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| Certification Vendor: | National Registry of Emergency Medical Technicians (NREMT) |
|---|---|
| Exam Name: | Emergency Medical Technicians (EMT) Cognitive Exam |
| Exam Number: | EMT |
| Exam Duration: | 120 minutes |
| Passing Score: | Pass/Fail |
| Available Languages: | English |
| Exam Price: | $104 USD |
| Certificate Validity Period: | 2 years |
| Related Certifications: | Paramedic Advanced Emergency Medical Technician (AEMT) Emergency Medical Responder (EMR) |
| Exam Format: | Multiple Choice, Computer Adaptive Test (CAT), Drag and Drop, Build List, Multiple Response |
| Real Exam Qty: | 70-120 |
| Sample Questions: | NREMT EMT Sample Questions |
| Exam Way: | Computer-based exam delivered at Pearson VUE testing centers or approved online testing environments. |
| Pre Condition: | Completion of a state-approved EMT education program and authorization to test from NREMT. |
| Official Syllabus URL: | https://www.nremt.org/Handbooks/EMT |
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For Emergency Medical Technicians (EMT) Exam, there is a study guide
Emergency Medical Technicians (EMT): Get our quick guide if you don't have time to read all the page.
The National Registry of Emergency Medical Technicians, or NREMT, is a nonprofit organization that helps maintain the skills, knowledge, and abilities of Emergency Medical Technicians (EMTs) in the United States. Although you probably know the important role EMUs play in our society, you may not be familiar with the proof required to become an emergency medical technician. NREMT manages a wide range of professional emergency medical tests, including First Aid, First Aid (EMR), First Aid Technicians (EMT), Advanced First Aid Technicians (AEMT), EMT -Intermediate / 99 (EMT- I / 99) and paramedics.Although the exams vary by type of emergency responder, they cover all the general knowledge and skills necessary to provide emergency medical services. In this guide, we'll cover everything you need to know about the EMT exam, including study tips, test content, scoring, the best NREMT practice exam, and much more.
NEW QUESTION # 157
A 5-year-old patient was stung by a bee and has urticaria and dyspnea. Wheezing is auscultated. What medication and dose should the EMT administer first?
Answer: A
Explanation:
**
This patient has signs of anaphylaxis , not just a mild allergic reaction: bee sting exposure , urticaria , dyspnea , and wheezing . In NREMT-aligned EMT education, epinephrine is the first-line treatment for anaphylaxis because it treats the life-threatening airway and breathing problem by bronchodilation and also helps reverse vasodilation and capillary leak.
For EMT-level medication guidance, the national EMT refresher curriculum specifically lists epinephrine auto-injector dosing as: adult = 0.3 mg and infant/child = 0.15 mg . Since the patient is 5 years old , the correct pediatric dose is 0.15 mg , making D the correct answer.
The albuterol options are not the best first answer here. Albuterol may help wheezing from bronchospasm, but in anaphylaxis the priority medication is epinephrine first , because the problem is a systemic allergic reaction that can rapidly worsen and affect the airway and circulation. NREMT education guidance explicitly emphasizes epinephrine administration for anaphylaxis.
Why the other options are wrong:
A). Albuterol 0.5 mg - not the standard EMT answer here, and not first-line for anaphylaxis.
B). Albuterol 2.5 mg - this is a common nebulized albuterol dose, but it is still not the first medication for anaphylaxis.
C). Epinephrine 0.3 mg - this is the adult auto-injector dose, not the usual pediatric dose listed in EMT national curriculum materials.
D). Epinephrine 0.15 mg - correct pediatric first-line treatment.
NEW QUESTION # 158
What are the proper procedures for performing CPR on a 9-month-old patient? Select the three answer options that are correct.
Answer: C,D,F
Explanation:
The correct answers are A. Check the brachial artery for a pulse, C. Use a compression depth of at least two inches, and E. Use the two-thumb-encircling-hands technique for two rescuers.
1. Check the brachial artery (A):
For infants (less than 1 year old), the correct pulse check site is the brachial artery, not the carotid.
"For infants, assess the brachial pulse."
2. Compression depth (C):
Infant chest compressions should be about 1/3 the depth of the chest, which is approximately 1.5-2 inches.
"Compress the chest at least one-third its depth (about 1.5-2 inches in infants)."
3. Two-thumb-encircling-hands technique (E):
When two rescuers are present, this is the preferred method because it:
Produces better compressions
Improves perfusion
"Use the two-thumb encircling technique for two-rescuer infant CPR."
Why the other options are incorrect:
B). Compression rate is over 120/min # IncorrectCorrect rate is 100-120/min, not over 120 D). Compression area just above nipple line # IncorrectCorrect location is just below the nipple line on the sternum F). Ventilate one breath every 3 seconds # IncorrectWith advanced airway: 1 breath every 2-3 seconds (20-30
/min), not fixed at 3 seconds
Exact Extracts (NREMT/AHA-aligned references):
"Check the brachial pulse in infants."
"Compression depth should be at least one-third the chest diameter."
"Use the two-thumb encircling technique for two rescuers."
"Compression rate is 100-120 per minute."
