NREMT Practice Test 2

Preparing for the EMT exam can feel overwhelming, but our second free practice test is here to guide you every step of the way. Featuring 40 thoughtfully selected NREMT practice questions, this test challenges your understanding of key concepts while offering in-depth explanations for each answer. These explanations are designed to transform mistakes into learning opportunities, helping you refine your skills and deepen your EMS knowledge. As the second installment in our series of 6 free tests, it builds on the first, ensuring a progressive and comprehensive prep experience. Dive in to strengthen your readiness and move closer to acing your EMT certification exam.

🧠 RBT Practice Quiz

Question 1 of 10

1. What form of consent gives you the ability to begin treating a 15-year-old male with a life-threatening injury when parents are unavailable?

  • Implied consent
  • Revoked consent
  • Expressed consent
  • Informed consent

If a parent or legal guardian cannot be contacted and the patient has a life-threatening injury, you assume implied consent.

2. What is the proper way to open a patient's airway with a suspected spinal injury?

  • Head tilt-chin lift maneuver
  • Place fingers at the teeth and push the mouth open
  • Jaw-thrust maneuver
  • Slowly tilt the head

Use a jaw-thrust maneuver to protect the spine while opening the airway.

3. A patient has left-sided heart failure. What kind of edema would the patient have?

  • Pulmonary edema
  • Systemic edema
  • Macular edema
  • Lower back edema

Left-sided heart failure leads to pulmonary edema due to fluid backing up in the lungs.

4. What causes fruity or acetone breath in patients with type 1 diabetes?

  • Hyperglycemic hyperosmolar nonketotic syndrome
  • Hypoglycemia
  • Diabetic ketoacidosis (DKA)
  • Lack of sugar

DKA causes ketone buildup, which leads to fruity breath odor in diabetics.

5. What kind of dressing should be applied to a major open wound to the neck?

  • A non-occlusive dressing
  • An all-sided occlusive dressing
  • A 3-sided occlusive dressing
  • Gauze pads and bandage

Use a 4-sided occlusive dressing on neck wounds to prevent air embolism.

6. When the buttocks of a baby present first during birth, this is called:

  • Breech presentation
  • Placenta previa
  • Meconium
  • Precipitous delivery

Breech presentation is when the baby's buttocks come out first during delivery.

7. What is the division point between the upper and lower airway?

  • Pharynx
  • Oropharynx
  • Nasopharynx
  • Laryngopharynx

The laryngopharynx marks the division between upper and lower airway.

8. Which dysrhythmia is most likely to lead to death?

  • Ventricular fibrillation
  • PEA
  • Asystole
  • Ventricular tachycardia

Asystole indicates no electrical activity and is the most fatal dysrhythmia.

9. A trauma patient with A/O x1 is most likely experiencing:

  • Respiratory arrest
  • Organ failure
  • Myocardial infarction
  • Brain injury

Altered mental status in trauma suggests a potential brain injury.

10. What is the first step to control arterial bleeding from a hand laceration?

  • Apply ice
  • Apply a tourniquet
  • Apply a hemostatic agent
  • Apply direct pressure

Direct pressure is the first step in controlling external bleeding.

11. A pregnant woman with 2 kids and 3 miscarriages is currently pregnant. What is her GPA?

  • 6/2/3
  • 6/3/2
  • 6/3/3
  • 5/2/3

GPA stands for Gravida (6), Para (2), Abortus (3).

12. What is the best way to establish rapport with a psychologically disturbed patient?

  • Explain why they are wrong
  • Avoid eye contact
  • Speak loudly
  • Speak slowly and clearly

Speak slowly and clearly with empathy when dealing with psychological emergencies.

13. Under CBRNE, anthrax poisoning falls under which type?

  • Chemical
  • Biologic
  • Nuclear
  • Explosive

Anthrax is a biological agent used in biologic attacks.

14. What is coronary blood flow and why is it important?

  • Blood to brain
  • Blood to coronus meniscus
  • Blood to the body
  • Blood to the heart itself

The coronary arteries supply oxygenated blood to the heart muscle.

15. A condition with high BP and protein in urine after 20 weeks of pregnancy is:

  • Preeclampsia
  • Eclampsia
  • Posteclampsia
  • Ectoeclampsia

Preeclampsia includes hypertension, proteinuria, and edema.

16. What best describes agonal respirations?

  • Wheezing and slow breathing
  • Stridor and hypoxia
  • Crowing and shallow breaths
  • Gasping, labored breathing, strange vocalizations

Agonal breathing indicates cardiac arrest and requires CPR.

17. What is your first priority at a car crash scene with fire?

  • Help patient immediately
  • Ensure bystander safety
  • Ensure fire crew safety
  • Ensure your and your partner’s safety

Always ensure your safety before rendering care.

18. Which of the following is least commonly seen in spinal injury?

  • Crepitus
  • Paralysis
  • Neurogenic shock
  • Fever

Fever is uncommon in spinal trauma and usually points to infection.

19. What precautions should you take when treating a patient with tuberculosis?

  • Wear a HEPA respirator
  • Wear a filtering facepiece
  • Wear an N95 respirator
  • Wear a surgical mask

An N95 respirator protects against airborne pathogens like TB.

