NREMT PRACTICE QUESTIONS&
ANSWERS (RATED A+)
What differences in a child's airway might make airway management more difficult than
in an adult?
A. smaller jaw, smaller teeth
B. longer airway and small tongue
C. a smaller jaw and a proportionally larger tongue
D. There are no anatomic differences that affect airway management in children versus
adults. - ANSWERC. Smaller Jaw and proportionally larger tongue
A normal respiratory rate for an adult is ____ while a normal respiratory rate for a
newborn is ____.
A. 8 to16 and 20 to 40
B. 22 to 30 and 50
C. 12 to 20 and 30 to 60
D. 12 to 20 and 16 to 24 - ANSWERC. 12 to 20 and 30 to 60
You are called to a home and find a three-year-old child who is dirty and has an ALOC.
You see old bruises on his legs and arms. You suspect possible child abuse. You
should ____.
A. report the abuse to the appropriate agency in your area
B. ask the parents for an explanation and determine if it appears logical before reporting
the abuse
C. talk to your supervisor and do what they tell you
D. not say anything—it's not your job - ANSWERA. report the abuse to the appropriate
agency in your area
** EMTs and paramedics are mandated reporters in all states. If you suspect child
abuse, you must report it. It's not your job to determine if there is definitely abuse before
reporting. This supersedes your mandate to just report the "facts" in all other cases. It is
your legal responsibility to report any suspicion of child abuse
To maintain adequate perfusion, manual ventilation should be performed at a rate of 1
breath every 5 to 6 seconds in an adult, for a total of 10 to 12 breaths a minute. In a
,child, manual ventilation should be performed at a rate of 1 breath every 3 to 5 seconds,
for a total of 12 to 20 breaths per minute.
A nasal cannula can be run at how many LPM?
A. 1 to 6 LPM
B. 5 to 10 LPM
C. 1 to 15 LPM
D. 1 to 8 LPM - ANSWERA. 1 to 6 LPM
Based on the mechanism of injury alone, which of the following patients would be
considered most critical?
A. 23 year old female who is conscious and walking around after being ejected from her
car.
B. 59 year old male who fell 3 feet from a ladder onto concrete
C. 43 year old female whose care has rolled over
D. 27 year old male who was rear-ended - ANSWERA. 23 year old female who is
conscious and walking around after being ejected from her car.
What is the first thing you should do before inserting a nasopharyngeal airway?
A. Make sure the patient does not have a gag reflex.
B. Look up the nose to make sure the nostrils are large enough for a nasopharyngeal
airway.
C. Select the correct size.
D. Tilt the head back, lube the airway, and insert it into the nostril. - ANSWERC. Select
the correct size.
Emergency care for patients who are not breathing adequately but have a pulse
includes all of the following except ____.
A. CPR
B. supplemental oxygen
C. airway management
D. ventilatory support - ANSWERA. CPR
You arrive on scene to find a young woman who is having trouble talking. She has hives
and is starting to gasp for air. Her friend says she was just stung by a bee. Your
immediate actions should include all of the following except ____.
A. assess the bee sting for signs of an infection
,B. administer epinephrine (If your state and local EMS protocols allow)
C. provide airway support
D. administer supplemental oxygen - ANSWERA. assess the bee sting for signs of an
infection
You're called to a home and find an unresponsive male. Family members said he
"passed out." You assess the scene to be safe. The next thing you should do is:
A. Get a blood pressure to determine if it's too low and may have caused him to pass
out.
B. Get a temperature to determine if he has heat stroke.
C. Check the patient's blood sugar; he might be a diabetic.
D. Simultaneously check for a pulse and breathing. - ANSWERD. Simultaneously check
for a pulse and breathing.
Wheezing can be described as ____.
A. wet, crackling sound
B. a high-pitched whistling sound
C. loud snoring sound
D. tiny popping sound - ANSWERB. a high-pitched whistling sound
Wheezing is produced by narrowing or obstruction of the lower airways, which often
causes a high-pitched, whistling sound as the air travels through the narrowed space.
You're responding to a call for a 44 year-old woman who is complaining of feeling
anxious and states, "I can't breathe." You should do the following:
A. Assess her respiratory rate and rhythm, check her oxygen saturation and listen to her
lungs.
