NYS EMT-B STATE EXAM WRITTEN – LATEST EXAM –
COMPLETE NEW UPDATED VERSION Real Questions –
Correct Verified Answers with Rationales – Pass
Guaranteed - A+ Graded
Getting Started: Preparatory, Airway, and Breathing
Q1: You arrive on scene of a motor vehicle collision. Before approaching the patient,
what is your first priority?
A. Obtain a full set of vital signs from inside the ambulance
B. Take a detailed history from the driver
C. Ensure scene safety and use appropriate BSI/PPE [CORRECT]
D. Begin spinal motion restriction immediately
Correct Answer: C
Rationale: The best answer is C because scene safety and body substance isolation
always come first. NYS BLS protocols and NREMT standards both teach that you
protect yourself before you can help anyone else.
Q2: A 34-year-old construction worker is unresponsive after falling from a ladder. He is
breathing at 6 times per minute with snoring respirations. What is your immediate
action?
A. Insert an oropharyngeal airway and begin bag-valve-mask ventilations [CORRECT]
B. Apply a cervical collar before touching the patient
C. Check his blood glucose level
D. Place him in the recovery position
Correct Answer: A
Rationale: The best answer is A because an unresponsive patient with inadequate
breathing and an obstructed airway needs immediate airway management. The snoring
,indicates upper airway obstruction, and the respiratory rate of 6 is dangerously low, so
an OPA and BVM take priority.
Q3: You are ventilating an apneic adult patient with a bag-valve mask. How often should
you deliver ventilations?
A. Every 2 seconds
B. Every 5 to 6 seconds [CORRECT]
C. Every 10 seconds
D. Every 15 seconds
Correct Answer: B
Rationale: The best answer is B because for an apneic adult, you ventilate once every 5
to 6 seconds, which equals about 10 to 12 breaths per minute. This prevents
hyperventilation while maintaining adequate oxygenation.
Q4: A patient with a suspected spinal injury is breathing inadequately. Which technique
should you use to open the airway?
A. Head-tilt, chin-lift
B. Jaw-thrust maneuver [CORRECT]
C. Finger sweep
D. Back blows
Correct Answer: B
Rationale: The best answer is B because the jaw-thrust maneuver opens the airway
without moving the cervical spine, which is critical when spinal injury is suspected. The
head-tilt chin-lift could worsen a spinal injury.
Q5: You are suctioning a patient who has vomited. How long should you suction the
oropharynx during any single pass?
A. No longer than 10 seconds for an adult [CORRECT]
B. Up to 30 seconds to ensure the airway is clear
C. Until the suction canister is full
D. For as long as the patient tolerates it
Correct Answer: A
,Rationale: The best answer is A because prolonged suctioning causes hypoxia. NYS
BLS protocols limit oropharyngeal suctioning to no more than 10 seconds per pass for
adults, with pre-oxygenation when possible.
Q6: A patient is receiving oxygen via nasal cannula at 4 liters per minute. What is the
approximate inspired oxygen concentration?
A. 24%
B. 28%
C. 36% [CORRECT]
D. 60%
Correct Answer: C
Rationale: The best answer is C because each liter per minute via nasal cannula adds
about 4% to the baseline 21% room air. At 4 LPM, that gives you roughly 36% FiO2.
Q7: You are treating a patient in severe respiratory distress. Their SpO2 is 84% on room
air. Which oxygen delivery device is most appropriate?
A. Nasal cannula at 2 LPM
B. Simple face mask at 5 LPM
C. Non-rebreather mask at 15 LPM [CORRECT]
D. Venturi mask at 28%
Correct Answer: C
Rationale: The best answer is C because a patient with severe hypoxemia and
respiratory distress needs the highest possible concentration of oxygen. A
non-rebreather at 15 LPM delivers up to 90% or more oxygen, which is what this patient
needs right now.
Q8: A patient has a nasopharyngeal airway inserted. Which statement about NPA use is
correct?
A. It should only be used in patients with an intact gag reflex
B. It is contraindicated in patients with suspected basilar skull fracture [CORRECT]
C. It must be lubricated with an alcohol-based gel
D. It should be inserted straight back without rotation
, Correct Answer: B
Rationale: The best answer is B because an NPA can penetrate the cranial cavity
through a fractured cribriform plate if basilar skull fracture is present. That's why you
look for Battle's sign, raccoon eyes, or CSF leakage before inserting one.
Q9: You are assisting a patient with their prescribed epinephrine auto-injector. Where
should the injector be administered?
A. Into the deltoid muscle
B. Into the lateral thigh [CORRECT]
C. Subcutaneously into the abdomen
D. Intravenously in the antecubital vein
Correct Answer: B
Rationale: The best answer is B because epinephrine auto-injectors are designed for
intramuscular injection into the lateral thigh. The thigh has good blood flow for rapid
absorption, which is critical during anaphylaxis.
Q10: A patient has a stoma and is in respiratory distress. Where should you ventilate
this patient?
A. Through the nose
B. Through the mouth
C. Through the stoma [CORRECT]
D. Through the ears
Correct Answer: C
Rationale: The best answer is C because a patient with a tracheostomy stoma breathes
through that opening, not through the upper airway. You seal your BVM over the stoma
to deliver ventilations.
Q11: You are preparing to suction a pediatric patient. What is the maximum suction time
per pass for an infant?
