EMT Final Exam
Questions and Verified Answers
1. 1. A 19-year-old female has just been extricated from her severely damaged
car. She is on a long backboard and has been moved to a place of safety. As
your partner maintains manual stabilization of her head, you perform a rapid
assessment. The patient is unconscious, has slow and shallow respirations,
and has bilaterally closed femur deformities. You should:
A) stabilize her legs with the pneumatic antishock garment (PASG).
B) apply I 00% oxygen via a nonrebreathing mask.
C) obtain baseline vital signs and transport at once.
D) direct your partner to begin ventilatory assistance.: D) direct your partner to
begin ventilatory assistance.
2. 2. A 60-year-old man complains of chest pain. He is conscious and alert and
denies shortness of breath. Which of the following questions would be the
MOST appropriate to ask him?
A) "Were you exerting yourself when the chest pain began?"
B) "Does the pain in your chest move to either of your arms?"
C) "Does the pain in your chest feel like a stabbing sensation?"
D) "Do you have any heart problems or take any medications?": D) "Do you
have any heart problems or take any medications?"
3. 3. A young male was shot in the abdomen by an unknown type of gun. He
is semiconscious, has shallow breathing, and is bleeding externally from the
wound. As you control the external bleeding, your partner should:
A) obtain baseline vital signs.
B) apply a nomebreathing mask.
C) perform a secondary assessment.
D) assist the patient's ventilations.: D) assist the patient's ventilations.
4. 4. You have administered one dose of epinephrine to a 40-year-old female to
treat an allergic reaction that she developed after being stung by a scorpion.
Your reassessment reveals that she is still having difficulty breathing, has
a decreasing mental status, and has a blood pressure of 80/50 mm Hg. You
,should:
A) monitor her en route to the hospital and call medical control if she worsens.
B) crush up an antihistamine tablet and place it in between her cheek and gum.
C) request permission from medical control to give another dose of epineph-
rine.
D) administer a nebulized bronchodilator to improve the status of her breath-
ing.: C) request permission from medical control to give another dose of epineph-
rine.
5. 5. You suspect that a 6-year-old girl has broken her leg after falling from a
swing at a playground. Shortly after you arrive, the child's mother appears and
,refuses to allow you to continue treatment. You should:
A) use your authority under the implied consent law.
B) try to persuade the mother that treatment is needed.
C) ask the mother to sign a refusal form and then leave.
D) tell the mother that her refusal is a form of child abuse.: B) try to persuade
the mother that treatment is needed
6. 6. You and your partner are the first to arrive at the scene of a motor vehicle
accident. As you approach the scene, you can see multiple patients, some
walking and others who are still in their vehicles. You should:
A) establish an incident command post until you are relieved of your duties.
B) declare a mass-casualty incident and request additional resources.
C) begin rapidly triaging all patients before requesting additional help.
D) immediately move all ambulatmy patients to a designated area.: B) declare
a mass-casualty incident and request additional resources.
7. 7. When caring for a 65-year-old male with respiratory distress, you place
him in a comfmiable position but do not apply oxygen. The patient's condition
continues to deteriorate and he develops cardiac arrest and dies at the hos-
pital. This scenario is an example of:
A) assault.
B) battery.
C) negligence.
D) abandonment.: C) negligence.
8. 8. An unrestrained patient is sitting in his car after an automobile crash. He
is conscious and alert, has no visible trauma, and is complaining of neck and
back pain. Before removing him from his car, you should:
A) slide a scoop stretcher under his buttocks and rotate him laterally.
B) apply a cervical collar and immobilize him with a vest-style device.
C) perform a detailed head-to-toe assessment and apply a cervical collar.
D) maintain manual stabilization of his head and grasp him by the clothes.: B)
apply a cervical collar and immobilize him with a vest-style device.
9. 9. You are assessing a middle-aged man with chest pain that you suspect
is caused by a cardiac problem. The patient tells you that he does not want to
go to the hospital and insists that you leave him alone. You should:
A) reassure him that he will not receive a bill for the EMS call ifhe cannot pay.
