JB LEARNING EMT FINAL EXAM 2025–2026 |
EMT FINAL EXAM ACTUAL QUESTIONS AND 100%
VERIFIED ANSWERS | GRADED A+
1.
A 56-year-old male presents with chest pain radiating to his left arm. His blood
pressure is 88/54 mmHg, pulse 54 bpm, and skin cool and clammy. What should
you do first?
A. Administer nitroglycerin
B. Provide high-flow oxygen and prepare for transport
C. Give aspirin 325 mg PO
D. Obtain a 12-lead ECG before moving
✅ Answer: B
Rationale: Hypotension contraindicates nitroglycerin. Priority is oxygenation and
rapid transport to a cardiac facility.
2.
You arrive at a motor vehicle collision where a 24-year-old is unresponsive with
snoring respirations. What is your immediate action?
A. Insert an oral airway
B. Apply a nonrebreather mask
C. Perform a jaw-thrust maneuver
D. Begin chest compressions
,✅ Answer: C
Rationale: Snoring respirations indicate airway obstruction; open airway using
jaw-thrust before adjuncts or oxygen.
3.
Which of the following findings is most suggestive of a tension pneumothorax?
A. Dull percussion sounds
B. Decreased breath sounds on one side with hypotension and JVD
C. Chest wall bruising and paradoxical motion
D. Clear breath sounds with cyanosis
✅ Answer: B
Rationale: Classic triad: unilateral breath sound loss, hypotension, JVD → tension
pneumothorax.
4.
A 3-year-old child has a fever of 104°F (40°C) and a stiff neck. What should
concern you most?
A. Dehydration
B. Viral upper respiratory infection
C. Meningitis
D. Febrile seizure
✅ Answer: C
Rationale: High fever and neck stiffness suggest meningitis, a life-threatening
infection requiring isolation and rapid transport.
,5.
Which of the following patients meets the criteria for high-priority transport?
A. 28-year-old with minor head laceration
B. 40-year-old with chest pain relieved by rest
C. 64-year-old with altered mental status and diaphoresis
D. 19-year-old with isolated wrist fracture
✅ Answer: C
Rationale: Altered mental status with diaphoresis indicates systemic
compromise—priority transport needed.
6.
What is the correct compression-to-ventilation ratio for an adult in two-rescuer
CPR?
A. 15:2
B. 30:2
C. 3:1
D. 5:1
✅ Answer: B
Rationale: For adults, one or two rescuers = 30:2 ratio per AHA 2025 guidelines.
, 7.
A 25-year-old male overdosed on heroin and is unresponsive with shallow
respirations. What should you do first?
A. Administer naloxone
B. Insert a nasopharyngeal airway
C. Assist ventilations with a BVM
D. Place the patient in recovery position
✅ Answer: C
Rationale: Always support ventilations first; naloxone is secondary after
airway/ventilation stabilization.
8.
A patient involved in a motorcycle crash has an open femur fracture with severe
bleeding. After applying direct pressure, bleeding continues. What’s next?
A. Apply a splint
B. Apply a tourniquet proximal to the wound
C. Elevate the limb
D. Use a pressure dressing
✅ Answer: B
Rationale: Persistent, life-threatening bleeding → apply a tourniquet above the
injury.
EMT FINAL EXAM ACTUAL QUESTIONS AND 100%
VERIFIED ANSWERS | GRADED A+
1.
A 56-year-old male presents with chest pain radiating to his left arm. His blood
pressure is 88/54 mmHg, pulse 54 bpm, and skin cool and clammy. What should
you do first?
A. Administer nitroglycerin
B. Provide high-flow oxygen and prepare for transport
C. Give aspirin 325 mg PO
D. Obtain a 12-lead ECG before moving
✅ Answer: B
Rationale: Hypotension contraindicates nitroglycerin. Priority is oxygenation and
rapid transport to a cardiac facility.
2.
You arrive at a motor vehicle collision where a 24-year-old is unresponsive with
snoring respirations. What is your immediate action?
A. Insert an oral airway
B. Apply a nonrebreather mask
C. Perform a jaw-thrust maneuver
D. Begin chest compressions
,✅ Answer: C
Rationale: Snoring respirations indicate airway obstruction; open airway using
jaw-thrust before adjuncts or oxygen.
3.
Which of the following findings is most suggestive of a tension pneumothorax?
A. Dull percussion sounds
B. Decreased breath sounds on one side with hypotension and JVD
C. Chest wall bruising and paradoxical motion
D. Clear breath sounds with cyanosis
✅ Answer: B
Rationale: Classic triad: unilateral breath sound loss, hypotension, JVD → tension
pneumothorax.
4.
A 3-year-old child has a fever of 104°F (40°C) and a stiff neck. What should
concern you most?
A. Dehydration
B. Viral upper respiratory infection
C. Meningitis
D. Febrile seizure
✅ Answer: C
Rationale: High fever and neck stiffness suggest meningitis, a life-threatening
infection requiring isolation and rapid transport.
,5.
Which of the following patients meets the criteria for high-priority transport?
A. 28-year-old with minor head laceration
B. 40-year-old with chest pain relieved by rest
C. 64-year-old with altered mental status and diaphoresis
D. 19-year-old with isolated wrist fracture
✅ Answer: C
Rationale: Altered mental status with diaphoresis indicates systemic
compromise—priority transport needed.
6.
What is the correct compression-to-ventilation ratio for an adult in two-rescuer
CPR?
A. 15:2
B. 30:2
C. 3:1
D. 5:1
✅ Answer: B
Rationale: For adults, one or two rescuers = 30:2 ratio per AHA 2025 guidelines.
, 7.
A 25-year-old male overdosed on heroin and is unresponsive with shallow
respirations. What should you do first?
A. Administer naloxone
B. Insert a nasopharyngeal airway
C. Assist ventilations with a BVM
D. Place the patient in recovery position
✅ Answer: C
Rationale: Always support ventilations first; naloxone is secondary after
airway/ventilation stabilization.
8.
A patient involved in a motorcycle crash has an open femur fracture with severe
bleeding. After applying direct pressure, bleeding continues. What’s next?
A. Apply a splint
B. Apply a tourniquet proximal to the wound
C. Elevate the limb
D. Use a pressure dressing
✅ Answer: B
Rationale: Persistent, life-threatening bleeding → apply a tourniquet above the
injury.
