NREMT Practice Questions with Rationale
2025 – Complete Study Guide
The primary assessment of an adult with chest pain includes:
A. Identifying the specific cause of the patient's pain.
B. Ensuring the scene is safe.
C. Determine the transwerport priority.
D. Reassessing vital signs. - ANSWER ✨✔---C
(Determining the patient's transwerport priority is a component of the primary assessment. Scene
safety is determined during the scene size up. Determining specifics about the patient's pain and
reassessing vitals are done later in the assessment process.)
You are caring for a six-year-old patient with respiratory distress. The pulse oximeter (Sa02) reads 93%.
Your management of the patient should include:
A. Withhold oxygen until the patient develops accessory muscle use.
B. Contacting the patient's pediatrician prior to transwerport.
C. Administering a metered dose inhaler if prescribed to a parent or sibling.
D. Administer sufficient oxygen to maintain a pulse oximeter reading of at least 94%. -
ANSWER ✨✔---D
(Rationale: Oxygen is indicated for patients with signs or symptoms of hypoxia, including a pulse
oximeter below 94%. EMTs should not withhold oxygen from a patient with a pulse oximeter below
94%. EMTs do not contact the patient's physician for medical direction, nor do they administer MDIs
which are not prescribed to the patient. )
,Which of the following interventions should be performed first for an unresponsive patient with a
suspected spinal cord injury?
A. Head-tilt, chin-lift.
B. Jaw thrust maneuver.
C. Oropharyngeal airway.
D. Nasopharyngeal airway. - ANSWER ✨✔---
You are caring for a 22-year-old female who complains of respiratory distress after exercising. She is
alert, speaking full sentences, and has a persistent cough. She is most likely experiencing:
A. Respiratory distress with adequate breathing.
B. Respiratory distress with inadequate breathing.
C. Respiratory paralysis.
D. Respiratory arrest. - ANSWER ✨✔---
Your 5-year-old patient is unresponsive. A carotid pulse is present at 40 beats per minute. Breaths are
shallow at six per minute. You should immediately:
A. Apply a nonrebreather mask.
B. Begin artificial ventilations.
C. Place the patient in the recovery position.
D. Begin chest compressions - ANSWER ✨✔---
Which of the following medications is intended to decrease myocardial workload and increase
myocardial blood flow?
A. Nitroglycerin
B. Activated charcoal
C. Aspirin
D. Epinephrine - ANSWER ✨✔---
You are caring for a multi-system trauma patient with possible internal bleeding. Select the correct
statement about the rapid scan for a multi-system trauma patient:
,A. The rapid scan is used to identify all injuries.
B. The rapid scan is used to identify life-threatening conditions.
C. The rapid scan is another term for the secondary exam.
D. The rapid scan is not required on conscious patients. - ANSWER ✨✔---
Life-threatening bleeding should be found and treated during the:
A. Primary assessment.
B. Scene size up.
C. Secondary assessment.
D. Patient history. - ANSWER ✨✔---
Your patient is unresponsive following blunt trauma to the head. Which of the following is the EMT's
first priority for an unresponsive patient?
A. Assess respiratory rate.
B. Open the airway.
C. Perform a SAMPLE history.
D. Determine if CPR is indicated - ANSWER ✨✔---
You are called for a drowning victim at a family barbecue. Upon arrival, two family members approach
you yelling, swearing, and demanding to know what took so long. One of the family members pushes
you. You should:
A. retreat and request immediate assistance from law enforcement.
B. explain to the family where you responded from and why you were delayed.
C. order the family members to back off and take you to the patient.
D. tell the family that assaulting an EMS provider is a felony. - ANSWER ✨✔---
Your 6-year-old patient jumped from a swing and injured his right leg. You note deformity to the right
leg above the ankle. The patient most likely has a fracture to the:
A. proximal radius.
B. distal ulna.
, C. proximal fibula.
D. distal tibia. - ANSWER ✨✔---
The foramen magnum:
A. connects the forearm to the humerus.
B. is an opening at the base of the skull.
C. attaches the patella to the knee joint.
D. allows lateral movement of the head. - ANSWER ✨✔---
Which of the following is the most frequent cause of airway obstruction?
A. fluid.
B. toys.
C. vomit.
D. the tongue. - ANSWER ✨✔---
Continuous positive airway pressure (CPAP) can reduce respiratory distress by:
A. helping to keep the alveoli open.
B. stimulating sleep apnea.
C. relieving foreign body airway obstruction.
D. increasing the need for intubation. - ANSWER ✨✔---
Which of the following is true during inhalation of a spontaneously breathing patient?
