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EMT Final Test Bank 2025 | Emergency Medical Technician
Practice Questions, Answers, and Study Guide
Access a complete EMT Final Test Bank for 2025, featuring hundreds of practice questions
covering patient assessment, airway management, CPR, trauma, medical emergencies,
pharmacology, and EMS protocols. Perfect for EMT students preparing for final exams or
certification tests.
• EMT final test bank 2025
• EMT practice questions and answers
• EMT study guide PDF
• Emergency Medical Technician exam prep
In which of the following situations would you MOST likely encounter agonal gasps?
A: Significant hypoxemia, regardless of the cause
B: Shortly after becoming unresponsive and pulseless
C: Occlusion of the posterior pharynx by the tongue
D: Any patient who is unresponsive due to hypoxia - ANSWER-B: Shortly after becoming unresponsive
and pulseless
Reason:
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Agonal gasps are occasional, irregular, and ineffective breaths. They are commonly observed in patients
shortly after they become unresponsive and pulseless (cardiac arrest). Agonal gasps may also be
observed in patients with a severe brain injury or cerebral anoxia (complete absence of oxygen). Patients
with agonal gasps require some form of positive-pressure ventilation. Hypoxemic and hypoxic patients
typically present with tachypnea (increased respirations) in an attempt to eliminate carbon dioxide and
bring in more oxygen. However, as the hypoxic patient begins to decompensate, his or her respirations
often become slow (bradypnea). If the tongue is occluding the posterior pharynx, a characteristic snoring
sound is typically heard.
A 60-year-old man presents with chest pain and difficulty breathing. He is pale, diaphoretic, and in
severe pain. As your partner applies supplemental oxygen, you assess his vital signs. His blood pressure is
180/90 mm Hg, pulse is 110 beats/min and irregular, and respirations are 24 breaths/min and labored.
You ask him if has taken any nitroglycerin and he tells you that he does not have any but his wife does.
You should:
A: complete your focused physical examination and prepare the patient for immediate transport to an
appropriate hospital.
B: have him swallow up to four enteric-coated aspirin, continue oxygen therapy, and promptly transport
him to the hospital.
C: transport at once, apply the AED in case he develops cardiac arrest, and monitor his vital signs en
route to the hospital.
D: contact medical control and request permission to assist the patient with up to three doses of his
wife's nitroglycerin.
You se - ANSWER-B: have him swallow up to four enteric-coated aspirin, continue oxygen therapy, and
promptly transport him to the hospital.
Reason:
If a patient with suspected cardiac compromise does not have prescribed nitroglycerin (NTG), complete
your focused physical examination, continue oxygen therapy, and transport immediately. Do not
administer, or request to administer, any medication that is not prescribed to the patient. If the patient
develops cardiac arrest, apply the AED and follow its voice prompts. Do not apply the AED to any patient
who is not in cardiac arrest. If your protocols allow you to administer aspirin, give up to 325 mg of
chewable baby aspirin (have the patient chew the aspirin before swallowing it). Enteric-coated aspirin
(aspirin that is coated to prevent stomach upset) is intended to be swallowed without chewing. It takes
too long to dissolve, whereas chewable aspirin has a much faster effect.
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During the triage process, which of the following injuries or conditions would classify a patient as a high
priority?
A: Unilateral femur fracture and tachycardia
B: A large avulsion to the arm and an altered mental status
C: Partial-thickness burns with no respiratory difficulty
D: Pulselessness and apnea - ANSWER-B: A large avulsion to the arm and an altered mental status
Reason:
During triage, patients with an altered mental status, who are in shock, or who have problems with
airway, breathing, or circulation, are potentially salvageable and are given immediate priority. Patients
who are pulseless and apneic have low priority in a mass-casualty situation. If you focus your efforts on
cardiac arrest patients, who will most likely not survive anyway, patients who could have potentially
been saved will die as well. Remember, the goal of triage is to provide the greatest good for the greatest
number of patients.
You are assessing a 26-year-old woman who is 38 weeks pregnant and is in labor. She tells you that she
was pregnant once before, but had a miscarriage at 19 weeks. You should document her obstetric history
as:
A: gravida 0, para 2.
