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| Certification Vendor: | National Registry of Emergency Medical Technicians (NREMT) |
|---|---|
| Exam Name: | NREMT Emergency Medical Technician Cognitive Examination |
| Exam Number: | NREMT-EMT |
| Exam Price: | $104 USD |
| Exam Duration: | 120 minutes |
| Related Certifications: | Advanced Emergency Medical Technician (AEMT) Paramedic Emergency Medical Responder (EMR) |
| Real Exam Qty: | 70–120 |
| Passing Score: | Determined by competency standard (no fixed percentage; computer-adaptive scoring) |
| Available Languages: | English |
| Exam Format: | Computer Adaptive Test (CAT), Multiple-choice questions |
| Certificate Validity Period: | 2–3 years (initial); 2 years for renewal |
| Recommended Training: | NREMT EMT Education Guidelines National Standard Curriculum |
| Exam Registration: | NREMT Official Registration Portal Pearson VUE Scheduling |
| Sample Questions: | NREMT EMT Sample Questions |
| Exam Way: | Computer-based, delivered at Pearson VUE test centers; online proctored option not available |
| Pre Condition: | Completion of state-approved EMT education program within past 2 years; verification of course completion; meet age and background requirements |
| Official Syllabus URL: | https://www.nremt.org/Handbooks/EMT/Cognitive-Exam |
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NEW QUESTION # 66
A 21-year-old patient has difficulty swallowing. The patient is leaning forward and drooling. The skin is hot to the touch. The vital signs are BP 128/82 mmHg, P 116/min, R 22/min, and SpO# 94% on room air. What should the EMT do for this patient? Select the two correct options.
Answer: A,B
Explanation:
This patient is showing signs of epiglottitis or a serious upper airway obstruction - drooling, difficulty swallowing, fever, and tripod positioning.
EMT actions should include:
* Position of comfort to avoid airway agitation
* Gentle suctioning if secretions threaten airway
Do not force the patient to lie flat, as this may worsen airway compromise. CPAP and humidified oxygen may be considered in hospital care but not as first-line interventions during prehospital airway management in epiglottitis.
References:
NREMT Airway Management Guidelines - Upper Airway Obstruction
National EMS Education Standards - Respiratory Emergencies
AAOS Emergency Care and Transportation (11th ed.) - Chapter on Airway and Breathing Emergencies
NEW QUESTION # 67
A 28-year-old patient was in a physical altercation. Which of the following signs or symptoms would most likely indicate this patient has a significant brain injury? Select the two answer options that are correct.
Answer: B,C
Explanation:
The correct answers are A. Bradycardia and C. Unequal pupils.
Why A and C are correct:
These findings are classic indicators of increased intracranial pressure (ICP) and significant brain injury.
* Part of Cushing's Triad (late sign of increased ICP)
* Indicates brainstem involvement and impending herniation
* Suggests brain compression or herniation
* Indicates pressure on cranial nerves (especially CN III)
NREMT-aligned guidance states:
* "Signs of increased intracranial pressure include bradycardia and unequal pupils."
* "Changes in pupillary size and reactivity indicate neurologic deterioration." Why the other options are incorrect:
* B. Hypotension: More indicative of shock, not isolated brain injury (brain injury often presents with hypertension, not hypotension).
* D. Cold, clammy skin: Suggests hypovolemic shock, not brain injury.
* E. Delayed capillary refill: Also indicates poor perfusion/shock, not specific to brain injury.
Exact Extracts:
* "Increased intracranial pressure may present with bradycardia."
* "Unequal pupils are a sign of brain injury and possible herniation."
* "Cushing's response includes bradycardia and hypertension."
References:
NREMT EMT Education Standards - Trauma (Head Injury)
NREMT National Continued Competency Program (NCCP) - Neurologic Emergencies Prehospital Emergency Care (EMT) - Head and Brain Injuries
NEW QUESTION # 68
What are the components of the START triage system?
Answer: C
Explanation:
START (Simple Triage and Rapid Treatment) is a triage method taught by the National Registry of Emergency Medical Technicians for use in mass-casualty incidents. START allows rescuers to quickly prioritize patients based on the severity of their conditions using objective criteria that can be assessed in under 60 seconds.
