EMT-B Midterm Test Questions
According to the National EMS Scope of Practice Model, an EMT should be able to:
a. Insert a peripheral IV line and infuse fluids
b. Assist a patient with certain prescribed medications
c. Interpret a basic (ECG) rhythm and treat accordingly
d. Administer epinephrine via the subcutaneous route -
b. Assist a patient with certain prescribed medications
An appropriate demonstration of professionalism when your patient is frightened, demanding, or
unpleasant is to:
a. Reassure the patient that everything will be all right, even if it will not be
b. Continue to be nonjudgmental, compassionate, and respectful
c. Demand that the patient remain quiet and cooperative during transport
d. Ignore the patient's feelings and focus on their medical complaint -
b. Continue to be nonjudgmental, compassionate, and respectful
An EMS provider who has extensive training in various aspects of advanced life support (ALS) is
called a(n):
a. EMR
b. EMT
c. AEMT
d. Paramedic -
d. Paramedic
Cardiac monitoring, pharmacologic interventions, and other advanced treatment skills are functions
of the:
a. EMR
b. EMT
c. AEMT
d. Paramedic -
d. Paramedic
Continuing education in EMS serves to:
a. Provide an ongoing review and audit of the EMS system
b. Maintain, update, and expand the EMT's knowledge and skills
c. Enforce mandatory attendance at agency-specific training
d. Confirm research and statistical findings in prehospital care -
b. Maintain, update, and expand the EMT's knowledge and skills
EMS as we know it today had its origins in 1966 with the publication of:
a. The Emergency Medical Services Act
b. Emergency Care and Transportation of the Sick and Injured
c. The Department of Transportation's White Paper: Death and Dying
d. Accidental Death and Disability: The Neglected Disease of Modern Society -
d. Accidental Death and Disability: The Neglected Disease of Modern Society
1
,If a defibrillator manufacturer claims that its device terminates ventricular fibrillation on the first
shock 95% of the time, you should:
a. Avoid purchasing the device because this claim is unrealistic
b. Determine which device the American Heart Association recommends
c. Purchase the device based solely on the manufacturer's claim
d. Recognize that this does not mean the device will save more lives -
d. Recognize that this does not mean the device will save more lives
Obtaining continuing medical education is the responsibility of the:
a. EMS medical director
b. EMS training officer
c. Individual EMT
d. State Bureau of EMS -
c. Individual EMT
The continuous quality improvement (CQI) process is designed to:
a. Identify areas of improvement and provide remedial training if needed
b. Ensure that all EMTs maintain licensure through the state EMS office
c. Focus specifically on the quality of emergency care provided to the patient
d. Administer punitive actions to EMTs who do not follow local protocols -
a. Identify areas of improvement and provide remedial training if needed
The determination that prompt surgical care in the hospital is more important than performing time-
consuming procedures in the field on a major trauma patient is based mostly on:
a. Local protocols
b. EMS research
c. The lead EMT's decision
d. Regional trauma guidelines -
b. EMS research
The EMT certification exam is designed to:
a. Identify those EMTs who are prepared for advanced levels of training
b. Rank EMTs based on performance on the certification exam
c. Provide EMTs with the best possible wage once certification is achieved
d. Ensure that EMTs are competent and have the same level of knowledge and skills -
d. Ensure that EMTs are competent and have the same level of knowledge and skills
The standards for prehospital emergency care and the individuals who provide it are typically
regulated by the:
a. National Registry of EMTs
b. Regional trauma center
c. American Heart Association
d. State office of EMS -
d. State office of EMS
Which of the following criteria is required to become licensed and employed as an EMT?
a. Demonstration of the ability to lift and carry at least 200 pounds
b. Successful completion of a recognized bystander CPR course
c. Proof of immunization against certain communicable diseases
2
,d. A minimum of 60 college credit hours that focus on health care -
c. Proof of immunization against certain communicable diseases
Which of the following descriptions most accurately portrays emergency medical services (EMS)?
