1|Page
NREMT EMR TEST BANK 2026 500+
QUESTION AND VERIFIED ANSWERS
WITH RATIONALE | ALREADY A
GRADED | NEW AND REVISED
A 48-year-old male became acutely hypoxic, experienced a seizure, and
is now postictal. The MOST effective way to prevent another seizure is
to:
• A:dim the lights in the back of the ambulance.
• B:place him in the recovery position.
• C:administer high-flow supplemental oxygen.
• D:give him oral glucose if he can swallow. - ANSWER- You selected
C; This is correct!
Reason:You should administer high-flow oxygen to all patients who are
actively seizing and to patients who experienced a seizure and are
postictal. This is especially true if the seizure was caused by hypoxia.
Increasing the oxygen content of the blood, which minimizes hypoxia,
may prevent another seizure. The recovery position is appropriate for
uninjured patients with a decreased level of consciousness and adequate
breathing; it will help maintain the airway and facilitate drainage of
secretions from the mouth, but will not prevent another seizure. Oral
glucose may prevent another seizure if hypoglycemia was the cause of
the seizure. You should dim the lights in the back of the ambulance to
help prevent any seizure, not just those that are caused by hypoxia.
,2|Page
Which of the following conditions would be the LEAST likely to be
present in a patient who was submerged in water?
• A:Spinal injury
• B:Gastric distention
• C:Hyperglycemia
• D:Laryngospasm - ANSWER- You selected C; This is correct!
Reason: Many factors can contribute to or result from a submersion
injury (eg, drowning, near-drowning). It is not uncommon for a person
to experience a spinal injury after diving head first into shallow water,
especially if he or she is under the influence of alcohol. When a
swimmer panics, he or she initially swallows large amounts of water,
resulting in gastric distention. Gastric distention can cause aspiration if
the patient regurgitates water during rescue breathing; protect the
airway! During the panic phase, the victim expends a tremendous
amount of energy (and glucose) from flailing around in the water,
possibly resulting in hypoglycemia. Inhaling even a small amount of
fresh or salt water can severely irritate the larynx, which sends the
muscles of the larynx and vocal cords into spasm (laryngospasm),
resulting in airway blockage and hypoxia.
A 42-year-old male presents with fever, a severe headache, and a stiff
neck. He is conscious, but confused. His wife tells you that he does not
have any medical problems and does not take any medications. You
should be MOST suspicious for:
• A:acute stroke.
• B:influenza.
• C:meningitis.
,3|Page
• D:tuberculosis.
( - ANSWER- You selected C; This is correct!
Reason:Meningitis is an inflammation of the protective coverings of the
brain and spinal cord (meninges). Common signs and symptoms of
meningitis include fever, headache, neck stiffness (nuchal rigidity), and
vomiting. An altered mental status is common in severe cases.
Meningococcal meningitis, caused by a bacterium, is the most
contagious and potentially fatal type of meningitis. The patient's signs
and symptoms are not consistent with acute stroke, tuberculosis (TB), or
influenza (the flu). Although fever is common with both TB and the flu,
neither causes neck stiffness. Acute stroke may be associated with a
headache, especially a hemorrhagic stroke; however, stroke patients
typically do not have a fever.
All of the following are signs of gastrointestinal bleeding, EXCEPT:
• A:melena.
• B:hematemesis.
• C:tachycardia.
• D:hemoptysis. - ANSWER- You selected D; This is correct!
Reason:Signs and symptoms of gastrointestinal (GI) bleeding include
abdominal pain; vomiting blood (hematemesis); the passage of dark,
tarry stools (melena); and bright red rectal bleeding (hematochezia). If
blood loss is significant, the patient may have signs of shock (eg,
tachycardia, diaphoresis, tachypnea, hypotension). Hemoptysis
(coughing up blood) is a sign of a pulmonary injury, not GI bleeding.
