1
NYS EMT STATE WRITTEN PRACTICE EXAM
2026/2027 | EMERGENCY MEDICAL TECHNICIAN |
75 VERIFIED Q&A | DETAILED RATIONALES | PASS
GUARANTEED – A+ GRADED
SECTION 1: EMS SYSTEMS AND PREPARATORY – Questions 1–8
Q1: EMS Systems – Scope of Practice
The student is reviewing scope of practice. Which of the following is within a New York State EMT’s
scope of practice?
A. Administering nitroglycerin via the sublingual route under protocol
B. Performing a cricothyrotomy
C. Administering IV furosemide
D. Reading 12-lead ECGs
Correct Answer: A
Rationale: NYS EMTs may administer nitroglycerin sublingually under protocol for suspected cardiac
chest pain. Cricothyrotomy, IV furosemide, and 12-lead interpretation are advanced skills outside
the EMT scope. [100% CORRECT]
Q2: EMS Systems – Consent
The student is reviewing consent. A 16-year-old is injured and the parent is not present. What type
of consent applies?
A. Expressed consent
B. Implied consent
C. Involuntary consent
D. No consent needed
Correct Answer: B
Rationale: For a minor without a parent or guardian present, implied consent applies if the situation
is life-threatening and a reasonable person would consent. [100% CORRECT]
Q3: EMS Systems – Refusal
The student is reviewing refusal of care. A competent adult refuses transport after a minor car
accident. What should the EMT do?
A. Document the refusal, explain risks, and have the patient sign a refusal form
B. Force the patient to go
C. Restrain the patient
D. Leave without documentation
,2
Correct Answer: A
Rationale: The patient has the right to refuse. The EMT must ensure the patient understands the
risks, document the refusal, and obtain a signed refusal form. [100% CORRECT]
Q4: EMS Systems – HIPAA
The student is reviewing HIPAA. Which action violates HIPAA?
A. Discussing a patient’s condition with a coworker who is not involved in their care
B. Reporting suspected child abuse to authorities
C. Providing a verbal handoff to the receiving nurse
D. Documenting care on the PCR
Correct Answer: A
Rationale: Discussing patient information with someone not involved in their care violates HIPAA.
Reporting abuse and handoff are authorized. [100% CORRECT]
Q5: EMS Systems – Mandatory Reporting
The student is reviewing mandatory reporting. Which situation requires mandatory reporting by an
EMT in NYS?
A. Suspected child abuse
B. A patient with a sprained ankle
C. A patient who refuses care
D. A patient with a common cold
Correct Answer: A
Rationale: EMTs are mandated reporters for suspected child abuse, elder abuse, and certain
communicable diseases. [100% CORRECT]
Q6: EMS Systems – Infection Control
The student is reviewing infection control. What is the single most effective way to prevent the
spread of infection?
A. Hand washing
B. Wearing gloves
C. Wearing a mask
D. Using hand sanitizer
Correct Answer: A
Rationale: Hand washing with soap and water is the most effective method to prevent infection
transmission. [100% CORRECT]
Q7: EMS Systems – PPE
The student is reviewing PPE. What PPE is required for all patient contacts?
A. Gloves
B. Gown
C. N95 respirator
D. Face shield
, 3
Correct Answer: A
Rationale: Gloves are the minimum PPE for every patient contact. Additional PPE depends on the
situation. [100% CORRECT]
Q8: EMS Systems – Quality Improvement
The student is reviewing quality improvement. What is the purpose of continuous quality
improvement (CQI)?
A. To improve patient care and outcomes
B. To punish providers
C. To increase revenue
D. To reduce staffing
Correct Answer: A
Rationale: CQI reviews data and outcomes to identify areas for improvement and enhance patient
care. [100% CORRECT]
SECTION 2: AIRWAY MANAGEMENT AND VENTILATION – Questions 9–16
Q9: Airway – Head Tilt-Chin Lift
The student is reviewing airway management. When is the head tilt-chin lift used?
A. For an unresponsive patient without suspected spinal injury
B. For a patient with suspected spinal injury
C. For a conscious patient
D. For a patient with a jaw fracture
Correct Answer: A
Rationale: Head tilt-chin lift opens the airway in an unresponsive patient without suspected spinal
injury. Use jaw-thrust if spinal injury is suspected. [100% CORRECT]
Q10: Airway – Jaw Thrust
The student is reviewing airway management. When is the jaw-thrust maneuver used?
A. For a patient with suspected spinal injury
B. For all patients
C. For a conscious patient
D. For a patient with a foreign body airway obstruction
Correct Answer: A
Rationale: Jaw-thrust is used when spinal injury is suspected to minimize neck movement. [100%
CORRECT]
Q11: Airway – Oropharyngeal Airway
The student is reviewing airway adjuncts. When is an oropharyngeal airway (OPA) indicated?
