Free NREMT Paramedic Practice Test

A paramedic is assessing an 80-year-old male with altered mental status. His daughter states he has a history of dementia and “gets confused sometimes.” The patient is febrile at 101.4 F, has a heart rate of 104 bpm, and is more confused than his baseline according to the daughter. The daughter asks whether transport is necessary since “he always gets like this.” How should the paramedic approach this situation?

You arrive on scene to find a 45-year-old male who was involved in a motorcycle collision. He is alert but confused, has a respiratory rate of 28, a weak radial pulse of 120, and an obvious open femur fracture with moderate bleeding. He also complains of difficulty breathing with diminished breath sounds on the left side. Which intervention should be performed first?

In the current ACLS guidelines for cardiac arrest management, which sequence correctly describes the approach to a patient found in cardiac arrest?

Which laboratory value is most commonly used to monitor the therapeutic effect of warfarin?

A 58-year-old male on heparin therapy for a recent pulmonary embolism calls 911 with coffee-ground emesis and melena. His heart rate is 112 bpm and blood pressure is 96/64 mmHg. What is the priority prehospital management?

A 34-year-old female presents with petechiae across her extremities, gingival bleeding, and reports of easy bruising for the past two weeks. She denies trauma, takes no medications, and her vital signs are stable. Based on these findings, which hematologic disorder is most likely?

A 7-year-old child weighing 25 kg presents with a wide-complex tachycardia at a rate of 200 bpm. The child is conscious but has weak peripheral pulses, capillary refill of 5 seconds, and a blood pressure of 70/40 mmHg. What is the most appropriate immediate intervention?

During neonatal resuscitation, a full-term newborn has a heart rate of 80 bpm and irregular respiratory effort after initial steps. You are providing positive pressure ventilation with a bag-mask device. What ventilation rate should be delivered?

What is the initial defibrillation energy dose for a pediatric patient in ventricular fibrillation?

You are monitoring a patient with a history of asthma who is in moderate respiratory distress. The capnography waveform shows a characteristic “shark fin” or upsloping appearance during the expiratory phase. What does this pattern indicate?

During endotracheal intubation, the capnography device shows a complete loss of the CO2 waveform immediately after tube placement. What is the most likely cause?

You are performing CPR on a 62-year-old patient in cardiac arrest. The ETCO2 reading has been stable at 15 mmHg during compressions. Suddenly, the ETCO2 value rises sharply to 40 mmHg. What does this finding most likely indicate?

In EMS communication, what does telemetry refer to?

A paramedic needs to contact the medical command physician for authorization to administer a medication outside of standing orders. Which communication process is the paramedic using?

What is the primary function of a computer-aided dispatch (CAD) system in EMS operations?