EMT STATE EXAM NC QUESTIONS
AND ANSWERS UPDATED 2026
FIRSTBSTAGEBOFBLABORB-
BAnswerTheBfirstBstageBoccursBfromBonsetBofBtrueBlaborBcontractionsBtillBdilationBandBefface
mentBofBtheButerus.
2ndBstageBofBlaborB-
BAnswerTheBhallmarkBfindingBinBtheBsecondBstageBofBlaborBisBtheBcompleteBdeliveryBofBtheB
baby.
3rdBstageBofBlaborB-BAnswerTheBthirdBstageBoccursBwhenBtheBplacentaBdelivers.
LigamentsBconnect....B-BAnswerBoneBtoBBone
TendonsBconnectB-BAnswerBoneBtoBMuscle
STARTBTriageB1stBStepB-
BAnswerSTARTBtriageBbeginsBbyBaskingBpatientsBtoBgetBupBandBwalkBtoBaBcollectionBpoint
STARTBTriageB2ndBstepB-BAnswerrespirationsBareBassessed
STARTBTriageB3rdBStepB-BAnswerifBtheBpatientBisBnotBbreathing,BtheBairwayBisBopened.
STARTBTriageB4thBStepB-BAnswerPulseBisBthenBassessed
STARTBTriageB5thBStepB-BAnswerCheckBmentalBstatus.
RuleBofB9's:Child:BACKB-BAnswerchild'sBbackBrepresentsB18%BofBhisBbodyBsurfaceBarea
RuleBofB9's:Child:BBothBLegsB(FrontB&BBack)B-
BAnswertheBfrontBandBbackBofBbothBlegsBeachBrepresentB7%
,RuleBofB9's:Child:TorsoB(FrontB&BBack)B-
BAnswerchild'sBanteriorBandBposteriorBtorsoBwouldBrepresentB36%
PrimaryBblastBstageB-
BAnsweralsoBknownBasBtheBpressureBwave),BdamagesBhollow,BgasBcontainingBorgansBofBtheBb
odyBsuchBasBtheBlungs,BGIBsystem,BinnerBears,BandBsinuses.
SecondaryBblastB-
BAnswerTheBsecondaryBphaseBcausesBcauseBbluntBandBpenetrationBinjuriesBfromBflyingBdebris.
TertiaryBphaseBofBblastB-
BAnswertertiaryBphaseBareBinjuriesBsustainedBfromBtheBpatientBbeingBthrownBbackBandBimpac
tingBsomethingB(wall,Bground,Betc.).
AB71-year-
oldBfemaleBhasBfallenBandBcomplainsBofBleftBhipBpain.BOnBexaminationByouBnoteBherBleftBfo
otBisBrotatedBlaterally.BThisBfindingBmostBlikelyBindicatesBaB-BAnswerfemurBfracture
"5BRights"BofBmedicationBadministration.B-
BAnswerrightBpatient,BrightBmedication,BrightBroute,BrightBdose,BandBrightBtime.
IfByouBareBresponsibleBforBestablishingBtheBlandingBzoneBforBtheBhelicopter,BwhatBisBtheBmini
mumBsizeBofBtheBLZByouBshouldBprepareBassumingBtheBrescueBeffortsBareBoccurringBatBnight
?B-
BAnswerTheBminimumBsizeBofBtheBlandingBzoneBatBnightBisB100'BbyB100'.BDuringBdaylight,Bth
eBminimumBLZBzoneBisB60'BbyB60'.BInBeitherBsituationBtheBLZBshouldBbeBsquare,BwithBaBmar
kerBindicatingBtheBdirectionBofBwindBtravel
WhichBoneBofBtheBfollowingBisBaBsignBofBCushing'sBtriadB(Cushing'sBreflex)BthatBoccursBwithB
traumaticBbrainBinjury?B-
BAnswerTheBvitalBsignsBareBanBincreasedBbloodBpressure,BslowingBpulseBrate,BandBirregularBr
espirationsB(classicallyBseenBasBCheyne-Stokes).
