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EMT WRITTEN STATE EXAM STUDY
GUIDE (PSI)-CERTIFIED Q&A 2026
1. Which of the following is NOT true of medical control?
A) It is determined by the dispatcher.
B) It may be written or "standing orders."
C) It may require online radio or phone consultation.
D) It describes the care authorized by the medical director - correct-answer -A) It is determined
by the dispatcher.
2. The major goal of quality improvement is to ensure that:
A) quarterly audits of the EMS system are performed.
B) EMTs have received BLS/CPR training.
C) the public receives the highest standard of care.
D) the proper information is received in the billing department. - correct-answer -C) the public
receives the highest standard of care.
3. Federal legislation concerning patient confidentiality is known as:
A) HIPAA. B) NAACS. C) EMTALA.
D) FLCPC. - correct-answer -A) HIPAA
4. After stocking the ambulance this morning, you and your partner go out for breakfast. While
entering the restaurant, you see an older gentleman clutch his chest and collapse to the floor.
When you get to him, he has no pulse and is not breathing. To treat this patient, you will follow:
,2|Page
A) off-line medical control.
C) protocols.
B) online medical control.
D) All of these answers are correct. - correct-answer -D) All of these answers are correct.
5. After stocking the ambulance this morning, you and your partner go out for breakfast. While
entering the restaurant, you see an older gentleman clutch his chest and collapse to the floor.
When you get to him, he has no pulse and is not breathing. What level of training would allow
you to perform an electrocardiogram and advanced life support on this patient?
A) EMR B) EMT C) AEMT D) Paramedic - correct-answer -D) Paramedic
6. ______________ is a circular system of continuous internal and external reviews and audits
of all aspects of an EMS system - correct-answer -Continuous quality iimprovement
7. One of the most dramatic recent developments in prehospital emergency care is the use of
a(n)__________ defibrillator - correct-answer -automated external
8. The primary ________ area is the main area in which an EMS agency operates. - correct-
answer -service
9. A 9-1-1 dispatch center is called a public safety __________, or PSAP - correct-answer -access
point
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10. ALS A) EMS professional trained in BLS interventions
11. BLS B) A system of internal reviews and audits
12. EMT C) Basic lifesaving interventions, such as CPR
13. AEMT D) Advanced procedures, such as drug administration
14. Paramedic E) EMS professional trained in ALS interventions
15. CQI F) EMS professional trained in some ALS interventions - correct-answer -10. D
11. C
12. A
13. F
14. E
15. B
16. __________ is a response to the anticipation of danger.
A) Rage B) Anger C) Anxiety D) Despair - correct-answer -C) Anxiety
17. If you find that you are the target of the patient's anger, make sure that you:
A) are safe. C) are tolerant and do not become defensive.
B) do not take the anger or insults personally. D) All are correct. - correct-answer -D) All are
correct.
18. When acknowledging the death of a child, reactions vary, but ____________ is common.
A) shock B) disbelief C) denial D) All of these answers are correct. - correct-answer -D) All of
these answers are correct.
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19. The quickest source of energy is ____________; however, this supply will last less than a
day and is consumed in greater quantities during stress.
A) glucose B) carbohydrates C) protein D) fat - correct-answer -A) glucose
20. Components of the CISM system include:
A) preincident stress education. C) spouse and family support.
B) defusings. D) All of these answers are correct. - correct-answer -D) All of these answers are
correct.
21. Sexual harassment is defined as:
A) any unwelcome sexual advance.
B) unwelcome requests for sexual favors.
C) unwelcome verbal or physical conduct of a sexual nature.
D) All of these answers are correct. - correct-answer -D) All of these answers are correct.
22. A 12-year-old boy told his grandmother he was going to collect the day's mail, located on
the opposite side of the street, for her. As he was returning with the mail, he was struck by a
vehicle and was found lying lifeless in the middle of the street. Which of the following would be
appropriate to say to the grandmother?
A) "Don't worry. I'm sure he'll be fine."
B) "What were you thinking? You will be reported!"
C) "We're placing him on a backboard to protect his back, and we'll take him to the
ColumbusCommunity Hospital. Do you know who his doctor is?"
D) It's best not to spend time talking to the grandmother. - correct-answer -C) "We're placing
him on a backboard to protect his back, and we'll take him to the ColumbusCommunity
Hospital. Do you know who his doctor is?"
