NYS EMT-B State Exam 2026/2027 | 100 Questions | 120 Minutes
NYS EMT-B STATE EXAM
2026/2027
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Comprehensive Emergency Medical Technician-Basic
Competency Assessment
New York State Department of Health / Bureau of Emergency Medical Services
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EXACT OFFICIAL COUNT: 100 QUESTIONS
COMPLETE EXAM-STYLE QUESTIONS WITH DETAILED RATIONALES
100% VERIFIED | GRADED A+
Testing Time: 120 Minutes
Passing Score: 70% (70/100 Correct) per NYS DOH Policy
Format: Multiple-Choice (MCQ) with Select-All-That-Apply (SATA)
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
━━
Core Domains Assessed (NYS EMT-B Blueprint):
• Preparatory & Airway Management (15%)
• Patient Assessment & Clinical Decision-Making (15%)
• Medical Emergencies (25%)
• Trauma Emergencies (20%)
• Special Populations & OB/Pediatrics (15%)
• Operations & NYS-Specific Protocols (10%)
NYS EMT-B State Exam 2026/2027 | Page 1
, NYS EMT-B State Exam 2026/2027 | 100 Questions | 120 Minutes
EXAM INSTRUCTIONS
• This examination consists of 100 multiple-choice questions (MCQ) covering critical domains of prehospital
emergency care per the NYS EMT-B Examination Blueprint.
• Each question has four options (A, B, C, D) unless otherwise specified as Select-All-That-Apply (SATA),
which may have five options (A–E).
• Select the single best answer for standard MCQ items. For SATA items, select all options that apply.
• Total testing time is 120 minutes. Pace yourself accordingly (approximately 1.2 minutes per question).
• A passing score of 70% (70/100 correct) is required for NYS EMT-B certification eligibility per NYS DOH
policy.
• This assessment measures knowledge essential for safe, compliant, and effective practice in New York State
prehospital emergency medicine.
• Content is aligned with current NYS Public Health Law Article 30, NYS Bureau of EMS protocols, National
EMS Education Standards, and AHA BLS Guidelines.
• Eligibility: Current NYS EMT-B certification candidate who has completed a NYS-approved EMT training
program.
• Questions include patient assessment vignettes, NYS protocol application items, trauma prioritization
scenarios, and OB/pediatric decision-making questions.
Answer Format:
• All correct answers are presented in bold green font
• All questions appear in bold text.
• All rationales explaining prehospital interventions, NYS protocol applications, assessment frameworks, and
scenario-based professional reasoning appear in italic font
• SATA questions are clearly marked with '(Select All That Apply – SATA)' in the question header.
────────────────────────────────────────────────────────────
NYS EMT-B State Exam 2026/2027 | Page 2
, NYS EMT-B State Exam 2026/2027 | 100 Questions | 120 Minutes
NYS EMT-B STATE EXAMINATION — 100 QUESTIONS
Question 1
Domain: Preparatory & Airway Management
Under New York State Public Health Law Article 30, which level of EMS certification is the
MINIMUM required to perform endotracheal intubation in the prehospital setting?
A. Certified First Responder (CFR)
B. Emergency Medical Technician (EMT-B)
C. Advanced Emergency Medical Technician (AEMT)
D. Paramedic
Correct Answer: D
Rationale: Under NYS Public Health Law Article 30, endotracheal intubation is an advanced life support
(ALS) skill reserved for Paramedics. EMT-Bs and AEMTs are not authorized to perform this procedure in
New York State. CFRs have the most limited scope, focused on basic life support. The NYS DOH explicitly
defines each certification level's scope of practice, and intubation falls exclusively within the Paramedic
scope.
────────────────────────────────────────────────────────────────────
────────────
Question 2
Domain: Preparatory & Airway Management
A new EMT-B working in a NYS-certified ambulance service consistently fails to document
vital signs on patient care reports. Which quality improvement mechanism is MOST
appropriate for addressing this ongoing deficiency?
