THE ULTIMATE EMT COMPREHENSIVE
EXAM REVIEW | A 550-QUESTION TEST
BANK FOR THE NREMT & FISDAP
FINAL | EMERGENCY MEDICAL
TECHNICIAN WITH VERIFIED
QUESTIONS AND ANSWERS
|NEWEST!!
Question 1: During the primary assessment of an unresponsive trauma patient, the
EMT notes snoring respirations. What is the priority intervention?
• A. Insert an oropharyngeal airway
• B. Apply a non-rebreather mask at 15 LPM
• C. Perform a head tilt-chin lift maneuver to open the airway
• D. Immediately begin bag-valve-mask ventilations
Correct Answer: C
Rationale: Snoring respirations indicate upper airway obstruction from the tongue. The
head tilt-chin lift is the first maneuver to establish a patent airway before adjuncts are
considered.
Question 2: A 62-year-old patient presents with crushing chest pain, diaphoresis,
and nausea. The blood pressure is 88/60 mmHg. What is the priority action before
administering nitroglycerin?
• A. Obtain a 12-lead ECG
• B. Administer high-flow oxygen via non-rebreather mask
• C. Ensure systolic blood pressure is at least 90 mmHg
• D. Have the patient chew 324 mg of aspirin immediately
Correct Answer: C
Rationale: Nitroglycerin causes vasodilation and can further drop blood pressure; it is
contraindicated if systolic BP is below 90 mmHg.
Question 3: In the START triage system, a patient who is ambulatory, has a
respiratory rate of 24, and a radial pulse present is classified as what priority?
• A. Immediate (Red)
• B. Delayed (Yellow)
, • C. Minor (Green)
• D. Deceased (Black)
Correct Answer: C
Rationale: Ambulatory patients who can walk are automatically categorized as Minor
(Green) in START triage.
Question 4: What is the proper compression-to-ventilation ratio for adult CPR when
performed by a single rescuer?
• A. 15 compressions to 2 ventilations
• B. 30 compressions to 1 ventilation
• C. 30 compressions to 2 ventilations
• D. 15 compressions to 1 ventilation
Correct Answer: C
Rationale: Current AHA guidelines specify a 30:2 ratio for single-rescuer adult CPR.
Question 5: An 8-month-old infant is in respiratory distress with stridor, drooling,
and tripod positioning. The parent states the child had a sudden onset of fever. What
condition should the EMT suspect?
• A. Asthma exacerbation
• B. Bronchiolitis
• C. Epiglottitis
• D. Croup
Correct Answer: C
Question 6: A patient with a history of COPD presents with respiratory distress and
an SpO2 of 84%. What is the most appropriate oxygen delivery device?
• A. Non-rebreather mask at 15 LPM
• B. Simple face mask at 10 LPM
• C. Nasal cannula at 2 LPM titrated to 88-92% SpO2
• D. Bag-valve-mask with 100% oxygen
Correct Answer: C
Question 7: During a motor vehicle collision scene size-up, the EMT observes a
downed power line contacting the vehicle. What is the priority action?
• A. Begin patient extrication immediately
• B. Request a fire department response
• C. Establish a safe perimeter and await utility company confirmation
• D. Approach the vehicle to assess patient status
Correct Answer: C
,Question 8: Which of the following is a primary purpose of the modern-day EMS
system?
• A. Provide a means of transport to and from the hospital
• B. Ensure that all members of society have equal access to hospitals
• C. Decrease the incidence of death and disability related to injury and illness
• D. Provide emergency health care services to medically underserved areas
Correct Answer: C
Question 9: Most authorities agree that the modern-day EMS system evolved after
the release of which document?
• A. The Emergency Medical Services Act of 1973
• B. The white paper "Accidental Death and Disability: The Neglected Disease of
Modern Society" in 1966
• C. The American Heart Association's Guidelines for Cardiac Resuscitation
• D. Emergency Medical Services: Agenda for the Future, in 1996
Correct Answer: B
Question 10: As defined by the National EMS Scope of Practice Model, the four
levels of EMS practitioners include:
• A. Ambulance drivers
• B. EMS medical director
• C. Paramedics
• D. Emergency medical dispatchers
Correct Answer: C
Question 11: A scuba diver complains of shortness of breath and severe muscle and
joint pain immediately after ascending from a dive. He is cyanotic and is coughing up
bloody froth. What should you suspect?
