EMT-B NYS STATE EXAM AND STUDY GUIDE NEWEST
2026 TEST BANK| COMPLETE 600 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+ (BRAND
NEW!!)
1. A 58-year-old male is in respiratory distress with stridor
and drooling. What is the priority action?
A) Apply a non-rebreather mask at 15 L/min
B) Perform a head-tilt chin-lift
C) Suction the airway immediately
D) Transport immediately with airway support
Correct Answer: D
Rationale: Stridor + drooling = epiglottitis or upper airway
obstruction. Aggressive airway manipulation can cause complete
obstruction. Priority is rapid transport, keep patient calm,
administer high-flow O2 if tolerated, prepare BVM.
1
,2. A patient has agonal respirations at 4 breaths/min after
cardiac arrest. What should you do first?
A) Start chest compressions
B) Provide positive pressure ventilation with BVM
C) Insert an NPA
D) Apply a pulse oximeter
Correct Answer: A
Rationale: Agonal breathing is not effective ventilation. In
cardiac arrest, start high-quality chest compressions immediately
(30:2 ratio). Ventilations follow compressions.
3. Which oxygen delivery device delivers the highest FiO2 (up
to 90%) in a spontaneously breathing patient?
A) Nasal cannula at 6 L/min
B) Non-rebreather mask at 15 L/min
2
,C) Simple face mask at 10 L/min
D) Venturi mask
Correct Answer: B
Rationale: NRB with reservoir bag and high flow provides FiO2
~0.80–0.90. Nasal cannula: 24–44%. Simple mask: ~40–60%.
Venturi: fixed lower FiO2.
4. What is the most reliable sign of adequate artificial
ventilation in an adult?
A) Pulse oximetry >94%
B) Visible chest rise and fall
C) Gastric distention
D) End-tidal CO2 >45 mmHg
Correct Answer: B
Rationale: Chest rise is immediate and reliable. Gastric
3
, distention indicates excessive pressure. SpO2 lags. EtCO2 is
useful but not always available in BLS.
5. A 7-year-old is choking but has a strong cough. What
should you do?
A) Abdominal thrusts
B) Back blows and chest thrusts
C) Encourage continued coughing
D) Finger sweep
Correct Answer: C
Rationale: Strong cough = partial obstruction with good air
exchange. Do not interfere. Abdominal thrusts are for severe
obstruction (cannot cough, speak, cyanosis).
6. A patient with a stoma is in respiratory distress. You
attempt to ventilate via stoma but air escapes from
4
2026 TEST BANK| COMPLETE 600 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+ (BRAND
NEW!!)
1. A 58-year-old male is in respiratory distress with stridor
and drooling. What is the priority action?
A) Apply a non-rebreather mask at 15 L/min
B) Perform a head-tilt chin-lift
C) Suction the airway immediately
D) Transport immediately with airway support
Correct Answer: D
Rationale: Stridor + drooling = epiglottitis or upper airway
obstruction. Aggressive airway manipulation can cause complete
obstruction. Priority is rapid transport, keep patient calm,
administer high-flow O2 if tolerated, prepare BVM.
1
,2. A patient has agonal respirations at 4 breaths/min after
cardiac arrest. What should you do first?
A) Start chest compressions
B) Provide positive pressure ventilation with BVM
C) Insert an NPA
D) Apply a pulse oximeter
Correct Answer: A
Rationale: Agonal breathing is not effective ventilation. In
cardiac arrest, start high-quality chest compressions immediately
(30:2 ratio). Ventilations follow compressions.
3. Which oxygen delivery device delivers the highest FiO2 (up
to 90%) in a spontaneously breathing patient?
A) Nasal cannula at 6 L/min
B) Non-rebreather mask at 15 L/min
2
,C) Simple face mask at 10 L/min
D) Venturi mask
Correct Answer: B
Rationale: NRB with reservoir bag and high flow provides FiO2
~0.80–0.90. Nasal cannula: 24–44%. Simple mask: ~40–60%.
Venturi: fixed lower FiO2.
4. What is the most reliable sign of adequate artificial
ventilation in an adult?
A) Pulse oximetry >94%
B) Visible chest rise and fall
C) Gastric distention
D) End-tidal CO2 >45 mmHg
Correct Answer: B
Rationale: Chest rise is immediate and reliable. Gastric
3
, distention indicates excessive pressure. SpO2 lags. EtCO2 is
useful but not always available in BLS.
5. A 7-year-old is choking but has a strong cough. What
should you do?
A) Abdominal thrusts
B) Back blows and chest thrusts
C) Encourage continued coughing
D) Finger sweep
Correct Answer: C
Rationale: Strong cough = partial obstruction with good air
exchange. Do not interfere. Abdominal thrusts are for severe
obstruction (cannot cough, speak, cyanosis).
6. A patient with a stoma is in respiratory distress. You
attempt to ventilate via stoma but air escapes from
4