A. Filing a complaint with the NYS Department of Health
B. Peer review and remedial training through the service's CQI program
C. Immediate revocation of the EMT's state certification
D. Requiring the EMT to repeat the entire EMT-B course
Correct Answer: B
Rationale: Continuous Quality Improvement (CQI) programs are the standard mechanism within NYS
EMS agencies to identify and correct documentation deficiencies through peer review, constructive
feedback, and targeted remedial training. Filing a DOH complaint is reserved for serious or criminal
violations, not documentation errors. Revocation of state certification requires formal administrative
proceedings and is disproportionate to a documentation issue. Repeating the entire EMT-B course is
unnecessary when focused remediation can address the specific deficiency.
────────────────────────────────────────────────────────────────────
────────────
Question 3
Domain: Preparatory & Airway Management
After a particularly gruesome motor vehicle crash involving a pediatric fatality, an EMT-B
reports difficulty sleeping, intrusive thoughts about the call, and irritability at home for three
weeks. Which resource is MOST appropriate for this EMT according to NYS EMS best
practices?
A. Filing an incident report with the service medical director
B. Accessing the agency's Critical Incident Stress Management (CISM) program
C. Self-medicating with over-the-counter sleep aids
D. Requesting transfer to a non-EMS position permanently
Correct Answer: B
Rationale: Critical Incident Stress Management (CISM) programs are specifically designed to help EMS
providers process traumatic incidents through debriefings and peer support, and they are widely
recommended by NYS DOH for all certified EMS agencies. Filing an incident report is an administrative
action, not a mental health intervention. Self-medicating does not address the underlying stress response
NYS EMT-B State Exam 2026/2027 | Page 3
, NYS EMT-B State Exam 2026/2027 | 100 Questions | 120 Minutes
and may worsen symptoms. Permanently leaving EMS is an extreme and premature response before
attempting evidence-based stress management resources.
────────────────────────────────────────────────────────────────────
────────────
Question 4
Domain: Preparatory & Airway Management
An EMT-B is called to a residence for a patient with active tuberculosis (TB). Which
combination of PPE represents the MINIMUM standard precautions required for direct
patient contact in this scenario?
A. Gloves and surgical mask
B. Gloves, gown, and N95 respirator
C. Gloves only
D. Full hazardous materials suit and SCBA
Correct Answer: B
Rationale: Tuberculosis is an airborne disease requiring an N95 respirator (not a standard surgical
mask) along with gloves and gown for direct patient contact, as recommended by CDC and OSHA
standards that NYS EMS agencies follow. A surgical mask does not filter the droplet nuclei that transmit
TB. Gloves alone provide no respiratory protection against airborne pathogens. A full hazmat suit and
SCBA are excessive for TB and reserved for chemical or biological weapon scenarios.
────────────────────────────────────────────────────────────────────
────────────
Question 5
Domain: Preparatory & Airway Management
An alert and oriented 34-year-old male with a laceration to his forearm refuses treatment and
transport. He understands the risks of infection and blood loss, and he can articulate the
consequences of refusing care. Which type of consent applies, and what is the EMT-B's MOST
appropriate action?
A. Implied consent; transport the patient against his wishes
B. Expressed consent; obtain a signed refusal and document thoroughly
C. Informed consent; contact medical control to override the refusal
D. Parental consent; require a family member to authorize transport
Correct Answer: B
Rationale: An alert, oriented adult who understands the risks and consequences of refusing care is
exercising expressed consent through refusal, and the EMT-B must respect this legal right after obtaining a
signed refusal with thorough documentation. Implied consent applies only when a patient is unable to
consent (e.g., unconsciousness) and transport is necessary. Medical control cannot override a competent
adult's refusal. Parental consent is irrelevant for an adult patient.
────────────────────────────────────────────────────────────────────
────────────
Question 6
Domain: Preparatory & Airway Management
Under NYS Public Health Law Article 30, which situation constitutes a MANDATORY
reporting obligation for an EMT-B?