• A. The bends
• B. Air embolism
• C. Decompression sickness
• D. Nitrogen bubbles in the blood
Correct Answer: B
Question 12: Which of the following statements regarding lightning-related injuries
is correct?
• A. The majority of patients who are struck by lightning die, even if CPR is
provided immediately.
• B. The cardiovascular and nervous systems are most commonly injured during
a lightning strike.
, • C. Because of the high electrical energy associated with lightning, full-
thickness burns are a common finding.
• D. Multiple fractures, including those of the cervical spine, are the most
common cause of lightning-related deaths.
Correct Answer: B
Question 13: A 23-year-old female with a history of bulimia is vomiting large
amounts of bright red blood and complains of pain in her upper abdominal area.
What should you suspect?
• A. Mallory-Weiss tear
• B. Esophageal varices
• C. Gastroesophageal reflux disease
• D. Lower gastrointestinal bleeding
Correct Answer: A
Question 14: An elderly woman complains of pain to her right groin area after she
fell. Her right leg is shortened and externally rotated. Which of the following would
be the MOST effective way of stabilizing her injury?
• A. Bind her legs together and position her on her left side
• B. Apply a long board splint and secure her to the stretcher
• C. Apply a traction splint and secure her to a long backboard
• D. Place her on a scoop stretcher and pad her hip with pillows
Correct Answer: D
Question 15: Active rewarming of a patient with moderate or severe hypothermia
should be avoided in the field because:
• A. the risk of inadvertently inducing hyperthermia is too high.
• B. rewarming too quickly can cause a fatal cardiac dysrhythmia.
• C. it is painful for the patient and you cannot give analgesic drugs.
• D. active rewarming has been shown to cause severe hypertension.
Correct Answer: B
Question 16: Which of the following is a sign of inadequate breathing in an infant?
• A. Sunken fontanelles
• B. Abdominal breathing
• C. Expiratory grunting
• D. Heart rate of 130 beats/min
Correct Answer: C
EXAM REVIEW | A 550-QUESTION TEST
BANK FOR THE NREMT & FISDAP
FINAL | EMERGENCY MEDICAL
TECHNICIAN WITH VERIFIED
QUESTIONS AND ANSWERS
|NEWEST!!
Question 1: During the primary assessment of an unresponsive trauma patient, the
EMT notes snoring respirations. What is the priority intervention?
• A. Insert an oropharyngeal airway
• B. Apply a non-rebreather mask at 15 LPM
• C. Perform a head tilt-chin lift maneuver to open the airway
• D. Immediately begin bag-valve-mask ventilations
Correct Answer: C
Rationale: Snoring respirations indicate upper airway obstruction from the tongue. The
head tilt-chin lift is the first maneuver to establish a patent airway before adjuncts are
considered.
Question 2: A 62-year-old patient presents with crushing chest pain, diaphoresis,
and nausea. The blood pressure is 88/60 mmHg. What is the priority action before
administering nitroglycerin?
• A. Obtain a 12-lead ECG
• B. Administer high-flow oxygen via non-rebreather mask
• C. Ensure systolic blood pressure is at least 90 mmHg
• D. Have the patient chew 324 mg of aspirin immediately
Correct Answer: C
Rationale: Nitroglycerin causes vasodilation and can further drop blood pressure; it is
contraindicated if systolic BP is below 90 mmHg.
Question 3: In the START triage system, a patient who is ambulatory, has a
respiratory rate of 24, and a radial pulse present is classified as what priority?
• A. Immediate (Red)
• B. Delayed (Yellow)
, • C. Minor (Green)
• D. Deceased (Black)
Correct Answer: C
Rationale: Ambulatory patients who can walk are automatically categorized as Minor
(Green) in START triage.
Question 4: What is the proper compression-to-ventilation ratio for adult CPR when
performed by a single rescuer?
• A. 15 compressions to 2 ventilations
• B. 30 compressions to 1 ventilation
• C. 30 compressions to 2 ventilations
• D. 15 compressions to 1 ventilation
Correct Answer: C
Rationale: Current AHA guidelines specify a 30:2 ratio for single-rescuer adult CPR.
