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NREMT PRACTICE COMPREHENSIVE 2026 – 2027
QUESTIONS EXAM LATEST VERSION SOLVED QUESTIONS
& ANSWERS VERIFIED 100 %
A 50-year-old woman who is conscious and alert complains of a severe
migraine headache. When caring for her, you should generally avoid:
• A:transporting her in a supine position.
• B:shining a light into her pupils.
• C:dimming the lights in the ambulance.
• D:applying ice packs to her forehead.
You selected B; This is correct!
Reason:Patients with migraine or cluster headaches typically have photophobia (light
sensitivity). Any type of bright light, especially if shone directly into the eyes, will
cause the patient with a headache unnecessary severe pain. Dimming the lights in
the ambulance and making the patient as comfortable as possible are the treatments
of choice for a patient with a headache. Some patients benefit from ice packs applied
to the forehead; just be sure to wrap the ice pack with roller gauze. Oxygen also
should be administered as needed. Typically, the patient will prefer to lie supine or
on the side
A patient who overdosed on heroin would be expected to present with:
• A:tachycardia.
• B:hyperpnea.
• C:hypotension.
• D:dilated pupils.
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The correct answer is C;
Reason:Heroin is a Schedule I (illegal) narcotic that is typically injected. As with all
narcotics, legal or illegal, overdose causes depression of the central nervous system
(CNS), resulting in a decreased level of consciousness; bradycardia; hypotension;
and slow, shallow (reduced tidal volume) breathing. Hyperpnea (deep breathing)
would not be present in a patient who overdosed on a narcotic. In a narcotic
overdose, the pupils are typically constricted (miosis). Barbiturates, such as
phenobarbital, are also CNS depressants and cause the same symptoms seen with
narcotic overdose. The patient's pupils, however, are typically dilated (mydriasis), not
constricted.
When caring for any patient with a decreased level of consciousness, your
primary concern should be the:
• A:potential for airway compromise.
• B:patient's blood glucose level.
• C:possibility of a spinal injury.
• D:possibility of a drug overdose.
You selected A; This is correct!
Reason:Altered mental status could be caused by a high or low blood glucose level,
drug overdose, or head injury, among other causes. Furthermore, the possibility of a
spinal injury should be considered if the patient was injured. However, your primary
concern should be the status of the patient's airway. Patients with a decreased level
of consciousness are at risk for aspiration if vomiting occurs. Unless spinal trauma is
present or the patient is breathing inadequately (eg, fast or slow rate, shallow
breathing [reduced tidal volume]), place him or her in the recovery position to
facilitate drainage if vomiting occurs. Remember this: no airway, no patient!
A 16-year-old, 125-pound male ingested a bottle of aspirin approximately 20
minutes ago. Medical control orders you to administer activated charcoal in a
dose of 1 g/kg. How much activated charcoal should you administer?
• A:54 g
• B:60 g
• C:51 g
• D:57 g
, Page 3 of 52
You selected D; This is correct!
Reason: First, you must determine the patient's weight in kilograms (kg). Either of
the following formulae can be used to convert pounds to kilograms: Formula 1:
weight (in pounds) ÷ 2.2 = weight in kg. Formula 2: weight (in pounds) ÷ 2 - 10% =
weight in kg. On the basis of the above formulae, a 125-pound patient weighs 57 kg.
Using formula 1, the equation is as follows: 125 (weight in pounds) ÷ 2.2 = 56.81 (57
[rounded to the nearest tenth]). Using formula 2, the equation is as follows: 125
(weight in pounds) ÷ 2 = 62.5 (63 [rounded to the nearest tenth] - 6.3 (10% of 63) =
56.7 (57 [rounded to the nearest tenth]). Since the drug order is for 1 g/kg, you
should administer 57 g of activated charcoal to your 125-pound patient.
Which of the following is the MOST significant finding in a patient with a
severe headache?
• A:Pain in both legs
• B:Chest discomfort
• C:Unilateral weakness
• D:Abdominal tenderness
You selected C; This is correct!
Reason: Unilateral weakness (weakness on one side of the body) is a clinically
significant finding in a patient with a headache because it could indicate a stroke
(ischemic or hemorrhagic). Abdominal, chest, and leg pain are not common
complaints associated with a headache, although they should be noted and
investigated if they are present.
When caring for a patient with severe hypothermia who is in cardiac arrest,
you should:
• A:perform rescue breathing only.
• B:perform BLS and transport.
