NREMT COMPREHENSIVE EXAM SCRIPT
2026 FULL QUESTIONS AND ANSWERS
◉ A 68-year-old male patient states that he had a myocardial
infarction three years ago. What is he is referring to?
Answer: A myocardial infraction, more commonly referred to as a
"heart attack", is when part of the patient's myocardium (heart
muscle) is starved for oxygen and dies.
◉ While performing chest compressions, where do you want to
ensure your hands are located?
Answer: Correct hand placement for chest compressions is the
center of the chest over the lower half of the breastbone.
◉ You respond to a patient who stated he was woken from a sound
sleep with shortness of breath. Your assessment finds a BP of
180/100, pulse 116, respirations 36 and a pulse oximeter reading of
87%. Lung sounds reveal crackles in the bases. You suspect this
patient to be suffering from?
Answer: This patient is presenting with classic signs/symptoms of
congestive heart failure. Most patients present present with
shortness of breath, elevated BP and L/S with crackles. Alot of
patients will have shortness of breath after laying flat while sleeping.
,◉ Blood follows a specific pathway through the heart. After traveling
through the right atrium, blood goes through WHICH valve into the
right ventricle?
Answer: tricuspid valve
◉ What is the pathway of blood through the heart
Answer: The pathway of blood through the heart is superior vena
cava, right atrium, tricuspid valve, right ventricle, lungs for
oxygenation, pulmonary valve, left atrium, bicuspid valve, left
ventricle, aortic valve, aorta.
◉ Mottling
Answer: Mottling of the skin is an indicator of poor perfusion that is
a result of peripheral blood vessel constriction.
◉ Which of the following symptoms is most commonly associated
with cardiac related chest pain?
Answer: Jaw pain
◉ Which of the following is the only acceptable reason to withhold
compressions for longer than ten seconds?
Answer: If a patient needs to be moved or there is a dangerous
situation, you may pause compressions momentarily. When you stop
chest compressions, circulating blood and oxygen is deprived from
the brain and heart.
,◉ When you enter the home, you find a 56-year-old male sitting on a
chair, leaning forward. He is holding his chest and breathing rapidly.
He says that he feels like an elephant is sitting on his chest. He is also
feeling dizzy and nauseated. The pain has occurred suddenly, within
the last 30 minutes. His symptoms suggest that he is experiencing
which of the following?
Answer: In cases of chest pain, it is easy to assume a heart attack,
and rightfully so. In this case, the patient is experiencing Angina
Pectoris, which is considered a precursor to a heart attack. The pain
was sudden for the patient, and he is slowly starting to show
symptoms of a heart attack. The heart is responding to decreased
oxygen flow to the heart muscles. If the heart continues to receive
less and less oxygen, the muscles can die, leading to a heart attack
(or myocardial infarction). In this case as well as full-blown heart
attacks, it is important to work quickly and get the patient to the
hospital as soon as possible.
◉ Angina Pectoris
Answer: The chest pain you feel with angina happens because there
isn't enough blood flowing to part of your heart. It's a symptom of
heart disease, and it's caused when something blocks the arteries
that bring oxygen-rich blood to your heart.
Angina pectoris, commonly known as angina, is the sensation of
chest pain, pressure, or squeezing, often due to ischemia of the heart
muscle from obstruction
, ◉ Your 84-year-old patient complains that he is intolerant to his
daily exercise routine of walking around the block. This is a key
symptom of:
Answer: In an elderly patient, exercise intolerance is a key symptom
of angina. It indicates increased stress on the heart.
◉ During CPR, compressions should be performed at which of the
following rates?
Answer: The AHA has reviewed numerous studies and found that a
rate between 100-120 is best when performing chest compressions
to help maintain blood flow to the vital organs.
◉ The right ventricle is responsible for which of the following
actions?
Answer: Pumping blood to the lungs
◉ You respond to a 23-year-old male in cardiac arrest. CPR is in
progress when you arrive and you quickly take over compressions.
The most important interventions that will affect this patient's
outcome are?
Answer: High quality compressions and quick defibrillation
◉ What is the difference between systolic blood pressure and
diastolic blood pressure?
