JB LEARNING EMT FINAL EXAM
2026/2027 QUESTIONS AND 100% VERIFIED
ANSWERS WITH RATIONALES GRADED A+
LATEST
1. You arrive on scene to find a 45-year-old male complaining of chest pain and
shortness of breath. His pulse is 110 bpm, respirations 24/min, and blood pressure
150/90 mmHg. Which of the following should be your immediate action?
A. Administer high-flow oxygen
B. Place him in a supine position
C. Perform a rapid trauma assessment
D. Transport without intervention
Answer: A. Administer high-flow oxygen
Rationale: The patient shows signs of a possible acute coronary syndrome.
Oxygen supplementation improves oxygenation and tissue perfusion.
2. A patient with a known history of asthma presents with wheezing, dyspnea, and
a prolonged expiratory phase. What is the most appropriate treatment?
A. Epinephrine 0.3 mg IM
B. Albuterol via nebulizer
C. CPAP at 15 cm H₂O
D. Oral prednisone
Answer: B. Albuterol via nebulizer
Rationale: Albuterol is a beta-2 agonist that relaxes bronchial smooth muscle and
is the first-line treatment for acute asthma exacerbation.
,3. Which of the following is a contraindication for the use of an automated external
defibrillator (AED)?
A. Pulseless ventricular tachycardia
B. Asystole
C. Ventricular fibrillation
D. Shockable rhythm
Answer: B. Asystole
Rationale: AEDs are not indicated for asystole, which is a non-shockable rhythm;
CPR and medications are the primary interventions.
4. The EMT recognizes that the purpose of the primary assessment is to:
A. Identify immediate life threats
B. Obtain a detailed patient history
C. Conduct a head-to-toe exam
D. Determine insurance information
Answer: A. Identify immediate life threats
Rationale: The primary assessment focuses on life-threatening conditions to
prioritize immediate interventions.
5. You are treating a patient who was stung by a bee and is showing signs of
anaphylaxis. The EMT should:
A. Apply a cold pack to the sting site only
B. Administer epinephrine and monitor vital signs
C. Give oral antihistamines and transport
D. Allow the patient to self-administer medication
Answer: B. Administer epinephrine and monitor vital signs
Rationale: Anaphylaxis is a life-threatening emergency; epinephrine IM is the
first-line treatment, along with airway monitoring and rapid transport.
,6. During a motor vehicle crash, a patient is ejected from the vehicle and found
lying on the ground. The EMT should first:
A. Assess airway, breathing, and circulation
B. Move the patient to a stretcher immediately
C. Remove the patient’s helmet
D. Splint all extremities
Answer: A. Assess airway, breathing, and circulation
Rationale: The primary assessment always comes first; addressing life-threatening
conditions takes priority over movement or immobilization.
7. A 30-year-old male presents with severe abdominal pain, hypotension, and a
rigid abdomen. Which of the following should the EMT suspect?
A. Myocardial infarction
B. Internal bleeding
C. Stroke
D. Asthma exacerbation
Answer: B. Internal bleeding
Rationale: Hypotension, abdominal rigidity, and severe pain suggest internal
hemorrhage or intra-abdominal injury.
8. Which of the following is an appropriate rate for adult chest compressions
during CPR?
A. 60–80 per minute
B. 80–100 per minute
C. 100–120 per minute
D. 120–140 per minute
Answer: C. 100–120 per minute
Rationale: Current guidelines recommend 100–120 compressions per minute for
effective CPR.
, 9. A patient presents with altered mental status, rapid pulse, warm skin, and dry
mucous membranes. Which type of shock is most likely?
A. Hypovolemic
B. Cardiogenic
C. Distributive
D. Obstructive
Answer: C. Distributive
Rationale: Warm, flushed skin with hypotension and tachycardia suggests
distributive shock, often due to sepsis or anaphylaxis.
10. Which of the following best describes the “rule of nines”?
A. A method for estimating burn surface area
B. A protocol for CPR administration
C. A system for measuring blood pressure
D. A method for determining oxygen dosage
Answer: A. A method for estimating burn surface area
Rationale: The rule of nines is used to estimate the total body surface area affected
by burns for fluid resuscitation planning.
11. When suctioning a patient, you should limit each attempt to:
A. 5–10 seconds for adults
B. 10–15 seconds for adults
C. 15–20 seconds for adults
D. 20–30 seconds for adults
Answer: A. 5–10 seconds for adults
Rationale: Suctioning should be brief to prevent hypoxia; pediatric patients
require even shorter durations.
