REAL NREMT® EMR EXAM PREP2023-
2024 / NREMT EXAM QUESTIONS AND
ANSWERS WITH RATIONALE
GRADED A
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 - answers>B
(Your first step is to administer supplemental oxygen. When treating chest pain, it is
important to get oxygen to the patient as soon as possible to help alleviate damage to the
heart muscle.)
Which of the following is the correct flow of blood through the heart and lungs?
A. inferior/superior vena cavae, lungs, right atrium, right ventricle, left venntricle, aorta
,B. inferior/superior vena cavae, left atrium, left ventricle, lungs, right atrium, left ventricle,
aorta
C. inferior/superior vena cavae, lings, aorta, left atrium, left ventricle, right atrium, left ventricle
D. inferior/superior vena cavae, right atrium, right ventricle, lungs, left ventricle, aorta -
answers>D
The mitral or bicuspid valve,
A. prevents blood from back flowing into the left atrium
B. prevents blood from back flowing into the right atrium
C. prevents the blood from back flowing into the lungs
D. is located between the left atrium and the right ventricle - answers>A
(The mitral or bicuspid valve is located between the left atrium and the left atrium and the
left ventricle. It prevents the blood from back flowing into the left atrium.)
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 - answers>C
(The treatment of a patient with an impaled object includes: securing the object in place,
exposing the wound area, controlling bleeding, and using a bulky dressing to help stabilize
the object. The only time it is permissible to remove an impaled object is if it is impeding the
breathing of a patient.)
The electrical impulse generated in the right atrium is called the:
A. atrioventricular node
B. purkinje fibers
C. sinoatriual node
D. bundle of his - answers>C
You are treating a patient that has been involved in a motor vehicle accident. You can lift a
flap of skin on the patient's head. This type of injury would e referred to as a(n):
A. avulsion
B. laceration
C. evisceration
D. puncture - answers>A
, (A puncture is created by an object that is typically sharp and pointed. A laceration is defined
as a jagged cut. An evisceration is typically referred to as organs protruding.)
Ligaments connect:
A. muscle to bone
B. bones to tendon
C. bone to bone
D. muscle to tendons - answers>C
Which of the following heat emergencies is considered a true emergency?
A. heat cramps
B. heat exhaustion
C. heat infarction
D. heat stroke - answers>D
(Heat strokes are considered a true life threatening emergency. A heat stroke typically occurs
after a patient as experienced heat cramps and heat exhaustion.)
You are treating a patient who has overdosed on a narcotic. The greatest risk for this patient
is:
2024 / NREMT EXAM QUESTIONS AND
ANSWERS WITH RATIONALE
GRADED A
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 - answers>B
(Your first step is to administer supplemental oxygen. When treating chest pain, it is
important to get oxygen to the patient as soon as possible to help alleviate damage to the
heart muscle.)
Which of the following is the correct flow of blood through the heart and lungs?
A. inferior/superior vena cavae, lungs, right atrium, right ventricle, left venntricle, aorta
,B. inferior/superior vena cavae, left atrium, left ventricle, lungs, right atrium, left ventricle,
aorta
C. inferior/superior vena cavae, lings, aorta, left atrium, left ventricle, right atrium, left ventricle
D. inferior/superior vena cavae, right atrium, right ventricle, lungs, left ventricle, aorta -
answers>D
The mitral or bicuspid valve,
A. prevents blood from back flowing into the left atrium
B. prevents blood from back flowing into the right atrium
C. prevents the blood from back flowing into the lungs
D. is located between the left atrium and the right ventricle - answers>A
(The mitral or bicuspid valve is located between the left atrium and the left atrium and the
left ventricle. It prevents the blood from back flowing into the left atrium.)
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 - answers>C
(The treatment of a patient with an impaled object includes: securing the object in place,
exposing the wound area, controlling bleeding, and using a bulky dressing to help stabilize
the object. The only time it is permissible to remove an impaled object is if it is impeding the
breathing of a patient.)
The electrical impulse generated in the right atrium is called the:
A. atrioventricular node
B. purkinje fibers
C. sinoatriual node
D. bundle of his - answers>C
You are treating a patient that has been involved in a motor vehicle accident. You can lift a
flap of skin on the patient's head. This type of injury would e referred to as a(n):
A. avulsion
B. laceration
C. evisceration
D. puncture - answers>A
, (A puncture is created by an object that is typically sharp and pointed. A laceration is defined
as a jagged cut. An evisceration is typically referred to as organs protruding.)
Ligaments connect:
A. muscle to bone
B. bones to tendon
C. bone to bone
D. muscle to tendons - answers>C
Which of the following heat emergencies is considered a true emergency?
A. heat cramps
B. heat exhaustion
C. heat infarction
D. heat stroke - answers>D
(Heat strokes are considered a true life threatening emergency. A heat stroke typically occurs
after a patient as experienced heat cramps and heat exhaustion.)
You are treating a patient who has overdosed on a narcotic. The greatest risk for this patient
is:
