EMS Delaware Protocols 2026/ 100 QUESTIONS| WITH COMPLETE SOLUTIONS
Ems refresher
1️⃣ Question:
Before administering any medication in the field, an EMT must ensure:
A) The patient has signed consent
B) The patient’s vital signs are normal
C) Medical direction authorizes the treatment
D) The patient has a written prescription
Answer: C — Medical direction authorizes the treatment
Rationale: EMS personnel operate under medical oversight. Medications are administered per
protocol or specific medical direction from an authorized physician to ensure safe, appropriate
care.
2️⃣ Question:
Which of the following best describes the purpose of standardized EMS protocols?
A) To allow each agency to use its own care standards
B) To ensure consistent, evidence-based prehospital care
C) To give patients choice in their treatment
D) To reduce the amount of documentation required
Answer: B — To ensure consistent, evidence-based prehospital care
Rationale: Standardized protocols create a uniform standard that all EMS providers follow,
improving care quality and patient outcomes by minimizing variation between agencies.
3️⃣ Question:
Stroke patients may be routed directly to a facility with specialized neurointerventional
capabilities when:
A) The patient requests that hospital
B) It is clinically indicated after initial assessment
C) There are no ambulances available
D) The nearest hospital is closed
Answer: B — It is clinically indicated after initial assessment
Rationale: Triage and transport guidance allows for direct routing to specialized centers when
analysis shows it benefits patient outcomes, such as suspected stroke requiring thrombectomy
evaluation.
,4️⃣ Question:
Which system allows EMS responders rapid access to patient data in the field?
A) Manual forms carried on ambulances
B) Electronic prehospital patient reporting system
C) Calling the hospital dispatcher
D) Faxing patient information
Answer: B — Electronic prehospital patient reporting system
Rationale: Electronic systems provide standardized access to prehospital patient information,
supporting continuity of care and documentation.
5️⃣ Question:
Public access defibrillation (PAD) programs require:
A) AEDs can be used by anyone without training
B) AEDs must be placed in every building
C) AEDs must be integrated with EMS systems and maintained regularly
D) AEDs are only for hospital use
Answer: C — AEDs must be integrated with EMS systems and maintained regularly
Rationale: PAD guidelines emphasize integration with EMS and proper training/maintenance to
ensure AED availability and effectiveness during cardiac emergencies.
6️⃣ Question:
How often must EMS protocols be reviewed and updated?
A) Every year
B) Every two years
C) Every five years
D) Only when a new medical director is appointed
Answer: B — Every two years
Rationale: Protocols are designed to reflect evolving best practices and must be reviewed
biennially to ensure evidence-based care and compliance.
7️⃣ Question:
, A priority I patient in EMS terminology is one who:
A) Can be assessed later
B) Has a non-serious condition
C) Has a life- or limb-threatening injury or illness
D) Transport is optional
Answer: C — Has a life- or limb-threatening injury or illness
Rationale: Priority I indicates immediate threat to life or limb requiring urgent intervention and
rapid transport.
8️⃣ Question:
Who is responsible for medical oversight of EMS treatment protocols?
A) Department of Motor Vehicles
B) EMS office and approved medical directors
C) Hospital billing department
D) Fire department administrative staff
Answer: B — EMS office and approved medical directors
Rationale: Medical direction oversees protocol development, medical control, and quality
assurance to ensure appropriate prehospital care.
9️⃣ Question:
When using AEDs, who is authorized to use them?
A) Only licensed physicians
B) Any untrained bystander
C) Properly trained individuals or guided by emergency dispatch
D) Only firefighters
Answer: C — Properly trained individuals or guided by emergency dispatch
Rationale: PAD standards recommend trained users but allow emergency dispatch guidance for
AED use during cardiac arrest to improve survival while maintaining safety.
🔟 Question:
One important goal of EMS treatment protocols is to:
A) Reduce training requirements
B) Limit EMS patient care options
Ems refresher
1️⃣ Question:
Before administering any medication in the field, an EMT must ensure:
A) The patient has signed consent
B) The patient’s vital signs are normal
C) Medical direction authorizes the treatment
D) The patient has a written prescription
Answer: C — Medical direction authorizes the treatment
Rationale: EMS personnel operate under medical oversight. Medications are administered per
protocol or specific medical direction from an authorized physician to ensure safe, appropriate
care.
2️⃣ Question:
Which of the following best describes the purpose of standardized EMS protocols?
A) To allow each agency to use its own care standards
B) To ensure consistent, evidence-based prehospital care
C) To give patients choice in their treatment
D) To reduce the amount of documentation required
Answer: B — To ensure consistent, evidence-based prehospital care
Rationale: Standardized protocols create a uniform standard that all EMS providers follow,
improving care quality and patient outcomes by minimizing variation between agencies.
3️⃣ Question:
Stroke patients may be routed directly to a facility with specialized neurointerventional
capabilities when:
A) The patient requests that hospital
B) It is clinically indicated after initial assessment
C) There are no ambulances available
D) The nearest hospital is closed
Answer: B — It is clinically indicated after initial assessment
Rationale: Triage and transport guidance allows for direct routing to specialized centers when
analysis shows it benefits patient outcomes, such as suspected stroke requiring thrombectomy
evaluation.
,4️⃣ Question:
Which system allows EMS responders rapid access to patient data in the field?
A) Manual forms carried on ambulances
B) Electronic prehospital patient reporting system
C) Calling the hospital dispatcher
D) Faxing patient information
Answer: B — Electronic prehospital patient reporting system
Rationale: Electronic systems provide standardized access to prehospital patient information,
supporting continuity of care and documentation.
5️⃣ Question:
Public access defibrillation (PAD) programs require:
A) AEDs can be used by anyone without training
B) AEDs must be placed in every building
C) AEDs must be integrated with EMS systems and maintained regularly
D) AEDs are only for hospital use
Answer: C — AEDs must be integrated with EMS systems and maintained regularly
Rationale: PAD guidelines emphasize integration with EMS and proper training/maintenance to
ensure AED availability and effectiveness during cardiac emergencies.
6️⃣ Question:
How often must EMS protocols be reviewed and updated?
A) Every year
B) Every two years
C) Every five years
D) Only when a new medical director is appointed
Answer: B — Every two years
Rationale: Protocols are designed to reflect evolving best practices and must be reviewed
biennially to ensure evidence-based care and compliance.
7️⃣ Question:
, A priority I patient in EMS terminology is one who:
A) Can be assessed later
B) Has a non-serious condition
C) Has a life- or limb-threatening injury or illness
D) Transport is optional
Answer: C — Has a life- or limb-threatening injury or illness
Rationale: Priority I indicates immediate threat to life or limb requiring urgent intervention and
rapid transport.
8️⃣ Question:
Who is responsible for medical oversight of EMS treatment protocols?
A) Department of Motor Vehicles
B) EMS office and approved medical directors
C) Hospital billing department
D) Fire department administrative staff
Answer: B — EMS office and approved medical directors
Rationale: Medical direction oversees protocol development, medical control, and quality
assurance to ensure appropriate prehospital care.
9️⃣ Question:
When using AEDs, who is authorized to use them?
A) Only licensed physicians
B) Any untrained bystander
C) Properly trained individuals or guided by emergency dispatch
D) Only firefighters
Answer: C — Properly trained individuals or guided by emergency dispatch
Rationale: PAD standards recommend trained users but allow emergency dispatch guidance for
AED use during cardiac arrest to improve survival while maintaining safety.
🔟 Question:
One important goal of EMS treatment protocols is to:
A) Reduce training requirements
B) Limit EMS patient care options
