Page 1 of 104
NYS EMT-B State Exam 2026/27 Updated
Questions & Answers (Verified Answers),
100% Guaranteed Pass ||Complete A+
Guide
1. A 58-year-old male is unresponsive, with agonal
respirations at 6 breaths/min. What is your priority action?
A) Jaw thrust and bag-valve-mask ventilation
B) Oropharyngeal airway and non-rebreather mask at 15
L/min
C) Head-tilt chin-lift and high-flow oxygen via nasal cannula
D) Supraglottic airway insertion
Answer: A – Jaw thrust with BVM ventilation (rationale:
agonal breathing is inadequate; jaw thrust if trauma suspected
– not stated, but unresponsive with poor respiratory effort
,Page 2 of 104
requires positive pressure ventilation; head-tilt is not safe
without trauma rule-out)
2. Which oxygen delivery device provides the highest FiO2
for a spontaneously breathing patient?
A) Nasal cannula at 6 L/min
B) Simple face mask at 10 L/min
C) Non-rebreather mask at 15 L/min
D) Venturi mask at 15 L/min
Answer: C – Up to 90% FiO2
3. You are assisting a 7-year-old with a severe asthma attack.
He is alert but can only speak 2–3 words per breath. Oxygen
saturation is 88% on room air. Next step?
A) Non-rebreather mask at 10 L/min
B) Nebulized albuterol (EMT-B may assist with patient’s own
inhaler if protocol allows)
C) BVM with 100% oxygen
D) Supraglottic airway
,Page 3 of 104
Answer: B – Assist with prescribed inhaler/spacer per NYS
BLS protocols for respiratory distress
4. (Scenario) A 45-year-old female is found supine with
gurgling respirations. You see vomitus in the oropharynx. What
is your immediate action?
A) Suction with rigid tonsil tip up to 15 seconds
B) Place in recovery position
C) Intubate
D) Give abdominal thrusts
Answer: A – Suction clear airway first
5. What is the maximum suction time for an adult?
A) 5 seconds
B) 10 seconds
C) 15 seconds
D) 20 seconds
Answer: C – 15 seconds, then reoxygenate
, Page 4 of 104
6. A nasopharyngeal airway is contraindicated in which of the
following?
A) Unresponsive patient
B) Possible skull fracture
C) Snoring respirations
D) Gag reflex present
Answer: B – Risk of inserting into cranial vault
7. The correct tidal volume for an adult during BVM ventilation
is:
A) 500–600 mL
B) 200–300 mL
C) 800–1000 mL
D) Just enough to see chest rise
Answer: D – Just enough for visible chest rise (prevents gastric
inflation)
8. (Scenario) A 2-year-old is choking, unable to cough or cry.
Your next action?
NYS EMT-B State Exam 2026/27 Updated
Questions & Answers (Verified Answers),
100% Guaranteed Pass ||Complete A+
Guide
1. A 58-year-old male is unresponsive, with agonal
respirations at 6 breaths/min. What is your priority action?
A) Jaw thrust and bag-valve-mask ventilation
B) Oropharyngeal airway and non-rebreather mask at 15
L/min
C) Head-tilt chin-lift and high-flow oxygen via nasal cannula
D) Supraglottic airway insertion
Answer: A – Jaw thrust with BVM ventilation (rationale:
agonal breathing is inadequate; jaw thrust if trauma suspected
– not stated, but unresponsive with poor respiratory effort
,Page 2 of 104
requires positive pressure ventilation; head-tilt is not safe
without trauma rule-out)
2. Which oxygen delivery device provides the highest FiO2
for a spontaneously breathing patient?
A) Nasal cannula at 6 L/min
B) Simple face mask at 10 L/min
C) Non-rebreather mask at 15 L/min
D) Venturi mask at 15 L/min
Answer: C – Up to 90% FiO2
3. You are assisting a 7-year-old with a severe asthma attack.
He is alert but can only speak 2–3 words per breath. Oxygen
saturation is 88% on room air. Next step?
A) Non-rebreather mask at 10 L/min
B) Nebulized albuterol (EMT-B may assist with patient’s own
inhaler if protocol allows)
C) BVM with 100% oxygen
D) Supraglottic airway
,Page 3 of 104
Answer: B – Assist with prescribed inhaler/spacer per NYS
BLS protocols for respiratory distress
4. (Scenario) A 45-year-old female is found supine with
gurgling respirations. You see vomitus in the oropharynx. What
is your immediate action?
A) Suction with rigid tonsil tip up to 15 seconds
B) Place in recovery position
C) Intubate
D) Give abdominal thrusts
Answer: A – Suction clear airway first
5. What is the maximum suction time for an adult?
A) 5 seconds
B) 10 seconds
C) 15 seconds
D) 20 seconds
Answer: C – 15 seconds, then reoxygenate
, Page 4 of 104
6. A nasopharyngeal airway is contraindicated in which of the
following?
A) Unresponsive patient
B) Possible skull fracture
C) Snoring respirations
D) Gag reflex present
Answer: B – Risk of inserting into cranial vault
7. The correct tidal volume for an adult during BVM ventilation
is:
A) 500–600 mL
B) 200–300 mL
C) 800–1000 mL
D) Just enough to see chest rise
Answer: D – Just enough for visible chest rise (prevents gastric
inflation)
8. (Scenario) A 2-year-old is choking, unable to cough or cry.
Your next action?
