Test Bank for NREMT Paramedic
EXAM 2025
Questions and Verified Answers
You are called to assist an adult with chest pain. The patient has a cardiac history of
twoposterior myocardial infarctions. He is conscious and alert, stating he is having a hard
time breathing, and the chest pain worsens when he attempts to lay flat on his back. His skin
is pale and hot, while auscultation of his lung sounds reveals mild crackles. He reports the
pain worsens on deep inspiration and movement.
Based on the patient's history, and signs and symptoms, which of the following should you
suspect?
A. Unstable angina pectoris
B. Pericarditis
C. Myocardial infarction
D. Cardiomyopathy ANS - B.
You are the first ambulance to arrive on the scene of a single-car accident. As you approach
the scene, you see four patients, two have been ejected from their vehicle, and two are still in
the vehicle. What should be your next course of action?
A. Call medical control, and advise them of the situation
B. Request additional resources, such as fire rescue, and additional ambulances to
respond to the scene
C. Begin immediate triage and treatment of the two patients ejected first while awaiting fire
department response
D. Notify the local trauma center so they can prepare for the patients
ANS - B.
A patient is experiencing a possible neurological emergency from a blunt force closed head
injury. He is found to have abnormal pupillary reactions to light and has lost the ability to
move his eyes from side to side to follow your finger movements. He is also unable to
identify the number of fingers you are holding up. He reports he is able to see the fingers but
is not able to focus enough to identify how many fingers are present.
Which of the following cranial nerves should you suspect may be involved in his injury?
,A. Cranial nerves I, V, and VI
B. Cranial nerves V and VII
C. Cranial nerves IX and X D. Cranial nerves II, III, and IV ANS - D.
Simply put, shock is a state of hypoperfusion due to several different causes. Which one of
the following types of shock would be considered distributive shock?
A. Hypovolemic shock
B.Cardiogenic shock
C.Anaphylactic shock
D.Toxic shock syndrome
ANS - C.
Which of the following is responsible for initiating the sympathetic response to shock during
a traumatic event?
A.Increased oxygen level and increased PCO2
B.Increased peripheral vascular resistance and alkalosis
C.Decreased perfusion and increased acidosis
D.Peripheral vasodilation and increased capillary permeability ANS
- C.
During which wave, complex, interval, or segment of an electrocardiogram tracing does the
absolute refractory period take place in a normally functioning heart?
A. S-T segment
B.P-R interval
C.P wave
D. Q-T interval ANS
- D.
You are preparing to perform synchronized electrical cardioversion with a biphasic
defibrillator on your unstable adult patient who is experiencing supraventricular tachycardia
at 160 beats per minute on the monitor. Which of the following initial energy settings would
,be recommended if he was exhibiting a narrow complex, regular supraventricular
tachycardia, in which his palpable carotid pulse matches the rhythm on the monitor?
A. Synchronized cardioversion at 50-100 joules
B. Defibrillation at 100 joules
C. Synchronized cardioversion at 360 joules
D. Defibrillation at 360 joules ANS - A.
Other than a stroke, what is a common cause of one-sided facial droop and paralysis in an
adult patient who exhibits no other neurological findings?
A.Amyotrophic lateral sclerosis (ALS)
B.Multiple sclerosis
C.Huntington's disease
D.Bell's palsy ANS
- D.
You are on-scene with a patient who was struck by a car on her bicycle. She is conscious and
alert but has a possible closed right mid-shaft femur fracture. The patient advises you that she
is sixteen but does not need parental consent to be treated. Which of the following situations
would make this statement true?
A.She can be treated under implied consent because her injury may become life-threatening
B.She is not an American citizen, visiting on a student visa
C.She is an emancipated minor granted by the court
D.She is an orphaned minor who lives alone ANS
- C.
Your adult patient is showing signs and symptoms of being severely hyperkalemic. Medical
control recommends the administration of a high-dose nebulized albuterol treatment as well
as calcium chloride. Why is high-dose albuterol being recommended for this patient?
