NREMT COGNITIVE EXAM
NREMT Cognitive Study Guide
Exam Containing 465 Questions with
Definitive Solutions 2024-2025.
(Dark Back Ground for better Visibility and eye Care)
In trauma a low pulse pressure suggests? - Answer: Significant blood loss
1
, NREMT COGNITIVE EXAM
Blood pressure has a direct effect on? - Answer: The perfusion of the body’s
tissues
Cells that die during a stroke are called? - Answer: Infarcted cells
You are called to a home where a 91-year-old man has had a syncopal episode and
is vomiting. The caregiver who called 911 stated that the patient's bowel
movements have been bright red since yesterday. The patient has not complained
of any pain, but is nauseated. What is most likely wrong with this man and which
choice includes appropriate treatment steps?
Choices:
A. He has an upper GI bleed and should be transported sitting up with high flow
O2 administered via a non-rebreather mask at 15 LPM.
B. He has had a TIA and should be given high flow oxygen via NRB and transported
on his effected side to the nearest hospital.
C. He has pancreatitis and should be given high flow O2 via NRB at 15 LPM. Rapid
transport in a left lateral recumbent position while keeping him warm will help
avoid shock.
D. He has a lower GI bleed and should be given O2 via nasal cannula at 4LPM and
transported in a position of comfort while t - Answer: D. He has a lower GI bleed
2
, NREMT COGNITIVE EXAM
and should be given O2 via nasal cannula at 4LPM and transported in a position of
comfort while treating for shock
Rationale: The bright red blood in the bowel movements is indicative of a lower GI
bleed. Answer 1,2, and 3 all utilize an NRB to deliver high flow O2. Given that the
patient is vomiting and nauseated, it would be advisable to use a nasal cannula,
rather than an NRB, to help avoid potential airway compromise if the patient
continues to vomit.
If a patient was feeling nauseated this would likely be
a_______________response. If a person was tachycardic it would likely be
a___________________ response. - Answer: Parasympathetic/Sympathetic
You are assessing an 84-year-old man. Upon auscultation of the lungs, you
discover crackles or rale sounds. He is complaining of chest pain and congestion.
These signs and symptoms can indicate?
Choices:
A. An embolism
B. Collapse of the vena cava
C. Left ventricular failure
D. Right ventricular failure - Answer: C. Left ventricle failure
3
, NREMT COGNITIVE EXAM
Rationale: These are signs and symptoms of a possible failure of the left ventricle.
The pump portion of the heart is unable to pump efficiently and fluid begins to
back up into the lungs.
A child between 3-5 would have normal vitals if they were?
Choices:
A. 35 breaths a minute, pulse of 88, and Systolic BP of 100
B. 24 breaths a minute, pulse of 76, and Systolic BP of 98
C. 20 breaths a minute, pulse of 100, and Systolic BP of 110
D. 20 breaths a minute, pulse of 120, and Systolic BP of 120 - Answer: 20 breaths a
minute, pulse of 100, and Systolic BP of 110
Rationale: A child between 3 and 5 (preschool-age) should have respirations
between 20-30, a pulse of 80-120, and a systolic BP of 80 - 110.
(Toddler 12 to 36 months)
The pediatric assessment triangle is composed of three elements:
Choices:
A. Muscle Tone, Respiratory depth and rate, Perfusion
4
NREMT Cognitive Study Guide
Exam Containing 465 Questions with
Definitive Solutions 2024-2025.
(Dark Back Ground for better Visibility and eye Care)
In trauma a low pulse pressure suggests? - Answer: Significant blood loss
1
, NREMT COGNITIVE EXAM
Blood pressure has a direct effect on? - Answer: The perfusion of the body’s
tissues
Cells that die during a stroke are called? - Answer: Infarcted cells
You are called to a home where a 91-year-old man has had a syncopal episode and
is vomiting. The caregiver who called 911 stated that the patient's bowel
movements have been bright red since yesterday. The patient has not complained
of any pain, but is nauseated. What is most likely wrong with this man and which
choice includes appropriate treatment steps?
Choices:
A. He has an upper GI bleed and should be transported sitting up with high flow
O2 administered via a non-rebreather mask at 15 LPM.
B. He has had a TIA and should be given high flow oxygen via NRB and transported
on his effected side to the nearest hospital.
C. He has pancreatitis and should be given high flow O2 via NRB at 15 LPM. Rapid
transport in a left lateral recumbent position while keeping him warm will help
avoid shock.
D. He has a lower GI bleed and should be given O2 via nasal cannula at 4LPM and
transported in a position of comfort while t - Answer: D. He has a lower GI bleed
2
, NREMT COGNITIVE EXAM
and should be given O2 via nasal cannula at 4LPM and transported in a position of
comfort while treating for shock
Rationale: The bright red blood in the bowel movements is indicative of a lower GI
bleed. Answer 1,2, and 3 all utilize an NRB to deliver high flow O2. Given that the
patient is vomiting and nauseated, it would be advisable to use a nasal cannula,
rather than an NRB, to help avoid potential airway compromise if the patient
continues to vomit.
If a patient was feeling nauseated this would likely be
a_______________response. If a person was tachycardic it would likely be
a___________________ response. - Answer: Parasympathetic/Sympathetic
You are assessing an 84-year-old man. Upon auscultation of the lungs, you
discover crackles or rale sounds. He is complaining of chest pain and congestion.
These signs and symptoms can indicate?
Choices:
A. An embolism
B. Collapse of the vena cava
C. Left ventricular failure
D. Right ventricular failure - Answer: C. Left ventricle failure
3
, NREMT COGNITIVE EXAM
Rationale: These are signs and symptoms of a possible failure of the left ventricle.
The pump portion of the heart is unable to pump efficiently and fluid begins to
back up into the lungs.
A child between 3-5 would have normal vitals if they were?
Choices:
A. 35 breaths a minute, pulse of 88, and Systolic BP of 100
B. 24 breaths a minute, pulse of 76, and Systolic BP of 98
C. 20 breaths a minute, pulse of 100, and Systolic BP of 110
D. 20 breaths a minute, pulse of 120, and Systolic BP of 120 - Answer: 20 breaths a
minute, pulse of 100, and Systolic BP of 110
Rationale: A child between 3 and 5 (preschool-age) should have respirations
between 20-30, a pulse of 80-120, and a systolic BP of 80 - 110.
(Toddler 12 to 36 months)
The pediatric assessment triangle is composed of three elements:
Choices:
A. Muscle Tone, Respiratory depth and rate, Perfusion
4
