10 free, exam-style NREMT Advanced Emergency Medical Technician (AEMT) practice questions with answers and
explanations. No signup required. Work through them below, then take the
full free AEMT practice test to study every exam domain.
These 10 free AEMT questions are organized by exam domain, so you can see how each part of the NREMT Advanced Emergency Medical Technician blueprint is tested. Reveal the answer and explanation under each question.
Domain 1: Airway, Respiration & Ventilation (9-13%)
Question 1
You respond to a 71-year-old male in severe respiratory distress. He is awake but confused, sitting bolt upright, and speaking only in two-word sentences. SpO₂ is 79% on room air. Lung sounds reveal diffuse bilateral crackles. BP is 84/52 mmHg, HR 118, RR 32. His wife states he has a history of congestive heart failure. You prepare to apply CPAP. Which finding should STOP you from applying it?
- SpO₂ of 79% on room air
- History of congestive heart failure
- Blood pressure of 84/52 mmHg
- Bilateral crackles on auscultation
Show answer & explanation
Correct answer: C - Blood pressure of 84/52 mmHg
Question 2
You have placed a King LT airway in an unresponsive adult patient in respiratory arrest. You confirm placement with bilateral breath sounds and chest rise. You attach the waveform capnograph. The monitor displays a consistent rectangular waveform with an EtCO₂ reading of 41 mmHg. What does this finding indicate?
- The airway is in the esophagus and must be removed immediately
- The patient is being hyperventilated and the rate should be decreased
- The airway is correctly placed and ventilation is adequate
- The reading is unreliable after a supraglottic airway device is placed
Show answer & explanation
Correct answer: C - The airway is correctly placed and ventilation is adequate
Domain 2: Cardiology & Resuscitation (11-15%)
Question 3
You are treating a 62-year-old male who called 911 for chest pressure radiating to his left arm. He rates the pain 8/10. BP is 108/70 mmHg, HR 58, RR 16. The 12-lead ECG you acquired shows changes in leads II, III, and aVF. He denies taking any erectile dysfunction medications. You have nitroglycerin available. Which finding is the STRONGEST contraindication to administering it?
- Heart rate of 58 beats per minute
- Pain rated 8 out of 10
- ST changes in leads II, III, and aVF
- Blood pressure of 108/70 mmHg
Show answer & explanation
Correct answer: C - ST changes in leads II, III, and aVF
Domain 3: Trauma (7-11%)
Question 4
You respond to a 28-year-old male who was involved in a machinery accident at a construction site. He has a near-complete amputation of his right forearm at the mid-shaft. Blood is spurting in pulses and soaking through multiple towels the bystanders applied. He is pale, diaphoretic, and confused. BP is 78/50 mmHg, HR 138, RR 24. What is the MOST appropriate immediate action?
- Establish two large-bore IVs and begin a fluid bolus
- Apply a tourniquet 2-3 inches proximal to the wound
- Apply additional direct pressure and elevate the extremity
- Administer high-flow oxygen via non-rebreather mask
Show answer & explanation
Correct answer: B - Apply a tourniquet 2-3 inches proximal to the wound
Domain 4: Medical/Obstetrics/Gynecology (25-29%)
Question 5
You are called to a gym for an unconscious 34-year-old female with a history of Type 1 diabetes. Bystanders state she was working out normally and then collapsed. She is unresponsive to verbal stimuli and responds only to painful stimuli. Her airway is open and breathing is adequate. Blood glucose reads 24 mg/dL. After three attempts, you are unable to establish IV access. What is the MOST appropriate next intervention?
- Administer oral glucose gel between the cheek and gum
- Administer 1 mg glucagon intramuscularly
- Continue attempting IV access until successful
- Place a supraglottic airway and ventilate to increase glucose metabolism
Show answer & explanation
Correct answer: B - Administer 1 mg glucagon intramuscularly
Question 6
You respond to a 22-year-old male found unresponsive by his roommate. He has pinpoint pupils, a respiratory rate of 4 breaths per minute, and cyanotic lips. You administer 4 mg of naloxone intranasally. Two minutes later, his respiratory rate has improved to only 8 breaths per minute and he remains unconscious. What is the MOST appropriate next action?
- Withhold further naloxone to prevent acute opioid withdrawal
- Administer a second dose of naloxone
- Begin CPR, as 8 respirations per minute indicates respiratory arrest
- Assist ventilations only and transport without additional medication
Show answer & explanation
Correct answer: B - Administer a second dose of naloxone
Question 7
You are transporting a 29-year-old woman at 38 weeks' gestation who is in active labor. During your assessment, you observe the umbilical cord protruding from the vaginal opening. The patient is having frequent contractions. Fetal heart tones via Doppler are 90 beats per minute. Which action is the HIGHEST priority?
- Gently attempt to reposition the cord back inside the vaginal canal
- Place the patient supine, insert a gloved hand to elevate the presenting part off the cord, and transport immediately
- Prepare for an immediate field delivery to relieve pressure on the cord
- Position the patient in left lateral recumbent and apply high-flow oxygen only
Show answer & explanation
Correct answer: B - Place the patient supine, insert a gloved hand to elevate the presenting part off the cord, and transport immediately
Domain 5: EMS Operations (6-10%)
Question 8
You are the first AEMT on scene at a multi-vehicle crash that has been declared a mass casualty incident. Using the START triage system, you assess a 45-year-old female who is lying on the ground. She is breathing at a rate of 22 breaths per minute. She has no radial pulse. She is able to follow a simple command. What triage category should she receive?
- Black - Expectant
- Red - Immediate
- Yellow - Delayed
- Green - Minor
Show answer & explanation
Correct answer: B - Red - Immediate
Domain 6: Clinical Judgment (31-35%)
Question 9
You respond to a local restaurant for a 31-year-old female who ate shrimp approximately 10 minutes ago. She is anxious and tells you her throat feels like it is 'closing.' Assessment reveals diffuse urticaria across her chest and arms, audible stridor, and labored breathing. BP is 82/46 mmHg, HR 124, SpO₂ is 91% on room air. She has no known prior history of anaphylaxis. What is the MOST appropriate immediate action?
- Administer diphenhydramine 25-50 mg intramuscularly
- Administer 0.3 mg epinephrine 1:1,000 intramuscularly
- Apply a non-rebreather mask and establish IV access before giving any medication
- Administer a 200 mcg albuterol metered-dose inhaler and reassess
Show answer & explanation
Correct answer: B - Administer 0.3 mg epinephrine 1:1,000 intramuscularly
Question 10
You are called to a playground for a 6-year-old male who was struck by a car at low speed. He is crying but responds appropriately to your questions. His skin is pale and cool with delayed capillary refill of 3 seconds. Vital signs are: HR 148, RR 28, BP 82/60 mmHg. His weight is approximately 20 kg. Which statement BEST describes this patient's hemodynamic status?
- He is hemodynamically stable; his BP is within normal limits for his age
- He is in decompensated shock; his blood pressure is below the acceptable minimum for his age
- His tachycardia is expected after a traumatic event and does not indicate shock
- He is in compensated shock only; a BP of 82 mmHg is above the critical threshold in children
Show answer & explanation
Correct answer: B - He is in decompensated shock; his blood pressure is below the acceptable minimum for his age