NCOEMS EXAM AND
PRACTICE EXAM NEWEST
2026 TEST BANK| NORTH
CAROLINA OFFICE OF
EMERGENCY MEDICAL
SERVICES (NCOEMS) EXAM
PREP WITH COMPLETE 120
REAL EXAM QUESTIONS
AND CORRECT VERIFIED
ANSWERS/ ALREADY
GRADED A+
1. Patient Assessment & Safety
You are called to assist a 60-year-old female complaining of a severe headache. Upon
,entering the home, you smell a strong odor of natural gas. What is your first action?
A. Check the patient's airway, breathing, and circulation.
B. Insert a nasopharyngeal airway and assess vital signs.
C. Remove the patient from the house to your ambulance.
D. Open all windows and determine the source of the gas leak.
Correct Answer: C. Remove the patient from the house to your ambulance.
Rationale: Scene safety is the priority. You must remove the patient from the dangerous
environment before providing care.
2. Airway & Respiratory
EMTs should wear high-efficiency particulate air (HEPA) respirators when they are in
contact with patients who have which of the following?
A. HIV (Human Immunodeficiency Virus) or AIDS (Acquired Immune Deficiency
Syndrome)
B. Tuberculosis (TB)
C. Open Wounds
D. Hepatitis B
Correct Answer: B. Tuberculosis (TB)
Rationale: TB is an airborne disease requiring respiratory protection like HEPA or N95
masks.
3. Cardiology & Resuscitation
The most common electrical rhythm disturbance that results in sudden cardiac arrest is
called:
A. Pulseless electrical activity
B. Ventricular Fibrillation
C. Ventricular Tachycardia
D. Asystole
Correct Answer: B. Ventricular Fibrillation
Rationale: V-Fib is the most common initial rhythm in sudden cardiac arrest, characterized
by chaotic electrical activity.
,4. Airway Management
A non-trauma patient was pulseless and apneic. Assisted ventilation was attempted, but
unsuccessful. If the head is repositioned and a repeat ventilation is unsuccessful, which
of the following is the next most appropriate step?
A. Check for an airway obstruction.
B. Continue with chest compressions only.
C. Attempt ventilations using an alternative method.
D. Continue to reposition the head until assisted ventilations are successful.
Correct Answer: A. Check for an airway obstruction.
Rationale: If ventilations are unsuccessful after repositioning, you must suspect and clear a
foreign body airway obstruction.
5. Pharmacology & Allergies
Which of the following is the correct dosage of epinephrine for an adult patient in
anaphylactic shock?
A. 0.3 mg
B. 0.4 mg
C. 0.5 mg
D. 0.6 mg
Correct Answer: A, B, or C (0.3 mg - 0.5 mg).
*Rationale: According to the NCOEMS official sample questions, any of these doses is
acceptable for an adult (SQ epi 1:1000 0.3mg-0.5mg).*
6. Medical Emergencies
A patient is complaining of facial paralysis on one side of his face with tearing, localized
pain, and sensitivity may be suffering from the most common form of facial paralysis
called:
A. Dystonia
B. Muscular Dystrophy
C. Amyotrophic lateral sclerosis (ALS)
, D. Bell's Palsy
Correct Answer: D. Bell's Palsy
7. Pediatrics
What is the best method to assess circulation in an infant?
A. Palpate the carotid pulse.
B. Palpate the brachial pulse.
C. Palpate the radial pulse.
D. Observe capillary refill time.
Correct Answer: B. Palpate the brachial pulse.
Rationale: In infants, the brachial pulse is preferred due to the short, chubby neck making
the carotid difficult to palpate.
8. Trauma & Spinal Immobilization
Your patient is a 33-year-old female with a suspected spinal cord injury. After you have
immobilized her to a long board, she vomits. What should you do?
A. Reassess her vitals
B. Ask her what she last ate
C. Remove the board and suction the airway
D. Tilt the board to clear the airway
Correct Answer: D. Tilt the board to clear the airway.
Rationale: You must log-roll the patient or tilt the entire board to allow vomit to drain
while maintaining spinal precautions.
9. Medical Emergencies (Diabetes)
Your patient is a 28-year-old male who appears intoxicated. Bystanders report that the
man seemed fine but suddenly began "acting strange". You should first suspect?
A. Alcohol abuse
B. Poisoning
C. Diabetic emergency
D. Allergic reaction
Correct Answer: C. Diabetic emergency.
