P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
NYS EMT-B State Written
Exam Questions & Answers
2026-2027 | Latest Verified
Exam (Rationales)
Verified Answers Exam Ready With Rationales
209 QUESTIONS
DOCUMENT OVERVIEW
This document contains 209 verified exam questions with correct answers and detailed rationales focused
on emergency medical services. It serves as a comprehensive resource for understanding critical concepts
in the EMT-B field, ensuring students grasp essential knowledge for their certification. Ideal for study
sessions, review, and exam preparation, it equips learners with the necessary tools for success in their EMT-
B certification endeavors.
CONTENTS
01 • Patient Assessment 02 03 • Anatomy and Physiology
• Consent and Legal Issues
04 05 • Trauma Management 06
• Vital Signs and Monitoring • Respiratory Emergencies
Page 1
, 07 • Cardiac Emergencies 08 • Pediatric Emergencies 09
• Allergic Reactions and Anaphylaxis
10 • Obstetric Emergencies 11 12 • Burns and Wound Care
• Shock and Hypoperfusion
13 • Musculoskeletal Injuries 14 15 • CPR and Resuscitation
• Emergency Vehicle Operations
16 • Airway Management 17
• Neurological Emergencies
E XA M Q U EST I O N S
Q1 QUESTION 1 OF 209
An EMS Provider responds to a call and finds an 8- yr old female with no pulse or respirations. The patient has a
history of terminal brain cancer. The family states the last time she as seen alive was 5 mins prior to EMS being
called. They also state patient has a DNR oder. In NYS, EMS personnel may accept which of the following DNR
instruments as valid?
Verbal request from family
A. Written non-hospital B. DNR or MOLST form
C. Written healthcare proxy
D. Written living will
CORRECT ANSWER
Written out-of-hospital DNR
OR MOLST FORM
RATIONALE
New York State recognizes written out-of-hospital DNR orders and MOLST forms as valid legal documents that guide
EMS personnel in resuscitation decisions, ensuring adherence to the patient's end-of-life wishes. Verbal requests or
other forms lack the legal authority required to direct emergency medical interventions.
Q2 QUESTION 2 OF 209
Page 2
,The purpose of the first set of vital signs is to:
CORRECT ANSWER
A. establish a baseline for additional evaluations
RATIONALE
Establishing a baseline for vital signs is in clinical practice as it allows for the identification of deviations from normal
physiological parameters, facilitating timely interventions. This initial assessment serves as a reference point for
monitoring changes in a patient's condition over time.
Q3 QUESTION 3 OF 209
PCR has how many spots for writing vital signs?
CORRECT ANSWER
3 spots
RATIONALE
PCR allows for the documentation of vital signs in three designated spots to ensure monitoring of a patient's
physiological status, facilitating timely interventions based on trends in the data collected. This structure supports
effective communication among healthcare providers regarding patient care.
Q4 QUESTION 4 OF 209
In people whose skin is darkly pigmented, cyanosis is BEST seen by observing
a. Mucosal membranes
b. Earlobes
c. Scalp
d. Face
CORRECT ANSWER
A. mucosal membranes
RATIONALE
Cyanosis results from deoxygenated hemoglobin, which is more readily visible in areas with thinner skin and less
melanin, such as mucosal membranes. Observing these membranes provides a reliable assessment of oxygen
saturation in individuals with darkly pigmented skin.
Page 3
, Q5 QUESTION 5 OF 209
A patient with acute respiratory distress requiring oxygen therapy is LEAST likely to exhibit:
A. a slow pulse rate
B. anxiety
C. nasal flaring
D. intercostal muscle retractions
CORRECT ANSWER
A. slow pulse rate
RATIONALE
Tachycardia often accompanies acute respiratory distress due to hypoxemia and the body's stress response, while a
slow pulse rate is atypical in this context. Anxiety, nasal flaring, and intercostal muscle retractions are common
manifestations of respiratory distress, highlighting the body's compensatory mechanisms to improve oxygenation.
Q6 QUESTION 6 OF 209
After you have determined that the scene is safe, the FIRST step in caring for a patient is to:
A. check for a carotid pulse
B. open the airway
C. determine unresponsiveness
D. check for breathing
CORRECT ANSWER
C. Determine unresponsiveness
(GEN IMP, LOC, CC)
RATIONALE
Assessing unresponsiveness is critical for determining the patient's level of consciousness and directing subsequent
interventions, such as airway management and breathing assessment. This prioritization aligns with the ABCs (Airway,
Breathing, Circulation) framework in emergency care.
Q7 QUESTION 7 OF 209
During the Prim. Assessment, you are assessing a conscious trauma patient complaining loudly of pain in the
leg, you should:
A. begin to obtain the history
B. assess the leg immediately
Page 4