New York State EMT Exam (2025 -2026)
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Question: An EMS provider responds to a call and finds an 8-year-old female with no pulse
or respirations. The patient has a history of terminal brain cancer. The family states she was
last seen alive 5 minutes before EMS arrival and that she has a DNR order. In New York State,
EMS personnel may accept which of the following DNR instruments as valid?
Options:
A. Verbal request from family
B. Written non-hospital DNR or MOLST form
C. Written healthcare proxy
D. Written living will
Answer: B. Written non-hospital DNR or MOLST form
Rationale: In New York State, EMS can honor a valid written DNR order, such as an out-of-
hospital DNR or MOLST (Medical Orders for Life-Sustaining Treatment) form. Verbal
requests or living wills are not sufficient for EMS to withhold resuscitation.
Question: Implied consent exists when a patient is suffering from a life-threatening injury or
illness and is:
Options:
A. Under police custody
B. A threat to self or others
C. Under age 18
D. Unconscious
Answer: D. Unconscious
Rationale: Implied consent allows EMS to treat patients who cannot provide consent due to
life-threatening conditions, unconsciousness, or inability to respond, assuming the patient
would agree to care if able.
Question: The opposite of distal is:
,Options:
A. Superior
B. Medial
C. Lateral
D. Proximal
Answer: D. Proximal
Rationale: Distal refers to a point farther from the center of the body or point of
attachment. The opposite is proximal, meaning closer to the trunk.
Question: Which chamber of the heart is most muscular and pumps blood into the aorta?
Options:
A. Right atrium
B. Left ventricle
C. Right ventricle
D. Left atrium
Answer: B. Left ventricle
Rationale: The left ventricle has thick muscular walls to generate enough force to pump
oxygenated blood through the aorta to the entire body.
Question: Correct sequence and number of vertebrae in each section:
Answer: Cervical (7), Thoracic (12), Lumbar (5), Sacral (5), Coccygeal (4)
Rationale: The vertebral column is organized as 7 cervical, 12 thoracic, 5 lumbar, 5 sacral
(fused), and 4 coccygeal (fused) vertebrae.
Question: The purpose of the first set of vital signs is to:
Options:
A. Establish a baseline for additional evaluations
B. Determine patient outcome
C. Diagnose chronic conditions
D. Document hospital treatment
Answer: A. Establish a baseline for additional evaluations
Rationale: The first vital signs provide a baseline to track changes and detect deterioration
during patient care.
,Question: How many spots does the pre-hospital care report (PCR) have for vital signs?
Answer: 3 spots
Rationale: Standard PCR forms provide three areas for recording vital signs at different
points of EMS care: initial, en route, and on arrival at the hospital.
Question: When you take a patient’s pulse, you are really:
Options:
A. Counting pressure waves of blood through an artery
B. Feeling swelling of a vein
C. Noting heartbeats in a vein
D. Feeling vibrations of heart muscles
Answer: A. Counting pressure waves of blood that the heart sends through an artery
Rationale: Pulse is the palpable pressure wave caused by ventricular contraction, felt in
arteries, not veins.
Question: In people with darkly pigmented skin, cyanosis is BEST seen by observing:
Options:
A. Mucous membranes
B. Earlobes
C. Scalp
D. Face
Answer: A. Mucous membranes
Rationale: Cyanosis is more easily visible in mucous membranes (lips, gums) in darker-
skinned individuals than on the skin.
Question: You are treating an alert 35-year-old trauma patient with a radial pulse of 100.
Your partner reports a BP of 68/32. You should:
Options:
A. Suspect the accuracy of the reading and reevaluate it
B. Accept the reading as accurate
C. Retake BP in 15 minutes
D. Treat for hypertension immediately
, Answer: A. Suspect the accuracy of the reading and reevaluate it
Rationale: A strong radial pulse is generally inconsistent with severe hypotension. BP should
be rechecked for accuracy.
Question: Diastolic blood pressure is the pressure:
Options:
A. When the left ventricle is refilling
B. Due to ventricular contraction
C. Caused by atrial contraction
D. Caused by relaxation of the walls of major arteries
Answer: D. Caused by relaxation of the walls of the major arteries
Rationale: Diastolic BP is measured during ventricular relaxation, representing arterial
pressure when the heart is refilling.
Question: Which of the following is a symptom rather than a sign?
Options:
A. Headache
B. Weak pulse
C. Chest pain
D. Nausea
Answer: B. Weak pulse
Rationale: A sign is objective and measurable (weak pulse), while a symptom is subjective
and reported by the patient (headache, nausea, chest pain).
