6/7/25, 2:16 PM NREMT Practice Test Bank - Multiple Choice
NREMT Practice Test Bank - Multiple Choice\COMPLETE EXAM
2025-2026 ACTUAL QUESTIONS AND CORRECT DETAILED
ANSWERS \VERIFIED ANSWERS\ALREADY GRADED A+
All of the following are signs You selected D; This is correct!
of gastrointestinal bleeding, Reason:Signs and symptoms of gastrointestinal (GI)
EXCEPT: bleeding include abdominal pain; vomiting blood
• A:melena. (hematemesis); the passage of dark, tarry stools
• B:hematemesis.
(melena); and bright red rectal bleeding
• C:tachycardia.
(hematochezia). If blood loss is significant, the patient
• D:hemoptysis.
may have signs of shock (eg, tachycardia, diaphoresis,
tachypnea, hypotension).
Hemoptysis (coughing up blood) is a sign of a pulmonary injury,
not GI bleeding.
A 24-year-old female You selected C; This is correct!
presents with a rash to her Reason:The patient's symptoms and her history of a
recent hiking trip are consistent with Lyme disease,
left leg and swollen, painful which was the result of a tick bite. Ticks can carry two
knee joints. She tells you infectious diseases: Lyme disease and Rocky Mountain
that she and her friends spotted fever. Both are spread through the tick's saliva,
which is injected into the skin when the tick attaches
returned from a hiking trip in itself. The first symptom of Lyme disease, a rash that
the mountains a week ago. may spread to several parts of the body, begins about
3 days after the bite of an infected tick. The rash may
She is conscious and alert
eventually resemble a target bull's-eye pattern in one
with a blood pressure of third of patients. After a few more days or weeks,
112/62 mm Hg, a pulse of painful swelling of the joints, particularly the knees,
occurs. If recognized and treated promptly with
84 beats/min, and
antibiotics, many patients recover completely. Rocky
respirations of 14 Mountain spotted fever, which is not limited to the
breaths/min. Her symptoms Rocky Mountains, occurs within 7 to 10 days after being
bitten by an infected tick. Its symptoms include
are MOST likely the result
nausea, vomiting, headache, weakness, paralysis, and
of: possibly cardiopulmonary failure.
• A:Rocky Mountain spotted
fever.
• B:tetanus.
• C:Lyme disease.
1/294
,6/7/25, 2:16 PM NREMT Practice Test Bank - Multiple Choice
• D:alocalized allergic
reaction.
You selected B; This is correct!
A 50-year-old woman who
Reason:Patients with migraine or cluster headaches
is conscious and alert
typically have photophobia (light sensitivity). Any type of
complains of a severe
bright light, especially if shone directly into the eyes, will
migraine headache. When
cause the patient with a headache unnecessary severe
caring for her, you should
pain. Dimming the lights in the ambulance and making
generally avoid:
• A:transporting her in a supine the patient as comfortable as possible are the treatments
position. of choice for a patient with a headache. Some patients
• B:shining a light into her
benefit from ice packs applied to the forehead; just be
pupils.
• C:dimming the lights in the
sure to wrap the ice pack with roller gauze. Oxygen also
ambulance. should be administered as needed. Typically, the patient
• D:applying ice packs to her will prefer to lie supine or on the side
forehead.
The correct answer is C;
Reason:Heroin is a Schedule I (illegal) narcotic that is
A patient who overdosed on
typically injected. As with all narcotics, legal or illegal,
heroin would be expected
overdose causes depression of the central nervous
to present with:
system (CNS), resulting in a decreased level of
• A:tachycardia.
• B:hyperpnea.
consciousness; bradycardia; hypotension; and slow,
• C:hypotension. shallow (reduced tidal volume) breathing. Hyperpnea
• D:dilated pupils. (deep breathing) would not be present in a patient
who overdosed on a narcotic. In a narcotic overdose,
the pupils are typically constricted (miosis).
Barbiturates, such as phenobarbital, are also CNS
depressants and cause the same symptoms seen with
narcotic overdose. The patient's pupils, however, are
typically dilated (mydriasis), not constricted.
2/294
,6/7/25, 2:16 PM NREMT Practice Test Bank - Multiple Choice
You selected A; This is correct!
When caring for any patient Reason:Altered mental status could be caused by a
with a decreased level of high or low blood glucose level, drug overdose, or head
injury, among other causes. Furthermore, the possibility
consciousness, your primary
of a spinal injury should be considered if the patient
concern should be the: was injured. However, your primary concern should be
• A:potential for airway the status of the patient's airway. Patients with a
compromise.
decreased level of consciousness are at risk for
• B:patient's blood glucose aspiration if vomiting occurs. Unless spinal trauma is
level. present or the patient is breathing inadequately (eg,
• C:possibility of a spinal injury. fast or slow rate, shallow breathing [reduced tidal
• D:possibility of a drug volume]), place him or her in the recovery position to
overdose. facilitate drainage if vomiting occurs. Remember this:
no airway, no patient!
You selected D; This is correct!
A 16-year-old, 125-pound
male ingested a bottle of
Reason: First, you must determine the patient's weight in
aspirin approximately 20
kilograms (kg). Either of the following formulae can be
minutes ago. Medical
used to convert pounds to kilograms: Formula 1: weight
control orders you to
(in pounds) ÷ 2.2 = weight in kg. Formula 2: weight (in
administer activated
pounds) ÷ 2 - 10% = weight in kg. On the basis of the
charcoal in a dose of 1 g/kg.
above formulae, a 125-pound patient weighs 57 kg. Using
How much activated
formula 1, the equation is as follows: 125 (weight in
charcoal should you
pounds) ÷ 2.2 = 56.81 (57 [rounded to the nearest
administer?
• A:54 g
tenth]). Using formula 2, the equation is as follows: 125
• B:60 g (weight in pounds) ÷ 2
• C:51 g = 62.5 (63 [rounded to the nearest tenth] - 6.3 (10% of
• D:57 g 63) = 56.7 (57 [rounded to the nearest tenth]). Since the
drug order is for 1 g/kg, you should administer 57 g of
activated charcoal to your 125-pound patient.
Which of the following is You selected C; This is correct!
the MOST significant finding
Reason: Unilateral weakness (weakness on one side of
in a patient with a severe
the body) is a clinically significant finding in a patient
headache? with a headache because it could indicate a stroke
• A:Pain in both legs (ischemic or hemorrhagic). Abdominal, chest, and leg
• B:Chest discomfort pain are not common complaints associated with a
• C:Unilateral weakness
headache, although they should be noted and
investigated if they are present.
• D:Abdominal tenderness
3/294
, 6/7/25, 2:16 PM NREMT Practice Test Bank - Multiple Choice
The correct answer is B;
When caring for a patient Reason:Patients with severe hypothermia (core body
temperature < 86°F) who are in cardiac arrest should
with severe hypothermia be managed with basic life support (chest
who is in cardiac arrest, you compressions and ventilations), passive external
should: rewarming (ie, removal of wet clothing, applying warm
• A:perform rescue breathing
blankets) and rapid transport to the hospital where
only. they can be actively rewarmed. Because cold muscle is
• B:perform BLS and transport. a poor conductor of electricity, defibrillation, if
indicated, should be limited to 1 attempt until the
• C:avoid using the AED.
patient's body temperature has been increased.
• D:hyperventilate the patient.
Cardiac arrest patients with severe hypothermia
generally do not respond to defibrillation.
Hyperventilation should be avoided as this may
increase intrathoracic pressure and impair blood flow
back to the heart.
4/294
NREMT Practice Test Bank - Multiple Choice\COMPLETE EXAM
2025-2026 ACTUAL QUESTIONS AND CORRECT DETAILED
ANSWERS \VERIFIED ANSWERS\ALREADY GRADED A+
All of the following are signs You selected D; This is correct!
of gastrointestinal bleeding, Reason:Signs and symptoms of gastrointestinal (GI)
EXCEPT: bleeding include abdominal pain; vomiting blood
• A:melena. (hematemesis); the passage of dark, tarry stools
• B:hematemesis.
(melena); and bright red rectal bleeding
• C:tachycardia.
(hematochezia). If blood loss is significant, the patient
• D:hemoptysis.
may have signs of shock (eg, tachycardia, diaphoresis,
tachypnea, hypotension).
Hemoptysis (coughing up blood) is a sign of a pulmonary injury,
not GI bleeding.
A 24-year-old female You selected C; This is correct!
presents with a rash to her Reason:The patient's symptoms and her history of a
recent hiking trip are consistent with Lyme disease,
left leg and swollen, painful which was the result of a tick bite. Ticks can carry two
knee joints. She tells you infectious diseases: Lyme disease and Rocky Mountain
that she and her friends spotted fever. Both are spread through the tick's saliva,
which is injected into the skin when the tick attaches
returned from a hiking trip in itself. The first symptom of Lyme disease, a rash that
the mountains a week ago. may spread to several parts of the body, begins about
3 days after the bite of an infected tick. The rash may
She is conscious and alert
eventually resemble a target bull's-eye pattern in one
with a blood pressure of third of patients. After a few more days or weeks,
112/62 mm Hg, a pulse of painful swelling of the joints, particularly the knees,
occurs. If recognized and treated promptly with
84 beats/min, and
antibiotics, many patients recover completely. Rocky
respirations of 14 Mountain spotted fever, which is not limited to the
breaths/min. Her symptoms Rocky Mountains, occurs within 7 to 10 days after being
bitten by an infected tick. Its symptoms include
are MOST likely the result
nausea, vomiting, headache, weakness, paralysis, and
of: possibly cardiopulmonary failure.
• A:Rocky Mountain spotted
fever.
• B:tetanus.
• C:Lyme disease.
1/294
,6/7/25, 2:16 PM NREMT Practice Test Bank - Multiple Choice
• D:alocalized allergic
reaction.
You selected B; This is correct!
A 50-year-old woman who
Reason:Patients with migraine or cluster headaches
is conscious and alert
typically have photophobia (light sensitivity). Any type of
complains of a severe
bright light, especially if shone directly into the eyes, will
migraine headache. When
cause the patient with a headache unnecessary severe
caring for her, you should
pain. Dimming the lights in the ambulance and making
generally avoid:
• A:transporting her in a supine the patient as comfortable as possible are the treatments
position. of choice for a patient with a headache. Some patients
• B:shining a light into her
benefit from ice packs applied to the forehead; just be
pupils.
• C:dimming the lights in the
sure to wrap the ice pack with roller gauze. Oxygen also
ambulance. should be administered as needed. Typically, the patient
• D:applying ice packs to her will prefer to lie supine or on the side
forehead.
The correct answer is C;
Reason:Heroin is a Schedule I (illegal) narcotic that is
A patient who overdosed on
typically injected. As with all narcotics, legal or illegal,
heroin would be expected
overdose causes depression of the central nervous
to present with:
system (CNS), resulting in a decreased level of
• A:tachycardia.
• B:hyperpnea.
consciousness; bradycardia; hypotension; and slow,
• C:hypotension. shallow (reduced tidal volume) breathing. Hyperpnea
• D:dilated pupils. (deep breathing) would not be present in a patient
who overdosed on a narcotic. In a narcotic overdose,
the pupils are typically constricted (miosis).
Barbiturates, such as phenobarbital, are also CNS
depressants and cause the same symptoms seen with
narcotic overdose. The patient's pupils, however, are
typically dilated (mydriasis), not constricted.
2/294
,6/7/25, 2:16 PM NREMT Practice Test Bank - Multiple Choice
You selected A; This is correct!
When caring for any patient Reason:Altered mental status could be caused by a
with a decreased level of high or low blood glucose level, drug overdose, or head
injury, among other causes. Furthermore, the possibility
consciousness, your primary
of a spinal injury should be considered if the patient
concern should be the: was injured. However, your primary concern should be
• A:potential for airway the status of the patient's airway. Patients with a
compromise.
decreased level of consciousness are at risk for
• B:patient's blood glucose aspiration if vomiting occurs. Unless spinal trauma is
level. present or the patient is breathing inadequately (eg,
• C:possibility of a spinal injury. fast or slow rate, shallow breathing [reduced tidal
• D:possibility of a drug volume]), place him or her in the recovery position to
overdose. facilitate drainage if vomiting occurs. Remember this:
no airway, no patient!
You selected D; This is correct!
A 16-year-old, 125-pound
male ingested a bottle of
Reason: First, you must determine the patient's weight in
aspirin approximately 20
kilograms (kg). Either of the following formulae can be
minutes ago. Medical
used to convert pounds to kilograms: Formula 1: weight
control orders you to
(in pounds) ÷ 2.2 = weight in kg. Formula 2: weight (in
administer activated
pounds) ÷ 2 - 10% = weight in kg. On the basis of the
charcoal in a dose of 1 g/kg.
above formulae, a 125-pound patient weighs 57 kg. Using
How much activated
formula 1, the equation is as follows: 125 (weight in
charcoal should you
pounds) ÷ 2.2 = 56.81 (57 [rounded to the nearest
administer?
• A:54 g
tenth]). Using formula 2, the equation is as follows: 125
• B:60 g (weight in pounds) ÷ 2
• C:51 g = 62.5 (63 [rounded to the nearest tenth] - 6.3 (10% of
• D:57 g 63) = 56.7 (57 [rounded to the nearest tenth]). Since the
drug order is for 1 g/kg, you should administer 57 g of
activated charcoal to your 125-pound patient.
Which of the following is You selected C; This is correct!
the MOST significant finding
Reason: Unilateral weakness (weakness on one side of
in a patient with a severe
the body) is a clinically significant finding in a patient
headache? with a headache because it could indicate a stroke
• A:Pain in both legs (ischemic or hemorrhagic). Abdominal, chest, and leg
• B:Chest discomfort pain are not common complaints associated with a
• C:Unilateral weakness
headache, although they should be noted and
investigated if they are present.
• D:Abdominal tenderness
3/294
, 6/7/25, 2:16 PM NREMT Practice Test Bank - Multiple Choice
The correct answer is B;
When caring for a patient Reason:Patients with severe hypothermia (core body
temperature < 86°F) who are in cardiac arrest should
with severe hypothermia be managed with basic life support (chest
who is in cardiac arrest, you compressions and ventilations), passive external
should: rewarming (ie, removal of wet clothing, applying warm
• A:perform rescue breathing
blankets) and rapid transport to the hospital where
only. they can be actively rewarmed. Because cold muscle is
• B:perform BLS and transport. a poor conductor of electricity, defibrillation, if
indicated, should be limited to 1 attempt until the
• C:avoid using the AED.
patient's body temperature has been increased.
• D:hyperventilate the patient.
Cardiac arrest patients with severe hypothermia
generally do not respond to defibrillation.
Hyperventilation should be avoided as this may
increase intrathoracic pressure and impair blood flow
back to the heart.
4/294
