• EMS Protocols 09/11/2026
Exam
Kitsap County EMS Protocols Exam 2 Questions
& Answers (Grade A+)
(NGN-STYLE QUESTIONS & CASE SCENARIOS)
Answers with detailed Rationale
You are performing a secondary assessment on an unrestrained adult passenger who has involved in a motor
vehicle collision in which the car rolled end over end several times at a high rate of speed. The patient is
responsive to painful stimuli and in a state of shock. When assessing the patient's head, which of these would be
appropriate for you to do?
A) Apply pressure to a depressed area of the skull
B) Perform a blind finger sweep to check the airway
C) Clean a laceration of the scalp
D) Check the pupils with a pen-light - Correct Answer :D) Check the pupils with a pen-light
P 1
, • EMS Protocols 09/11/2026
Exam
What would be considered an objective patient assessment finding?
A) Complaint of nausea
B) Patient rates pain as 10 out of 10
C) Complaint of headache for last 12 hours
D) Blood pressure 114/68mmHg - Correct Answer :D) Blood pressure 114/68mmHg
A nauseated patient with fever and abdominal pain states that he has not vomited. Which description best
represents how that fact should be documented?
A) As a treatment finding
B) As a pertinent negative
C) As a subjective finding
D) This fact would not be documented - Correct Answer :B) As a pertinent negative
A patient tells you that he has been feeling "very weak" for the past three days. Using the SOAP charting format,
this information would be included Nader which heading?
A) S: Subjective
B) O: Objective
C) A: Assessment
D) P: Plan - Correct Answer :A) S: Subjective
An intoxicated patient will not leave the oxygen mask on. What would be the most appropriate way to
document this behavior on the prehospital care report?
A) The patient is intoxicated and will not cooperate with oxygen therapy
B) The patient will not cooperate with oxygen therapy
C) The patient continually removes the oxygen mask despite continued reapplication
D) The patient appears to be in a drunk like state and will not cooperate with care provided by EMS - Correct
Answer :C) The patient continually removes the oxygen mask despite continued reapplication
P 2
, • EMS Protocols 09/11/2026
Exam
When completing a paper-based prehospital care report, you accidentally write that a laceration was on the left
side of a patient's face when it was actually on the right side of the face. Correcting this mistake would include
which step?
A) Carefully use white out to cover the term "left" but nothing else in the narrative
B) Color over the term "left" with black ink and write the word "right" next to it
C) Draw a single line through the term "left" and write the word "right" next to it
D) Start the entire prehospital care report over from the beginning - Correct Answer :C) Draw a single line
through the term "left" and write the word "right" next to it
Which statement shows an accurate understanding of the legal aspects of the prehospital care report (PCR)?
A) "A copy of the PCR should be forwarded to the police anytime law enforcement is involved with the call."
B) "A PCR can be used in a lawsuit only if that lawsuit is filled within 6 months."
C) "The PCR is considered a legal document only when it describes a crime or act of violence."
D) "The PCR may be subpoenaed even if the lawsuit centers on alleged negligence that occurred in the
emergency department." - Correct Answer :D) "The PCR may be subpoenaed even if the lawsuit centers on
alleged negligence that occurred in the emergency department."
Your partner states that he is the "world's worst speller," and has great difficulty using medical terms. How
would you respond to this statement?
A) "Use everyday language if you are unsure of how to apply or spell a medical term."
B) "Do not document information that requires medical terms you are unsure of."
C) "Consider abbreviating medical terms that you are unsure how to spell."
D) "Ask the emergency department physician or nurse how to spell the words of which you are unsure." -
Correct Answer :A) "Use everyday language if you are unsure of how to apply or spell a medical term."
Immediately after giving a prehospital care report to the nurse in the emergency department, dispatch informs
you that there are no more ambulances available and you must immediately leave the hospital to cover another
portion of the county. Since your service uses a computerized documentation system and there is no time to
complete your report, your best course of action should be to:
A) Complete an abbreviated transfer of care report
B) Give a verbal report to the ED physician
P 3
, • EMS Protocols 09/11/2026
Exam
C) Repeat your assessment findings and treatment to the nurse
D) Leave and return to complete the report at soon as possible - Correct Answer :A) Complete an abbreviated
transfer of care report
A patient states that he has suffered from chronic neck pain ever since an accident. Further, he states that he is
filing a lawsuit against the EMTs since they failed to put a cervical collar on him at the time; in his eyes, this is the
reason he has daily neck and back pain. The EMT can remember the incident well and remembers putting a collar
on the patient. As such, his best defense would be:
A) Presentation of the emergency department chart in court
B) Testimony from the supervisor stating that the EMTs always place a cervical collar
C) Presentation of the standard of care showing that a cervical collar is indicated
D) Written documentation of collar placement on the PCR - Correct Answer :D) Written documentation of collar
placement on the PCR
A pertinent negative would be illustrated by:
A) "Shortness of breath with a history of lung problems."
B) "Nausea without vomiting."
C) "Dizziness for three days without notifying the doctor."
D) "Hypertension and taking medication." - Correct Answer :B) "Nausea without vomiting."
An emergency medical responder comes to you and states that he would like to work for you ambulance service
on a full-time basis. Knowing the national EMS scope of practice model, you inform him of which element?
A) He will be able to work only with an Advanced EMT or paramedic
B) He will first have to be come an emergency medical technician
C) He will be able to take care of only patients with non life threatening complaints
D) He will first need approval from your ambulance service's medical director - Correct Answer :A) He will only
be able to work only with an advanced EMT or paramedic
A 14 year old boy has fallen through a plate glass window and is bleeding heavily from a laceration to his arm. His
panicked mother has called 911 for help. Since the 911 operators are also emergency medical dispatchers, what
sort of assistance will they be able to provide?
