Page 1 of 125
PARAMEDIC NATIONAL REGISTRY EXAM
2026/2027 ACCURATE EXAM REAL
QUESTIONS WITH WELL ELABORATED
ANSWERS (100% CORRECT VERIFIED
SOLUTIONS) LATEST UPDATED VERSION|
GUARANTEED PASS A+| BRAND NEW!
Q1. A 60-year-old male is apneic. Jaw thrust fails, tongue
obstructs. Next?
A) NPA
B) OPA + BVM
C) Surgical cric
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D) SGA
Answer: B (OPA lifts tongue; BVM ventilates)
Q2. 25-kg child, BVM 20/min, chest rises, SpO2 88%. Next?
A) Rate 30/min
B) PEEP 10
C) Gastric decompression
D) NRB
Answer: C (Gastric distention splints diaphragm)
Q3 (SATA). Proper ETT placement confirmed by:
A) Bilateral breath sounds
B) Mist in tube
C) EtCO2 >30 after 6 breaths
D) Epigastric gurgling
E) SpO2 rising
Answer: A,B,C,E (D = esophageal)
Q4. Facial burns, stridor, cannot visualize cords, SpO2 82% on
NRB. Best?
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A) Blind nasotracheal
B) Needle cric with jet
C) Surgical cric #6 ETT
D) Repeat DL Miller 4
Answer: B (Cannot intubate/ventilate – needle jet)
Q5 (Drag & Drop). RSI order for trauma GCS 3:
1. PreO2 BVM
2. Etomidate
3. Cricoid pressure
4. Succinylcholine
5. Intubate
6. EtCO2 confirm
Answer: 1→2→3→4→5→6
Q6. COPD on BiPAP 15/5, now BP 80/50, lethargic. Suspect?
A) Tension pneumo
B) Auto-PEEP
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C) Mucus plug
D) O2 toxicity
Answer: B (Auto-PEEP reduces preload)
Q7. Post-intubation, waveform EtCO2 15 mmHg, patient
pulseless. Indicates?
A) Correct placement, low perfusion
B) Esophageal
C) PE
D) Hyperventilation
Answer: A (Low EtCO2 in arrest = poor CO)
Q8. 3-year-old croup, epinephrine 0.5mL, improves, stridor
returns 90 min later. Next?
A) Repeat epinephrine
B) Intubate
C) Dexamethasone IM
D) Heliox
Answer: A (One repeat dose allowed)
PARAMEDIC NATIONAL REGISTRY EXAM
2026/2027 ACCURATE EXAM REAL
QUESTIONS WITH WELL ELABORATED
ANSWERS (100% CORRECT VERIFIED
SOLUTIONS) LATEST UPDATED VERSION|
GUARANTEED PASS A+| BRAND NEW!
Q1. A 60-year-old male is apneic. Jaw thrust fails, tongue
obstructs. Next?
A) NPA
B) OPA + BVM
C) Surgical cric
,Page 2 of 125
D) SGA
Answer: B (OPA lifts tongue; BVM ventilates)
Q2. 25-kg child, BVM 20/min, chest rises, SpO2 88%. Next?
A) Rate 30/min
B) PEEP 10
C) Gastric decompression
D) NRB
Answer: C (Gastric distention splints diaphragm)
Q3 (SATA). Proper ETT placement confirmed by:
A) Bilateral breath sounds
B) Mist in tube
C) EtCO2 >30 after 6 breaths
D) Epigastric gurgling
E) SpO2 rising
Answer: A,B,C,E (D = esophageal)
Q4. Facial burns, stridor, cannot visualize cords, SpO2 82% on
NRB. Best?
,Page 3 of 125
A) Blind nasotracheal
B) Needle cric with jet
C) Surgical cric #6 ETT
D) Repeat DL Miller 4
Answer: B (Cannot intubate/ventilate – needle jet)
Q5 (Drag & Drop). RSI order for trauma GCS 3:
1. PreO2 BVM
2. Etomidate
3. Cricoid pressure
4. Succinylcholine
5. Intubate
6. EtCO2 confirm
Answer: 1→2→3→4→5→6
Q6. COPD on BiPAP 15/5, now BP 80/50, lethargic. Suspect?
A) Tension pneumo
B) Auto-PEEP
, Page 4 of 125
C) Mucus plug
D) O2 toxicity
Answer: B (Auto-PEEP reduces preload)
Q7. Post-intubation, waveform EtCO2 15 mmHg, patient
pulseless. Indicates?
A) Correct placement, low perfusion
B) Esophageal
C) PE
D) Hyperventilation
Answer: A (Low EtCO2 in arrest = poor CO)
Q8. 3-year-old croup, epinephrine 0.5mL, improves, stridor
returns 90 min later. Next?
A) Repeat epinephrine
B) Intubate
C) Dexamethasone IM
D) Heliox
Answer: A (One repeat dose allowed)
