LATEST Emergency Medical Responder
(EMR) certification EXAM, by the National
Registry of Emergency Medical
Technicians (NREMT) | Q&A WITH
RATIONALES - Pass NREMT EMR on Your
First Try
1. As the first medically trained person to arrive at
the scene of a motor vehicle crash, you notice
downed power lines across the car. The patient is
conscious and shouting for help. What is your priority
action?
A) Rush to the car to pull the patient out.
B) Tell the patient to climb out of the car on their own.
C) Retreat to a safe distance and notify the power
company.
D) Use a dry wooden broom to push the wires off the
car.
Correct answer: C
Rationale: Safety is the number one priority. Downed
power lines present a significant risk of
electrocution. You must maintain a safe distance and
ensure the power is cut before approaching .
,2. You are at a scene and have determined that the
scene is safe. Your next step in the patient
assessment process is to:
A) Perform a primary assessment
B) Obtain a SAMPLE history
C) Check for responsiveness
D) Perform a secondary assessment
Correct answer: C
Rationale: After ensuring scene safety, the
Emergency Medical Responder (EMR) must first
check the patient for responsiveness (AVPU) to
determine the level of consciousness and if the
patient is breathing .
3. A patient is unconscious but has a pulse. They are
not breathing. After opening the airway, what is the
most important action?
A) Start chest compressions
B) Give two rescue breaths
C) Place the patient in the recovery position
D) Check for spinal injuries
Correct answer: B
,Rationale: The patient is in respiratory arrest. If a
pulse is present but the patient is not breathing, the
priority is to ventilate the lungs with rescue breaths.
Chest compressions are not indicated because there
is a pulse .
4. When opening the airway of an unresponsive
patient with no suspected spinal injury, you should
use the:
A) Jaw-thrust maneuver
B) Head-tilt/chin-lift maneuver
C) Head-tilt alone
D) Chin-lift alone
Correct answer: B
Rationale: The head-tilt/chin-lift is the standard
maneuver for opening the airway in a non-trauma
patient. The jaw-thrust is reserved for patients with
suspected spinal injuries .
5. To check for breathing in an unresponsive adult,
you should look for chest rise, listen for air exchange,
and feel for breath on your cheek. You should
perform this check for no more than:
A) 5 seconds
, B) 10 seconds
C) 15 seconds
D) 30 seconds
Correct answer: B
Rationale: The breathing check should be performed
simultaneously for no more than 10 seconds. If the
patient is not breathing or is only gasping (agonal
breathing), you must begin CPR immediately .
6. A patient is choking on a piece of food. She is
conscious but cannot speak or cough. What
maneuver should you perform?
A) Back blows followed by abdominal thrusts
B) Finger sweep of the mouth
C) Chest thrusts only
D) Assisted ventilations
Correct answer: A
Rationale: For a conscious adult with a severe airway
obstruction (cannot speak, cough, or breathe), the
protocol is to perform 5 back blows followed by 5
abdominal thrusts (Heimlich maneuver) until the
object is dislodged .
(EMR) certification EXAM, by the National
Registry of Emergency Medical
Technicians (NREMT) | Q&A WITH
RATIONALES - Pass NREMT EMR on Your
First Try
1. As the first medically trained person to arrive at
the scene of a motor vehicle crash, you notice
downed power lines across the car. The patient is
conscious and shouting for help. What is your priority
action?
A) Rush to the car to pull the patient out.
B) Tell the patient to climb out of the car on their own.
C) Retreat to a safe distance and notify the power
company.
D) Use a dry wooden broom to push the wires off the
car.
Correct answer: C
Rationale: Safety is the number one priority. Downed
power lines present a significant risk of
electrocution. You must maintain a safe distance and
ensure the power is cut before approaching .
,2. You are at a scene and have determined that the
scene is safe. Your next step in the patient
assessment process is to:
A) Perform a primary assessment
B) Obtain a SAMPLE history
C) Check for responsiveness
D) Perform a secondary assessment
Correct answer: C
Rationale: After ensuring scene safety, the
Emergency Medical Responder (EMR) must first
check the patient for responsiveness (AVPU) to
determine the level of consciousness and if the
patient is breathing .
3. A patient is unconscious but has a pulse. They are
not breathing. After opening the airway, what is the
most important action?
A) Start chest compressions
B) Give two rescue breaths
C) Place the patient in the recovery position
D) Check for spinal injuries
Correct answer: B
,Rationale: The patient is in respiratory arrest. If a
pulse is present but the patient is not breathing, the
priority is to ventilate the lungs with rescue breaths.
Chest compressions are not indicated because there
is a pulse .
4. When opening the airway of an unresponsive
patient with no suspected spinal injury, you should
use the:
A) Jaw-thrust maneuver
B) Head-tilt/chin-lift maneuver
C) Head-tilt alone
D) Chin-lift alone
Correct answer: B
Rationale: The head-tilt/chin-lift is the standard
maneuver for opening the airway in a non-trauma
patient. The jaw-thrust is reserved for patients with
suspected spinal injuries .
5. To check for breathing in an unresponsive adult,
you should look for chest rise, listen for air exchange,
and feel for breath on your cheek. You should
perform this check for no more than:
A) 5 seconds
, B) 10 seconds
C) 15 seconds
D) 30 seconds
Correct answer: B
Rationale: The breathing check should be performed
simultaneously for no more than 10 seconds. If the
patient is not breathing or is only gasping (agonal
breathing), you must begin CPR immediately .
6. A patient is choking on a piece of food. She is
conscious but cannot speak or cough. What
maneuver should you perform?
A) Back blows followed by abdominal thrusts
B) Finger sweep of the mouth
C) Chest thrusts only
D) Assisted ventilations
Correct answer: A
Rationale: For a conscious adult with a severe airway
obstruction (cannot speak, cough, or breathe), the
protocol is to perform 5 back blows followed by 5
abdominal thrusts (Heimlich maneuver) until the
object is dislodged .
