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NREMT EMT Practice Test

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Questions updated at Jul 10, 2026, 12:01 AM CDT

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Question 1 of 10

Objective PRIMARY.20 Primary Assessment

A shortness-of-breath patient improves in color after BVM ventilations, then rapidly becomes less responsive. What should you do next?

Concept tested: Primary Assessment (PRIMARY.20)

Source:NREMT EMT Certification Examination Test Plan

Question 2 of 10

Objective SCENE.09 Scene Size-Up and Safety

You respond to a multi-vehicle collision with multiple patients reporting injuries. During the initial scene size-up, what is your primary concern?

Concept tested: Scene Size-Up and Safety (SCENE.09)

Question 3 of 10

Objective PRIMARY.07 Primary Assessment

An adult patient is breathing too slowly and has poor chest rise. What should the EMT do during the primary assessment?

Concept tested: Primary Assessment (PRIMARY.07)

Question 4 of 10

Objective SCENE.04 Scene Size-Up and Safety

You respond to a vomiting patient and see body fluids on the patient and nearby surfaces. What should you do before beginning care?

Concept tested: Scene Size-Up and Safety (SCENE.04)

Question 5 of 10

Objective PRIMARY.16 Primary Assessment

A fall patient is conscious but anxious with noisy, labored breathing and an obvious lower-leg deformity. What is your first priority?

Concept tested: Primary Assessment (PRIMARY.16)

Question 6 of 10

Objective SCENE.03 Scene Size-Up and Safety

You are called to a small apartment for a patient coughing up blood. What should you do before making patient contact?

Concept tested: Scene Size-Up and Safety (SCENE.03)

Question 7 of 10

Objective PRIMARY.14 Primary Assessment

An unresponsive adult suddenly collapsed. Bystanders are performing compressions, and you confirm the patient has no pulse. What is your first priority?

Concept tested: Primary Assessment (PRIMARY.14)

Question 8 of 10

Objective SCENE.15 Scene Size-Up and Safety

A bariatric patient requires transport from a bed to a stretcher in a narrow hallway. What is the MOST critical step the EMT should take before initiating the move?

Concept tested: Scene Size-Up and Safety (SCENE.15)

Question 9 of 10

Objective PRIMARY.21 Primary Assessment

An 8-month-old has poor feeding and grunting with each breath. During the primary assessment, what should you assess first?

Concept tested: Primary Assessment (PRIMARY.21)

Question 10 of 10

Objective SCENE.06 Scene Size-Up and Safety

You arrive at an overturned tanker leaking an unknown substance with a visible vapor cloud and a partially obscured placard. What should you do next?

Concept tested: Scene Size-Up and Safety (SCENE.06)

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Question 1 A shortness-of-breath patient improves in color after BVM ventilations, then rapidly becomes less responsive. What should you do next?

Answer choices

A. Reassess ABCs after interventions or changes
B. Administer oxygen via nasal cannula
C. Transport the patient rapidly
D. Request ALS intercept immediately

Correct answer

Reassess ABCs after interventions or changes

A sudden change after an intervention requires the EMT to reassess airway, breathing, and circulation. Reassess ABCs after interventions or changes confirms whether the treatment is still effective and whether new life threats have developed.

Wrong-answer review

B. Administer oxygen via nasal cannula: Nasal cannula oxygen is inadequate if the patient may still need assisted ventilations.
C. Transport the patient rapidly: Transport may be needed, but reassessment guides the immediate care priority.
D. Request ALS intercept immediately: ALS may be appropriate, but requesting it should not replace immediate reassessment.

Objective/domain: Primary Assessment (PRIMARY.20)

Question 2 You respond to a multi-vehicle collision with multiple patients reporting injuries. During the initial scene size-up, what is your *primary* concern?

A. Count patients and request more EMS resources
B. Perform a rapid assessment of all patients to determine the extent of injuries
C. Begin patient care before confirming scene hazards
D. Focus on the driver and assess their injuries first

Count patients and request more EMS resources

Objective/domain: Scene Size-Up and Safety (SCENE.09)

Question 3 An adult patient is breathing too slowly and has poor chest rise. What should the EMT do during the primary assessment?

A. Apply oxygen by nasal cannula and reassess later
B. Insert a nasal airway and obtain a full history
C. Check blood glucose before managing ventilation
D. Assist ventilations with a BVM

Assist ventilations with a BVM

Objective/domain: Primary Assessment (PRIMARY.07)

Source: Evidence-Based Guideline for Prehospital Airway Management

Question 4 You respond to a vomiting patient and see body fluids on the patient and nearby surfaces. What should you do before beginning care?