20. With asthma, what causes airway obstruction?

  • Obstruction in pulmonary arteries
  • Mucosal edema in bronchioles
  • Fluid between alveoli and capillaries
  • Crackling lung sounds

Asthma involves mucosal swelling and bronchospasm.

21. Which of the following is NOT a rule when suctioning an adult airway?

  • Limit suctioning to 10 seconds at a time
  • Use PPE while suctioning
  • Administer oxygen to the patient during suctioning
  • Use large bore tubing for thick secretions

You cannot administer oxygen while suctioning. Suction should be brief and efficient.

22. A 55 BPM heart rate is best described as:

  • Tachycardic
  • Bradycardic
  • Normal
  • Absent

A heart rate below 60 BPM is considered bradycardic in adults.

23. What does the "C" in DCAP-BTLS stand for?

  • Crepitus
  • Cerebral
  • Contusions
  • Coronary

DCAP-BTLS: Deformities, Contusions, Abrasions, Punctures, Burns, Tenderness, Lacerations, Swelling.

24. A patient reports chest pain, dyspnea, and abdominal pain but says the chest pain is worst. What is the chief complaint?

  • Dyspnea
  • Abdominal pain
  • All three
  • Chest pain

The symptom bothering the patient most is the chief complaint.

25. Which is NOT part of the primary assessment for a trauma patient?

  • Ensuring a patent airway
  • Performing a rapid trauma assessment
  • Ensuring ventilations
  • Assessing circulation

Rapid trauma assessment is part of secondary assessment.

26. Diabetes involves what organ and hormone?

  • Pancreas and insulin
  • Pancreas and glucagon
  • Adrenal medulla and norepinephrine
  • Adrenal medulla and epinephrine

Diabetes results from issues with insulin secretion or resistance.

27. What must a family prove to hold an EMT liable in court?

  • Guilt
  • Malpractice
  • Responsibility
  • Negligence

Negligence requires duty, breach, damages, and causation.

28. What is the correct order of delivery stages?

  • Expulsion, placental, dilation
  • Dilation, expulsion, placental
  • Placental, dilation, expulsion
  • Expulsion, dilation, placental

Labor proceeds from dilation → delivery of baby → delivery of placenta.

29. What is the Glasgow Coma Scale (GCS), and what score shows severe dysfunction?

  • GCS for babies, score below 10
  • GCS for babies, score below 8
  • GCS for adults, score 8 or below
  • GCS for adults, score 10 or below

A GCS ≤8 indicates severe impairment of consciousness in adults.

30. What are the general signs you're looking for during abdominal assessment?

  • Tenderness, guarding, lacerations, swelling
  • Guarding, let-down, aneurysms, defense
  • Pain, muscle lock, reflex
  • Tenderness/pain, rigidity, guarding, distention

These 4 signs often indicate serious abdominal injury.

31. What is the final stage of hyperthermia?

  • Heat cramps
  • Heat exhaustion
  • Heat stroke
  • Heat faint

Heat stroke is the most severe form of hyperthermia.

32. What is the primary concern if a patient inhales a toxic chemical?

  • Damage to alveoli
  • Damage to heart
  • Damage to stomach
  • Damage to pulmonary circuit

The alveoli are the primary site of inhaled chemical damage.

33. Which side of the heart is larger and why?

  • Right side, more resistance
  • Right side, more pressure
  • Left side, less resistance
  • Left side, more musculature

The left ventricle is larger due to pumping against systemic resistance.

34. What is the normal heart rate range for infants?

  • 120–150 BPM
  • 60–80 BPM
  • 90+ BPM
  • 100–120 BPM

Infants typically have a heart rate of 120–150 BPM.

35. What should you do after receiving orders from medical direction?

  • Say you understand and act immediately
  • Hang up and act
  • Repeat the orders for confirmation
  • Ignore the physician

Repeat-back ensures correct understanding of orders.

36. What is the practice of protecting yourself from body fluids called?

  • Personal protective equipment
  • Scene safety
  • Gloves and gown
  • Body substance isolation

BSI isolates your body from the patient's fluids to prevent infection.

37. How do you size an OPA airway?

  • Tip of nose to earlobe
  • Center of mouth to ear hole
  • Corner of mouth to earlobe
  • Corner of mouth to jawbone

OPA is sized from the corner of the mouth to the earlobe or jaw angle.

38. Which sign suggests a patient is experiencing anaphylaxis?

  • Stridorous breathing
  • Tachycardia
  • Bradycardia
  • Bilateral wheezing

Stridor indicates airway swelling—a hallmark of anaphylaxis.

39. A trauma patient becomes altered with BP 210/105 and unequal pupils. Likely diagnosis?

  • Epidural hematoma
  • Subdural hematoma
  • Intracranial hematoma
  • All of the listed types of hematomas are likely

All hematoma types can present with these critical signs.

40. A female in labor is crowning. What should you do?

  • Transport to hospital
  • Call medical direction
  • Prepare to deliver in field
  • Transport as low priority

Crowning = imminent birth. Deliver on scene if safe.