WEST COAST EMT FINAL EXAM 2025–2026
ACCURATE REAL EXAM QUESTIONS AND VERIFIED
CORRECT ANSWERS JUST RELEASED
Which of the following interventions is used by all levels of EMS providers?
A. Automatic transport ventilators
B. Automated external defibrillator
C. Needle decompression
D. Multilumen airways - answer>>>B. Automated external defibrillator
In what area of the lungs does respiration occur?
Select one:
A. Bronchi
B. Capillaries
C. Alveoli
D. Trachea - answer>>>C. Alveoli
Treatment with continuous positive airway pressure (CPAP) would MOST likely be contraindicated
in which of the following situations?
Select one:
A. Difficulty breathing, two-word dyspnea, and tachycardia
B. Conscious and alert patient with an oxygen saturation of 85%
C. Shortness of breath and a blood pressure of 76/56 mm Hg
D. Pulmonary edema, history of hypertension, and anxiety - answer>>>C. Shortness of breath and
a blood pressure of 76/56 mm Hg
Which of the following descriptions MOST accurately portrays emergency medical services (EMS)?
A. A system composed exclusively of emergency medical responders (EMRs) and emergency
medical technicians (EMTs) who are responsible for providing care to sick and injured patients
B. A team of paramedics and emergency physicians who are responsible for providing emergency
care to critically injured patients
C. A team of health care professionals who are responsible for providing emergency care and
transportation to the sick and injured
D. A vast network of advanced life support (ALS) providers who provide definitive emergency care
in the prehospital setting - answer>>>C. A team of health care professionals who are responsible
for providing emergency care and transportation to the sick and injured
When auscultating the lungs of a patient with respiratory distress, you hear adventitious sounds.
This means that the patient has:
Select one:
A. an absence of breath sounds.
B. diminished breath sounds.
,C. abnormal breath sounds.
D. normal breath sounds. - answer>>>C. abnormal breath sounds.
A newborn's one minute APGAR score is 8. Which of the following EMT interventions will you
provide to this newborn?
A. routine post delivery care
B. full resuscitation is needed and reassess APGAR score
C. some resuscitation assistance such as oxygen
D. continue to monitor and reassess the APGAR score in 10 minutes - answer>>>A. routine post
delivery care
While auscultating an elderly woman's breath sounds, you hear low-pitched "rattling" sounds at
the bases of both of her lungs. This finding is MOST consistent with which of the following
conditions?
Select one:
A. Acute asthma attack
B. Widespread atelectasis
C. Early pulmonary edema
D. Aspiration pneumonia - answer>>>D. Aspiration pneumonia
You are assisting an asthma patient with his prescribed metered-dose inhaler. After the patient
takes a deep breath and depresses the inhaler, you should:
Select one:
A. immediately reapply the oxygen mask and reassess his condition.
B. advise him to exhale forcefully to ensure medication absorption.
C. allow him to breathe room air and assess his oxygen saturation.
D. instruct him to hold his breath for as long as he comfortably can. - answer>>>D. instruct him to
hold his breath for as long as he comfortably can.
You are attending to a 3-year-old male patient who is presenting with severe shortness of breath.
His parents report that he has had a cough and cold with a low grade fever for the past two days.
They became worried today, as his level of distress has increased dramatically. On assessment, the
patient is sitting upright and making high-pitched noises with each breath. Based on this
information, the patient is most likely suffering from:
Select one:
A. inflammation of the lower respiratory tract and bronchospasm.
B. viral infection of the upper respiratory tract.
C. bacterial infection of the epiglottis.
D. inflammation of the bronchioles. - answer>>>B. viral infection of the upper respiratory tract.
You are attending to a 54-year-old female patient in a homeless shelter. The patient tells you that
she had the flu a couple of weeks ago, and she has not gotten over it. She has been tired and
keeps waking up at night, sweating. She has been coughing up green sputum occasionally and has
been experiencing episodes of chest pain that get worse when she breathes. Based on this
information, your patient is most likely suffering from:
Select one:
,A. influenza Type A.
