NREMT EMT EXAM – QUESTIONS AND ANSWERS | VERIFIED AND WELL
DETAILED ANSWERS | PLUS RATIONALES | GUARANTEED PASS | LATEST EXAM
UPDATE 2026/2027
*Core Domains*
*• Airway, Respiration, and Ventilation*
*• Cardiology and Resuscitation*
*• Trauma Management*
*• Medical and Obstetrics/Gynecology*
*• EMS Operations*
*• Patient Assessment*
*• Pharmacology*
*• Pediatric and Geriatric Care*
*Introduction*
*The purpose of this comprehensive assessment is to evaluate the readines
SECTION ONE: QUESTIONS 1–100
1. A 67-year-old male is complaining of chest pain. He has a history of angina and is
prescribed nitroglycerin. Under which condition would nitroglycerin be
contraindicated?
,A. The patient has a heart rate of 110 beats per minute.
B. The patient has a systolic blood pressure of 88 mmHg.
C. The patient has taken aspirin within the last hour.
D. The patient describes the pain as dull and crushing.
🟢 B. The patient has a systolic blood pressure of 88 mmHg.
🔴 Explanation: Nitroglycerin is a potent vasodilator. Administering it to a patient with a
systolic blood pressure below 90-100 mmHg can lead to severe hypotension and
decreased coronary perfusion.
2. While assessing a patient who fell from a ladder, you note a "crackling" sensation
under the skin upon palpation of the chest wall. This is known as:
A. Subcutaneous emphysema
B. Paradoxical motion
C. Crepitus
D. Pleural friction rub
🟢 A. Subcutaneous emphysema
🔴 Explanation: Subcutaneous emphysema occurs when air escapes from the lungs or
airway into the subcutaneous tissues, creating a characteristic crackling or "Rice Krispies"
sensation.
, 3. Which of the following is the most appropriate first step when managing an
unresponsive adult patient with a complete airway obstruction?
A. Perform a blind finger sweep.
B. Deliver five back blows.
C. Begin chest compressions.
D. Attempt to ventilate with a BVM.
🟢 C. Begin chest compressions.
🔴 Explanation: According to current AHA/ECC guidelines, if a foreign body airway
obstruction results in unresponsiveness, the provider should immediately begin high-
quality chest compressions.
4. You are treating a 4-year-old child who is in respiratory distress. The child is in a
"tripod" position, drooling, and has a high fever. You should suspect:
A. Croup
B. Asthma
C. Bronchiolitis
D. Epiglottitis
🟢 D. Epiglottitis
, 🔴 Explanation: Epiglottitis is a bacterial infection characterized by a rapid onset of high
fever, drooling, and a tripod position to maintain a patent airway. It is a life-threatening
emergency.
5. What is the primary function of the right ventricle?
A. Pumping oxygenated blood to the systemic circulation.
B. Receiving oxygenated blood from the pulmonary veins.
C. Pumping deoxygenated blood to the lungs.
D. Receiving deoxygenated blood from the vena cava.
🟢 C. Pumping deoxygenated blood to the lungs.
🔴 Explanation: The right ventricle receives deoxygenated blood from the right atrium and
pumps it through the pulmonary artery to the lungs for oxygenation.
6. A 22-year-old female is found unconscious in an alley. Her respirations are 4 per
minute and shallow, and her pupils are constricted (pinpoint). Which toxidrome does
this represent?
A. Sympathomimetic
B. Anticholinergic
DETAILED ANSWERS | PLUS RATIONALES | GUARANTEED PASS | LATEST EXAM
UPDATE 2026/2027
*Core Domains*
*• Airway, Respiration, and Ventilation*
*• Cardiology and Resuscitation*
*• Trauma Management*
*• Medical and Obstetrics/Gynecology*
*• EMS Operations*
*• Patient Assessment*
*• Pharmacology*
*• Pediatric and Geriatric Care*
*Introduction*
*The purpose of this comprehensive assessment is to evaluate the readines
SECTION ONE: QUESTIONS 1–100
1. A 67-year-old male is complaining of chest pain. He has a history of angina and is
prescribed nitroglycerin. Under which condition would nitroglycerin be
contraindicated?
,A. The patient has a heart rate of 110 beats per minute.
B. The patient has a systolic blood pressure of 88 mmHg.
C. The patient has taken aspirin within the last hour.
D. The patient describes the pain as dull and crushing.
🟢 B. The patient has a systolic blood pressure of 88 mmHg.
🔴 Explanation: Nitroglycerin is a potent vasodilator. Administering it to a patient with a
systolic blood pressure below 90-100 mmHg can lead to severe hypotension and
decreased coronary perfusion.
2. While assessing a patient who fell from a ladder, you note a "crackling" sensation
under the skin upon palpation of the chest wall. This is known as:
A. Subcutaneous emphysema
B. Paradoxical motion
C. Crepitus
D. Pleural friction rub
🟢 A. Subcutaneous emphysema
🔴 Explanation: Subcutaneous emphysema occurs when air escapes from the lungs or
airway into the subcutaneous tissues, creating a characteristic crackling or "Rice Krispies"
sensation.
, 3. Which of the following is the most appropriate first step when managing an
unresponsive adult patient with a complete airway obstruction?
A. Perform a blind finger sweep.
B. Deliver five back blows.
C. Begin chest compressions.
D. Attempt to ventilate with a BVM.
🟢 C. Begin chest compressions.
🔴 Explanation: According to current AHA/ECC guidelines, if a foreign body airway
obstruction results in unresponsiveness, the provider should immediately begin high-
quality chest compressions.
4. You are treating a 4-year-old child who is in respiratory distress. The child is in a
"tripod" position, drooling, and has a high fever. You should suspect:
A. Croup
B. Asthma
C. Bronchiolitis
D. Epiglottitis
🟢 D. Epiglottitis
, 🔴 Explanation: Epiglottitis is a bacterial infection characterized by a rapid onset of high
fever, drooling, and a tripod position to maintain a patent airway. It is a life-threatening
emergency.
5. What is the primary function of the right ventricle?
A. Pumping oxygenated blood to the systemic circulation.
B. Receiving oxygenated blood from the pulmonary veins.
C. Pumping deoxygenated blood to the lungs.
D. Receiving deoxygenated blood from the vena cava.
🟢 C. Pumping deoxygenated blood to the lungs.
🔴 Explanation: The right ventricle receives deoxygenated blood from the right atrium and
pumps it through the pulmonary artery to the lungs for oxygenation.
6. A 22-year-old female is found unconscious in an alley. Her respirations are 4 per
minute and shallow, and her pupils are constricted (pinpoint). Which toxidrome does
this represent?
A. Sympathomimetic
B. Anticholinergic
