EMT FISDAP READINESS EXAM #1
Comprehensive EMS Competency Assessment
Federation of Instructional Systems Distributors and Academic Publishers
2026/2027 | Aligned with NREMT EMT Examination Blueprint
70 Multiple-Choice & Scenario-Based Questions | Computer-Based, Proctored Format
Passing Score: 75–80% (53–56/70 correct)
Testing Time: 120 Minutes
Format: Computer-Based, Proctored via Institutional FISDAP Testing Portal
Blueprint: Airway/Respiration ~18% | Cardiology ~15% | Trauma ~20% | Medical ~22% |
OB/Peds ~15% | Operations ~10%
, TABLE OF CONTENTS
Domain 1: Airway, Respiration & Ventilation | Questions 1–13 | 13 Questions | ~18%
Domain 2: Cardiology & Resuscitation | Questions 14–23 | 10 Questions | ~15%
Domain 3: Trauma & Hemorrhage Control | Questions 24–35 | 12 Questions | ~20%
Domain 4: Medical Emergencies | Questions 36–50 | 15 Questions | ~22%
Domain 5: Obstetrics & Neonatal Care + Pediatric Emergencies | Questions 51–61 | 11
Questions | ~15%
Domain 6: EMS Operations & Safety + Legal & Ethical Responsibilities | Questions
62–68 | 7 Questions | ~10%
Domain 7: Scenario-Based Application | Questions 69–70 | 2 Questions | —
Exam Summary:
• 70 multiple-choice and scenario-based questions aligned with NREMT EMT Exam Blueprint
• Question Types: Single-best-answer, prioritization, and scenario-based clinical judgment
items
• Focus: Evidence-based prehospital interventions, NREMT-aligned prioritization frameworks
• Aligned with AHA BLS guidelines, national EMS education standards, and current clinical
protocols
, EMT FISDAP READINESS EXAM #1
70 Questions | 120 Minutes | Passing Score: 75–80%
Question 1 [Airway, Respiration & Ventilation]
You are assessing a 34-year-old unresponsive male who was found down at a
construction site. He has a gag reflex but no cough. Which airway adjunct is most
appropriate for this patient?
A) Nasopharyngeal airway (NPA)
B) Oropharyngeal airway (OPA)
C) Supraglottic airway device
D) No adjunct is needed; place in recovery position
Rationale: The NPA is the appropriate airway adjunct for a patient with an intact gag
reflex because it is less likely to stimulate the gag reflex compared to the OPA. The OPA is
contraindicated in patients with a gag reflex because it may trigger vomiting and
aspiration. Per NREMT EMT standards, the NPA can be safely used in semiconscious
patients who cannot maintain their own airway.
Question 2 [Airway, Respiration & Ventilation]
When inserting an oropharyngeal airway (OPA) into an adult patient, which
technique is correct?
A) Insert the OPA with the tip pointing toward the hard palate, then rotate 180
degrees once past the tongue
B) Insert the OPA directly in the upright position with a gentle twisting motion
C) Insert the OPA sideways, then rotate 90 degrees into position
D) Insert the OPA with the tip pointing toward the tongue and push straight back
Rationale: The standard adult OPA insertion technique involves inserting the device with
the tip pointing toward the hard palate and then rotating it 180 degrees once it passes the
tongue. This technique prevents pushing the tongue posteriorly and worsening the airway
obstruction. An alternative method uses a tongue depressor to displace the tongue before
inserting the OPA in the upright position.
Question 3 [Airway, Respiration & Ventilation]
A 56-year-old female with a history of COPD is presenting with severe respiratory
distress. Her SpO2 reads 82% on room air. What is the most appropriate initial
oxygen delivery device and flow rate?
A) Nasal cannula at 2 L/min
B) Nasal cannula at 6 L/min
C) Non-rebreather (NRB) mask at 15 L/min
D) Bag-valve mask (BVM) at 15 L/min
Rationale: For any patient in severe respiratory distress with significantly low SpO2
(82%), high-flow oxygen via a non-rebreather mask at 15 L/min is the appropriate initial
intervention, even in COPD patients. While COPD patients may have a hypoxic drive, the
priority is correcting life-threatening hypoxemia. Per AHA guidelines, do not withhold
high-flow oxygen from any patient in severe respiratory distress due to fear of suppressing
the hypoxic drive.
Question 4 [Airway, Respiration & Ventilation]
You are ventilating an apneic adult patient using a bag-valve mask (BVM). Which of
the following describes the correct ventilation technique?