A.To improve the patient's ventilatory status
B.To assist with metabolic acidosis
C.To increase the amount of available calcium at the cellular level
D.To help lower dangerous potassium levels ANS
- D.
, When monitoring the electrical activity of a patient's heart, which standard limb lead records
the difference in electrical potential between the left leg and the right arm when the left leg is
positive and the right arm is negative?
A.Augmented limb lead aVL B.Bipolar
limb lead II (LII)
C.Bipolar limb lead III (LIII)
D.Bipolar limb lead I (LI) ANS
- B.
You are evaluating a trauma patient who may have sustained a spinal cord injury. Which of
the following would you expect to see in a trauma patient with a spinal cord injury with
autonomic nervous system involvement?
A.Bradycardia, hypotension, and a loss of sweating or shivering ability
B.Bradycardia, hypertension, warm, dry skin, and numbness of fingertips
C.Tachycardia, hypertension, one-sided paralysis, and amnesia
D.Tachycardia, hypotension, diaphoresis, cool, and clammy skin ANS
- A.
You are on-scene with an adult patient exhibiting unusual activity and appears to be
intoxicated. He is anxious and hyperactive. His heart rate and respirations are fast, but his
blood pressure remains within normal range for his age. The patient denies alcohol or drug
consumption but reports he has diabetes. His blood glucose level is found to be 54 milligrams
per deciliter.
How would hypoglycemia cause the patient to present with the above findings?
A. The low blood sugar levels stimulate the sympathetic nervous system to trigger the
release of epinephrine into the bloodstream to promote liver glycogenolysis
B. Low blood sugar levels mimic alcohol intoxication in the brain because of elevated
insulin levels in the bloodstream
C. The elevated heart rate and respirations stimulate the adipose tissue to increase
glucose and fatty acid uptake in an attempt to correct the blood glucose level
D. The heart rate and respirations increase in an attempt to promote the natural
production and release of glucagon by the alpha cells in the pancreas ANS - A.
EXAM 2025
Questions and Verified Answers
You are called to assist an adult with chest pain. The patient has a cardiac history of
twoposterior myocardial infarctions. He is conscious and alert, stating he is having a hard
time breathing, and the chest pain worsens when he attempts to lay flat on his back. His skin
is pale and hot, while auscultation of his lung sounds reveals mild crackles. He reports the
pain worsens on deep inspiration and movement.
Based on the patient's history, and signs and symptoms, which of the following should you
suspect?
A. Unstable angina pectoris
B. Pericarditis
C. Myocardial infarction
D. Cardiomyopathy ANS - B.
You are the first ambulance to arrive on the scene of a single-car accident. As you approach
the scene, you see four patients, two have been ejected from their vehicle, and two are still in
the vehicle. What should be your next course of action?
A. Call medical control, and advise them of the situation
B. Request additional resources, such as fire rescue, and additional ambulances to
respond to the scene
C. Begin immediate triage and treatment of the two patients ejected first while awaiting fire
department response
D. Notify the local trauma center so they can prepare for the patients
ANS - B.
A patient is experiencing a possible neurological emergency from a blunt force closed head
injury. He is found to have abnormal pupillary reactions to light and has lost the ability to
move his eyes from side to side to follow your finger movements. He is also unable to
identify the number of fingers you are holding up. He reports he is able to see the fingers but
is not able to focus enough to identify how many fingers are present.
Which of the following cranial nerves should you suspect may be involved in his injury?
,A. Cranial nerves I, V, and VI
B. Cranial nerves V and VII
C. Cranial nerves IX and X D. Cranial nerves II, III, and IV ANS - D.
Simply put, shock is a state of hypoperfusion due to several different causes. Which one of
the following types of shock would be considered distributive shock?
A. Hypovolemic shock
B.Cardiogenic shock
C.Anaphylactic shock
D.Toxic shock syndrome
ANS - C.
Which of the following is responsible for initiating the sympathetic response to shock during
a traumatic event?
