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| Certification Vendor: | National Registry of Emergency Medical Technicians (NREMT) |
|---|---|
| Exam Name: | NREMT Emergency Medical Technician Cognitive Examination |
| Exam Number: | EMT |
| Passing Score: | Computer-adaptive passing standard (criterion-referenced; not a fixed percentage) |
| Related Certifications: | AEMT (Advanced EMT) EMR (Emergency Medical Responder) Paramedic |
| Available Languages: | English, Spanish (accommodations may be available) |
| Real Exam Qty: | 70โ120 scored and unscored items (variable due to adaptive testing) |
| Certificate Validity Period: | 2 years (recertification required every 2 years) |
| Exam Format: | Multiple-choice questions, Computer Adaptive Test (CAT) |
| Exam Duration: | 135 minutes |
| Exam Price: | $98 USD (cognitive exam fee; additional application/state fees may apply) |
| Recommended Training: | National EMS Education Standards (NAEMT/NHTSA reference materials) NREMT Cognitive Exam Preparation Resources |
| Exam Registration: | Pearson VUE Testing Information NREMT Official Certification Portal |
| Sample Questions: | NREMT EMT Sample Questions |
| Exam Way: | Computer-based testing at authorized Pearson VUE testing centers |
| Pre Condition: | Completion of a state-approved EMT education program and psychomotor competency validation (varies by state/local authority) |
| Official Syllabus URL: | https://www.nremt.org |
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Format: Multiple choices, multiple answers
NEW QUESTION # 215
While responding to an emergency, a car is tailgating the ambulance. Which of the following actions should the EMT take?
Answer: A
Explanation:
In situations where a vehicle is tailgating an emergency unit, tapping the brakes briefly is a standard defensive driving maneuver to alert the driver behind to increase distance. It is less risky than slowing dramatically or pulling over, which could endanger crew or delay response.
Speeding up could reduce your reaction window or increase accident risk. EMS operators must follow safe driving practices per NFPA 1002 and DOT Emergency Vehicle Operation Guidelines.
References:
NREMT Operations Section - Driving and Scene Safety
NFPA 1002: Standard for Fire Apparatus Driver/Operator Professional Qualifications U).S. DOT: Emergency Vehicle Operator Course (EVOC)
NEW QUESTION # 216
A 38-year-old patient is unconscious with slow, shallow, and gasping breaths. The patient is not moving.
What should the EMT perform first?
Answer: D
Explanation:
In any unresponsive patient, the first step is to assess and open the airway to determine patency and identify obstruction or inadequate breathing.
Gasping respirations (agonal) are not effective; they require BVM ventilation support. The airway must be open before checking for a pulse or performing auscultation. A secondary assessment is performed only after primary survey and stabilization.
References:
AHA BLS Provider Manual (2020) - Unresponsive Patient Algorithm
NREMT Airway Skills - Primary Assessment
National EMS Education Standards - Airway, Breathing, Circulation (ABC) Sequence
NEW QUESTION # 217
The crew is requested to respond by law enforcement to a riot scene in a large downtown area. Upon arrival, the EMT notices the police are in full riot gear, with multiple persons lying on the ground under arrest. There is a strong odor of chemicals in the air. What actions should the EMT prioritize during the scene survey?
Select the two answer options that are correct.
Answer: C,E
Explanation:
Comprehensive and Detailed Explanation (Based on NREMT standards):
This scenario strongly suggests a hazardous environment involving chemical crowd-control agents such as tear gas or pepper spray. During the scene survey, NREMT prioritizes scene safety, hazard recognition, and incident size-up before any patient contact.
Option D (Determine the control agent being used) is correct because identifying the chemical agent helps determine the level of risk, appropriate personal protective equipment, and whether EMS can safely operate in the area.
Option E (Identify the number of patients) is correct because determining the number of patients is essential for assessing the scope of the incident and requesting additional resources if needed.
Option A is incorrect because removing restraints is not part of the initial scene survey and must be coordinated with law enforcement.
Option B is incorrect because patient decontamination occurs only after scene safety is ensured.
Option C is not a priority until hazards are identified and the scene is safe.
NREMT teaches that EMTs must never compromise their own safety and must fully assess hazards before providing care.
NEW QUESTION # 218
A 23-year-old male is pacing and has incomprehensible speech. During your assessment, he throws a chair against the wall. You should next:
Answer: B
Explanation:
The correct answer is A. leave the scene.
In EMS, scene safety is the top priority. If a patient becomes violent or poses an immediate threat, the EMT must remove themselves from danger immediately. The situation described-pacing, incomprehensible speech, and throwing a chair-indicates an actively violent and unsafe environment.
Why A is correct:
* The patient is demonstrating violent behavior, creating an unsafe scene.
* NREMT guidelines emphasize that EMTs should not remain in or enter unsafe scenes.
* The correct sequence is to retreat first, then request additional resources such as law enforcement.
Why the other options are incorrect:
* B. Apply soft restraints # Restraints should only be applied when the scene is safe and with adequate personnel, often including law enforcement.
* C. Request Advanced Life Support # ALS does not address immediate scene safety threats.
* D. Request law enforcement # This is appropriate, but only after ensuring your own safety by leaving the scene first.
Exact Extracts:
* "Scene safety is the first priority in patient care."
* "If a scene becomes unsafe, the EMT should retreat to a safe location."
* "Do not attempt to restrain a violent patient unless the scene is secure and adequate help is available." References:
NREMT EMT Education Standards - EMS Operations (Scene Safety)
National EMS Education Standards - Workforce Safety and Wellness
NREMT Candidate Handbook - Patient Assessment and Safety
NEW QUESTION # 219
A 65-year-old patient is unresponsive after falling from standing. Which of the following signs would be most indicative of increasing intracranial pressure? Select the three answer options that are correct.
Answer: A,D,E
Explanation:
The correct answers are B. Bradycardia, C. Hypertension, and F. Cheyne-Stokes respirations.
This question is testing recognition of increased intracranial pressure (ICP), specifically the classic findings known as Cushing's triad and abnormal breathing patterns.
Why B and C are correct (Cushing's Triad):
Cushing's triad is a hallmark of increased ICP and includes:
Hypertension (widening pulse pressure)
Bradycardia
Irregular respirations
NREMT-aligned trauma guidelines state:
"Increasing intracranial pressure may present with hypertension and bradycardia." These are late and critical signs of brain herniation risk.
Why F is correct (Cheyne-Stokes respirations):
Cheyne-Stokes respirations are:
An abnormal breathing pattern (alternating periods of apnea and rapid breathing) Associated with brain injury and increased ICP Guidelines emphasize:
"Irregular breathing patterns such as Cheyne-Stokes may indicate brain injury." Why the other options are incorrect:
A). Tachycardia: Typically seen in shock, not increased ICP.
D). Hypotension: Suggests shock; ICP usually causes hypertension.
E). Kussmaul respirations: Associated with metabolic acidosis (e.g., diabetic ketoacidosis), not ICP.
Exact Extracts:
"Cushing's triad includes hypertension, bradycardia, and irregular respirations."
"Irregular respirations such as Cheyne-Stokes are associated with brain injury."
"These findings indicate increasing intracranial pressure and possible herniation." References:
NREMT EMT Education Standards - Trauma (Head Injury and Traumatic Brain Injury) NREMT National Continued Competency Program (NCCP) - Trauma Emergencies Prehospital Emergency Care (EMT) - Neurologic Trauma Management
NEW QUESTION # 220
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