EMT FISDAP Final Exam 2026 | 200
Verified Q&A with Detailed Rationales |
All Topics Covered | Latest Version | A+
Guaranteed
TOPIC 1: AIRWAY MANAGEMENT
Question 1: An unresponsive adult patient is found supine. What is
the FIRST step in managing the airway?
A. Insert an oropharyngeal airway
B. Perform a head-tilt chin-lift maneuver
C. Administer high-flow oxygen
D. Begin bag-valve-mask ventilation
✔ CORRECT ANSWER: B. Perform a head-tilt chin-lift maneuver
📘 RATIONALE: The first step in airway management for an
unresponsive patient is opening the airway using the head-tilt chin-lift
maneuver. This relieves obstruction caused by the tongue falling back.
Once the airway is open, further interventions such as adjuncts or
ventilation can be performed.
Question 2: Which airway adjunct is MOST appropriate for a
semiconscious patient with an intact gag reflex?
A. Oropharyngeal airway (OPA)
B. Nasopharyngeal airway (NPA)
C. Endotracheal tube
D. Laryngeal mask airway
✔ CORRECT ANSWER: B. Nasopharyngeal airway (NPA)
📘 RATIONALE: The nasopharyngeal airway (NPA) is the preferred
adjunct for patients with an intact gag reflex. The OPA is
EMT FISDAP Final Exam 2026 | 200 Practice Q&A | A+ Guaranteed | Page 1
,contraindicated in conscious or semiconscious patients as it may
stimulate the gag reflex and cause vomiting and aspiration.
Question 3: A patient has suspected cervical spine injury. Which
airway maneuver should the EMT use?
A. Head-tilt chin-lift
B. Hyperextension of the neck
C. Jaw-thrust maneuver
D. Sellick maneuver
✔ CORRECT ANSWER: C. Jaw-thrust maneuver
📘 RATIONALE: The jaw-thrust maneuver is used when cervical spine
injury is suspected because it opens the airway without extending the
neck, reducing the risk of further spinal cord injury. Head-tilt chin-lift is
contraindicated in suspected spinal injuries.
Question 4: Which of the following is a sign of adequate artificial
ventilation in an adult?
A. Gastric distension
B. Visible chest rise with each breath
C. Heart rate of 120/min
D. Cyanosis of the lips
✔ CORRECT ANSWER: B. Visible chest rise with each breath
📘 RATIONALE: Visible chest rise with each ventilation confirms that
air is entering the lungs. Gastric distension indicates air is entering the
stomach, which means ventilations are too forceful or the airway is not
properly positioned.
Question 5: What is the correct ventilation rate for an adult patient in
respiratory arrest?
A. 8-10 breaths per minute
EMT FISDAP Final Exam 2026 | 200 Practice Q&A | A+ Guaranteed | Page 2
, B. 12-20 breaths per minute
C. 20-24 breaths per minute
D. 25-30 breaths per minute
✔ CORRECT ANSWER: A. 8-10 breaths per minute
📘 RATIONALE: For an adult patient in respiratory arrest, the EMT
should provide 8-10 breaths per minute using a bag-valve-mask. Over-
ventilation increases intrathoracic pressure, reduces venous return,
and can lead to gastric distension and aspiration.
Question 6: When sizing an oropharyngeal airway (OPA), the EMT
should measure from the:
A. Corner of the mouth to the earlobe
B. Center of the mouth to the angle of the jaw
C. Nose tip to the earlobe
D. Chin to the top of the head
✔ CORRECT ANSWER: A. Corner of the mouth to the earlobe
📘 RATIONALE: The OPA is correctly sized by measuring from the
corner of the patient's mouth to the earlobe or the center of the mouth
to the angle of the jaw. An improperly sized OPA can push the tongue
back and worsen the obstruction.
Question 7: A patient is breathing at 6 breaths per minute with shallow
respirations. What should the EMT do?
A. Apply a non-rebreather mask at 15 L/min
B. Begin positive pressure ventilation
C. Administer oxygen via nasal cannula
D. Place patient in recovery position
✔ CORRECT ANSWER: B. Begin positive pressure ventilation
📘 RATIONALE: A respiratory rate of 6 breaths per minute is
inadequate and constitutes respiratory failure. The EMT must assist
EMT FISDAP Final Exam 2026 | 200 Practice Q&A | A+ Guaranteed | Page 3
, ventilation with a bag-valve-mask to ensure adequate oxygenation and
ventilation. Supplemental oxygen alone is insufficient for this patient.
Question 8: Which of the following devices delivers the highest
concentration of oxygen?
A. Nasal cannula at 6 L/min
B. Simple face mask at 10 L/min
C. Non-rebreather mask at 15 L/min
D. Venturi mask at 8 L/min
✔ CORRECT ANSWER: C. Non-rebreather mask at 15 L/min
📘 RATIONALE: A non-rebreather mask at 15 L/min delivers
approximately 90-100% oxygen concentration. It has a reservoir bag
and one-way valves that prevent exhaled air from mixing with the
oxygen supply, making it the highest concentration delivery device
available to EMTs.
Question 9: When inserting an OPA in an adult, the EMT should
initially insert it:
A. Curved side up, then rotate 180 degrees
B. Curved side down following the curve of the tongue
C. Sideways, then rotate 90 degrees
D. Straight back without rotation
✔ CORRECT ANSWER: A. Curved side up, then rotate 180
degrees
📘 RATIONALE: In adults, the OPA is inserted upside down (curved
toward the roof of the mouth) and then rotated 180 degrees as it
passes into the oropharynx. In children, it should be inserted directly
without rotation to avoid damaging oral structures.
