NCOEMS Exam Study Set 2026/2027 | North Carolina
EMS Certification Preparation | Patient Care Exam
Your patient is an 84-year-old female having difficulty breathing. Her daughter,
age 45, is with her. When communicating with this patient, you should assume
that she is:
A) incompetent; speak directly with the daughter.
B) hard of hearing; speak extremely loudly and slowly.
C) competent and able to understand; speak respectfully.
D) confused; explain your treatment clearly to the daughter. - ANSWER✔✔C.
Your patient, a 69-year-old male, is in cardiac arrest. His wife informs you that
their physician has written a do not resuscitate order for the patient, but she
does not have the written order. You should:
A) provide all necessary care to save the patient's life.
B) obey the do not resuscitate order and leave immediately.
C) leave right after documenting the wife's statement.
D) call the patient's doctor and try to confirm the order - ANSWER✔✔A.
Your patient is a 6-year-old female who fell off her bicycle. She has a suspected
broken ankle, no respiratory compromise, and no suspected internal injuries.
After providing necessary care at the scene, you are transporting the child and
her father to the hospital. The father loudly insists that you use your siren and
lights en route. You should:
A) request medical direction in dealing with the father.
B) request permission from dispatch to use lights and siren.
,C) refuse, because it may cause an unnecessary hazard.
D) comply, it will relax the father and comfort the patient. - ANSWER✔✔C.
a 23 year old pregnant female is bleeding profusely from her vagina. all of the
following action are appropriate EXCEPT:
A) providing high-concentration oxygen.
B) placing a sanitary napkin in the vagina.
C) replacing pads as they become soaked.
D) rapid transport to the hospital. - ANSWER✔✔B.
In a multiple-casualty situation, which patient should be assigned the highest
priority?
A) adequate breathing, venous bleeding
B) adequate breathing, responsive, suspected spine injury
C) inadequate breathing, responsive, suspected broken tibia
D) inadequate breathing,unresponsive, suspected internal bleeding. -
ANSWER✔✔D.
Which statement about patient confidentiality is correct?
A) Patients who are cared for in a public place lose their right to confidentiality.
B) The right to confidentiality does not apply to minors or to wards of the state.
C) The patient who signs a statement releasing confidential information
relinquishes all right to privacy.
D) a patient must sign a written release before any confidential information can
be disclosed. - ANSWER✔✔D
,EMTs should wear high-efficiency particulate air (HEPA) respirators when they
are in contact with patients who have which of the following?
A. HIV (Human Immunodeficiency Virus) or AIDS (Acquired Immune Deficiency
Syndrome)
B. Tuberculosis (TB)
C. Open Wounds
D. Hepatitis B - ANSWER✔✔B.
The most common electrical rhythm disturbance that results in sudden cardiac
arrest is called:
A. Pulseless electrical activity
B. Ventricular Fibrillation
C. Ventricular Tachycardia
D. Asystole - ANSWER✔✔B.
A non-trauma patient was pulseless and apneic. Assisted ventilation was
attempted, but unsuccessful. If the head is repositioned and a repeat ventilation
is unsuccessful, which of the following is the next most appropriate step?
A. Check for an airway obstruction.
B. Continue with chest compressions only.
C. Attempt ventilations using an alternative method.
D. Continue to reposition the head until assisted ventilations are successful. -
ANSWER✔✔A.
During the management of a cardiac arrest, the AED gives a 'no shock advised'
, message. Which of the following conditions most likely prompted this message?
A. The patient is in V tach.
B. The patient is hypothermic.
C. The patient is in V fib.
D. The patient's rhythm is asystole. - ANSWER✔✔D.
ALS and EMS providers are preparing to hyperventilate a patient who has a
suspected brainstem herniation. As capnography becomes available, what
should be the target end-tidal carbon-dioxide level during hyperventilation?
A. 20-25 mmHg
B. 60-70 mmHg
C. 30-35 mmHg
D. 40-45 mmHg - ANSWER✔✔C.
Which of the following is the highest priority patient?
A. 57-year-old male with chest pain and systolic blood pressure of 80.
B. 40-year-old female with moderate pain from a leg injury.
C. 75-year-old male who appears confused but responds to commands.
D. 25-year-old female in labor with contractions six minutes apart. -
ANSWER✔✔A.
Of the following, which body fluid has the most potential to transmit blood-borne
diseases?
