NEW YORK STATE ADVANCED EMT (AEMT) CERTIFICATION EXAM
COMPLETE PRACTICE EXAM – 300 QUESTIONS WITH DETAILED
SOLUTIONS BASED ON NYS DOH CURRICULUM & NREMT COGNITIVE
EXAM STANDARDS
SECTION 1: EMS SYSTEMS, MEDICAL-LEGAL, AND COMMUNICATIONS (Questions 1-40)
1. Which type of consent allows an AEMT to provide care when a patient is unable
to communicate and no surrogate is present?
A. Expressed consent
B. Implied consent
C. Informed consent
D. No-consent rule
Correct Answer: B
Rationale: Implied consent permits emergency care when a patient cannot give
express consent and delaying care would endanger life.
2. In New York State tiered response, an AEMT is most likely dispatched to which
scenario?
A. Minor laceration with no bleeding
B. Cardiac arrest with a witnessed rhythm
C. Routine wellness check for an elderly patient
D. Non-emergent transport of a stable patient
Correct Answer: B
Rationale: AEMTs are part of advanced life support (ALS) response and are
dispatched to high-acuity calls like cardiac arrest.
3. Which of the following best describes the primary responsibility of an AEMT
during an EMS run?
A. Performing advanced cardiac life support protocols
B. Providing basic life support and limited advanced interventions
C. Acting as the medical director on scene
D. Managing the ambulance's navigation system
Correct Answer: B
1
,Rationale: AEMTs are trained to provide BLS and a limited set of advanced
interventions such as IV therapy and medication administration, but they do not
perform full ALS protocols.[reference:7]
4. In the context of EMS medical direction, "online" medical control refers to:
A. Written protocols stored on the ambulance
B. Real-time communication with a physician via radio or phone
C. A pre-hospital medical director who reviews charts monthly
D. Telemetry monitoring from the hospital
Correct Answer: B
Rationale: Online medical control is direct, real-time contact with a physician
for patient-specific orders.
5. One of the core components of a Quality Improvement (QI) program in EMS is:
A. Increasing response times to improve efficiency
B. Collecting and analyzing patient outcome data to identify improvement areas
C. Reducing the number of crew members per shift
D. Eliminating all documentation to save time
Correct Answer: B
Rationale: QI focuses on data collection, analysis, and implementing changes to
enhance patient care and system performance.
6. The "EMS Agenda for the Future" emphasizes which of the following as a
primary
goal?
A. Reducing response times to under 4 minutes in all zones
B. Expanding community paramedicine programs
C. Eliminating all non-transport calls
D. Replacing all EMT-Basic providers with AEMTs
Correct Answer: B
Rationale: Community paramedicine expands the role of EMS providers in
preventive
health and chronic disease management.
7. A patient who is conscious, alert, and refuses transport despite a potentially
life-threatening condition:
2
,A. Must be transported against their will
B. Can be left at the scene if they sign a refusal
C. Requires the AEMT to contact medical control
D. Should be sedated for transport
Correct Answer: C
Rationale: For a patient with decision-making capacity who refuses care, the
AEMT should fully inform the patient of risks, attempt to persuade, and contact
medical control for guidance.
8. The concept of "standard of care" in EMS is defined as:
A. What the average, prudent AEMT would do in similar circumstances
B. The minimum care required by state law
C. The most expensive treatment available
D. What the patient demands
Correct Answer: A
Rationale: The standard of care is defined by what a reasonably prudent
provider with similar training would do under the same or similar circumstances.
9. A DNR (Do Not Resuscitate) order must be:
A. Verbal from a family member
B. Written and properly executed
C. Verbally from the patient
D. Provided by the receiving hospital
Correct Answer: B
Rationale: A valid DNR order must be written, signed by a physician, and
properly executed according to state law.
10. Which of the following is a violation of patient confidentiality?
A. Discussing a patient's case with the receiving ED physician
B. Documenting the patient's condition in the PCR
C. Discussing a patient's case with another AEMT on a different shift
D. Providing a verbal report to the receiving nurse
Correct Answer: C
3
, Rationale: Patient information should only be shared with those directly
involved in the patient's care. Discussing cases with providers not involved in
the patient's care violates HIPAA and confidentiality.
11. When a minor requires emergency care and the parent or guardian is not
present, the AEMT should:
A. Withhold care until consent is obtained
B. Provide care under the doctrine of implied consent
C. Contact law enforcement
D. Transport to the hospital without treatment
Correct Answer: B
Rationale: In life-threatening emergencies involving minors, implied consent
allows the AEMT to provide necessary care when a parent or guardian is
unavailable.
12. The Good Samaritan law in New York State protects AEMTs from liability
when:
A. They are on duty and receiving compensation
B. They are off duty and acting in good faith
C. They are operating outside their scope of practice
D. They are providing care with gross negligence
Correct Answer: B
Rationale: Good Samaritan laws protect off-duty providers who render
emergency
care in good faith and without gross negligence.
13. Which document serves as the primary legal record of the care provided by an
AEMT?
A. The incident report
B. The patient care report (PCR)
C. The billing statement
D. The hospital intake form
Correct Answer: B
4
COMPLETE PRACTICE EXAM – 300 QUESTIONS WITH DETAILED
SOLUTIONS BASED ON NYS DOH CURRICULUM & NREMT COGNITIVE
EXAM STANDARDS
SECTION 1: EMS SYSTEMS, MEDICAL-LEGAL, AND COMMUNICATIONS (Questions 1-40)
1. Which type of consent allows an AEMT to provide care when a patient is unable
to communicate and no surrogate is present?
A. Expressed consent
B. Implied consent
C. Informed consent
D. No-consent rule
Correct Answer: B
Rationale: Implied consent permits emergency care when a patient cannot give
express consent and delaying care would endanger life.
2. In New York State tiered response, an AEMT is most likely dispatched to which
scenario?
A. Minor laceration with no bleeding
B. Cardiac arrest with a witnessed rhythm
C. Routine wellness check for an elderly patient
D. Non-emergent transport of a stable patient
Correct Answer: B
Rationale: AEMTs are part of advanced life support (ALS) response and are
dispatched to high-acuity calls like cardiac arrest.
3. Which of the following best describes the primary responsibility of an AEMT
during an EMS run?
A. Performing advanced cardiac life support protocols
B. Providing basic life support and limited advanced interventions
C. Acting as the medical director on scene
D. Managing the ambulance's navigation system
Correct Answer: B
1
,Rationale: AEMTs are trained to provide BLS and a limited set of advanced
interventions such as IV therapy and medication administration, but they do not
perform full ALS protocols.[reference:7]
4. In the context of EMS medical direction, "online" medical control refers to:
A. Written protocols stored on the ambulance
B. Real-time communication with a physician via radio or phone
C. A pre-hospital medical director who reviews charts monthly
D. Telemetry monitoring from the hospital
Correct Answer: B
Rationale: Online medical control is direct, real-time contact with a physician
for patient-specific orders.
5. One of the core components of a Quality Improvement (QI) program in EMS is:
A. Increasing response times to improve efficiency
B. Collecting and analyzing patient outcome data to identify improvement areas
C. Reducing the number of crew members per shift
D. Eliminating all documentation to save time
Correct Answer: B
Rationale: QI focuses on data collection, analysis, and implementing changes to
enhance patient care and system performance.
6. The "EMS Agenda for the Future" emphasizes which of the following as a
primary
goal?
A. Reducing response times to under 4 minutes in all zones
B. Expanding community paramedicine programs
C. Eliminating all non-transport calls
D. Replacing all EMT-Basic providers with AEMTs
Correct Answer: B
Rationale: Community paramedicine expands the role of EMS providers in
preventive
health and chronic disease management.
7. A patient who is conscious, alert, and refuses transport despite a potentially
life-threatening condition:
2
,A. Must be transported against their will
B. Can be left at the scene if they sign a refusal
C. Requires the AEMT to contact medical control
D. Should be sedated for transport
Correct Answer: C
Rationale: For a patient with decision-making capacity who refuses care, the
AEMT should fully inform the patient of risks, attempt to persuade, and contact
medical control for guidance.
8. The concept of "standard of care" in EMS is defined as:
A. What the average, prudent AEMT would do in similar circumstances
B. The minimum care required by state law
C. The most expensive treatment available
D. What the patient demands
Correct Answer: A
Rationale: The standard of care is defined by what a reasonably prudent
provider with similar training would do under the same or similar circumstances.
9. A DNR (Do Not Resuscitate) order must be:
A. Verbal from a family member
B. Written and properly executed
C. Verbally from the patient
D. Provided by the receiving hospital
Correct Answer: B
Rationale: A valid DNR order must be written, signed by a physician, and
properly executed according to state law.
10. Which of the following is a violation of patient confidentiality?
A. Discussing a patient's case with the receiving ED physician
B. Documenting the patient's condition in the PCR
C. Discussing a patient's case with another AEMT on a different shift
D. Providing a verbal report to the receiving nurse
Correct Answer: C
3
, Rationale: Patient information should only be shared with those directly
involved in the patient's care. Discussing cases with providers not involved in
the patient's care violates HIPAA and confidentiality.
11. When a minor requires emergency care and the parent or guardian is not
present, the AEMT should:
A. Withhold care until consent is obtained
B. Provide care under the doctrine of implied consent
C. Contact law enforcement
D. Transport to the hospital without treatment
Correct Answer: B
Rationale: In life-threatening emergencies involving minors, implied consent
allows the AEMT to provide necessary care when a parent or guardian is
unavailable.
12. The Good Samaritan law in New York State protects AEMTs from liability
when:
A. They are on duty and receiving compensation
B. They are off duty and acting in good faith
C. They are operating outside their scope of practice
D. They are providing care with gross negligence
Correct Answer: B
Rationale: Good Samaritan laws protect off-duty providers who render
emergency
care in good faith and without gross negligence.
13. Which document serves as the primary legal record of the care provided by an
AEMT?
A. The incident report
B. The patient care report (PCR)
C. The billing statement
D. The hospital intake form
Correct Answer: B
4