2026 FULL QUESTIONS AND ANSWERS
◉ A 68-year-old male patient states that he had a myocardial
infarction three years ago. What is he is referring to?
Answer: A myocardial infraction, more commonly referred to as a
"heart attack", is when part of the patient's myocardium (heart
muscle) is starved for oxygen and dies.
◉ While performing chest compressions, where do you want to
ensure your hands are located?
Answer: Correct hand placement for chest compressions is the
center of the chest over the lower half of the breastbone.
◉ You respond to a patient who stated he was woken from a sound
sleep with shortness of breath. Your assessment finds a BP of
180/100, pulse 116, respirations 36 and a pulse oximeter reading of
87%. Lung sounds reveal crackles in the bases. You suspect this
patient to be suffering from?
Answer: This patient is presenting with classic signs/symptoms of
congestive heart failure. Most patients present present with
shortness of breath, elevated BP and L/S with crackles. Alot of
patients will have shortness of breath after laying flat while sleeping.
,◉ Blood follows a specific pathway through the heart. After traveling
through the right atrium, blood goes through WHICH valve into the
right ventricle?
Answer: tricuspid valve
◉ What is the pathway of blood through the heart
Answer: The pathway of blood through the heart is superior vena
cava, right atrium, tricuspid valve, right ventricle, lungs for
oxygenation, pulmonary valve, left atrium, bicuspid valve, left
ventricle, aortic valve, aorta.
◉ Mottling
Answer: Mottling of the skin is an indicator of poor perfusion that is
a result of peripheral blood vessel constriction.
◉ Which of the following symptoms is most commonly associated
with cardiac related chest pain?
Answer: Jaw pain
◉ Which of the following is the only acceptable reason to withhold
compressions for longer than ten seconds?
Answer: If a patient needs to be moved or there is a dangerous
situation, you may pause compressions momentarily. When you stop
chest compressions, circulating blood and oxygen is deprived from
the brain and heart.
,◉ When you enter the home, you find a 56-year-old male sitting on a
chair, leaning forward. He is holding his chest and breathing rapidly.
He says that he feels like an elephant is sitting on his chest. He is also
feeling dizzy and nauseated. The pain has occurred suddenly, within
the last 30 minutes. His symptoms suggest that he is experiencing
which of the following?
Answer: In cases of chest pain, it is easy to assume a heart attack,
and rightfully so. In this case, the patient is experiencing Angina
Pectoris, which is considered a precursor to a heart attack. The pain
was sudden for the patient, and he is slowly starting to show
symptoms of a heart attack. The heart is responding to decreased
oxygen flow to the heart muscles. If the heart continues to receive
less and less oxygen, the muscles can die, leading to a heart attack
(or myocardial infarction). In this case as well as full-blown heart
attacks, it is important to work quickly and get the patient to the
hospital as soon as possible.
◉ Angina Pectoris
Answer: The chest pain you feel with angina happens because there
isn't enough blood flowing to part of your heart. It's a symptom of
heart disease, and it's caused when something blocks the arteries
that bring oxygen-rich blood to your heart.
Angina pectoris, commonly known as angina, is the sensation of
chest pain, pressure, or squeezing, often due to ischemia of the heart
muscle from obstruction
, ◉ Your 84-year-old patient complains that he is intolerant to his
daily exercise routine of walking around the block. This is a key
symptom of:
Answer: In an elderly patient, exercise intolerance is a key symptom
of angina. It indicates increased stress on the heart.
◉ During CPR, compressions should be performed at which of the
following rates?
Answer: The AHA has reviewed numerous studies and found that a
rate between 100-120 is best when performing chest compressions
to help maintain blood flow to the vital organs.
◉ The right ventricle is responsible for which of the following
actions?
Answer: Pumping blood to the lungs
◉ You respond to a 23-year-old male in cardiac arrest. CPR is in
progress when you arrive and you quickly take over compressions.
The most important interventions that will affect this patient's
outcome are?
Answer: High quality compressions and quick defibrillation
◉ What is the difference between systolic blood pressure and
diastolic blood pressure?
