EMT-INTERMEDIATE EXAM
PRACTICE QUESTIONS AND
CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES
2026 Q&A | INSTANT
DOWNLOAD PDF
1. Which of the following is the most appropriate method to confirm
endotracheal tube placement?
A. Chest auscultation only
B. Observation of chest rise only
C. Capnography
D. Patient’s color improvement
Rationale: Capnography is the most reliable and objective method to
confirm ET tube placement because it measures exhaled CO₂.
2. A patient presents with sudden-onset chest pain radiating to the
jaw, diaphoresis, and nausea. What is the first medication an EMT-I
can administer if protocols allow?
A. Aspirin
B. Nitroglycerin
,C. Morphine
D. Oxygen
Rationale: Nitroglycerin is indicated for chest pain associated with
suspected angina or myocardial infarction, provided there are no
contraindications.
3. In managing a patient with bradycardia and hypotension, which
drug is indicated according to EMT-I protocols?
A. Atropine
B. Epinephrine
C. Dopamine
D. Adenosine
Rationale: Dopamine is used for symptomatic bradycardia with
hypotension to improve cardiac output.
4. What is the primary reason for performing a rapid trauma
assessment?
A. To document injuries for the hospital
B. To obtain baseline vitals
C. To identify life-threatening injuries quickly
D. To determine mechanism of injury
Rationale: Rapid trauma assessment prioritizes life-threatening injuries
to ensure immediate treatment.
5. Which IV fluid is considered isotonic and safe for initial
resuscitation of hypovolemic shock?
A. 0.45% NaCl
,B. 0.9% NaCl (Normal Saline)
C. 5% Dextrose in water
D. Lactated Ringer’s at half rate
Rationale: Normal saline is isotonic and replenishes intravascular
volume effectively in shock.
6. Which of the following is a contraindication for nitroglycerin
administration?
A. Hypertension
B. Recent use of phosphodiesterase inhibitors
C. Tachycardia
D. Dyspnea
Rationale: Nitroglycerin can cause severe hypotension if taken with
PDE-5 inhibitors.
7. What is the appropriate compression-to-ventilation ratio for an
adult in CPR with an advanced airway in place?
A. 30:2
B. Continuous compressions with 1 breath every 6 seconds
C. 15:2
D. 5:1
Rationale: When an advanced airway is in place, compressions are
continuous, and ventilations are given every 6 seconds.
8. Which ECG rhythm requires immediate defibrillation?
A. Ventricular fibrillation
B. Asystole
, C. Pulseless electrical activity
D. Sinus tachycardia
Rationale: VF is a shockable rhythm, whereas asystole and PEA are not.
9. A patient is exhibiting signs of anaphylaxis. Which medication is
first-line?
A. Diphenhydramine
B. Albuterol
C. Epinephrine IM
D. Hydrocortisone
Rationale: Epinephrine is the first-line treatment for anaphylaxis and
can be life-saving.
10. Which of the following indicates impending respiratory failure in a
patient with asthma?
A. Wheezing on auscultation
B. Mild dyspnea
C. Silent chest
D. Cough with sputum
Rationale: A silent chest suggests severe obstruction and poor air
movement, a sign of impending respiratory failure.
11. Which of the following is a sign of hypoperfusion in a trauma
patient?
A. Warm, dry skin
B. Bradycardia
PRACTICE QUESTIONS AND
CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES
2026 Q&A | INSTANT
DOWNLOAD PDF
1. Which of the following is the most appropriate method to confirm
endotracheal tube placement?
A. Chest auscultation only
B. Observation of chest rise only
C. Capnography
D. Patient’s color improvement
Rationale: Capnography is the most reliable and objective method to
confirm ET tube placement because it measures exhaled CO₂.
2. A patient presents with sudden-onset chest pain radiating to the
jaw, diaphoresis, and nausea. What is the first medication an EMT-I
can administer if protocols allow?
A. Aspirin
B. Nitroglycerin
,C. Morphine
D. Oxygen
Rationale: Nitroglycerin is indicated for chest pain associated with
suspected angina or myocardial infarction, provided there are no
contraindications.
3. In managing a patient with bradycardia and hypotension, which
drug is indicated according to EMT-I protocols?
A. Atropine
B. Epinephrine
C. Dopamine
D. Adenosine
Rationale: Dopamine is used for symptomatic bradycardia with
hypotension to improve cardiac output.
4. What is the primary reason for performing a rapid trauma
assessment?
A. To document injuries for the hospital
B. To obtain baseline vitals
C. To identify life-threatening injuries quickly
D. To determine mechanism of injury
Rationale: Rapid trauma assessment prioritizes life-threatening injuries
to ensure immediate treatment.
5. Which IV fluid is considered isotonic and safe for initial
resuscitation of hypovolemic shock?
A. 0.45% NaCl
,B. 0.9% NaCl (Normal Saline)
C. 5% Dextrose in water
D. Lactated Ringer’s at half rate
Rationale: Normal saline is isotonic and replenishes intravascular
volume effectively in shock.
6. Which of the following is a contraindication for nitroglycerin
administration?
A. Hypertension
B. Recent use of phosphodiesterase inhibitors
C. Tachycardia
D. Dyspnea
Rationale: Nitroglycerin can cause severe hypotension if taken with
PDE-5 inhibitors.
7. What is the appropriate compression-to-ventilation ratio for an
adult in CPR with an advanced airway in place?
A. 30:2
B. Continuous compressions with 1 breath every 6 seconds
C. 15:2
D. 5:1
Rationale: When an advanced airway is in place, compressions are
continuous, and ventilations are given every 6 seconds.
8. Which ECG rhythm requires immediate defibrillation?
A. Ventricular fibrillation
B. Asystole
, C. Pulseless electrical activity
D. Sinus tachycardia
Rationale: VF is a shockable rhythm, whereas asystole and PEA are not.
9. A patient is exhibiting signs of anaphylaxis. Which medication is
first-line?
A. Diphenhydramine
B. Albuterol
C. Epinephrine IM
D. Hydrocortisone
Rationale: Epinephrine is the first-line treatment for anaphylaxis and
can be life-saving.
10. Which of the following indicates impending respiratory failure in a
patient with asthma?
A. Wheezing on auscultation
B. Mild dyspnea
C. Silent chest
D. Cough with sputum
Rationale: A silent chest suggests severe obstruction and poor air
movement, a sign of impending respiratory failure.
11. Which of the following is a sign of hypoperfusion in a trauma
patient?
A. Warm, dry skin
B. Bradycardia