ClassesBofBhemorrhageB-
BAnswerABClassBIIIBhemorrhageBisBsaidBtoBoccurBwhenBtheBpatientBhasBlostB30-
40%BofBtheirBcirculatingBbloodBvolume.BThisBisBaBsignificantBbleedBdueBtoBtheBfactBthatBtheB
body'sBcompensatoryBmechanismsBareBmaximized,BandBanyBadditionalBbloodBlossBwillBnowBcr
eateBsignificantBdisturbancesBinBhemodynamicBstability.BInBClassBIBandBIIBhemorrhage,BbloodB
,pressureBremainsBacceptable,BinBClassBIVBhemorrhageBtheBbloodBpressureBdropsBdangerouslyB
low.
APGARBSCOREB-BAnswerAppearance:B0=blue/pale;B1=blueB&Bpink;B2=noBcyanosis-allBpink
PulseBRate:B0=Absent;B1=<100;B2=>100
Reflex:B0=noBresponseBtoBstimuli;B1=grimace;B2=cryBorBpullBaway
Activity:B0=None;B1=someBflexion,2=flexedBarms/legsBresistingBextension
Respiratory:B0=Absent;B1=weak,Birregular;B2=strong,BlustyBcry
OrgansBinBUpperBRightBQuadrantBofBAbsB-
BAnswerTheBliverBisBfoundBprimarilyBwithinBtheBboundariesBofBtheBupperBrightBquadrant.
OrgansBinBUpperBLeftBQuadrantBofBAbsB-
BAnswerTheBstomachBandBspleenBareBtypicallyBfoundBinBtheBupperBleftBquadrant.
BladderBlocationB-
BAnswerTheBbladderBisBfoundBonBtheBmidlineBbetweenBtheBlowerBtwoBquadrants.
CommunicationB"Reflection"B-
BAnswerReflectionBisBaBtechniqueBwhereByouBparaphraseBtheBpatient'sBwordsBtoBencourageB
moreBinformationBandBtoBbuildBtrust
MinimumBsafeBresidualBpressureBinBoxygenBtankBis?B-
BAnswerTheBminimumBsafeBresidualBpressureBinBanBoxygenBtankBisB200Bpsi.
NasalBcannulaBoxygenBflowBrateB-BAnswer1BtoB6L/min
NasalBcannulaBoxygenBconcentrationB-BAnswer24%BtoB44%
, NRBBFlowBrateB-BAnswer12BtoB15L/min
NRBBoxygenBdeliveredB-BAnswer90%BtoB100%
VenturiBmaskBoxygenBdeliveryB-BAnswer24,B28,B35,B40Bpercent
BVMBflowBrateBandBoxygenBdeliveryB-BAnswer15LB/minBandBnearlyB100%
Cheyne-StokesBRespirationsB-
BAnswerShowsBirregularBrespirationsBfollowedBbyBaBperiodBofBapnea
AtaxicBRespirationsB-
BAnswerirregular,BineffectiveBrespirationsBthatBmayBorBmayBnotBhaveBanBidentifiableBpattern.
ICPB(intracranialBPressure)BSigns/symptomsB-
BAnswerdecreasedBpulseB(Bradycardia),BincreasedBB/PB(Hypertension),BirregularBrespirations.
ICPBDefinedB-BAnswerAccumulationsBofBbloodBwithinBtheBskullBorBswellingBofBtheBbrain.
TriadBofBsignsB(Cushing'sBReflex)Bare:B(UsuallyBseenBwithBICP)B-
BAnswer1.BIncreasedBsystolicBB/P
2.BDecreasedBpulseBrate
3.BIrregularBrespirations.
