NREMT EXAM ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES | ALREADY GRADED A+ | LATEST VERSION 2026
Question 1
You arrive to find a 48-year-old male complaining that his chest feels heavy. The patient is
awake and talking to you. During your assessment, you note that his skin is pale, cool, and
clammy. Your first step is to:
A) Apply your AED
B) Administer supplemental oxygen
C) Obtain a past medical history
D) Assist the patient in taking his neighbor's nitroglycerin
E) Begin chest compressions
Correct Answer: B) Administer supplemental oxygen
Rationale: Supplemental oxygen is a priority for patients exhibiting signs of cardiac distress
and poor perfusion (pale, cool, clammy skin). Oxygen helps alleviate myocardial ischemia
by increasing the oxygen content of the blood reaching the heart muscle. You would never
assist a patient with a medication not prescribed to them (neighbor's nitroglycerin), and an
AED or compressions are only for pulseless patients.
Question 2
Which of the following describes the correct flow of blood through the heart and lungs?
A) Inferior/superior vena cavae, lungs, right atrium, right ventricle, left ventricle, aorta
B) Inferior/superior vena cavae, left atrium, left ventricle, lungs, right atrium, left ventricle, aorta
C) Inferior/superior vena cavae, lungs, aorta, left atrium, left ventricle, right atrium, left ventricle
D) Inferior/superior vena cavae, right atrium, right ventricle, lungs, left atrium, left ventricle,
aorta
E) Aorta, left ventricle, left atrium, lungs, right ventricle, right atrium, vena cavae
Correct Answer: D) inferior/superior vena cavae, right atrium, right ventricle, lungs, left
atrium, left ventricle, aorta
Rationale: Deoxygenated blood returns to the heart via the vena cavae into the right atrium,
passes through the tricuspid valve into the right ventricle, and is pumped to the lungs.
Oxygenated blood returns to the left atrium, passes through the mitral valve to the left
ventricle, and is pumped into the aorta for systemic circulation.
Question 3
The mitral or bicuspid valve:
A) Prevents blood from backflowing into the left atrium
B) Prevents blood from backflowing into the right atrium
C) Prevents the blood from backflowing into the lungs
D) Is located between the left atrium and the right ventricle
E) Is located between the right atrium and right ventricle
Correct Answer: A) prevents blood from back flowing into the left atrium
, 2
Rationale: The mitral (bicuspid) valve is located between the left atrium and the left
ventricle. Its primary function is to allow blood to flow into the ventricle during diastole
and prevent the regurgitation of blood back into the atrium when the left ventricle
contracts (systole).
Question 4
Which of the following is NOT true of the treatment of an impaled object?
A) Remove if blocking the airway
B) Stabilize in place
C) Remove to accommodate transport of the patient
D) Control the bleeding
E) Use bulky dressings to secure the object
Correct Answer: C) remove to accommodate transport of the patient
Rationale: Impaled objects should never be removed simply for the convenience of
transport, as they may be tamponading a major vessel. Removal should only occur if the
object is in the cheek and obstructing the airway, or if it interferes with the ability to
perform CPR on a cardiac arrest patient.
Question 5
The electrical impulse generated in the right atrium that acts as the primary pacemaker of
the heart is called the:
A) Atrioventricular node
B) Purkinje fibers
C) Sinoatrial node
D) Bundle of His
E) Internodal pathways
Correct Answer: C) sinoatriual node
Rationale: The Sinoatrial (SA) node is located in the upper right atrium and is the heart's
natural pacemaker, typically initiating impulses at a rate of 60-100 beats per minute. The
AV node is the secondary pacemaker.
Question 6
You are treating a patient involved in a motor vehicle accident. You can lift a flap of skin on
the patient's head. This type of injury is referred to as a(n):
A) Avulsion
B) Laceration
C) Evisceration
D) Puncture
E) Contusion
Correct Answer: A) avulsion
Rationale: An avulsion is an injury where a piece of skin or soft tissue is either torn
, 3
completely loose or remains attached as a flap. A laceration is a jagged cut, an evisceration
involves organs protruding through a wound, and a puncture is a deep, narrow wound
caused by a sharp object.
Question 7
Ligaments are specialized connective tissues that connect:
A) Muscle to bone
B) Bones to tendon
C) Bone to bone
D) Muscle to tendons
E) Skin to muscle
Correct Answer: C) bone to bone
Rationale: Ligaments connect bone to bone at joints to provide stability. Tendons connect
muscle to bone to facilitate movement.
Question 8
Which of the following heat emergencies is considered a true, life-threatening emergency?
A) Heat cramps
B) Heat exhaustion
C) Heat infarction
D) Heat stroke
E) Heat syncope
Correct Answer: D) heat stroke
Rationale: Heat stroke is a medical emergency characterized by the body’s loss of the ability
to regulate temperature. The patient typically has a core temperature above 104°F and
altered mental status. If left untreated, it leads to multi-organ failure and death.