• C:avoid using the AED.
• D:hyperventilate the patient.
The correct answer is B;
Reason:Patients with severe hypothermia (core body temperature < 86°F) who are
in cardiac arrest should be managed with basic life support (chest compressions and
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ventilations), passive external rewarming (ie, removal of wet clothing, applying warm
blankets) and rapid transport to the hospital where they can be actively rewarmed.
Because cold muscle is a poor conductor of electricity, defibrillation, if indicated,
should be limited to 1 attempt until the patient's body temperature has been
increased. Cardiac arrest patients with severe hypothermia generally do not respond
to defibrillation. Hyperventilation should be avoided as this may increase
intrathoracic pressure and impair blood flow back to the heart.
You should not attempt to actively rewarm a patient with moderate or severe
hypothermia in the field because:
• A:rewarming too quickly can cause a fatal cardiac dysrhythmia.
• B:the risk of inadvertently inducing hyperthermia is too high.
• C:it is painful for the patient and you cannot give analgesic drugs.
• D:active rewarming has been shown to cause severe hypertension.
You selected A; This is correct!
Reason:When caring for a patient with hypothermia, your goal is to prevent further
heat loss; this involves removing wet clothing, applying warm blankets, and allowing
the patient's body temperature to rise gradually and naturally (passive rewarming). If
the patient is moderately or severely hypothermic, you should not try to rewarm him
or her actively (placing heat on or into the body). Rewarming too quickly may cause
a fatal cardiac dysrhythmia, such as ventricular fibrillation (V-Fib). Active rewarming
may also cause rewarming shock, a condition in which the blood vessels dilate when
heat is applied to the body, resulting in significant hypotension. For these reasons,
active rewarming should only be performed in the controlled setting of a hospital.
You respond to a grocery store where a 39-year-old man reportedly
experienced a seizure. When you arrive at the scene, a clerk begins to escort
you to the patient. She tells you that the man stopped seizing about 5 minutes
ago. If the patient truly experienced a seizure, you will MOST likely find that he:
• A:has a slow heart rate.
• B:is fully conscious and alert.
• C:is not breathing and is cyanotic.
• D:is confused and disoriented.
You selected D; This is correct!
NREMT PRACTICE COMPREHENSIVE 2026 – 2027
QUESTIONS EXAM LATEST VERSION SOLVED QUESTIONS
& ANSWERS VERIFIED 100 %
A 50-year-old woman who is conscious and alert complains of a severe
migraine headache. When caring for her, you should generally avoid:
• A:transporting her in a supine position.
• B:shining a light into her pupils.
• C:dimming the lights in the ambulance.
• D:applying ice packs to her forehead.
You selected B; This is correct!
Reason:Patients with migraine or cluster headaches typically have photophobia (light
sensitivity). Any type of bright light, especially if shone directly into the eyes, will
cause the patient with a headache unnecessary severe pain. Dimming the lights in
the ambulance and making the patient as comfortable as possible are the treatments
of choice for a patient with a headache. Some patients benefit from ice packs applied
to the forehead; just be sure to wrap the ice pack with roller gauze. Oxygen also
should be administered as needed. Typically, the patient will prefer to lie supine or
on the side
A patient who overdosed on heroin would be expected to present with:
• A:tachycardia.
• B:hyperpnea.
• C:hypotension.
• D:dilated pupils.
, Page 2 of 52
The correct answer is C;
Reason:Heroin is a Schedule I (illegal) narcotic that is typically injected. As with all
narcotics, legal or illegal, overdose causes depression of the central nervous system
(CNS), resulting in a decreased level of consciousness; bradycardia; hypotension;
and slow, shallow (reduced tidal volume) breathing. Hyperpnea (deep breathing)
would not be present in a patient who overdosed on a narcotic. In a narcotic
overdose, the pupils are typically constricted (miosis). Barbiturates, such as
phenobarbital, are also CNS depressants and cause the same symptoms seen with
narcotic overdose. The patient's pupils, however, are typically dilated (mydriasis), not
constricted.
When caring for any patient with a decreased level of consciousness, your
primary concern should be the:
• A:potential for airway compromise.
• B:patient's blood glucose level.
• C:possibility of a spinal injury.
• D:possibility of a drug overdose.
You selected A; This is correct!
