NREMT Practice Test 2

Our free NREMT Practice Test 2 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. You are treating a patient with a suspected pulmonary embolism. Why does this condition cause a ventilation/perfusion (V/Q) mismatch?

Question 1 of 30

2. Which of the following correctly describes what occurs during inhalation in a spontaneously breathing patient?

Question 2 of 30

3. You arrive first on scene at a reported hazardous materials incident. Several bystanders are standing near an overturned tanker truck. What is your first priority?

Question 3 of 30

4. During your anatomy review you are asked to identify the process responsible for gas exchange between the alveoli and pulmonary capillaries. Which of the following is correct?

Question 4 of 30

5. Why is carbon monoxide (CO) poisoning so dangerous?

Question 5 of 30

6. You are assessing a 12-year-old male with difficulty breathing following a week-long cold. You auscultate rhonchi in the left lower chest. Vital signs are pulse 104, respirations 28, BP 104/74, and SpO2 89% on room air. What do you suspect?

Question 6 of 30

7. You arrive to find an unresponsive 4-year-old female who is apneic with a carotid pulse of 52. What should you do first?

Question 7 of 30

8. You have loaded an apneic overdose patient into the ambulance and entered the patient compartment. What should you do first?

Question 8 of 30

9. During respiratory failure, the serum concentration of which gas increases in the bloodstream?

Question 9 of 30

10. You are ventilating a patient with a BVM. How does positive pressure ventilation affect cardiac output?

Question 10 of 30

11. You are assessing a 58-year-old female with emphysema who developed sudden sharp right shoulder pain and worsening dyspnea after reaching overhead. Her skin is pale and diaphoretic. You auscultate slight wheezes bilaterally and absent breath sounds at the right apex. Vital signs are pulse 88, respirations 22, BP 138/84, and SpO2 87% on home oxygen at 3 L/minute. What should you do?

Question 11 of 30

12. You are assessing a pediatric patient with suspected hypoxia. Which sign of hypoxia is more commonly found in pediatric patients than adults?

Question 12 of 30

13. You are assessing a 6-year-old female with a history of asthma who is in respiratory distress. She is exhaling through pursed lips with audible wheezing. Vital signs are pulse 110, respirations 32, BP 106/68, and SpO2 89% on room air. After administering oxygen, what should you do next?

Question 13 of 30

14. You are treating a patient in respiratory distress with a history of multiple myocardial infarctions. Auscultation reveals pulmonary edema. The patient has no JVD or pedal edema. What condition is most likely causing his presentation?

Question 14 of 30

15. You find an unresponsive 21-year-old male lying outside a bar with no visible chest rise but a palpable carotid pulse. What do you suspect?

Question 15 of 30

16. You are assessing a 36-year-old female rescued from a house fire who complains of difficulty breathing. There are no facial burns or singed nasal hair, but she is coughing up black-tinged phlegm. What do you suspect?

Question 16 of 30

17. You are assessing a 37-year-old female with sharp left-sided chest pain and difficulty breathing. She recently fractured her left tibia and has a cast on her leg. Lung sounds are clear. Vital signs are pulse 94, respirations 26, BP 118/64, and SpO2 92% on room air. What do you suspect?

Question 17 of 30

18. During your cardiac anatomy review you are asked to identify which vessels deliver oxygenated blood to the left side of the heart. Which of the following is correct?

Question 18 of 30

19. You are assessing lung sounds in an adult patient sitting upright. Where should you place your stethoscope to best auscultate alveolar ventilation?

Question 19 of 30

20. You are assessing an unresponsive 74-year-old female lying in bed with snoring respirations. What is most likely partially occluding her airway?

Question 20 of 30

21. During your cardiac anatomy review you are asked to identify which vessels supply oxygenated blood directly to the heart muscle. Which of the following is correct?

Question 21 of 30

22. During your anatomy review you are asked to identify which vessel carries deoxygenated blood. Which of the following is correct?

Question 22 of 30

23. You respond to a 21-year-old male who fell 10 feet from a ladder and landed head first. He is unresponsive with irregular gasping respirations and a palpable carotid pulse. What should you do first?

Question 23 of 30

24. You are assessing a 7-month-old female who is unresponsive and lying limp in her father's arms. He reports that she was having an asthma attack but "seems better now." On assessment, her conjunctivae are pale and moist, and you hear only faint wheezes in the upper chest. Vital Signs:
  • Pulse: 76/min
  • Respiratory rate: 18/min
What should the EMT do first?

Question 24 of 30

25. You are assessing a 59-year-old female who was exposed to super-heated air from a boiler. She has partial-thickness burns to her face and reports throat swelling. You auscultate stridor in the upper airway. What should you do immediately?

Question 25 of 30

26. You are assessing a 24-year-old female who developed sudden right-sided chest pain and difficulty breathing after feeling a pop in her chest while coughing. Lung sounds are clear. Vital signs are pulse 82, respirations 20, BP 108/72, and SpO2 97% on room air. What do you suspect?

Question 26 of 30

27. You respond to a patient who has been exposed to a chemical that overstimulates the parasympathetic nervous system. Which of the following signs would you expect to find?

Question 27 of 30

28. You are assessing a diabetic patient and considering oral glucose administration. In which situation is oral glucose contraindicated?

Question 28 of 30

29. You are assessing a 52-year-old male with a history of asthma who used his albuterol inhaler twice without relief. You auscultate wheezes in all fields. Vital signs are pulse 72, respirations 20, BP 142/78, and SpO2 90% on room air. After administering oxygen, what should you do next?

Question 29 of 30

30. You are assessing a 33-year-old female who complains of difficulty swallowing and has a muffled voice following a week-long cold. She is sitting leaning forward with audible stridor. What do you suspect?

Question 30 of 30