Advanced EMT Questions Across ALL
Topics: National Registry Exam
Question Only (250)
1. A 30-year-old male with a history of asthma presents with wheezing and difficulty breathing.
After administering albuterol, his wheezing persists, and his oxygen saturation remains at 88%.
What should be your next step?
2. A 55-year-old male is experiencing severe chest pain and diaphoresis. His EKG shows ST-
segment elevation in leads II, III, and aVF. In addition to administering aspirin and nitroglycerin,
what should you prepare for?
3. You are treating a 72-year-old female who is found unresponsive with shallow breathing and
weak pulse. Her history includes COPD and hypertension. After initiating CPR and obtaining IV
access, what should be your next step?
4. In the management of a burn patient with partial-thickness burns to 30% of the body surface
area, what is the most appropriate fluid resuscitation method?
5. A 24-year-old male sustained a blunt force trauma to the chest following a motor vehicle
accident. He is experiencing difficulty breathing and has a blood pressure of 88/56 mm Hg. What
should be your first priority in managing this patient?
1
,6. A 3-year-old male is found unresponsive with cyanosis and a pulse of 70. After confirming
that the child is not breathing, what should be your first intervention?
7. A 66-year-old male presents with dizziness, nausea, and severe headache. His blood pressure
is 200/110 mm Hg. He is alert but confused. What is your most appropriate course of action?
8. In a patient with suspected heat stroke, what is the best initial treatment?
9. A patient with a possible pelvic fracture is hypotensive and tachycardic after a blunt injury.
What is the most likely cause of the shock?
10. When managing a patient with a severe allergic reaction and anaphylaxis, what is the first-
line medication to administer?
11. During the assessment of an unconscious trauma patient, you note that the patient's GCS
score is 12. What would indicate a need for immediate intubation?
12. You are responding to a 75-year-old female who is experiencing confusion and dizziness. She
is taking warfarin and aspirin. What is the most appropriate intervention?
2
,13. A 25-year-old male has been involved in a high-speed motorcycle crash. He is unresponsive
with obvious deformity to his leg, has a blood pressure of 90/60 mm Hg, and a pulse of 120 bpm.
What is the first step in managing this patient?
14. A patient has a known history of diabetes and presents with altered mental status and a blood
glucose of 40 mg/dL. What is the most appropriate treatment?
15. A 45-year-old female presents with a sudden onset of severe headache, nausea, and vomiting.
Her blood pressure is 220/130 mm Hg. What is the most appropriate management?
16. During a resuscitation attempt on a 4-year-old child who is unresponsive and not breathing,
what is the most effective compression depth?
17. A patient presents with severe abdominal pain after a fall from a height. Upon palpation,
tenderness and rigidity are noted in the lower abdomen, with no signs of external injury. What
does this suggest?
18. After initiating CPR on a 40-year-old female in cardiac arrest, you observe that the patient's
rhythm is pulseless electrical activity (PEA). What is your next step?
19. A 50-year-old male presents with acute chest pain, shortness of breath, and diaphoresis. EKG
reveals ST-segment elevation in leads V1-V4. What is your most appropriate next step in
management?
3
, 20. In managing a patient with a traumatic brain injury and GCS score of 9, what should be
prioritized?
21. A 60-year-old female presents with shortness of breath, wheezing, and coughing. She is
diagnosed with COPD exacerbation. What is the most appropriate immediate treatment?
22. A 33-year-old male has been involved in a motor vehicle accident. He is conscious, alert, and
complaining of chest pain. On examination, you hear a loud popping sound when palpating his
chest, and he is having difficulty breathing. What is the most likely injury?
23. A 68-year-old female with a history of atrial fibrillation is brought to the ED with complaints
of severe dizziness and weakness. Her pulse is irregular and fast at 140 bpm. What is the most
appropriate initial management?
24. A 55-year-old male presents with sudden onset of unilateral weakness, slurred speech, and
facial droop. His blood pressure is 180/100 mm Hg. What is the next step in management?
25. A 28-year-old female presents with severe back pain after a fall from a height. She has a
decreased level of consciousness and diminished sensation in both legs. What should you do?
