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NREMT EXAM PRACTICE – 2026/2027 COMPLETE (150)
CURRENT TESTING QUESTIONS AND CORRECT
ANSWERS WITH DETAILED RATIONALES.
NREMT
Prepare effectively for the NREMT Exam with this focused practice resource. It
supports review of essential EMT concepts, patient assessment, airway and
respiratory care, trauma management, medical emergencies, pharmacology, and
emergency response procedures. Use the material to reinforce your knowledge,
practice applying concepts, and identify areas that may require additional study. This
resource is suited for EMT students, emergency medical technician trainees, and
candidates preparing for the NREMT certification examination.
MULTIPLE CHOICE.
AIRWAY, RESPIRATION & VENTILATION (Questions 1–27)
Question #1
A 45-year-old male is found unresponsive in a restaurant. Bystanders report
he was choking on food but is now unconscious. What is your FIRST action?
A. Perform abdominal thrusts
B. Begin CPR starting with chest compressions
C. Perform a blind finger sweep
D. Apply high-flow oxygen
Correct Answer: B
Rationale: Begin CPR with chest compressions —for an unconscious
patient with suspected foreign body airway obstruction, chest compressions
may dislodge the object. Abdominal thrusts are for conscious patients; blind
finger sweeps are contraindicated; oxygen will not remove the obstruction.
Question #2
A patient has a patent airway but is breathing inadequately with a rate of 6
breaths per minute. What is the most appropriate intervention?
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A. Apply a non-rebreather mask at 15 L/min
B. Provide positive pressure ventilation with a BVM
C. Insert an oropharyngeal airway
D. Administer oxygen via nasal cannula
Correct Answer: B
Rationale: Positive pressure ventilation is required for a patient with
inadequate breathing (bradypnea). A non-rebreather provides oxygen but not
ventilatory support; an OPA alone does not ventilate; a nasal cannula is
inadequate.
Question #3
Which of the following is the correct ventilation rate for an adult patient
without an advanced airway during CPR?
A. 1 breath every 3 seconds
B. 1 breath every 5–6 seconds (10–12 breaths per minute)
C. 1 breath every 10 seconds
D. 2 breaths every 30 compressions
Correct Answer: B
Rationale: 1 breath every 5–6 seconds (10–12 breaths/min) is the correct
ventilation rate for an adult without an advanced airway. Option D describes
the compression-to-ventilation ratio (30:2), not the ventilation rate.
Question #4
A patient is experiencing respiratory distress with stridor. This finding
indicates:
A. Lower airway obstruction
B. Upper airway obstruction
C. Fluid in the alveoli
D. Bronchospasm
Correct Answer: B
Rationale: Stridor indicates upper airway obstruction (e.g., croup,
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epiglottitis, foreign body). Wheezing indicates lower airway obstruction;
crackles indicate fluid; bronchospasm causes wheezing.
Question #5
You are ventilating a patient with a BVM and notice that the patient's stomach
is becoming distended. What is the most appropriate action?
A. Continue ventilating at the same rate
B. Reassess airway positioning and reduce ventilation volume
C. Insert a nasogastric tube
D. Increase the ventilation rate
Correct Answer: B
Rationale: Reassess positioning and reduce volume —gastric distension is
caused by excessive volume or poor airway positioning. Continuing may
cause aspiration; NG tube insertion is outside EMT scope; increasing the rate
worsens the problem.
Question #6
What is the preferred method to open the airway of an unresponsive trauma
patient?
A. Head-tilt, chin-lift
B. Jaw-thrust maneuver
C. Oropharyngeal airway only
D. Nasopharyngeal airway only
Correct Answer: B
Rationale: Jaw-thrust maneuver is preferred for trauma patients to avoid
moving the cervical spine. Head-tilt, chin-lift would compromise the spine;
airway adjuncts alone do not open the airway.
Question #7
A patient has a respiratory rate of 28 breaths per minute, is using accessory
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muscles, and is speaking in 2–3 word sentences. This patient is best
described as:
A. Breathing adequately
B. In respiratory distress
C. In respiratory arrest
D. Hyperventilating
Correct Answer: B
Rationale: Respiratory distress is indicated by tachypnea, accessory muscle
use, and inability to speak full sentences. Adequate breathing is normal;
respiratory arrest is absent breathing; hyperventilation implies anxiety-driven
overbreathing.
Question #8
A 4-year-old patient presents with stridor, a barking cough, and fever. What is
the most likely diagnosis?
A. Asthma
B. Croup
C. Epiglottitis
D. Bronchiolitis
Correct Answer: B
Rationale: Croup presents with stridor and a barking cough in children.
Asthma has wheezing; epiglottitis has drooling and tripod positioning;
bronchiolitis has wheezing in infants.
Question #9
What is the correct compression depth for an adult patient during CPR?