The correct components of the START system are Respirations, Perfusion, and Mental Status (RPM), making Option D correct. EMTs first assess whether the patient is breathing and evaluate respiratory rate. Next, perfusion is assessed by checking radial pulse or capillary refill. Finally, mental status is evaluated by determining whether the patient can follow simple commands.
Option A describes elements of a general patient assessment, not START triage.
Option B refers to the primary assessment sequence, not mass-casualty triage.
Option C lists triage categories rather than assessment components.
NREMT emphasizes START triage as a rapid, standardized approach to manage large numbers of patients efficiently while maximizing survivability.
NEW QUESTION # 69
A 3-year-old patient has drooling and stridor. The vital signs are BP 82/40, P 132, R 34, SpO# 94%, and T
102.4°F (39.1°C). Which of the following interventions should the EMT perform?
Answer: B
Explanation:
The correct answer is D. Apply humidified oxygen.
This pediatric patient presents with:
Drooling
Stridor
Fever (102.4°F)
These are classic signs of epiglottitis, a life-threatening upper airway infection.
Critical Concept: DO NOT agitate or manipulate the airway
In suspected epiglottitis:
The airway is severely inflamed and unstable
Any attempt to visualize, suction, or insert an airway adjunct can cause:
Sudden airway closure
Complete obstruction
NREMT-aligned guidance states:
"Avoid examining the airway in patients with suspected epiglottitis."
"Do not insert airway adjuncts or suction unless absolutely necessary." Why D is correct:
Humidified oxygen helps improve oxygenation without irritating the airway It is the safest and most appropriate intervention Keep the child calm and in a position of comfort Why the other options are incorrect:
A). Visualize the airway # Dangerous; may cause airway collapse
B). Suction posterior pharynx # Can trigger complete obstruction
C). Insert an oropharyngeal airway # Contraindicated in this condition
Exact Extracts (NREMT-aligned EMT educational references):
"Drooling, stridor, and fever suggest epiglottitis."
"Do not place anything in the mouth."
"Provide oxygen and avoid agitating the child."
Clinical Priority Summary:
In suspected epiglottitis, the priority is to maintain a calm environment and provide oxygen without airway manipulation, making D the correct answer.
References:
NREMT EMT Education Standards - Airway, Respiration & Ventilation (Pediatrics) NREMT National Continued Competency Program (NCCP) AAOS Emergency Care and Transportation of the Sick and Injured (NREMT-aligned)
NEW QUESTION # 70
A 44-year-old patient with diabetes feels weak and dizzy. The EMT provides oral glucose and transports the patient to the hospital, where the patient recovers. The EMT tells their partner they did not provide the patient with a blanket because they felt the patient was wasting their time. What best describes the action the EMT took?
Answer: C
Explanation:
The correct answer is B. Breach of ethics.
This scenario describes inappropriate attitude and professional behavior by the EMT, not a failure that caused patient harm.
The EMT:
Provided appropriate medical care (oral glucose and transport)
The patient recovered
No harm resulted from not providing a blanket
However, the EMT's statement reflects:
Disrespect toward the patient
Lack of compassion
Unprofessional conduct
Why B is correct (Breach of ethics):
NREMT standards emphasize professionalism and patient respect:
EMTs are expected to treat all patients with dignity, empathy, and respect Ethical violations occur when providers demonstrate unprofessional attitudes or disregard for patient well- being This situation reflects a violation of ethical standards, not legal negligence.
Why the other options are incorrect:
A). Breach of duty: Requires failure to provide care that leads to harm; care was appropriately provided.
C). Negligence: Requires duty, breach, causation, and damages; no patient harm occurred.
D). Battery: Involves unauthorized physical contact; not applicable here.
Exact Extracts:
"EMS providers must demonstrate professionalism and respect toward all patients."
"Ethical conduct includes compassion and appropriate attitude."
"Negligence requires proof of harm resulting from a breach of duty."
References:
NREMT EMT Education Standards - EMS Operations (Ethics and Professionalism) NREMT National Continued Competency Program (NCCP) - Legal and Ethical Responsibilities Prehospital Emergency Care (EMT) - Medical, Legal, and Ethical Issues
NEW QUESTION # 71
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