NREMT EMT(Form 327) Exam With
Actual Questions & Verified
Answers,Plus Rationales/Expert
Verified For Guaranteed Pass Graded
A+/2026 /Latest Update/Instant
Download Pdf
1. A 45-year-old male is unconscious and not breathing after a motor
vehicle crash. You should first:
A. Open the airway with the jaw-thrust maneuver
B. Perform abdominal thrusts
C. Begin chest compressions
D. Insert an oropharyngeal airway
A. Open the airway with the jaw-thrust maneuver
Rationale: In trauma patients with possible cervical spine injury you
should open the airway with a jaw-thrust to minimize neck movement
before assessing breathing and ventilating.
2. You arrive at a patient with shallow respirations and a respiratory rate of
28. Which intervention is most appropriate?
A. Assist ventilations with a bag-valve mask and oxygen
B. Administer oral glucose
C. Place patient in Trendelenburg position
D. Give albuterol via nebulizer without oxygen
A. Assist ventilations with a bag-valve mask and oxygen
Rationale: Shallow, rapid respirations may not provide adequate
ventilation — assist ventilations with BVM and high-flow oxygen to
ensure adequate oxygenation and ventilation.
3. During a primary survey you find the patient has a weak, thready pulse
and cool, clammy skin. This most likely indicates:
, A. Hypertensive crisis
B. Hypovolemic shock
C. Anaphylaxis
D. Isolated head injury
B. Hypovolemic shock
Rationale: Weak/ thready pulse and cool, clammy skin suggest poor
perfusion commonly seen in hypovolemia (blood loss or dehydration).
4. A patient with chest pain takes nitroglycerin. Before administering
nitroglycerin you must confirm:
A. The patient has taken aspirin
B. Systolic blood pressure is > 90 mmHg
C. The patient has no allergy to morphine
D. The patient has a history of asthma
B. Systolic blood pressure is > 90 mmHg
Rationale: Nitroglycerin causes vasodilation and can drop BP; ensure
systolic BP is above protocol threshold (commonly >90–100 mmHg) and
no contraindicated medications (e.g., ED drugs).
5. A 3-year-old with fever and stridor that improves when the child is sitting
upright most likely has:
A. Epiglottitis
B. Croup (viral laryngotracheobronchitis)
C. Asthma exacerbation
D. Foreign body airway obstruction
B. Croup (viral laryngotracheobronchitis)
Rationale: Croup commonly presents in young children with barky
cough and inspiratory stridor, and symptoms often improve with calm
and upright positioning and humidified air.
6. Which of the following is the most reliable indicator of adequate chest
compressions during CPR?
A. Rate of compressions only
B. Presence of pulse after each compression
C. Chest rise and fall during ventilations
D. Competent oxygen saturation reading
C. Chest rise and fall during ventilations
, Rationale: While rate and depth matter, seeing chest rise with
ventilations indicates effective ventilatory support and that chest
compressions are allowing adequate lung expansion when ventilations
are given.
7. You are treating a conscious adult with an obstructed airway who cannot
cough or speak. The best immediate action is:
A. Perform abdominal thrusts (Heimlich maneuver)
B. Encourage continued coughing
C. Give back blows only
D. Begin blind finger sweeps
A. Perform abdominal thrusts (Heimlich maneuver)
Rationale: In conscious adults with complete airway obstruction
(unable to cough or speak), abdominal thrusts are indicated to
forcefully expel the object. Finger sweeps are only for visible objects.
8. Which rhythm is most commonly associated with sudden cardiac arrest
that requires defibrillation?
A. Asystole
B. Ventricular fibrillation (VF)
C. Sinus bradycardia
D. Pulseless electrical activity (PEA)
B. Ventricular fibrillation (VF)
Rationale: VF is a shockable rhythm; immediate defibrillation along
with CPR increases chances of ROSC. Asystole and PEA are non-
shockable.
9. A patient with a penetrating chest wound is most likely to develop:
A. Tension pneumothorax
B. Diabetic ketoacidosis
C. Subarachnoid hemorrhage
D. Acute coronary syndrome
A. Tension pneumothorax
Rationale: Penetrating chest trauma can allow air to accumulate under
pressure in the pleural space, potentially causing a tension
pneumothorax with mediastinal shift and compromised
ventilation/circulation.
