NREMT Emergency Medical Technicians Exam EMT Exam Dumps: Updated Questions & Answers (February 2026)

Comprehensive and Detailed Explanation (Based on NREMT standards):

For a conscious adult with complete airway obstruction, abdominal thrusts are typically indicated. However, NREMT guidelines specify that chest thrusts should be used instead for patients who are morbidly obese or pregnant, because abdominal thrusts may be ineffective or unsafe.

Option D is correct because chest thrusts provide effective airway clearance while accommodating body habitus.

Options A and B are inappropriate for a conscious patient.

Option C is incorrect because abdominal thrusts may not be effective in morbidly obese patients.

NREMT stresses modifying airway obstruction techniques based on patient size and condition.

Comprehensive and Detailed Explanation (Based on NREMT standards):

This patient has signs of penetrating chest trauma, severe hypotension, tachycardia, and respiratory distress. A gurgling chest wound suggests an open pneumothorax, which can progress to tension pneumothorax.

Option C (Obstructive shock) is correct because air trapped in the chest can compress the heart and great vessels, preventing adequate cardiac output.

Option A is less likely because although blood loss may be present, the chest injury suggests impaired circulation due to pressure.

Option B involves pump failure, not trauma-related compression.

Option D involves abnormal vessel dilation, not mechanical obstruction.

NREMT emphasizes rapid recognition of obstructive shock and immediate intervention with occlusive dressings and rapid transport.

Comprehensive and Detailed Explanation From Exact Extract:

An externally rotated, shortened leg is a classic sign of a proximal femur fracture, specifically a femoral neck or intertrochanteric fracture, commonly seen in elderly fall patients. This presentation reflects muscle pull and fracture displacement.

Posterior hip dislocations cause internal rotation.

Pelvic fractures may cause instability but not specific leg rotation/shortening.

Colles' fracture is a distal radius (wrist) injury, unrelated to leg trauma.

Comprehensive and Detailed Explanation From Exact Extract:

This is a classic presentation of hypovolemic shock due to traumatic blood loss (open femur fracture, pelvic instability). Indicators include:

Low BP (86/42) = hypotension

High pulse (P 136) = compensation

Mental status decline (responsive only to voice) = indicates decompensated shock

Obstructive and distributive shock are not applicable. Compensated shock would show normal BP and alert mental status.

Comprehensive and Detailed Explanation From Exact Extract:

In patients with acute abdominal pain, you must first inspect (visualize) for distension, discoloration, or masses before touching. Palpation always begins away from the most painful area. The patient should be in a supine position with knees flexed to relax the abdominal muscles and ease the exam.

Palpating a pulsating mass could rupture an abdominal aortic aneurysm and is contraindicated.

NREMT legal education differentiates between slander and libel, both forms of defamation.

Option D (Libel) is correct because libel involves false written statements that harm a person’s reputation. In this scenario, the partner’s written claim falsely attributes improper treatment to you.

Option A (Slander) refers to spoken false statements.

Option B (Malice) describes intent, not a legal category of defamation.

Option C (Battery) is unlawful physical contact with a patient.

Understanding legal terminology helps EMTs protect themselves professionally and legally.

Comprehensive and Detailed Explanation From Exact Extract:

In patients with asthma experiencing respiratory failure, improper ventilation (especially excessive rates) can lead to air trapping and increased intrathoracic pressure, reducing venous return and worsening hypotension. The correct technique is to ventilate slowly to allow full exhalation — around 1 breath every 5–6 seconds for adults.

CPAP is contraindicated in unresponsive patients who cannot maintain their own airway. A non-rebreather mask would be insufficient for an unresponsive patient, and forceful ventilation risks barotrauma.

A deposition is a formal legal proceeding in which sworn testimony is taken prior to trial. NREMT education on EMS operations, documentation, and legal responsibilities emphasizes that EMTs may be required to participate in depositions as part of civil or criminal cases involving patient care.

Option C is correct because attorneys for all involved parties are typically present during a deposition. These may include attorneys representing the plaintiff, defendant, EMS agency, or insurance providers. The EMT provides sworn testimony under oath, and the deposition may later be used in court.

Option A is incorrect because deposition testimony is admissible in court under many circumstances.

Option B is incorrect because depositions are not presided over by a judge; they are conducted by attorneys.

Option D is incorrect because exhibits such as patient care reports, protocols, or photographs may be introduced during a deposition.

NREMT stresses the importance of accurate documentation, professionalism, and honesty, as EMTs are legally accountable for their actions and statements.

Comprehensive and Detailed Explanation From Exact Extract:

This is a high-risk cardiac event due to unstable angina or possible myocardial infarction. The EMT should:

Administer oxygen if SpO₂ is <94%

Avoid nitroglycerin if systolic BP is <90 mmHg

Obtain a 12-lead ECG to identify ST-elevation MI (STEMI) and transmit it if trained and authorized

CPAP is indicated for pulmonary edema, and albuterol is for bronchospasm, neither of which applies here.

Comprehensive and Detailed Explanation From Exact Extract:

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.