NREMT Practice Test 1

Our free NREMT Practice Test 1 is designed to help EMT candidates prepare for the National Registry cognitive exam. It covers all five content areas — airway, cardiology, trauma, medical emergencies, and EMS operations. Complete the test, review every answer, and find out exactly where to focus your study.

1. A 3-month-old infant has had diarrhea and poor feeding for the past 2–3 days. On assessment, the infant has a sunken anterior fontanelle and appears limp in the parent’s arms. Which type of shock should the EMT suspect?

Question 1 of 30

2. You are dispatched to a park where a 15-year-old male has a severe, life-threatening leg injury. His friends called 9-1-1, but his parents or guardians are not present. What form of consent allows the EMT to begin treatment?

Question 2 of 30

3. Which of the following findings are most likely in a patient with a history of Type 1 diabetes experiencing a hyperglycemic emergency? (Select TWO answers).

Question 3 of 30

4. You arrive on scene to a patient who has fallen from a roof. During your primary assessment, you determine the patient is apneic. What is the appropriate method to open the airway?

Question 4 of 30

5. What is the most common cause of airway obstruction in an unconscious patient?

Question 5 of 30

6. What is the most important initial treatment for a patient in shock?

Question 6 of 30

7. A patient is diagnosed with left-sided heart failure. What type of edema is most commonly associated with this condition?

Question 7 of 30

8. What is the medical term for fainting?

Question 8 of 30

9. What condition causes the fruity or acetone breath odor often seen in patients with Type 1 diabetes?

Question 9 of 30

10. Which of the following is the most reliable sign of a skull fracture?

Question 10 of 30

11. You respond to a 65-year-old male with a history of congestive heart failure who is slumped in a chair and difficult to arouse. His wife states his breathing difficulty began one hour ago and has been worsening. On assessment you find a respiratory rate of 28 breaths per minute with adequate depth and crackles in all lung fields. What should you do first?

Question 11 of 30

12. You are assessing a 58-year-old male with a long history of smoking who presents with a chronic cough producing large amounts of thick sputum daily for the past three months. He states this has been an ongoing problem for years. Which of the following best describes the underlying pathophysiology of his condition?

Question 12 of 30

13. You are assessing a 70-year-old male in respiratory distress. Which of the following findings should most influence your decision to assist his ventilations with a BVM?

Question 13 of 30

14. You respond to a 60-year-old male complaining of chest pain. During your primary assessment, which of the following is your priority goal?

Question 14 of 30

15. You are assessing a 6-year-old child in respiratory distress with an SpO2 of 93% on room air. Which of the following best describes the correct management of this patient?

Question 15 of 30

16. During normal respiration, which of the following prevents the lungs from becoming over-inflated?

Question 16 of 30

17. You arrive on scene to find an unresponsive patient who was involved in a diving accident. Spinal cord injury is suspected. Which airway intervention should you perform first?

Question 17 of 30

18. You are assessing a 4-year-old child in respiratory distress. Which of the following breath sounds indicates an upper airway obstruction?

Question 18 of 30

19. You are caring for a 22-year-old female who develops respiratory distress after exercising. She is alert, speaking in full sentences, and has a persistent cough. How would you best classify her breathing status?

Question 19 of 30

20. You are assessing a 16-year-old female with a runny nose and low-grade fever. She suddenly has a burst of rapid coughing followed by a high-pitched inspiratory whooping sound. During the episode her skin becomes cyanotic, which resolves once coughing stops. What condition do you most suspect?

Question 20 of 30

21. You are treating a 62-year-old male with chest pain and a history of cardiac disease. He has his own prescribed nitroglycerin. Which of the following medications is specifically intended to decrease myocardial workload and increase myocardial blood flow?

Question 21 of 30

22. You are assessing a 19-year-old female having an asthma attack. She is visibly struggling to exhale and you note a prolonged expiratory phase. What is the primary cause of this finding?

Question 22 of 30

23. You arrive to find an unresponsive patient following blunt head trauma. What is your first priority?

Question 23 of 30

24. You are treating a 64-year-old male in respiratory distress due to an asthma attack. Which class of medication best improves alveolar ventilation by relieving bronchospasm?

Question 24 of 30

25. You are assessing a 52-year-old male with difficulty breathing and a persistent cough. He has a 40 pack-year smoking history and pale moist conjunctivae. What should you do first?

Question 25 of 30

26. During your anatomy review, you are asked to identify the foramen magnum. Which of the following correctly describes it?

Question 26 of 30

27. You are assessing an unresponsive adult patient. Which of the following is the most frequent cause of airway obstruction in this population?

Question 27 of 30

28. You are assessing a 4-year-old child in respiratory distress with wheezing on auscultation. Which respiratory condition in children over 2 years old produces lung sounds similar to those heard in an infant with bronchiolitis?

Question 28 of 30

29. You are treating a patient in respiratory distress with pulmonary edema. How does CPAP reduce respiratory distress in this patient?

Question 29 of 30

30. You are assessing a 68-year-old male with a one-week history of flu-like symptoms including fever, body aches, and decreased appetite. His skin is cyanotic and diaphoretic. On auscultation you note rhonchi and decreased breath sounds over the left lower lung. Vital signs are pulse 102, respirations 26, BP 116/90, and SpO2 91% on room air. What condition do you most suspect?

Question 30 of 30


 

NREMT Practice Test 2