NREMT LATEST PRACTICE TEST BANK
2026/2027 ALL STUDY QUESTIONS WITH
MULTIPLE CHOICES 100%
GUARANTEED PASS | RATED A+
,NREMT LATEST PRACTICE TEST BANK 2026/2027
ALL STUDY QUESTIONS WITH MULTIPLE CHOICES
100% GUARANTEED PASS | RATED A+
Which of the following sets of vital signs is MOST suggestive of increased intracranial pressure
in a patient who has experienced a traumatic brain injury?
• A:BP, 92/60 mm Hg; pulse, 120 beats/min; respirations, 24 breaths/min
• B:BP, 160/72 mm Hg; pulse, 100 beats/min; respirations, 12 breaths/min
• C:BP, 84/42 mm Hg; pulse, 60 beats/min; respirations, 32 breaths/min
• D:BP, 176/98 mm Hg; pulse, 50 beats/min; respirations, 10 breaths/min - Answer>>> You
selected D; This is correct!
Reason:
The body responds to a significant traumatic brain injury by shunting more oxygenated blood to
the injured brain; it does this by increasing systemic blood pressure. In response to an increase in
blood pressure, the pulse rate decreases. Pressure on the brain stem often causes an irregular
breathing pattern that is either slow or fast. Therefore, patients with increased intracranial
pressure present with hypertension, bradycardia, and irregular respirations that are fast or slow
(Cushing's triad). Vital signs representative of shock (eg, hypotension, tachycardia) are not
common in patients with an isolated head injury and increased intracranial pressure. If the patient
with a seemingly isolated head injury is hypotensive and tachycardic, look for other injuries;
internal or external bleeding is likely occurring elsewhere.
While caring for an emotionally disturbed 30-year-old male, he suddenly becomes violent and
needs to be physically restrained. During the restraint procedure, you should:
• A:approach the patient from the front and converge on him quickly.
• B:maintain communication with him and closely monitor his airway.
,• C:ensure that at least three people are available to safely restrain him.
• D:place him in a prone position and secure straps across his back. - Answer>>> The correct
answer is B;
Reason:Physical restraint may be necessary if a patient is a threat to him- or herself or others. If
it becomes necessary to physically restrain a violent patient, there are certain, specific guidelines
that must be followed. Use a minimum of four people to restrain the patient, one assigned to each
extremity. Approach the patient from the front and the sides; this will prevent him or her from
getting away from you. Somebody, preferably you or your partner, should talk to the patient
throughout the restraint process, even if the patient is not listening to you. Never restrain a
patient facedown (prone); it is impossible to adequately monitor the patient and this position may
inhibit the breathing of an impaired or exhausted patient (positional asphyxia). Use just enough
force to effectively restrain the patient; the patient's gender, body size, strength, and mental
status can be used to determine the appropriate amount of force. Reassess airway and breathing
continuously, regardless of the patient's position, and continue to talk to him or her during
transport.
A 23-year-old unrestrained female struck the steering wheel with her chest when her passenger
car collided with a tree at a high rate of speed. Your assessment reveals that she is conscious, but
has signs of shock and an irregular pulse. The MOST appropriate treatment for this patient
includes:
• A:high-flow oxygen, summoning a paramedic unit to the scene to assess her cardiac rhythm, a
cervical collar, and transport as soon as possible.
• B:insertion of an oral airway, assisted ventilations with a bag-mask device, full spinal
precautions, and rapid transport.
• C:applying an AED in case she develops cardiac arrest, high-flow oxygen, full spinal
precautions, and rapid transport.
• D:high-flow oxygen or assisted ventilations as needed, full spinal precautions, blankets to keep
her warm, and rapid transport. - Answer>>> You selected D; This is correct!
, Reason:
The cause of this patient's shock may be a myocardial contusion, or bruising of the heart muscle.
Blunt trauma to the chest can injure the heart, making it unable to maintain adequate blood
pressure. In a myocardial contusion, the pulse is often irregular, but dangerous rhythms (eg, V-
Fib, V-Tach) are relatively uncommon. There is no special diagnostic test at this time, and there
is no prehospital treatment for the condition. Therefore, waiting at the scene for a paramedic unit
would only waste time. Apply high-flow oxygen, assist ventilations if the patient is breathing
inadequately (eg, slow or fast respirations, shallow breathing [reduced tidal volume]), treat the
patient for shock (eg, cover her with blankets, elevate her lower extremities [if local protocol
permits]), and transport rapidly. Because of the mechanism of injury, full spinal precautions
should be taken. The patient is conscious and likely has an intact gag reflex; therefore, an oral
airway is contraindicated. The AED is only applied to patients who are in cardiac arrest
Which of the following is an example of the EMT providing care based on standing orders?
• A:Following assessment of a patient with a terminal illness, the EMT notifies the patient's
personal physician to determine whether he or she requires any special care.
• B:The EMT defibrillates a patient with the automated external defibrillator, directs immediate
resumption of CPR, and then contacts medical control for further guidance.
• C:After confirming that a patient's blood pressure is adequate, the EMT contacts medical
control and requests permission to assist the patient with his prescribed nitroglycerin.