Question 9
You are treating a patient who has overdosed on a narcotic (opioid). The greatest risk for
this patient is:
A) Respiratory depression
B) Seizures
C) Hypertension
D) Hyperactivity
E) Tachycardia
Correct Answer: A) respiratory depression
Rationale: Narcotics/opioids are central nervous system depressants. Overdose leads to a
decreased drive to breathe, which can result in respiratory arrest and subsequent cardiac
arrest. Seizures are more common with stimulants or withdrawal.
Question 10
Which of the following is NOT an imminent sign that birthing is going to occur?
, 4
A) Crowning has occurred
B) Contractions are 5 minutes apart
C) The patient feels the infant's head moving down her birth canal
D) The patient has the urge to move her bowels
E) Contractions are 2 minutes apart and lasting 60 seconds
Correct Answer: B) contractions are 5 minutes apart
Rationale: While 5-minute contractions indicate labor is progressing, they do not usually
signal imminent delivery. Imminent signs include crowning, contractions 2-3 minutes
apart, and a strong maternal urge to push or "have a bowel movement" as the head puts
pressure on the rectum.
Question 11
Which of the following patient characteristics does NOT represent a potential for violence?
A) Quick irregular movements
B) Threatening posture
C) Large, muscular individual
D) Loud, thunderous voice
E) Verbal threats of harm
Correct Answer: C) large, muscular individual
Rationale: Physical size is not an indicator of behavioral intent. Violence is predicted by
behavior (pacing, clenched fists, shouting) rather than physical appearance or stature.
Question 12
There are hollow and solid organs in the abdomen. The gallbladder is a hollow organ. A
ruptured hollow organ is most commonly associated with:
A) Severe, rapid internal bleeding
B) Inflammation and infection (peritonitis)
C) Immediate cardiac arrest
D) Low blood sugar
E) Hypovolemic shock
Correct Answer: B) inflammation and infection
Rationale: Solid organs (liver, spleen, pancreas) are highly vascular and bleed profusely
when injured. Hollow organs (stomach, gallbladder, bladder, intestines) contain substances
like bile, urine, or bacteria. When they rupture, these contents leak into the peritoneal
cavity, causing chemical or bacterial peritonitis.
Question 13
A 29-year-old male has taken LSD. The patient appears very anxious, in a panic state, and
is showing signs of paranoia. You should:
A) Agree with everything the patient says to keep him happy
B) Restrain the patient immediately
RATIONALES | ALREADY GRADED A+ | LATEST VERSION 2026
Question 1
You arrive to find a 48-year-old male complaining that his chest feels heavy. The patient is
awake and talking to you. During your assessment, you note that his skin is pale, cool, and
clammy. Your first step is to:
A) Apply your AED
B) Administer supplemental oxygen
C) Obtain a past medical history
D) Assist the patient in taking his neighbor's nitroglycerin
E) Begin chest compressions
Correct Answer: B) Administer supplemental oxygen
Rationale: Supplemental oxygen is a priority for patients exhibiting signs of cardiac distress
and poor perfusion (pale, cool, clammy skin). Oxygen helps alleviate myocardial ischemia
by increasing the oxygen content of the blood reaching the heart muscle. You would never
assist a patient with a medication not prescribed to them (neighbor's nitroglycerin), and an
AED or compressions are only for pulseless patients.
Question 2
Which of the following describes the correct flow of blood through the heart and lungs?
A) Inferior/superior vena cavae, lungs, right atrium, right ventricle, left ventricle, aorta
B) Inferior/superior vena cavae, left atrium, left ventricle, lungs, right atrium, left ventricle, aorta
C) Inferior/superior vena cavae, lungs, aorta, left atrium, left ventricle, right atrium, left ventricle
D) Inferior/superior vena cavae, right atrium, right ventricle, lungs, left atrium, left ventricle,
aorta
E) Aorta, left ventricle, left atrium, lungs, right ventricle, right atrium, vena cavae
Correct Answer: D) inferior/superior vena cavae, right atrium, right ventricle, lungs, left
atrium, left ventricle, aorta
Rationale: Deoxygenated blood returns to the heart via the vena cavae into the right atrium,
passes through the tricuspid valve into the right ventricle, and is pumped to the lungs.
Oxygenated blood returns to the left atrium, passes through the mitral valve to the left
ventricle, and is pumped into the aorta for systemic circulation.
Question 3
The mitral or bicuspid valve:
A) Prevents blood from backflowing into the left atrium
B) Prevents blood from backflowing into the right atrium
C) Prevents the blood from backflowing into the lungs
D) Is located between the left atrium and the right ventricle
E) Is located between the right atrium and right ventricle
Correct Answer: A) prevents blood from back flowing into the left atrium
, 2
Rationale: The mitral (bicuspid) valve is located between the left atrium and the left
ventricle. Its primary function is to allow blood to flow into the ventricle during diastole
and prevent the regurgitation of blood back into the atrium when the left ventricle
contracts (systole).
