Texas EMT-B (Advanced-Level) Exam | Questions &
Answers & Rationale | 2025/2026 | Latest Update | Instant
Download
Designed for: Advanced EMT-B / high-performing EMT candidates in Texas
Focus: NREMT-style critical thinking, ALS interface, advanced scenarios, and Texas protocols
1. You respond to an adult patient with severe respiratory distress and audible
wheezing. The patient is speaking in one-word sentences. What is the MOST
appropriate initial intervention?
A. Assist ventilations with BVM
B. Insert an advanced airway
C. Administer high-flow oxygen and prepare bronchodilator therapy (Correct Answer)
D. Place patient supine
Rationale: Patients in severe respiratory distress but still breathing benefit first from oxygen and
bronchodilator support before assisted ventilation.
2. An EMT-B is assisting ALS with a patient in anaphylaxis. Which medication is
MOST critical to prepare?
A. Albuterol
B. Aspirin
C. Epinephrine (Correct Answer)
D. Naloxone
Rationale: Epinephrine is the first-line medication for anaphylaxis.
3. A patient presents with altered mental status, hypotension, and tachycardia
following trauma. What condition should be suspected FIRST?
A. Neurogenic shock
B. Hypovolemic shock (Correct Answer)
C. Cardiogenic shock
D. Septic shock
Rationale: Trauma-related blood loss is the most common cause of shock in trauma patients.
,4. Which assessment finding MOST strongly suggests tension pneumothorax?
A. Wheezing bilaterally
B. Tracheal deviation and absent breath sounds (Correct Answer)
C. Productive cough
D. Crackles in both lungs
Rationale: Tracheal deviation with unilateral breath sounds indicates life-threatening pressure
buildup.
5. A diabetic patient is unconscious with a blood glucose reading of 38 mg/dL.
What is the MOST appropriate EMT-B action?
A. Administer oral glucose
B. Request ALS for IV dextrose administration (Correct Answer)
C. Give insulin
D. Withhold treatment
Rationale: Unconscious patients cannot safely receive oral glucose; ALS intervention is
required.
6. A patient with suspected opioid overdose is breathing 6 times per minute.
What is the PRIORITY treatment?
A. Oxygen via nasal cannula
B. Assist ventilations with BVM and administer naloxone per protocol (Correct Answer)
C. Place patient in recovery position
D. Give oral glucose
Rationale: Inadequate respirations require ventilatory support; naloxone reverses opioid effects.
7. During cardiac arrest, which action has the GREATEST impact on patient
survival?
A. Early intubation
B. Oxygen administration
, C. High-quality CPR (Correct Answer)
D. IV access
Rationale: High-quality chest compressions are the cornerstone of resuscitation.
8. A patient presents with chest pain that is pressure-like, radiates to the jaw,
and is accompanied by diaphoresis. EMT-B priority?
A. Delay transport for full history
B. Administer oxygen as needed and rapidly transport (Correct Answer)
C. Give oral glucose
D. Apply heat packs
Rationale: Suspected acute coronary syndrome requires rapid transport.
9. Which finding is MOST concerning in a head injury patient?
A. Headache
B. Vomiting once
C. Decreasing level of consciousness (Correct Answer)
D. Scalp laceration
Rationale: Declining mental status indicates worsening brain injury.
10. A patient with burns to the face, hoarseness, and soot around the mouth is at
greatest risk for:
A. Hypothermia
B. Infection
C. Airway obstruction (Correct Answer)
D. Dehydration
Rationale: Inhalation injuries can cause rapid airway swelling.
11. Which oxygen delivery device provides the HIGHEST concentration of
oxygen?
Answers & Rationale | 2025/2026 | Latest Update | Instant
Download
Designed for: Advanced EMT-B / high-performing EMT candidates in Texas
Focus: NREMT-style critical thinking, ALS interface, advanced scenarios, and Texas protocols
1. You respond to an adult patient with severe respiratory distress and audible
wheezing. The patient is speaking in one-word sentences. What is the MOST
appropriate initial intervention?
A. Assist ventilations with BVM
B. Insert an advanced airway
C. Administer high-flow oxygen and prepare bronchodilator therapy (Correct Answer)
D. Place patient supine
Rationale: Patients in severe respiratory distress but still breathing benefit first from oxygen and
bronchodilator support before assisted ventilation.
2. An EMT-B is assisting ALS with a patient in anaphylaxis. Which medication is
MOST critical to prepare?
A. Albuterol
B. Aspirin
C. Epinephrine (Correct Answer)
D. Naloxone
Rationale: Epinephrine is the first-line medication for anaphylaxis.
3. A patient presents with altered mental status, hypotension, and tachycardia
following trauma. What condition should be suspected FIRST?
A. Neurogenic shock
B. Hypovolemic shock (Correct Answer)
C. Cardiogenic shock
D. Septic shock
Rationale: Trauma-related blood loss is the most common cause of shock in trauma patients.
,4. Which assessment finding MOST strongly suggests tension pneumothorax?
A. Wheezing bilaterally
B. Tracheal deviation and absent breath sounds (Correct Answer)
C. Productive cough
D. Crackles in both lungs
Rationale: Tracheal deviation with unilateral breath sounds indicates life-threatening pressure
buildup.
5. A diabetic patient is unconscious with a blood glucose reading of 38 mg/dL.
What is the MOST appropriate EMT-B action?
A. Administer oral glucose
B. Request ALS for IV dextrose administration (Correct Answer)
C. Give insulin
D. Withhold treatment
Rationale: Unconscious patients cannot safely receive oral glucose; ALS intervention is
required.
6. A patient with suspected opioid overdose is breathing 6 times per minute.
What is the PRIORITY treatment?
A. Oxygen via nasal cannula
B. Assist ventilations with BVM and administer naloxone per protocol (Correct Answer)
C. Place patient in recovery position
D. Give oral glucose
Rationale: Inadequate respirations require ventilatory support; naloxone reverses opioid effects.
7. During cardiac arrest, which action has the GREATEST impact on patient
survival?
A. Early intubation
B. Oxygen administration
, C. High-quality CPR (Correct Answer)
D. IV access
Rationale: High-quality chest compressions are the cornerstone of resuscitation.
8. A patient presents with chest pain that is pressure-like, radiates to the jaw,
and is accompanied by diaphoresis. EMT-B priority?
A. Delay transport for full history
B. Administer oxygen as needed and rapidly transport (Correct Answer)
C. Give oral glucose
D. Apply heat packs
Rationale: Suspected acute coronary syndrome requires rapid transport.
9. Which finding is MOST concerning in a head injury patient?
A. Headache
B. Vomiting once
C. Decreasing level of consciousness (Correct Answer)
D. Scalp laceration
Rationale: Declining mental status indicates worsening brain injury.
10. A patient with burns to the face, hoarseness, and soot around the mouth is at
greatest risk for:
A. Hypothermia
B. Infection
C. Airway obstruction (Correct Answer)
D. Dehydration
Rationale: Inhalation injuries can cause rapid airway swelling.
11. Which oxygen delivery device provides the HIGHEST concentration of
oxygen?