Reason:Altered mental status could be caused by a high or low blood glucose level,
drug overdose, or head injury, among other causes. Furthermore, the possibility of a
spinal injury should be considered if the patient was injured. However, your primary
concern should be the status of the patient's airway. Patients with a decreased level
of consciousness are at risk for aspiration if vomiting occurs. Unless spinal trauma is
present or the patient is breathing inadequately (eg, fast or slow rate, shallow
breathing [reduced tidal volume]), place him or her in the recovery position to
facilitate drainage if vomiting occurs. Remember this: no airway, no patient!
A 16-year-old, 125-pound male ingested a bottle of aspirin approximately 20
minutes ago. Medical control orders you to administer activated charcoal in a
dose of 1 g/kg. How much activated charcoal should you administer?
• A:54 g
• B:60 g
• C:51 g
• D:57 g
, Page 3 of 52
You selected D; This is correct!
Reason: First, you must determine the patient's weight in kilograms (kg). Either of
the following formulae can be used to convert pounds to kilograms: Formula 1:
weight (in pounds) ÷ 2.2 = weight in kg. Formula 2: weight (in pounds) ÷ 2 - 10% =
weight in kg. On the basis of the above formulae, a 125-pound patient weighs 57 kg.
Using formula 1, the equation is as follows: 125 (weight in pounds) ÷ 2.2 = 56.81 (57
[rounded to the nearest tenth]). Using formula 2, the equation is as follows: 125
(weight in pounds) ÷ 2 = 62.5 (63 [rounded to the nearest tenth] - 6.3 (10% of 63) =
56.7 (57 [rounded to the nearest tenth]). Since the drug order is for 1 g/kg, you
should administer 57 g of activated charcoal to your 125-pound patient.
Which of the following is the MOST significant finding in a patient with a
severe headache?
• A:Pain in both legs
• B:Chest discomfort
• C:Unilateral weakness
• D:Abdominal tenderness
You selected C; This is correct!
Reason: Unilateral weakness (weakness on one side of the body) is a clinically
significant finding in a patient with a headache because it could indicate a stroke
(ischemic or hemorrhagic). Abdominal, chest, and leg pain are not common
complaints associated with a headache, although they should be noted and
investigated if they are present.
When caring for a patient with severe hypothermia who is in cardiac arrest,
you should:
• A:perform rescue breathing only.
• B:perform BLS and transport.
• C:avoid using the AED.
• D:hyperventilate the patient.
The correct answer is B;
Reason:Patients with severe hypothermia (core body temperature < 86°F) who are
in cardiac arrest should be managed with basic life support (chest compressions and
, Page 4 of 52
ventilations), passive external rewarming (ie, removal of wet clothing, applying warm
blankets) and rapid transport to the hospital where they can be actively rewarmed.
Because cold muscle is a poor conductor of electricity, defibrillation, if indicated,
should be limited to 1 attempt until the patient's body temperature has been
increased. Cardiac arrest patients with severe hypothermia generally do not respond
to defibrillation. Hyperventilation should be avoided as this may increase
intrathoracic pressure and impair blood flow back to the heart.
You should not attempt to actively rewarm a patient with moderate or severe
hypothermia in the field because:
• A:rewarming too quickly can cause a fatal cardiac dysrhythmia.
• B:the risk of inadvertently inducing hyperthermia is too high.
• C:it is painful for the patient and you cannot give analgesic drugs.
• D:active rewarming has been shown to cause severe hypertension.
You selected A; This is correct!
Reason:When caring for a patient with hypothermia, your goal is to prevent further
heat loss; this involves removing wet clothing, applying warm blankets, and allowing
the patient's body temperature to rise gradually and naturally (passive rewarming). If
the patient is moderately or severely hypothermic, you should not try to rewarm him
or her actively (placing heat on or into the body). Rewarming too quickly may cause
a fatal cardiac dysrhythmia, such as ventricular fibrillation (V-Fib). Active rewarming
may also cause rewarming shock, a condition in which the blood vessels dilate when
heat is applied to the body, resulting in significant hypotension. For these reasons,
active rewarming should only be performed in the controlled setting of a hospital.
You respond to a grocery store where a 39-year-old man reportedly
experienced a seizure. When you arrive at the scene, a clerk begins to escort
you to the patient. She tells you that the man stopped seizing about 5 minutes
ago. If the patient truly experienced a seizure, you will MOST likely find that he:
• A:has a slow heart rate.
• B:is fully conscious and alert.
• C:is not breathing and is cyanotic.
• D:is confused and disoriented.
You selected D; This is correct!