A. 10 seconds
B. 5 seconds [CORRECT]
C. 20 seconds
D. 30 seconds
COMPLETE NEW UPDATED VERSION Real Questions –
Correct Verified Answers with Rationales – Pass
Guaranteed - A+ Graded
Getting Started: Preparatory, Airway, and Breathing
Q1: You arrive on scene of a motor vehicle collision. Before approaching the patient,
what is your first priority?
A. Obtain a full set of vital signs from inside the ambulance
B. Take a detailed history from the driver
C. Ensure scene safety and use appropriate BSI/PPE [CORRECT]
D. Begin spinal motion restriction immediately
Correct Answer: C
Rationale: The best answer is C because scene safety and body substance isolation
always come first. NYS BLS protocols and NREMT standards both teach that you
protect yourself before you can help anyone else.
Q2: A 34-year-old construction worker is unresponsive after falling from a ladder. He is
breathing at 6 times per minute with snoring respirations. What is your immediate
action?
A. Insert an oropharyngeal airway and begin bag-valve-mask ventilations [CORRECT]
B. Apply a cervical collar before touching the patient
C. Check his blood glucose level
D. Place him in the recovery position
Correct Answer: A
Rationale: The best answer is A because an unresponsive patient with inadequate
breathing and an obstructed airway needs immediate airway management. The snoring
,indicates upper airway obstruction, and the respiratory rate of 6 is dangerously low, so
an OPA and BVM take priority.
Q3: You are ventilating an apneic adult patient with a bag-valve mask. How often should
you deliver ventilations?
A. Every 2 seconds
B. Every 5 to 6 seconds [CORRECT]
C. Every 10 seconds
D. Every 15 seconds
Correct Answer: B
Rationale: The best answer is B because for an apneic adult, you ventilate once every 5
to 6 seconds, which equals about 10 to 12 breaths per minute. This prevents
hyperventilation while maintaining adequate oxygenation.
Q4: A patient with a suspected spinal injury is breathing inadequately. Which technique
should you use to open the airway?
A. Head-tilt, chin-lift
B. Jaw-thrust maneuver [CORRECT]
C. Finger sweep
D. Back blows
Correct Answer: B
Rationale: The best answer is B because the jaw-thrust maneuver opens the airway
without moving the cervical spine, which is critical when spinal injury is suspected. The
head-tilt chin-lift could worsen a spinal injury.
Q5: You are suctioning a patient who has vomited. How long should you suction the
oropharynx during any single pass?
A. No longer than 10 seconds for an adult [CORRECT]
B. Up to 30 seconds to ensure the airway is clear
C. Until the suction canister is full
D. For as long as the patient tolerates it
Correct Answer: A
,Rationale: The best answer is A because prolonged suctioning causes hypoxia. NYS
BLS protocols limit oropharyngeal suctioning to no more than 10 seconds per pass for
adults, with pre-oxygenation when possible.
Q6: A patient is receiving oxygen via nasal cannula at 4 liters per minute. What is the
approximate inspired oxygen concentration?
A. 24%
B. 28%
C. 36% [CORRECT]
D. 60%
Correct Answer: C
Rationale: The best answer is C because each liter per minute via nasal cannula adds
about 4% to the baseline 21% room air. At 4 LPM, that gives you roughly 36% FiO2.
Q7: You are treating a patient in severe respiratory distress. Their SpO2 is 84% on room
air. Which oxygen delivery device is most appropriate?
A. Nasal cannula at 2 LPM
B. Simple face mask at 5 LPM
C. Non-rebreather mask at 15 LPM [CORRECT]
D. Venturi mask at 28%
Correct Answer: C
Rationale: The best answer is C because a patient with severe hypoxemia and
respiratory distress needs the highest possible concentration of oxygen. A
non-rebreather at 15 LPM delivers up to 90% or more oxygen, which is what this patient
needs right now.
Q8: A patient has a nasopharyngeal airway inserted. Which statement about NPA use is
correct?
A. It should only be used in patients with an intact gag reflex
B. It is contraindicated in patients with suspected basilar skull fracture [CORRECT]
C. It must be lubricated with an alcohol-based gel
D. It should be inserted straight back without rotation
, Correct Answer: B
Rationale: The best answer is B because an NPA can penetrate the cranial cavity
through a fractured cribriform plate if basilar skull fracture is present. That's why you
look for Battle's sign, raccoon eyes, or CSF leakage before inserting one.
Q9: You are assisting a patient with their prescribed epinephrine auto-injector. Where
should the injector be administered?
A. Into the deltoid muscle
B. Into the lateral thigh [CORRECT]
C. Subcutaneously into the abdomen
D. Intravenously in the antecubital vein
Correct Answer: B
Rationale: The best answer is B because epinephrine auto-injectors are designed for
intramuscular injection into the lateral thigh. The thigh has good blood flow for rapid
absorption, which is critical during anaphylaxis.
Q10: A patient has a stoma and is in respiratory distress. Where should you ventilate
this patient?
A. Through the nose
B. Through the mouth
C. Through the stoma [CORRECT]
D. Through the ears
Correct Answer: C
Rationale: The best answer is C because a patient with a tracheostomy stoma breathes
through that opening, not through the upper airway. You seal your BVM over the stoma
to deliver ventilations.
Q11: You are preparing to suction a pediatric patient. What is the maximum suction time
per pass for an infant?
A. 10 seconds
B. 5 seconds [CORRECT]
C. 20 seconds
D. 30 seconds