PRACTICE EXAM NEWEST
2026 TEST BANK| NORTH
CAROLINA OFFICE OF
EMERGENCY MEDICAL
SERVICES (NCOEMS) EXAM
PREP WITH COMPLETE 120
REAL EXAM QUESTIONS
AND CORRECT VERIFIED
ANSWERS/ ALREADY
GRADED A+
1. Patient Assessment & Safety
You are called to assist a 60-year-old female complaining of a severe headache. Upon
,entering the home, you smell a strong odor of natural gas. What is your first action?
A. Check the patient's airway, breathing, and circulation.
B. Insert a nasopharyngeal airway and assess vital signs.
C. Remove the patient from the house to your ambulance.
D. Open all windows and determine the source of the gas leak.
Correct Answer: C. Remove the patient from the house to your ambulance.
Rationale: Scene safety is the priority. You must remove the patient from the dangerous
environment before providing care.
2. Airway & Respiratory
EMTs should wear high-efficiency particulate air (HEPA) respirators when they are in
contact with patients who have which of the following?
A. HIV (Human Immunodeficiency Virus) or AIDS (Acquired Immune Deficiency
Syndrome)
B. Tuberculosis (TB)
C. Open Wounds
D. Hepatitis B
Correct Answer: B. Tuberculosis (TB)
Rationale: TB is an airborne disease requiring respiratory protection like HEPA or N95
masks.
3. Cardiology & Resuscitation
The most common electrical rhythm disturbance that results in sudden cardiac arrest is
called:
A. Pulseless electrical activity
B. Ventricular Fibrillation
C. Ventricular Tachycardia
D. Asystole
Correct Answer: B. Ventricular Fibrillation
Rationale: V-Fib is the most common initial rhythm in sudden cardiac arrest, characterized
by chaotic electrical activity.
,4. Airway Management
A non-trauma patient was pulseless and apneic. Assisted ventilation was attempted, but
unsuccessful. If the head is repositioned and a repeat ventilation is unsuccessful, which
of the following is the next most appropriate step?
A. Check for an airway obstruction.
B. Continue with chest compressions only.
C. Attempt ventilations using an alternative method.
D. Continue to reposition the head until assisted ventilations are successful.
Correct Answer: A. Check for an airway obstruction.
Rationale: If ventilations are unsuccessful after repositioning, you must suspect and clear a
foreign body airway obstruction.
5. Pharmacology & Allergies
Which of the following is the correct dosage of epinephrine for an adult patient in
anaphylactic shock?
A. 0.3 mg
B. 0.4 mg
C. 0.5 mg
D. 0.6 mg
Correct Answer: A, B, or C (0.3 mg - 0.5 mg).
*Rationale: According to the NCOEMS official sample questions, any of these doses is
acceptable for an adult (SQ epi 1:1000 0.3mg-0.5mg).*
6. Medical Emergencies
A patient is complaining of facial paralysis on one side of his face with tearing, localized
pain, and sensitivity may be suffering from the most common form of facial paralysis
called:
A. Dystonia
B. Muscular Dystrophy
C. Amyotrophic lateral sclerosis (ALS)
, D. Bell's Palsy
Correct Answer: D. Bell's Palsy
7. Pediatrics
What is the best method to assess circulation in an infant?
A. Palpate the carotid pulse.
B. Palpate the brachial pulse.
C. Palpate the radial pulse.
D. Observe capillary refill time.
Correct Answer: B. Palpate the brachial pulse.
Rationale: In infants, the brachial pulse is preferred due to the short, chubby neck making
the carotid difficult to palpate.
8. Trauma & Spinal Immobilization
Your patient is a 33-year-old female with a suspected spinal cord injury. After you have
immobilized her to a long board, she vomits. What should you do?
A. Reassess her vitals
B. Ask her what she last ate
C. Remove the board and suction the airway
D. Tilt the board to clear the airway
Correct Answer: D. Tilt the board to clear the airway.
Rationale: You must log-roll the patient or tilt the entire board to allow vomit to drain
while maintaining spinal precautions.
9. Medical Emergencies (Diabetes)
Your patient is a 28-year-old male who appears intoxicated. Bystanders report that the
man seemed fine but suddenly began "acting strange". You should first suspect?
A. Alcohol abuse
B. Poisoning
C. Diabetic emergency
D. Allergic reaction
Correct Answer: C. Diabetic emergency.