A. Nasal discharge
B. Vomitus
EMS Certification Preparation | Patient Care Exam
Your patient is an 84-year-old female having difficulty breathing. Her daughter,
age 45, is with her. When communicating with this patient, you should assume
that she is:
A) incompetent; speak directly with the daughter.
B) hard of hearing; speak extremely loudly and slowly.
C) competent and able to understand; speak respectfully.
D) confused; explain your treatment clearly to the daughter. - ANSWER✔✔C.
Your patient, a 69-year-old male, is in cardiac arrest. His wife informs you that
their physician has written a do not resuscitate order for the patient, but she
does not have the written order. You should:
A) provide all necessary care to save the patient's life.
B) obey the do not resuscitate order and leave immediately.
C) leave right after documenting the wife's statement.
D) call the patient's doctor and try to confirm the order - ANSWER✔✔A.
Your patient is a 6-year-old female who fell off her bicycle. She has a suspected
broken ankle, no respiratory compromise, and no suspected internal injuries.
After providing necessary care at the scene, you are transporting the child and
her father to the hospital. The father loudly insists that you use your siren and
lights en route. You should:
A) request medical direction in dealing with the father.
B) request permission from dispatch to use lights and siren.
,C) refuse, because it may cause an unnecessary hazard.
D) comply, it will relax the father and comfort the patient. - ANSWER✔✔C.
a 23 year old pregnant female is bleeding profusely from her vagina. all of the
following action are appropriate EXCEPT:
A) providing high-concentration oxygen.
B) placing a sanitary napkin in the vagina.
C) replacing pads as they become soaked.
D) rapid transport to the hospital. - ANSWER✔✔B.
In a multiple-casualty situation, which patient should be assigned the highest
priority?
A) adequate breathing, venous bleeding
B) adequate breathing, responsive, suspected spine injury
C) inadequate breathing, responsive, suspected broken tibia
D) inadequate breathing,unresponsive, suspected internal bleeding. -
ANSWER✔✔D.
Which statement about patient confidentiality is correct?
A) Patients who are cared for in a public place lose their right to confidentiality.
B) The right to confidentiality does not apply to minors or to wards of the state.
C) The patient who signs a statement releasing confidential information
relinquishes all right to privacy.
D) a patient must sign a written release before any confidential information can
be disclosed. - ANSWER✔✔D
,EMTs should wear high-efficiency particulate air (HEPA) respirators when they
are in contact with patients who have which of the following?
A. HIV (Human Immunodeficiency Virus) or AIDS (Acquired Immune Deficiency
Syndrome)
B. Tuberculosis (TB)
C. Open Wounds
D. Hepatitis B - ANSWER✔✔B.
The most common electrical rhythm disturbance that results in sudden cardiac
arrest is called:
A. Pulseless electrical activity
B. Ventricular Fibrillation
C. Ventricular Tachycardia
D. Asystole - ANSWER✔✔B.
A non-trauma patient was pulseless and apneic. Assisted ventilation was
attempted, but unsuccessful. If the head is repositioned and a repeat ventilation
is unsuccessful, which of the following is the next most appropriate step?
A. Check for an airway obstruction.
B. Continue with chest compressions only.
C. Attempt ventilations using an alternative method.
D. Continue to reposition the head until assisted ventilations are successful. -
ANSWER✔✔A.
During the management of a cardiac arrest, the AED gives a 'no shock advised'
, message. Which of the following conditions most likely prompted this message?
A. The patient is in V tach.
B. The patient is hypothermic.
C. The patient is in V fib.
D. The patient's rhythm is asystole. - ANSWER✔✔D.
ALS and EMS providers are preparing to hyperventilate a patient who has a
suspected brainstem herniation. As capnography becomes available, what
should be the target end-tidal carbon-dioxide level during hyperventilation?
A. 20-25 mmHg
B. 60-70 mmHg
C. 30-35 mmHg
D. 40-45 mmHg - ANSWER✔✔C.
Which of the following is the highest priority patient?
A. 57-year-old male with chest pain and systolic blood pressure of 80.
B. 40-year-old female with moderate pain from a leg injury.
C. 75-year-old male who appears confused but responds to commands.
D. 25-year-old female in labor with contractions six minutes apart. -
ANSWER✔✔A.
Of the following, which body fluid has the most potential to transmit blood-borne
diseases?
A. Nasal discharge
B. Vomitus