Actual Questions & Verified
Answers,Plus Rationales/Expert
Verified For Guaranteed Pass Graded
A+/2026 /Latest Update/Instant
Download Pdf
1. A 45-year-old male is unconscious and not breathing after a motor
vehicle crash. You should first:
A. Open the airway with the jaw-thrust maneuver
B. Perform abdominal thrusts
C. Begin chest compressions
D. Insert an oropharyngeal airway
A. Open the airway with the jaw-thrust maneuver
Rationale: In trauma patients with possible cervical spine injury you
should open the airway with a jaw-thrust to minimize neck movement
before assessing breathing and ventilating.
2. You arrive at a patient with shallow respirations and a respiratory rate of
28. Which intervention is most appropriate?
A. Assist ventilations with a bag-valve mask and oxygen
B. Administer oral glucose
C. Place patient in Trendelenburg position
D. Give albuterol via nebulizer without oxygen
A. Assist ventilations with a bag-valve mask and oxygen
Rationale: Shallow, rapid respirations may not provide adequate
ventilation — assist ventilations with BVM and high-flow oxygen to
ensure adequate oxygenation and ventilation.
3. During a primary survey you find the patient has a weak, thready pulse
and cool, clammy skin. This most likely indicates:
, A. Hypertensive crisis
B. Hypovolemic shock
C. Anaphylaxis
D. Isolated head injury
B. Hypovolemic shock
Rationale: Weak/ thready pulse and cool, clammy skin suggest poor
perfusion commonly seen in hypovolemia (blood loss or dehydration).
4. A patient with chest pain takes nitroglycerin. Before administering
nitroglycerin you must confirm:
A. The patient has taken aspirin
B. Systolic blood pressure is > 90 mmHg
C. The patient has no allergy to morphine
D. The patient has a history of asthma
B. Systolic blood pressure is > 90 mmHg
Rationale: Nitroglycerin causes vasodilation and can drop BP; ensure
systolic BP is above protocol threshold (commonly >90–100 mmHg) and
no contraindicated medications (e.g., ED drugs).
5. A 3-year-old with fever and stridor that improves when the child is sitting
upright most likely has:
A. Epiglottitis
B. Croup (viral laryngotracheobronchitis)
C. Asthma exacerbation
D. Foreign body airway obstruction
B. Croup (viral laryngotracheobronchitis)
Rationale: Croup commonly presents in young children with barky
cough and inspiratory stridor, and symptoms often improve with calm
and upright positioning and humidified air.
6. Which of the following is the most reliable indicator of adequate chest
compressions during CPR?
A. Rate of compressions only
B. Presence of pulse after each compression
C. Chest rise and fall during ventilations
D. Competent oxygen saturation reading
C. Chest rise and fall during ventilations
, Rationale: While rate and depth matter, seeing chest rise with
ventilations indicates effective ventilatory support and that chest
compressions are allowing adequate lung expansion when ventilations
are given.
7. You are treating a conscious adult with an obstructed airway who cannot
cough or speak. The best immediate action is:
A. Perform abdominal thrusts (Heimlich maneuver)
B. Encourage continued coughing
C. Give back blows only
D. Begin blind finger sweeps
A. Perform abdominal thrusts (Heimlich maneuver)
Rationale: In conscious adults with complete airway obstruction
(unable to cough or speak), abdominal thrusts are indicated to
forcefully expel the object. Finger sweeps are only for visible objects.
8. Which rhythm is most commonly associated with sudden cardiac arrest
that requires defibrillation?
A. Asystole
B. Ventricular fibrillation (VF)
C. Sinus bradycardia
D. Pulseless electrical activity (PEA)
B. Ventricular fibrillation (VF)
Rationale: VF is a shockable rhythm; immediate defibrillation along
with CPR increases chances of ROSC. Asystole and PEA are non-
shockable.
9. A patient with a penetrating chest wound is most likely to develop:
A. Tension pneumothorax
B. Diabetic ketoacidosis
C. Subarachnoid hemorrhage
D. Acute coronary syndrome
A. Tension pneumothorax
Rationale: Penetrating chest trauma can allow air to accumulate under
pressure in the pleural space, potentially causing a tension
pneumothorax with mediastinal shift and compromised
ventilation/circulation.
