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NREMT Practice Test Bank - Multiple
Choice 2026|Comprehensive Q&A For
Certification Success
A 32-year-old man who was stung by a bee has diffuse hives, facial swelling, and
difficulty breathing. When he breathes, you hear audible stridor. What does this
indicate?
• A:Narrowing of the two mainstem bronchi
• B:Swelling of the upper airway structures
• C:Narrowing of the bronchioles in the lungs
• D:Swelling of the lower airway structures - correct-answer -You selected B; This
is correct!
Reason:This patient is experiencing a severe allergic reaction (anaphylaxis).
Stridor, which is a high-pitched sound heard on inhalation, indicates swelling of
the structures and tissues of the upper airway. If not promptly treated, the
patient's airway may close completely, resulting in respiratory arrest. Narrowing of
the bronchioles in the lungs causes wheezing, a whistling sound that may be
heard during inhalation, exhalation, or both.
A behavioral crisis is MOST accurately defined as:
• A:any reaction to an event that interferes with the activities of daily living or has
become unacceptable to the patient, family, or community.
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• B:an acute psychiatric emergency characterized by violent behavior, mood
swings, and a loss of connection to reality.
• C:a persistent feeling of sadness, despair, or hopelessness that incapacitates the
patient and prevents him or her from interacting socially.
• D:a chronic mental health problem in which the patient experiences frequent
thoughts of suicide or other self-destructive behavior. - correct-answer -You
selected A; This is correct!
Reason:The definition of a behavioral crisis or emergency is any reaction to an
event that interferes with the activities of daily living (eg, bathing, dressing,
eating) or has become unacceptable to the patient, his or her family, or the
general community. Some patients react to an event with violent behavior or
suicidal thoughts; others react with depression. Regardless of the reaction, it
significantly interferes with the patient's life or is unacceptable to his or her family
and/or the community
You are called to an assisted living center where an attendant found a 72-year-old
man unresponsive. The patient had recent hip surgery and has been taking
Vicodin for pain. His respirations are slow and shallow and his pulse is slow and
weak. You should:
• A:apply the AED in case he develops cardiac arrest.
• B:request an ALS ambulance to respond to the scene.
• C:begin ventilation assistance with a bag-mask device.
• D:apply high-flow oxygen via a nonrebreathing mask. - correct-answer -You
selected C; This is correct!
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Reason:Vicodin is a combination of hydrocodone and acetaminophen (APAP), the
active ingredient in Tylenol. Hydrocodone is a potent narcotic analgesic. When
taken in excess, it can suppress the central nervous system and cause respiratory
depression, bradycardia, and hypotension. Initial management of any patient who
has overdosed on a medication of this type is to ensure a patent airway and
support breathing. Because the patient is breathing inadequately (slow and
shallow), immediate ventilation assistance is needed. Consider requesting an ALS
ambulance if transport time to the nearest hospital will be lengthy. Paramedics
can administer a drug called naloxone (Narcan) to reverse the effects of narcotic
drugs. The AED is not indicated for this patient; it is only applied to patients in
cardiac arrest.
In the patient with diabetes, insulin shock typically presents with:
• A:clammy skin and a rapid onset.
• B:dry skin and a slow onset.
• C:dry skin and a rapid onset.
• D:clammy skin and a slow onset. - correct-answer -The correct answer is A;
Reason:In the patient with diabetes, insulin shock (hypoglycemic crisis) presents
with cool, clammy skin and a rapid onset. The brain is critically dependent on
glucose and responds quickly when the body is in short supply. Diabetic coma
(hyperglycemic crisis) typically presents with warm, dry skin and a slow onset,
sometimes occurring over a period of days.
Your FIRST action in managing a patient with an altered mental status should be
to:
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• A:determine if the patient is breathing adequately.
• B:administer one tube of oral glucose.
• C:administer high-flow supplemental oxygen.
• D:ask a family member how the patient normally acts. - correct-answer -You
selected A; This is correct!
Reason:When treating a patient with an altered mental status, you must first
ensure a patent airway and determine if the patient is breathing adequately. If the
patient is breathing adequately, administer supplemental oxygen and continue
your assessment. If the patient is not breathing adequately (ie, fast or slow rate,
shallow breathing [reduced tidal volume]), assist his or her ventilations. It is
important to ask a family member, if available, how the patient normally acts; this
will help establish a baseline. Before administering oral glucose, you should assess
the patient's blood glucose level to determine if hypoglycemia is the cause of his
or her problem and then decide if the patient is able to swallow the glucose, if
indicated. If the patient is unable to swallow, do not administer oral glucose, even
if he or she is hypoglycemic. Request a paramedic ambulance if possible so the
patient can receive intravenous glucose.
A patient who overdosed on methamphetamine would be expected to have all of
the following clinical signs, EXCEPT:
• A:agitation.
• B:hypertension.
• C:dilated pupils.