A.Increased oxygen level and increased PCO2
B.Increased peripheral vascular resistance and alkalosis
C.Decreased perfusion and increased acidosis
D.Peripheral vasodilation and increased capillary permeability ANS
- C.
During which wave, complex, interval, or segment of an electrocardiogram tracing does the
absolute refractory period take place in a normally functioning heart?
A. S-T segment
B.P-R interval
C.P wave
D. Q-T interval ANS
- D.
You are preparing to perform synchronized electrical cardioversion with a biphasic
defibrillator on your unstable adult patient who is experiencing supraventricular tachycardia
at 160 beats per minute on the monitor. Which of the following initial energy settings would
,be recommended if he was exhibiting a narrow complex, regular supraventricular
tachycardia, in which his palpable carotid pulse matches the rhythm on the monitor?
A. Synchronized cardioversion at 50-100 joules
B. Defibrillation at 100 joules
C. Synchronized cardioversion at 360 joules
D. Defibrillation at 360 joules ANS - A.
Other than a stroke, what is a common cause of one-sided facial droop and paralysis in an
adult patient who exhibits no other neurological findings?
A.Amyotrophic lateral sclerosis (ALS)
B.Multiple sclerosis
C.Huntington's disease
D.Bell's palsy ANS
- D.
You are on-scene with a patient who was struck by a car on her bicycle. She is conscious and
alert but has a possible closed right mid-shaft femur fracture. The patient advises you that she
is sixteen but does not need parental consent to be treated. Which of the following situations
would make this statement true?
A.She can be treated under implied consent because her injury may become life-threatening
B.She is not an American citizen, visiting on a student visa
C.She is an emancipated minor granted by the court
D.She is an orphaned minor who lives alone ANS
- C.
Your adult patient is showing signs and symptoms of being severely hyperkalemic. Medical
control recommends the administration of a high-dose nebulized albuterol treatment as well
as calcium chloride. Why is high-dose albuterol being recommended for this patient?
A.To improve the patient's ventilatory status
B.To assist with metabolic acidosis
C.To increase the amount of available calcium at the cellular level
D.To help lower dangerous potassium levels ANS
- D.
, When monitoring the electrical activity of a patient's heart, which standard limb lead records
the difference in electrical potential between the left leg and the right arm when the left leg is
positive and the right arm is negative?
A.Augmented limb lead aVL B.Bipolar
limb lead II (LII)
C.Bipolar limb lead III (LIII)
D.Bipolar limb lead I (LI) ANS
- B.
You are evaluating a trauma patient who may have sustained a spinal cord injury. Which of
the following would you expect to see in a trauma patient with a spinal cord injury with
autonomic nervous system involvement?
A.Bradycardia, hypotension, and a loss of sweating or shivering ability
B.Bradycardia, hypertension, warm, dry skin, and numbness of fingertips
C.Tachycardia, hypertension, one-sided paralysis, and amnesia
D.Tachycardia, hypotension, diaphoresis, cool, and clammy skin ANS
- A.
You are on-scene with an adult patient exhibiting unusual activity and appears to be
intoxicated. He is anxious and hyperactive. His heart rate and respirations are fast, but his
blood pressure remains within normal range for his age. The patient denies alcohol or drug
consumption but reports he has diabetes. His blood glucose level is found to be 54 milligrams
per deciliter.
How would hypoglycemia cause the patient to present with the above findings?
A. The low blood sugar levels stimulate the sympathetic nervous system to trigger the
release of epinephrine into the bloodstream to promote liver glycogenolysis
B. Low blood sugar levels mimic alcohol intoxication in the brain because of elevated
insulin levels in the bloodstream
C. The elevated heart rate and respirations stimulate the adipose tissue to increase
glucose and fatty acid uptake in an attempt to correct the blood glucose level
D. The heart rate and respirations increase in an attempt to promote the natural
production and release of glucagon by the alpha cells in the pancreas ANS - A.
