NREMT Exam Actual Exam 2026 | All Questions
and Correct Answers | Verified Answers | Graded
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A 56-year-old man was the unrestrained driver of a small passenger car that rolled
over twice after he rounded a corner too fast. He is unresponsive; has rapid,
shallow respirations; and has a rapid, weak pulse. His left arm is completely
amputated just below the elbow. As you and your partner are treating the
patient, other responders are trying to find the amputated arm. Which of the
following statements regarding this scenario is correct?
• A:Your priority should be to recover the man's arm because a vascular surgeon
may be able to successfully reattach it.
• B:Quickly move the patient to the ambulance, continue treatment, and wait for
the other responders to recover his arm.
• C:You should transport the patient immediately, even if the other responders
recover his arm before you depart the scene.
• D:If the patient's arm has not been recovered by the time you are ready to
transport, you should transport without d -------------------------------------You
selected D; This is correct!
Reason:
Life takes priority over limb. The patient is in shock, which may be complicated
by a head injury; therefore, he requires rapid transport to a trauma center.
Although efforts should be made to recover an amputated body part, this must
not delay transport of a critically injured patient. If the arm has not been
recovered by the time you are ready to transport, you must transport without
delay. If his arm is located after you depart the scene, it can be transported
separately. If his arm is recovered before you depart the scene, however, you
,should take it with you; surgeons may be able to successfully reattach it. Care
for the amputated part in accordance with your local protocols.
When assessing a patient who complains of chest pain, which of the following
questions would you ask to assess the "R" in OPQRST?
• A:Is there anything that makes the pain worse?
• B:Is the pain in one place or does it move around?
• C:Did the pain begin suddenly or gradually?
• D:What were you doing when the pain began? -------------------------------------You
selected B; This is correct!
Reason:
The "R" in OPQRST stands for radiation or referred pain. An appropriate way to
determine whether the pain radiates or not is to ask the patient if the pain
remains in one place or if it moves around. When determining if the patient has
referred pain, ask him or her if he or she hurts somewhere other than his or her
chest. If you use the term "radiating pain," chances are the patient will not
understand what you are asking.
You are assessing a young male who was stabbed in the right lower chest. He is
semiconscious and has labored breathing, collapsed jugular veins, and absent
breath sounds on the right side of his chest. This patient MOST likely has a:
• A:liver laceration.
• B:hemothorax.
• C:pneumothorax.
,• D:ruptured spleen. -------------------------------------You selected B; This is correct!
Reason:
You should suspect a hemothorax if a patient with chest trauma presents with
shock, especially if the injury was caused by penetrating trauma. Hemothorax
occurs when blood collects in the pleural space and compresses the lung,
resulting in shock and respiratory compromise. Other signs include collapsed
jugular veins (due to low blood volume), labored breathing, and decreased or
absent breath sounds on the side of the injury. A pneumothorax (air in the
pleural space) is also associated with difficulty breathing and unilaterally
decreased or absent breath sounds; however, the jugular veins are usually not
collapsed. If excessive air accumulates within the pleural space, however,
pressure will shift across the mediastinum and affect the uninjured lung
(tension pneumothorax); if this occurs, the jugular veins may become engorged
(distended). Splenic injury is unlikely; the patient's injury is on the right side and
the spleen is on the left. A liver laceration can cause severe shock; however, it is
not associated with unilaterally decreased breath sounds or labored breathing.
A reduction in tidal volume would MOST likely result from:
• A:increased minute volume.
• B:unequal chest expansion.
• C:flaring of the nostrils.
• D:accessory muscle use. -------------------------------------You selected B; This is
correct!
Reason:
Unequal (asymmetrical) or minimal expansion of the chest results in a decrease
in the amount of air inhaled per breath (tidal volume). Accessory muscle use
, and nasal flaring are signs of increased work of breathing, which represents an
attempt to maintain adequate tidal volume (and therefore, minute volume). An
increase in tidal volume, respiratory rate, or both, would result in an increase in
minute volume. It should be noted, however, that a markedly fast respiratory
rate would cause a natural decrease in tidal volume. For example, a patient
breathing at a rate of 40 breaths/min would likely only inhale air into the
anatomic dead space before promptly exhaling it.
Medications such as albuterol (Ventolin) relieve respiratory distress by:
• A:contracting the smaller airways in the lungs.
• B:dilating the large mainstem bronchi of the airway.
• C:constricting the bronchioles in the lungs.
• D:relaxing the smooth muscle of the bronchioles. -------------------------------------
You selected D; This is correct!
Reason:
Medications such as albuterol (Ventolin) and metaproterenol (Alupent) are in a
class of drugs called bronchodilators. They relax the smooth muscle found
within the bronchioles in the lungs, which causes them to dilate. This effect
opens the air passages and improves the patient's ability to breathe.
During your assessment of a patient with a gunshot wound to the chest, you note
that his skin is pale. This finding is the result of:
• A:decreased blood flow to the skin.
• B:a significantly elevated heart rate.
