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Free NREMT Practice Questions

10 free, exam-style National Registry of Emergency Medical Technicians (NREMT) (NREMT) practice questions with answers and explanations. No signup required. Work through them below, then take the full free NREMT practice test to study every exam domain.

These 10 free NREMT questions are organized by exam domain, so you can see how each part of the National Registry of Emergency Medical Technicians (NREMT) blueprint is tested. Reveal the answer and explanation under each question.

Domain 1: Scene Size-up & Safety

Question 1

You are treating a patient at a roadside collision when a bystander tells you they smell gas. Your MOST appropriate action is to:

  1. Continue patient care since you have already committed to the scene
  2. Immediately move the patient and crew to a safe distance
  3. Request the fire department while continuing to treat the patient in place
  4. Finish your primary assessment, then consider relocating
Show answer & explanation

Correct answer: B - Immediately move the patient and crew to a safe distance

Domain 2: Primary Assessment - Airway, Breathing, Circulation, CPR/AED & Vitals

Question 2

A trauma patient has a heart rate of 128, blood pressure of 120/80, cool/pale skin, and is anxious. This patient is MOST likely in:

  1. Decompensated shock with early signs of cardiovascular collapse
  2. Compensated shock with perfusion changes despite a maintained blood pressure
  3. Irreversible shock with end-organ damage not yet clinically apparent
  4. Neurogenic shock secondary to a possible concurrent spinal cord injury
Show answer & explanation

Correct answer: B - Compensated shock with perfusion changes despite a maintained blood pressure

Question 3

A 25-year-old male is unresponsive after an assault. He has a clenched jaw (trismus), blood in the oropharynx, and suspected cervical spine injury. The BEST approach to airway management is:

  1. Apply a cervical collar, then perform head-tilt chin-lift with continuous suctioning
  2. Maintain jaw-thrust with spinal stabilization, suction visible blood, and insert an NPA
  3. Perform a head-tilt chin-lift and insert an OPA
  4. Position the patient in the recovery position with spinal precautions and suction as needed
Show answer & explanation

Correct answer: B - Maintain jaw-thrust with spinal stabilization, suction visible blood, and insert an NPA

Question 4

Your partner has been performing compressions for 2 minutes and is beginning to fatigue. The AED reanalyzes and advises 'No Shock.' You should:

  1. Stop CPR since the AED determined no shock was advised for this rhythm
  2. Switch compressor roles so you take over compressions and your partner ventilates
  3. Continue to have your partner compress since the no-shock advisory means CPR is working
  4. Remove the AED pads and reassess the patient for return of spontaneous circulation
Show answer & explanation

Correct answer: B - Switch compressor roles so you take over compressions and your partner ventilates

Domain 4: Patient Treatment - Medical, Trauma, Medications & Special Populations

Question 5

A 28-year-old female with a known peanut allergy accidentally ate a cookie containing peanuts. She has hives, throat swelling, wheezing, and a BP of 80/50. She has an EpiPen. The EMT should:

  1. Administer her epinephrine auto-injector immediately into the lateral thigh
  2. Administer oral glucose to address the possibility of a hypoglycemic reaction
  3. Apply a cold compress to her throat to reduce the swelling until ALS arrives
  4. Withhold epinephrine and wait for ALS to administer it through an IV line
Show answer & explanation

Correct answer: A - Administer her epinephrine auto-injector immediately into the lateral thigh

Question 6

A patient reports sudden onset of severe headache, left-sided weakness, facial droop, and slurred speech that began 90 minutes ago. The EMT should:

  1. Transport to the nearest hospital and perform a detailed neurological exam en route
  2. Perform stroke assessment, document onset time, pre-notify a stroke center, and transport rapidly
  3. Administer aspirin, obtain a blood glucose reading, and transport to the nearest facility
  4. Establish IV access, administer supplemental oxygen, and transport to the nearest hospital
Show answer & explanation

Correct answer: B - Perform stroke assessment, document onset time, pre-notify a stroke center, and transport rapidly

Question 7

You are treating a patient with chest pain. After administering aspirin and assisting with one dose of nitroglycerin, the patient's blood pressure drops to 88/56. You should:

  1. Administer a second dose of nitroglycerin and continue to monitor vitals
  2. Withhold further nitroglycerin, place the patient supine, and transport rapidly
  3. Reposition the patient to a sitting position and reassess blood pressure
  4. Administer an additional aspirin dose and continue monitoring the patient
Show answer & explanation

Correct answer: B - Withhold further nitroglycerin, place the patient supine, and transport rapidly

Question 8

A diabetic patient is found unresponsive. Blood glucose is 30 mg/dL. Oral glucose is available. The EMT should:

  1. Administer oral glucose between the cheek and gum while monitoring the patient closely
  2. Withhold oral glucose, maintain the airway, ventilate as needed, and transport rapidly
  3. Position the patient on their side and administer oral glucose in small increments
  4. Administer naloxone to rule out opioid overdose before treating for hypoglycemia
Show answer & explanation

Correct answer: B - Withhold oral glucose, maintain the airway, ventilate as needed, and transport rapidly

Question 9

An open wound to the chest that creates a 'sucking' sound with breathing (sucking chest wound) should be treated with:

  1. A dry sterile dressing applied and taped securely on all four sides
  2. An occlusive dressing taped on three sides to allow air to escape but prevent entry
  3. A pressure bandage tightly wrapped circumferentially around the entire chest
  4. A hemostatic gauze dressing packed directly into the wound opening
Show answer & explanation

Correct answer: B - An occlusive dressing taped on three sides to allow air to escape but prevent entry

Domain 5: EMS Operations - Legal, Documentation, Incident Command & Equipment

Question 10

A visibly intoxicated patient involved in a car accident is bleeding from a head laceration and wants to refuse transport. The EMT should:

  1. Accept the refusal after thoroughly documenting the patient's stated wishes
  2. Not accept the refusal because intoxication impairs the capacity for informed decisions
  3. Have the patient sign a refusal form with a witness and provide follow-up instructions
  4. Contact medical control for online authorization to release the patient from care
Show answer & explanation

Correct answer: B - Not accept the refusal because intoxication impairs the capacity for informed decisions

The rest of the NREMT blueprint

The NREMT exam also covers these domains. Drill them in the full free practice test:

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