• D:Prior to administering oral glucose to a patient with hypoglycemia, the EMT confirms the
proper dosage and requests authorization from the base station physician. - Answer>>> The
correct answer is B;
Reason:Standing orders define certain treatment interventions that the EMT is authorized to
perform prior to contacting medical control. For example, the EMT knows that a cardiac arrest
patient requires CPR, cardiac rhythm analysis with the AED, and defibrillation (if indicated);
contacting medical control before performing these crucial interventions would only waste time
2026/2027 ALL STUDY QUESTIONS WITH
MULTIPLE CHOICES 100%
GUARANTEED PASS | RATED A+
,NREMT LATEST PRACTICE TEST BANK 2026/2027
ALL STUDY QUESTIONS WITH MULTIPLE CHOICES
100% GUARANTEED PASS | RATED A+
Which of the following sets of vital signs is MOST suggestive of increased intracranial pressure
in a patient who has experienced a traumatic brain injury?
• A:BP, 92/60 mm Hg; pulse, 120 beats/min; respirations, 24 breaths/min
• B:BP, 160/72 mm Hg; pulse, 100 beats/min; respirations, 12 breaths/min
• C:BP, 84/42 mm Hg; pulse, 60 beats/min; respirations, 32 breaths/min
• D:BP, 176/98 mm Hg; pulse, 50 beats/min; respirations, 10 breaths/min - Answer>>> You
selected D; This is correct!
Reason:
The body responds to a significant traumatic brain injury by shunting more oxygenated blood to
the injured brain; it does this by increasing systemic blood pressure. In response to an increase in
blood pressure, the pulse rate decreases. Pressure on the brain stem often causes an irregular
breathing pattern that is either slow or fast. Therefore, patients with increased intracranial
pressure present with hypertension, bradycardia, and irregular respirations that are fast or slow
(Cushing's triad). Vital signs representative of shock (eg, hypotension, tachycardia) are not
common in patients with an isolated head injury and increased intracranial pressure. If the patient
with a seemingly isolated head injury is hypotensive and tachycardic, look for other injuries;
internal or external bleeding is likely occurring elsewhere.
While caring for an emotionally disturbed 30-year-old male, he suddenly becomes violent and
needs to be physically restrained. During the restraint procedure, you should:
• A:approach the patient from the front and converge on him quickly.
• B:maintain communication with him and closely monitor his airway.
,• C:ensure that at least three people are available to safely restrain him.
• D:place him in a prone position and secure straps across his back. - Answer>>> The correct
answer is B;
Reason:Physical restraint may be necessary if a patient is a threat to him- or herself or others. If
it becomes necessary to physically restrain a violent patient, there are certain, specific guidelines
that must be followed. Use a minimum of four people to restrain the patient, one assigned to each
extremity. Approach the patient from the front and the sides; this will prevent him or her from
getting away from you. Somebody, preferably you or your partner, should talk to the patient
throughout the restraint process, even if the patient is not listening to you. Never restrain a
patient facedown (prone); it is impossible to adequately monitor the patient and this position may
inhibit the breathing of an impaired or exhausted patient (positional asphyxia). Use just enough
force to effectively restrain the patient; the patient's gender, body size, strength, and mental
status can be used to determine the appropriate amount of force. Reassess airway and breathing
continuously, regardless of the patient's position, and continue to talk to him or her during
transport.
A 23-year-old unrestrained female struck the steering wheel with her chest when her passenger
car collided with a tree at a high rate of speed. Your assessment reveals that she is conscious, but
has signs of shock and an irregular pulse. The MOST appropriate treatment for this patient
includes:
• A:high-flow oxygen, summoning a paramedic unit to the scene to assess her cardiac rhythm, a
cervical collar, and transport as soon as possible.
• B:insertion of an oral airway, assisted ventilations with a bag-mask device, full spinal
precautions, and rapid transport.
• C:applying an AED in case she develops cardiac arrest, high-flow oxygen, full spinal
precautions, and rapid transport.
• D:high-flow oxygen or assisted ventilations as needed, full spinal precautions, blankets to keep
her warm, and rapid transport. - Answer>>> You selected D; This is correct!
, Reason:
The cause of this patient's shock may be a myocardial contusion, or bruising of the heart muscle.
Blunt trauma to the chest can injure the heart, making it unable to maintain adequate blood
pressure. In a myocardial contusion, the pulse is often irregular, but dangerous rhythms (eg, V-
Fib, V-Tach) are relatively uncommon. There is no special diagnostic test at this time, and there
is no prehospital treatment for the condition. Therefore, waiting at the scene for a paramedic unit
would only waste time. Apply high-flow oxygen, assist ventilations if the patient is breathing
inadequately (eg, slow or fast respirations, shallow breathing [reduced tidal volume]), treat the
patient for shock (eg, cover her with blankets, elevate her lower extremities [if local protocol
permits]), and transport rapidly. Because of the mechanism of injury, full spinal precautions
should be taken. The patient is conscious and likely has an intact gag reflex; therefore, an oral
airway is contraindicated. The AED is only applied to patients who are in cardiac arrest
Which of the following is an example of the EMT providing care based on standing orders?
• A:Following assessment of a patient with a terminal illness, the EMT notifies the patient's
personal physician to determine whether he or she requires any special care.
• B:The EMT defibrillates a patient with the automated external defibrillator, directs immediate
resumption of CPR, and then contacts medical control for further guidance.
• C:After confirming that a patient's blood pressure is adequate, the EMT contacts medical
control and requests permission to assist the patient with his prescribed nitroglycerin.
• D:Prior to administering oral glucose to a patient with hypoglycemia, the EMT confirms the
proper dosage and requests authorization from the base station physician. - Answer>>> The
correct answer is B;
Reason:Standing orders define certain treatment interventions that the EMT is authorized to
perform prior to contacting medical control. For example, the EMT knows that a cardiac arrest
patient requires CPR, cardiac rhythm analysis with the AED, and defibrillation (if indicated);
contacting medical control before performing these crucial interventions would only waste time
