NREMT COMPREHENSIVE FINAL
EXAM STUDY GUIDE (2026/2027)
QUESTIONS & VERIFIED ANSWERS (A+
GUARANTEE)
1. A 68-year-old female patient presents with sudden onset of dyspnea, sharp chest pain that
increases with inspiration, and a cough. Her vital signs are BP 110/70, HR 112, RR 28, and
SpO2 88% on room air. She recently underwent hip surgery. What is the most likely
condition?
A. Acute Myocardial Infarction
B. Congestive Heart Failure
C. Spontaneous Pneumothorax
D. Pulmonary Embolism
Answer: D
Conceptual Explanation: Sudden onset dyspnea, pleuritic chest pain, and recent surgery
are classic indicators of a Pulmonary Embolism (PE), especially with low oxygen saturation
despite clear lung sounds.
2. When assessing a patient with a traumatic brain injury, you observe a pattern of increasing
then decreasing breathing depth followed by periods of apnea. This is known as:
A. Cheyne-Stokes respirations
,B. Kussmaul respirations
C. Biot’s respirations
D. Ataxic respirations
Answer: A
Conceptual Explanation: Cheyne-Stokes respirations are characterized by a gradual
increase and decrease in breathing depth followed by apnea, often seen in head injuries or
strokes.
3. An adult patient has sustained partial-thickness burns to his entire left arm, his anterior
chest, and his abdominal region. Using the Rule of Nines, what is the estimated percentage of
body surface area burned?
A. 18%
B. 36%
C. 27%
D. 45%
Answer: C
Conceptual Explanation: The entire arm is 9%, the anterior chest is 9%, and the abdomen
is 9%. 9+9+9 = 27%.
, 4. Which of the following findings is most indicative of a tension pneumothorax rather than a
simple pneumothorax?
A. Jugular venous distention (JVD)
B. Absent lung sounds on the affected side
C. Severe respiratory distress
D. Hyperresonance on percussion
Answer: A
Conceptual Explanation: While both cause respiratory distress and absent lung sounds,
JVD and tracheal deviation (late sign) indicate increased intrathoracic pressure specific to a
tension pneumothorax.
5. A 24-year-old female is 38 weeks pregnant and reports a sudden onset of severe abdominal
pain and dark vaginal bleeding. Her uterus is rigid and painful to the touch. You should
suspect:
A. Abruptio Placentae
B. Placenta Previa
C. Ectopic Pregnancy
D. Uterine Rupture
Answer: A
EXAM STUDY GUIDE (2026/2027)
QUESTIONS & VERIFIED ANSWERS (A+
GUARANTEE)
1. A 68-year-old female patient presents with sudden onset of dyspnea, sharp chest pain that
increases with inspiration, and a cough. Her vital signs are BP 110/70, HR 112, RR 28, and
SpO2 88% on room air. She recently underwent hip surgery. What is the most likely
condition?
A. Acute Myocardial Infarction
B. Congestive Heart Failure
C. Spontaneous Pneumothorax
D. Pulmonary Embolism
Answer: D
Conceptual Explanation: Sudden onset dyspnea, pleuritic chest pain, and recent surgery
are classic indicators of a Pulmonary Embolism (PE), especially with low oxygen saturation
despite clear lung sounds.
2. When assessing a patient with a traumatic brain injury, you observe a pattern of increasing
then decreasing breathing depth followed by periods of apnea. This is known as:
A. Cheyne-Stokes respirations
,B. Kussmaul respirations
C. Biot’s respirations
D. Ataxic respirations
Answer: A
Conceptual Explanation: Cheyne-Stokes respirations are characterized by a gradual
increase and decrease in breathing depth followed by apnea, often seen in head injuries or
strokes.
3. An adult patient has sustained partial-thickness burns to his entire left arm, his anterior
chest, and his abdominal region. Using the Rule of Nines, what is the estimated percentage of
body surface area burned?
A. 18%
B. 36%
C. 27%
D. 45%
Answer: C
Conceptual Explanation: The entire arm is 9%, the anterior chest is 9%, and the abdomen
is 9%. 9+9+9 = 27%.
, 4. Which of the following findings is most indicative of a tension pneumothorax rather than a
simple pneumothorax?
A. Jugular venous distention (JVD)
B. Absent lung sounds on the affected side
C. Severe respiratory distress
D. Hyperresonance on percussion
Answer: A
Conceptual Explanation: While both cause respiratory distress and absent lung sounds,
JVD and tracheal deviation (late sign) indicate increased intrathoracic pressure specific to a
tension pneumothorax.
5. A 24-year-old female is 38 weeks pregnant and reports a sudden onset of severe abdominal
pain and dark vaginal bleeding. Her uterus is rigid and painful to the touch. You should
suspect:
A. Abruptio Placentae
B. Placenta Previa
C. Ectopic Pregnancy
D. Uterine Rupture
Answer: A