a. A vast network of advanced life support (ALS) providers who provide definitive emergency care
in the prehospital setting
b. A system composed exclusively of emergency medical responders (EMRs) and emergency
medical technicians (EMTs) who are responsible for providing care to sick and injured patients
c. A team of health care professionals who are responsible for providing emergency care and
transportation to the sick and injured
d. A team of paramedics and emergency physicians who are responsible for providing emergency
care to critically injured patients -
c. A team of health care professionals who are responsible for providing emergency
care and transportation to the sick and injured
Which of the following errors is an example of a knowledge-based failure?
a. Due to an improperly applied cervical collar, a patient's spinal injury is aggravated and he is
permanently disabled
b. An EMT gives the correct drug to a patient, although his protocols clearly state that he is not
authorized to do so
c. An EMT administers the wrong drug to a patient because she did not know the pertinent
information about the drug
d. A patient is given nitroglycerin by an EMT who did not obtain proper authorization from medical
control first -
c. An EMT administers the wrong drug to a patient because she did not know the
pertinent information about the drug
Which of the following is an example of a primary prevention strategy?
a. The construction of a guardrail on a dangerous curve following a fatal motor vehicle crash
b. Protecting a patient's spine from further injury after a fall from a significant height
c. Teaching a group of new parents how to perform one- and two-rescuer infant CPR
d. Community awareness programs that emphasize the dangers of drinking and driving -
d. Community awareness programs that emphasize the dangers of drinking and driving
Which of the following scenarios involve the administration of ALS?
a. A 64-year-old patient who is given aspirin for suspected cardiac chest pain
b. A 53-year-old patient who is assisted with his prescribed nitroglycerin
c. A 61-year-old patient who is receiving humidified supplemental oxygen
d. A 48-year-old patient whose airway is secured with a supraglottic device -
d. A 48-year-old patient whose airway is secured with a supraglottic device
Which of the following skills of interventions is included at every level of prehospital emergency
training?
a. Automated external defibrillation
b. Oral glucose for hypoglycemia
c. Intranasal medication administration
d. Use of a manually triggered ventilator -
a. Automated external defibrillation
3
, Which of the following statements regarding the NRMET is correct?
a. The NREMT provides a national standard for EMS testing
b. The NREMT is the exclusive certifying body for EMTs
c. The NREMT is a governmental agency that certifies EMTs
d. The NREMT regulates EMS training standards -
a. The NREMT provides a national standard for EMS testing
Which type of medical direction do standing orders and protocols describe?
a. Off-line
b. Radio
c. Online
d. Direct -
a. Off-line
If an EMT candidate has been convicted of a felony or misdemeanor, he or she should:
a. Contact the state EMS office and provide its staff with the required documentation
b. Send an official request to the National Registry of EMTs (NREMT) to seek approval to take the
EMT exam
c. Recognize that any such conviction will disqualify him or her from EMT licensure
d. Wait at least 24 months before taking another state-approved EMT class -
a. Contact the state EMS office and provide its staff with the required documentation
Which of the following statements regarding the Americans With Disabilities Act (ADA) of 1990 is
correct?
