bite of an infected tick. The
rash may eventually resemble a target bull's-eye pattern in one third of patients. After a few
more days or weeks, painful swelling of the joints, particularly the knees, occurs. If recognized
and treated promptly with antibiotics, many patients recover completely. Rocky Mountain
spotted fever, which is not limited to the Rocky Mountains, occurs within 7 to 10 days after
being bitten by an infected tick. Its symptoms include nausea, vomiting, headache, weakness,
paralysis, and possibly cardiopulmonary failure.
A 50-year-old woman who is conscious and alert complains of a severe migraine headache.
When caring for her, you should generally avoid:
• A:transporting her in a supine position.
• B:shining a light into her pupils.
• C:dimming the lights in the ambulance.
• D:applying ice packs to her forehead.
You selected B; This is correct!
Reason:Patients with migraine or cluster headaches typically have photophobia (light
sensitivity). Any type of bright light, especially if shone directly into the eyes, will cause the
patient with a headache unnecessary severe pain. Dimming the lights in the ambulance and
Page 1 of 218
,making the patient as comfortable as possible are the treatments of choice for a patient with a
headache. Some patients benefit from ice packs applied to the forehead; just be sure to wrap
the ice pack with roller gauze. Oxygen also should be administered as needed. Typically, the
patient will prefer to lie supine or on the side
A patient who overdosed on heroin would be expected to present with:
• A:tachycardia.
• B:hyperpnea.
• C:hypotension.
• D:dilated pupils.
The correct answer is C;
Reason:Heroin is a Schedule I (illegal) narcotic that is typically injected. As with all narcotics,
legal or illegal, overdose causes depression of the central nervous system (CNS), resulting in a
decreased level of consciousness; bradycardia; hypotension; and slow, shallow (reduced tidal
volume) breathing. Hyperpnea (deep breathing) would not be present in a patient who
overdosed on a narcotic. In a narcotic overdose, the pupils are typically constricted (miosis).
Barbiturates, such as phenobarbital, are also CNS depressants and cause the same symptoms
seen with narcotic overdose. The patient's pupils, however, are typically dilated (mydriasis), not
constricted.
When caring for any patient with a decreased level of consciousness, your primary concern
should be the:
• A:potential for airway compromise.
• B:patient's blood glucose level.
• C:possibility of a spinal injury.
• D:possibility of a drug overdose.
You selected A; This is correct!
Reason:Altered mental status could be caused by a high or low blood glucose level, drug
overdose, or head injury, among other causes. Furthermore, the possibility of a spinal injury
should be considered if the patient was injured. However, your primary concern should be the
status of the patient's airway. Patients with a decreased level of consciousness are at risk for
aspiration if vomiting occurs. Unless spinal trauma is present or the patient is breathing
inadequately (eg, fast or slow rate, shallow breathing [reduced tidal volume]), place him or her
in the recovery position to facilitate drainage if vomiting occurs. Remember this: no airway, no
patient!
Page 2 of 218
,A 16-year-old, 125-pound male ingested a bottle of aspirin approximately 20 minutes ago.
Medical control orders you to administer activated charcoal in a dose of 1 g/kg. How much
activated charcoal should you administer?
• A:54 g
• B:60 g
• C:51 g
• D:57 g
You selected D; This is correct!
Reason: First, you must determine the patient's weight in kilograms (kg). Either of the following
formulae can be used to convert pounds to kilograms: Formula 1: weight (in pounds) ÷ 2.2 =
weight in kg. Formula 2: weight (in pounds) ÷ 2 - 10% = weight in kg. On the basis of the above
formulae, a 125-pound patient weighs 57 kg. Using formula 1, the equation is as follows: 125
(weight in pounds) ÷ 2.2 = 56.81 (57 [rounded to the nearest tenth]). Using formula 2, the
equation is as follows: 125 (weight in pounds) ÷ 2 = 62.5 (63 [rounded to the nearest tenth] - 6.3
(10% of 63) = 56.7 (57 [rounded to the nearest tenth]). Since the drug order is for 1 g/kg, you
should administer 57 g of activated charcoal to your 125-pound patient.
Which of the following is the MOST significant finding in a patient with a severe headache?
• A:Pain in both legs
• B:Chest discomfort
• C:Unilateral weakness
• D:Abdominal tenderness
You selected C; This is correct!
Reason: Unilateral weakness (weakness on one side of the body) is a clinically significant finding
in a patient with a headache because it could indicate a stroke (ischemic or hemorrhagic).
Abdominal, chest, and leg pain are not common complaints associated with a headache,
although they should be noted and investigated if they are present.
When caring for a patient with severe hypothermia who is in cardiac arrest, you should:
• A:perform rescue breathing only.
• B:perform BLS and transport.
• C:avoid using the AED.
• D:hyperventilate the patient.
