EMT FISDAP Readiness Exam 4 Prep
2026/2027 | 200+ Actual Questions &
Verified Detailed Solutions | Complete EMT
Study Guide
• This prep guide contains 200+ exam-style questions with verified answers and
detailed EXPERT RATIONALE designed to mirror the actual FISDAP EMT Readiness
Exam 4 format.
• Study by attempting each question first before checking the highlighted correct
answer and EXPERT RATIONALE below it — this active recall method maximizes
retention and exam readiness.
QUESTION 1 A 34-year-old male is unresponsive after a witnessed cardiac
arrest. You have confirmed pulselessness. What is your first action?
A. Open the airway with a head-tilt chin-lift
B. Apply the AED immediately
C. Administer two rescue breaths
D. Begin high-quality chest compressions
E. Call for ALS backup
D. Begin high-quality chest compressions
EXPERT RATIONALE: For an unresponsive, pulseless adult, CPR should begin
immediately with chest compressions (C-A-B sequence). Compressions take priority over
airway and breathing in cardiac arrest to maintain perfusion.
QUESTION 2 A patient has a respiratory rate of 6 breaths per minute and
cyanosis. What should you do first?
A. Apply a non-rebreather mask at 15 LPM
B. Place the patient in the recovery position
C. Perform a detailed physical exam
,D. Administer oral glucose
E. Begin positive pressure ventilation with BVM
E. Begin positive pressure ventilation with BVM
EXPERT RATIONALE: A respiratory rate of 6 breaths per minute is severely inadequate.
Combined with cyanosis, this indicates hypoxic respiratory failure requiring immediate
assisted ventilation via BVM.
QUESTION 3 Which of the following best describes the purpose of the "Golden
Hour" in trauma care?
A. Time allowed for EMTs to document the call
B. The period during which ALS must arrive on scene
C. The window in which definitive surgical care improves survival
D. The time limit for BLS interventions on scene
E. The hour following hospital discharge for observation
C. The window in which definitive surgical care improves survival
EXPERT RATIONALE: The "Golden Hour" refers to the critical period after major trauma
during which definitive surgical intervention significantly improves the patient's chance
of survival. EMTs should minimize scene time and transport rapidly.
QUESTION 4 A 7-year-old child is unresponsive and not breathing but has a
pulse of 50 bpm. What is your next step?
A. Begin CPR with 30:2 ratio
B. Apply the AED immediately
C. Begin rescue breathing at 12–20 breaths per minute
D. Perform abdominal thrusts
E. Administer high-flow oxygen via non-rebreather
, C. Begin rescue breathing at 12–20 breaths per minute
EXPERT RATIONALE: A child with a pulse but no breathing requires rescue breathing,
not full CPR. The rate for pediatric rescue breathing is 12–20 breaths per minute (one
breath every 3–5 seconds).
QUESTION 5 You arrive at the scene of a motor vehicle accident. The car is
leaking fuel. What is your first priority?
A. Triage the patients
B. Establish IV access
C. Ensure scene safety
D. Notify medical direction
E. Begin spinal immobilization
C. Ensure scene safety
EXPERT RATIONALE: Scene safety is always the EMT's first priority. A leaking fuel source
presents an immediate fire and explosion hazard. The EMT must ensure the scene is safe
before approaching any patient.
QUESTION 6 What is the correct compression-to-ventilation ratio for a single
rescuer performing CPR on an adult?
A. 15:2
B. 5:1
C. 30:1
D. 30:2
E. 15:1
D. 30:2
, EXPERT RATIONALE: For a single rescuer performing adult CPR, the compression-to-
ventilation ratio is 30:2. This ratio applies to all adults and to children/infants when only
one rescuer is present.
QUESTION 7 A patient presents with JVD, absent breath sounds on the left,
tracheal deviation to the right, and hypotension. What condition do you
suspect?
A. Cardiac tamponade
B. Pulmonary embolism
C. Hemothorax
D. Tension pneumothorax
E. Flail chest
D. Tension pneumothorax
EXPERT RATIONALE: The classic triad of tension pneumothorax includes tracheal
deviation away from the affected side, absent breath sounds, and hypotension. JVD may
also be present due to increased intrathoracic pressure.
QUESTION 8 Which of the following is the correct treatment for an open chest
wound?
