EMT Final Written Exam
According to the National EMS Scope of Practice Model, an EMT should be able to:
A. insert a peripheral IV line and infuse fluids.
B. assist a patient with certain prescribed medications.
C. administer epinephrine via the subcutaneous route.
D. interpret a basic (ECG) rhythm and treat accordingly -
✅B. assist a patient with certain prescribed medications.
An EMS provider who has extensive training in various aspects of advanced life support (ALS) is
called a(n):
A. paramedic.
B. advanced EMT (AEMT).
C. EMT.
D. EMR. -
✅A. paramedic.
As an EMT, you may be authorized to administer aspirin to a patient with chest pain based on:
A. the transport time to the hospital.
B. the patient's condition.
C. an order from a paramedic.
D. medical director approval. -
✅D. medical director approval.
Continuing education in EMS serves to:
A. maintain, update, and expand the EMT's knowledge and skills.
B. provide an ongoing review and audit of the EMS system.
C. enforce mandatory attendance at agency-specific training.
D. confirm research and statistical findings in prehospital care. -
✅A. maintain, update, and expand the EMT's knowledge and skills.
EMS as we know it today had its origins in 1966 with the publication of:
A. the Department of Transportation's White Paper: Death and Dying.
B. Accidental Death and Disability: The Neglected Disease of Modern Society.
C. the Emergency Medical Services Act.
D. Emergency Care and Transportation of the Sick and Injured -
✅B. Accidental Death and Disability: The Neglected Disease of Modern Society.
EMT training in nearly every state meets or exceeds the guidelines recommended by the:
A. individual state's EMS protocols.
B. National Registry of EMTs.
C. National Highway Traffic Safety Administration (NHTSA).
1
,D. National Association of EMTs -
✅C. National Highway Traffic Safety Administration (NHTSA).
If an EMT candidate has been convicted of a felony or misdemeanor, he or she should:
A. recognize that any such conviction will disqualify him or her from EMT licensure.
B. contact the state EMS office and provide its staff with the required documentation.
C. send an official request to the National Registry of EMTs (NREMT) to seek approval to take the
EMT exam.
D. wait at least 24 months before taking another state-approved EMT class -
✅B. contact the state EMS office and provide its staff with the required documentation.
Obtaining continuing medical education is the responsibility of the:
A. EMS medical director.
B. State Bureau of EMS.
C. EMS training officer.
D. individual EMT -
✅D. individual EMT
The continuous quality improvement (CQI) process is designed to:
A. focus specifically on the quality of emergency care provided to the patient.
B. identify areas of improvement and provide remedial training if needed.
C. ensure that all EMTs maintain licensure through the state EMS office.
D. administer punitive actions to EMTs who do not follow local protocols -
✅B. identify areas of improvement and provide remedial training if needed.
The EMT certification exam is designed to:
A. ensure that EMTs are competent and have the same level of knowledge and skills.
B. provide EMTs with the best possible wage once certification is achieved.
C. rank EMTs based on performance on the certification exam.
D. identify those EMTs who are prepared for advanced levels of training -
✅A. ensure that EMTs are competent and have the same level of knowledge and skills.
The person who is responsible for authorizing EMTs to perform emergency medical care in the field
is the:
A. field training officer.
B. medical director.
C. shift supervisor.
D. EMS administrator -
✅B. medical director.
The standards for prehospital emergency care and the individuals who provide it are typically
regulated by the:
A. state office of EMS.
2
,B. regional trauma center.
C. National Registry of EMTs.
D. American Heart Association -
✅A. state office of EMS.
Which of the following is an example of a primary prevention strategy?
A. The construction of a guardrail on a dangerous curve following a fatal motor vehicle crash
B. Protecting a patient's spine from further injury after a fall from a significant height
C. Community awareness programs that emphasize the dangers of drinking and driving
D. Teaching a group of new parents how to perform one- and two-rescuer infant CPR -
✅C. Community awareness programs that emphasize the dangers of drinking and driving
Which of the following scenarios involves the administration of ALS?
A. A 64-year-old patient who is given aspirin for suspected cardiac chest pain
B. A 61-year-old patient who is receiving humidified supplemental oxygen
C. A 53-year-old patient who is assisted with his prescribed nitroglycerin
D. A 48-year-old patient whose airway is secured with a supraglottic device -
✅D. A 48-year-old patient whose airway is secured with a supraglottic device
Which of the following skills or interventions is included at every level of prehospital emergency
training?
A. Oral glucose for hypoglycemia
B. Automated external defibrillation
C. Use of a manually triggered ventilator
D. Intranasal medication administration -
✅B. Automated external defibrillation
Which of the following skills would a layperson most likely be trained to perform before the arrival
of EMS?
