EMT EXAM 4 2026 QUESTIONS AND ANSWERS
A construction worker has a metal rod impaled in his right forearm. Assessment of the injury indicates
heavy bleeding from around the impaled object. What should you do first? - CORRECT
ANSWER✅✅Apply direct pressure around the rod
Another crew has called for your assistance in extricating an obese male with a nosebleed from a third-
floor bedroom. As you enter the room, which observation indicates proper management of the patient's
condition? - CORRECT ANSWER✅✅The patient is sitting upright, leaning forward, with nostrils pinched
shut
You are called for a 2-year-old boy who has a nosebleed. While you are en route to the call, the
dispatcher informs you that the patient has hemophilia. As an EMT, you should recognize that: -
CORRECT ANSWER✅✅The bleeding may be significant
Assessment of an 88-year-old female who fell reveals bruising to her right buttock. The skin is intact and
the patient complains of tenderness to the area when you palpate. As a knowledgeable EMT, you would
recognize this patient has which type of injury? - CORRECT ANSWER✅✅Contusion
A pregnant 31-year-old female has been shot in the neck. Currently, she is responsive to verbal stimuli,
with an open airway and rapid, but adequate respirations. Her radial pulse is weak and fast. Vital signs
are as follows: pulse 152 beats/min, respirations 22 breaths/min, blood pressure 92/76 mmHg, and
SpO2 100% on high-concentration oxygen as initiated by the fire department EMRs. Which other
intervention by the EMT will most benefit this patient? - CORRECT ANSWER✅✅Place an occlusive
dressing on the neck and keep the patient warm during transport
You are called for a 78-year-old female who fell earlier in the day. As you enter her kitchen, you observe
her sitting in a chair with ecchymotic areas to her left cheek and left arm. There also appears to be blood
on her pants. She is on home oxygen for COPD and is breathing in a moderately labored manner. The
patient states that she fell a few hours ago, and now the pain and swelling in her arm are unbearable.
She has also developed significant lower neck pain. What should you do first? - CORRECT
ANSWER✅✅Take manual spinal motion restriction precautions
The EMT is by the side of a young female who was cut while washing dishes. She has a jagged laceration
to her left forearm that is bleeding steadily and heavily. When attempting to control the bleeding, the
EMT would first: - CORRECT ANSWER✅✅Place a large sterile dressing over the site, with hand pressure
applied over the top of the dressing
,An alert and oriented patient has had a portion of his hand amputated by a table saw. Assessment
reveals the patient to be in great pain, with a moderate amount of dark red blood still coming from the
injury site. His airway is open and his breathing is fast, but adequate. The radial pulse is rapid and strong,
and his skin is warm and dry. The patient's amputated hand has been placed in a bag of ice by
coworkers. What should the EMT do immediately? - CORRECT ANSWER✅✅Control the bleeding with
direct pressure
When performing the primary assessment, which sign or symptom best suggests that the patient is in
shock? - CORRECT ANSWER✅✅Skin that is cool and diaphoretic
A male patient has been shot in the chest with a small-caliber gun. Which presentation indicates that he
is in an early stage of shock? - CORRECT ANSWER✅✅Alert and anxious, pulse 96 beats/min, BP 134/88
mmHg, pale and cool skin
Which statement demonstrates an understanding of shock caused by internal bleeding? - CORRECT
ANSWER✅✅"You should always suspect internal bleeding in a patient with the signs and symptoms of
shock but no external bleeding
A female patient has been involved in a motorcycle crash. Your scene size-up reveals her to be
unresponsive and lying in the roadway. It also appears that her left leg has been amputated at the knee.
What should the EMT do immediately? - CORRECT ANSWER✅✅Perform a jaw-thrust maneuver
A patient sustained a crush injury after being pinned by a car that fell off jack-stands while the patient
was underneath the car working on it. The injury occurred to the left upper quadrant of the abdomen.
