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NREMT COGNITIVE EXAM 2026
QUESTIONS AND ANSWERS | A+
GRADED | WITH EXPERT SOLUTIONS
In trauma a low pulse pressure suggests? - correct answer-
Significant blood loss
Blood pressure has a direct effect on? - correct answer-The
perfusion of the bodys tissues
Cells that die during a stroke are called? - correct answer-
Infarcted cells
You are called to a home where a 91 year old man has had a
syncopal episode and is vomiting. The caregiver who called 911
stated that the patient's bowel movements have been bright red
since yesterday. The patient has not complained of any pain, but
is nauseated. What is most likely wrong with this man and which
choice includes appropriate treatment steps?
Choices:
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A. He has an upper GI bleed and should be transported sitting up
with high flow O2 administered via a non rebreather mask at 15
LPM.
B. He has had a TIA and should be given high flow oxygen via
NRB and transported on his effected side to the nearest hospital.
C. He has pancreatitis and should be given high flow O2 via NRB
at 15 LPM. Rapid transport in a left lateral recumbent position
while keeping him warm will help avoid shock.
D. He has a lower GI bleed and should be given O2 via nasal
cannula at 4LPM and transported in a position of comfort while t -
correct answer-D. He has a lower GI bleed and should be given
O2 via nasal cannula at 4LPM and transported in a position of
comfort while treating for shock
Rationale: The bright red blood in the bowel movements is
indicative of a lower GI bleed. Answer 1,2, and 3 all utilize an
NRB to deliver high flow O2. Given that the patient is vomiting
and nauseated, it would be advisable to use a nasal cannula,
rather than an NRB, to help avoid potential airway compromise if
the patient continues to vomit.
If a patient was feeling nauseated this would likely be
a_______________response. If a person was tachycardic it
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would likely be a___________________ response. - correct
answer-Parasympathetic/Sympathetic
You are assessing an 84 year old man. Upon auscultation of the
lungs you discover crackles or rale sounds. He is complaining of
chest pain and congestion. These signs and symptoms can
indicate?
Choices:
A. An embolism
B. Collapse of the vena cava
C. Left ventricular failure
D. Right ventricular failure - correct answer-C. Left ventricle failure
Rationale: These are signs and symptoms of a possible failure of
the left ventricle. The pump portion of the heart is unable to pump
efficiently and fluid begins to back up into the lungs.
A child between 3-5 would have normal vitals if they were?
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Choices:
A. 35 breaths a minute, pulse of 88, and Systolic BP of 100
B. 24 breaths a minute, pulse of 76, and Systolic BP of 98
C. 20 breaths a minute, pulse of 100, and Systolic BP of 110
D. 20 breaths a minute, pulse of 120, and Systolic BP of 120 -
correct answer-20 breaths a minute, pulse of 100, and Systolic
BP of 110
Rationale: A child between 3 and 5 (preschool-age) should have
respirations between 20-30, a pulse of 80-120, and a systolic BP
of 80 - 110.
(Toddler 12 to 36 months)
The pediatric assessment triangle is composed of three elements:
Choices:
A. Muscle Tone, Respiratory depth and rate, Perfusion
B. Circulation, Appearance, Work of Breathing
NREMT COGNITIVE EXAM 2026
QUESTIONS AND ANSWERS | A+
GRADED | WITH EXPERT SOLUTIONS
In trauma a low pulse pressure suggests? - correct answer-
Significant blood loss
Blood pressure has a direct effect on? - correct answer-The
perfusion of the bodys tissues
Cells that die during a stroke are called? - correct answer-
Infarcted cells
You are called to a home where a 91 year old man has had a
syncopal episode and is vomiting. The caregiver who called 911
stated that the patient's bowel movements have been bright red
since yesterday. The patient has not complained of any pain, but
is nauseated. What is most likely wrong with this man and which
choice includes appropriate treatment steps?
Choices:
, Page | 2
A. He has an upper GI bleed and should be transported sitting up
with high flow O2 administered via a non rebreather mask at 15
LPM.
B. He has had a TIA and should be given high flow oxygen via
NRB and transported on his effected side to the nearest hospital.
C. He has pancreatitis and should be given high flow O2 via NRB
at 15 LPM. Rapid transport in a left lateral recumbent position
while keeping him warm will help avoid shock.
D. He has a lower GI bleed and should be given O2 via nasal
cannula at 4LPM and transported in a position of comfort while t -
correct answer-D. He has a lower GI bleed and should be given
O2 via nasal cannula at 4LPM and transported in a position of
comfort while treating for shock
Rationale: The bright red blood in the bowel movements is
indicative of a lower GI bleed. Answer 1,2, and 3 all utilize an
NRB to deliver high flow O2. Given that the patient is vomiting
and nauseated, it would be advisable to use a nasal cannula,
rather than an NRB, to help avoid potential airway compromise if
the patient continues to vomit.
If a patient was feeling nauseated this would likely be
a_______________response. If a person was tachycardic it
, Page | 3
would likely be a___________________ response. - correct
answer-Parasympathetic/Sympathetic
You are assessing an 84 year old man. Upon auscultation of the
lungs you discover crackles or rale sounds. He is complaining of
chest pain and congestion. These signs and symptoms can
indicate?
Choices:
A. An embolism
B. Collapse of the vena cava
C. Left ventricular failure
D. Right ventricular failure - correct answer-C. Left ventricle failure
Rationale: These are signs and symptoms of a possible failure of
the left ventricle. The pump portion of the heart is unable to pump
efficiently and fluid begins to back up into the lungs.
A child between 3-5 would have normal vitals if they were?
, Page | 4
Choices:
A. 35 breaths a minute, pulse of 88, and Systolic BP of 100
B. 24 breaths a minute, pulse of 76, and Systolic BP of 98
C. 20 breaths a minute, pulse of 100, and Systolic BP of 110
D. 20 breaths a minute, pulse of 120, and Systolic BP of 120 -
correct answer-20 breaths a minute, pulse of 100, and Systolic
BP of 110
Rationale: A child between 3 and 5 (preschool-age) should have
respirations between 20-30, a pulse of 80-120, and a systolic BP
of 80 - 110.
(Toddler 12 to 36 months)
The pediatric assessment triangle is composed of three elements:
Choices:
A. Muscle Tone, Respiratory depth and rate, Perfusion
B. Circulation, Appearance, Work of Breathing
