NYC EMT (Fire Department EMS) –
Certification Practice Exam Latest 2026
Updated Questions From Actual Exams
Complete Questions And Correct
Detailed Answers (Verified Answers)
|Already Graded A+||Brand New!!
1. A 54-year-old male complains of chest pressure radiating to his left arm. He
is pale, diaphoretic, and short of breath. What is the EMT’s priority
intervention?
A. Obtain a full medical history
B. Administer oral glucose
C. Provide high-flow oxygen and prepare for transport
D. Encourage the patient to walk to the ambulance
Answer: C. Provide high-flow oxygen and prepare for transport ✔
Rationale: In suspected acute coronary syndrome, the priority is to support
oxygenation and rapid transport to definitive care while minimizing delay.
2. You arrive on scene for an unresponsive adult. The patient is not breathing
but has a pulse. What is the next step?
A. Begin chest compressions
B. Provide rescue breathing
C. Apply AED
D. Wait for ALS
,Answer: B. Provide rescue breathing ✔
Rationale: A patient with a pulse but inadequate respirations requires
ventilation support, not compressions.
3. A patient presents with signs of shock after a motor vehicle collision. Which
finding is most consistent with early shock?
A. Hypertension
B. Bradycardia
C. Tachycardia
D. Warm flushed skin
Answer: C. Tachycardia ✔
Rationale: Tachycardia is an early compensatory response to maintain cardiac
output in shock.
4. Which airway adjunct is most appropriate for an unconscious patient with
no gag reflex?
A. Nasal cannula
B. Oropharyngeal airway
C. Non-rebreather mask
D. Nebulizer
Answer: B. Oropharyngeal airway ✔
Rationale: The OPA is used in unconscious patients without a gag reflex to
maintain airway patency.
5. A diabetic patient is conscious and confused with a blood glucose of 48
mg/dL. What should the EMT administer?
A. Insulin
B. Oral glucose
C. Aspirin
D. Activated charcoal
Answer: B. Oral glucose ✔
Rationale: In conscious hypoglycemia, oral glucose is the appropriate immediate
treatment.
, 6. What is the correct depth of chest compressions for an adult in cardiac
arrest?
A. 1 inch
B. At least 2 inches
C. 3 inches
D. Shallow compressions only
Answer: B. At least 2 inches ✔
Rationale: High-quality CPR requires compressions of at least 2 inches in adults.
7. A trauma patient has unequal chest rise and tracheal deviation. What
condition is most likely?
A. Asthma
B. Tension pneumothorax
C. Pulmonary edema
D. COPD exacerbation
Answer: B. Tension pneumothorax ✔
Rationale: Tracheal deviation and unequal chest rise strongly indicate tension
pneumothorax.
8. Which sign is most indicative of airway obstruction in a conscious adult?
A. Slow breathing
B. Inability to speak
C. Hypertension
D. Fever
Answer: B. Inability to speak ✔
Rationale: Inability to speak or cough effectively suggests severe airway
obstruction.
9. What is the first step in managing an actively seizing patient?
A. Insert an oral airway
B. Restrain the patient
C. Protect from injury
D. Administer oxygen via nasal cannula
Certification Practice Exam Latest 2026
Updated Questions From Actual Exams
Complete Questions And Correct
Detailed Answers (Verified Answers)
|Already Graded A+||Brand New!!
1. A 54-year-old male complains of chest pressure radiating to his left arm. He
is pale, diaphoretic, and short of breath. What is the EMT’s priority
intervention?
A. Obtain a full medical history
B. Administer oral glucose
C. Provide high-flow oxygen and prepare for transport
D. Encourage the patient to walk to the ambulance
Answer: C. Provide high-flow oxygen and prepare for transport ✔
Rationale: In suspected acute coronary syndrome, the priority is to support
oxygenation and rapid transport to definitive care while minimizing delay.
2. You arrive on scene for an unresponsive adult. The patient is not breathing
but has a pulse. What is the next step?
A. Begin chest compressions
B. Provide rescue breathing
C. Apply AED
D. Wait for ALS
,Answer: B. Provide rescue breathing ✔
Rationale: A patient with a pulse but inadequate respirations requires
ventilation support, not compressions.
3. A patient presents with signs of shock after a motor vehicle collision. Which
finding is most consistent with early shock?
A. Hypertension
B. Bradycardia
C. Tachycardia
D. Warm flushed skin
Answer: C. Tachycardia ✔
Rationale: Tachycardia is an early compensatory response to maintain cardiac
output in shock.
4. Which airway adjunct is most appropriate for an unconscious patient with
no gag reflex?
A. Nasal cannula
B. Oropharyngeal airway
C. Non-rebreather mask
D. Nebulizer
Answer: B. Oropharyngeal airway ✔
Rationale: The OPA is used in unconscious patients without a gag reflex to
maintain airway patency.
5. A diabetic patient is conscious and confused with a blood glucose of 48
mg/dL. What should the EMT administer?
A. Insulin
B. Oral glucose
C. Aspirin
D. Activated charcoal
Answer: B. Oral glucose ✔
Rationale: In conscious hypoglycemia, oral glucose is the appropriate immediate
treatment.
, 6. What is the correct depth of chest compressions for an adult in cardiac
arrest?
A. 1 inch
B. At least 2 inches
C. 3 inches
D. Shallow compressions only
Answer: B. At least 2 inches ✔
Rationale: High-quality CPR requires compressions of at least 2 inches in adults.
7. A trauma patient has unequal chest rise and tracheal deviation. What
condition is most likely?
A. Asthma
B. Tension pneumothorax
C. Pulmonary edema
D. COPD exacerbation
Answer: B. Tension pneumothorax ✔
Rationale: Tracheal deviation and unequal chest rise strongly indicate tension
pneumothorax.
8. Which sign is most indicative of airway obstruction in a conscious adult?
A. Slow breathing
B. Inability to speak
C. Hypertension
D. Fever
Answer: B. Inability to speak ✔
Rationale: Inability to speak or cough effectively suggests severe airway
obstruction.
9. What is the first step in managing an actively seizing patient?
A. Insert an oral airway
B. Restrain the patient
C. Protect from injury
D. Administer oxygen via nasal cannula
