NREMT ACTUAL EXAM PAPER 2026
QUESTIONS AND SOLUTIONS GRADED A+
◉ Asystole
Answer: indicates no electrical activity in the heart
◉ PEA
Answer: indicates some residual electrical activity within the heart,
but not enough for a pulse
◉ Ventricular fibrillation
Answer: shockable rhythm, heart rhythm problem that occurs when
the heart beats with rapid, erratic electrical impulses. This causes
pumping chambers in your heart (the ventricles) to quiver uselessly,
instead of pumping blood.
◉ Ventricular tachycardia
Answer: shockable rhythm, in which the lower chambers of your
heart (ventricles) beat very quickly because of a problem in your
heart's electrical system.
, your heart may not be able to pump enough blood to your body and
lungs because the chambers are beating so fast that they don't have
time to properly fill.
◉ Cushing's triad
Answer: Sing of increased intracranial pressure
3 sings
1. Brachicardia
2. hypertension
3. Altered respirations
◉ After your paramedic partner has intubated an adult cardiac
arrest patient, you are providing ventilations as a firefighter
performs chest compressions. When ventilating the patient, you
should?
Answer: Deliver each breathe over 1 second at a rate of 8 to 10
breathes per minute
When an advanced airway is in place, there is no pause in chest
compressions to deliver breaths.
◉ An airway that is not completely obstructed
Answer: encourage to cough, heimlich is only performed on
complete obstructions
,◉ Infant respiratory rate
Answer: 25-50
◉ Bradycardia
Answer: The condition of having a slow heartbeat, defined as under
60 beats per minute for an adult.
◉ Hypertension
Answer: progressively increasing systolic blood pressure, leading to
widening pulse pressure
◉ Mediastinum
Answer: Region in mammals including the thoracic area just not the
lungs, so the heart the trachea, the thymus gland are all included in it
◉ What are the two methods for opening the airway of an
unconscious patient?
When would you use one over the other?
Answer: Jaw-thrust and head-tilt chin-lift
spine injury
◉ What is the main complication of suctioning the airway for more
than 10 seconds?
, Answer: Could lead to hypoxia
◉ What flow rate for a nasal cannula and when should it be used
Answer: Flow rate: 1-6 lpm
When it's used: Nasal cannulas are used to deliver oxygen when a
low flow, low or medium concentration is required, and the patient
is in a stable state.
◉ When should you use a NRM and at what flow rate?
Answer: Use when patent needs oxygen but can breath on their own
and is getting sufficient tidal volume and O2 percent, flow rate of 10-
15 lpm
◉ When should you use a bag-valve mask and at what flow rate?
Answer: Use when patient is unconscious and not breathing
adequately or isn't getting enough O2 or has stopped breathing, use
10-15 lpm, if patient is breathing less than 12 times a min or more
than 24 use BVM and check to see if it's working by looking at rise
and fall of chest
◉ How would you ventilate a patient who has a Stoma?
Answer: If there is a tracheostomy tube in place put the BVM on that
and ventilate (after taking mask off) if no tube put a special mask
over the stoma and if you don't have a special tracheostomy stoma
mask use a child or infant BVM mask
QUESTIONS AND SOLUTIONS GRADED A+
◉ Asystole
Answer: indicates no electrical activity in the heart
◉ PEA
Answer: indicates some residual electrical activity within the heart,
but not enough for a pulse
◉ Ventricular fibrillation
Answer: shockable rhythm, heart rhythm problem that occurs when
the heart beats with rapid, erratic electrical impulses. This causes
pumping chambers in your heart (the ventricles) to quiver uselessly,
instead of pumping blood.
◉ Ventricular tachycardia
Answer: shockable rhythm, in which the lower chambers of your
heart (ventricles) beat very quickly because of a problem in your
heart's electrical system.
, your heart may not be able to pump enough blood to your body and
lungs because the chambers are beating so fast that they don't have
time to properly fill.
◉ Cushing's triad
Answer: Sing of increased intracranial pressure
3 sings
1. Brachicardia
2. hypertension
3. Altered respirations
◉ After your paramedic partner has intubated an adult cardiac
arrest patient, you are providing ventilations as a firefighter
performs chest compressions. When ventilating the patient, you
should?
Answer: Deliver each breathe over 1 second at a rate of 8 to 10
breathes per minute
When an advanced airway is in place, there is no pause in chest
compressions to deliver breaths.
◉ An airway that is not completely obstructed
Answer: encourage to cough, heimlich is only performed on
complete obstructions
,◉ Infant respiratory rate
Answer: 25-50
◉ Bradycardia
Answer: The condition of having a slow heartbeat, defined as under
60 beats per minute for an adult.
◉ Hypertension
Answer: progressively increasing systolic blood pressure, leading to
widening pulse pressure
◉ Mediastinum
Answer: Region in mammals including the thoracic area just not the
lungs, so the heart the trachea, the thymus gland are all included in it
◉ What are the two methods for opening the airway of an
unconscious patient?
When would you use one over the other?
Answer: Jaw-thrust and head-tilt chin-lift
spine injury
◉ What is the main complication of suctioning the airway for more
than 10 seconds?
, Answer: Could lead to hypoxia
◉ What flow rate for a nasal cannula and when should it be used
Answer: Flow rate: 1-6 lpm
When it's used: Nasal cannulas are used to deliver oxygen when a
low flow, low or medium concentration is required, and the patient
is in a stable state.
◉ When should you use a NRM and at what flow rate?
Answer: Use when patent needs oxygen but can breath on their own
and is getting sufficient tidal volume and O2 percent, flow rate of 10-
15 lpm
◉ When should you use a bag-valve mask and at what flow rate?
Answer: Use when patient is unconscious and not breathing
adequately or isn't getting enough O2 or has stopped breathing, use
10-15 lpm, if patient is breathing less than 12 times a min or more
than 24 use BVM and check to see if it's working by looking at rise
and fall of chest
◉ How would you ventilate a patient who has a Stoma?
Answer: If there is a tracheostomy tube in place put the BVM on that
and ventilate (after taking mask off) if no tube put a special mask
over the stoma and if you don't have a special tracheostomy stoma
mask use a child or infant BVM mask