The correct answer is B;
Page 3 of 218
, Reason:Patients with severe hypothermia (core body temperature < 86°F) who are in cardiac
arrest should be managed with basic life support (chest compressions and ventilations), passive
external rewarming (ie, removal of wet clothing, applying warm blankets) and rapid transport to
the hospital where they can be actively rewarmed. Because cold muscle is a poor conductor of
electricity, defibrillation, if indicated, should be limited to 1 attempt until the patient's body
temperature has been increased. Cardiac arrest patients with severe hypothermia generally do
not respond to defibrillation. Hyperventilation should be avoided as this may increase
intrathoracic pressure and impair blood flow back to the heart.
You should not attempt to actively rewarm a patient with moderate or severe hypothermia in
the field because:
• A:rewarming too quickly can cause a fatal cardiac dysrhythmia.
• B:the risk of inadvertently inducing hyperthermia is too high.
• C:it is painful for the patient and you cannot give analgesic drugs.
• D:active rewarming has been shown to cause severe hypertension.
You selected A; This is correct!
Reason:When caring for a patient with hypothermia, your goal is to prevent further heat loss;
this involves removing wet clothing, applying warm blankets, and allowing the patient's body
temperature to rise gradually and naturally (passive rewarming). If the patient is moderately or
severely hypothermic, you should not try to rewarm him or her actively (placing heat on or into
the body). Rewarming too quickly may cause a fatal cardiac dysrhythmia, such as ventricular
fibrillation (V-Fib). Active rewarming may also cause rewarming shock, a condition in which the
blood vessels dilate when heat is applied to the body, resulting in significant hypotension. For
these reasons, active rewarming should only be performed in the controlled setting of a
hospital.
You respond to a grocery store where a 39-year-old man reportedly experienced a seizure.
When you arrive at the scene, a clerk begins to escort you to the patient. She tells you that
the man stopped seizing about 5 minutes ago. If the patient truly experienced a seizure, you
will MOST likely find that he:
• A:has a slow heart rate.
• B:is fully conscious and alert.
• C:is not breathing and is cyanotic.
• D:is confused and disoriented.
You selected D; This is correct!
Reason: Most seizures are followed by a postictal phase, in which the patient is unresponsive at
Page 4 of 218
AND ANSWERS (HACKED EXAM) 2026
A 24-year-old female presents with a rash to her left leg and swollen, painful knee joints. She
tells you that she and her friends returned from a hiking trip in the mountains a week ago.
She is conscious and alert with a blood pressure of 112/62 mm Hg, a pulse of 84 beats/min,
and respirations of 14 breaths/min. Her symptoms are MOST likely the result of:
• A:Rocky Mountain spotted fever.
• B:tetanus.
• C:Lyme disease.
• D:a localized allergic reaction.
You selected C; This is correct!
Reason:The patient's symptoms and her history of a recent hiking trip are consistent with Lyme
disease, which was the result of a tick bite. Ticks can carry two infectious diseases: Lyme disease
and Rocky Mountain spotted fever. Both are spread through the tick's saliva, which is injected
into the skin when the tick attaches itself. The first symptom of Lyme disease, a rash that may
spread to several parts of the body, begins about 3 days after the bite of an infected tick. The
rash may eventually resemble a target bull's-eye pattern in one third of patients. After a few
more days or weeks, painful swelling of the joints, particularly the knees, occurs. If recognized
and treated promptly with antibiotics, many patients recover completely. Rocky Mountain
spotted fever, which is not limited to the Rocky Mountains, occurs within 7 to 10 days after
being bitten by an infected tick. Its symptoms include nausea, vomiting, headache, weakness,
paralysis, and possibly cardiopulmonary failure.
A 50-year-old woman who is conscious and alert complains of a severe migraine headache.
When caring for her, you should generally avoid:
• A:transporting her in a supine position.
• B:shining a light into her pupils.
• C:dimming the lights in the ambulance.
• D:applying ice packs to her forehead.
You selected B; This is correct!
Reason:Patients with migraine or cluster headaches typically have photophobia (light
sensitivity). Any type of bright light, especially if shone directly into the eyes, will cause the
patient with a headache unnecessary severe pain. Dimming the lights in the ambulance and
Page 1 of 218
,making the patient as comfortable as possible are the treatments of choice for a patient with a
headache. Some patients benefit from ice packs applied to the forehead; just be sure to wrap
the ice pack with roller gauze. Oxygen also should be administered as needed. Typically, the
patient will prefer to lie supine or on the side
A patient who overdosed on heroin would be expected to present with:
• A:tachycardia.
• B:hyperpnea.
• C:hypotension.
• D:dilated pupils.
The correct answer is C;
Reason:Heroin is a Schedule I (illegal) narcotic that is typically injected. As with all narcotics,
legal or illegal, overdose causes depression of the central nervous system (CNS), resulting in a
decreased level of consciousness; bradycardia; hypotension; and slow, shallow (reduced tidal
volume) breathing. Hyperpnea (deep breathing) would not be present in a patient who
overdosed on a narcotic. In a narcotic overdose, the pupils are typically constricted (miosis).
Barbiturates, such as phenobarbital, are also CNS depressants and cause the same symptoms
seen with narcotic overdose. The patient's pupils, however, are typically dilated (mydriasis), not
constricted.