Question: For a patient with suspected lumbar spinal injury, the BEST device for moving over
uneven terrain is:
Options:
A. Wheeled stretcher
B. Long spine board
C. Flexible stretcher
D. Short spine board
Answer: B. Long spine board
Questions with Verified Answers, | Graded A+ |
100 % Guaranteed | Topic Quiz
Question: An EMS provider responds to a call and finds an 8-year-old female with no pulse
or respirations. The patient has a history of terminal brain cancer. The family states she was
last seen alive 5 minutes before EMS arrival and that she has a DNR order. In New York State,
EMS personnel may accept which of the following DNR instruments as valid?
Options:
A. Verbal request from family
B. Written non-hospital DNR or MOLST form
C. Written healthcare proxy
D. Written living will
Answer: B. Written non-hospital DNR or MOLST form
Rationale: In New York State, EMS can honor a valid written DNR order, such as an out-of-
hospital DNR or MOLST (Medical Orders for Life-Sustaining Treatment) form. Verbal
requests or living wills are not sufficient for EMS to withhold resuscitation.
Question: Implied consent exists when a patient is suffering from a life-threatening injury or
illness and is:
Options:
A. Under police custody
B. A threat to self or others
C. Under age 18
D. Unconscious
Answer: D. Unconscious
Rationale: Implied consent allows EMS to treat patients who cannot provide consent due to
life-threatening conditions, unconsciousness, or inability to respond, assuming the patient
would agree to care if able.
Question: The opposite of distal is:
,Options:
A. Superior
B. Medial
C. Lateral
D. Proximal
Answer: D. Proximal
Rationale: Distal refers to a point farther from the center of the body or point of
attachment. The opposite is proximal, meaning closer to the trunk.
Question: Which chamber of the heart is most muscular and pumps blood into the aorta?
Options:
A. Right atrium
B. Left ventricle
C. Right ventricle
D. Left atrium
Answer: B. Left ventricle
Rationale: The left ventricle has thick muscular walls to generate enough force to pump
oxygenated blood through the aorta to the entire body.
Question: Correct sequence and number of vertebrae in each section:
Answer: Cervical (7), Thoracic (12), Lumbar (5), Sacral (5), Coccygeal (4)
Rationale: The vertebral column is organized as 7 cervical, 12 thoracic, 5 lumbar, 5 sacral
(fused), and 4 coccygeal (fused) vertebrae.
Question: The purpose of the first set of vital signs is to:
Options:
A. Establish a baseline for additional evaluations
B. Determine patient outcome
C. Diagnose chronic conditions
D. Document hospital treatment
Answer: A. Establish a baseline for additional evaluations
Rationale: The first vital signs provide a baseline to track changes and detect deterioration
during patient care.
,Question: How many spots does the pre-hospital care report (PCR) have for vital signs?
Answer: 3 spots
Rationale: Standard PCR forms provide three areas for recording vital signs at different
points of EMS care: initial, en route, and on arrival at the hospital.
Question: When you take a patient’s pulse, you are really:
Options:
A. Counting pressure waves of blood through an artery
B. Feeling swelling of a vein
C. Noting heartbeats in a vein
D. Feeling vibrations of heart muscles
Answer: A. Counting pressure waves of blood that the heart sends through an artery
Rationale: Pulse is the palpable pressure wave caused by ventricular contraction, felt in
arteries, not veins.
Question: In people with darkly pigmented skin, cyanosis is BEST seen by observing:
Options:
A. Mucous membranes
B. Earlobes
C. Scalp
D. Face
Answer: A. Mucous membranes
Rationale: Cyanosis is more easily visible in mucous membranes (lips, gums) in darker-
skinned individuals than on the skin.
Question: You are treating an alert 35-year-old trauma patient with a radial pulse of 100.
Your partner reports a BP of 68/32. You should:
Options:
A. Suspect the accuracy of the reading and reevaluate it
B. Accept the reading as accurate
C. Retake BP in 15 minutes
D. Treat for hypertension immediately
, Answer: A. Suspect the accuracy of the reading and reevaluate it
Rationale: A strong radial pulse is generally inconsistent with severe hypotension. BP should
be rechecked for accuracy.
Question: Diastolic blood pressure is the pressure:
Options:
A. When the left ventricle is refilling
B. Due to ventricular contraction
C. Caused by atrial contraction
D. Caused by relaxation of the walls of major arteries
Answer: D. Caused by relaxation of the walls of the major arteries
Rationale: Diastolic BP is measured during ventricular relaxation, representing arterial
pressure when the heart is refilling.
Question: Which of the following is a symptom rather than a sign?
Options:
A. Headache
B. Weak pulse
C. Chest pain
D. Nausea
Answer: B. Weak pulse
Rationale: A sign is objective and measurable (weak pulse), while a symptom is subjective
and reported by the patient (headache, nausea, chest pain).
Question: For a patient with suspected lumbar spinal injury, the BEST device for moving over
uneven terrain is:
Options:
A. Wheeled stretcher
B. Long spine board
C. Flexible stretcher
D. Short spine board
Answer: B. Long spine board