A. A 28-year-old who requests confidentiality about a substance abuse issue
B. A 4-year-old with burns consistent with intentional scalding
C. An 80-year-old who declines transport after a minor fall
D. A 45-year-old who admits to recreational marijuana use
Correct Answer: B
Rationale: NYS mandates that all healthcare providers, including EMT-Bs, report suspected child abuse
or maltreatment, and burns consistent with intentional scalding in a 4-year-old represent a clear
NYS EMT-B State Exam 2026/2027 | Page 4
NYS EMT-B STATE EXAM
2026/2027
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
━━
Comprehensive Emergency Medical Technician-Basic
Competency Assessment
New York State Department of Health / Bureau of Emergency Medical Services
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
━━
EXACT OFFICIAL COUNT: 100 QUESTIONS
COMPLETE EXAM-STYLE QUESTIONS WITH DETAILED RATIONALES
100% VERIFIED | GRADED A+
Testing Time: 120 Minutes
Passing Score: 70% (70/100 Correct) per NYS DOH Policy
Format: Multiple-Choice (MCQ) with Select-All-That-Apply (SATA)
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
━━
Core Domains Assessed (NYS EMT-B Blueprint):
• Preparatory & Airway Management (15%)
• Patient Assessment & Clinical Decision-Making (15%)
• Medical Emergencies (25%)
• Trauma Emergencies (20%)
• Special Populations & OB/Pediatrics (15%)
• Operations & NYS-Specific Protocols (10%)
NYS EMT-B State Exam 2026/2027 | Page 1
, NYS EMT-B State Exam 2026/2027 | 100 Questions | 120 Minutes
EXAM INSTRUCTIONS
• This examination consists of 100 multiple-choice questions (MCQ) covering critical domains of prehospital
emergency care per the NYS EMT-B Examination Blueprint.
• Each question has four options (A, B, C, D) unless otherwise specified as Select-All-That-Apply (SATA),
which may have five options (A–E).
• Select the single best answer for standard MCQ items. For SATA items, select all options that apply.
• Total testing time is 120 minutes. Pace yourself accordingly (approximately 1.2 minutes per question).
• A passing score of 70% (70/100 correct) is required for NYS EMT-B certification eligibility per NYS DOH
policy.
• This assessment measures knowledge essential for safe, compliant, and effective practice in New York State
prehospital emergency medicine.
• Content is aligned with current NYS Public Health Law Article 30, NYS Bureau of EMS protocols, National
EMS Education Standards, and AHA BLS Guidelines.
• Eligibility: Current NYS EMT-B certification candidate who has completed a NYS-approved EMT training
program.
• Questions include patient assessment vignettes, NYS protocol application items, trauma prioritization
scenarios, and OB/pediatric decision-making questions.
Answer Format:
• All correct answers are presented in bold green font
• All questions appear in bold text.
• All rationales explaining prehospital interventions, NYS protocol applications, assessment frameworks, and
scenario-based professional reasoning appear in italic font
• SATA questions are clearly marked with '(Select All That Apply – SATA)' in the question header.
────────────────────────────────────────────────────────────
NYS EMT-B State Exam 2026/2027 | Page 2
, NYS EMT-B State Exam 2026/2027 | 100 Questions | 120 Minutes
NYS EMT-B STATE EXAMINATION — 100 QUESTIONS
Question 1
Domain: Preparatory & Airway Management
Under New York State Public Health Law Article 30, which level of EMS certification is the
MINIMUM required to perform endotracheal intubation in the prehospital setting?
A. Certified First Responder (CFR)
B. Emergency Medical Technician (EMT-B)
C. Advanced Emergency Medical Technician (AEMT)
D. Paramedic
Correct Answer: D
Rationale: Under NYS Public Health Law Article 30, endotracheal intubation is an advanced life support
(ALS) skill reserved for Paramedics. EMT-Bs and AEMTs are not authorized to perform this procedure in
New York State. CFRs have the most limited scope, focused on basic life support. The NYS DOH explicitly
defines each certification level's scope of practice, and intubation falls exclusively within the Paramedic
scope.
────────────────────────────────────────────────────────────────────
────────────
Question 2
Domain: Preparatory & Airway Management
A new EMT-B working in a NYS-certified ambulance service consistently fails to document
vital signs on patient care reports. Which quality improvement mechanism is MOST
appropriate for addressing this ongoing deficiency?
