NYS EMT Exam 2025| 250 Questions
Complete with Verified Correct
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1. Which of the following definitions best describes an EMS system?
A) A hospital-based emergency department
B) A system of resources and personnel necessary to provide immediate medical care to
patients with sudden or unexpected illness or injury
C) A network of ambulances only
D) A government-funded healthcare program
Answer: B) A system of resources and personnel necessary to provide immediate
medical care to patients with sudden or unexpected illness or injury
Explanation: An EMS system is a comprehensive network that includes personnel,
equipment, protocols, and transportation to deliver emergency medical care.
2. The first use of ambulances in the United States occurred during the:
A) Revolutionary War
B) Civil War
C) World War I
D) Korean War
Answer: B) Civil War
Explanation: Ambulances were first systematically used during the Civil War to
evacuate wounded soldiers from battlefields.
3. Motorized ambulances were first used by which hospital?
A) Johns Hopkins Hospital
B) Massachusetts General Hospital
C) Michael Reese Hospital in Chicago
D) Bellevue Hospital
Answer: C) Michael Reese Hospital in Chicago
,Explanation: Michael Reese Hospital introduced motorized ambulances in the early
20th century, replacing horse-drawn units.
4. Which landmark paper did the National Academy of Sciences publish in 1966?
A) "Emergency Medical Services: A Public Health Priority"
B) "Accidental Death and Disability: The Neglected Disease of Modern Society"
C) "Trauma Care in America"
D) "The Future of EMS"
Answer: B) "Accidental Death and Disability: The Neglected Disease of Modern
Society"
Explanation: This report exposed gaps in prehospital trauma care and spurred EMS
system improvements nationwide.
5. The ______ is the "central nervous system" of EMS resources.
A) Emergency department
B) Dispatch center
C) Medical director
D) Ambulance
Answer: B) Dispatch center
Explanation: The dispatch center coordinates EMS responses, allocates units, and
ensures efficient emergency care delivery.
6. Which component of an EMS system is the "intersection of care" for the critical
patient?
A) The ambulance
B) The dispatch center
C) The hospital emergency department
D) The medical director’s office
Answer: C) The hospital emergency department
Explanation: The ED is where definitive care is provided, integrating prehospital and
hospital-based treatments.
,7. Who of the following EMS system personnel often provides the first help to the
patient?
A) The EMT
B) The paramedic
C) The lay rescuer
D) The emergency physician
Answer: C) The lay rescuer
Explanation: Bystanders or laypeople (e.g., family, witnesses) typically initiate first
aid before EMS arrives.
8. Which of the following are the best ways to maintain competence?
A) Reading EMS textbooks occasionally
B) Employing a serious effort to apply and perfect the skills taught during the initial
training program, as well as taking measures to prevent deterioration of knowledge
C) Relying solely on field experience
D) Attending conferences once a year
Answer: B) Employing a serious effort to apply and perfect the skills taught during the
initial training program, as well as taking measures to prevent deterioration of
knowledge
Explanation: Regular practice, continuing education, and protocol reviews are key to
maintaining EMT competency.
9. Which of the following is not a primary role for the EMT?
A) Patient assessment
B) Emergency care provision
C) Online medical director
D) Transport decision-making
Answer: C) Online medical director
Explanation: The online medical director is a physician who provides oversight, not
an EMT role.
, 10. Which of the following treatments would require wearing only gloves (no goggles) as
your personal protective equipment?
A) Intubation
B) Bandaging a minor wound
C) Suctioning bloody secretions
D) Starting an IV
Answer: B) Bandaging a minor wound
Explanation: Minor wound care has low splash risk, so gloves suffice. Procedures with
fluid exposure (e.g., suctioning) require goggles.
11. Which of the following best describes offline medical direction?
A) Direct radio communication with a physician
B) Standing orders and written protocols to advise rescuers on how to deal with certain
situations
C) Video consultation with an emergency doctor
D) On-scene supervision by a medical director
Answer: B) Standing orders and written protocols to advise rescuers on how to deal
with certain situations
Explanation: Offline medical direction refers to pre-established protocols that guide
EMTs without requiring real-time physician contact.
12. The EMT's first priority when dealing with a dangerous patient is:
A) Patient comfort
B) Personal safety
C) Immediate restraint
D) Calling for police backup
Answer: B) Personal safety
Explanation: EMTs must first ensure their own safety before providing care to
potentially violent patients.
