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NCOEMS EXAM 1 AND 2
PRACTICE/STUDY GUIDE 2026 ALL
QUESTIONS AND CORRECT DETAILED
ANSWERS ALREADY A GRADED |NEW
AND REVISED
A 45-year-old male is experiencing chest discomfort. After placing him
in his position of comfort, your next action should be to:
A. Ventilate the patient with a nonrebreather mask at 15 L/min.
B. Ventilate the patient with the bag-valve mask at 15 L/min.
C. Administer oxygen by nonrebreather mask at 15 L/min.
D. Administer oxygen by the nasal cannula at 6 L/min. - ANSWER- C.
Which patient should receive a rapid trauma survey to determine hidden
injuries?
A. Alert 2-year-old child in a car seat who was in a medium-speed crash.
B. Alert 20-year-old male who fell ten feet and is complaining of leg
pain.
C. Alert 65-year-old female who fell in the bathtub and is complaining
of wrist pain.
D. Alert 11-year-old female who tripped while roller-skating and fell
down three steps. - ANSWER- A.
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Which of the following is a sign of increased pressure in the circulatory
system?
A. Flat neck veins.
B. Palpable carotid pulse.
C. Distended jugular veins.
D. Decreased radial pulse - ANSWER- C.
An automated external defibrillator (AED) will shock which of the
following rhythms?
A. Sinus rhythm.
B. Asystole.
C. Ventricular fibrillation.
D. Pulseless electrical activity - ANSWER- C.
To assess the motor functions in the lower extremities of a responsive
patient, you would:
A. Ask the patient to bend his knees.
B. Ask the patient to wiggle his toes.
C. Carefully move the patient's leg.
D. Touch the skin of the patient's foot. - ANSWER- B.
Which patient can safely receive only a focused physical examination
rather than a rapid trauma assessment?
A. 10-year-old male with a deformed right lower leg who is responsive
after falling off his bicycle.
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B. 20-year-old female who complains of severe pain in her ankle after
stepping off a curb.
C. 70-year-old male who complains of neck pain after a medium-speed
car collision.
D. 30-year-old male who is unresponsive but has only minor cuts on the
extremities. - ANSWER- B.
You are using the OPQRST acronym to assess a responsive medical
patient. What question would you ask to assess the P component?
A. What were you doing when the pain started?
B. Can you describe the character of the pain for me?
C. What makes the pain feel worse or better?
D. On a scale of 1 to 10, how would you rte the pain? - ANSWER- C.
What is the first step in the physical assessment of an unresponsive
medical patient?
A. Perform the initial assessment.
B. Assess a complete set of vital signs.
C. Position the patient to protect the airway.
D. Obtain SAMPLE history from a family member. - ANSWER- A.
Which patient needs a detailed physical examination?
A. 48-year-old male with a history of heart disease who is complaining
of chest pain.
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B. 35-year-old female who has been in a single-car collision and who
briefly lost consciousness.
C. 28-year-old full-term pregnant female whose water has broken and
who is having contractions every two minutes.
D. 53-year-old female with a history of smoking who is distressed and
short of breath. - ANSWER- B.
Where is a detailed physical exam typically performed?
A. At the scene of the accident or injury.
B. In the hospital emergency department.
C. In the ambulance during transport.
D. In the triage area of the trauma center. - ANSWER- C.
The purpose of the ongoing assessment is to re-evaluate the patient's
condition and to:
A. Find any injuries missed during the initial assessment.
B. Reassure the patient that you are still caring for him or her.
C. Check the adequacy of each intervention performed.
D. Protect the EMT against liability from malpractice. - ANSWER- C.
Immediately after delivering a shock with an AED to a patient in cardiac
arrest, you should:
A. Check for a pulse.
B. Check breathing and provide rescue breaths as necessary.
C. Analyze with the AED and shock again if indicated.
NCOEMS EXAM 1 AND 2
PRACTICE/STUDY GUIDE 2026 ALL
QUESTIONS AND CORRECT DETAILED
ANSWERS ALREADY A GRADED |NEW
AND REVISED
A 45-year-old male is experiencing chest discomfort. After placing him
in his position of comfort, your next action should be to:
A. Ventilate the patient with a nonrebreather mask at 15 L/min.
B. Ventilate the patient with the bag-valve mask at 15 L/min.
C. Administer oxygen by nonrebreather mask at 15 L/min.
D. Administer oxygen by the nasal cannula at 6 L/min. - ANSWER- C.
Which patient should receive a rapid trauma survey to determine hidden
injuries?
A. Alert 2-year-old child in a car seat who was in a medium-speed crash.
B. Alert 20-year-old male who fell ten feet and is complaining of leg
pain.
C. Alert 65-year-old female who fell in the bathtub and is complaining
of wrist pain.
D. Alert 11-year-old female who tripped while roller-skating and fell
down three steps. - ANSWER- A.
,2|Page
Which of the following is a sign of increased pressure in the circulatory
system?
A. Flat neck veins.
B. Palpable carotid pulse.
C. Distended jugular veins.
D. Decreased radial pulse - ANSWER- C.
An automated external defibrillator (AED) will shock which of the
following rhythms?
A. Sinus rhythm.
B. Asystole.
C. Ventricular fibrillation.
D. Pulseless electrical activity - ANSWER- C.
To assess the motor functions in the lower extremities of a responsive
patient, you would:
A. Ask the patient to bend his knees.
B. Ask the patient to wiggle his toes.
C. Carefully move the patient's leg.
D. Touch the skin of the patient's foot. - ANSWER- B.
Which patient can safely receive only a focused physical examination
rather than a rapid trauma assessment?
A. 10-year-old male with a deformed right lower leg who is responsive
after falling off his bicycle.
,3|Page
B. 20-year-old female who complains of severe pain in her ankle after
stepping off a curb.
C. 70-year-old male who complains of neck pain after a medium-speed
car collision.
D. 30-year-old male who is unresponsive but has only minor cuts on the
extremities. - ANSWER- B.
You are using the OPQRST acronym to assess a responsive medical
patient. What question would you ask to assess the P component?
A. What were you doing when the pain started?
B. Can you describe the character of the pain for me?
C. What makes the pain feel worse or better?
D. On a scale of 1 to 10, how would you rte the pain? - ANSWER- C.
What is the first step in the physical assessment of an unresponsive
medical patient?
A. Perform the initial assessment.
B. Assess a complete set of vital signs.
C. Position the patient to protect the airway.
D. Obtain SAMPLE history from a family member. - ANSWER- A.
Which patient needs a detailed physical examination?
A. 48-year-old male with a history of heart disease who is complaining
of chest pain.
, 4|Page
B. 35-year-old female who has been in a single-car collision and who
briefly lost consciousness.
C. 28-year-old full-term pregnant female whose water has broken and
who is having contractions every two minutes.
D. 53-year-old female with a history of smoking who is distressed and
short of breath. - ANSWER- B.
Where is a detailed physical exam typically performed?
A. At the scene of the accident or injury.
B. In the hospital emergency department.
C. In the ambulance during transport.
D. In the triage area of the trauma center. - ANSWER- C.
The purpose of the ongoing assessment is to re-evaluate the patient's
condition and to:
A. Find any injuries missed during the initial assessment.
B. Reassure the patient that you are still caring for him or her.
C. Check the adequacy of each intervention performed.
D. Protect the EMT against liability from malpractice. - ANSWER- C.
Immediately after delivering a shock with an AED to a patient in cardiac
arrest, you should:
A. Check for a pulse.
B. Check breathing and provide rescue breaths as necessary.
C. Analyze with the AED and shock again if indicated.