B. pneumonia.
C. tuberculosis.
D. chronic obstructive pulmonary disease (COPD). - answer>>>C. tuberculosis.
Your patient has a chronic respiratory condition. His stimulus to breathe is triggered by low
oxygen levels in the blood. This is known as the ___________.
Select one:
A. COPD drive
B. CO2 drive
C. hypoxic drive
D. alternate drive - answer>>>C. hypoxic drive
A 49-year-old male presents with an acute onset of crushing chest pain and diaphoresis. You
should:
Select one:
A. administer up to 324 mg of baby aspirin.
B. assess the adequacy of his respirations.
C. administer up to three doses of nitroglycerin.
D. obtain vital signs and a SAMPLE history. - answer>>>B. assess the adequacy of his respirations.
A 66-year-old female with a history of hypertension and diabetes presents with substernal chest
pressure of 2 hours' duration. Her blood pressure is 140/90 mm Hg, her pulse is 100 beats/min
and irregular, her respirations are 22 breaths/min, and her oxygen saturation is 92%. The patient
does not have prescribed nitroglycerin, but her husband does. You should:
Select one:
A. administer oxygen, give her 324 mg of aspirin, and assess her further.
B. give her one nitroglycerin and reassess her systolic blood pressure.
C. obtain a SAMPLE history and contact medical control for advice.
D. give her high-flow oxygen, attach the AED, and transport at once. - answer>>>A. administer
oxygen, give her 324 mg of aspirin, and assess her further.
A patient in cardiac arrest is wearing an external defibrillator vest, which is interfering with
effective chest compressions. The EMT should:
Select one:
A. remove the battery from the monitor and leave the vest in place.
B. leave the battery attached to the monitor and remove the vest.
C. perform ventilations only and allow the vest device to defibrillate.
D. remove the battery from the monitor and then remove the vest. - answer>>>D. remove the
battery from the monitor and then remove the vest.
A patient tells you that he has a left ventricular assist device (LVAD). Which of the following
conditions should you suspect that he has experienced?
Select one:
A. Acute myocardial infarction
B. Thoracic aortic aneurysm
, C. Uncontrolled hypertension
D. Obstructive lung disease - answer>>>A. Acute myocardial infarction
A patient with atherosclerotic heart disease experiences chest pain during exertion because:
Select one:
A. the coronary arteries suddenly spasm and cause a marked reduction in myocardial blood flow.
B. the ragged edge of a tear in the coronary artery lumen causes local blood clotting and arterial
narrowing.
C. the lumen of the coronary artery is narrowed and cannot accommodate increased blood flow.
D. tissues of the myocardium undergo necrosis secondary to a prolonged absence of oxygen. -
answer>>>C. the lumen of the coronary artery is narrowed and cannot accommodate increased
blood flow.
Nitroglycerin is contraindicated in patients:
Select one:
A. with a history of an ischemic stroke.
B. who have taken up to two doses.
C. who have experienced a head injury.
D. with a systolic blood pressure less than 120 mm Hg. - answer>>>C. who have experienced a
head injury.
Signs and symptoms of a hypertensive emergency would MOST likely be delayed in patients who:
Select one:
A. have chronic hypertension.
B. regularly take illegal drugs.
C. are older than 40 years of age.
D. have had a stroke in the past. - answer>>>A. have chronic hypertension.
Which of the following signs is commonly observed in patients with right-sided heart failure?
Select one:
A. Labored breathing
B. Flat jugular veins
C. Dependent edema
D. Pulmonary edema - answer>>>C. Dependent edema
You and your partner arrive at the scene of a middle-aged man who collapsed about 5 minutes
ago. He is unresponsive, apneic, and pulseless. Bystanders are present, but have not provided any
care. You should:
Select one:
A. perform two-rescuer CPR for 5 minutes and request ALS backup.
B. have your partner perform CPR while you question the bystanders.
C. begin high-quality CPR and apply the AED as soon as possible.
D. immediately apply the AED pads and analyze his cardiac rhythm. - answer>>>C. begin high-
quality CPR and apply the AED as soon as possible.