EMT WRITTEN STATE EXAM STUDY
GUIDE (PSI)-CERTIFIED Q&A 2026
1. Which of the following is NOT true of medical control?
A) It is determined by the dispatcher.
B) It may be written or "standing orders."
C) It may require online radio or phone consultation.
D) It describes the care authorized by the medical director - correct-answer -A) It is determined
by the dispatcher.
2. The major goal of quality improvement is to ensure that:
A) quarterly audits of the EMS system are performed.
B) EMTs have received BLS/CPR training.
C) the public receives the highest standard of care.
D) the proper information is received in the billing department. - correct-answer -C) the public
receives the highest standard of care.
3. Federal legislation concerning patient confidentiality is known as:
A) HIPAA. B) NAACS. C) EMTALA.
D) FLCPC. - correct-answer -A) HIPAA
4. After stocking the ambulance this morning, you and your partner go out for breakfast. While
entering the restaurant, you see an older gentleman clutch his chest and collapse to the floor.
When you get to him, he has no pulse and is not breathing. To treat this patient, you will follow:
,2|Page
A) off-line medical control.
C) protocols.
B) online medical control.
D) All of these answers are correct. - correct-answer -D) All of these answers are correct.
5. After stocking the ambulance this morning, you and your partner go out for breakfast. While
entering the restaurant, you see an older gentleman clutch his chest and collapse to the floor.
When you get to him, he has no pulse and is not breathing. What level of training would allow
you to perform an electrocardiogram and advanced life support on this patient?
A) EMR B) EMT C) AEMT D) Paramedic - correct-answer -D) Paramedic
6. ______________ is a circular system of continuous internal and external reviews and audits
of all aspects of an EMS system - correct-answer -Continuous quality iimprovement
7. One of the most dramatic recent developments in prehospital emergency care is the use of
a(n)__________ defibrillator - correct-answer -automated external
8. The primary ________ area is the main area in which an EMS agency operates. - correct-
answer -service
9. A 9-1-1 dispatch center is called a public safety __________, or PSAP - correct-answer -access
point
,3|Page
10. ALS A) EMS professional trained in BLS interventions
11. BLS B) A system of internal reviews and audits
12. EMT C) Basic lifesaving interventions, such as CPR
13. AEMT D) Advanced procedures, such as drug administration
14. Paramedic E) EMS professional trained in ALS interventions
15. CQI F) EMS professional trained in some ALS interventions - correct-answer -10. D
11. C
12. A
13. F
14. E
15. B
16. __________ is a response to the anticipation of danger.
A) Rage B) Anger C) Anxiety D) Despair - correct-answer -C) Anxiety
17. If you find that you are the target of the patient's anger, make sure that you:
A) are safe. C) are tolerant and do not become defensive.
B) do not take the anger or insults personally. D) All are correct. - correct-answer -D) All are
correct.
18. When acknowledging the death of a child, reactions vary, but ____________ is common.
A) shock B) disbelief C) denial D) All of these answers are correct. - correct-answer -D) All of
these answers are correct.
, 4|Page
19. The quickest source of energy is ____________; however, this supply will last less than a
day and is consumed in greater quantities during stress.
A) glucose B) carbohydrates C) protein D) fat - correct-answer -A) glucose
20. Components of the CISM system include:
A) preincident stress education. C) spouse and family support.
B) defusings. D) All of these answers are correct. - correct-answer -D) All of these answers are
correct.
21. Sexual harassment is defined as:
A) any unwelcome sexual advance.
B) unwelcome requests for sexual favors.
C) unwelcome verbal or physical conduct of a sexual nature.
D) All of these answers are correct. - correct-answer -D) All of these answers are correct.
22. A 12-year-old boy told his grandmother he was going to collect the day's mail, located on
the opposite side of the street, for her. As he was returning with the mail, he was struck by a
vehicle and was found lying lifeless in the middle of the street. Which of the following would be
appropriate to say to the grandmother?
A) "Don't worry. I'm sure he'll be fine."
B) "What were you thinking? You will be reported!"
C) "We're placing him on a backboard to protect his back, and we'll take him to the
ColumbusCommunity Hospital. Do you know who his doctor is?"
D) It's best not to spend time talking to the grandmother. - correct-answer -C) "We're placing
him on a backboard to protect his back, and we'll take him to the ColumbusCommunity
Hospital. Do you know who his doctor is?"