• C:a critically low blood pressure.
and Correct Answers | Verified Answers | Graded
A+ | Just Released
A 56-year-old man was the unrestrained driver of a small passenger car that rolled
over twice after he rounded a corner too fast. He is unresponsive; has rapid,
shallow respirations; and has a rapid, weak pulse. His left arm is completely
amputated just below the elbow. As you and your partner are treating the
patient, other responders are trying to find the amputated arm. Which of the
following statements regarding this scenario is correct?
• A:Your priority should be to recover the man's arm because a vascular surgeon
may be able to successfully reattach it.
• B:Quickly move the patient to the ambulance, continue treatment, and wait for
the other responders to recover his arm.
• C:You should transport the patient immediately, even if the other responders
recover his arm before you depart the scene.
• D:If the patient's arm has not been recovered by the time you are ready to
transport, you should transport without d -------------------------------------You
selected D; This is correct!
Reason:
Life takes priority over limb. The patient is in shock, which may be complicated
by a head injury; therefore, he requires rapid transport to a trauma center.
Although efforts should be made to recover an amputated body part, this must
not delay transport of a critically injured patient. If the arm has not been
recovered by the time you are ready to transport, you must transport without
delay. If his arm is located after you depart the scene, it can be transported
separately. If his arm is recovered before you depart the scene, however, you
,should take it with you; surgeons may be able to successfully reattach it. Care
for the amputated part in accordance with your local protocols.
When assessing a patient who complains of chest pain, which of the following
questions would you ask to assess the "R" in OPQRST?
• A:Is there anything that makes the pain worse?
• B:Is the pain in one place or does it move around?
• C:Did the pain begin suddenly or gradually?
• D:What were you doing when the pain began? -------------------------------------You
selected B; This is correct!
Reason:
The "R" in OPQRST stands for radiation or referred pain. An appropriate way to
determine whether the pain radiates or not is to ask the patient if the pain
remains in one place or if it moves around. When determining if the patient has
referred pain, ask him or her if he or she hurts somewhere other than his or her
chest. If you use the term "radiating pain," chances are the patient will not
understand what you are asking.
You are assessing a young male who was stabbed in the right lower chest. He is
semiconscious and has labored breathing, collapsed jugular veins, and absent
breath sounds on the right side of his chest. This patient MOST likely has a:
• A:liver laceration.
• B:hemothorax.
• C:pneumothorax.
,• D:ruptured spleen. -------------------------------------You selected B; This is correct!
Reason:
You should suspect a hemothorax if a patient with chest trauma presents with
shock, especially if the injury was caused by penetrating trauma. Hemothorax
occurs when blood collects in the pleural space and compresses the lung,
resulting in shock and respiratory compromise. Other signs include collapsed
jugular veins (due to low blood volume), labored breathing, and decreased or
absent breath sounds on the side of the injury. A pneumothorax (air in the
pleural space) is also associated with difficulty breathing and unilaterally
decreased or absent breath sounds; however, the jugular veins are usually not
collapsed. If excessive air accumulates within the pleural space, however,
pressure will shift across the mediastinum and affect the uninjured lung
(tension pneumothorax); if this occurs, the jugular veins may become engorged
(distended). Splenic injury is unlikely; the patient's injury is on the right side and
the spleen is on the left. A liver laceration can cause severe shock; however, it is
not associated with unilaterally decreased breath sounds or labored breathing.
A reduction in tidal volume would MOST likely result from:
• A:increased minute volume.
• B:unequal chest expansion.
• C:flaring of the nostrils.
• D:accessory muscle use. -------------------------------------You selected B; This is
correct!
Reason:
Unequal (asymmetrical) or minimal expansion of the chest results in a decrease
in the amount of air inhaled per breath (tidal volume). Accessory muscle use
, and nasal flaring are signs of increased work of breathing, which represents an
attempt to maintain adequate tidal volume (and therefore, minute volume). An
increase in tidal volume, respiratory rate, or both, would result in an increase in
minute volume. It should be noted, however, that a markedly fast respiratory
rate would cause a natural decrease in tidal volume. For example, a patient
breathing at a rate of 40 breaths/min would likely only inhale air into the
anatomic dead space before promptly exhaling it.
Medications such as albuterol (Ventolin) relieve respiratory distress by:
• A:contracting the smaller airways in the lungs.
• B:dilating the large mainstem bronchi of the airway.
• C:constricting the bronchioles in the lungs.
• D:relaxing the smooth muscle of the bronchioles. -------------------------------------
You selected D; This is correct!
Reason:
Medications such as albuterol (Ventolin) and metaproterenol (Alupent) are in a
class of drugs called bronchodilators. They relax the smooth muscle found
within the bronchioles in the lungs, which causes them to dilate. This effect
opens the air passages and improves the patient's ability to breathe.
During your assessment of a patient with a gunshot wound to the chest, you note
that his skin is pale. This finding is the result of:
• A:decreased blood flow to the skin.
• B:a significantly elevated heart rate.
• C:a critically low blood pressure.
