NREMT EMR EXAM 2025-2026 ACTUAL EXAM 180 EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS) WITH
RATIONALES |ALREADY GRADED A+
You arrive on the scene to find an unresponsive female patient who is in her car in the garage. The car
is still running and the door is closed. Looking through an outside window, your next action would be
to:
A. attempt and immediate rescue
B. open the large garage door and any other outside openings
C. wait for the car to run out of gas
D. shut the car off immediately and remove the patie - correct answer -B
When you listen to the lungs of an asthma patient you would expect to hear:
A. wheezes
B. rales
C. stridor
D. rhonchi - correct answer -A
Tidal volume is best defined as the:
A. volume of air inhaled on a single breath
B. volume of air that remains in the upper airway
C. total volume of air that the lungs are capable of holding
D. volume of air moved in and out of the lungs each minute - correct answer -A
(average is 500 ml)
During transport of a patient with a head injury, what assessment factor will provide you with the
most information regarding the patient's condition?
A. pupil size
B. heart rate
C. mental status
,D. blood pressure - correct answer -C
Which of the following would findings would be most significant during an assessment of a patient
with a severe headache?
A. pain in both legs
B. chest discomfort
C. unilateral weakness
D. abdominal tenderness - correct answer -C
Seizures in children most often are the result of:
A. a life threatening infection
B. a temperature greater than 102 F
C. an abrupt rise in body temperature
D. an inflammatory process in the brain - correct answer -C
A 34-year-old woman, who is 36 weeks pregnant, is having a seizure. After you protect her airway and
ensure adequate ventilation, you should transport her:
A. on her left side
B. in the prone position
C. in the supine position
D. in a semisitting position - correct answer -A
Snoring respirations are most rapidly managed by
A. suctioning the oropharynx
B. initiating assisted ventilations
C. correctly positioning the head
D. inserting an oropharyngeal airway - correct answer -C
The scene size-up includes all of the following components, except:
,A. determining scene safety
B. applying personal protective gear
C. assessing the need for assistance
D. evaluating the mechanism of injury - correct answer -B
Which of the following actions should be carried out during the initial assessment?
A. assessing the skin
B. palpating the cranium
C. auscultating the lungs
D. obtaining a blood pressure - correct answer -A
Firefighters have rescued a man from his burning house. He is conscious and in considerably
respiratory distress. He has a brassy cough and singed nasal hairs. The most immediate threat to this
patient's life is:
A. hypothermia
B. severe burns
C. severe infection
D. closure of the airway - correct answer -D
(Because of the signs and symptoms that this patient is exhibiting, you must be immediately concerned
with the potential for closure of the airway and be prepared to assist ventilations. Signs of airway burns
include respiratory distress, singed nasal hairs, a brassy cough, difficulty breathing and coughing up soot
sputum. Infection, the burns themselves and hypothermia should concern you; however, airway
problems are the greatest threat to human life.)
Immediately upon delivery of a newborn's head, you should first:
A. dry the face
B. cover the eyes
C. suction the nose
D. suction the mouth - correct answer -D
Which of the following conditions would most likely cause flushed skin?
, A. shock
B. hypoxia
C. exposure to heat
D. low blood pressure - correct answer -C
(Flushed or red skin commonly is seen in patients who are exposed to heat. Fever can also cause flushed
skin. Shock and low blood pressure generally cause the skin to become pale, and hypoxia causes
cyanosis, a bluish-gray tint to the skin.)
After a patient has a seizure, they will have a gradual state of awakening. This phase of a seizure is
called:
A. the tonic phase
B. the postictal phase
C. the clonic phase
D. an aura - correct answer -B
The process of losing heat through direct contact is called:
A. radiation
B. convection
C. conduction
D. evaporation - correct answer -C
You are called to assist s SCUBA diver who is having trouble breathing. The patient states that it started
approximately 15 minutes after she surfaced. She complains of chest pain, dizziness, blurred vision and
nausea and vomiting. The patient is most likely suffering from:
A. pneumothorax
B. decompression sickness
C. barotrauma
D. an air embolism - correct answer -D
(Any of these could be associated with dive incidents but these signs and symptoms are indicative of an
air embolism. Divers who suffer from decompression sickness, or the bends, typically do not develop
signs and symptoms of the bends for 12 to 24 hours after their dive. Barotrauma usually occurs as the
diver is ascending or descending.)