Question 4
Which of the following is NOT true of the treatment of an impaled object?
A) Remove if blocking the airway
B) Stabilize in place
C) Remove to accommodate transport of the patient
D) Control the bleeding
E) Use bulky dressings to secure the object
Correct Answer: C) remove to accommodate transport of the patient
Rationale: Impaled objects should never be removed simply for the convenience of
transport, as they may be tamponading a major vessel. Removal should only occur if the
object is in the cheek and obstructing the airway, or if it interferes with the ability to
perform CPR on a cardiac arrest patient.
Question 5
The electrical impulse generated in the right atrium that acts as the primary pacemaker of
the heart is called the:
A) Atrioventricular node
B) Purkinje fibers
C) Sinoatrial node
D) Bundle of His
E) Internodal pathways
Correct Answer: C) sinoatriual node
Rationale: The Sinoatrial (SA) node is located in the upper right atrium and is the heart's
natural pacemaker, typically initiating impulses at a rate of 60-100 beats per minute. The
AV node is the secondary pacemaker.
Question 6
You are treating a patient involved in a motor vehicle accident. You can lift a flap of skin on
the patient's head. This type of injury is referred to as a(n):
A) Avulsion
B) Laceration
C) Evisceration
D) Puncture
E) Contusion
Correct Answer: A) avulsion
Rationale: An avulsion is an injury where a piece of skin or soft tissue is either torn
, 3
completely loose or remains attached as a flap. A laceration is a jagged cut, an evisceration
involves organs protruding through a wound, and a puncture is a deep, narrow wound
caused by a sharp object.
Question 7
Ligaments are specialized connective tissues that connect:
A) Muscle to bone
B) Bones to tendon
C) Bone to bone
D) Muscle to tendons
E) Skin to muscle
Correct Answer: C) bone to bone
Rationale: Ligaments connect bone to bone at joints to provide stability. Tendons connect
muscle to bone to facilitate movement.
Question 8
Which of the following heat emergencies is considered a true, life-threatening emergency?
A) Heat cramps
B) Heat exhaustion
C) Heat infarction
D) Heat stroke
E) Heat syncope
Correct Answer: D) heat stroke
Rationale: Heat stroke is a medical emergency characterized by the body’s loss of the ability
to regulate temperature. The patient typically has a core temperature above 104°F and
altered mental status. If left untreated, it leads to multi-organ failure and death.
Question 9
You are treating a patient who has overdosed on a narcotic (opioid). The greatest risk for
this patient is:
A) Respiratory depression
B) Seizures
C) Hypertension
D) Hyperactivity
E) Tachycardia
Correct Answer: A) respiratory depression
Rationale: Narcotics/opioids are central nervous system depressants. Overdose leads to a
decreased drive to breathe, which can result in respiratory arrest and subsequent cardiac
arrest. Seizures are more common with stimulants or withdrawal.
Question 10
Which of the following is NOT an imminent sign that birthing is going to occur?
, 4
A) Crowning has occurred
B) Contractions are 5 minutes apart
C) The patient feels the infant's head moving down her birth canal
D) The patient has the urge to move her bowels
E) Contractions are 2 minutes apart and lasting 60 seconds
Correct Answer: B) contractions are 5 minutes apart
Rationale: While 5-minute contractions indicate labor is progressing, they do not usually
signal imminent delivery. Imminent signs include crowning, contractions 2-3 minutes
apart, and a strong maternal urge to push or "have a bowel movement" as the head puts
pressure on the rectum.
Question 11
Which of the following patient characteristics does NOT represent a potential for violence?
A) Quick irregular movements
B) Threatening posture
C) Large, muscular individual
D) Loud, thunderous voice
E) Verbal threats of harm
Correct Answer: C) large, muscular individual
Rationale: Physical size is not an indicator of behavioral intent. Violence is predicted by
behavior (pacing, clenched fists, shouting) rather than physical appearance or stature.
Question 12
There are hollow and solid organs in the abdomen. The gallbladder is a hollow organ. A
ruptured hollow organ is most commonly associated with:
A) Severe, rapid internal bleeding
B) Inflammation and infection (peritonitis)
C) Immediate cardiac arrest
D) Low blood sugar
E) Hypovolemic shock
Correct Answer: B) inflammation and infection
Rationale: Solid organs (liver, spleen, pancreas) are highly vascular and bleed profusely
when injured. Hollow organs (stomach, gallbladder, bladder, intestines) contain substances
like bile, urine, or bacteria. When they rupture, these contents leak into the peritoneal
cavity, causing chemical or bacterial peritonitis.
Question 13
A 29-year-old male has taken LSD. The patient appears very anxious, in a panic state, and
is showing signs of paranoia. You should:
A) Agree with everything the patient says to keep him happy
B) Restrain the patient immediately
