EMT Midterm Exam JB Learning Questions
with Correct Verified Answers (150 Q & A)
EMT MIDTERM PRACTICE EXAM
JB Learning | Advanced Scenario-Based Questions
1. Scene Safety and BSI
You respond to a motor vehicle collision on a rural highway at night. One vehicle is leaking fuel, and the
driver is walking around shouting. What is the MOST appropriate first action?
A. Apply a cervical collar to the driver
B. Move the patient away from traffic immediately
C. Ensure scene safety and don PPE
D. Begin a rapid trauma assessment
Correct Answer -: C
Rationale: Scene safety and BSI always come first. A fuel leak and traffic create hazards that must be
controlled before patient care.
2. Primary Assessment – Life Threats
A 56-year-old male is found unresponsive with shallow respirations and a weak carotid pulse. What is
your PRIORITY intervention?
A. Obtain blood pressure
B. Apply high-flow oxygen
C. Begin positive pressure ventilations
D. Check blood glucose
,Correct Answer -: C
Rationale: Inadequate breathing is a life threat. Ventilations take priority over oxygen administration
alone.
3. Airway Management
Which patient requires immediate airway intervention?
A. Alert patient with snoring respirations
B. Patient with RR 24 and shallow breathing
C. Unconscious patient with gurgling sounds
D. Patient with wheezing and full sentences
Correct Answer -: C
Rationale: Gurgling indicates fluid in the airway and requires immediate suctioning.
4. Oxygen Delivery Decision
Which patient should receive nonrebreather mask at 15 L/min?
A. Asthma patient speaking full sentences
B. Chest pain patient with SpO₂ 98%
C. Trauma patient with signs of shock
D. COPD patient with mild dyspnea
Correct Answer -: C
Rationale: Shock patients require high-concentration oxygen regardless of pulse oximetry.
5. Shock Recognition
Which finding MOST strongly indicates hypovolemic shock?
A. Hypertension
B. Bounding pulse
C. Cool, clammy skin
D. Bradycardia
Correct Answer -: C
Rationale: Hypovolemic shock presents with poor perfusion—cool, pale, clammy skin.
6. Medical vs Trauma Assessment
A patient collapsed suddenly at home with no signs of injury. Which assessment pathway is MOST
appropriate?
,A. Rapid trauma assessment
B. Focused trauma assessment
C. Medical assessment
D. Secondary survey only
Correct Answer -: C
Rationale: No mechanism of injury = medical assessment.
7. Altered Mental Status
A diabetic patient is confused, diaphoretic, and pale. What should you suspect FIRST?
A. Hyperglycemia
B. Stroke
C. Hypoglycemia
D. Seizure disorder
Correct Answer -: C
Rationale: Classic signs of hypoglycemia include diaphoresis and altered mental status.
8. Stroke Recognition
Which finding MOST strongly suggests an acute stroke?
A. Chest pain
B. Facial droop and slurred speech
C. Unequal pupils after trauma
D. Seizure activity
Correct Answer -: B
Rationale: Facial droop and speech difficulty are hallmark stroke signs (FAST).
9. Chest Pain Management
A 62-year-old complains of crushing chest pain radiating to the left arm. What is your FIRST action?
A. Administer aspirin
B. Apply oxygen
C. Perform a focused history
D. Ensure airway and breathing
Correct Answer -: D
Rationale: ABCs always take priority before medications or history.
, 10. CPR Decision
You arrive to find an adult patient pulseless and apneic. What is your IMMEDIATE action?
A. Check blood pressure
B. Begin CPR
C. Apply oxygen
D. Insert airway adjunct
Correct Answer -: B
Rationale: Cardiac arrest requires immediate CPR.
11. Pediatric Assessment
Which sign is MOST concerning in an infant?
A. Crying loudly
B. Pink skin
C. Nasal flaring and retractions
D. Active movement
Correct Answer -: C
Rationale: Nasal flaring and retractions indicate respiratory distress.
12. Bleeding Control
A patient has severe arterial bleeding from the leg. Direct pressure fails. What is NEXT?
A. Elevate the limb
B. Apply pressure bandage
C. Apply tourniquet proximal to wound
D. Apply cold pack
Correct Answer -: C
Rationale: Life-threatening hemorrhage requires tourniquet use when pressure fails.
13. Spinal Motion Restriction
Which patient MOST requires spinal motion restriction?
A. Elderly fall from standing with neck pain
B. Child with fever
C. Adult with chest pain
D. Patient with asthma
with Correct Verified Answers (150 Q & A)
EMT MIDTERM PRACTICE EXAM
JB Learning | Advanced Scenario-Based Questions
1. Scene Safety and BSI
You respond to a motor vehicle collision on a rural highway at night. One vehicle is leaking fuel, and the
driver is walking around shouting. What is the MOST appropriate first action?
A. Apply a cervical collar to the driver
B. Move the patient away from traffic immediately
C. Ensure scene safety and don PPE
D. Begin a rapid trauma assessment
Correct Answer -: C
Rationale: Scene safety and BSI always come first. A fuel leak and traffic create hazards that must be
controlled before patient care.
2. Primary Assessment – Life Threats
A 56-year-old male is found unresponsive with shallow respirations and a weak carotid pulse. What is
your PRIORITY intervention?
A. Obtain blood pressure
B. Apply high-flow oxygen
C. Begin positive pressure ventilations
D. Check blood glucose
,Correct Answer -: C
Rationale: Inadequate breathing is a life threat. Ventilations take priority over oxygen administration
alone.
3. Airway Management
Which patient requires immediate airway intervention?
A. Alert patient with snoring respirations
B. Patient with RR 24 and shallow breathing
C. Unconscious patient with gurgling sounds
D. Patient with wheezing and full sentences
Correct Answer -: C
Rationale: Gurgling indicates fluid in the airway and requires immediate suctioning.
4. Oxygen Delivery Decision
Which patient should receive nonrebreather mask at 15 L/min?
A. Asthma patient speaking full sentences
B. Chest pain patient with SpO₂ 98%
C. Trauma patient with signs of shock
D. COPD patient with mild dyspnea
Correct Answer -: C
Rationale: Shock patients require high-concentration oxygen regardless of pulse oximetry.
5. Shock Recognition
Which finding MOST strongly indicates hypovolemic shock?
A. Hypertension
B. Bounding pulse
C. Cool, clammy skin
D. Bradycardia
Correct Answer -: C
Rationale: Hypovolemic shock presents with poor perfusion—cool, pale, clammy skin.
6. Medical vs Trauma Assessment
A patient collapsed suddenly at home with no signs of injury. Which assessment pathway is MOST
appropriate?
,A. Rapid trauma assessment
B. Focused trauma assessment
C. Medical assessment
D. Secondary survey only
Correct Answer -: C
Rationale: No mechanism of injury = medical assessment.
7. Altered Mental Status
A diabetic patient is confused, diaphoretic, and pale. What should you suspect FIRST?
A. Hyperglycemia
B. Stroke
C. Hypoglycemia
D. Seizure disorder
Correct Answer -: C
Rationale: Classic signs of hypoglycemia include diaphoresis and altered mental status.
8. Stroke Recognition
Which finding MOST strongly suggests an acute stroke?
A. Chest pain
B. Facial droop and slurred speech
C. Unequal pupils after trauma
D. Seizure activity
Correct Answer -: B
Rationale: Facial droop and speech difficulty are hallmark stroke signs (FAST).
9. Chest Pain Management
A 62-year-old complains of crushing chest pain radiating to the left arm. What is your FIRST action?
A. Administer aspirin
B. Apply oxygen
C. Perform a focused history
D. Ensure airway and breathing
Correct Answer -: D
Rationale: ABCs always take priority before medications or history.
, 10. CPR Decision
You arrive to find an adult patient pulseless and apneic. What is your IMMEDIATE action?
A. Check blood pressure
B. Begin CPR
C. Apply oxygen
D. Insert airway adjunct
Correct Answer -: B
Rationale: Cardiac arrest requires immediate CPR.
11. Pediatric Assessment
Which sign is MOST concerning in an infant?
A. Crying loudly
B. Pink skin
C. Nasal flaring and retractions
D. Active movement
Correct Answer -: C
Rationale: Nasal flaring and retractions indicate respiratory distress.
12. Bleeding Control
A patient has severe arterial bleeding from the leg. Direct pressure fails. What is NEXT?
A. Elevate the limb
B. Apply pressure bandage
C. Apply tourniquet proximal to wound
D. Apply cold pack
Correct Answer -: C
Rationale: Life-threatening hemorrhage requires tourniquet use when pressure fails.
13. Spinal Motion Restriction
Which patient MOST requires spinal motion restriction?
A. Elderly fall from standing with neck pain
B. Child with fever
C. Adult with chest pain
D. Patient with asthma