B) tell him that he is having a heart attack and that he needs to go to the
hospital.
C) explain the seriousness of the situation to him, but avoid causing undue
alarm.
D) proceed to treat him because the stress of the situation has impaired his
, thinking.: C) explain the seriousness of the situation to him, but avoid causing
undue alarm.
10. 10. You are transporting an elderly woman who has possibly experienced
a stroke. She is obviously scared but is unable to talk and cannot move the
entire right side of her body. In addition to providing the medical care that she
needs, you should:
A) reassure her that after proper treatment in the hospital, she will regain her
speech in time.
B) acknowledge that she is scared and tell her that you are going to take good
care of her.
C) maintain eye contact at all times and tell her that there is no need for her
to be scared.
D) tell her that you understand why she is scared and that everything will likely
be okay.: B) acknowledge that she is scared and tell her that you are going to take
good care of her
11. 11. When arriving at the scene of an overturned tractor-trailer rig, you note
that a green cloud is being emitted from the crashed vehicle. The driver is
still in the truck; he is conscious but bleeding profusely from the head. After
notifying the hazardous materials team, you should:
A) park downhill from the scene.
B) ask the driver to exit the vehicle.
C) position the ambulance upwind.
D) quickly gain access to the patient.: C) position the ambulance upwind.
12. 12. As the first arriving emergency responder at the scene of a suspected
terrorist or WMD incident, you should request additional resources as needed
and then:
A) remain where you are until additional ambulances arrive at the scene.
B) function as the incident commander until additional personnel active.
C) direct your partner to begin triaging patients as you call medical control.
D) carefully inspect the area for the presence of secondary explosive devices.-
: B) function as the incident commander until additional personnel active.
13. 13. You are dispatched to a residence for a 56-year-old male with an altered
mental status. Upon arrival at the scene, the patient's wife tells you that he
complained of chest pain the day before, but would not allow her to call
EMS. The patient is semiconscious; has rapid, shallow respirations; and has
a thready pulse. You should:
A) obtain baseline vital signs.
B) begin ventilatory assistance.
Questions and Verified Answers
1. 1. A 19-year-old female has just been extricated from her severely damaged
car. She is on a long backboard and has been moved to a place of safety. As
your partner maintains manual stabilization of her head, you perform a rapid
assessment. The patient is unconscious, has slow and shallow respirations,
and has bilaterally closed femur deformities. You should:
A) stabilize her legs with the pneumatic antishock garment (PASG).
B) apply I 00% oxygen via a nonrebreathing mask.
C) obtain baseline vital signs and transport at once.
D) direct your partner to begin ventilatory assistance.: D) direct your partner to
begin ventilatory assistance.
2. 2. A 60-year-old man complains of chest pain. He is conscious and alert and
denies shortness of breath. Which of the following questions would be the
MOST appropriate to ask him?
A) "Were you exerting yourself when the chest pain began?"
B) "Does the pain in your chest move to either of your arms?"
C) "Does the pain in your chest feel like a stabbing sensation?"
D) "Do you have any heart problems or take any medications?": D) "Do you
have any heart problems or take any medications?"
3. 3. A young male was shot in the abdomen by an unknown type of gun. He
is semiconscious, has shallow breathing, and is bleeding externally from the
wound. As you control the external bleeding, your partner should:
A) obtain baseline vital signs.
B) apply a nomebreathing mask.
C) perform a secondary assessment.
D) assist the patient's ventilations.: D) assist the patient's ventilations.
4. 4. You have administered one dose of epinephrine to a 40-year-old female to
treat an allergic reaction that she developed after being stung by a scorpion.
Your reassessment reveals that she is still having difficulty breathing, has
a decreasing mental status, and has a blood pressure of 80/50 mm Hg. You
,should:
A) monitor her en route to the hospital and call medical control if she worsens.
B) crush up an antihistamine tablet and place it in between her cheek and gum.
C) request permission from medical control to give another dose of epineph-
rine.
D) administer a nebulized bronchodilator to improve the status of her breath-
ing.: C) request permission from medical control to give another dose of epineph-
rine.