2026/2027 QUESTIONS AND 100% VERIFIED
ANSWERS WITH RATIONALES GRADED A+
LATEST
1. You arrive on scene to find a 45-year-old male complaining of chest pain and
shortness of breath. His pulse is 110 bpm, respirations 24/min, and blood pressure
150/90 mmHg. Which of the following should be your immediate action?
A. Administer high-flow oxygen
B. Place him in a supine position
C. Perform a rapid trauma assessment
D. Transport without intervention
Answer: A. Administer high-flow oxygen
Rationale: The patient shows signs of a possible acute coronary syndrome.
Oxygen supplementation improves oxygenation and tissue perfusion.
2. A patient with a known history of asthma presents with wheezing, dyspnea, and
a prolonged expiratory phase. What is the most appropriate treatment?
A. Epinephrine 0.3 mg IM
B. Albuterol via nebulizer
C. CPAP at 15 cm H₂O
D. Oral prednisone
Answer: B. Albuterol via nebulizer
Rationale: Albuterol is a beta-2 agonist that relaxes bronchial smooth muscle and
is the first-line treatment for acute asthma exacerbation.
,3. Which of the following is a contraindication for the use of an automated external
defibrillator (AED)?
A. Pulseless ventricular tachycardia
B. Asystole
C. Ventricular fibrillation
D. Shockable rhythm
Answer: B. Asystole
Rationale: AEDs are not indicated for asystole, which is a non-shockable rhythm;
CPR and medications are the primary interventions.
4. The EMT recognizes that the purpose of the primary assessment is to:
A. Identify immediate life threats
B. Obtain a detailed patient history
C. Conduct a head-to-toe exam
D. Determine insurance information
Answer: A. Identify immediate life threats
Rationale: The primary assessment focuses on life-threatening conditions to
prioritize immediate interventions.
5. You are treating a patient who was stung by a bee and is showing signs of
anaphylaxis. The EMT should:
A. Apply a cold pack to the sting site only
B. Administer epinephrine and monitor vital signs
C. Give oral antihistamines and transport
D. Allow the patient to self-administer medication
Answer: B. Administer epinephrine and monitor vital signs
Rationale: Anaphylaxis is a life-threatening emergency; epinephrine IM is the
first-line treatment, along with airway monitoring and rapid transport.
,6. During a motor vehicle crash, a patient is ejected from the vehicle and found
lying on the ground. The EMT should first:
A. Assess airway, breathing, and circulation
B. Move the patient to a stretcher immediately
C. Remove the patient’s helmet
D. Splint all extremities
Answer: A. Assess airway, breathing, and circulation
Rationale: The primary assessment always comes first; addressing life-threatening
conditions takes priority over movement or immobilization.
7. A 30-year-old male presents with severe abdominal pain, hypotension, and a
rigid abdomen. Which of the following should the EMT suspect?
A. Myocardial infarction
B. Internal bleeding
C. Stroke
D. Asthma exacerbation
Answer: B. Internal bleeding
Rationale: Hypotension, abdominal rigidity, and severe pain suggest internal
hemorrhage or intra-abdominal injury.
8. Which of the following is an appropriate rate for adult chest compressions
during CPR?
A. 60–80 per minute
B. 80–100 per minute
C. 100–120 per minute
D. 120–140 per minute
Answer: C. 100–120 per minute
Rationale: Current guidelines recommend 100–120 compressions per minute for
effective CPR.
, 9. A patient presents with altered mental status, rapid pulse, warm skin, and dry
mucous membranes. Which type of shock is most likely?
A. Hypovolemic
B. Cardiogenic
C. Distributive
D. Obstructive
Answer: C. Distributive
Rationale: Warm, flushed skin with hypotension and tachycardia suggests
distributive shock, often due to sepsis or anaphylaxis.
10. Which of the following best describes the “rule of nines”?
A. A method for estimating burn surface area
B. A protocol for CPR administration
C. A system for measuring blood pressure
D. A method for determining oxygen dosage
Answer: A. A method for estimating burn surface area
Rationale: The rule of nines is used to estimate the total body surface area affected
by burns for fluid resuscitation planning.
11. When suctioning a patient, you should limit each attempt to:
A. 5–10 seconds for adults
B. 10–15 seconds for adults
C. 15–20 seconds for adults
D. 20–30 seconds for adults
Answer: A. 5–10 seconds for adults
Rationale: Suctioning should be brief to prevent hypoxia; pediatric patients
require even shorter durations.
