NREMT Patient Treatment and Transport Practice Test

How much of the NREMT is treatment and transport?

About one question in five, the second-largest share after primary assessment.

Weight on the real exam (NREMT) and on our mocks
Patient Treatment and Transport	20-24% of the EMT exam, about 14 to 29 questions across the 70 to 120 rangePublished by the ownerNREMT, EMT candidate handbook: about the examination
What it covers	EMT medications, medical, trauma, obstetric and pediatric care, positioning and destinationPublished by the ownerNREMT, "Emergency Medical Technician examination specifications" (test plan, PDF)
On our mocks	16 of 70 questions in every mock, mixed in with the other domainsLifeScore

What does treatment and transport cover?

What you do for the patient once you know what is wrong.

EMT medications
Oxygen, aspirin, oral glucose, nitroglycerin, epinephrine auto-injectors, inhalers, naloxone: indications, contraindications and checks.
Medical emergencies
Chest pain, stroke, diabetic emergencies, seizures, allergic reactions, poisoning, overdose, environmental emergencies.
Trauma
Chest and abdominal injuries, head injuries, fractures and splinting, burns, amputations, impaled objects.
Obstetrics and newborns
Normal delivery, complications, newborn care and resuscitation.
Pediatrics and older adults
Differences in anatomy, vital signs and presentation.
Positioning and destination
Position of comfort, recovery position, trauma, stroke and burn centers.

What do treatment and transport questions look like?

A diagnosis-shaped situation and four treatments. The first two are worked.

NREMT-style question 1 · Medications
Which finding is a reason to withhold nitroglycerin from a patient with chest pain?
1. AA heart rate of 92
2. BA history of high cholesterol
3. CPain that began during exercise
4. DA systolic blood pressure of 86 mm Hg
Worked answer
D: A systolic blood pressure of 86 mm Hg. Nitroglycerin lowers blood pressure; a low systolic pressure is a contraindication (protocols set the exact figure).
The trap: Picking a cardiac risk factor because it sounds relevant.
NREMT-style question 2 · Medical
A patient's stroke symptoms began 40 minutes ago. What matters most for treatment?
1. AA detailed neurological exam on scene
2. BRapid transport to a stroke-capable hospital with the time of onset
3. CGiving aspirin first
4. DLetting the patient rest to see if it passes
Worked answer
B: Rapid transport to a stroke-capable hospital with the time of onset. Stroke treatment depends on time; the last-known-well time and a fast trip decide the options.
NREMT-style question 3 · Medications
A child of about 20 kg has hives, wheezing and stridor after eating peanuts. Which epinephrine auto-injector is appropriate?
1. AHalf of an adult injector
2. BNone until arrival at hospital
3. CThe 0.3 mg adult auto-injector
4. DThe 0.15 mg pediatric auto-injector
Show the answer
D: The 0.15 mg pediatric auto-injector. Children under about 25 to 30 kg receive the pediatric dose, per protocol.
NREMT-style question 4 · Trauma
An object is impaled in a patient's thigh and bleeding is controlled. What should you do?
1. AStabilize it in place with bulky dressings
2. BRemove it and apply pressure
3. CTwist it to check depth
4. DCut it flush with the skin
Show the answer
A: Stabilize it in place with bulky dressings. Impaled objects are stabilized, not removed, unless they block the airway or chest compressions.

Written for this page as worked examples. None is a real exam question, and none is in any mock or drill.

Know every contraindication cold

Twelve questions show the gap. 4 more treatment and transport drills and 8 full mocks close it.

The NREMT Pass Pack gives you 8 full mocks on the real clock, 20 drills of 12 questions for the sections that cost you points, and a predictor that turns your mocks into the odds of reaching your target. One payment, no subscription, and your free score stays free.

Prep courses for these tests usually cost $19 to $129. The NREMT Pass Pack is US$39 (£29), once.

See the NREMT Pass Pack How our questions are built and checked

8
timed mocks: 20
topic drills: 1
score predictor

Which medications can an EMT give or assist with?

Under the national scope, and always per local protocol and medical direction, EMTs give or assist with a short list.

EMT medications in the National EMS Scope of Practice Model, with common teaching points (your protocols govern)
Medication	Used for	Watch for
Oxygen	Hypoxia, breathing difficulty	Titrate to the patient; ventilate if breathing is inadequate
Aspirin (chewed)	Suspected cardiac chest pain	Allergy, active bleeding
Oral glucose	Low blood sugar in a patient who can swallow	Not if they cannot protect the airway
Nitroglycerin (patient's own, assist)	Cardiac chest pain	Low blood pressure, erectile dysfunction drugs
Epinephrine auto-injector	Anaphylaxis	Correct dose for weight; lateral thigh
Inhaled bronchodilator (assist)	Asthma, COPD	Prescribed to the patient, not expired
Naloxone	Suspected opioid overdose with poor breathing	Ventilate first; it can wear off

What rules win treatment and transport questions?

Four rules.

Check before you give
Right patient, medication, dose, route, time, and the contraindications.
Airway beats medication
Ventilate an overdose patient before naloxone; protect the airway before glucose.
Time-critical means go
Stroke, heart attack, major trauma and shock need fast transport to the right hospital.
Stay in scope
No needle decompression, no IV drugs at EMT level.

What traps are set in treatment and transport questions?

Medication answers that ignore a contraindication, and advanced skills outside scope.

Nitroglycerin with a low blood pressure or recent erectile dysfunction drug.
Oral glucose for a patient who cannot swallow.
Naloxone before ventilating a patient breathing 4 times a minute.
Removing an impaled object that is not in the way.
Choosing needle decompression for a tension pneumothorax.

How do I study treatment and transport in a week?

Twenty-five minutes a day.

Our plan, with minutes a day

Day 1
25 min
Free drill above; list what you missed.
Day 2
25 min
The medication table: indications and contraindications.
Day 3
25 min
Cardiac, stroke and diabetic emergencies.
Day 4
25 min
Allergy, overdose, poisoning and environmental emergencies.
Day 5
25 min
Trauma: chest, abdomen, head, fractures, burns.
Day 6
25 min
Obstetrics, newborns and pediatrics.
Day 7
30 min
A Pass Pack drill or full mock to confirm.

Frequently asked questions

What medications are on the NREMT EMT exam?

Those in the EMT scope: oxygen, aspirin, oral glucose, nitroglycerin (assist), epinephrine auto-injector, inhaled bronchodilators (assist) and naloxone, with indications and contraindications.

Is obstetrics still on the NREMT?

Yes. Obstetric and newborn care now sit in patient treatment and transport and in assessment.

Do I need to know drug doses?

The standard EMT doses, such as aspirin and nitroglycerin, are fair game. Your protocols set the exact figures in practice.

Do these questions follow my local protocols?

They follow national EMT education standards, which is what the exam tests. Your local protocols and medical direction govern real patient care.

Treat the right patient the right way

20 topic drills (4 for treatment and transport), 8 full mocks and a predictor, in one payment with no subscription.