A. Filing a complaint with the NYS Department of Health
B. Peer review and remedial training through the service's CQI program
C. Immediate revocation of the EMT's state certification
D. Requiring the EMT to repeat the entire EMT-B course
Correct Answer: B
Rationale: Continuous Quality Improvement (CQI) programs are the standard mechanism within NYS
EMS agencies to identify and correct documentation deficiencies through peer review, constructive
feedback, and targeted remedial training. Filing a DOH complaint is reserved for serious or criminal
violations, not documentation errors. Revocation of state certification requires formal administrative
proceedings and is disproportionate to a documentation issue. Repeating the entire EMT-B course is
unnecessary when focused remediation can address the specific deficiency.
────────────────────────────────────────────────────────────────────
────────────
Question 3
Domain: Preparatory & Airway Management
After a particularly gruesome motor vehicle crash involving a pediatric fatality, an EMT-B
reports difficulty sleeping, intrusive thoughts about the call, and irritability at home for three
weeks. Which resource is MOST appropriate for this EMT according to NYS EMS best
practices?
A. Filing an incident report with the service medical director
B. Accessing the agency's Critical Incident Stress Management (CISM) program
C. Self-medicating with over-the-counter sleep aids
D. Requesting transfer to a non-EMS position permanently
Correct Answer: B
Rationale: Critical Incident Stress Management (CISM) programs are specifically designed to help EMS
providers process traumatic incidents through debriefings and peer support, and they are widely
recommended by NYS DOH for all certified EMS agencies. Filing an incident report is an administrative
action, not a mental health intervention. Self-medicating does not address the underlying stress response
NYS EMT-B State Exam 2026/2027 | Page 3
, NYS EMT-B State Exam 2026/2027 | 100 Questions | 120 Minutes
and may worsen symptoms. Permanently leaving EMS is an extreme and premature response before
attempting evidence-based stress management resources.
────────────────────────────────────────────────────────────────────
────────────
Question 4
Domain: Preparatory & Airway Management
An EMT-B is called to a residence for a patient with active tuberculosis (TB). Which
combination of PPE represents the MINIMUM standard precautions required for direct
patient contact in this scenario?
A. Gloves and surgical mask
B. Gloves, gown, and N95 respirator
C. Gloves only
D. Full hazardous materials suit and SCBA
Correct Answer: B
Rationale: Tuberculosis is an airborne disease requiring an N95 respirator (not a standard surgical
mask) along with gloves and gown for direct patient contact, as recommended by CDC and OSHA
standards that NYS EMS agencies follow. A surgical mask does not filter the droplet nuclei that transmit
TB. Gloves alone provide no respiratory protection against airborne pathogens. A full hazmat suit and
SCBA are excessive for TB and reserved for chemical or biological weapon scenarios.
────────────────────────────────────────────────────────────────────
────────────
Question 5
Domain: Preparatory & Airway Management
An alert and oriented 34-year-old male with a laceration to his forearm refuses treatment and
transport. He understands the risks of infection and blood loss, and he can articulate the
consequences of refusing care. Which type of consent applies, and what is the EMT-B's MOST
appropriate action?
A. Implied consent; transport the patient against his wishes
B. Expressed consent; obtain a signed refusal and document thoroughly
C. Informed consent; contact medical control to override the refusal
D. Parental consent; require a family member to authorize transport
Correct Answer: B
Rationale: An alert, oriented adult who understands the risks and consequences of refusing care is
exercising expressed consent through refusal, and the EMT-B must respect this legal right after obtaining a
signed refusal with thorough documentation. Implied consent applies only when a patient is unable to
consent (e.g., unconsciousness) and transport is necessary. Medical control cannot override a competent
adult's refusal. Parental consent is irrelevant for an adult patient.
────────────────────────────────────────────────────────────────────
────────────
Question 6
Domain: Preparatory & Airway Management
Under NYS Public Health Law Article 30, which situation constitutes a MANDATORY
reporting obligation for an EMT-B?
A. A 28-year-old who requests confidentiality about a substance abuse issue
B. A 4-year-old with burns consistent with intentional scalding
C. An 80-year-old who declines transport after a minor fall
D. A 45-year-old who admits to recreational marijuana use
Correct Answer: B
Rationale: NYS mandates that all healthcare providers, including EMT-Bs, report suspected child abuse
or maltreatment, and burns consistent with intentional scalding in a 4-year-old represent a clear
NYS EMT-B State Exam 2026/2027 | Page 4