A. There is a drop in pressure within the thorax.
B. There is an increase in pressure within the thorax.
C. Air is being pushed into the lungs.
D. The diaphragm and intercostal muscles are relaxed. - ANSWER ✨✔---
You are first on the scene of a motor vehicle collision involving multiple vehicles. Which of the following
should you do first:
2025 – Complete Study Guide
The primary assessment of an adult with chest pain includes:
A. Identifying the specific cause of the patient's pain.
B. Ensuring the scene is safe.
C. Determine the transwerport priority.
D. Reassessing vital signs. - ANSWER ✨✔---C
(Determining the patient's transwerport priority is a component of the primary assessment. Scene
safety is determined during the scene size up. Determining specifics about the patient's pain and
reassessing vitals are done later in the assessment process.)
You are caring for a six-year-old patient with respiratory distress. The pulse oximeter (Sa02) reads 93%.
Your management of the patient should include:
A. Withhold oxygen until the patient develops accessory muscle use.
B. Contacting the patient's pediatrician prior to transwerport.
C. Administering a metered dose inhaler if prescribed to a parent or sibling.
D. Administer sufficient oxygen to maintain a pulse oximeter reading of at least 94%. -
ANSWER ✨✔---D
(Rationale: Oxygen is indicated for patients with signs or symptoms of hypoxia, including a pulse
oximeter below 94%. EMTs should not withhold oxygen from a patient with a pulse oximeter below
94%. EMTs do not contact the patient's physician for medical direction, nor do they administer MDIs
which are not prescribed to the patient. )
,Which of the following interventions should be performed first for an unresponsive patient with a
suspected spinal cord injury?
A. Head-tilt, chin-lift.
B. Jaw thrust maneuver.
C. Oropharyngeal airway.
D. Nasopharyngeal airway. - ANSWER ✨✔---
You are caring for a 22-year-old female who complains of respiratory distress after exercising. She is
alert, speaking full sentences, and has a persistent cough. She is most likely experiencing:
A. Respiratory distress with adequate breathing.
B. Respiratory distress with inadequate breathing.
C. Respiratory paralysis.
D. Respiratory arrest. - ANSWER ✨✔---
Your 5-year-old patient is unresponsive. A carotid pulse is present at 40 beats per minute. Breaths are
shallow at six per minute. You should immediately:
A. Apply a nonrebreather mask.
B. Begin artificial ventilations.
C. Place the patient in the recovery position.
D. Begin chest compressions - ANSWER ✨✔---
Which of the following medications is intended to decrease myocardial workload and increase
myocardial blood flow?
A. Nitroglycerin
B. Activated charcoal
C. Aspirin
D. Epinephrine - ANSWER ✨✔---
You are caring for a multi-system trauma patient with possible internal bleeding. Select the correct
statement about the rapid scan for a multi-system trauma patient:
,A. The rapid scan is used to identify all injuries.
B. The rapid scan is used to identify life-threatening conditions.
C. The rapid scan is another term for the secondary exam.
D. The rapid scan is not required on conscious patients. - ANSWER ✨✔---
Life-threatening bleeding should be found and treated during the:
A. Primary assessment.
B. Scene size up.
C. Secondary assessment.
D. Patient history. - ANSWER ✨✔---
Your patient is unresponsive following blunt trauma to the head. Which of the following is the EMT's
first priority for an unresponsive patient?
A. Assess respiratory rate.
B. Open the airway.
C. Perform a SAMPLE history.
D. Determine if CPR is indicated - ANSWER ✨✔---
You are called for a drowning victim at a family barbecue. Upon arrival, two family members approach
you yelling, swearing, and demanding to know what took so long. One of the family members pushes
you. You should:
A. retreat and request immediate assistance from law enforcement.
B. explain to the family where you responded from and why you were delayed.
C. order the family members to back off and take you to the patient.
D. tell the family that assaulting an EMS provider is a felony. - ANSWER ✨✔---
Your 6-year-old patient jumped from a swing and injured his right leg. You note deformity to the right
leg above the ankle. The patient most likely has a fracture to the:
A. proximal radius.
B. distal ulna.
, C. proximal fibula.
D. distal tibia. - ANSWER ✨✔---
The foramen magnum:
A. connects the forearm to the humerus.
B. is an opening at the base of the skull.
C. attaches the patella to the knee joint.
D. allows lateral movement of the head. - ANSWER ✨✔---
Which of the following is the most frequent cause of airway obstruction?
A. fluid.
B. toys.
C. vomit.
D. the tongue. - ANSWER ✨✔---
Continuous positive airway pressure (CPAP) can reduce respiratory distress by:
A. helping to keep the alveoli open.
B. stimulating sleep apnea.
C. relieving foreign body airway obstruction.
D. increasing the need for intubation. - ANSWER ✨✔---
Which of the following is true during inhalation of a spontaneously breathing patient?
A. There is a drop in pressure within the thorax.
B. There is an increase in pressure within the thorax.
C. Air is being pushed into the lungs.
D. The diaphragm and intercostal muscles are relaxed. - ANSWER ✨✔---
You are first on the scene of a motor vehicle collision involving multiple vehicles. Which of the following
should you do first:
