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EMERGENCY CARE AND TRANSPORTATION OF THE SICK AND INJURED (12TH EDITION,
AAOS) – NEWEST EDITION 2026 EXAM LATEST VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
Emergency Care and Transportation of the Sick and Injured (12th Edition, AAOS) –
250 Instructor Practice Questions
SECTION 1: PREPARATORY (Q1–Q50)
EMS Systems (Q1–Q10)
Q1. Which of the following is the highest level of EMT training and licensure?
A. Emergency Medical Responder (EMR)
B. Emergency Medical Technician (EMT)
C. Advanced EMT (AEMT)
D. Paramedic
Correct Answer: D
Rationale: The four levels of EMS licensure are EMR, EMT, AEMT, and Paramedic. The
Paramedic is the highest level, with the most advanced training in assessment and
invasive procedures.
Q2. The Medical Director is responsible for all of the following EXCEPT:
A. Protocol development
B. Online medical direction
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C. Quality assurance and improvement
D. Dispatching EMS units
Correct Answer: D
Rationale: The Medical Director is responsible for protocol development, online/offline
medical direction, and quality assurance. Dispatching is handled by the
communications center.
Q3. What is the primary role of the EMS system?
A. To provide transportation only
B. To provide emergency care and transportation to the sick and injured
C. To diagnose and treat chronic illnesses
D. To perform surgery in the field
Correct Answer: B
Rationale: The EMS system provides emergency care and transportation to the sick and
injured. Its scope is limited to prehospital emergency stabilization and transport.
Q4. Online medical direction refers to:
A. Written protocols
B. Real-time communication with a physician
C. Standing orders
D. Offline medical direction
Correct Answer: B
Rationale: Online medical direction involves real-time communication with a physician
or authorized provider for specific patient care decisions. Offline medical direction uses
written protocols and standing orders.
Q5. Which of the following is an example of a standing order?
A. Calling the hospital for permission to administer oxygen
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B. Administering oxygen per protocol without contacting medical control
C. Asking a physician for medication orders
D. Transporting a patient without assessment
Correct Answer: B
Rationale: Standing orders (offline medical direction) allow EMTs to perform certain
interventions without contacting medical control, based on pre-approved protocols.
Q6. Continuous quality improvement (CQI) in EMS involves:
A. Punishing EMTs for errors
B. Reviewing and improving patient care processes
C. Ignoring patient outcomes
D. Reducing the number of EMS calls
Correct Answer: B
Rationale: CQI is a system of reviewing and improving patient care processes, including
run reviews, skills audits, and outcome analysis, to enhance quality of care.
Q7. Which of the following is a component of the EMS system according to the
National EMS Education Standards?
A. Public health
B. Medical direction
C. Quality assurance
D. All of the above
Correct Answer: D
Rationale: Components of the EMS system include public access, clinical care,
medical direction, quality assurance, and public health integration.
Q8. The role of the EMT includes all of the following EXCEPT:
A. Assessing patients
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B. Providing emergency care
C. Prescribing medications
D. Transporting patients
Correct Answer: C
Rationale: EMTs administer medications per protocol but do not prescribe them.
Prescribing is outside the EMT scope of practice.
Q9. A protocol is:
A. A written set of guidelines for patient care
B. A state law
C. A federal regulation
D. A hospital policy only
Correct Answer: A
Rationale: Protocols are written guidelines that direct the EMT in providing patient care,
developed by the Medical Director and based on local, state, and national standards.
Q10. Which of the following is a responsibility of the EMT?
A. Maintaining certification and licensure
B. Participating in continuing education
C. Adhering to protocols and medical direction
D. All of the above
Correct Answer: D
Rationale: EMT responsibilities include maintaining certification, completing
continuing education, and adhering to protocols and medical direction.
Workforce Safety and Wellness (Q11–Q18)
Q11. Which of the following is a standard precaution an EMT should take at every
scene?
EMERGENCY CARE AND TRANSPORTATION OF THE SICK AND INJURED (12TH EDITION,
AAOS) – NEWEST EDITION 2026 EXAM LATEST VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
Emergency Care and Transportation of the Sick and Injured (12th Edition, AAOS) –
250 Instructor Practice Questions
SECTION 1: PREPARATORY (Q1–Q50)
EMS Systems (Q1–Q10)
Q1. Which of the following is the highest level of EMT training and licensure?
A. Emergency Medical Responder (EMR)
B. Emergency Medical Technician (EMT)
C. Advanced EMT (AEMT)
D. Paramedic
Correct Answer: D
Rationale: The four levels of EMS licensure are EMR, EMT, AEMT, and Paramedic. The
Paramedic is the highest level, with the most advanced training in assessment and
invasive procedures.
Q2. The Medical Director is responsible for all of the following EXCEPT:
A. Protocol development
B. Online medical direction
, Page 2 of 84
C. Quality assurance and improvement
D. Dispatching EMS units
Correct Answer: D
Rationale: The Medical Director is responsible for protocol development, online/offline
medical direction, and quality assurance. Dispatching is handled by the
communications center.
Q3. What is the primary role of the EMS system?
A. To provide transportation only
B. To provide emergency care and transportation to the sick and injured
C. To diagnose and treat chronic illnesses
D. To perform surgery in the field
Correct Answer: B
Rationale: The EMS system provides emergency care and transportation to the sick and
injured. Its scope is limited to prehospital emergency stabilization and transport.
Q4. Online medical direction refers to:
A. Written protocols
B. Real-time communication with a physician
C. Standing orders
D. Offline medical direction
Correct Answer: B
Rationale: Online medical direction involves real-time communication with a physician
or authorized provider for specific patient care decisions. Offline medical direction uses
written protocols and standing orders.
Q5. Which of the following is an example of a standing order?
A. Calling the hospital for permission to administer oxygen
, Page 3 of 84
B. Administering oxygen per protocol without contacting medical control
C. Asking a physician for medication orders
D. Transporting a patient without assessment
Correct Answer: B
Rationale: Standing orders (offline medical direction) allow EMTs to perform certain
interventions without contacting medical control, based on pre-approved protocols.
Q6. Continuous quality improvement (CQI) in EMS involves:
A. Punishing EMTs for errors
B. Reviewing and improving patient care processes
C. Ignoring patient outcomes
D. Reducing the number of EMS calls
Correct Answer: B
Rationale: CQI is a system of reviewing and improving patient care processes, including
run reviews, skills audits, and outcome analysis, to enhance quality of care.
Q7. Which of the following is a component of the EMS system according to the
National EMS Education Standards?
A. Public health
B. Medical direction
C. Quality assurance
D. All of the above
Correct Answer: D
Rationale: Components of the EMS system include public access, clinical care,
medical direction, quality assurance, and public health integration.
Q8. The role of the EMT includes all of the following EXCEPT:
A. Assessing patients
, Page 4 of 84
B. Providing emergency care
C. Prescribing medications
D. Transporting patients
Correct Answer: C
Rationale: EMTs administer medications per protocol but do not prescribe them.
Prescribing is outside the EMT scope of practice.
Q9. A protocol is:
A. A written set of guidelines for patient care
B. A state law
C. A federal regulation
D. A hospital policy only
Correct Answer: A
Rationale: Protocols are written guidelines that direct the EMT in providing patient care,
developed by the Medical Director and based on local, state, and national standards.
Q10. Which of the following is a responsibility of the EMT?
A. Maintaining certification and licensure
B. Participating in continuing education
C. Adhering to protocols and medical direction
D. All of the above
Correct Answer: D
Rationale: EMT responsibilities include maintaining certification, completing
continuing education, and adhering to protocols and medical direction.
Workforce Safety and Wellness (Q11–Q18)
Q11. Which of the following is a standard precaution an EMT should take at every
scene?