A. Apply a pressure bandage and reassess
B. Pack the wound with sterile gauze
C. Apply an occlusive dressing sealed on three sides
D. Leave the wound open and monitor breathing
E. Apply an occlusive dressing sealed on all four sides
C. Apply an occlusive dressing sealed on three sides
2026/2027 | 200+ Actual Questions &
Verified Detailed Solutions | Complete EMT
Study Guide
• This prep guide contains 200+ exam-style questions with verified answers and
detailed EXPERT RATIONALE designed to mirror the actual FISDAP EMT Readiness
Exam 4 format.
• Study by attempting each question first before checking the highlighted correct
answer and EXPERT RATIONALE below it — this active recall method maximizes
retention and exam readiness.
QUESTION 1 A 34-year-old male is unresponsive after a witnessed cardiac
arrest. You have confirmed pulselessness. What is your first action?
A. Open the airway with a head-tilt chin-lift
B. Apply the AED immediately
C. Administer two rescue breaths
D. Begin high-quality chest compressions
E. Call for ALS backup
D. Begin high-quality chest compressions
EXPERT RATIONALE: For an unresponsive, pulseless adult, CPR should begin
immediately with chest compressions (C-A-B sequence). Compressions take priority over
airway and breathing in cardiac arrest to maintain perfusion.
QUESTION 2 A patient has a respiratory rate of 6 breaths per minute and
cyanosis. What should you do first?
A. Apply a non-rebreather mask at 15 LPM
B. Place the patient in the recovery position
C. Perform a detailed physical exam
,D. Administer oral glucose
E. Begin positive pressure ventilation with BVM
E. Begin positive pressure ventilation with BVM
EXPERT RATIONALE: A respiratory rate of 6 breaths per minute is severely inadequate.
Combined with cyanosis, this indicates hypoxic respiratory failure requiring immediate
assisted ventilation via BVM.
QUESTION 3 Which of the following best describes the purpose of the "Golden
Hour" in trauma care?
A. Time allowed for EMTs to document the call
B. The period during which ALS must arrive on scene
C. The window in which definitive surgical care improves survival
D. The time limit for BLS interventions on scene
E. The hour following hospital discharge for observation
C. The window in which definitive surgical care improves survival
EXPERT RATIONALE: The "Golden Hour" refers to the critical period after major trauma
during which definitive surgical intervention significantly improves the patient's chance
of survival. EMTs should minimize scene time and transport rapidly.
QUESTION 4 A 7-year-old child is unresponsive and not breathing but has a
pulse of 50 bpm. What is your next step?
A. Begin CPR with 30:2 ratio
B. Apply the AED immediately
C. Begin rescue breathing at 12–20 breaths per minute
D. Perform abdominal thrusts
E. Administer high-flow oxygen via non-rebreather
, C. Begin rescue breathing at 12–20 breaths per minute
EXPERT RATIONALE: A child with a pulse but no breathing requires rescue breathing,
not full CPR. The rate for pediatric rescue breathing is 12–20 breaths per minute (one
breath every 3–5 seconds).
QUESTION 5 You arrive at the scene of a motor vehicle accident. The car is
leaking fuel. What is your first priority?
A. Triage the patients
B. Establish IV access
C. Ensure scene safety
D. Notify medical direction
E. Begin spinal immobilization
C. Ensure scene safety
EXPERT RATIONALE: Scene safety is always the EMT's first priority. A leaking fuel source
presents an immediate fire and explosion hazard. The EMT must ensure the scene is safe
before approaching any patient.
QUESTION 6 What is the correct compression-to-ventilation ratio for a single
rescuer performing CPR on an adult?
A. 15:2
B. 5:1
C. 30:1
D. 30:2
E. 15:1
D. 30:2
, EXPERT RATIONALE: For a single rescuer performing adult CPR, the compression-to-
ventilation ratio is 30:2. This ratio applies to all adults and to children/infants when only
one rescuer is present.
QUESTION 7 A patient presents with JVD, absent breath sounds on the left,
tracheal deviation to the right, and hypotension. What condition do you
suspect?
A. Cardiac tamponade
B. Pulmonary embolism
C. Hemothorax
D. Tension pneumothorax
E. Flail chest
D. Tension pneumothorax
EXPERT RATIONALE: The classic triad of tension pneumothorax includes tracheal
deviation away from the affected side, absent breath sounds, and hypotension. JVD may
also be present due to increased intrathoracic pressure.
QUESTION 8 Which of the following is the correct treatment for an open chest
wound?
A. Apply a pressure bandage and reassess
B. Pack the wound with sterile gauze
C. Apply an occlusive dressing sealed on three sides
D. Leave the wound open and monitor breathing
E. Apply an occlusive dressing sealed on all four sides
C. Apply an occlusive dressing sealed on three sides
