NREMT EMT Cognitive Exam – 180 Practice Questions with
Correct Answers & Detailed Rationales
Pass the NREMT Cognitive Exam on your first attempt!
Prepare for the NREMT Emergency Medical Technician (EMT) Cognitive Examination with this comprehensive set of 180
multiple-choice questions. Each question includes:
✅ Correct answer in ***italic bold***
✅ Coverage of all 5 NREMT domains:
• Airway, Breathing & Ventilation
• Cardiology & Resuscitation
• Trauma & Shock
• Medical Emergencies
• EMS Operations
Perfect for last-minute review or systematic content mastery. Updated for the April 2026 NREMT changes including Tec
hnology Enhanced Items (TEIs).
**Pass the NREMT Cognitive Exam on your first attempt!*
A 29 year old male has taken LSD. The patient appears very anxious and in a panic
state. He is showing signs of paranoia. You should:
A. agree withe everything the patient says
B. restrain the patient
C. be aggressive and talk very straight and stern to the patient
D. talk the patient down by reassuring the patient - SELECTED ANSWER 👀D
The most serious side effect of alcohol consumption is:
A. liver damage
B. hepatitis
C. death
,D. loss of consciousness - SELECTED ANSWER 👀C
You arrive on the scene of an incident where a 16 year old male fell approximately 12
feet. That would be considered:
A. a trauma alert
B. a significant mechanism of injury
C. not a significant mechanism of injury
D. a case with a load 'n' go patient - SELECTED ANSWER 👀C
(A patient over the age of 8 is considered an adult for most medical care purposes. A
fall of greater than 20 feet is considered a significant injury in adults. If this had been
an infant or child, it would have been a significant mechanism of injury since any fall
greater than 10 feet would be considered a significant mechanism of injury.)
When assessing a 35 year old patient complaining she is short of breath, you note
that her breathing is in excess of 28 times per minute. This is considered:
A. neuropnea
B. apnea
C. bradypnea
D. tachypnea - SELECTED ANSWER 👀D
(Respiratory rates greater than 20 breaths per minute are considered tachypnea. Less
than 12 breaths per minute is bradypnea and absent breathing is apnea.)
You arrive on the scene of a patient who fell from a ladder. You should open the
patient's airway by using:
A. head-tilt/chin-lift
B. jaw thrust maneuver
C. neck-lift/head-tilt
,D. head-tilt/jaw-thrust - SELECTED ANSWER 👀B
You arrive on the scene, finding an unconscious patient. There are no other
individuals in the vicinity to give any other information or permission to treat the
patient. Even though the patient cannot give you consent to treat him, you begin to
do so because of"
A. expressed consent
B. implied consent
C. advanced directives
D. emergency consent - SELECTED ANSWER 👀B
The AED is used to treat patients in:
A. asystole
B. ventricular tachycardia with a pulse
C. ventricular fibrillation
D. pulseless electrical activity - SELECTED ANSWER 👀C
You arrive on the scene to discover a 65-year-old female lying on the floor of her
living room. Your first step in the care of this patient is to"
A. begin chest compressions
B. apply the AED
C. maintain an open airway
D. assess level of consciousness - SELECTED ANSWER 👀D
You arrive on the scene to find an unconscious patient about 14 years of age. Where
would you assess for a pulse on this patient?
A. carotid artery
, B. brachial artery
C. femoral artery
D. radial artery - SELECTED ANSWER 👀A
The appropriate care for a patient with epistaxis is to:
A. have the patient lay down and remain calm
B. pinch the nostrils and have the patient lean forward
C. pinch the nostrils and have the patient lean back
D. have the patient lay in a supine position with his head lower than the body -
SELECTED ANSWER 👀B
(Epistaxis is a nose bleed. In these cases you should have the patient pinch their
nose and lean forward.)
During your assessment of a patient's chest you note that the left side of the chest
moves opposite to the right. This is called:
A. crepitus
B. paradigmal motion
C. subcutaneous emphysema
D. paradoxical movement - SELECTED ANSWER 👀D
A minute after a baby is born, the heart rate is less than 60 beat per minute. You
should:
A. blow by oxygen
B. attempt to stimulate the newborn
C. aggressively warm the newborn
D. begin chest compressions - SELECTED ANSWER 👀D
Correct Answers & Detailed Rationales
Pass the NREMT Cognitive Exam on your first attempt!