EMT FISDAP Final Exam 2026 | 200 Practice Q&A | A+ Guaranteed | Page 4
Verified Q&A with Detailed Rationales |
All Topics Covered | Latest Version | A+
Guaranteed
TOPIC 1: AIRWAY MANAGEMENT
Question 1: An unresponsive adult patient is found supine. What is
the FIRST step in managing the airway?
A. Insert an oropharyngeal airway
B. Perform a head-tilt chin-lift maneuver
C. Administer high-flow oxygen
D. Begin bag-valve-mask ventilation
✔ CORRECT ANSWER: B. Perform a head-tilt chin-lift maneuver
📘 RATIONALE: The first step in airway management for an
unresponsive patient is opening the airway using the head-tilt chin-lift
maneuver. This relieves obstruction caused by the tongue falling back.
Once the airway is open, further interventions such as adjuncts or
ventilation can be performed.
Question 2: Which airway adjunct is MOST appropriate for a
semiconscious patient with an intact gag reflex?
A. Oropharyngeal airway (OPA)
B. Nasopharyngeal airway (NPA)
C. Endotracheal tube
D. Laryngeal mask airway
✔ CORRECT ANSWER: B. Nasopharyngeal airway (NPA)
📘 RATIONALE: The nasopharyngeal airway (NPA) is the preferred
adjunct for patients with an intact gag reflex. The OPA is
EMT FISDAP Final Exam 2026 | 200 Practice Q&A | A+ Guaranteed | Page 1
,contraindicated in conscious or semiconscious patients as it may
stimulate the gag reflex and cause vomiting and aspiration.
Question 3: A patient has suspected cervical spine injury. Which
airway maneuver should the EMT use?
A. Head-tilt chin-lift
B. Hyperextension of the neck
C. Jaw-thrust maneuver
D. Sellick maneuver
✔ CORRECT ANSWER: C. Jaw-thrust maneuver
📘 RATIONALE: The jaw-thrust maneuver is used when cervical spine
injury is suspected because it opens the airway without extending the
neck, reducing the risk of further spinal cord injury. Head-tilt chin-lift is
contraindicated in suspected spinal injuries.
Question 4: Which of the following is a sign of adequate artificial
ventilation in an adult?
A. Gastric distension
B. Visible chest rise with each breath
C. Heart rate of 120/min
D. Cyanosis of the lips
✔ CORRECT ANSWER: B. Visible chest rise with each breath
📘 RATIONALE: Visible chest rise with each ventilation confirms that
air is entering the lungs. Gastric distension indicates air is entering the
stomach, which means ventilations are too forceful or the airway is not
properly positioned.
Question 5: What is the correct ventilation rate for an adult patient in
respiratory arrest?
A. 8-10 breaths per minute
EMT FISDAP Final Exam 2026 | 200 Practice Q&A | A+ Guaranteed | Page 2
, B. 12-20 breaths per minute
C. 20-24 breaths per minute
D. 25-30 breaths per minute
✔ CORRECT ANSWER: A. 8-10 breaths per minute
📘 RATIONALE: For an adult patient in respiratory arrest, the EMT
should provide 8-10 breaths per minute using a bag-valve-mask. Over-
ventilation increases intrathoracic pressure, reduces venous return,
and can lead to gastric distension and aspiration.
Question 6: When sizing an oropharyngeal airway (OPA), the EMT
should measure from the:
A. Corner of the mouth to the earlobe
B. Center of the mouth to the angle of the jaw
C. Nose tip to the earlobe
D. Chin to the top of the head
✔ CORRECT ANSWER: A. Corner of the mouth to the earlobe
📘 RATIONALE: The OPA is correctly sized by measuring from the
corner of the patient's mouth to the earlobe or the center of the mouth
to the angle of the jaw. An improperly sized OPA can push the tongue
back and worsen the obstruction.
Question 7: A patient is breathing at 6 breaths per minute with shallow
respirations. What should the EMT do?
A. Apply a non-rebreather mask at 15 L/min
B. Begin positive pressure ventilation
C. Administer oxygen via nasal cannula
D. Place patient in recovery position
✔ CORRECT ANSWER: B. Begin positive pressure ventilation
📘 RATIONALE: A respiratory rate of 6 breaths per minute is
inadequate and constitutes respiratory failure. The EMT must assist
EMT FISDAP Final Exam 2026 | 200 Practice Q&A | A+ Guaranteed | Page 3
, ventilation with a bag-valve-mask to ensure adequate oxygenation and
ventilation. Supplemental oxygen alone is insufficient for this patient.
Question 8: Which of the following devices delivers the highest
concentration of oxygen?
A. Nasal cannula at 6 L/min
B. Simple face mask at 10 L/min
C. Non-rebreather mask at 15 L/min
D. Venturi mask at 8 L/min
✔ CORRECT ANSWER: C. Non-rebreather mask at 15 L/min
📘 RATIONALE: A non-rebreather mask at 15 L/min delivers
approximately 90-100% oxygen concentration. It has a reservoir bag
and one-way valves that prevent exhaled air from mixing with the
oxygen supply, making it the highest concentration delivery device
available to EMTs.
Question 9: When inserting an OPA in an adult, the EMT should
initially insert it:
A. Curved side up, then rotate 180 degrees
B. Curved side down following the curve of the tongue
C. Sideways, then rotate 90 degrees
D. Straight back without rotation
✔ CORRECT ANSWER: A. Curved side up, then rotate 180
degrees
📘 RATIONALE: In adults, the OPA is inserted upside down (curved
toward the roof of the mouth) and then rotated 180 degrees as it
passes into the oropharynx. In children, it should be inserted directly
without rotation to avoid damaging oral structures.
EMT FISDAP Final Exam 2026 | 200 Practice Q&A | A+ Guaranteed | Page 4