GlascowBComasBScaleB(GCS)BComponents;B-BAnswerEyeBopening,
VerbalBResponse
MotorBResponse
GCSB(EyeBOpening)BRatingsB-BAnswerSpontaneous-4
VerbalBresponse-3
ResponseBtoBpain-2
None-1
AND ANSWERS UPDATED 2026
FIRSTBSTAGEBOFBLABORB-
BAnswerTheBfirstBstageBoccursBfromBonsetBofBtrueBlaborBcontractionsBtillBdilationBandBefface
mentBofBtheButerus.
2ndBstageBofBlaborB-
BAnswerTheBhallmarkBfindingBinBtheBsecondBstageBofBlaborBisBtheBcompleteBdeliveryBofBtheB
baby.
3rdBstageBofBlaborB-BAnswerTheBthirdBstageBoccursBwhenBtheBplacentaBdelivers.
LigamentsBconnect....B-BAnswerBoneBtoBBone
TendonsBconnectB-BAnswerBoneBtoBMuscle
STARTBTriageB1stBStepB-
BAnswerSTARTBtriageBbeginsBbyBaskingBpatientsBtoBgetBupBandBwalkBtoBaBcollectionBpoint
STARTBTriageB2ndBstepB-BAnswerrespirationsBareBassessed
STARTBTriageB3rdBStepB-BAnswerifBtheBpatientBisBnotBbreathing,BtheBairwayBisBopened.
STARTBTriageB4thBStepB-BAnswerPulseBisBthenBassessed
STARTBTriageB5thBStepB-BAnswerCheckBmentalBstatus.
RuleBofB9's:Child:BACKB-BAnswerchild'sBbackBrepresentsB18%BofBhisBbodyBsurfaceBarea
RuleBofB9's:Child:BBothBLegsB(FrontB&BBack)B-
BAnswertheBfrontBandBbackBofBbothBlegsBeachBrepresentB7%
,RuleBofB9's:Child:TorsoB(FrontB&BBack)B-
BAnswerchild'sBanteriorBandBposteriorBtorsoBwouldBrepresentB36%
PrimaryBblastBstageB-
BAnsweralsoBknownBasBtheBpressureBwave),BdamagesBhollow,BgasBcontainingBorgansBofBtheBb
odyBsuchBasBtheBlungs,BGIBsystem,BinnerBears,BandBsinuses.
SecondaryBblastB-
BAnswerTheBsecondaryBphaseBcausesBcauseBbluntBandBpenetrationBinjuriesBfromBflyingBdebris.
TertiaryBphaseBofBblastB-
BAnswertertiaryBphaseBareBinjuriesBsustainedBfromBtheBpatientBbeingBthrownBbackBandBimpac
tingBsomethingB(wall,Bground,Betc.).
AB71-year-
oldBfemaleBhasBfallenBandBcomplainsBofBleftBhipBpain.BOnBexaminationByouBnoteBherBleftBfo
otBisBrotatedBlaterally.BThisBfindingBmostBlikelyBindicatesBaB-BAnswerfemurBfracture
"5BRights"BofBmedicationBadministration.B-
BAnswerrightBpatient,BrightBmedication,BrightBroute,BrightBdose,BandBrightBtime.
IfByouBareBresponsibleBforBestablishingBtheBlandingBzoneBforBtheBhelicopter,BwhatBisBtheBmini
mumBsizeBofBtheBLZByouBshouldBprepareBassumingBtheBrescueBeffortsBareBoccurringBatBnight
?B-
BAnswerTheBminimumBsizeBofBtheBlandingBzoneBatBnightBisB100'BbyB100'.BDuringBdaylight,Bth
eBminimumBLZBzoneBisB60'BbyB60'.BInBeitherBsituationBtheBLZBshouldBbeBsquare,BwithBaBmar
kerBindicatingBtheBdirectionBofBwindBtravel
WhichBoneBofBtheBfollowingBisBaBsignBofBCushing'sBtriadB(Cushing'sBreflex)BthatBoccursBwithB
traumaticBbrainBinjury?B-
BAnswerTheBvitalBsignsBareBanBincreasedBbloodBpressure,BslowingBpulseBrate,BandBirregularBr
espirationsB(classicallyBseenBasBCheyne-Stokes).