A. Insertion of an oropharyngeal airway
B. Obtaining a manual blood pressure
C. Bleeding control using a tourniquet
D. Administration of supplemental oxygen -
✅C. Bleeding control using a tourniquet
Which of the following statements regarding the EMS medical director and an EMT's scope of
practice is correct?
A. An EMT's scope of practice may be expanded by the medical director after proper training and
state approval.
B. An EMT's scope of practice is exclusively regulated by the state EMS office, not the EMS
medical director.
C. The EMS medical director can expand the EMT's scope of practice but cannot limit it without
state approval.
3
, D. The EMS medical director can expand or limit an individual EMT's scope of practice without
state approval -
✅A. An EMT's scope of practice may be expanded by the medical director after proper
training and state approval.
Which of the following statements regarding the NREMT is correct?
A. The NREMT provides a national standard for EMS testing.
B. The NREMT is a governmental agency that certifies EMTs.
C. The NREMT regulates EMS training standards.
D. The NREMT is the exclusive certifying body for EMTs -
✅A. The NREMT provides a national standard for EMS testing.
Which type of medical direction do standing orders and protocols describe?
A. Direct
B. Off-line
C. Radio
D. Online -
✅B. Off-line
Why are prehospital emergency care guidelines updated on a regular basis?
A. Statistical data indicate that an increasing number of people are being diagnosed with a particular
illness.
B. The federal government requires the implementation of changes to existing emergency care
protocols at least every five years.
C. Additional information and evidence indicate that the effectiveness of certain interventions has
changed.
D. EMS providers should be encouraged to actively participate in research and become familiar
with data analysis -
✅C. Additional information and evidence indicate that the effectiveness of certain
interventions has changed.
A 75-year-old male with a terminal illness has died at home. As you and your partner enter the
residence, a family member becomes verbally abusive, pushes you, and states that you took too long
to get there. You should:
A. retreat and notify law enforcement personnel.
B. tell the family member that it is not your fault.
C. ignore the family member and assess the patient.
D. subdue the family member until the police arrive -
✅A. retreat and notify law enforcement personnel.
According to Occupational Safety and Health Administration (OSHA) regulations, an employer
must:
A. offer a workplace environment that reduces the risk of exposure.
B. screen all prospective employees for bloodborne pathogens.
4
According to the National EMS Scope of Practice Model, an EMT should be able to:
A. insert a peripheral IV line and infuse fluids.
B. assist a patient with certain prescribed medications.
C. administer epinephrine via the subcutaneous route.
D. interpret a basic (ECG) rhythm and treat accordingly -
✅B. assist a patient with certain prescribed medications.
An EMS provider who has extensive training in various aspects of advanced life support (ALS) is
called a(n):
A. paramedic.
B. advanced EMT (AEMT).
C. EMT.
D. EMR. -
✅A. paramedic.
As an EMT, you may be authorized to administer aspirin to a patient with chest pain based on:
A. the transport time to the hospital.
B. the patient's condition.
C. an order from a paramedic.
D. medical director approval. -
✅D. medical director approval.
Continuing education in EMS serves to:
A. maintain, update, and expand the EMT's knowledge and skills.
B. provide an ongoing review and audit of the EMS system.
C. enforce mandatory attendance at agency-specific training.
D. confirm research and statistical findings in prehospital care. -
✅A. maintain, update, and expand the EMT's knowledge and skills.
EMS as we know it today had its origins in 1966 with the publication of:
A. the Department of Transportation's White Paper: Death and Dying.
B. Accidental Death and Disability: The Neglected Disease of Modern Society.
C. the Emergency Medical Services Act.
D. Emergency Care and Transportation of the Sick and Injured -
✅B. Accidental Death and Disability: The Neglected Disease of Modern Society.
EMT training in nearly every state meets or exceeds the guidelines recommended by the:
A. individual state's EMS protocols.
B. National Registry of EMTs.
C. National Highway Traffic Safety Administration (NHTSA).
1
,D. National Association of EMTs -
✅C. National Highway Traffic Safety Administration (NHTSA).
If an EMT candidate has been convicted of a felony or misdemeanor, he or she should:
A. recognize that any such conviction will disqualify him or her from EMT licensure.
B. contact the state EMS office and provide its staff with the required documentation.
C. send an official request to the National Registry of EMTs (NREMT) to seek approval to take the
EMT exam.
D. wait at least 24 months before taking another state-approved EMT class -
✅B. contact the state EMS office and provide its staff with the required documentation.
