NYS EMT-B STATE WRITTEN EXAM NEWEST 2026
ACTUAL EXAM TEST BANK| NYS EMT-B STATE
WRITTEN EXAM REVIEW WITH COMPLETE 450 REAL
EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (MOST RECENT!!)
Legal, Ethical & Documentation
1. An EMS Provider responds to a call and finds an 8-year-old
female with no pulse or respirations. The patient has a history
of terminal brain cancer. The family states the patient has a
DNR order. In NYS, EMS personnel may accept which of the
following DNR instruments as valid?
A. Verbal request from family
B. Written out-of-hospital DNR or MOLST form
C. Written healthcare proxy
D. Written living will
Correct Answer: B
Rationale: In New York State, only a written out-of-hospital DNR
form or MOLST (Medical Orders for Life-Sustaining Treatment) is
valid for EMS. Verbal requests or other documents like living wills
1
,or healthcare proxies are not sufficient for field withholding of
resuscitation .
2. Implied Consent exists when a patient is suffering from a
life-threatening injury or illness and is:
A. Under police custody
B. A threat to himself and others
C. Under age 18
D. Unconscious
Correct Answer: D
Rationale: Implied consent assumes that an unconscious or
incapacitated patient would consent to life-saving treatment if they
were able. It does not apply based on custody, age, or threat
status .
3. The purpose of the first set of vital signs is to:
A. Establish a baseline for additional evaluations
B. Determine transport priority
C. Confirm the patient's diagnosis
D. Satisfy legal documentation requirements
Correct Answer: A
Rationale: Initial vital signs establish a baseline to compare against
later readings to detect changes in patient condition. They help
2
,guide treatment decisions but do not alone determine transport or
diagnosis .
4. The pre-hospital care report (PCR) is considered to be:
A. Part of the patient's hospital chart
B. A matter of public record
C. Inadmissible in a court of law
D. A research document only
Correct Answer: A
Rationale: The PCR becomes part of the patient's permanent
medical record and can be used in legal proceedings. It is not a
public record but is protected health information (PHI) .
5. The PCR has how many spots for writing vital signs?
A. 1 spot
B. 2 spots
C. 3 spots
D. 4 spots
Correct Answer: C
Rationale: Standard PCRs typically have three sets of vital signs—
initial, ongoing, and reassessment—to document trends in patient
condition .
3
, 6. Which of the following is NOT a requirement for a valid
out-of-hospital DNR in NYS?
A. Signed by a physician
B. Specific DNR form or MOLST
C. Verbal confirmation from family
D. Clearly identifies the patient
Correct Answer: C
Rationale: Verbal confirmation alone is insufficient. NYS requires a
written, signed DNR form. EMS should err on the side of
resuscitation if no valid documentation is present .
7. After you have determined the scene is safe, the FIRST step
in caring for a patient is to:
A. Check for a carotid pulse
B. Open the airway
C. Determine unresponsiveness
D. Check for breathing
Correct Answer: C
Rationale: Determine responsiveness (using AVPU scale) first.
Unresponsiveness triggers immediate ABC assessment. Opening the
airway or checking pulse without assessing responsiveness skips
critical first steps .
4
ACTUAL EXAM TEST BANK| NYS EMT-B STATE
WRITTEN EXAM REVIEW WITH COMPLETE 450 REAL
EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (MOST RECENT!!)
Legal, Ethical & Documentation
1. An EMS Provider responds to a call and finds an 8-year-old
female with no pulse or respirations. The patient has a history
of terminal brain cancer. The family states the patient has a
DNR order. In NYS, EMS personnel may accept which of the
following DNR instruments as valid?
A. Verbal request from family
B. Written out-of-hospital DNR or MOLST form
C. Written healthcare proxy
D. Written living will
Correct Answer: B
Rationale: In New York State, only a written out-of-hospital DNR
form or MOLST (Medical Orders for Life-Sustaining Treatment) is
valid for EMS. Verbal requests or other documents like living wills
1
,or healthcare proxies are not sufficient for field withholding of
resuscitation .
2. Implied Consent exists when a patient is suffering from a
life-threatening injury or illness and is:
A. Under police custody
B. A threat to himself and others
C. Under age 18
D. Unconscious
Correct Answer: D
Rationale: Implied consent assumes that an unconscious or
incapacitated patient would consent to life-saving treatment if they
were able. It does not apply based on custody, age, or threat
status .
3. The purpose of the first set of vital signs is to:
A. Establish a baseline for additional evaluations
B. Determine transport priority
C. Confirm the patient's diagnosis
D. Satisfy legal documentation requirements
Correct Answer: A
Rationale: Initial vital signs establish a baseline to compare against
later readings to detect changes in patient condition. They help
2
,guide treatment decisions but do not alone determine transport or
diagnosis .
4. The pre-hospital care report (PCR) is considered to be:
A. Part of the patient's hospital chart
B. A matter of public record
C. Inadmissible in a court of law
D. A research document only
Correct Answer: A
Rationale: The PCR becomes part of the patient's permanent
medical record and can be used in legal proceedings. It is not a
public record but is protected health information (PHI) .
5. The PCR has how many spots for writing vital signs?
A. 1 spot
B. 2 spots
C. 3 spots
D. 4 spots
Correct Answer: C
Rationale: Standard PCRs typically have three sets of vital signs—
initial, ongoing, and reassessment—to document trends in patient
condition .
3
, 6. Which of the following is NOT a requirement for a valid
out-of-hospital DNR in NYS?
A. Signed by a physician
B. Specific DNR form or MOLST
C. Verbal confirmation from family
D. Clearly identifies the patient
Correct Answer: C
Rationale: Verbal confirmation alone is insufficient. NYS requires a
written, signed DNR form. EMS should err on the side of
resuscitation if no valid documentation is present .
7. After you have determined the scene is safe, the FIRST step
in caring for a patient is to:
A. Check for a carotid pulse
B. Open the airway
C. Determine unresponsiveness
D. Check for breathing
Correct Answer: C
Rationale: Determine responsiveness (using AVPU scale) first.
Unresponsiveness triggers immediate ABC assessment. Opening the
airway or checking pulse without assessing responsiveness skips
critical first steps .
4
