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NREMT PRACTICE TEST BANK -
MULTIPLE CHOICE |WELL REVISED
ASSESSMENT EXAM WITH PERFECTLY
ANSWERED QUESTIONS (A+) 2026
A young woman reports significant weight loss over the last month, persistent
fever, and night sweats. When you assess her, you note the presence of dark
purple lesions covering her trunk and upper extremities. You should suspect:
• A:end-stage cancer.
• B:HIV/AIDS.
• C:tuberculosis.
• D:rheumatic fever. - correct-answer -You selected B; This is correct!
Reason:Weight loss, fever, and night sweats could indicate tuberculosis or
HIV/AIDS; however, the dark purple lesions on the skin, which are called Kaposi's
sarcoma, are malignant skin tumors and are a classic finding in patients in the
later stages of AIDS.
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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. - correct-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.
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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 - correct-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
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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.
• D:tuberculosis.
( - correct-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
NREMT PRACTICE TEST BANK -
MULTIPLE CHOICE |WELL REVISED
ASSESSMENT EXAM WITH PERFECTLY
ANSWERED QUESTIONS (A+) 2026
A young woman reports significant weight loss over the last month, persistent
fever, and night sweats. When you assess her, you note the presence of dark
purple lesions covering her trunk and upper extremities. You should suspect:
• A:end-stage cancer.
• B:HIV/AIDS.
• C:tuberculosis.
• D:rheumatic fever. - correct-answer -You selected B; This is correct!
Reason:Weight loss, fever, and night sweats could indicate tuberculosis or
HIV/AIDS; however, the dark purple lesions on the skin, which are called Kaposi's
sarcoma, are malignant skin tumors and are a classic finding in patients in the
later stages of AIDS.
,2|Page
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. - correct-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.
,3|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 - correct-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
, 4|Page
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.
• D:tuberculosis.
( - correct-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
