NREMT EXAM PREP
NREMT EXAM PREP LATEST 2025/2026 ACTUAL EXAM COMPLETE
QUESTIONS AND CORRECT ANSWERS WITH DETAILED RATIONALES
GRADED A+ GUARANTEED PASS- ACE YOUR EXAM
You are transporting a 53 year-old male who complains of shortness of breath,
dizziness, numbness in his hands, and a dry mouth. His vital signs are: blood
pressure 118/80 mmHg, HR 120, RR of 32, SpO2 99%, and ETCO2 of 26 mmHg.
What do you suspect?
a. Hypokalemia
b. Hypoventilation syndrome
c. Pneumothorax
d. Hyperventilation syndrome
Hyperventilation syndrome
This patient is hyperventilating as demonstrated by his increased respiratory rate
and low end-tidal reading levels. A high respiratory rate increases the amount of
carbon dioxide exhaled, accounting for the low end-tidal reading. His heart rate is
also a little elevated, possibly due to anxiety.
A 78 year old female is found lying on her bathroom floor unconscious. Her
caregiver reports finding her like this upon arrival and is unsure what happened.
You hear gurgling sounds on inspiration. What is the next best step?
a. Suction her airway
b. Begin ventilations with a bag-valve mask
c. Insert an oropharyngeal airway
d. Provide nasal cannula at 2 L/min
suction her airway
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, NREMT EXAM PREP
The gurgling sounds on inspiration suggest her airway needs to be cleared. You
want to make sure you suction and clear her airway before proceeding with
treatment.
You assess a 23 year-old male who was struck in the right chest wall with an airbag
after a motor vehicle accident. The patient complains of pain on inspiration and
shortness of breath. You gather the following from your physical assessment:
unequal chest wall rise and absent lungs sounds on the right side. What do you
suspect?
a. Flail chest
b. Cardiac tamponade
c. Tension pneumothorax
d. Right chest contusion
Tension pneumothorax
Tension pneumothorax is where one of the lungs collapses, and can commonly
happen with traumatic events like a motor vehicle crash. Its hallmark signs and
symptoms are absent lung sounds on affected side and unequal rise and fall of the
chest.
You arrive on scene to a 4 year-old girl choking on her food. She is unresponsive
and not breathing. What is the next best step in the management of this patient?
a. Start chest compressions
b. Provide 5 back slaps
c. Inspect the airway with a finger sweep
d. Perform abdominal thrust
Start chest compressions
Since the child is unresponsive and not breathing, this would be the best method
to try and remove the foreign object.
2|Page
, NREMT EXAM PREP
A 68 year-old male is experiencing an exacerbation of his COPD. He states he is
having a hard time breathing and it is getting worse. His vital signs are as follows:
BP 140/92, HR 118, RR of 25, SpO2 84% on oxygen by nasal cannula at 3L/min.
What is the next best step?
a. Rapid transport and reassess vital signs in 5 minutes
b. Start ventilations with bag-valve mask
c. Provide oxygen by non-rebreather mask
d. Titrate oxygen flow rate on nasal cannula to 6L/min
Provide oxygen by non-rebreather mask
The non-rebreather mask is correct as a higher concentration of oxygen can be
administered than via the nasal cannula, especially since the patient has stated his
symptoms are getting worse.
A 21 year-old male was shot in the left chest, below the clavicle. Where should
you place the stethoscope to best hear his lung sounds?
a. Anterior chest, below xiphoid process
b. Anterior chest, above suprasternal notch
c. Posterior, above occiput
d. Posterior, below the scapula
Posterior, below the scapula
Below our scapula is a large area of the lungs to auscultate breath sounds.
A 10 year-old boy complains of sore throat and pain when swallowing. He
presents in the tripod position and has a fever of 101 degrees F. His parents state
he went to bed fine and woke up suddenly with symptoms. You suspect:
a. Croup
b. Epiglottitis
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, NREMT EXAM PREP
c. Bacterial Tracheitis
d. Bronchiolitis
Epiglottitis
The patient presents with the hallmark symptoms of epiglottitis, sudden sore
throat and pain when swallowing. It is also common for children to wake up the
next day suddenly with these symptoms. He is also demonstrating signs of
respiratory distress as he presents in the tripod position.
You arrive on scene to a patient with a history of COPD having an exacerbation. He
requires rapid transport to the emergency department. What is the best position
for the patient to be transported on the stretcher?
a. Trendelenburg position
b. Supine position
c. Prone position
d. Fowler's position
Fowler's position
This position is where the head of the stretcher is elevated 45-60 degrees, so the
patient is sitting upright. This position is typically the most comfortable for
patients with difficulty breathing.