A. At least 1.5 inches (4 cm)
B. At least 2 inches (5 cm)
C. At least 2.4 inches (6 cm)
D. At least 3 inches (7.5 cm)
NREMT EXAM PRACTICE – 2026/2027 COMPLETE (150)
CURRENT TESTING QUESTIONS AND CORRECT
ANSWERS WITH DETAILED RATIONALES.
NREMT
Prepare effectively for the NREMT Exam with this focused practice resource. It
supports review of essential EMT concepts, patient assessment, airway and
respiratory care, trauma management, medical emergencies, pharmacology, and
emergency response procedures. Use the material to reinforce your knowledge,
practice applying concepts, and identify areas that may require additional study. This
resource is suited for EMT students, emergency medical technician trainees, and
candidates preparing for the NREMT certification examination.
MULTIPLE CHOICE.
AIRWAY, RESPIRATION & VENTILATION (Questions 1–27)
Question #1
A 45-year-old male is found unresponsive in a restaurant. Bystanders report
he was choking on food but is now unconscious. What is your FIRST action?
A. Perform abdominal thrusts
B. Begin CPR starting with chest compressions
C. Perform a blind finger sweep
D. Apply high-flow oxygen
Correct Answer: B
Rationale: Begin CPR with chest compressions —for an unconscious
patient with suspected foreign body airway obstruction, chest compressions
may dislodge the object. Abdominal thrusts are for conscious patients; blind
finger sweeps are contraindicated; oxygen will not remove the obstruction.
Question #2
A patient has a patent airway but is breathing inadequately with a rate of 6
breaths per minute. What is the most appropriate intervention?
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A. Apply a non-rebreather mask at 15 L/min
B. Provide positive pressure ventilation with a BVM
C. Insert an oropharyngeal airway
D. Administer oxygen via nasal cannula
Correct Answer: B
Rationale: Positive pressure ventilation is required for a patient with
inadequate breathing (bradypnea). A non-rebreather provides oxygen but not
ventilatory support; an OPA alone does not ventilate; a nasal cannula is
inadequate.
Question #3
Which of the following is the correct ventilation rate for an adult patient
without an advanced airway during CPR?
A. 1 breath every 3 seconds
B. 1 breath every 5–6 seconds (10–12 breaths per minute)
C. 1 breath every 10 seconds
D. 2 breaths every 30 compressions
Correct Answer: B
Rationale: 1 breath every 5–6 seconds (10–12 breaths/min) is the correct
ventilation rate for an adult without an advanced airway. Option D describes
the compression-to-ventilation ratio (30:2), not the ventilation rate.
Question #4
A patient is experiencing respiratory distress with stridor. This finding
indicates:
A. Lower airway obstruction
B. Upper airway obstruction
C. Fluid in the alveoli
D. Bronchospasm
Correct Answer: B
Rationale: Stridor indicates upper airway obstruction (e.g., croup,
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epiglottitis, foreign body). Wheezing indicates lower airway obstruction;
crackles indicate fluid; bronchospasm causes wheezing.
Question #5
You are ventilating a patient with a BVM and notice that the patient's stomach
is becoming distended. What is the most appropriate action?
A. Continue ventilating at the same rate
B. Reassess airway positioning and reduce ventilation volume
C. Insert a nasogastric tube
D. Increase the ventilation rate
Correct Answer: B
Rationale: Reassess positioning and reduce volume —gastric distension is
caused by excessive volume or poor airway positioning. Continuing may
cause aspiration; NG tube insertion is outside EMT scope; increasing the rate
worsens the problem.
Question #6
What is the preferred method to open the airway of an unresponsive trauma
patient?
A. Head-tilt, chin-lift
B. Jaw-thrust maneuver
C. Oropharyngeal airway only
D. Nasopharyngeal airway only
Correct Answer: B
Rationale: Jaw-thrust maneuver is preferred for trauma patients to avoid
moving the cervical spine. Head-tilt, chin-lift would compromise the spine;
airway adjuncts alone do not open the airway.
Question #7
A patient has a respiratory rate of 28 breaths per minute, is using accessory
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muscles, and is speaking in 2–3 word sentences. This patient is best
described as:
A. Breathing adequately
B. In respiratory distress
C. In respiratory arrest
D. Hyperventilating
Correct Answer: B
Rationale: Respiratory distress is indicated by tachypnea, accessory muscle
use, and inability to speak full sentences. Adequate breathing is normal;
respiratory arrest is absent breathing; hyperventilation implies anxiety-driven
overbreathing.
Question #8
A 4-year-old patient presents with stridor, a barking cough, and fever. What is
the most likely diagnosis?
A. Asthma
B. Croup
C. Epiglottitis
D. Bronchiolitis
Correct Answer: B
Rationale: Croup presents with stridor and a barking cough in children.
Asthma has wheezing; epiglottitis has drooling and tripod positioning;
bronchiolitis has wheezing in infants.
Question #9
What is the correct compression depth for an adult patient during CPR?
A. At least 1.5 inches (4 cm)
B. At least 2 inches (5 cm)
C. At least 2.4 inches (6 cm)
D. At least 3 inches (7.5 cm)
