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NREMT PARAMEDIC EXAM QUESTIONS
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2025|2026 Q&A |
INSTANTDOWNLOAD PDF
The Paramedic (NRP) exam is the highest level of NREMT certification, testing
advanced pre-hospital emergency care.
Exam Structure
1. Cognitive Exam (Computer Adaptive Test – CAT):
o 80–150 multiple-choice questions
o Time: 2 hours 30 minutes
o Content Areas:
▪ Airway, Respiration & Ventilation (~18–22%)
▪ Cardiology & Resuscitation (~20–24%)
▪ Trauma (~13–17%)
▪ Medical/Obstetrics/Gynecology (~27–31%)
▪ EMS Operations (~10–14%)
o Integrated Adult & Pediatric questions.
2. Psychomotor Exam:
o Hands-on demonstration of advanced skills in 12 stations:
▪ Patient assessment (medical & trauma)
▪ Cardiac management (defibrillation, pacing)
▪ IV/IO access, airway management (intubation)
, ▪ Dynamic cardiology (megacode)
▪ Pediatric & obstetric emergencies
▪ Trauma skills (needle decompression, hemorrhage control,
splinting)
Sample Paramedic (NREMT) Practice Questions
Airway
1. A 55-year-old male is unresponsive with snoring respirations. What is the
MOST appropriate initial intervention?
• A. Insert an oropharyngeal airway
• B. Perform a head-tilt, chin-lift
• C. Provide bag-valve-mask ventilation
• D. Suction the airway
Answer: B. Perform a head-tilt, chin-lift
Rationale: The first step is to open the airway manually before adjuncts or
ventilation.
Cardiology
2. A patient is in pulseless ventricular tachycardia. Which intervention should
be performed first?
• A. Administer epinephrine
• B. Defibrillate
• C. Start chest compressions
• D. Administer amiodarone
Answer: C. Start chest compressions
Rationale: High-quality CPR is initiated immediately, followed by
defibrillation as soon as available.
, Trauma
3. A 25-year-old male has a penetrating chest wound with absent breath
sounds on the left, hypotension, and distended neck veins. What is the
MOST likely condition?
• A. Hemothorax
• B. Pericardial tamponade
• C. Tension pneumothorax
• D. Simple pneumothorax
Answer: C. Tension pneumothorax
Rationale: Classic signs: unilateral absent breath sounds, hypotension, JVD
→ tension pneumothorax.
Medical/OB
4. A 32-year-old pregnant woman at 36 weeks gestation presents with
hypertension, seizures, and edema. Which condition is most likely?
• A. Eclampsia
• B. Preeclampsia
• C. Placenta previa
• D. Uterine rupture
Answer: A. Eclampsia
Rationale: Seizures in a hypertensive pregnant patient = eclampsia,
requiring magnesium sulfate.
Operations
5. Which type of hazardous material exposure is best managed with rapid
removal of contaminated clothing and copious irrigation with water?
NREMT PARAMEDIC EXAM QUESTIONS
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2025|2026 Q&A |
INSTANTDOWNLOAD PDF
The Paramedic (NRP) exam is the highest level of NREMT certification, testing
advanced pre-hospital emergency care.
Exam Structure
1. Cognitive Exam (Computer Adaptive Test – CAT):
o 80–150 multiple-choice questions
o Time: 2 hours 30 minutes
o Content Areas:
▪ Airway, Respiration & Ventilation (~18–22%)
▪ Cardiology & Resuscitation (~20–24%)
▪ Trauma (~13–17%)
▪ Medical/Obstetrics/Gynecology (~27–31%)
▪ EMS Operations (~10–14%)
o Integrated Adult & Pediatric questions.
2. Psychomotor Exam:
o Hands-on demonstration of advanced skills in 12 stations:
▪ Patient assessment (medical & trauma)
▪ Cardiac management (defibrillation, pacing)
▪ IV/IO access, airway management (intubation)
, ▪ Dynamic cardiology (megacode)
▪ Pediatric & obstetric emergencies
▪ Trauma skills (needle decompression, hemorrhage control,
splinting)
Sample Paramedic (NREMT) Practice Questions
Airway
1. A 55-year-old male is unresponsive with snoring respirations. What is the
MOST appropriate initial intervention?
• A. Insert an oropharyngeal airway
• B. Perform a head-tilt, chin-lift
• C. Provide bag-valve-mask ventilation
• D. Suction the airway
Answer: B. Perform a head-tilt, chin-lift
Rationale: The first step is to open the airway manually before adjuncts or
ventilation.
Cardiology
2. A patient is in pulseless ventricular tachycardia. Which intervention should
be performed first?
• A. Administer epinephrine
• B. Defibrillate
• C. Start chest compressions
• D. Administer amiodarone
Answer: C. Start chest compressions
Rationale: High-quality CPR is initiated immediately, followed by
defibrillation as soon as available.
, Trauma
3. A 25-year-old male has a penetrating chest wound with absent breath
sounds on the left, hypotension, and distended neck veins. What is the
MOST likely condition?
• A. Hemothorax
• B. Pericardial tamponade
• C. Tension pneumothorax
• D. Simple pneumothorax
Answer: C. Tension pneumothorax
Rationale: Classic signs: unilateral absent breath sounds, hypotension, JVD
→ tension pneumothorax.
Medical/OB
4. A 32-year-old pregnant woman at 36 weeks gestation presents with
hypertension, seizures, and edema. Which condition is most likely?
• A. Eclampsia
• B. Preeclampsia
• C. Placenta previa
• D. Uterine rupture
Answer: A. Eclampsia
Rationale: Seizures in a hypertensive pregnant patient = eclampsia,
requiring magnesium sulfate.
Operations
5. Which type of hazardous material exposure is best managed with rapid
removal of contaminated clothing and copious irrigation with water?