• D:bradycardia. - correct-answer -You selected C; The correct answer is D;
NREMT Practice Test Bank - Multiple
Choice 2026|Comprehensive Q&A For
Certification Success
A 32-year-old man who was stung by a bee has diffuse hives, facial swelling, and
difficulty breathing. When he breathes, you hear audible stridor. What does this
indicate?
• A:Narrowing of the two mainstem bronchi
• B:Swelling of the upper airway structures
• C:Narrowing of the bronchioles in the lungs
• D:Swelling of the lower airway structures - correct-answer -You selected B; This
is correct!
Reason:This patient is experiencing a severe allergic reaction (anaphylaxis).
Stridor, which is a high-pitched sound heard on inhalation, indicates swelling of
the structures and tissues of the upper airway. If not promptly treated, the
patient's airway may close completely, resulting in respiratory arrest. Narrowing of
the bronchioles in the lungs causes wheezing, a whistling sound that may be
heard during inhalation, exhalation, or both.
A behavioral crisis is MOST accurately defined as:
• A:any reaction to an event that interferes with the activities of daily living or has
become unacceptable to the patient, family, or community.
,2|Page
• B:an acute psychiatric emergency characterized by violent behavior, mood
swings, and a loss of connection to reality.
• C:a persistent feeling of sadness, despair, or hopelessness that incapacitates the
patient and prevents him or her from interacting socially.
• D:a chronic mental health problem in which the patient experiences frequent
thoughts of suicide or other self-destructive behavior. - correct-answer -You
selected A; This is correct!
Reason:The definition of a behavioral crisis or emergency is any reaction to an
event that interferes with the activities of daily living (eg, bathing, dressing,
eating) or has become unacceptable to the patient, his or her family, or the
general community. Some patients react to an event with violent behavior or
suicidal thoughts; others react with depression. Regardless of the reaction, it
significantly interferes with the patient's life or is unacceptable to his or her family
and/or the community
You are called to an assisted living center where an attendant found a 72-year-old
man unresponsive. The patient had recent hip surgery and has been taking
Vicodin for pain. His respirations are slow and shallow and his pulse is slow and
weak. You should:
• A:apply the AED in case he develops cardiac arrest.
• B:request an ALS ambulance to respond to the scene.
• C:begin ventilation assistance with a bag-mask device.
• D:apply high-flow oxygen via a nonrebreathing mask. - correct-answer -You
selected C; This is correct!
,3|Page
Reason:Vicodin is a combination of hydrocodone and acetaminophen (APAP), the
active ingredient in Tylenol. Hydrocodone is a potent narcotic analgesic. When
taken in excess, it can suppress the central nervous system and cause respiratory
depression, bradycardia, and hypotension. Initial management of any patient who
has overdosed on a medication of this type is to ensure a patent airway and
support breathing. Because the patient is breathing inadequately (slow and
shallow), immediate ventilation assistance is needed. Consider requesting an ALS
ambulance if transport time to the nearest hospital will be lengthy. Paramedics
can administer a drug called naloxone (Narcan) to reverse the effects of narcotic
drugs. The AED is not indicated for this patient; it is only applied to patients in
cardiac arrest.
In the patient with diabetes, insulin shock typically presents with:
• A:clammy skin and a rapid onset.
• B:dry skin and a slow onset.
• C:dry skin and a rapid onset.
• D:clammy skin and a slow onset. - correct-answer -The correct answer is A;
Reason:In the patient with diabetes, insulin shock (hypoglycemic crisis) presents
with cool, clammy skin and a rapid onset. The brain is critically dependent on
glucose and responds quickly when the body is in short supply. Diabetic coma
(hyperglycemic crisis) typically presents with warm, dry skin and a slow onset,
sometimes occurring over a period of days.
Your FIRST action in managing a patient with an altered mental status should be
to:
, 4|Page
• A:determine if the patient is breathing adequately.
• B:administer one tube of oral glucose.
• C:administer high-flow supplemental oxygen.
• D:ask a family member how the patient normally acts. - correct-answer -You
selected A; This is correct!
Reason:When treating a patient with an altered mental status, you must first
ensure a patent airway and determine if the patient is breathing adequately. If the
patient is breathing adequately, administer supplemental oxygen and continue
your assessment. If the patient is not breathing adequately (ie, fast or slow rate,
shallow breathing [reduced tidal volume]), assist his or her ventilations. It is
important to ask a family member, if available, how the patient normally acts; this
will help establish a baseline. Before administering oral glucose, you should assess
the patient's blood glucose level to determine if hypoglycemia is the cause of his
or her problem and then decide if the patient is able to swallow the glucose, if
indicated. If the patient is unable to swallow, do not administer oral glucose, even
if he or she is hypoglycemic. Request a paramedic ambulance if possible so the
patient can receive intravenous glucose.
A patient who overdosed on methamphetamine would be expected to have all of
the following clinical signs, EXCEPT:
• A:agitation.
• B:hypertension.
• C:dilated pupils.
• D:bradycardia. - correct-answer -You selected C; The correct answer is D;