ClassesBofBhemorrhageB-
BAnswerABClassBIIIBhemorrhageBisBsaidBtoBoccurBwhenBtheBpatientBhasBlostB30-
40%BofBtheirBcirculatingBbloodBvolume.BThisBisBaBsignificantBbleedBdueBtoBtheBfactBthatBtheB
body'sBcompensatoryBmechanismsBareBmaximized,BandBanyBadditionalBbloodBlossBwillBnowBcr
eateBsignificantBdisturbancesBinBhemodynamicBstability.BInBClassBIBandBIIBhemorrhage,BbloodB
,pressureBremainsBacceptable,BinBClassBIVBhemorrhageBtheBbloodBpressureBdropsBdangerouslyB
low.
APGARBSCOREB-BAnswerAppearance:B0=blue/pale;B1=blueB&Bpink;B2=noBcyanosis-allBpink
PulseBRate:B0=Absent;B1=<100;B2=>100
Reflex:B0=noBresponseBtoBstimuli;B1=grimace;B2=cryBorBpullBaway
Activity:B0=None;B1=someBflexion,2=flexedBarms/legsBresistingBextension
Respiratory:B0=Absent;B1=weak,Birregular;B2=strong,BlustyBcry
OrgansBinBUpperBRightBQuadrantBofBAbsB-
BAnswerTheBliverBisBfoundBprimarilyBwithinBtheBboundariesBofBtheBupperBrightBquadrant.
OrgansBinBUpperBLeftBQuadrantBofBAbsB-
BAnswerTheBstomachBandBspleenBareBtypicallyBfoundBinBtheBupperBleftBquadrant.
BladderBlocationB-
BAnswerTheBbladderBisBfoundBonBtheBmidlineBbetweenBtheBlowerBtwoBquadrants.
CommunicationB"Reflection"B-
BAnswerReflectionBisBaBtechniqueBwhereByouBparaphraseBtheBpatient'sBwordsBtoBencourageB
moreBinformationBandBtoBbuildBtrust
MinimumBsafeBresidualBpressureBinBoxygenBtankBis?B-
BAnswerTheBminimumBsafeBresidualBpressureBinBanBoxygenBtankBisB200Bpsi.
NasalBcannulaBoxygenBflowBrateB-BAnswer1BtoB6L/min
NasalBcannulaBoxygenBconcentrationB-BAnswer24%BtoB44%
, NRBBFlowBrateB-BAnswer12BtoB15L/min
NRBBoxygenBdeliveredB-BAnswer90%BtoB100%
VenturiBmaskBoxygenBdeliveryB-BAnswer24,B28,B35,B40Bpercent
BVMBflowBrateBandBoxygenBdeliveryB-BAnswer15LB/minBandBnearlyB100%
Cheyne-StokesBRespirationsB-
BAnswerShowsBirregularBrespirationsBfollowedBbyBaBperiodBofBapnea
AtaxicBRespirationsB-
BAnswerirregular,BineffectiveBrespirationsBthatBmayBorBmayBnotBhaveBanBidentifiableBpattern.
ICPB(intracranialBPressure)BSigns/symptomsB-
BAnswerdecreasedBpulseB(Bradycardia),BincreasedBB/PB(Hypertension),BirregularBrespirations.
ICPBDefinedB-BAnswerAccumulationsBofBbloodBwithinBtheBskullBorBswellingBofBtheBbrain.
TriadBofBsignsB(Cushing'sBReflex)Bare:B(UsuallyBseenBwithBICP)B-
BAnswer1.BIncreasedBsystolicBB/P
2.BDecreasedBpulseBrate
3.BIrregularBrespirations.
GlascowBComasBScaleB(GCS)BComponents;B-BAnswerEyeBopening,
VerbalBResponse
MotorBResponse
GCSB(EyeBOpening)BRatingsB-BAnswerSpontaneous-4
VerbalBresponse-3
ResponseBtoBpain-2
None-1