B. Place a non-rebreather mask and turn the flow to 6 LPM
C. Immediately start manually ventilating since she said she can't breathe.
D. Perform an abdominal thrust; she may be choking. - ANSWERA. Assess her
respiratory rate and rhythm, check her oxygen saturation and listen to her lungs.
The patient is breathing since she is talking. There is no need to manually ventilate her
at this time. You should perform a respiratory assessment including checking
oxygenation.
When assessing breathing, tidal volume refers to ____.
A. the rate at which a person breathes
B. how regular breathing appears
, C. whether a person inhales and exhales for the same amount of time
D. the depth of the breath - ANSWERD. the depth of the breath
Tidal volume is the amount of air a person inhales with one breath or how deeply they
are breathing.
You are treating an adult patient who is unresponsive and just vomited. You need to
suction his airway. You should suction the patient's airway for no more than ____
seconds at a time.
A. as long as it takes to remove all of the vomit from the airway
B. < 5 seconds
C. 15—20 seconds
D. 10—15 seconds - ANSWERD. 10—15 seconds
If manually ventilating a patient, you should squeeze the bag every ____ seconds for an
adult and every ____ seconds for a child.
A. 5 to 6, 5 to 6
B. 8 to 10, 6 to 8
C. 2 to 3, 6 to 8
D. 5 to 6, 3 to 5 - ANSWERD. 5 to 6, 3 to 5
You are manually ventilating a patient using a bag valve mask (BVM). The patient is
connected to a pulse oximetry and the oxygen saturation reading is 80. You do not see
the chest rise. What steps can you take?
A. Do a finger sweep of the mouth to make sure it's clear.
B. Put down the ambu bag and start mouth to mouth resuscitation using a barrier
device.
C. Reposition the head and make sure you have a tight seal with the mask.
D. Squeeze the bag much faster. - ANSWERC. Reposition the head and make sure you
have a tight seal with the mask.
To ensure ventilations are effective, make sure the airway is open by repositioning the
head. It's also essential to have a tight seal between the patient's face and the mask or
air will escape and not be delivered to the patient's lungs.
ANSWERS (RATED A+)
What differences in a child's airway might make airway management more difficult than
in an adult?
A. smaller jaw, smaller teeth
B. longer airway and small tongue
C. a smaller jaw and a proportionally larger tongue
D. There are no anatomic differences that affect airway management in children versus
adults. - ANSWERC. Smaller Jaw and proportionally larger tongue
A normal respiratory rate for an adult is ____ while a normal respiratory rate for a
newborn is ____.
A. 8 to16 and 20 to 40
B. 22 to 30 and 50
C. 12 to 20 and 30 to 60
D. 12 to 20 and 16 to 24 - ANSWERC. 12 to 20 and 30 to 60
You are called to a home and find a three-year-old child who is dirty and has an ALOC.
You see old bruises on his legs and arms. You suspect possible child abuse. You
should ____.
A. report the abuse to the appropriate agency in your area
B. ask the parents for an explanation and determine if it appears logical before reporting
the abuse
C. talk to your supervisor and do what they tell you
D. not say anything—it's not your job - ANSWERA. report the abuse to the appropriate
agency in your area
** EMTs and paramedics are mandated reporters in all states. If you suspect child
abuse, you must report it. It's not your job to determine if there is definitely abuse before
reporting. This supersedes your mandate to just report the "facts" in all other cases. It is
your legal responsibility to report any suspicion of child abuse
To maintain adequate perfusion, manual ventilation should be performed at a rate of 1
breath every 5 to 6 seconds in an adult, for a total of 10 to 12 breaths a minute. In a
,child, manual ventilation should be performed at a rate of 1 breath every 3 to 5 seconds,
for a total of 12 to 20 breaths per minute.
A nasal cannula can be run at how many LPM?
A. 1 to 6 LPM
B. 5 to 10 LPM
C. 1 to 15 LPM
D. 1 to 8 LPM - ANSWERA. 1 to 6 LPM
Based on the mechanism of injury alone, which of the following patients would be
considered most critical?
A. 23 year old female who is conscious and walking around after being ejected from her
car.
