North Dakota National Registry Paramedic
(NRP) Examination 2026–2027 |
Comprehensive Question Practice Test
with Answers & Rationales| Free Pdf
Access
1. Which is the primary assessment in a critically ill patient?
A. Airway, Breathing, Circulation (ABC)
B. Vital signs only
C. History first
D. Transport immediately
Correct Answer : A
Rationale: ABC assessment identifies life-threatening
conditions first.
2. Which is the correct method to open the airway of an
unconscious patient without suspected spinal injury?
A. Head-tilt, chin-lift
B. Jaw-thrust only
C. Place in prone position
D. Leave airway closed
Correct Answer : A
Rationale: Head-tilt, chin-lift safely opens the airway when no
spinal injury is suspected.
,3. Which is the correct chest compression depth for adult CPR?
A. At least 2 inches (5 cm)
B. 1 inch
C. 3 inches
D. ½ inch
Correct Answer : A
Rationale: Adequate depth ensures effective perfusion during
compressions.
4. Which is the correct compression to ventilation ratio for adult
CPR with one rescuer?
A. 30:2
B. 15:2
C. 30:1
D. 15:1
Correct Answer : A
Rationale: Current guidelines recommend 30 compressions
followed by 2 breaths.
5. Which is the primary treatment for anaphylaxis in the field?
A. Epinephrine
B. Antihistamines only
C. Oxygen only
D. Cold compress
Correct Answer : A
Rationale: Epinephrine reverses life-threatening airway and
circulatory compromise.
,6. Which is the most appropriate oxygen delivery device for a
breathing patient in respiratory distress?
A. Non-rebreather mask
B. Nasal cannula
C. Simple face mask
D. Bag-valve mask only
Correct Answer : A
Rationale: Non-rebreather mask delivers high-concentration
oxygen efficiently.
7. Which is the first step when a paramedic arrives at a mass
casualty scene?
A. Triage patients
B. Begin treatment immediately
C. Move patients randomly
D. Call family members
Correct Answer : A
Rationale: Triage prioritizes care based on severity and
maximizes survival.
8. Which is the correct pulse site to check in an unresponsive adult
patient?
A. Carotid
B. Radial
C. Brachial
D. Femoral
Correct Answer : A
, Rationale: The carotid pulse is accessible and reliable during
emergencies.
9. Which is the proper method to control severe external bleeding
when direct pressure is ineffective?
A. Apply a tourniquet
B. Elevate limb only
C. Apply ice
D. Wrap loosely
Correct Answer : A
Rationale: A tourniquet controls life-threatening arterial
bleeding.
10. Which is the first action for suspected spinal injury?
A. Stabilize head and neck
B. Move patient immediately
C. Apply oxygen only
D. Sit patient upright
Correct Answer : A
Rationale: Stabilization prevents further spinal damage.
11. Which is a sign of hypovolemic shock?
A. Rapid pulse, low blood pressure, pale skin
B. Slow pulse
C. Warm dry skin
D. Elevated temperature only
Correct Answer : A
(NRP) Examination 2026–2027 |
Comprehensive Question Practice Test
with Answers & Rationales| Free Pdf
Access
1. Which is the primary assessment in a critically ill patient?
A. Airway, Breathing, Circulation (ABC)
B. Vital signs only
C. History first
D. Transport immediately
Correct Answer : A
Rationale: ABC assessment identifies life-threatening
conditions first.
2. Which is the correct method to open the airway of an
unconscious patient without suspected spinal injury?
A. Head-tilt, chin-lift
B. Jaw-thrust only
C. Place in prone position
D. Leave airway closed
Correct Answer : A
Rationale: Head-tilt, chin-lift safely opens the airway when no
spinal injury is suspected.
,3. Which is the correct chest compression depth for adult CPR?
A. At least 2 inches (5 cm)
B. 1 inch
C. 3 inches
D. ½ inch
Correct Answer : A
Rationale: Adequate depth ensures effective perfusion during
compressions.
4. Which is the correct compression to ventilation ratio for adult
CPR with one rescuer?
A. 30:2
B. 15:2
C. 30:1
D. 15:1
Correct Answer : A
Rationale: Current guidelines recommend 30 compressions
followed by 2 breaths.
5. Which is the primary treatment for anaphylaxis in the field?
A. Epinephrine
B. Antihistamines only
C. Oxygen only
D. Cold compress
Correct Answer : A
Rationale: Epinephrine reverses life-threatening airway and
circulatory compromise.
,6. Which is the most appropriate oxygen delivery device for a
breathing patient in respiratory distress?
A. Non-rebreather mask
B. Nasal cannula
C. Simple face mask
D. Bag-valve mask only
Correct Answer : A
Rationale: Non-rebreather mask delivers high-concentration
oxygen efficiently.
7. Which is the first step when a paramedic arrives at a mass
casualty scene?
A. Triage patients
B. Begin treatment immediately
C. Move patients randomly
D. Call family members
Correct Answer : A
Rationale: Triage prioritizes care based on severity and
maximizes survival.
8. Which is the correct pulse site to check in an unresponsive adult
patient?
A. Carotid
B. Radial
C. Brachial
D. Femoral
Correct Answer : A
, Rationale: The carotid pulse is accessible and reliable during
emergencies.
9. Which is the proper method to control severe external bleeding
when direct pressure is ineffective?
A. Apply a tourniquet
B. Elevate limb only
C. Apply ice
D. Wrap loosely
Correct Answer : A
Rationale: A tourniquet controls life-threatening arterial
bleeding.
10. Which is the first action for suspected spinal injury?
A. Stabilize head and neck
B. Move patient immediately
C. Apply oxygen only
D. Sit patient upright
Correct Answer : A
Rationale: Stabilization prevents further spinal damage.
11. Which is a sign of hypovolemic shock?
A. Rapid pulse, low blood pressure, pale skin
B. Slow pulse
C. Warm dry skin
D. Elevated temperature only
Correct Answer : A