, 4|Page
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. - ANSWER- 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:
NREMT EMR TEST BANK 2026 500+
QUESTION AND VERIFIED ANSWERS
WITH RATIONALE | ALREADY A
GRADED | NEW AND REVISED
A 48-year-old male became acutely hypoxic, experienced a seizure, and
is now postictal. The MOST effective way to prevent another seizure is
to:
• A:dim the lights in the back of the ambulance.
• B:place him in the recovery position.
• C:administer high-flow supplemental oxygen.
• D:give him oral glucose if he can swallow. - ANSWER- You selected
C; This is correct!
Reason:You should administer high-flow oxygen to all patients who are
actively seizing and to patients who experienced a seizure and are
postictal. This is especially true if the seizure was caused by hypoxia.
Increasing the oxygen content of the blood, which minimizes hypoxia,
may prevent another seizure. The recovery position is appropriate for
uninjured patients with a decreased level of consciousness and adequate
breathing; it will help maintain the airway and facilitate drainage of
secretions from the mouth, but will not prevent another seizure. Oral
glucose may prevent another seizure if hypoglycemia was the cause of
the seizure. You should dim the lights in the back of the ambulance to
help prevent any seizure, not just those that are caused by hypoxia.
,2|Page
Which of the following conditions would be the LEAST likely to be
present in a patient who was submerged in water?
• A:Spinal injury
• B:Gastric distention
• C:Hyperglycemia
• D:Laryngospasm - ANSWER- You selected C; This is correct!
Reason: Many factors can contribute to or result from a submersion
injury (eg, drowning, near-drowning). It is not uncommon for a person
to experience a spinal injury after diving head first into shallow water,
especially if he or she is under the influence of alcohol. When a
swimmer panics, he or she initially swallows large amounts of water,
resulting in gastric distention. Gastric distention can cause aspiration if
the patient regurgitates water during rescue breathing; protect the
airway! During the panic phase, the victim expends a tremendous
amount of energy (and glucose) from flailing around in the water,
possibly resulting in hypoglycemia. Inhaling even a small amount of
fresh or salt water can severely irritate the larynx, which sends the
muscles of the larynx and vocal cords into spasm (laryngospasm),
resulting in airway blockage and hypoxia.
A 42-year-old male presents with fever, a severe headache, and a stiff
neck. He is conscious, but confused. His wife tells you that he does not
have any medical problems and does not take any medications. You
should be MOST suspicious for:
• A:acute stroke.
• B:influenza.
• C:meningitis.
,3|Page
• D:tuberculosis.
( - ANSWER- You selected C; This is correct!
Reason:Meningitis is an inflammation of the protective coverings of the
brain and spinal cord (meninges). Common signs and symptoms of
meningitis include fever, headache, neck stiffness (nuchal rigidity), and
vomiting. An altered mental status is common in severe cases.
Meningococcal meningitis, caused by a bacterium, is the most
contagious and potentially fatal type of meningitis. The patient's signs
and symptoms are not consistent with acute stroke, tuberculosis (TB), or
influenza (the flu). Although fever is common with both TB and the flu,
neither causes neck stiffness. Acute stroke may be associated with a
headache, especially a hemorrhagic stroke; however, stroke patients
typically do not have a fever.
All of the following are signs of gastrointestinal bleeding, EXCEPT:
• A:melena.
• B:hematemesis.
• C:tachycardia.
• D:hemoptysis. - ANSWER- You selected D; This is correct!
Reason:Signs and symptoms of gastrointestinal (GI) bleeding include
abdominal pain; vomiting blood (hematemesis); the passage of dark,
tarry stools (melena); and bright red rectal bleeding (hematochezia). If
blood loss is significant, the patient may have signs of shock (eg,
tachycardia, diaphoresis, tachypnea, hypotension). Hemoptysis
(coughing up blood) is a sign of a pulmonary injury, not GI bleeding.
, 4|Page
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. - ANSWER- 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:
