Test Prep NREMT Exam Actual Questions
National Registry Emergency Medical Technician (Page 12 )

Updated On: 17-Jul-2026

Your patient was ejected from their car during a single vehicle rollover. He responds incoherently to verbal commands.
What must you do first?

  1. You must perform a secondary assessment.
  2. You must determine his pulse rate.
  3. You must access his airway.
  4. You must log roll him onto a spine board.

Answer(s): C

Explanation:

Responsive patients should always be assessed, using the ABC method during the primary assessment. The patient’s airway should be assessed before performing any secondary exam or before placing your patient on a spine board. Circulation shouldn’t be assessed first (which would be by using the CAB sequence) because responsive patients aren’t in need of CPR.



You have an unconscious 16-year-old male patient (due to an assault) in front of you. You insert an OPA and he begins to gag.
What should you do?

  1. Continue to insert the airway and prepare to suction as necessary.
  2. Remove the airway and prepare to suction as necessary.
  3. Insert a smaller OPA.
  4. Insert an advanced oral airway

Answer(s): B

Explanation:

If your patient begins to gag while you are inserting an OPA, it must immediately be removed and the airway should be suctioned as deemed necessary. If you continue to insert the OPA despite the gagging, it could lead to vomiting. An incorrectly sized OPA should not be used on a patient. Advanced airways can also stimulate your patient’s gag reflex.



Out of the following four choices, which sign of hypoxia is more common in pediatric patients?

  1. Bradycardia
  2. Anxiety
  3. Tachycardia
  4. Restlessness

Answer(s): A

Explanation:

Bradycardia is a more common sign of hypoxia in pediatric patients. Anxiety, tachycardia and restlessness are common signs of hypoxia in patients of all ages.



Which of the options below is correct during inhalation, when your patient is breathing spontaneously?

  1. There is a decrease in pressure in the thorax.
  2. There is an increase in pressure in the thorax.
  3. Air is being pushed into the patient’s lungs.
  4. The intercostal muscles and the diaphragm are relaxed.

Answer(s): A

Explanation:

If you have a patient who is breathing spontaneously, during inhalation, their diaphragm and intercostal muscles contract. There would be a decrease in pressure in their thorax and air is pulled in rather than pushed.



You witness the person next to you at the gym collapse. The patient becomes apneic, with a pulse.
What percentage of oxygen would your patient receive once you start performing mouth to mask ventilations?

  1. 16%
  2. 21%
  3. 44%
  4. 60%

Answer(s): A

Explanation:

When you exhale, that air contains about 16% oxygen. Therefore, a patient who is receiving mouth to mask ventilations would receive about 16% oxygen. Atmospheric air contains about 21% oxygen.



If your patient is showing signs and symptoms that they are hypoxic, what should you do?

  1. You should administer oxygen at 15 pm via non-rebreather mask.
  2. You should always obtain a pulse oximeter reading before administering oxygen.
  3. You should first ask medical direction for assistance, in order to determine the correct oxygen therapy.
  4. You should assess baseline vitals before deciding how oxygen should be given to the patient.

Answer(s): A

Explanation:

When you are faced with a patient who shows signs of hypoxia, you should place them on supplemental oxygen. This should never be delayed in order to get a pulse oximeter reading when the patient is showing signs of hypoxia.



An Emergency Medical Responder is ventilating an apneic adult using a BVM He is forcefully delivering each ventilation in less than 1 second. You should:

  1. assure the patient's airway has been opened
  2. have the Emergency Medical Responder squeeze the bag slower
  3. tell the Emergency Medical Responder to switch to a non-rebreather mask
  4. tell the Emergency Medical Responder to stop ventilations and perform compressions

Answer(s): B

Explanation:

Proper BVM ventilation requires delivering each breath over about 1 second to ensure adequate tidal volume and reduce the risk of gastric inflation. Forcing breaths too quickly increases airway pressure and can lead to complications, so the ventilations should be delivered more slowly and controlled.



A 30-year-old patient is injured in a motor vehicle collision. The patient cannot move their diaphragm, and they are apneic. In which of the following locations should the EMT suspect the spinal injury occurred?

  1. С4
  2. Т1
  3. ТЗ
  4. L4

Answer(s): A

Explanation:

The diaphragm is primarily controlled by the phrenic nerve, which originates from cervical spinal cord levels C3–C5. An injury at this level can disrupt diaphragmatic function, leading to apnea.



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