NREMT STUDY GUIDE {LATEST 2026 -2027
Update} QUESTIONS AND ANSWERS 100%
CORRECT
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 - correct answer suction her airway
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 - correct answer 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 - correct answer Start chest compressions
Since the child is unresponsive and not breathing, this would be the best method to try
and remove the foreign object.
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 - correct answer 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 - correct answer Posterior, below the scapula
Below our scapula is a large area of the lungs to auscultate breath sounds.
Update} QUESTIONS AND ANSWERS 100%
CORRECT
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 - correct answer suction her airway
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 - correct answer 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 - correct answer Start chest compressions
Since the child is unresponsive and not breathing, this would be the best method to try
and remove the foreign object.
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 - correct answer 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 - correct answer Posterior, below the scapula
Below our scapula is a large area of the lungs to auscultate breath sounds.