B: gravida 2, para 1.
C: gravida 1, para 1.
D: gravida 2, para 0. - ANSWER-D: gravida 2, para 0.
Reason:
Gravida is the term used to describe the number of times a woman has been pregnant, regardless of
whether or not she carried the infant to term. Para is the term used to describe the number of times a
woman has carried a fetus beyond 28 weeks, regardless of whether or not the infant was born dead or
alive. Because your patient is currently pregnant and was pregnant once before, she is gravida 2.
However, because she had a miscarriage with her first pregnancy (she did not carry beyond 28 weeks),
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and has not yet delivered the baby she is currently carrying, she is para 0. When she delivers, she will
become gravida 2 and para 1.
Upon delivery of the baby's head, you note that the umbilical cord is wrapped around its neck. You
should:
A: make one attempt to gently remove the cord from around its neck.
B: keep the cord warm and moist and transport without delay.
C: give the mother high-flow oxygen and transport her on her side.
D: immediately clamp and cut the cord and continue the delivery. - ANSWER-A: make one attempt to
gently remove the cord from around its neck.
Reason:
If the umbilical cord is wrapped around the baby's neck (nuchal cord), the EMT should make one attempt
to gently remove the cord from around its neck. If this is unsuccessful, clamp and cut the cord and
continue with the delivery. A nuchal cord can cause fetal asphyxia and must be treated immediately
upon discovery.
While ventilating an apneic patient with a bag-mask device, you note minimal rise of the chest each time
you squeeze the bag. You should:
A: evaluate the mask-to-face seal and the position of the patient's head.
B: squeeze the bag harder to ensure delivery of adequate tidal volume.
C: ensure that the reservoir is properly attached to the bag-mask device.
D: suction the patient's mouth for 15 seconds and reattempt ventilations. - ANSWER-A: evaluate the
mask-to-face seal and the position of the patient's head.
Reason:
If the patient's chest rises minimally or not at all when you are ventilating him or her with the bag-mask
device, you should first reevaluate the mask-to-face seal and make sure that the patient's head is
EMT Final Test Bank 2025 | Emergency Medical Technician
Practice Questions, Answers, and Study Guide
Access a complete EMT Final Test Bank for 2025, featuring hundreds of practice questions
covering patient assessment, airway management, CPR, trauma, medical emergencies,
pharmacology, and EMS protocols. Perfect for EMT students preparing for final exams or
certification tests.
• EMT final test bank 2025
• EMT practice questions and answers
• EMT study guide PDF
• Emergency Medical Technician exam prep
In which of the following situations would you MOST likely encounter agonal gasps?
A: Significant hypoxemia, regardless of the cause
B: Shortly after becoming unresponsive and pulseless
C: Occlusion of the posterior pharynx by the tongue
D: Any patient who is unresponsive due to hypoxia - ANSWER-B: Shortly after becoming unresponsive
and pulseless
Reason:
,2|Page
Agonal gasps are occasional, irregular, and ineffective breaths. They are commonly observed in patients
shortly after they become unresponsive and pulseless (cardiac arrest). Agonal gasps may also be
observed in patients with a severe brain injury or cerebral anoxia (complete absence of oxygen). Patients
with agonal gasps require some form of positive-pressure ventilation. Hypoxemic and hypoxic patients
typically present with tachypnea (increased respirations) in an attempt to eliminate carbon dioxide and
bring in more oxygen. However, as the hypoxic patient begins to decompensate, his or her respirations
often become slow (bradypnea). If the tongue is occluding the posterior pharynx, a characteristic snoring
sound is typically heard.
A 60-year-old man presents with chest pain and difficulty breathing. He is pale, diaphoretic, and in
severe pain. As your partner applies supplemental oxygen, you assess his vital signs. His blood pressure is
180/90 mm Hg, pulse is 110 beats/min and irregular, and respirations are 24 breaths/min and labored.
You ask him if has taken any nitroglycerin and he tells you that he does not have any but his wife does.
You should:
A: complete your focused physical examination and prepare the patient for immediate transport to an
appropriate hospital.
B: have him swallow up to four enteric-coated aspirin, continue oxygen therapy, and promptly transport
him to the hospital.