ACCURATE REAL EXAM QUESTIONS AND VERIFIED
CORRECT ANSWERS JUST RELEASED
Which of the following interventions is used by all levels of EMS providers?
A. Automatic transport ventilators
B. Automated external defibrillator
C. Needle decompression
D. Multilumen airways - answer>>>B. Automated external defibrillator
In what area of the lungs does respiration occur?
Select one:
A. Bronchi
B. Capillaries
C. Alveoli
D. Trachea - answer>>>C. Alveoli
Treatment with continuous positive airway pressure (CPAP) would MOST likely be contraindicated
in which of the following situations?
Select one:
A. Difficulty breathing, two-word dyspnea, and tachycardia
B. Conscious and alert patient with an oxygen saturation of 85%
C. Shortness of breath and a blood pressure of 76/56 mm Hg
D. Pulmonary edema, history of hypertension, and anxiety - answer>>>C. Shortness of breath and
a blood pressure of 76/56 mm Hg
Which of the following descriptions MOST accurately portrays emergency medical services (EMS)?
A. A system composed exclusively of emergency medical responders (EMRs) and emergency
medical technicians (EMTs) who are responsible for providing care to sick and injured patients
B. A team of paramedics and emergency physicians who are responsible for providing emergency
care to critically injured patients
C. A team of health care professionals who are responsible for providing emergency care and
transportation to the sick and injured
D. A vast network of advanced life support (ALS) providers who provide definitive emergency care
in the prehospital setting - answer>>>C. A team of health care professionals who are responsible
for providing emergency care and transportation to the sick and injured
When auscultating the lungs of a patient with respiratory distress, you hear adventitious sounds.
This means that the patient has:
Select one:
A. an absence of breath sounds.
B. diminished breath sounds.
,C. abnormal breath sounds.
D. normal breath sounds. - answer>>>C. abnormal breath sounds.
A newborn's one minute APGAR score is 8. Which of the following EMT interventions will you
provide to this newborn?
A. routine post delivery care
B. full resuscitation is needed and reassess APGAR score
C. some resuscitation assistance such as oxygen
D. continue to monitor and reassess the APGAR score in 10 minutes - answer>>>A. routine post
delivery care
While auscultating an elderly woman's breath sounds, you hear low-pitched "rattling" sounds at
the bases of both of her lungs. This finding is MOST consistent with which of the following
conditions?
Select one:
A. Acute asthma attack
B. Widespread atelectasis
C. Early pulmonary edema
D. Aspiration pneumonia - answer>>>D. Aspiration pneumonia
You are assisting an asthma patient with his prescribed metered-dose inhaler. After the patient
takes a deep breath and depresses the inhaler, you should:
Select one:
A. immediately reapply the oxygen mask and reassess his condition.
B. advise him to exhale forcefully to ensure medication absorption.
C. allow him to breathe room air and assess his oxygen saturation.
D. instruct him to hold his breath for as long as he comfortably can. - answer>>>D. instruct him to
hold his breath for as long as he comfortably can.
You are attending to a 3-year-old male patient who is presenting with severe shortness of breath.
His parents report that he has had a cough and cold with a low grade fever for the past two days.
They became worried today, as his level of distress has increased dramatically. On assessment, the
patient is sitting upright and making high-pitched noises with each breath. Based on this
information, the patient is most likely suffering from:
Select one:
A. inflammation of the lower respiratory tract and bronchospasm.
B. viral infection of the upper respiratory tract.
C. bacterial infection of the epiglottis.
D. inflammation of the bronchioles. - answer>>>B. viral infection of the upper respiratory tract.
You are attending to a 54-year-old female patient in a homeless shelter. The patient tells you that
she had the flu a couple of weeks ago, and she has not gotten over it. She has been tired and
keeps waking up at night, sweating. She has been coughing up green sputum occasionally and has
been experiencing episodes of chest pain that get worse when she breathes. Based on this
information, your patient is most likely suffering from:
Select one:
,A. influenza Type A.
