NCOEMS Practice Exam 1 2026 Exam
Questions COMPREHENSIVE
FREQUENTLY TESTED 120 QUESTIONS
and verified answers with rationale
accurate 100%already graded A+
EMTs should wear high-efficiency particulate air (HEPA) respirators when they
are in contact with patients who have which of the following?
A. HIV (Human Immunodeficiency Virus) or AIDS (Acquired Immune Deficiency
Syndrome)
B. Tuberculosis (TB)
C. Open Wounds
D. Hepatitis B - --correct answer --B.
You are called to assist a 60-year-old female complaining of a severe headache.
Upon entering the home, you smell a strong odor of natural gas. What is your first
action?
A. Check the patient's airway, breathing, and circulation.
B. Insert a nasopharyngeal airway and assess vital signs.
C. Remove the patient from the house to your ambulance.
D. Open all windows and determine the source of the gas leak. - --correct
answer --C.
The most common electrical rhythm disturbance that results in sudden cardiac
arrest is called:
A. Pulseless electrical activity
B. Ventricular Fibrillation
C. Ventricular Tachycardia
D. Asystole - --correct answer --B.
,A non-trauma patient was pulseless and apneic. Assisted ventilation was
attempted, but unsuccessful. If the head is repositioned and a repeat ventilation is
unsuccessful, which of the following is the next most appropriate step?
A. Check for an airway obstruction.
B. Continue with chest compressions only.
C. Attempt ventilations using an alternative method.
D. Continue to reposition the head until assisted ventilations are successful. - --
correct answer --A.
During the management of a cardiac arrest, the AED gives a 'no shock advised'
message. Which of the following conditions most likely prompted this message?
A. The patient is in V tach.
B. The patient is hypothermic.
C. The patient is in V fib.
D. The patient's rhythm is asystole. - --correct answer --D.
ALS and EMS providers are preparing to hyperventilate a patient who has a
suspected brainstem herniation. As capnography becomes available, what should
be the target end-tidal carbon-dioxide level during hyperventilation?
A. 20-25 mmHg
B. 60-70 mmHg
C. 30-35 mmHg
D. 40-45 mmHg - --correct answer --C.
Which of the following is the highest priority patient?
A. 57-year-old male with chest pain and systolic blood pressure of 80.
B. 40-year-old female with moderate pain from a leg injury.
C. 75-year-old male who appears confused but responds to commands.
D. 25-year-old female in labor with contractions six minutes apart. - --correct
answer --A.
Of the following, which body fluid has the most potential to transmit blood-borne
diseases?
A. Nasal discharge
B. Vomitus
C. Amniotic fluid
D. Feces - --correct answer --C.
, Your patient is an 11-month-old female. How can you determine if she has a
decreased mental status and is responsive to verbal stimuli?
A. She will be upset when you take her from her mother's arms.
B. She will be unable to tell you how old she is if you ask her.
C. She will attempt to locate her parents' voices when they speak.
D. She will try to pull away from a painful stimulus on her toe. - --correct
answer --C.
What is the best method to asses circulation in an infant?
A. Palpate the carotid pulse.
B. Palpate the brachial pulse.
C. Palpate the radial pulse.
D. Observe capillary refill time. - --correct answer --B.
A 45-year-old male is experiencing chest discomfort. After placing him in his
position of comfort, your next action should be to:
A. Ventilate the patient with a nonrebreather mask at 15 L/min.
B. Ventilate the patient with the bag-valve mask at 15 L/min.
C. Administer oxygen by nonrebreather mask at 15 L/min.
D. Administer oxygen by the nasal cannula at 6 L/min. - --correct answer
--C.
Which patient should receive a rapid trauma survey to determine hidden injuries?
A. Alert 2-year-old child in a car seat who was in a medium-speed crash.
B. Alert 20-year-old male who fell ten feet and is complaining of leg pain.
C. Alert 65-year-old female who fell in the bathtub and is complaining of wrist
pain.
D. Alert 11-year-old female who tripped while roller-skating and fell down three
steps. - --correct answer --A.
Which of the following is a sign of increased pressure in the circulatory system?
A. Flat neck veins.
B. Palpable carotid pulse.
C. Distended jugular veins.
D. Decreased radial pulse - --correct answer --C.
An automated external defibrillator (AED) will shock which of the following
rhythms?