A. In an unresponsive patient without a gag reflex
B. In a conscious patient
NYS EMT STATE WRITTEN PRACTICE EXAM
2026/2027 | EMERGENCY MEDICAL TECHNICIAN |
75 VERIFIED Q&A | DETAILED RATIONALES | PASS
GUARANTEED – A+ GRADED
SECTION 1: EMS SYSTEMS AND PREPARATORY – Questions 1–8
Q1: EMS Systems – Scope of Practice
The student is reviewing scope of practice. Which of the following is within a New York State EMT’s
scope of practice?
A. Administering nitroglycerin via the sublingual route under protocol
B. Performing a cricothyrotomy
C. Administering IV furosemide
D. Reading 12-lead ECGs
Correct Answer: A
Rationale: NYS EMTs may administer nitroglycerin sublingually under protocol for suspected cardiac
chest pain. Cricothyrotomy, IV furosemide, and 12-lead interpretation are advanced skills outside
the EMT scope. [100% CORRECT]
Q2: EMS Systems – Consent
The student is reviewing consent. A 16-year-old is injured and the parent is not present. What type
of consent applies?
A. Expressed consent
B. Implied consent
C. Involuntary consent
D. No consent needed
Correct Answer: B
Rationale: For a minor without a parent or guardian present, implied consent applies if the situation
is life-threatening and a reasonable person would consent. [100% CORRECT]
Q3: EMS Systems – Refusal
The student is reviewing refusal of care. A competent adult refuses transport after a minor car
accident. What should the EMT do?
A. Document the refusal, explain risks, and have the patient sign a refusal form
B. Force the patient to go
C. Restrain the patient
D. Leave without documentation
,2
Correct Answer: A
Rationale: The patient has the right to refuse. The EMT must ensure the patient understands the
risks, document the refusal, and obtain a signed refusal form. [100% CORRECT]
Q4: EMS Systems – HIPAA
The student is reviewing HIPAA. Which action violates HIPAA?
A. Discussing a patient’s condition with a coworker who is not involved in their care
B. Reporting suspected child abuse to authorities
C. Providing a verbal handoff to the receiving nurse
D. Documenting care on the PCR
Correct Answer: A
Rationale: Discussing patient information with someone not involved in their care violates HIPAA.
Reporting abuse and handoff are authorized. [100% CORRECT]
Q5: EMS Systems – Mandatory Reporting
The student is reviewing mandatory reporting. Which situation requires mandatory reporting by an
EMT in NYS?
A. Suspected child abuse
B. A patient with a sprained ankle
C. A patient who refuses care
D. A patient with a common cold
Correct Answer: A
Rationale: EMTs are mandated reporters for suspected child abuse, elder abuse, and certain
communicable diseases. [100% CORRECT]
Q6: EMS Systems – Infection Control
The student is reviewing infection control. What is the single most effective way to prevent the
spread of infection?
A. Hand washing
B. Wearing gloves
C. Wearing a mask
D. Using hand sanitizer
Correct Answer: A
Rationale: Hand washing with soap and water is the most effective method to prevent infection
transmission. [100% CORRECT]
Q7: EMS Systems – PPE
The student is reviewing PPE. What PPE is required for all patient contacts?
A. Gloves
B. Gown
C. N95 respirator
D. Face shield
, 3
Correct Answer: A
Rationale: Gloves are the minimum PPE for every patient contact. Additional PPE depends on the
situation. [100% CORRECT]
Q8: EMS Systems – Quality Improvement
The student is reviewing quality improvement. What is the purpose of continuous quality
improvement (CQI)?
A. To improve patient care and outcomes
B. To punish providers
C. To increase revenue
D. To reduce staffing
Correct Answer: A
Rationale: CQI reviews data and outcomes to identify areas for improvement and enhance patient
care. [100% CORRECT]
SECTION 2: AIRWAY MANAGEMENT AND VENTILATION – Questions 9–16
Q9: Airway – Head Tilt-Chin Lift
The student is reviewing airway management. When is the head tilt-chin lift used?
A. For an unresponsive patient without suspected spinal injury
B. For a patient with suspected spinal injury
C. For a conscious patient
D. For a patient with a jaw fracture
Correct Answer: A
Rationale: Head tilt-chin lift opens the airway in an unresponsive patient without suspected spinal
injury. Use jaw-thrust if spinal injury is suspected. [100% CORRECT]
Q10: Airway – Jaw Thrust
The student is reviewing airway management. When is the jaw-thrust maneuver used?
A. For a patient with suspected spinal injury
B. For all patients
C. For a conscious patient
D. For a patient with a foreign body airway obstruction
Correct Answer: A
Rationale: Jaw-thrust is used when spinal injury is suspected to minimize neck movement. [100%
CORRECT]
Q11: Airway – Oropharyngeal Airway
The student is reviewing airway adjuncts. When is an oropharyngeal airway (OPA) indicated?
A. In an unresponsive patient without a gag reflex
B. In a conscious patient