P 4
Exam
Kitsap County EMS Protocols Exam 2 Questions
& Answers (Grade A+)
(NGN-STYLE QUESTIONS & CASE SCENARIOS)
Answers with detailed Rationale
You are performing a secondary assessment on an unrestrained adult passenger who has involved in a motor
vehicle collision in which the car rolled end over end several times at a high rate of speed. The patient is
responsive to painful stimuli and in a state of shock. When assessing the patient's head, which of these would be
appropriate for you to do?
A) Apply pressure to a depressed area of the skull
B) Perform a blind finger sweep to check the airway
C) Clean a laceration of the scalp
D) Check the pupils with a pen-light - Correct Answer :D) Check the pupils with a pen-light
P 1
, • EMS Protocols 09/11/2026
Exam
What would be considered an objective patient assessment finding?
A) Complaint of nausea
B) Patient rates pain as 10 out of 10
C) Complaint of headache for last 12 hours
D) Blood pressure 114/68mmHg - Correct Answer :D) Blood pressure 114/68mmHg
A nauseated patient with fever and abdominal pain states that he has not vomited. Which description best
represents how that fact should be documented?
A) As a treatment finding
B) As a pertinent negative
C) As a subjective finding
D) This fact would not be documented - Correct Answer :B) As a pertinent negative
A patient tells you that he has been feeling "very weak" for the past three days. Using the SOAP charting format,
this information would be included Nader which heading?
A) S: Subjective
B) O: Objective
C) A: Assessment
D) P: Plan - Correct Answer :A) S: Subjective
An intoxicated patient will not leave the oxygen mask on. What would be the most appropriate way to
document this behavior on the prehospital care report?
A) The patient is intoxicated and will not cooperate with oxygen therapy
B) The patient will not cooperate with oxygen therapy
C) The patient continually removes the oxygen mask despite continued reapplication
D) The patient appears to be in a drunk like state and will not cooperate with care provided by EMS - Correct
Answer :C) The patient continually removes the oxygen mask despite continued reapplication
P 2
, • EMS Protocols 09/11/2026
Exam
When completing a paper-based prehospital care report, you accidentally write that a laceration was on the left
side of a patient's face when it was actually on the right side of the face. Correcting this mistake would include
which step?
A) Carefully use white out to cover the term "left" but nothing else in the narrative
B) Color over the term "left" with black ink and write the word "right" next to it
C) Draw a single line through the term "left" and write the word "right" next to it
D) Start the entire prehospital care report over from the beginning - Correct Answer :C) Draw a single line
through the term "left" and write the word "right" next to it
Which statement shows an accurate understanding of the legal aspects of the prehospital care report (PCR)?
A) "A copy of the PCR should be forwarded to the police anytime law enforcement is involved with the call."
B) "A PCR can be used in a lawsuit only if that lawsuit is filled within 6 months."
C) "The PCR is considered a legal document only when it describes a crime or act of violence."
D) "The PCR may be subpoenaed even if the lawsuit centers on alleged negligence that occurred in the
emergency department." - Correct Answer :D) "The PCR may be subpoenaed even if the lawsuit centers on
alleged negligence that occurred in the emergency department."
Your partner states that he is the "world's worst speller," and has great difficulty using medical terms. How
would you respond to this statement?
A) "Use everyday language if you are unsure of how to apply or spell a medical term."
B) "Do not document information that requires medical terms you are unsure of."
C) "Consider abbreviating medical terms that you are unsure how to spell."
D) "Ask the emergency department physician or nurse how to spell the words of which you are unsure." -
Correct Answer :A) "Use everyday language if you are unsure of how to apply or spell a medical term."
Immediately after giving a prehospital care report to the nurse in the emergency department, dispatch informs
you that there are no more ambulances available and you must immediately leave the hospital to cover another
portion of the county. Since your service uses a computerized documentation system and there is no time to
complete your report, your best course of action should be to:
A) Complete an abbreviated transfer of care report
B) Give a verbal report to the ED physician
P 3
, • EMS Protocols 09/11/2026
Exam
C) Repeat your assessment findings and treatment to the nurse
D) Leave and return to complete the report at soon as possible - Correct Answer :A) Complete an abbreviated
transfer of care report
A patient states that he has suffered from chronic neck pain ever since an accident. Further, he states that he is
filing a lawsuit against the EMTs since they failed to put a cervical collar on him at the time; in his eyes, this is the
reason he has daily neck and back pain. The EMT can remember the incident well and remembers putting a collar
on the patient. As such, his best defense would be:
A) Presentation of the emergency department chart in court
B) Testimony from the supervisor stating that the EMTs always place a cervical collar
C) Presentation of the standard of care showing that a cervical collar is indicated
D) Written documentation of collar placement on the PCR - Correct Answer :D) Written documentation of collar
placement on the PCR
A pertinent negative would be illustrated by:
A) "Shortness of breath with a history of lung problems."
B) "Nausea without vomiting."
C) "Dizziness for three days without notifying the doctor."
D) "Hypertension and taking medication." - Correct Answer :B) "Nausea without vomiting."
An emergency medical responder comes to you and states that he would like to work for you ambulance service
on a full-time basis. Knowing the national EMS scope of practice model, you inform him of which element?
A) He will be able to work only with an Advanced EMT or paramedic
B) He will first have to be come an emergency medical technician
C) He will be able to take care of only patients with non life threatening complaints
D) He will first need approval from your ambulance service's medical director - Correct Answer :A) He will only
be able to work only with an advanced EMT or paramedic
A 14 year old boy has fallen through a plate glass window and is bleeding heavily from a laceration to his arm. His
panicked mother has called 911 for help. Since the 911 operators are also emergency medical dispatchers, what
sort of assistance will they be able to provide?
P 4