When caring for any patient with a decreased level of consciousness, your primary concern
should be the:
• A:potential for airway compromise.
• B:patient's blood glucose level.
• C:possibility of a spinal injury.
• D:possibility of a drug overdose.
You selected A; This is correct!
Reason:Altered mental status could be caused by a high or low blood glucose level, drug
overdose, or head injury, among other causes. Furthermore, the possibility of a spinal injury
should be considered if the patient was injured. However, your primary concern should be the
status of the patient's airway. Patients with a decreased level of consciousness are at risk for
aspiration if vomiting occurs. Unless spinal trauma is present or the patient is breathing
inadequately (eg, fast or slow rate, shallow breathing [reduced tidal volume]), place him or her
in the recovery position to facilitate drainage if vomiting occurs. Remember this: no airway, no
patient!
Page 2 of 218
,A 16-year-old, 125-pound male ingested a bottle of aspirin approximately 20 minutes ago.
Medical control orders you to administer activated charcoal in a dose of 1 g/kg. How much
activated charcoal should you administer?
• A:54 g
• B:60 g
• C:51 g
• D:57 g
You selected D; This is correct!
Reason: First, you must determine the patient's weight in kilograms (kg). Either of the following
formulae can be used to convert pounds to kilograms: Formula 1: weight (in pounds) ÷ 2.2 =
weight in kg. Formula 2: weight (in pounds) ÷ 2 - 10% = weight in kg. On the basis of the above
formulae, a 125-pound patient weighs 57 kg. Using formula 1, the equation is as follows: 125
(weight in pounds) ÷ 2.2 = 56.81 (57 [rounded to the nearest tenth]). Using formula 2, the
equation is as follows: 125 (weight in pounds) ÷ 2 = 62.5 (63 [rounded to the nearest tenth] - 6.3
(10% of 63) = 56.7 (57 [rounded to the nearest tenth]). Since the drug order is for 1 g/kg, you
should administer 57 g of activated charcoal to your 125-pound patient.
Which of the following is the MOST significant finding in a patient with a severe headache?
• A:Pain in both legs
• B:Chest discomfort
• C:Unilateral weakness
• D:Abdominal tenderness
You selected C; This is correct!
Reason: Unilateral weakness (weakness on one side of the body) is a clinically significant finding
in a patient with a headache because it could indicate a stroke (ischemic or hemorrhagic).
Abdominal, chest, and leg pain are not common complaints associated with a headache,
although they should be noted and investigated if they are present.
When caring for a patient with severe hypothermia who is in cardiac arrest, you should:
• A:perform rescue breathing only.
• B:perform BLS and transport.
• C:avoid using the AED.
• D:hyperventilate the patient.
The correct answer is B;
Page 3 of 218
, Reason:Patients with severe hypothermia (core body temperature < 86°F) who are in cardiac
arrest should be managed with basic life support (chest compressions and ventilations), passive
external rewarming (ie, removal of wet clothing, applying warm blankets) and rapid transport to
the hospital where they can be actively rewarmed. Because cold muscle is a poor conductor of
electricity, defibrillation, if indicated, should be limited to 1 attempt until the patient's body
temperature has been increased. Cardiac arrest patients with severe hypothermia generally do
not respond to defibrillation. Hyperventilation should be avoided as this may increase
intrathoracic pressure and impair blood flow back to the heart.
You should not attempt to actively rewarm a patient with moderate or severe hypothermia in
the field because:
• A:rewarming too quickly can cause a fatal cardiac dysrhythmia.
• B:the risk of inadvertently inducing hyperthermia is too high.
• C:it is painful for the patient and you cannot give analgesic drugs.
• D:active rewarming has been shown to cause severe hypertension.
You selected A; This is correct!
Reason:When caring for a patient with hypothermia, your goal is to prevent further heat loss;
this involves removing wet clothing, applying warm blankets, and allowing the patient's body
temperature to rise gradually and naturally (passive rewarming). If the patient is moderately or
severely hypothermic, you should not try to rewarm him or her actively (placing heat on or into
the body). Rewarming too quickly may cause a fatal cardiac dysrhythmia, such as ventricular
fibrillation (V-Fib). Active rewarming may also cause rewarming shock, a condition in which the
blood vessels dilate when heat is applied to the body, resulting in significant hypotension. For
these reasons, active rewarming should only be performed in the controlled setting of a
hospital.
You respond to a grocery store where a 39-year-old man reportedly experienced a seizure.
When you arrive at the scene, a clerk begins to escort you to the patient. She tells you that
the man stopped seizing about 5 minutes ago. If the patient truly experienced a seizure, you
will MOST likely find that he:
• A:has a slow heart rate.
• B:is fully conscious and alert.
• C:is not breathing and is cyanotic.
• D:is confused and disoriented.
You selected D; This is correct!
Reason: Most seizures are followed by a postictal phase, in which the patient is unresponsive at
Page 4 of 218