B. pneumonia.
C. tuberculosis.
D. chronic obstructive pulmonary disease (COPD). - answer>>>C. tuberculosis.
Your patient has a chronic respiratory condition. His stimulus to breathe is triggered by low
oxygen levels in the blood. This is known as the ___________.
Select one:
A. COPD drive
B. CO2 drive
C. hypoxic drive
D. alternate drive - answer>>>C. hypoxic drive
A 49-year-old male presents with an acute onset of crushing chest pain and diaphoresis. You
should:
Select one:
A. administer up to 324 mg of baby aspirin.
B. assess the adequacy of his respirations.
C. administer up to three doses of nitroglycerin.
D. obtain vital signs and a SAMPLE history. - answer>>>B. assess the adequacy of his respirations.
A 66-year-old female with a history of hypertension and diabetes presents with substernal chest
pressure of 2 hours' duration. Her blood pressure is 140/90 mm Hg, her pulse is 100 beats/min
and irregular, her respirations are 22 breaths/min, and her oxygen saturation is 92%. The patient
does not have prescribed nitroglycerin, but her husband does. You should:
Select one:
A. administer oxygen, give her 324 mg of aspirin, and assess her further.
B. give her one nitroglycerin and reassess her systolic blood pressure.
C. obtain a SAMPLE history and contact medical control for advice.
D. give her high-flow oxygen, attach the AED, and transport at once. - answer>>>A. administer
oxygen, give her 324 mg of aspirin, and assess her further.
A patient in cardiac arrest is wearing an external defibrillator vest, which is interfering with
effective chest compressions. The EMT should:
Select one:
A. remove the battery from the monitor and leave the vest in place.
B. leave the battery attached to the monitor and remove the vest.
C. perform ventilations only and allow the vest device to defibrillate.
D. remove the battery from the monitor and then remove the vest. - answer>>>D. remove the
battery from the monitor and then remove the vest.
A patient tells you that he has a left ventricular assist device (LVAD). Which of the following
conditions should you suspect that he has experienced?
Select one:
A. Acute myocardial infarction
B. Thoracic aortic aneurysm
, C. Uncontrolled hypertension
D. Obstructive lung disease - answer>>>A. Acute myocardial infarction
A patient with atherosclerotic heart disease experiences chest pain during exertion because:
Select one:
A. the coronary arteries suddenly spasm and cause a marked reduction in myocardial blood flow.
B. the ragged edge of a tear in the coronary artery lumen causes local blood clotting and arterial
narrowing.
C. the lumen of the coronary artery is narrowed and cannot accommodate increased blood flow.
D. tissues of the myocardium undergo necrosis secondary to a prolonged absence of oxygen. -
answer>>>C. the lumen of the coronary artery is narrowed and cannot accommodate increased
blood flow.
Nitroglycerin is contraindicated in patients:
Select one:
A. with a history of an ischemic stroke.
B. who have taken up to two doses.
C. who have experienced a head injury.
D. with a systolic blood pressure less than 120 mm Hg. - answer>>>C. who have experienced a
head injury.
Signs and symptoms of a hypertensive emergency would MOST likely be delayed in patients who:
Select one:
A. have chronic hypertension.
B. regularly take illegal drugs.
C. are older than 40 years of age.
D. have had a stroke in the past. - answer>>>A. have chronic hypertension.
Which of the following signs is commonly observed in patients with right-sided heart failure?
Select one:
A. Labored breathing
B. Flat jugular veins
C. Dependent edema
D. Pulmonary edema - answer>>>C. Dependent edema
You and your partner arrive at the scene of a middle-aged man who collapsed about 5 minutes
ago. He is unresponsive, apneic, and pulseless. Bystanders are present, but have not provided any
care. You should:
Select one:
A. perform two-rescuer CPR for 5 minutes and request ALS backup.
B. have your partner perform CPR while you question the bystanders.
C. begin high-quality CPR and apply the AED as soon as possible.
D. immediately apply the AED pads and analyze his cardiac rhythm. - answer>>>C. begin high-
quality CPR and apply the AED as soon as possible.