Questions COMPREHENSIVE
FREQUENTLY TESTED 120 QUESTIONS
and verified answers with rationale
accurate 100%already graded A+
EMTs should wear high-efficiency particulate air (HEPA) respirators when they
are in contact with patients who have which of the following?
A. HIV (Human Immunodeficiency Virus) or AIDS (Acquired Immune Deficiency
Syndrome)
B. Tuberculosis (TB)
C. Open Wounds
D. Hepatitis B - --correct answer --B.
You are called to assist a 60-year-old female complaining of a severe headache.
Upon entering the home, you smell a strong odor of natural gas. What is your first
action?
A. Check the patient's airway, breathing, and circulation.
B. Insert a nasopharyngeal airway and assess vital signs.
C. Remove the patient from the house to your ambulance.
D. Open all windows and determine the source of the gas leak. - --correct
answer --C.
The most common electrical rhythm disturbance that results in sudden cardiac
arrest is called:
A. Pulseless electrical activity
B. Ventricular Fibrillation
C. Ventricular Tachycardia
D. Asystole - --correct answer --B.
,A non-trauma patient was pulseless and apneic. Assisted ventilation was
attempted, but unsuccessful. If the head is repositioned and a repeat ventilation is
unsuccessful, which of the following is the next most appropriate step?
A. Check for an airway obstruction.
B. Continue with chest compressions only.
C. Attempt ventilations using an alternative method.
D. Continue to reposition the head until assisted ventilations are successful. - --
correct answer --A.
During the management of a cardiac arrest, the AED gives a 'no shock advised'
message. Which of the following conditions most likely prompted this message?
A. The patient is in V tach.
B. The patient is hypothermic.
C. The patient is in V fib.
D. The patient's rhythm is asystole. - --correct answer --D.
ALS and EMS providers are preparing to hyperventilate a patient who has a
suspected brainstem herniation. As capnography becomes available, what should
be the target end-tidal carbon-dioxide level during hyperventilation?
A. 20-25 mmHg
B. 60-70 mmHg
C. 30-35 mmHg
D. 40-45 mmHg - --correct answer --C.
Which of the following is the highest priority patient?
A. 57-year-old male with chest pain and systolic blood pressure of 80.
B. 40-year-old female with moderate pain from a leg injury.
C. 75-year-old male who appears confused but responds to commands.
D. 25-year-old female in labor with contractions six minutes apart. - --correct
answer --A.
Of the following, which body fluid has the most potential to transmit blood-borne
diseases?
A. Nasal discharge
B. Vomitus
C. Amniotic fluid
D. Feces - --correct answer --C.
, Your patient is an 11-month-old female. How can you determine if she has a
decreased mental status and is responsive to verbal stimuli?
A. She will be upset when you take her from her mother's arms.
B. She will be unable to tell you how old she is if you ask her.
C. She will attempt to locate her parents' voices when they speak.
D. She will try to pull away from a painful stimulus on her toe. - --correct
answer --C.
What is the best method to asses circulation in an infant?
A. Palpate the carotid pulse.
B. Palpate the brachial pulse.
C. Palpate the radial pulse.
D. Observe capillary refill time. - --correct answer --B.
A 45-year-old male is experiencing chest discomfort. After placing him in his
position of comfort, your next action should be to:
A. Ventilate the patient with a nonrebreather mask at 15 L/min.
B. Ventilate the patient with the bag-valve mask at 15 L/min.
C. Administer oxygen by nonrebreather mask at 15 L/min.
D. Administer oxygen by the nasal cannula at 6 L/min. - --correct answer
--C.
Which patient should receive a rapid trauma survey to determine hidden injuries?
A. Alert 2-year-old child in a car seat who was in a medium-speed crash.
B. Alert 20-year-old male who fell ten feet and is complaining of leg pain.
C. Alert 65-year-old female who fell in the bathtub and is complaining of wrist
pain.
D. Alert 11-year-old female who tripped while roller-skating and fell down three
steps. - --correct answer --A.
Which of the following is a sign of increased pressure in the circulatory system?
A. Flat neck veins.
B. Palpable carotid pulse.
C. Distended jugular veins.
D. Decreased radial pulse - --correct answer --C.
An automated external defibrillator (AED) will shock which of the following
rhythms?
