Board Exam 2025: EMS Scope of
Practice and Certification| Questions
and 100% Verified Solutions
A paramedic administers a medication not listed in the protocols but deemed necessary for the
patient's survival. How should this be addressed?
The paramedic must contact medical control for authorization and document the deviation
thoroughly.
An EMT-Basic is asked to administer IV fluids to a patient. What is their correct response?
Refuse the task, as it is outside the EMT-Basic scope of practice and notify the requesting
party.
You are an EMT-Intermediate on a call with a critical care paramedic. Who determines the
treatments provided?
The paramedic, as the provider with the highest level of certification on scene, oversees
patient care.
During an interfacility transport, a patient requires a medication infusion adjustment. Can an
EMT make this adjustment?
No, adjusting medication infusions is outside the EMT scope of practice unless specifically
trained and authorized.
1
,A new EMT begins using advanced airway equipment learned in training but not covered by
local protocols. Is this permissible?
No, all skills performed must be within the local EMS system protocols, regardless of
training.
An EMT-P is asked to provide medical care during an off-duty incident. What should they
consider?
They must follow their certified scope of practice and ensure access to proper equipment and
medical oversight.
A first responder performs chest compressions on a patient. Is this within their scope of practice?
Yes, basic CPR is within the scope of practice for a first responder.
A patient refuses care, but the EMT feels the refusal is unsafe. What should the EMT do?
Explain the risks, assess decision-making capacity, involve medical control if needed, and
document the refusal.
An EMT administers aspirin to a patient with chest pain. Is this within their scope of practice?
Yes, provided local protocols permit EMTs to administer aspirin for suspected cardiac chest
pain.
Can a paramedic perform surgical cricothyrotomy in the field?
2
, Only if it is within their state-approved scope of practice and protocols and if they are trained
to perform the procedure.
An EMT encounters a pediatric patient requiring specialized medication not carried in the
ambulance. What should they do?
Contact medical control for guidance and proceed based on their instructions.
A basic EMT is asked to interpret a 12-lead ECG. Is this within their scope of practice?
No, interpreting ECGs is not within the basic EMT scope of practice.
A paramedic administers ketamine to sedate a combative patient. Is this allowed?
Only if ketamine administration is included in the protocols and the paramedic has proper
authorization.
During a mass casualty event, a non-certified responder performs basic first aid. Is this
permissible?
Yes, untrained individuals can assist within their capabilities under Good Samaritan laws
during emergencies.
An EMT-Basic performs a blood glucose check using a glucometer. Is this within their scope?
Yes, if their local protocols include blood glucose monitoring as part of their approved skills.
3
Practice and Certification| Questions
and 100% Verified Solutions
A paramedic administers a medication not listed in the protocols but deemed necessary for the
patient's survival. How should this be addressed?
The paramedic must contact medical control for authorization and document the deviation
thoroughly.
An EMT-Basic is asked to administer IV fluids to a patient. What is their correct response?
Refuse the task, as it is outside the EMT-Basic scope of practice and notify the requesting
party.
You are an EMT-Intermediate on a call with a critical care paramedic. Who determines the
treatments provided?
The paramedic, as the provider with the highest level of certification on scene, oversees
patient care.
During an interfacility transport, a patient requires a medication infusion adjustment. Can an
EMT make this adjustment?
No, adjusting medication infusions is outside the EMT scope of practice unless specifically
trained and authorized.
1
,A new EMT begins using advanced airway equipment learned in training but not covered by
local protocols. Is this permissible?
No, all skills performed must be within the local EMS system protocols, regardless of
training.
An EMT-P is asked to provide medical care during an off-duty incident. What should they
consider?
They must follow their certified scope of practice and ensure access to proper equipment and
medical oversight.
A first responder performs chest compressions on a patient. Is this within their scope of practice?
Yes, basic CPR is within the scope of practice for a first responder.
A patient refuses care, but the EMT feels the refusal is unsafe. What should the EMT do?
Explain the risks, assess decision-making capacity, involve medical control if needed, and
document the refusal.
An EMT administers aspirin to a patient with chest pain. Is this within their scope of practice?
Yes, provided local protocols permit EMTs to administer aspirin for suspected cardiac chest
pain.
Can a paramedic perform surgical cricothyrotomy in the field?
2
, Only if it is within their state-approved scope of practice and protocols and if they are trained
to perform the procedure.
An EMT encounters a pediatric patient requiring specialized medication not carried in the
ambulance. What should they do?
Contact medical control for guidance and proceed based on their instructions.
A basic EMT is asked to interpret a 12-lead ECG. Is this within their scope of practice?
No, interpreting ECGs is not within the basic EMT scope of practice.
A paramedic administers ketamine to sedate a combative patient. Is this allowed?
Only if ketamine administration is included in the protocols and the paramedic has proper
authorization.
During a mass casualty event, a non-certified responder performs basic first aid. Is this
permissible?
Yes, untrained individuals can assist within their capabilities under Good Samaritan laws
during emergencies.
An EMT-Basic performs a blood glucose check using a glucometer. Is this within their scope?
Yes, if their local protocols include blood glucose monitoring as part of their approved skills.
3
