Test Prep NREMT Exam Actual Questions
National Registry Emergency Medical Technician (Page 24 )

Updated On: 17-Jul-2026

_______________ is when the heart muscles are not strong enough to accomplish the job of pumping blood throughout the body.

  1. pulmonary edema
  2. acute myocardial infarction (AMI)
  3. congestive heart failure (CHF)
  4. transient ischemic attack (TIA)

Answer(s): C

Explanation:

When the ventricular heart muscle lacks the ability to pump blood adequately and do the job of moving blood through from the atria, it is referred to as congestive heart failure (CHF). This lack of pumping action creates fluid stasis to the pulmonary veins and excess fluid volumes that interfere with proper heart function.



Compare acute myocardial infarction and dissecting aortic aneurysm pain.

  1. Acute myocardial infarction pain feels like tightness/pressure, while dissecting aortic aneurysm pain is a ripping/tearing sensation.
  2. Dissecting aortic aneurysm pain often follows other symptoms, like sweating and nausea, while acute myocardial infarction pain usually does not.
  3. Pain from a dissecting aortic aneurysm and acute myocardial infarction both “come and go” and both are usually described as “stabbing,” rather than “pressure.”
  4. Acute myocardial infarction pain is a sharp, tearing sensation, while dissecting aortic aneurysm pain feels like tightness/pressure.

Answer(s): A

Explanation:

The correct answer is the only one having an accurate description of both types of pain. Acute myocardial infarction pain is the one often preceded by other symptoms and it is generally constant.
That said, it may be difficult for the patient to describe his or her pain, but these are things to look for. Also, treatment may be the same for both kinds of pain, but knowing these characteristics will enable you to give more useful information to medical officials.



Vital signs should be assessed at least every _____ minutes for a patient in unstable condition.

  1. 8
  2. 10
  3. 5
  4. 2

Answer(s): C

Explanation:

Close observation of vital signs allows for timely action if the patient status declines. The caregiver must maintain frequent and realistic monitoring and should not let too much time pass between measurements or critical care outcome markers, or next step actions will be missed.



The average concentration of oxygen in a titration for treatment is between ______________.

  1. 93% and 95%
  2. 92% and 96%
  3. 94% and 96%
  4. 95% and 99%

Answer(s): D

Explanation:

The patient whose pulse oximetry is below 94% will require support and assistance. Delivering oxygen at a 95-99% level would be appropriate for these patients. Adequate oxygen levels are needed to support the body’s blood oxygen delivery to organs and tissues. Use of a nasal cannula or nonrebreathing mask will need to be determined based on severity of shortness of breath (SOB).



Which could be a reason that acetylsalicylic acid (ASA) was not administered to a patient in a cardiovascular emergency?

  1. stomach ulcer
  2. bleeding condition
  3. documented allergy
  4. All of these.

Answer(s): C

Explanation:

ASA is a key and best practice preventative measure for cardiac emergencies.
While stomach ulcers and bleeding conditions might be a contraindication for therapeutic ASA use, neither would preclude its use in a cardiac emergency because keeping the patient alive would override most possible side effects. If there is a documented (proven, not just stated by the patient or a bystander) allergy to ASA, consult a medical professional, if time permits.



Select the best answer regarding the precautions that are necessary for assisting a patient with the administration of nitroglycerin tabs.

  1. Wear gloves; check expiration and medication prescription ownership to current patient.
  2. Check expiration and medication prescription ownership to current patient.
  3. Wear gloves and mask, check expiration, and make sure the medicine is prescribed to the patient.
  4. Check expiration and wear gloves.

Answer(s): A

Explanation:

Nitroglycerin is absorbed through the skin and the administrator should wear gloves to prevent contact. A mask is not necessary. Checking expiration and correct ownership ensures both potency of medication and correct patient for medication.



The administration of nitroglycerin by an EMT requires direction from medical control or a standing order, but which of these should you immediately note as a contraindication for the administration of this drug?

  1. patient diagnosed with angina
  2. patient with systolic blood pressure over 100
  3. patient reports burning sensation under the tongue with previous administrations
  4. patient taking medication for erectile dysfunction

Answer(s): D

Explanation:

Medications for erectile dysfunction and nitroglycerin can interact with fatal results. On the other hand, nitroglycerin is often prescribed to reduce the pain of angina attacks and the patient’s systolic blood pressure should be over 100 for administration. Also, it is common for there to be a slight burning sensation under the tongue when nitroglycerin is administered.



Select the most accurate list of precautions/contraindications for use with nitroglycerin?

  1. use of ASA and digoxin
  2. use of Lasix, systolic blood pressure under 100 mm Hg, and erectile dysfunction drugs
  3. use of erectile dysfunction drugs, head injury, and systolic blood pressure under 100 mm Hg
  4. systolic blood pressure under 120 mm Hg use of erectile dysfunction drugs

Answer(s): C

Explanation:

Vasodilator drugs, head injury, or low blood pressure can be further complicated, as nitroglycerin acts to decrease the work of the heart by dilating the cardiac artery and relaxing the blood vessel wall muscles.



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