Prepare for the NREMT Emergency Medical Technician (EMT) Cognitive Examination with this comprehensive set of 180
multiple-choice questions. Each question includes:
✅ Correct answer in ***italic bold***
✅ Coverage of all 5 NREMT domains:
• Airway, Breathing & Ventilation
• Cardiology & Resuscitation
• Trauma & Shock
• Medical Emergencies
• EMS Operations
Perfect for last-minute review or systematic content mastery. Updated for the April 2026 NREMT changes including Tec
hnology Enhanced Items (TEIs).
**Pass the NREMT Cognitive Exam on your first attempt!*
A 29 year old male has taken LSD. The patient appears very anxious and in a panic
state. He is showing signs of paranoia. You should:
A. agree withe everything the patient says
B. restrain the patient
C. be aggressive and talk very straight and stern to the patient
D. talk the patient down by reassuring the patient - SELECTED ANSWER 👀D
The most serious side effect of alcohol consumption is:
A. liver damage
B. hepatitis
C. death
,D. loss of consciousness - SELECTED ANSWER 👀C
You arrive on the scene of an incident where a 16 year old male fell approximately 12
feet. That would be considered:
A. a trauma alert
B. a significant mechanism of injury
C. not a significant mechanism of injury
D. a case with a load 'n' go patient - SELECTED ANSWER 👀C
(A patient over the age of 8 is considered an adult for most medical care purposes. A
fall of greater than 20 feet is considered a significant injury in adults. If this had been
an infant or child, it would have been a significant mechanism of injury since any fall
greater than 10 feet would be considered a significant mechanism of injury.)
When assessing a 35 year old patient complaining she is short of breath, you note
that her breathing is in excess of 28 times per minute. This is considered:
A. neuropnea
B. apnea
C. bradypnea
D. tachypnea - SELECTED ANSWER 👀D
(Respiratory rates greater than 20 breaths per minute are considered tachypnea. Less
than 12 breaths per minute is bradypnea and absent breathing is apnea.)
You arrive on the scene of a patient who fell from a ladder. You should open the
patient's airway by using:
A. head-tilt/chin-lift
B. jaw thrust maneuver
C. neck-lift/head-tilt
,D. head-tilt/jaw-thrust - SELECTED ANSWER 👀B
You arrive on the scene, finding an unconscious patient. There are no other
individuals in the vicinity to give any other information or permission to treat the
patient. Even though the patient cannot give you consent to treat him, you begin to
do so because of"
A. expressed consent
B. implied consent
C. advanced directives
D. emergency consent - SELECTED ANSWER 👀B
The AED is used to treat patients in:
A. asystole
B. ventricular tachycardia with a pulse
C. ventricular fibrillation
D. pulseless electrical activity - SELECTED ANSWER 👀C
You arrive on the scene to discover a 65-year-old female lying on the floor of her
living room. Your first step in the care of this patient is to"
A. begin chest compressions
B. apply the AED
C. maintain an open airway
D. assess level of consciousness - SELECTED ANSWER 👀D
You arrive on the scene to find an unconscious patient about 14 years of age. Where
would you assess for a pulse on this patient?
A. carotid artery
, B. brachial artery
C. femoral artery
D. radial artery - SELECTED ANSWER 👀A
The appropriate care for a patient with epistaxis is to:
A. have the patient lay down and remain calm
B. pinch the nostrils and have the patient lean forward
C. pinch the nostrils and have the patient lean back
D. have the patient lay in a supine position with his head lower than the body -
SELECTED ANSWER 👀B
(Epistaxis is a nose bleed. In these cases you should have the patient pinch their
nose and lean forward.)
During your assessment of a patient's chest you note that the left side of the chest
moves opposite to the right. This is called:
A. crepitus
B. paradigmal motion
C. subcutaneous emphysema
D. paradoxical movement - SELECTED ANSWER 👀D
A minute after a baby is born, the heart rate is less than 60 beat per minute. You
should:
A. blow by oxygen
B. attempt to stimulate the newborn
C. aggressively warm the newborn
D. begin chest compressions - SELECTED ANSWER 👀D
