NC EMT STATE (NORTH CAROLINA) EXAM
LATEST QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) 2025/2026 | ALREADY GRADED A+
FIRST STAGE OF LABOR -PRECISE ANS--The first stage occurs from onset of true
labor contractions till dilation and effacement of the uterus.
2nd stage of labor -PRECISE ANS--The hallmark finding in the second stage of labor is
the complete delivery of the baby.
3rd stage of labor -PRECISE ANS--The third stage occurs when the placenta delivers.
Ligaments connect.... -PRECISE ANS--Bone to Bone
Tendons connect -PRECISE ANS--Bone to Muscle
START Triage 1st Step -PRECISE ANS--START triage begins by asking patients to
get up and walk to a collection point
START Triage 2nd step -PRECISE ANS--respirations are assessed
START Triage 3rd Step -PRECISE ANS--if the patient is not breathing, the airway is
opened.
START Triage 4th Step -PRECISE ANS--Pulse is then assessed
START Triage 5th Step -PRECISE ANS--Check mental status.
Rule of 9's:Child:BACK -PRECISE ANS--child's back represents 18% of his body
surface area
Rule of 9's:Child: Both Legs (Front & Back) -PRECISE ANS--the front and back of both
legs each represent 7%
Rule of 9's:Child:Torso (Front & Back) -PRECISE ANS--child's anterior and posterior
torso would represent 36%
Primary blast stage -PRECISE ANS--also known as the pressure wave), damages
hollow, gas containing organs of the body such as the lungs, GI system, inner ears, and
sinuses.
Secondary blast -PRECISE ANS--The secondary phase causes cause blunt and
,penetration injuries from flying debris.
,Tertiary phase of blast -PRECISE ANS--tertiary phase are injuries sustained from the
patient being thrown back and impacting something (wall, ground, etc.).
A 71-year-old female has fallen and complains of left hip pain. On examination you note
her left foot is rotated laterally. This finding most likely indicates a -PRECISE ANS--
femur fracture
"5 Rights" of medication administration. -PRECISE ANS--right patient, right medication,
right route, right dose, and right time.
If you are responsible for establishing the landing zone for the helicopter, what is the
minimum size of the LZ you should prepare assuming the rescue efforts are occurring at
night? -PRECISE ANS--The minimum size of the landing zone at night is 100' by 100'.
During daylight, the minimum LZ zone is 60' by 60'. In either situation the LZ should be
square, with a marker indicating the direction of wind travel
Which one of the following is a sign of Cushing's triad (Cushing's reflex) that occurs with
traumatic brain injury? -PRECISE ANS--The vital signs are an increased blood
pressure, slowing pulse rate, and irregular respirations (classically seen as Cheyne-
Stokes).
Classes of hemorrhage -PRECISE ANS--A Class III hemorrhage is said to occur when
the patient has lost 30-40% of their circulating blood volume. This is a significant bleed
due to the fact that the body's compensatory mechanisms are maximized, and any
additional blood loss will now create significant disturbances in hemodynamic stability.
In Class I and II hemorrhage, blood pressure remains acceptable, in Class IV
hemorrhage the blood pressure drops dangerously low.
APGAR SCORE -PRECISE ANS--Appearance: 0=blue/pale; 1=blue & pink; 2=no
cyanosis-all pink
Pulse Rate: 0=Absent; 1=<100; 2=>100
Reflex: 0=no response to stimuli; 1=grimace; 2=cry or pull away
Activity: 0=None; 1=some flexion,2=flexed arms/legs resisting extension
Respiratory: 0=Absent; 1=weak, irregular; 2=strong, lusty cry
Organs in Upper Right Quadrant of Abs -PRECISE ANS--The liver is found primarily
within the boundaries of the upper right quadrant.
Organs in Upper Left Quadrant of Abs -PRECISE ANS--The stomach and spleen are
typically found in the upper left quadrant.
Bladder location -PRECISE ANS--The bladder is found on the midline between the
lower two quadrants.
, Communication "Reflection" -PRECISE ANS--Reflection is a technique where you
paraphrase the patient's words to encourage more information and to build trust
Minimum safe residual pressure in oxygen tank is? -PRECISE ANS--The minimum safe
residual pressure in an oxygen tank is 200 psi.
Nasal cannula oxygen flow rate -PRECISE ANS--1 to 6L/min
Nasal cannula oxygen concentration -PRECISE ANS--24% to 44%
NRB Flow rate -PRECISE ANS--12 to 15L/min
NRB oxygen delivered -PRECISE ANS--90% to 100%
Venturi mask oxygen delivery -PRECISE ANS--24, 28, 35, 40 percent
BVM flow rate and oxygen delivery -PRECISE ANS--15L /min and nearly 100%
Cheyne-Stokes Respirations -PRECISE ANS--Shows irregular respirations followed by
a period of apnea
Ataxic Respirations -PRECISE ANS--irregular, ineffective respirations that may or may
not have an identifiable pattern.
ICP (intracranial Pressure) Signs/symptoms -PRECISE ANS--decreased pulse
(Bradycardia), increased B/P (Hypertension), irregular respirations.
ICP Defined -PRECISE ANS--Accumulations of blood within the skull or swelling of the
brain.
Triad of signs (Cushing's Reflex) are: (Usually seen with ICP) -PRECISE ANS--1.
Increased systolic B/P
2. Decreased pulse rate
3. Irregular respirations.
Glascow Comas Scale (GCS) Components; -PRECISE ANS--Eye
opening, Verbal Response
Motor Response
GCS (Eye Opening) Ratings -PRECISE ANS--
Spontaneous-4 Verbal response-3
Response to pain-2
None-1
GCS (Verbal Response) Ratings -PRECISE ANS--Oriented
Conversation-5 Confused Conversation-4
LATEST QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) 2025/2026 | ALREADY GRADED A+
FIRST STAGE OF LABOR -PRECISE ANS--The first stage occurs from onset of true
labor contractions till dilation and effacement of the uterus.
2nd stage of labor -PRECISE ANS--The hallmark finding in the second stage of labor is
the complete delivery of the baby.
3rd stage of labor -PRECISE ANS--The third stage occurs when the placenta delivers.
Ligaments connect.... -PRECISE ANS--Bone to Bone
Tendons connect -PRECISE ANS--Bone to Muscle
START Triage 1st Step -PRECISE ANS--START triage begins by asking patients to
get up and walk to a collection point
START Triage 2nd step -PRECISE ANS--respirations are assessed
START Triage 3rd Step -PRECISE ANS--if the patient is not breathing, the airway is
opened.
START Triage 4th Step -PRECISE ANS--Pulse is then assessed
START Triage 5th Step -PRECISE ANS--Check mental status.
Rule of 9's:Child:BACK -PRECISE ANS--child's back represents 18% of his body
surface area
Rule of 9's:Child: Both Legs (Front & Back) -PRECISE ANS--the front and back of both
legs each represent 7%
Rule of 9's:Child:Torso (Front & Back) -PRECISE ANS--child's anterior and posterior
torso would represent 36%
Primary blast stage -PRECISE ANS--also known as the pressure wave), damages
hollow, gas containing organs of the body such as the lungs, GI system, inner ears, and
sinuses.
Secondary blast -PRECISE ANS--The secondary phase causes cause blunt and
,penetration injuries from flying debris.
,Tertiary phase of blast -PRECISE ANS--tertiary phase are injuries sustained from the
patient being thrown back and impacting something (wall, ground, etc.).
A 71-year-old female has fallen and complains of left hip pain. On examination you note
her left foot is rotated laterally. This finding most likely indicates a -PRECISE ANS--
femur fracture
"5 Rights" of medication administration. -PRECISE ANS--right patient, right medication,
right route, right dose, and right time.
If you are responsible for establishing the landing zone for the helicopter, what is the
minimum size of the LZ you should prepare assuming the rescue efforts are occurring at
night? -PRECISE ANS--The minimum size of the landing zone at night is 100' by 100'.
During daylight, the minimum LZ zone is 60' by 60'. In either situation the LZ should be
square, with a marker indicating the direction of wind travel
Which one of the following is a sign of Cushing's triad (Cushing's reflex) that occurs with
traumatic brain injury? -PRECISE ANS--The vital signs are an increased blood
pressure, slowing pulse rate, and irregular respirations (classically seen as Cheyne-
Stokes).
Classes of hemorrhage -PRECISE ANS--A Class III hemorrhage is said to occur when
the patient has lost 30-40% of their circulating blood volume. This is a significant bleed
due to the fact that the body's compensatory mechanisms are maximized, and any
additional blood loss will now create significant disturbances in hemodynamic stability.
In Class I and II hemorrhage, blood pressure remains acceptable, in Class IV
hemorrhage the blood pressure drops dangerously low.
APGAR SCORE -PRECISE ANS--Appearance: 0=blue/pale; 1=blue & pink; 2=no
cyanosis-all pink
Pulse Rate: 0=Absent; 1=<100; 2=>100
Reflex: 0=no response to stimuli; 1=grimace; 2=cry or pull away
Activity: 0=None; 1=some flexion,2=flexed arms/legs resisting extension
Respiratory: 0=Absent; 1=weak, irregular; 2=strong, lusty cry
Organs in Upper Right Quadrant of Abs -PRECISE ANS--The liver is found primarily
within the boundaries of the upper right quadrant.
Organs in Upper Left Quadrant of Abs -PRECISE ANS--The stomach and spleen are
typically found in the upper left quadrant.
Bladder location -PRECISE ANS--The bladder is found on the midline between the
lower two quadrants.
, Communication "Reflection" -PRECISE ANS--Reflection is a technique where you
paraphrase the patient's words to encourage more information and to build trust
Minimum safe residual pressure in oxygen tank is? -PRECISE ANS--The minimum safe
residual pressure in an oxygen tank is 200 psi.
Nasal cannula oxygen flow rate -PRECISE ANS--1 to 6L/min
Nasal cannula oxygen concentration -PRECISE ANS--24% to 44%
NRB Flow rate -PRECISE ANS--12 to 15L/min
NRB oxygen delivered -PRECISE ANS--90% to 100%
Venturi mask oxygen delivery -PRECISE ANS--24, 28, 35, 40 percent
BVM flow rate and oxygen delivery -PRECISE ANS--15L /min and nearly 100%
Cheyne-Stokes Respirations -PRECISE ANS--Shows irregular respirations followed by
a period of apnea
Ataxic Respirations -PRECISE ANS--irregular, ineffective respirations that may or may
not have an identifiable pattern.
ICP (intracranial Pressure) Signs/symptoms -PRECISE ANS--decreased pulse
(Bradycardia), increased B/P (Hypertension), irregular respirations.
ICP Defined -PRECISE ANS--Accumulations of blood within the skull or swelling of the
brain.
Triad of signs (Cushing's Reflex) are: (Usually seen with ICP) -PRECISE ANS--1.
Increased systolic B/P
2. Decreased pulse rate
3. Irregular respirations.
Glascow Comas Scale (GCS) Components; -PRECISE ANS--Eye
opening, Verbal Response
Motor Response
GCS (Eye Opening) Ratings -PRECISE ANS--
Spontaneous-4 Verbal response-3
Response to pain-2
None-1
GCS (Verbal Response) Ratings -PRECISE ANS--Oriented
Conversation-5 Confused Conversation-4