Comprehensive EMS Competency Assessment
Federation of Instructional Systems Distributors and Academic Publishers
2026/2027 | Aligned with NREMT EMT Examination Blueprint
70 Multiple-Choice & Scenario-Based Questions | Computer-Based, Proctored Format
Passing Score: 75–80% (53–56/70 correct)
Testing Time: 120 Minutes
Format: Computer-Based, Proctored via Institutional FISDAP Testing Portal
Blueprint: Airway/Respiration ~18% | Cardiology ~15% | Trauma ~20% | Medical ~22% |
OB/Peds ~15% | Operations ~10%
, TABLE OF CONTENTS
Domain 1: Airway, Respiration & Ventilation | Questions 1–13 | 13 Questions | ~18%
Domain 2: Cardiology & Resuscitation | Questions 14–23 | 10 Questions | ~15%
Domain 3: Trauma & Hemorrhage Control | Questions 24–35 | 12 Questions | ~20%
Domain 4: Medical Emergencies | Questions 36–50 | 15 Questions | ~22%
Domain 5: Obstetrics & Neonatal Care + Pediatric Emergencies | Questions 51–61 | 11
Questions | ~15%
Domain 6: EMS Operations & Safety + Legal & Ethical Responsibilities | Questions
62–68 | 7 Questions | ~10%
Domain 7: Scenario-Based Application | Questions 69–70 | 2 Questions | —
Exam Summary:
• 70 multiple-choice and scenario-based questions aligned with NREMT EMT Exam Blueprint
• Question Types: Single-best-answer, prioritization, and scenario-based clinical judgment
items
• Focus: Evidence-based prehospital interventions, NREMT-aligned prioritization frameworks
• Aligned with AHA BLS guidelines, national EMS education standards, and current clinical
protocols
, EMT FISDAP READINESS EXAM #1
70 Questions | 120 Minutes | Passing Score: 75–80%
Question 1 [Airway, Respiration & Ventilation]
You are assessing a 34-year-old unresponsive male who was found down at a
construction site. He has a gag reflex but no cough. Which airway adjunct is most
appropriate for this patient?
A) Nasopharyngeal airway (NPA)
B) Oropharyngeal airway (OPA)
C) Supraglottic airway device
D) No adjunct is needed; place in recovery position
Rationale: The NPA is the appropriate airway adjunct for a patient with an intact gag
reflex because it is less likely to stimulate the gag reflex compared to the OPA. The OPA is
contraindicated in patients with a gag reflex because it may trigger vomiting and
aspiration. Per NREMT EMT standards, the NPA can be safely used in semiconscious
patients who cannot maintain their own airway.
Question 2 [Airway, Respiration & Ventilation]
When inserting an oropharyngeal airway (OPA) into an adult patient, which
technique is correct?
A) Insert the OPA with the tip pointing toward the hard palate, then rotate 180
degrees once past the tongue
B) Insert the OPA directly in the upright position with a gentle twisting motion
C) Insert the OPA sideways, then rotate 90 degrees into position
D) Insert the OPA with the tip pointing toward the tongue and push straight back
Rationale: The standard adult OPA insertion technique involves inserting the device with
the tip pointing toward the hard palate and then rotating it 180 degrees once it passes the
tongue. This technique prevents pushing the tongue posteriorly and worsening the airway
obstruction. An alternative method uses a tongue depressor to displace the tongue before
inserting the OPA in the upright position.
Question 3 [Airway, Respiration & Ventilation]
A 56-year-old female with a history of COPD is presenting with severe respiratory
distress. Her SpO2 reads 82% on room air. What is the most appropriate initial
oxygen delivery device and flow rate?
A) Nasal cannula at 2 L/min
B) Nasal cannula at 6 L/min
C) Non-rebreather (NRB) mask at 15 L/min
D) Bag-valve mask (BVM) at 15 L/min
Rationale: For any patient in severe respiratory distress with significantly low SpO2
(82%), high-flow oxygen via a non-rebreather mask at 15 L/min is the appropriate initial
intervention, even in COPD patients. While COPD patients may have a hypoxic drive, the
priority is correcting life-threatening hypoxemia. Per AHA guidelines, do not withhold
high-flow oxygen from any patient in severe respiratory distress due to fear of suppressing
the hypoxic drive.
Question 4 [Airway, Respiration & Ventilation]
You are ventilating an apneic adult patient using a bag-valve mask (BVM). Which of
the following describes the correct ventilation technique?