Assessment shows bruising to that area, with instability noted to the lowest rib. The EMT's highest
concern regarding this injury should be: - CORRECT ANSWER✅✅Injury to the spleen
A patient suffered abrasions to the legs after falling on a moving treadmill. In relation to the function of
the skin, the EMT should be most concerned about: - CORRECT ANSWER✅✅Risk for infection
Which observations would cause the EMT to classify a patient's soft tissue injury as an abrasion? -
CORRECT ANSWER✅✅Skin is scraped and red; blood is oozing from the injury site
, An injury caused by scraping, rubbing, or shearing away of the skin is a(n) - CORRECT
ANSWER✅✅abrasion
The first step an EMT should take when encountering a patient with severe bleeding is to - CORRECT
ANSWER✅✅use appropriate Standard Precautions.
When applying an occlusive dressing to a chest wound, the dressing should be secured on how many
sides? - CORRECT ANSWER✅✅three
The type of shock most commonly caused by profound blood or fluid loss is - CORRECT
ANSWER✅✅hypovolemic shock.
What percentage of blood volume can the average adult patient who weighs 154 pounds lose before the
loss will lead to obvious signs of shock? - CORRECT ANSWER✅✅15 percent
Epistaxis is another way of saying the patient has - CORRECT ANSWER✅✅nosebleed
Which sign of cardiogenic shock would occur the latest? - CORRECT ANSWER✅✅Decreased blood
pressure
An open injury exposing the blood vessels and nerve tissue contained within the dermal layer of the skin
is called a(n) - CORRECT ANSWER✅✅abrasion.
Treatment for exposed internal abdominal organs can include all of the following except - CORRECT
ANSWER✅✅placing the organs back into the opening.
Open wounds in which flaps of skin and tissue are torn loose with only a small part of the tissue still
attached to the body are termed - CORRECT ANSWER✅✅avulsions.
Firefighters have pulled a middle-aged male from a burning bedroom. The patient is unresponsive and
has obvious deformity of his left ankle. His respirations are rapid, stridorous, and shallow. Your partner
A construction worker has a metal rod impaled in his right forearm. Assessment of the injury indicates
heavy bleeding from around the impaled object. What should you do first? - CORRECT
ANSWER✅✅Apply direct pressure around the rod
Another crew has called for your assistance in extricating an obese male with a nosebleed from a third-
floor bedroom. As you enter the room, which observation indicates proper management of the patient's
condition? - CORRECT ANSWER✅✅The patient is sitting upright, leaning forward, with nostrils pinched
shut
You are called for a 2-year-old boy who has a nosebleed. While you are en route to the call, the
dispatcher informs you that the patient has hemophilia. As an EMT, you should recognize that: -
CORRECT ANSWER✅✅The bleeding may be significant
Assessment of an 88-year-old female who fell reveals bruising to her right buttock. The skin is intact and
the patient complains of tenderness to the area when you palpate. As a knowledgeable EMT, you would
recognize this patient has which type of injury? - CORRECT ANSWER✅✅Contusion
A pregnant 31-year-old female has been shot in the neck. Currently, she is responsive to verbal stimuli,
with an open airway and rapid, but adequate respirations. Her radial pulse is weak and fast. Vital signs
are as follows: pulse 152 beats/min, respirations 22 breaths/min, blood pressure 92/76 mmHg, and
SpO2 100% on high-concentration oxygen as initiated by the fire department EMRs. Which other
intervention by the EMT will most benefit this patient? - CORRECT ANSWER✅✅Place an occlusive
dressing on the neck and keep the patient warm during transport
You are called for a 78-year-old female who fell earlier in the day. As you enter her kitchen, you observe
her sitting in a chair with ecchymotic areas to her left cheek and left arm. There also appears to be blood
on her pants. She is on home oxygen for COPD and is breathing in a moderately labored manner. The
patient states that she fell a few hours ago, and now the pain and swelling in her arm are unbearable.
She has also developed significant lower neck pain. What should you do first? - CORRECT
ANSWER✅✅Take manual spinal motion restriction precautions
The EMT is by the side of a young female who was cut while washing dishes. She has a jagged laceration
to her left forearm that is bleeding steadily and heavily. When attempting to control the bleeding, the
EMT would first: - CORRECT ANSWER✅✅Place a large sterile dressing over the site, with hand pressure
applied over the top of the dressing
,An alert and oriented patient has had a portion of his hand amputated by a table saw. Assessment
reveals the patient to be in great pain, with a moderate amount of dark red blood still coming from the
injury site. His airway is open and his breathing is fast, but adequate. The radial pulse is rapid and strong,
and his skin is warm and dry. The patient's amputated hand has been placed in a bag of ice by
coworkers. What should the EMT do immediately? - CORRECT ANSWER✅✅Control the bleeding with
direct pressure
When performing the primary assessment, which sign or symptom best suggests that the patient is in
shock? - CORRECT ANSWER✅✅Skin that is cool and diaphoretic
A male patient has been shot in the chest with a small-caliber gun. Which presentation indicates that he
is in an early stage of shock? - CORRECT ANSWER✅✅Alert and anxious, pulse 96 beats/min, BP 134/88
mmHg, pale and cool skin
Which statement demonstrates an understanding of shock caused by internal bleeding? - CORRECT
ANSWER✅✅"You should always suspect internal bleeding in a patient with the signs and symptoms of
shock but no external bleeding
A female patient has been involved in a motorcycle crash. Your scene size-up reveals her to be
unresponsive and lying in the roadway. It also appears that her left leg has been amputated at the knee.
What should the EMT do immediately? - CORRECT ANSWER✅✅Perform a jaw-thrust maneuver
A patient sustained a crush injury after being pinned by a car that fell off jack-stands while the patient
was underneath the car working on it. The injury occurred to the left upper quadrant of the abdomen.
Assessment shows bruising to that area, with instability noted to the lowest rib. The EMT's highest
concern regarding this injury should be: - CORRECT ANSWER✅✅Injury to the spleen
A patient suffered abrasions to the legs after falling on a moving treadmill. In relation to the function of
the skin, the EMT should be most concerned about: - CORRECT ANSWER✅✅Risk for infection
Which observations would cause the EMT to classify a patient's soft tissue injury as an abrasion? -
CORRECT ANSWER✅✅Skin is scraped and red; blood is oozing from the injury site
, An injury caused by scraping, rubbing, or shearing away of the skin is a(n) - CORRECT
ANSWER✅✅abrasion
The first step an EMT should take when encountering a patient with severe bleeding is to - CORRECT
ANSWER✅✅use appropriate Standard Precautions.
When applying an occlusive dressing to a chest wound, the dressing should be secured on how many
sides? - CORRECT ANSWER✅✅three
The type of shock most commonly caused by profound blood or fluid loss is - CORRECT
ANSWER✅✅hypovolemic shock.
What percentage of blood volume can the average adult patient who weighs 154 pounds lose before the
loss will lead to obvious signs of shock? - CORRECT ANSWER✅✅15 percent
Epistaxis is another way of saying the patient has - CORRECT ANSWER✅✅nosebleed
Which sign of cardiogenic shock would occur the latest? - CORRECT ANSWER✅✅Decreased blood
pressure
An open injury exposing the blood vessels and nerve tissue contained within the dermal layer of the skin
is called a(n) - CORRECT ANSWER✅✅abrasion.
Treatment for exposed internal abdominal organs can include all of the following except - CORRECT
ANSWER✅✅placing the organs back into the opening.
Open wounds in which flaps of skin and tissue are torn loose with only a small part of the tissue still
attached to the body are termed - CORRECT ANSWER✅✅avulsions.
Firefighters have pulled a middle-aged male from a burning bedroom. The patient is unresponsive and
has obvious deformity of his left ankle. His respirations are rapid, stridorous, and shallow. Your partner
