EMT-INTERMEDIATE (EMT-I)
COMPREHENSIVE EXAM ACTUAL PREP
QUESTIONS AND WELL REVISED ANSWERS -
LATEST AND COMPLETE UPDATE WITH
VERIFIED SOLUTIONS – ASSURES PASS
1. A 45-year-old male presents with chest pain radiating to his left arm. His
blood pressure is 150/90 mmHg, pulse 110 bpm, and SpO₂ 94% on room air.
Which is the most appropriate initial action?
A. Administer high-flow oxygen via non-rebreather mask
B. Perform a 12-lead ECG and obtain IV access
C. Give 5 mg morphine intravenously immediately
D. Prepare for immediate CPR
Rationale: The priority in suspected acute coronary syndrome is early ECG
acquisition and IV access for potential medications; oxygen is indicated only if
SpO₂ <94%.
2. You arrive at a scene where a 6-year-old child has ingested an unknown
quantity of acetaminophen. The child is conscious, alert, and not in distress.
Which is the most appropriate step?
A. Induce vomiting immediately
B. Call Poison Control and monitor the child
C. Administer activated charcoal without delay
D. Transport immediately without further intervention
Rationale: Poison Control provides dosing guidance and monitoring
recommendations; inducing vomiting is no longer recommended.
, 3. A patient with severe asthma is wheezing and has an SpO₂ of 86%. Which
intervention should you prioritize?
A. Initiate CPAP
B. Administer a nebulized bronchodilator (albuterol ± ipratropium)
C. Begin immediate intubation
D. Give oral corticosteroids
Rationale: The initial treatment for severe asthma is bronchodilator therapy;
intubation is considered only if respiratory failure develops.
4. During transport, your patient suddenly becomes unresponsive with absent
carotid pulse. You should:
A. Perform a rapid head-to-toe assessment
B. Begin high-quality CPR and attach AED
C. Assess blood glucose
D. Administer naloxone immediately
Rationale: Cardiac arrest management follows CPR and defibrillation protocols
first; other interventions follow once circulation is restored.
5. A 30-year-old male presents with a stab wound to the abdomen with
evisceration. You should:
A. Apply direct pressure over the wound and push the organ back in
B. Cover the protruding organs with a moist sterile dressing and
transport promptly
C. Place the patient supine and elevate legs
D. Begin IV fluids aggressively to normalize blood pressure
,Rationale: Do not replace eviscerated organs; protect with sterile moist dressing
and rapid transport.
6. When administering IV medications in the prehospital setting, which is the
most critical safety step?
A. Ensure rapid bolus for efficacy
B. Confirm the drug, dose, route, and patient identity using the “Five
Rights”
C. Mix multiple medications in the same line for efficiency
D. Rely on memory for dosage
Rationale: Adhering to the Five Rights prevents medication errors and enhances
patient safety.
7. A patient presents with signs of anaphylaxis after a bee sting. Blood pressure
is 80/50 mmHg, SpO₂ 90%, and airway swelling is noted. The first-line
medication is:
A. Diphenhydramine
B. Corticosteroids
C. Epinephrine intramuscularly
D. Albuterol nebulization
Rationale: Epinephrine IM is the first-line treatment for anaphylaxis;
antihistamines and steroids are adjunctive.
8. Which of the following is the most accurate method to confirm proper
endotracheal tube placement?
A. Visualize tube passing through vocal cords
B. End-tidal CO₂ detection (capnography)
, C. Observe chest rise
D. Auscultate breath sounds
Rationale: Capnography provides objective, continuous confirmation of tracheal
placement.
9. During a mass-casualty incident, you are assigned triage duties. A patient is
breathing >30/min, has no radial pulse, and is unresponsive. What is the
correct triage category?
A. Green – Minor
B. Yellow – Delayed
C. Red – Immediate
D. Black – Deceased
Rationale: Immediate category includes life-threatening but potentially survivable
injuries needing urgent intervention.
10.A patient with diabetic ketoacidosis (DKA) presents with Kussmaul
respirations. Which electrolyte abnormality is most concerning before
administering insulin?
A. Hyponatremia
B. Hypocalcemia
C. Hypokalemia
D. Hypermagnesemia
Rationale: Insulin drives potassium into cells, risking severe hypokalemia;
potassium must be monitored and replaced if needed.