a. The minimum number of hours required to successfully complete an EMT course is less for
candidates who are disabled
b. The ADA applies only to individuals with a diagnosed and well-documented physical disability
c. The ADA prohibits employers from failing to provide full and equal employment to those who
are disabled
d. According to the ADA, EMT candidates with a documented disability are exempt from taking the
NREMT exam -
c. The ADA prohibits employers from failing to provide full and equal employment to
those who are disabled
According to the National Scope of Practice Model, an EMT would require special permission from
the medical director and the state EMS office to:
a. Give aspirin to a patient with chest pain
b. Use an automatic transport ventilator
c. Apply and interpret data from a pulse oximeter
d. Insert a peripheral intravenous catheter -
d. Insert a peripheral intravenous catheter
As an EMT, you may be authorized to administer aspirin to a patient with chest pain based on:
a. Medical director approval
b. The patient's condition
c. An order from the paramedic
d. The transport time to the hospital -
a. Medical director approval
4
According to the National EMS Scope of Practice Model, an EMT should be able to:
a. Insert a peripheral IV line and infuse fluids
b. Assist a patient with certain prescribed medications
c. Interpret a basic (ECG) rhythm and treat accordingly
d. Administer epinephrine via the subcutaneous route -
b. Assist a patient with certain prescribed medications
An appropriate demonstration of professionalism when your patient is frightened, demanding, or
unpleasant is to:
a. Reassure the patient that everything will be all right, even if it will not be
b. Continue to be nonjudgmental, compassionate, and respectful
c. Demand that the patient remain quiet and cooperative during transport
d. Ignore the patient's feelings and focus on their medical complaint -
b. Continue to be nonjudgmental, compassionate, and respectful
An EMS provider who has extensive training in various aspects of advanced life support (ALS) is
called a(n):
a. EMR
b. EMT
c. AEMT
d. Paramedic -
d. Paramedic
Cardiac monitoring, pharmacologic interventions, and other advanced treatment skills are functions
of the:
a. EMR
b. EMT
c. AEMT
d. Paramedic -
d. Paramedic
Continuing education in EMS serves to:
a. Provide an ongoing review and audit of the EMS system
b. Maintain, update, and expand the EMT's knowledge and skills
c. Enforce mandatory attendance at agency-specific training
d. Confirm research and statistical findings in prehospital care -
b. Maintain, update, and expand the EMT's knowledge and skills
EMS as we know it today had its origins in 1966 with the publication of:
a. The Emergency Medical Services Act
b. Emergency Care and Transportation of the Sick and Injured
c. The Department of Transportation's White Paper: Death and Dying
d. Accidental Death and Disability: The Neglected Disease of Modern Society -
d. Accidental Death and Disability: The Neglected Disease of Modern Society
1
,If a defibrillator manufacturer claims that its device terminates ventricular fibrillation on the first
shock 95% of the time, you should:
a. Avoid purchasing the device because this claim is unrealistic
b. Determine which device the American Heart Association recommends
c. Purchase the device based solely on the manufacturer's claim
d. Recognize that this does not mean the device will save more lives -
d. Recognize that this does not mean the device will save more lives
Obtaining continuing medical education is the responsibility of the:
a. EMS medical director
b. EMS training officer
c. Individual EMT
d. State Bureau of EMS -
c. Individual EMT
The continuous quality improvement (CQI) process is designed to:
a. Identify areas of improvement and provide remedial training if needed
b. Ensure that all EMTs maintain licensure through the state EMS office
c. Focus specifically on the quality of emergency care provided to the patient
d. Administer punitive actions to EMTs who do not follow local protocols -
a. Identify areas of improvement and provide remedial training if needed
The determination that prompt surgical care in the hospital is more important than performing time-
consuming procedures in the field on a major trauma patient is based mostly on:
a. Local protocols
b. EMS research
c. The lead EMT's decision
d. Regional trauma guidelines -
b. EMS research
The EMT certification exam is designed to:
a. Identify those EMTs who are prepared for advanced levels of training
b. Rank EMTs based on performance on the certification exam
c. Provide EMTs with the best possible wage once certification is achieved
d. Ensure that EMTs are competent and have the same level of knowledge and skills -
d. Ensure that EMTs are competent and have the same level of knowledge and skills
The standards for prehospital emergency care and the individuals who provide it are typically
regulated by the:
a. National Registry of EMTs
b. Regional trauma center
c. American Heart Association
d. State office of EMS -
d. State office of EMS
Which of the following criteria is required to become licensed and employed as an EMT?
a. Demonstration of the ability to lift and carry at least 200 pounds
b. Successful completion of a recognized bystander CPR course
c. Proof of immunization against certain communicable diseases
2
,d. A minimum of 60 college credit hours that focus on health care -
c. Proof of immunization against certain communicable diseases
Which of the following descriptions most accurately portrays emergency medical services (EMS)?