Obtaining continuing medical education is the responsibility of the:
A. EMS medical director.
B. State Bureau of EMS.
C. EMS training officer.
D. individual EMT -
✅D. individual EMT
The continuous quality improvement (CQI) process is designed to:
A. focus specifically on the quality of emergency care provided to the patient.
B. identify areas of improvement and provide remedial training if needed.
C. ensure that all EMTs maintain licensure through the state EMS office.
D. administer punitive actions to EMTs who do not follow local protocols -
✅B. identify areas of improvement and provide remedial training if needed.
The EMT certification exam is designed to:
A. ensure that EMTs are competent and have the same level of knowledge and skills.
B. provide EMTs with the best possible wage once certification is achieved.
C. rank EMTs based on performance on the certification exam.
D. identify those EMTs who are prepared for advanced levels of training -
✅A. ensure that EMTs are competent and have the same level of knowledge and skills.
The person who is responsible for authorizing EMTs to perform emergency medical care in the field
is the:
A. field training officer.
B. medical director.
C. shift supervisor.
D. EMS administrator -
✅B. medical director.
The standards for prehospital emergency care and the individuals who provide it are typically
regulated by the:
A. state office of EMS.
2
,B. regional trauma center.
C. National Registry of EMTs.
D. American Heart Association -
✅A. state office of EMS.
Which of the following is an example of a primary prevention strategy?
A. The construction of a guardrail on a dangerous curve following a fatal motor vehicle crash
B. Protecting a patient's spine from further injury after a fall from a significant height
C. Community awareness programs that emphasize the dangers of drinking and driving
D. Teaching a group of new parents how to perform one- and two-rescuer infant CPR -
✅C. Community awareness programs that emphasize the dangers of drinking and driving
Which of the following scenarios involves the administration of ALS?
A. A 64-year-old patient who is given aspirin for suspected cardiac chest pain
B. A 61-year-old patient who is receiving humidified supplemental oxygen
C. A 53-year-old patient who is assisted with his prescribed nitroglycerin
D. A 48-year-old patient whose airway is secured with a supraglottic device -
✅D. A 48-year-old patient whose airway is secured with a supraglottic device
Which of the following skills or interventions is included at every level of prehospital emergency
training?
A. Oral glucose for hypoglycemia
B. Automated external defibrillation
C. Use of a manually triggered ventilator
D. Intranasal medication administration -
✅B. Automated external defibrillation
Which of the following skills would a layperson most likely be trained to perform before the arrival
of EMS?
A. Insertion of an oropharyngeal airway
B. Obtaining a manual blood pressure
C. Bleeding control using a tourniquet
D. Administration of supplemental oxygen -
✅C. Bleeding control using a tourniquet
Which of the following statements regarding the EMS medical director and an EMT's scope of
practice is correct?
A. An EMT's scope of practice may be expanded by the medical director after proper training and
state approval.
B. An EMT's scope of practice is exclusively regulated by the state EMS office, not the EMS
medical director.
C. The EMS medical director can expand the EMT's scope of practice but cannot limit it without
state approval.
3
, D. The EMS medical director can expand or limit an individual EMT's scope of practice without
state approval -
✅A. An EMT's scope of practice may be expanded by the medical director after proper
training and state approval.
Which of the following statements regarding the NREMT is correct?
A. The NREMT provides a national standard for EMS testing.
B. The NREMT is a governmental agency that certifies EMTs.
C. The NREMT regulates EMS training standards.
D. The NREMT is the exclusive certifying body for EMTs -
✅A. The NREMT provides a national standard for EMS testing.
Which type of medical direction do standing orders and protocols describe?
A. Direct
B. Off-line
C. Radio
D. Online -
✅B. Off-line
Why are prehospital emergency care guidelines updated on a regular basis?
A. Statistical data indicate that an increasing number of people are being diagnosed with a particular
illness.
B. The federal government requires the implementation of changes to existing emergency care
protocols at least every five years.
C. Additional information and evidence indicate that the effectiveness of certain interventions has
changed.
D. EMS providers should be encouraged to actively participate in research and become familiar
with data analysis -
✅C. Additional information and evidence indicate that the effectiveness of certain
interventions has changed.
A 75-year-old male with a terminal illness has died at home. As you and your partner enter the
residence, a family member becomes verbally abusive, pushes you, and states that you took too long
to get there. You should:
A. retreat and notify law enforcement personnel.
B. tell the family member that it is not your fault.
C. ignore the family member and assess the patient.
D. subdue the family member until the police arrive -
✅A. retreat and notify law enforcement personnel.
According to Occupational Safety and Health Administration (OSHA) regulations, an employer
must:
A. offer a workplace environment that reduces the risk of exposure.
B. screen all prospective employees for bloodborne pathogens.
4
