PARAMEDIC NATIONAL
REGISTRY CERTIFICATION
EXAM (NREMT) PRACTICE
QUESTIONS AND CORRECT
ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES
2026 Q&A | INSTANT
DOWNLOAD PDF
1. A 45-year-old male presents with chest pain and diaphoresis. Which
is the first priority intervention?
A. Administer nitroglycerin
B. Start an IV
C. Assess the airway and breathing
D. Obtain a 12-lead ECG
Airway and breathing must always be assessed first to ensure the
patient can maintain oxygenation before other interventions.
,2. You respond to a patient with suspected anaphylaxis. Which is the
most important initial medication?
A. Diphenhydramine
B. Albuterol
C. Epinephrine
D. Hydrocortisone
Epinephrine is the first-line treatment for severe allergic reactions to
prevent airway compromise and shock.
3. Which of the following is a sign of hypovolemic shock?
A. Warm, flushed skin
B. Tachycardia and hypotension
C. Bradycardia
D. Bradypnea
Hypovolemic shock reduces circulating volume, leading to
compensatory tachycardia and hypotension.
4. Which cardiac rhythm is most commonly associated with sudden
cardiac arrest?
A. Asystole
B. Pulseless electrical activity
C. Ventricular fibrillation
D. Atrial fibrillation
Ventricular fibrillation is the most frequent initial rhythm in sudden
cardiac arrest.
5. A patient has a blood glucose level of 40 mg/dL and is unconscious.
What is the best initial treatment?
,A. Oral glucose
B. IV dextrose
C. Glucagon IM
D. Insulin
Unconscious patients cannot safely take oral glucose, so IV dextrose is
indicated.
6. Which of the following is a contraindication to administering
nitroglycerin?
A. Chest pain
B. History of MI
C. Systolic blood pressure < 90 mmHg
D. Dyspnea
Nitroglycerin can cause severe hypotension, so it should not be used in
patients with low blood pressure.
7. You are treating a patient with asthma. Which is the first-line
emergency treatment?
A. IV corticosteroids
B. Albuterol via nebulizer
C. Epinephrine IM
D. Magnesium sulfate IV
Albuterol is a rapid-acting bronchodilator and the first-line treatment
for acute asthma exacerbation.
8. Which of the following is the most appropriate way to confirm
endotracheal tube placement?
A. Observation of chest rise
, B. Capnography
C. Breath sounds alone
D. Visual inspection of tube in the mouth
Capnography provides definitive evidence of tracheal placement by
measuring exhaled CO₂.
9. Which organ is most commonly injured in blunt abdominal trauma?
A. Kidney
B. Spleen
C. Stomach
D. Liver
The spleen is the most frequently injured organ in blunt abdominal
trauma due to its location and vascularity.
10. What is the preferred initial fluid for a patient in hemorrhagic
shock?
A. Lactated Ringer’s
B. 5% dextrose
C. Normal saline
D. Whole blood
Normal saline is isotonic and used initially to restore intravascular
volume.
11. What is the most common cause of cardiac arrest in children?
A. Respiratory failure
B. Ventricular fibrillation
C. Myocardial infarction
D. Stroke
REGISTRY CERTIFICATION
EXAM (NREMT) PRACTICE
QUESTIONS AND CORRECT
ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES
2026 Q&A | INSTANT
DOWNLOAD PDF
1. A 45-year-old male presents with chest pain and diaphoresis. Which
is the first priority intervention?
A. Administer nitroglycerin
B. Start an IV
C. Assess the airway and breathing
D. Obtain a 12-lead ECG
Airway and breathing must always be assessed first to ensure the
patient can maintain oxygenation before other interventions.
,2. You respond to a patient with suspected anaphylaxis. Which is the
most important initial medication?
A. Diphenhydramine
B. Albuterol
C. Epinephrine
D. Hydrocortisone
Epinephrine is the first-line treatment for severe allergic reactions to
prevent airway compromise and shock.
3. Which of the following is a sign of hypovolemic shock?
A. Warm, flushed skin
B. Tachycardia and hypotension
C. Bradycardia
D. Bradypnea
Hypovolemic shock reduces circulating volume, leading to
compensatory tachycardia and hypotension.
4. Which cardiac rhythm is most commonly associated with sudden
cardiac arrest?
A. Asystole
B. Pulseless electrical activity
C. Ventricular fibrillation
D. Atrial fibrillation
Ventricular fibrillation is the most frequent initial rhythm in sudden
cardiac arrest.
5. A patient has a blood glucose level of 40 mg/dL and is unconscious.
What is the best initial treatment?
,A. Oral glucose
B. IV dextrose
C. Glucagon IM
D. Insulin
Unconscious patients cannot safely take oral glucose, so IV dextrose is
indicated.
6. Which of the following is a contraindication to administering
nitroglycerin?
A. Chest pain
B. History of MI
C. Systolic blood pressure < 90 mmHg
D. Dyspnea
Nitroglycerin can cause severe hypotension, so it should not be used in
patients with low blood pressure.
7. You are treating a patient with asthma. Which is the first-line
emergency treatment?
A. IV corticosteroids
B. Albuterol via nebulizer
C. Epinephrine IM
D. Magnesium sulfate IV
Albuterol is a rapid-acting bronchodilator and the first-line treatment
for acute asthma exacerbation.
8. Which of the following is the most appropriate way to confirm
endotracheal tube placement?
A. Observation of chest rise
, B. Capnography
C. Breath sounds alone
D. Visual inspection of tube in the mouth
Capnography provides definitive evidence of tracheal placement by
measuring exhaled CO₂.
9. Which organ is most commonly injured in blunt abdominal trauma?
A. Kidney
B. Spleen
C. Stomach
D. Liver
The spleen is the most frequently injured organ in blunt abdominal
trauma due to its location and vascularity.
10. What is the preferred initial fluid for a patient in hemorrhagic
shock?
A. Lactated Ringer’s
B. 5% dextrose
C. Normal saline
D. Whole blood
Normal saline is isotonic and used initially to restore intravascular
volume.
11. What is the most common cause of cardiac arrest in children?
A. Respiratory failure
B. Ventricular fibrillation
C. Myocardial infarction
D. Stroke
