Paramedic National
Registry Exam Review
2026 | NREMT Practice
Questions & Answers
|Graded A+ | Guaranteed
success|
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales
Included
, Unequal pupils -Anisocoria
brain injury, brain tumor, stroke, artificial eye, some eye medications, eye injury or
disease, ICP
Nystagmus rapid involuntary movements of the eyes
Causes of distended neck veins (JVD) -Tension penumothorax
-Cardiac tamponade
-Right heart failure
-Traumatic asphyxia
-Pulmonary embolus
-Emphysema
-Chronic bronchitis
-best seen at a 45 degree angle
Flat neck viens -Hemothorax
-Dehydration
-Shock
-best seen with patient supine
Apenustic long, deep breaths that are stopped during inspirations then periods of apnea
Causes of apneustic breath sounds CNS injury or stroke
Biot (ataxic) respirations Irregular pattern, rate, and depth of respirations with intermittent periods of
apnea; result from increased intracranial pressure.
Cheyne-Stokes respiration Increasing in rate and depth, decreasing in rate and depth with period of apnea,
results from a neurological condition
Hyperventilation Rapid and shallow
Kussmaul respirations Deep, rapid breathing; usually the result of an accumulation of certain acids when
insulin is not available in the body.
Fruity breath
Rales/Crackles Fluid in small airways/alveoli
Causes of Rales/Crackles CHF, pulmonary edema, drowning, pneumonia, COPD
Rhonchi Mucus or fluid in larger airways/bronchi
Causes of rhonchi Bronchitis, COPD, penumonia
Wheezing Whistling sound due to bronchoconstriction or narrowing of the terminal
bronchioes due to edema
Registry Exam Review
2026 | NREMT Practice
Questions & Answers
|Graded A+ | Guaranteed
success|
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales
Included
, Unequal pupils -Anisocoria
brain injury, brain tumor, stroke, artificial eye, some eye medications, eye injury or
disease, ICP
Nystagmus rapid involuntary movements of the eyes
Causes of distended neck veins (JVD) -Tension penumothorax
-Cardiac tamponade
-Right heart failure
-Traumatic asphyxia
-Pulmonary embolus
-Emphysema
-Chronic bronchitis
-best seen at a 45 degree angle
Flat neck viens -Hemothorax
-Dehydration
-Shock
-best seen with patient supine
Apenustic long, deep breaths that are stopped during inspirations then periods of apnea
Causes of apneustic breath sounds CNS injury or stroke
Biot (ataxic) respirations Irregular pattern, rate, and depth of respirations with intermittent periods of
apnea; result from increased intracranial pressure.
Cheyne-Stokes respiration Increasing in rate and depth, decreasing in rate and depth with period of apnea,
results from a neurological condition
Hyperventilation Rapid and shallow
Kussmaul respirations Deep, rapid breathing; usually the result of an accumulation of certain acids when
insulin is not available in the body.
Fruity breath
Rales/Crackles Fluid in small airways/alveoli
Causes of Rales/Crackles CHF, pulmonary edema, drowning, pneumonia, COPD
Rhonchi Mucus or fluid in larger airways/bronchi
Causes of rhonchi Bronchitis, COPD, penumonia
Wheezing Whistling sound due to bronchoconstriction or narrowing of the terminal
bronchioes due to edema