COMPREHENSIVE EXAM ACTUAL PREP
QUESTIONS AND WELL REVISED ANSWERS -
LATEST AND COMPLETE UPDATE WITH
VERIFIED SOLUTIONS – ASSURES PASS
1. A 45-year-old male presents with chest pain radiating to his left arm. His
blood pressure is 150/90 mmHg, pulse 110 bpm, and SpO₂ 94% on room air.
Which is the most appropriate initial action?
A. Administer high-flow oxygen via non-rebreather mask
B. Perform a 12-lead ECG and obtain IV access
C. Give 5 mg morphine intravenously immediately
D. Prepare for immediate CPR
Rationale: The priority in suspected acute coronary syndrome is early ECG
acquisition and IV access for potential medications; oxygen is indicated only if
SpO₂ <94%.
2. You arrive at a scene where a 6-year-old child has ingested an unknown
quantity of acetaminophen. The child is conscious, alert, and not in distress.
Which is the most appropriate step?
A. Induce vomiting immediately
B. Call Poison Control and monitor the child
C. Administer activated charcoal without delay
D. Transport immediately without further intervention
Rationale: Poison Control provides dosing guidance and monitoring
recommendations; inducing vomiting is no longer recommended.
, 3. A patient with severe asthma is wheezing and has an SpO₂ of 86%. Which
intervention should you prioritize?
A. Initiate CPAP
B. Administer a nebulized bronchodilator (albuterol ± ipratropium)
C. Begin immediate intubation
D. Give oral corticosteroids
Rationale: The initial treatment for severe asthma is bronchodilator therapy;
intubation is considered only if respiratory failure develops.
4. During transport, your patient suddenly becomes unresponsive with absent
carotid pulse. You should:
A. Perform a rapid head-to-toe assessment
B. Begin high-quality CPR and attach AED
C. Assess blood glucose
D. Administer naloxone immediately
Rationale: Cardiac arrest management follows CPR and defibrillation protocols
first; other interventions follow once circulation is restored.
5. A 30-year-old male presents with a stab wound to the abdomen with
evisceration. You should:
A. Apply direct pressure over the wound and push the organ back in
B. Cover the protruding organs with a moist sterile dressing and
transport promptly
C. Place the patient supine and elevate legs
D. Begin IV fluids aggressively to normalize blood pressure
,Rationale: Do not replace eviscerated organs; protect with sterile moist dressing
and rapid transport.
6. When administering IV medications in the prehospital setting, which is the
most critical safety step?
A. Ensure rapid bolus for efficacy
B. Confirm the drug, dose, route, and patient identity using the “Five
Rights”
C. Mix multiple medications in the same line for efficiency
D. Rely on memory for dosage
Rationale: Adhering to the Five Rights prevents medication errors and enhances
patient safety.
7. A patient presents with signs of anaphylaxis after a bee sting. Blood pressure
is 80/50 mmHg, SpO₂ 90%, and airway swelling is noted. The first-line
medication is:
A. Diphenhydramine
B. Corticosteroids
C. Epinephrine intramuscularly
D. Albuterol nebulization
Rationale: Epinephrine IM is the first-line treatment for anaphylaxis;
antihistamines and steroids are adjunctive.
8. Which of the following is the most accurate method to confirm proper
endotracheal tube placement?
A. Visualize tube passing through vocal cords
B. End-tidal CO₂ detection (capnography)
, C. Observe chest rise
D. Auscultate breath sounds
Rationale: Capnography provides objective, continuous confirmation of tracheal
placement.
9. During a mass-casualty incident, you are assigned triage duties. A patient is
breathing >30/min, has no radial pulse, and is unresponsive. What is the
correct triage category?
A. Green – Minor
B. Yellow – Delayed
C. Red – Immediate
D. Black – Deceased
Rationale: Immediate category includes life-threatening but potentially survivable
injuries needing urgent intervention.
10.A patient with diabetic ketoacidosis (DKA) presents with Kussmaul
respirations. Which electrolyte abnormality is most concerning before
administering insulin?
A. Hyponatremia
B. Hypocalcemia
C. Hypokalemia
D. Hypermagnesemia
Rationale: Insulin drives potassium into cells, risking severe hypokalemia;
potassium must be monitored and replaced if needed.