C: transport at once, apply the AED in case he develops cardiac arrest, and monitor his vital signs en
route to the hospital.
D: contact medical control and request permission to assist the patient with up to three doses of his
wife's nitroglycerin.
You se - ANSWER-B: have him swallow up to four enteric-coated aspirin, continue oxygen therapy, and
promptly transport him to the hospital.
Reason:
If a patient with suspected cardiac compromise does not have prescribed nitroglycerin (NTG), complete
your focused physical examination, continue oxygen therapy, and transport immediately. Do not
administer, or request to administer, any medication that is not prescribed to the patient. If the patient
develops cardiac arrest, apply the AED and follow its voice prompts. Do not apply the AED to any patient
who is not in cardiac arrest. If your protocols allow you to administer aspirin, give up to 325 mg of
chewable baby aspirin (have the patient chew the aspirin before swallowing it). Enteric-coated aspirin
(aspirin that is coated to prevent stomach upset) is intended to be swallowed without chewing. It takes
too long to dissolve, whereas chewable aspirin has a much faster effect.
,3|Page
During the triage process, which of the following injuries or conditions would classify a patient as a high
priority?
A: Unilateral femur fracture and tachycardia
B: A large avulsion to the arm and an altered mental status
C: Partial-thickness burns with no respiratory difficulty
D: Pulselessness and apnea - ANSWER-B: A large avulsion to the arm and an altered mental status
Reason:
During triage, patients with an altered mental status, who are in shock, or who have problems with
airway, breathing, or circulation, are potentially salvageable and are given immediate priority. Patients
who are pulseless and apneic have low priority in a mass-casualty situation. If you focus your efforts on
cardiac arrest patients, who will most likely not survive anyway, patients who could have potentially
been saved will die as well. Remember, the goal of triage is to provide the greatest good for the greatest
number of patients.
You are assessing a 26-year-old woman who is 38 weeks pregnant and is in labor. She tells you that she
was pregnant once before, but had a miscarriage at 19 weeks. You should document her obstetric history
as:
A: gravida 0, para 2.
B: gravida 2, para 1.
C: gravida 1, para 1.
D: gravida 2, para 0. - ANSWER-D: gravida 2, para 0.
Reason:
Gravida is the term used to describe the number of times a woman has been pregnant, regardless of
whether or not she carried the infant to term. Para is the term used to describe the number of times a
woman has carried a fetus beyond 28 weeks, regardless of whether or not the infant was born dead or
alive. Because your patient is currently pregnant and was pregnant once before, she is gravida 2.
However, because she had a miscarriage with her first pregnancy (she did not carry beyond 28 weeks),
, 4|Page
and has not yet delivered the baby she is currently carrying, she is para 0. When she delivers, she will
become gravida 2 and para 1.
Upon delivery of the baby's head, you note that the umbilical cord is wrapped around its neck. You
should:
A: make one attempt to gently remove the cord from around its neck.
B: keep the cord warm and moist and transport without delay.
C: give the mother high-flow oxygen and transport her on her side.
D: immediately clamp and cut the cord and continue the delivery. - ANSWER-A: make one attempt to
gently remove the cord from around its neck.
Reason:
If the umbilical cord is wrapped around the baby's neck (nuchal cord), the EMT should make one attempt
to gently remove the cord from around its neck. If this is unsuccessful, clamp and cut the cord and
continue with the delivery. A nuchal cord can cause fetal asphyxia and must be treated immediately
upon discovery.
While ventilating an apneic patient with a bag-mask device, you note minimal rise of the chest each time
you squeeze the bag. You should:
A: evaluate the mask-to-face seal and the position of the patient's head.
B: squeeze the bag harder to ensure delivery of adequate tidal volume.
C: ensure that the reservoir is properly attached to the bag-mask device.
D: suction the patient's mouth for 15 seconds and reattempt ventilations. - ANSWER-A: evaluate the
mask-to-face seal and the position of the patient's head.
Reason:
If the patient's chest rises minimally or not at all when you are ventilating him or her with the bag-mask
device, you should first reevaluate the mask-to-face seal and make sure that the patient's head is
