NREMT Paramedic Prep - 200 Questions with Multiple Choices and Verified Answers GRADED A+

NREMT Paramedic Prep - 200 Questions
with Multiple Choices and Verified
Answers 2025-2026 GRADED A+



You ,are ,called ,to ,assist ,an ,adult ,with ,chest ,pain. ,The ,patient ,has ,a ,cardiac
,history ,of ,two-posterior ,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 ,the
,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 ,- ,CORRECT ,ANSWER-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 ,- ,CORRECT
,ANSWER-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 ,- ,CORRECT ,ANSWER-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 ,- ,CORRECT ,ANSWER-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 ,- ,CORRECT
,ANSWER-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 ,- ,CORRECT ,ANSWER-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 ,- ,CORRECT ,ANSWER-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 ,- ,CORRECT ,ANSWER-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 ,- ,CORRECT ,ANSWER-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