QUESTIONS AND CORRECT VERIFIED ANSWERS) WITH
RATIONALES |ALREADY GRADED A+
You arrive on the scene to find an unresponsive female patient who is in her car in the garage. The car
is still running and the door is closed. Looking through an outside window, your next action would be
to:
A. attempt and immediate rescue
B. open the large garage door and any other outside openings
C. wait for the car to run out of gas
D. shut the car off immediately and remove the patie - correct answer -B
When you listen to the lungs of an asthma patient you would expect to hear:
A. wheezes
B. rales
C. stridor
D. rhonchi - correct answer -A
Tidal volume is best defined as the:
A. volume of air inhaled on a single breath
B. volume of air that remains in the upper airway
C. total volume of air that the lungs are capable of holding
D. volume of air moved in and out of the lungs each minute - correct answer -A
(average is 500 ml)
During transport of a patient with a head injury, what assessment factor will provide you with the
most information regarding the patient's condition?
A. pupil size
B. heart rate
C. mental status
,D. blood pressure - correct answer -C
Which of the following would findings would be most significant during an assessment of a patient
with a severe headache?
A. pain in both legs
B. chest discomfort
C. unilateral weakness
D. abdominal tenderness - correct answer -C
Seizures in children most often are the result of:
A. a life threatening infection
B. a temperature greater than 102 F
C. an abrupt rise in body temperature
D. an inflammatory process in the brain - correct answer -C
A 34-year-old woman, who is 36 weeks pregnant, is having a seizure. After you protect her airway and
ensure adequate ventilation, you should transport her:
A. on her left side
B. in the prone position
C. in the supine position
D. in a semisitting position - correct answer -A
Snoring respirations are most rapidly managed by
A. suctioning the oropharynx
B. initiating assisted ventilations
C. correctly positioning the head
D. inserting an oropharyngeal airway - correct answer -C
The scene size-up includes all of the following components, except:
,A. determining scene safety
B. applying personal protective gear
C. assessing the need for assistance
D. evaluating the mechanism of injury - correct answer -B
Which of the following actions should be carried out during the initial assessment?
A. assessing the skin
B. palpating the cranium
C. auscultating the lungs
D. obtaining a blood pressure - correct answer -A
Firefighters have rescued a man from his burning house. He is conscious and in considerably
respiratory distress. He has a brassy cough and singed nasal hairs. The most immediate threat to this
patient's life is:
A. hypothermia
B. severe burns
C. severe infection
D. closure of the airway - correct answer -D
(Because of the signs and symptoms that this patient is exhibiting, you must be immediately concerned
with the potential for closure of the airway and be prepared to assist ventilations. Signs of airway burns
include respiratory distress, singed nasal hairs, a brassy cough, difficulty breathing and coughing up soot
sputum. Infection, the burns themselves and hypothermia should concern you; however, airway
problems are the greatest threat to human life.)
Immediately upon delivery of a newborn's head, you should first:
A. dry the face
B. cover the eyes
C. suction the nose
D. suction the mouth - correct answer -D
Which of the following conditions would most likely cause flushed skin?
, A. shock
B. hypoxia
C. exposure to heat
D. low blood pressure - correct answer -C
(Flushed or red skin commonly is seen in patients who are exposed to heat. Fever can also cause flushed
skin. Shock and low blood pressure generally cause the skin to become pale, and hypoxia causes
cyanosis, a bluish-gray tint to the skin.)
After a patient has a seizure, they will have a gradual state of awakening. This phase of a seizure is
called:
A. the tonic phase
B. the postictal phase
C. the clonic phase
D. an aura - correct answer -B
The process of losing heat through direct contact is called:
A. radiation
B. convection
C. conduction
D. evaporation - correct answer -C
You are called to assist s SCUBA diver who is having trouble breathing. The patient states that it started
approximately 15 minutes after she surfaced. She complains of chest pain, dizziness, blurred vision and
nausea and vomiting. The patient is most likely suffering from:
A. pneumothorax
B. decompression sickness
C. barotrauma
D. an air embolism - correct answer -D
(Any of these could be associated with dive incidents but these signs and symptoms are indicative of an
air embolism. Divers who suffer from decompression sickness, or the bends, typically do not develop
signs and symptoms of the bends for 12 to 24 hours after their dive. Barotrauma usually occurs as the
diver is ascending or descending.)
