NREMT Practice Test 6

Cap off your preparation with our sixth and final free practice test, featuring 40 additional multiple-choice questions to solidify your EMT expertise. This NREMT study test is crafted to enhance both your test-taking skills and your understanding of EMS principles, ensuring you’re fully prepared for the certification exam. Each question includes a thorough explanation, offering insights into correct answers and common pitfalls to avoid. By completing this test, you’ll round out our six-test series, gaining the confidence and competence needed to succeed. It’s the perfect finale to your prep, setting you up to excel and earn your EMT certification.

🧠 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.