4
Topics: National Registry Exam
Question Only (250)
1. A 30-year-old male with a history of asthma presents with wheezing and difficulty breathing.
After administering albuterol, his wheezing persists, and his oxygen saturation remains at 88%.
What should be your next step?
2. A 55-year-old male is experiencing severe chest pain and diaphoresis. His EKG shows ST-
segment elevation in leads II, III, and aVF. In addition to administering aspirin and nitroglycerin,
what should you prepare for?
3. You are treating a 72-year-old female who is found unresponsive with shallow breathing and
weak pulse. Her history includes COPD and hypertension. After initiating CPR and obtaining IV
access, what should be your next step?
4. In the management of a burn patient with partial-thickness burns to 30% of the body surface
area, what is the most appropriate fluid resuscitation method?
5. A 24-year-old male sustained a blunt force trauma to the chest following a motor vehicle
accident. He is experiencing difficulty breathing and has a blood pressure of 88/56 mm Hg. What
should be your first priority in managing this patient?
1
,6. A 3-year-old male is found unresponsive with cyanosis and a pulse of 70. After confirming
that the child is not breathing, what should be your first intervention?
7. A 66-year-old male presents with dizziness, nausea, and severe headache. His blood pressure
is 200/110 mm Hg. He is alert but confused. What is your most appropriate course of action?
8. In a patient with suspected heat stroke, what is the best initial treatment?
9. A patient with a possible pelvic fracture is hypotensive and tachycardic after a blunt injury.
What is the most likely cause of the shock?
10. When managing a patient with a severe allergic reaction and anaphylaxis, what is the first-
line medication to administer?
11. During the assessment of an unconscious trauma patient, you note that the patient's GCS
score is 12. What would indicate a need for immediate intubation?
12. You are responding to a 75-year-old female who is experiencing confusion and dizziness. She
is taking warfarin and aspirin. What is the most appropriate intervention?
2
,13. A 25-year-old male has been involved in a high-speed motorcycle crash. He is unresponsive
with obvious deformity to his leg, has a blood pressure of 90/60 mm Hg, and a pulse of 120 bpm.
What is the first step in managing this patient?
14. A patient has a known history of diabetes and presents with altered mental status and a blood
glucose of 40 mg/dL. What is the most appropriate treatment?
15. A 45-year-old female presents with a sudden onset of severe headache, nausea, and vomiting.
Her blood pressure is 220/130 mm Hg. What is the most appropriate management?
16. During a resuscitation attempt on a 4-year-old child who is unresponsive and not breathing,
what is the most effective compression depth?
17. A patient presents with severe abdominal pain after a fall from a height. Upon palpation,
tenderness and rigidity are noted in the lower abdomen, with no signs of external injury. What
does this suggest?
18. After initiating CPR on a 40-year-old female in cardiac arrest, you observe that the patient's
rhythm is pulseless electrical activity (PEA). What is your next step?
19. A 50-year-old male presents with acute chest pain, shortness of breath, and diaphoresis. EKG
reveals ST-segment elevation in leads V1-V4. What is your most appropriate next step in
management?
3
, 20. In managing a patient with a traumatic brain injury and GCS score of 9, what should be
prioritized?
21. A 60-year-old female presents with shortness of breath, wheezing, and coughing. She is
diagnosed with COPD exacerbation. What is the most appropriate immediate treatment?
22. A 33-year-old male has been involved in a motor vehicle accident. He is conscious, alert, and
complaining of chest pain. On examination, you hear a loud popping sound when palpating his
chest, and he is having difficulty breathing. What is the most likely injury?
23. A 68-year-old female with a history of atrial fibrillation is brought to the ED with complaints
of severe dizziness and weakness. Her pulse is irregular and fast at 140 bpm. What is the most
appropriate initial management?
24. A 55-year-old male presents with sudden onset of unilateral weakness, slurred speech, and
facial droop. His blood pressure is 180/100 mm Hg. What is the next step in management?
25. A 28-year-old female presents with severe back pain after a fall from a height. She has a
decreased level of consciousness and diminished sensation in both legs. What should you do?
4