Question 5: An 8-month-old infant is in respiratory distress with stridor, drooling,
and tripod positioning. The parent states the child had a sudden onset of fever. What
condition should the EMT suspect?
• A. Asthma exacerbation
• B. Bronchiolitis
• C. Epiglottitis
• D. Croup
Correct Answer: C
Question 6: A patient with a history of COPD presents with respiratory distress and
an SpO2 of 84%. What is the most appropriate oxygen delivery device?
• A. Non-rebreather mask at 15 LPM
• B. Simple face mask at 10 LPM
• C. Nasal cannula at 2 LPM titrated to 88-92% SpO2
• D. Bag-valve-mask with 100% oxygen
Correct Answer: C
Question 7: During a motor vehicle collision scene size-up, the EMT observes a
downed power line contacting the vehicle. What is the priority action?
• A. Begin patient extrication immediately
• B. Request a fire department response
• C. Establish a safe perimeter and await utility company confirmation
• D. Approach the vehicle to assess patient status
Correct Answer: C
,Question 8: Which of the following is a primary purpose of the modern-day EMS
system?
• A. Provide a means of transport to and from the hospital
• B. Ensure that all members of society have equal access to hospitals
• C. Decrease the incidence of death and disability related to injury and illness
• D. Provide emergency health care services to medically underserved areas
Correct Answer: C
Question 9: Most authorities agree that the modern-day EMS system evolved after
the release of which document?
• A. The Emergency Medical Services Act of 1973
• B. The white paper "Accidental Death and Disability: The Neglected Disease of
Modern Society" in 1966
• C. The American Heart Association's Guidelines for Cardiac Resuscitation
• D. Emergency Medical Services: Agenda for the Future, in 1996
Correct Answer: B
Question 10: As defined by the National EMS Scope of Practice Model, the four
levels of EMS practitioners include:
• A. Ambulance drivers
• B. EMS medical director
• C. Paramedics
• D. Emergency medical dispatchers
Correct Answer: C
Question 11: A scuba diver complains of shortness of breath and severe muscle and
joint pain immediately after ascending from a dive. He is cyanotic and is coughing up
bloody froth. What should you suspect?
• A. The bends
• B. Air embolism
• C. Decompression sickness
• D. Nitrogen bubbles in the blood
Correct Answer: B
Question 12: Which of the following statements regarding lightning-related injuries
is correct?
• A. The majority of patients who are struck by lightning die, even if CPR is
provided immediately.
• B. The cardiovascular and nervous systems are most commonly injured during
a lightning strike.
, • C. Because of the high electrical energy associated with lightning, full-
thickness burns are a common finding.
• D. Multiple fractures, including those of the cervical spine, are the most
common cause of lightning-related deaths.
Correct Answer: B
Question 13: A 23-year-old female with a history of bulimia is vomiting large
amounts of bright red blood and complains of pain in her upper abdominal area.
What should you suspect?
• A. Mallory-Weiss tear
• B. Esophageal varices
• C. Gastroesophageal reflux disease
• D. Lower gastrointestinal bleeding
Correct Answer: A
Question 14: An elderly woman complains of pain to her right groin area after she
fell. Her right leg is shortened and externally rotated. Which of the following would
be the MOST effective way of stabilizing her injury?
• A. Bind her legs together and position her on her left side
• B. Apply a long board splint and secure her to the stretcher
• C. Apply a traction splint and secure her to a long backboard
• D. Place her on a scoop stretcher and pad her hip with pillows
Correct Answer: D
Question 15: Active rewarming of a patient with moderate or severe hypothermia
should be avoided in the field because:
• A. the risk of inadvertently inducing hyperthermia is too high.
• B. rewarming too quickly can cause a fatal cardiac dysrhythmia.
• C. it is painful for the patient and you cannot give analgesic drugs.
• D. active rewarming has been shown to cause severe hypertension.
Correct Answer: B
Question 16: Which of the following is a sign of inadequate breathing in an infant?
• A. Sunken fontanelles
• B. Abdominal breathing
• C. Expiratory grunting
• D. Heart rate of 130 beats/min
Correct Answer: C
