Test Prep NREMT Exam Actual Questions
National Registry Emergency Medical Technician (Page 14 )

Updated On: 17-Jul-2026

In which of the following positions should a patient with an altered level of consciousness be transported?

  1. Semi-Fowler
  2. Left lateral recumbent
  3. Sitting up at a 90° angle
  4. Supine with legs elevated

Answer(s): B

Explanation:

A patient with an altered level of consciousness should be placed in the recovery position to maintain airway patency and reduce the risk of aspiration.



A patient is having an asthmatic attack. The EMT receives orders from medical control to assist with the patient’s inhaler.
What are the expected side effects of this medication? (Choose three.)

  1. Coughing
  2. Confusion
  3. Drowsiness
  4. Tachycardia
  5. Hypotension
  6. Nervousness

Answer(s): A,D,F

Explanation:

Inhaled beta-agonists commonly cause sympathetic stimulation, leading to tachycardia and nervousness, and can also irritate the airway, causing coughing.



Which of the following is the most reliable indicator of effective respiration in a patient?

  1. Respiratory rate
  2. Mental status
  3. Pulse oximetry reading
  4. Skin color

Answer(s): B

Explanation:

Mental status reflects the brain’s oxygenation and perfusion, making it the most reliable indicator of whether respiration is effectively supporting the body.



A 3-year-old female choked while eating a hot dog and then became unresponsive. You should first:

  1. check her carotid pulse.
  2. deliver two rescue breaths.
  3. perform a head tilt ‒ chin lift maneuver.
  4. begin chest compressions.

Answer(s): D

Explanation:

When a choking child becomes unresponsive, the priority is to begin chest compressions immediately, as this can help dislodge the airway obstruction and initiate circulation.



Following insertion of an oropharyngeal airway in an unresponsive 1-year-old male, he develops cyanosis and bradycardia. You should:

  1. remove the airway and ventilate him.
  2. continue ventilation with the airway in place.
  3. increase the ventilation rate to 40-60.
  4. start CPR if his heart rate falls below 100.

Answer(s): A

Explanation:

The development of cyanosis and bradycardia after OPA insertion indicates airway obstruction or improper placement, so the airway should be removed immediately and effective ventilation provided.



What sound might indicate an upper airway obstruction in a patient?

  1. Rhonchi
  2. Wheezing
  3. Bubbling
  4. Crowing

Answer(s): D

Explanation:

Crowing (stridor) is a high-pitched sound produced by airflow through a narrowed upper airway, indicating obstruction at the level of the larynx or trachea.



A patient with emphysema is displaying pursed lip breathing.
Which of the following pathological responses is responsible for this type of breathing?

  1. Loss of lung elasticity
  2. Decreased hemoglobin
  3. Increased mucous production
  4. Inadequate diaphragmatic function

Answer(s): A

Explanation:

Emphysema causes destruction of alveolar walls and loss of elastic recoil, leading to airway collapse during exhalation; pursed lip breathing helps maintain airway pressure and improve exhalation.



A 3-year-old patient has a sore throat and fever. They are drooling.
Which of the following actions should the EMT take?

  1. Perform a finger sweep.
  2. Administer oxygen via BVM.
  3. Inspect the airway for swelling.
  4. Transport in a position of comfort.

Answer(s): D

Explanation:

Drooling and sore throat with fever suggest possible epiglottitis, so the airway should not be disturbed. The child should be kept calm and transported in a position of comfort to avoid worsening airway obstruction.



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