NREMT FINAL EXAM (2026/2027)
PRACTICE QUESTIONS AND ANSWERS
1. A 68-year-old male with a history of CHF presents with acute onset shortness of breath. He
is sitting upright, tripodding, and has audible crackles. His vitals are BP 180/100, P 110, R 28,
and SpO2 84%. Which intervention is most appropriate?
A. CPAP at 5 to 10 cmH2O
B. BVM ventilation at 15 L/min
C. Nasal cannula at 4 L/min
D. Albuterol via nebulizer
Answer: A
Conceptual Explanation: CPAP is highly effective for pulmonary edema associated with
CHF as it forces fluid out of the alveoli and improves oxygenation, provided the patient can
follow commands and has adequate spontaneous effort.
,2. When assessing a patient with a suspected stroke, you notice a facial droop and slurred
speech. The patient’s blood pressure is 210/120. What is the most critical information to
determine?
A. History of hypertension
B. Presence of a headache
C. The patient’s current blood glucose level
D. The exact time the patient was last seen normal
Answer: D
Conceptual Explanation: The time last seen normal is crucial for determining eligibility
for fibrinolytic therapy, which has a narrow therapeutic window.
3. A 24-year-old female is 38 weeks pregnant and reports a sudden onset of severe abdominal
pain and vaginal bleeding. Her abdomen is rigid and tender. You should suspect:
A. Placenta previa
B. Ectopic pregnancy
C. Preeclampsia
D. Abruptio placentae
Answer: D
Conceptual Explanation: Abruptio placentae is characterized by painful vaginal bleeding
and a rigid abdomen, whereas placenta previa is typically painless bleeding.
, 4. During a multi-casualty incident, you encounter a patient who is not breathing. After
opening the airway, the patient starts breathing at a rate of 10 breaths per minute. Using the
START triage system, what color tag should this patient receive?
A. Black
B. Yellow
C. Green
D. Red
Answer: D
Conceptual Explanation: In START triage, if a non-breathing patient begins to breathe
after an airway maneuver, they are classified as Immediate (Red).
5. A 19-year-old male was struck in the chest with a baseball. He immediately collapsed into
cardiac arrest. This clinical scenario most likely describes:
A. Traumatic aortic disruption
B. Commotio cordis
C. Tension pneumothorax
D. Myocardial contusion
Answer: B
Conceptual Explanation: Commotio cordis is a sudden cardiac arrest caused by a blunt
blow to the chest during a specific phase of the cardiac cycle.
PRACTICE QUESTIONS AND ANSWERS
1. A 68-year-old male with a history of CHF presents with acute onset shortness of breath. He
is sitting upright, tripodding, and has audible crackles. His vitals are BP 180/100, P 110, R 28,
and SpO2 84%. Which intervention is most appropriate?
A. CPAP at 5 to 10 cmH2O
B. BVM ventilation at 15 L/min
C. Nasal cannula at 4 L/min
D. Albuterol via nebulizer
Answer: A
Conceptual Explanation: CPAP is highly effective for pulmonary edema associated with
CHF as it forces fluid out of the alveoli and improves oxygenation, provided the patient can
follow commands and has adequate spontaneous effort.
,2. When assessing a patient with a suspected stroke, you notice a facial droop and slurred
speech. The patient’s blood pressure is 210/120. What is the most critical information to
determine?
A. History of hypertension
B. Presence of a headache
C. The patient’s current blood glucose level
D. The exact time the patient was last seen normal
Answer: D
Conceptual Explanation: The time last seen normal is crucial for determining eligibility
for fibrinolytic therapy, which has a narrow therapeutic window.
3. A 24-year-old female is 38 weeks pregnant and reports a sudden onset of severe abdominal
pain and vaginal bleeding. Her abdomen is rigid and tender. You should suspect:
A. Placenta previa
B. Ectopic pregnancy
C. Preeclampsia
D. Abruptio placentae
Answer: D
Conceptual Explanation: Abruptio placentae is characterized by painful vaginal bleeding
and a rigid abdomen, whereas placenta previa is typically painless bleeding.
, 4. During a multi-casualty incident, you encounter a patient who is not breathing. After
opening the airway, the patient starts breathing at a rate of 10 breaths per minute. Using the
START triage system, what color tag should this patient receive?
A. Black
B. Yellow
C. Green
D. Red
Answer: D
Conceptual Explanation: In START triage, if a non-breathing patient begins to breathe
after an airway maneuver, they are classified as Immediate (Red).
5. A 19-year-old male was struck in the chest with a baseball. He immediately collapsed into
cardiac arrest. This clinical scenario most likely describes:
A. Traumatic aortic disruption
B. Commotio cordis
C. Tension pneumothorax
D. Myocardial contusion
Answer: B
Conceptual Explanation: Commotio cordis is a sudden cardiac arrest caused by a blunt
blow to the chest during a specific phase of the cardiac cycle.
