Page 1 of 139
NREMT EXAMS |CONTAINS FINAL
EXAMS,MIDTERM,STUDY GUIDES AND
PRACTICE EXAMS|A+GRADE
ASSURED|NEWEST UPDATE
1. Which of the following is the earliest sign of inadequate
breathing in an adult?
A) Cyanosis
B) Use of accessory muscles
C) Respiratory rate of 8 breaths per minute
D) Agitation or altered mental status
Answer: D
Rationale: Agitation, confusion, or altered mental status is
an early sign of hypoxia because the brain is highly
sensitive to oxygen deprivation. Cyanosis is a late sign.
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2. A 45-year-old patient is unresponsive, not breathing, and
has a pulse. The correct ventilation rate for an adult with a
perfusing rhythm is:
A) 10–12 breaths per minute
B) 12–20 breaths per minute
C) 20–30 breaths per minute
D) 30–40 breaths per minute
Answer: A
Rationale: For an adult with a pulse but not breathing
(respiratory arrest), provide one breath every 5–6 seconds
(10–12 breaths per minute). Each breath should produce
visible chest rise.
3. Which of the following is a contraindication for use of an
oropharyngeal airway (OPA)?
A) A patient with a gag reflex
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B) A patient with snoring respirations
C) A patient with a suspected cervical spine injury
D) A patient with a head injury
Answer: A
Rationale: An OPA should only be used in an unresponsive
patient without a gag reflex. In a patient with an intact gag
reflex, the OPA can induce vomiting and aspiration.
4. During two-rescue CPR on an adult, after an advanced
airway is placed, ventilations should be delivered at a rate of:
A) 1 breath every 5–6 seconds (10–12/min) continuously
B) 30 compressions to 2 breaths
C) 1 breath every 3 seconds (20/min)
D) 1 breath every 10 seconds (6/min)
Answer: A
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Rationale: Once an advanced airway (e.g., endotracheal
tube, supraglottic airway) is placed, compressions are
continuous (100–120/min) and ventilations are
asynchronous at 10–12 breaths per minute.
5. A 6-year-old child is choking and cannot cough, speak, or
breathe. The appropriate intervention is:
A) Abdominal thrusts (Heimlich maneuver)
B) Back blows and chest thrusts (per pediatric BLS)
C) Finger sweep
D) Oxygen via non-rebreather mask
Answer: B
Rationale: For a conscious choking child (1-8 years) who
cannot make sounds, the AHA recommends back blows and
chest thrusts (alternating). Abdominal thrusts are used for
adults and children over 1 year if back blows are
NREMT EXAMS |CONTAINS FINAL
EXAMS,MIDTERM,STUDY GUIDES AND
PRACTICE EXAMS|A+GRADE
ASSURED|NEWEST UPDATE
1. Which of the following is the earliest sign of inadequate
breathing in an adult?
A) Cyanosis
B) Use of accessory muscles
C) Respiratory rate of 8 breaths per minute
D) Agitation or altered mental status
Answer: D
Rationale: Agitation, confusion, or altered mental status is
an early sign of hypoxia because the brain is highly
sensitive to oxygen deprivation. Cyanosis is a late sign.
,Page 2 of 139
2. A 45-year-old patient is unresponsive, not breathing, and
has a pulse. The correct ventilation rate for an adult with a
perfusing rhythm is:
A) 10–12 breaths per minute
B) 12–20 breaths per minute
C) 20–30 breaths per minute
D) 30–40 breaths per minute
Answer: A
Rationale: For an adult with a pulse but not breathing
(respiratory arrest), provide one breath every 5–6 seconds
(10–12 breaths per minute). Each breath should produce
visible chest rise.
3. Which of the following is a contraindication for use of an
oropharyngeal airway (OPA)?
A) A patient with a gag reflex
,Page 3 of 139
B) A patient with snoring respirations
C) A patient with a suspected cervical spine injury
D) A patient with a head injury
Answer: A
Rationale: An OPA should only be used in an unresponsive
patient without a gag reflex. In a patient with an intact gag
reflex, the OPA can induce vomiting and aspiration.
4. During two-rescue CPR on an adult, after an advanced
airway is placed, ventilations should be delivered at a rate of:
A) 1 breath every 5–6 seconds (10–12/min) continuously
B) 30 compressions to 2 breaths
C) 1 breath every 3 seconds (20/min)
D) 1 breath every 10 seconds (6/min)
Answer: A
, Page 4 of 139
Rationale: Once an advanced airway (e.g., endotracheal
tube, supraglottic airway) is placed, compressions are
continuous (100–120/min) and ventilations are
asynchronous at 10–12 breaths per minute.
5. A 6-year-old child is choking and cannot cough, speak, or
breathe. The appropriate intervention is:
A) Abdominal thrusts (Heimlich maneuver)
B) Back blows and chest thrusts (per pediatric BLS)
C) Finger sweep
D) Oxygen via non-rebreather mask
Answer: B
Rationale: For a conscious choking child (1-8 years) who
cannot make sounds, the AHA recommends back blows and
chest thrusts (alternating). Abdominal thrusts are used for
adults and children over 1 year if back blows are