5. 5. You suspect that a 6-year-old girl has broken her leg after falling from a
swing at a playground. Shortly after you arrive, the child's mother appears and
,refuses to allow you to continue treatment. You should:
A) use your authority under the implied consent law.
B) try to persuade the mother that treatment is needed.
C) ask the mother to sign a refusal form and then leave.
D) tell the mother that her refusal is a form of child abuse.: B) try to persuade
the mother that treatment is needed
6. 6. You and your partner are the first to arrive at the scene of a motor vehicle
accident. As you approach the scene, you can see multiple patients, some
walking and others who are still in their vehicles. You should:
A) establish an incident command post until you are relieved of your duties.
B) declare a mass-casualty incident and request additional resources.
C) begin rapidly triaging all patients before requesting additional help.
D) immediately move all ambulatmy patients to a designated area.: B) declare
a mass-casualty incident and request additional resources.
7. 7. When caring for a 65-year-old male with respiratory distress, you place
him in a comfmiable position but do not apply oxygen. The patient's condition
continues to deteriorate and he develops cardiac arrest and dies at the hos-
pital. This scenario is an example of:
A) assault.
B) battery.
C) negligence.
D) abandonment.: C) negligence.
8. 8. An unrestrained patient is sitting in his car after an automobile crash. He
is conscious and alert, has no visible trauma, and is complaining of neck and
back pain. Before removing him from his car, you should:
A) slide a scoop stretcher under his buttocks and rotate him laterally.
B) apply a cervical collar and immobilize him with a vest-style device.
C) perform a detailed head-to-toe assessment and apply a cervical collar.
D) maintain manual stabilization of his head and grasp him by the clothes.: B)
apply a cervical collar and immobilize him with a vest-style device.
9. 9. You are assessing a middle-aged man with chest pain that you suspect
is caused by a cardiac problem. The patient tells you that he does not want to
go to the hospital and insists that you leave him alone. You should:
A) reassure him that he will not receive a bill for the EMS call ifhe cannot pay.
B) tell him that he is having a heart attack and that he needs to go to the
hospital.
C) explain the seriousness of the situation to him, but avoid causing undue
alarm.
D) proceed to treat him because the stress of the situation has impaired his
, thinking.: C) explain the seriousness of the situation to him, but avoid causing
undue alarm.
10. 10. You are transporting an elderly woman who has possibly experienced
a stroke. She is obviously scared but is unable to talk and cannot move the
entire right side of her body. In addition to providing the medical care that she
needs, you should:
A) reassure her that after proper treatment in the hospital, she will regain her
speech in time.
B) acknowledge that she is scared and tell her that you are going to take good
care of her.
C) maintain eye contact at all times and tell her that there is no need for her
to be scared.
D) tell her that you understand why she is scared and that everything will likely
be okay.: B) acknowledge that she is scared and tell her that you are going to take
good care of her
11. 11. When arriving at the scene of an overturned tractor-trailer rig, you note
that a green cloud is being emitted from the crashed vehicle. The driver is
still in the truck; he is conscious but bleeding profusely from the head. After
notifying the hazardous materials team, you should:
A) park downhill from the scene.
B) ask the driver to exit the vehicle.
C) position the ambulance upwind.
D) quickly gain access to the patient.: C) position the ambulance upwind.
12. 12. As the first arriving emergency responder at the scene of a suspected
terrorist or WMD incident, you should request additional resources as needed
and then:
A) remain where you are until additional ambulances arrive at the scene.
B) function as the incident commander until additional personnel active.
C) direct your partner to begin triaging patients as you call medical control.
D) carefully inspect the area for the presence of secondary explosive devices.-
: B) function as the incident commander until additional personnel active.
13. 13. You are dispatched to a residence for a 56-year-old male with an altered
mental status. Upon arrival at the scene, the patient's wife tells you that he
complained of chest pain the day before, but would not allow her to call
EMS. The patient is semiconscious; has rapid, shallow respirations; and has
a thready pulse. You should:
A) obtain baseline vital signs.
B) begin ventilatory assistance.