a. A vast network of advanced life support (ALS) providers who provide definitive emergency care
in the prehospital setting
b. A system composed exclusively of emergency medical responders (EMRs) and emergency
medical technicians (EMTs) who are responsible for providing care to sick and injured patients
c. A team of health care professionals who are responsible for providing emergency care and
transportation to the sick and injured
d. A team of paramedics and emergency physicians who are responsible for providing emergency
care to critically injured patients -
c. A team of health care professionals who are responsible for providing emergency
care and transportation to the sick and injured
Which of the following errors is an example of a knowledge-based failure?
a. Due to an improperly applied cervical collar, a patient's spinal injury is aggravated and he is
permanently disabled
b. An EMT gives the correct drug to a patient, although his protocols clearly state that he is not
authorized to do so
c. An EMT administers the wrong drug to a patient because she did not know the pertinent
information about the drug
d. A patient is given nitroglycerin by an EMT who did not obtain proper authorization from medical
control first -
c. An EMT administers the wrong drug to a patient because she did not know the
pertinent information about the drug
Which of the following is an example of a primary prevention strategy?
a. The construction of a guardrail on a dangerous curve following a fatal motor vehicle crash
b. Protecting a patient's spine from further injury after a fall from a significant height
c. Teaching a group of new parents how to perform one- and two-rescuer infant CPR
d. Community awareness programs that emphasize the dangers of drinking and driving -
d. Community awareness programs that emphasize the dangers of drinking and driving
Which of the following scenarios involve the administration of ALS?
a. A 64-year-old patient who is given aspirin for suspected cardiac chest pain
b. A 53-year-old patient who is assisted with his prescribed nitroglycerin
c. A 61-year-old patient who is receiving humidified supplemental oxygen
d. A 48-year-old patient whose airway is secured with a supraglottic device -
d. A 48-year-old patient whose airway is secured with a supraglottic device
Which of the following skills of interventions is included at every level of prehospital emergency
training?
a. Automated external defibrillation
b. Oral glucose for hypoglycemia
c. Intranasal medication administration
d. Use of a manually triggered ventilator -
a. Automated external defibrillation
3
, Which of the following statements regarding the NRMET is correct?
a. The NREMT provides a national standard for EMS testing
b. The NREMT is the exclusive certifying body for EMTs
c. The NREMT is a governmental agency that certifies EMTs
d. The NREMT regulates EMS training standards -
a. The NREMT provides a national standard for EMS testing
Which type of medical direction do standing orders and protocols describe?
a. Off-line
b. Radio
c. Online
d. Direct -
a. Off-line
If an EMT candidate has been convicted of a felony or misdemeanor, he or she should:
a. Contact the state EMS office and provide its staff with the required documentation
b. Send an official request to the National Registry of EMTs (NREMT) to seek approval to take the
EMT exam
c. Recognize that any such conviction will disqualify him or her from EMT licensure
d. Wait at least 24 months before taking another state-approved EMT class -
a. Contact the state EMS office and provide its staff with the required documentation
Which of the following statements regarding the Americans With Disabilities Act (ADA) of 1990 is
correct?
a. The minimum number of hours required to successfully complete an EMT course is less for
candidates who are disabled
b. The ADA applies only to individuals with a diagnosed and well-documented physical disability
c. The ADA prohibits employers from failing to provide full and equal employment to those who
are disabled
d. According to the ADA, EMT candidates with a documented disability are exempt from taking the
NREMT exam -
c. The ADA prohibits employers from failing to provide full and equal employment to
those who are disabled
According to the National Scope of Practice Model, an EMT would require special permission from
the medical director and the state EMS office to:
a. Give aspirin to a patient with chest pain
b. Use an automatic transport ventilator
c. Apply and interpret data from a pulse oximeter
d. Insert a peripheral intravenous catheter -
d. Insert a peripheral intravenous catheter
As an EMT, you may be authorized to administer aspirin to a patient with chest pain based on:
a. Medical director approval
b. The patient's condition
c. An order from the paramedic
d. The transport time to the hospital -
a. Medical director approval
4