A. Begin assessment before selecting PPE
B. Request law enforcement to secure the scene
C. Begin patient care before confirming scene hazards
D. Use standard precautions and appropriate PPE

Use standard precautions and appropriate PPE

Objective/domain: Scene Size-Up and Safety (SCENE.04)

Source: CDC Standard Precautions for All Patient Care

Question 5 A fall patient is conscious but anxious with noisy, labored breathing and an obvious lower-leg deformity. What is your first priority?

A. Treat immediate life threats first
B. Apply a splint to the deformed leg to minimize further injury
C. Focus on documentation before assessing airway or breathing
D. Administer oxygen via nasal cannula at 2 liters per minute to improve oxygenation

Treat immediate life threats first

Objective/domain: Primary Assessment (PRIMARY.16)

Question 6 You are called to a small apartment for a patient coughing up blood. What should you do before making patient contact?

A. Begin assessment and add PPE if blood is seen
B. Enter with gloves only and keep the visit brief
C. Put on appropriate PPE before patient contact
D. Ask the patient to cover their mouth during assessment

Put on appropriate PPE before patient contact

Objective/domain: Scene Size-Up and Safety (SCENE.03)

Question 7 An unresponsive adult suddenly collapsed. Bystanders are performing compressions, and you confirm the patient has no pulse. What is your first priority?

A. Immediately assess the patient's airway for obstructions
B. Attach an AED and analyze the cardiac rhythm
C. Start high-quality CPR and minimize pauses
D. Begin ventilating the patient at a rate of 10 breaths per minute

Start high-quality CPR and minimize pauses

Objective/domain: Primary Assessment (PRIMARY.14)

Source: AHA Adult Basic Life Support Guidelines

Question 8 A bariatric patient requires transport from a bed to a stretcher in a narrow hallway. What is the MOST critical step the EMT should take before initiating the move?

A. Attempt to move the patient quickly to minimize disruption
B. Use one bystander to pull while the crew lifts
C. Plan the lift and use enough help
D. Administer a sedative to the patient to facilitate movement

Plan the lift and use enough help

Objective/domain: Scene Size-Up and Safety (SCENE.15)

Source: USFA EMS Safety Practices

Question 9 An 8-month-old has poor feeding and grunting with each breath. During the primary assessment, what should you assess first?

A. Immediately administer supplemental oxygen
B. Assess appearance, breathing, and circulation
C. Initiate rapid sequence intubation per local protocol
D. Apply a non-rebreather mask at 15 liters per minute

Assess appearance, breathing, and circulation

Objective/domain: Primary Assessment (PRIMARY.21)

Source: National EMS Education Standards

Question 10 You arrive at an overturned tanker leaking an unknown substance with a visible vapor cloud and a partially obscured placard. What should you do next?

A. Immediately approach the truck to assess the leak's severity
B. Isolate the area and request hazmat resources
C. Attempt to identify the chemical from the remaining portion of the placard
D. Begin patient assessment of any visible injured individuals near the truck

Isolate the area and request hazmat resources

Objective/domain: Scene Size-Up and Safety (SCENE.06)

Source: OSHA HAZWOPER Emergency Response Interpretation

NREMT EMT Practice Test

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A shortness-of-breath patient improves in color after BVM ventilations, then rapidly becomes less responsive. What should you do next?

You respond to a multi-vehicle collision with multiple patients reporting injuries. During the initial scene size-up, what is your *primary* concern?

An adult patient is breathing too slowly and has poor chest rise. What should the EMT do during the primary assessment?

You respond to a vomiting patient and see body fluids on the patient and nearby surfaces. What should you do before beginning care?

A fall patient is conscious but anxious with noisy, labored breathing and an obvious lower-leg deformity. What is your first priority?

You are called to a small apartment for a patient coughing up blood. What should you do before making patient contact?

An unresponsive adult suddenly collapsed. Bystanders are performing compressions, and you confirm the patient has no pulse. What is your first priority?

A bariatric patient requires transport from a bed to a stretcher in a narrow hallway. What is the MOST critical step the EMT should take before initiating the move?

An 8-month-old has poor feeding and grunting with each breath. During the primary assessment, what should you assess first?

You arrive at an overturned tanker leaking an unknown substance with a visible vapor cloud and a partially obscured placard. What should you do next?

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You respond to a multi-vehicle collision with multiple patients reporting injuries. During the initial scene size-up, what is your primary concern?