Clinical Priority Summary:
Proper infant CPR includes brachial pulse assessment, correct compression depth, and appropriate technique, making A, C, and E correct.
References:
NREMT EMT Education Standards - Cardiology & Resuscitation
American Heart Association (AHA) Guidelines for CPR and ECC
NREMT National Continued Competency Program (NCCP)
NEW QUESTION # 159
An EMT has just assisted with the delivery of a newborn. At the five-minute mark, the neonate is completely pink with a pulse of 108/min. The neonate has some flexion of their extremities, but the breathing is still slow.
How should the EMT score the following categories of the APGAR scale? Select the correct value for each sign.
Answer:
Explanation:
Explanation:
Appearance (Skin Color): # 2 points
The neonate is completely pink.
APGAR criteria:
0 = blue/pale
1 = pink body, blue extremities
2 = completely pink
Pulse (Heart Rate): # 2 points
Heart rate is 108/min.
APGAR criteria:
0 = absent
1 = < 100/min
2 = # 100/min
Activity (Muscle Tone): # 1 point
The neonate has some flexion of extremities, but not active motion.
APGAR criteria:
0 = limp
1 = some flexion
2 = active motion
Respirations: # 1 point
Breathing is slow, not strong crying.
APGAR criteria:
0 = absent
1 = slow or irregular respirations
2 = strong cry
Total APGAR Score at 5 Minutes: 6 / 10
Interpretation (NREMT-based):
A score of 6 indicates the newborn requires continued supportive care, such as warming, positioning, stimulation, and close monitoring.
No immediate chest compressions are indicated because the heart rate is > 100/min.
Respiratory effort should continue to be assessed closely.
This scoring aligns with NREMT neonatal assessment and APGAR scoring guidelines used for evaluating newborn transition after birth.
NEW QUESTION # 160
What are the greatest morbidity risks associated with poorly controlled patient agitation in patients exhibiting delirium? Select the two answer options that are correct.
Answer: B,D
Explanation:
The correct answers are B. Positional asphyxia and E. Sudden cardiac arrest.
This question refers to patients with severe agitation or delirium, often described in EMS as excited delirium syndrome or severe behavioral emergencies.
Why B is correct (Positional asphyxia):
Agitated patients who are restrained improperly (especially in prone positions) are at high risk of:
Restricted chest wall movement
Impaired ventilation
Hypoxia
NREMT-aligned guidance emphasizes:
"Improper restraint positioning can lead to positional asphyxia."
This is a major cause of morbidity and death in agitated or restrained patients.
Why E is correct (Sudden cardiac arrest):
Severely agitated or delirious patients are at risk of:
Extreme catecholamine surge
Metabolic acidosis
Cardiac dysrhythmias
These can rapidly lead to sudden cardiac arrest.
NREMT materials highlight:
"Patients with severe agitation are at risk for sudden cardiac arrest."
"Excited delirium may result in sudden death if not properly managed."
Why the other options are incorrect:
A). Seizure activity: Not a primary or common morbidity risk directly associated with agitation.
C). Hypovolemic shock: Not typically related to agitation unless trauma or bleeding is present.
D). Hemorrhagic stroke: Not a typical complication of agitation/delirium in EMS context.
Exact Extracts:
"Improper restraint can result in positional asphyxia."
"Excited delirium is associated with sudden cardiac arrest."
"Agitated patients require careful monitoring due to risk of sudden death." References:
NREMT EMT Education Standards - Medical Emergencies (Behavioral and Psychiatric Disorders) NREMT National Continued Competency Program (NCCP) - Behavioral Emergencies Prehospital Emergency Care (EMT) - Behavioral Crisis Management
NEW QUESTION # 161
You have achieved ROSC in a 77-year-old female. She remains unresponsive and her vital signs are BP 94
/58, P 82, and R 18. In what position should she be placed?
Answer: B
Explanation:
The correct answer is B. Left lateral recumbent.
This patient has return of spontaneous circulation (ROSC) but remains unresponsive. In such cases, airway protection becomes the priority.
According to NREMT and resuscitation guidelines:
Unresponsive patients who are breathing adequately should be placed in the recovery position (lateral recumbent) to maintain a patent airway and reduce the risk of aspiration.
This position allows secretions or vomit to drain out of the mouth instead of entering the airway.
Why B is correct:
"Place unresponsive patients with adequate breathing in the recovery position." The left lateral recumbent position is the standard recovery position used in EMS.
Why the other options are incorrect:
A). Supine: Increases risk of airway obstruction and aspiration in an unresponsive patient.
C). Trendelenburg: Not recommended; can worsen respiratory function and does not improve outcomes.
D). Head elevated 45°: May be used in conscious patients or certain conditions, but not ideal for an unresponsive patient without airway control.
Exact Extracts:
"Unresponsive patients who are breathing adequately should be placed in the recovery position."
"The recovery position helps maintain an open airway and reduces aspiration risk."
"Airway management is the priority after ROSC."
References:
NREMT EMT Education Standards - Cardiology & Resuscitation
NREMT National Continued Competency Program (NCCP) - Post-Resuscitation Care AHA BLS Guidelines - Post-Cardiac Arrest Care
NEW QUESTION # 162
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