B. 59 year old male who fell 3 feet from a ladder onto concrete
C. 43 year old female whose care has rolled over
D. 27 year old male who was rear-ended - ANSWERA. 23 year old female who is
conscious and walking around after being ejected from her car.
What is the first thing you should do before inserting a nasopharyngeal airway?
A. Make sure the patient does not have a gag reflex.
B. Look up the nose to make sure the nostrils are large enough for a nasopharyngeal
airway.
C. Select the correct size.
D. Tilt the head back, lube the airway, and insert it into the nostril. - ANSWERC. Select
the correct size.
Emergency care for patients who are not breathing adequately but have a pulse
includes all of the following except ____.
A. CPR
B. supplemental oxygen
C. airway management
D. ventilatory support - ANSWERA. CPR
You arrive on scene to find a young woman who is having trouble talking. She has hives
and is starting to gasp for air. Her friend says she was just stung by a bee. Your
immediate actions should include all of the following except ____.
A. assess the bee sting for signs of an infection
,B. administer epinephrine (If your state and local EMS protocols allow)
C. provide airway support
D. administer supplemental oxygen - ANSWERA. assess the bee sting for signs of an
infection
You're called to a home and find an unresponsive male. Family members said he
"passed out." You assess the scene to be safe. The next thing you should do is:
A. Get a blood pressure to determine if it's too low and may have caused him to pass
out.
B. Get a temperature to determine if he has heat stroke.
C. Check the patient's blood sugar; he might be a diabetic.
D. Simultaneously check for a pulse and breathing. - ANSWERD. Simultaneously check
for a pulse and breathing.
Wheezing can be described as ____.
A. wet, crackling sound
B. a high-pitched whistling sound
C. loud snoring sound
D. tiny popping sound - ANSWERB. a high-pitched whistling sound
Wheezing is produced by narrowing or obstruction of the lower airways, which often
causes a high-pitched, whistling sound as the air travels through the narrowed space.
You're responding to a call for a 44 year-old woman who is complaining of feeling
anxious and states, "I can't breathe." You should do the following:
A. Assess her respiratory rate and rhythm, check her oxygen saturation and listen to her
lungs.
B. Place a non-rebreather mask and turn the flow to 6 LPM
C. Immediately start manually ventilating since she said she can't breathe.
D. Perform an abdominal thrust; she may be choking. - ANSWERA. Assess her
respiratory rate and rhythm, check her oxygen saturation and listen to her lungs.
The patient is breathing since she is talking. There is no need to manually ventilate her
at this time. You should perform a respiratory assessment including checking
oxygenation.
When assessing breathing, tidal volume refers to ____.
A. the rate at which a person breathes
B. how regular breathing appears
, C. whether a person inhales and exhales for the same amount of time
D. the depth of the breath - ANSWERD. the depth of the breath
Tidal volume is the amount of air a person inhales with one breath or how deeply they
are breathing.
You are treating an adult patient who is unresponsive and just vomited. You need to
suction his airway. You should suction the patient's airway for no more than ____
seconds at a time.
A. as long as it takes to remove all of the vomit from the airway
B. < 5 seconds
C. 15—20 seconds
D. 10—15 seconds - ANSWERD. 10—15 seconds
If manually ventilating a patient, you should squeeze the bag every ____ seconds for an
adult and every ____ seconds for a child.
A. 5 to 6, 5 to 6
B. 8 to 10, 6 to 8
C. 2 to 3, 6 to 8
D. 5 to 6, 3 to 5 - ANSWERD. 5 to 6, 3 to 5
You are manually ventilating a patient using a bag valve mask (BVM). The patient is
connected to a pulse oximetry and the oxygen saturation reading is 80. You do not see
the chest rise. What steps can you take?
A. Do a finger sweep of the mouth to make sure it's clear.
B. Put down the ambu bag and start mouth to mouth resuscitation using a barrier
device.
C. Reposition the head and make sure you have a tight seal with the mask.
D. Squeeze the bag much faster. - ANSWERC. Reposition the head and make sure you
have a tight seal with the mask.
To ensure ventilations are effective, make sure the airway is open by repositioning the
head. It's also essential to have a tight seal between the patient's face and the mask or
air will escape and not be delivered to the patient's lungs.