You and your partner arrive on scene to a 7 year-old male who has tripped and fell
into a pool, hitting his head. You find he has no respirations and no pulse. What is
the next best step in the management of this patient?
a. Provide manual stabilization of cervical spine and gather additional rescuers to
perform 2-rescuer CPR at a 15:2 ratio.
b. Apply cervical collar and deliver 2-rescuer CPR at 30:2 ratio.
c. Insert nasopharyngeal airway and begin bag-valve mask ventilations at 12-20
breaths/min
4|Page
NREMT EXAM PREP LATEST 2025/2026 ACTUAL EXAM COMPLETE
QUESTIONS AND CORRECT ANSWERS WITH DETAILED RATIONALES
GRADED A+ GUARANTEED PASS- ACE YOUR EXAM
You are transporting a 53 year-old male who complains of shortness of breath,
dizziness, numbness in his hands, and a dry mouth. His vital signs are: blood
pressure 118/80 mmHg, HR 120, RR of 32, SpO2 99%, and ETCO2 of 26 mmHg.
What do you suspect?
a. Hypokalemia
b. Hypoventilation syndrome
c. Pneumothorax
d. Hyperventilation syndrome
Hyperventilation syndrome
This patient is hyperventilating as demonstrated by his increased respiratory rate
and low end-tidal reading levels. A high respiratory rate increases the amount of
carbon dioxide exhaled, accounting for the low end-tidal reading. His heart rate is
also a little elevated, possibly due to anxiety.
A 78 year old female is found lying on her bathroom floor unconscious. Her
caregiver reports finding her like this upon arrival and is unsure what happened.
You hear gurgling sounds on inspiration. What is the next best step?
a. Suction her airway
b. Begin ventilations with a bag-valve mask
c. Insert an oropharyngeal airway
d. Provide nasal cannula at 2 L/min
suction her airway
1|Page
, NREMT EXAM PREP
The gurgling sounds on inspiration suggest her airway needs to be cleared. You
want to make sure you suction and clear her airway before proceeding with
treatment.
You assess a 23 year-old male who was struck in the right chest wall with an airbag
after a motor vehicle accident. The patient complains of pain on inspiration and
shortness of breath. You gather the following from your physical assessment:
unequal chest wall rise and absent lungs sounds on the right side. What do you
suspect?
a. Flail chest
b. Cardiac tamponade
c. Tension pneumothorax
d. Right chest contusion
Tension pneumothorax
Tension pneumothorax is where one of the lungs collapses, and can commonly
happen with traumatic events like a motor vehicle crash. Its hallmark signs and
symptoms are absent lung sounds on affected side and unequal rise and fall of the
chest.
You arrive on scene to a 4 year-old girl choking on her food. She is unresponsive
and not breathing. What is the next best step in the management of this patient?
a. Start chest compressions
b. Provide 5 back slaps
c. Inspect the airway with a finger sweep
d. Perform abdominal thrust
Start chest compressions
Since the child is unresponsive and not breathing, this would be the best method
to try and remove the foreign object.
2|Page
, NREMT EXAM PREP
A 68 year-old male is experiencing an exacerbation of his COPD. He states he is
having a hard time breathing and it is getting worse. His vital signs are as follows:
BP 140/92, HR 118, RR of 25, SpO2 84% on oxygen by nasal cannula at 3L/min.
What is the next best step?
a. Rapid transport and reassess vital signs in 5 minutes
b. Start ventilations with bag-valve mask
c. Provide oxygen by non-rebreather mask
d. Titrate oxygen flow rate on nasal cannula to 6L/min
Provide oxygen by non-rebreather mask
The non-rebreather mask is correct as a higher concentration of oxygen can be
administered than via the nasal cannula, especially since the patient has stated his
symptoms are getting worse.
A 21 year-old male was shot in the left chest, below the clavicle. Where should
you place the stethoscope to best hear his lung sounds?
a. Anterior chest, below xiphoid process
b. Anterior chest, above suprasternal notch
c. Posterior, above occiput
d. Posterior, below the scapula
Posterior, below the scapula
Below our scapula is a large area of the lungs to auscultate breath sounds.
A 10 year-old boy complains of sore throat and pain when swallowing. He
presents in the tripod position and has a fever of 101 degrees F. His parents state
he went to bed fine and woke up suddenly with symptoms. You suspect:
a. Croup
b. Epiglottitis
3|Page
, NREMT EXAM PREP
c. Bacterial Tracheitis
d. Bronchiolitis
Epiglottitis
The patient presents with the hallmark symptoms of epiglottitis, sudden sore
throat and pain when swallowing. It is also common for children to wake up the
next day suddenly with these symptoms. He is also demonstrating signs of
respiratory distress as he presents in the tripod position.
You arrive on scene to a patient with a history of COPD having an exacerbation. He
requires rapid transport to the emergency department. What is the best position
for the patient to be transported on the stretcher?
a. Trendelenburg position
b. Supine position
c. Prone position
d. Fowler's position
Fowler's position
This position is where the head of the stretcher is elevated 45-60 degrees, so the
patient is sitting upright. This position is typically the most comfortable for
patients with difficulty breathing.
You and your partner arrive on scene to a 7 year-old male who has tripped and fell
into a pool, hitting his head. You find he has no respirations and no pulse. What is
the next best step in the management of this patient?
a. Provide manual stabilization of cervical spine and gather additional rescuers to
perform 2-rescuer CPR at a 15:2 ratio.
b. Apply cervical collar and deliver 2-rescuer CPR at 30:2 ratio.
c. Insert nasopharyngeal airway and begin bag-valve mask ventilations at 12-20
breaths/min
4|Page