13. When confronted with an open wound oozing blood, the EMT should:
Complete with Verified Correct
Answers for Guaranteed Pass
1. Which of the following definitions best describes an EMS system?
A) A hospital-based emergency department
B) A system of resources and personnel necessary to provide immediate medical care to
patients with sudden or unexpected illness or injury
C) A network of ambulances only
D) A government-funded healthcare program
Answer: B) A system of resources and personnel necessary to provide immediate
medical care to patients with sudden or unexpected illness or injury
Explanation: An EMS system is a comprehensive network that includes personnel,
equipment, protocols, and transportation to deliver emergency medical care.
2. The first use of ambulances in the United States occurred during the:
A) Revolutionary War
B) Civil War
C) World War I
D) Korean War
Answer: B) Civil War
Explanation: Ambulances were first systematically used during the Civil War to
evacuate wounded soldiers from battlefields.
3. Motorized ambulances were first used by which hospital?
A) Johns Hopkins Hospital
B) Massachusetts General Hospital
C) Michael Reese Hospital in Chicago
D) Bellevue Hospital
Answer: C) Michael Reese Hospital in Chicago
,Explanation: Michael Reese Hospital introduced motorized ambulances in the early
20th century, replacing horse-drawn units.
4. Which landmark paper did the National Academy of Sciences publish in 1966?
A) "Emergency Medical Services: A Public Health Priority"
B) "Accidental Death and Disability: The Neglected Disease of Modern Society"
C) "Trauma Care in America"
D) "The Future of EMS"
Answer: B) "Accidental Death and Disability: The Neglected Disease of Modern
Society"
Explanation: This report exposed gaps in prehospital trauma care and spurred EMS
system improvements nationwide.
5. The ______ is the "central nervous system" of EMS resources.
A) Emergency department
B) Dispatch center
C) Medical director
D) Ambulance
Answer: B) Dispatch center
Explanation: The dispatch center coordinates EMS responses, allocates units, and
ensures efficient emergency care delivery.
6. Which component of an EMS system is the "intersection of care" for the critical
patient?
A) The ambulance
B) The dispatch center
C) The hospital emergency department
D) The medical director’s office
Answer: C) The hospital emergency department
Explanation: The ED is where definitive care is provided, integrating prehospital and
hospital-based treatments.
,7. Who of the following EMS system personnel often provides the first help to the
patient?
A) The EMT
B) The paramedic
C) The lay rescuer
D) The emergency physician
Answer: C) The lay rescuer
Explanation: Bystanders or laypeople (e.g., family, witnesses) typically initiate first
aid before EMS arrives.
8. Which of the following are the best ways to maintain competence?
A) Reading EMS textbooks occasionally
B) Employing a serious effort to apply and perfect the skills taught during the initial
training program, as well as taking measures to prevent deterioration of knowledge
C) Relying solely on field experience
D) Attending conferences once a year
Answer: B) Employing a serious effort to apply and perfect the skills taught during the
initial training program, as well as taking measures to prevent deterioration of
knowledge
Explanation: Regular practice, continuing education, and protocol reviews are key to
maintaining EMT competency.
9. Which of the following is not a primary role for the EMT?
A) Patient assessment
B) Emergency care provision
C) Online medical director
D) Transport decision-making
Answer: C) Online medical director
Explanation: The online medical director is a physician who provides oversight, not
an EMT role.
, 10. Which of the following treatments would require wearing only gloves (no goggles) as
your personal protective equipment?
A) Intubation
B) Bandaging a minor wound
C) Suctioning bloody secretions
D) Starting an IV
Answer: B) Bandaging a minor wound
Explanation: Minor wound care has low splash risk, so gloves suffice. Procedures with
fluid exposure (e.g., suctioning) require goggles.
11. Which of the following best describes offline medical direction?
A) Direct radio communication with a physician
B) Standing orders and written protocols to advise rescuers on how to deal with certain
situations
C) Video consultation with an emergency doctor
D) On-scene supervision by a medical director
Answer: B) Standing orders and written protocols to advise rescuers on how to deal
with certain situations
Explanation: Offline medical direction refers to pre-established protocols that guide
EMTs without requiring real-time physician contact.
12. The EMT's first priority when dealing with a dangerous patient is:
A) Patient comfort
B) Personal safety
C) Immediate restraint
D) Calling for police backup
Answer: B) Personal safety
Explanation: EMTs must first ensure their own safety before providing care to
potentially violent patients.
13. When confronted with an open wound oozing blood, the EMT should:
