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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: EMS Operations | 10–14% | - Emergency vehicle operations and safety - Documentation and legal aspects - Incident command and multiple-casualty situations - EMS system roles and responsibilities |
| Topic 2: Patient Treatment and Transport | 20–24% | - Medical and trauma care interventions - Communication with receiving facilities - Medication administration and protocols - Patient packaging and transport procedures |
| Topic 3: Primary Assessment | 39–43% | - General patient impression and priority determination - Airway, breathing, and circulation management - Initial patient assessment - Identification and management of life-threatening conditions |
| Topic 4: Scene Size-Up and Safety | 15–19% | - Hazard recognition and management - Scene assessment and safety protocols - Mechanism of injury / nature of illness |
| Topic 5: Secondary Assessment | 5–9% | - Focused history and physical exam - Vital signs and monitoring - Symptom assessment and history taking |
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It is similar to the EMT desktop-based software, with all the elements of the desktop practice exam. This EMT exam can be accessed from any browser and does not require installation. The EMT questions in the mock test are the same as those in the real exam. And candidates will be able to take the web-based EMT Practice Test immediately through any operating system and browsers.
NEW QUESTION # 10
Which of the following is the most reliable indicator of effective respiration in a patient?
Answer: A
Explanation:
Mental status reflects perfusion and oxygen delivery to the brain, which is highly sensitive to hypoxia and hypercapnia. Even if respiratory rate and SpO# are normal, altered mental status suggests ineffective gas exchange or hypoperfusion.
Pulse oximetry may be falsely normal in CO poisoning or poor perfusion. Skin color is subjective and not as sensitive or specific as neurological status.
References:
NREMT Assessment Standards - Airway & Neurological Assessment
AHA BLS Manual - Recognition of Effective Ventilation
Brady Emergency Care (13th ed.) - Patient Assessment and Respiratory Emergencies
NEW QUESTION # 11
Which of the following would potentially complicate patient care during a helicopter transport?
Answer: D
Explanation:
The position of the patient's head within the aircraft affects access to airway management and crew maneuverability. If the head is oriented away from providers or toward a non-accessible bulkhead, this can delay critical interventions (airway suctioning, ventilations).
Use of air splints, maintaining oxygen saturation, or environmental humidity are not major complications relative to physical positioning and in-cabin access limitations.
References:
NREMT EMS Operations - Air Medical Transport
NAEMSP (National Association of EMS Physicians): Air Medical Guidelines EMS Helicopter Safety Protocols - FAA Advisory Circulars
NEW QUESTION # 12
What are the proper procedures for performing CPR on a 9-month-old patient? Select the three answer options that are correct.
Answer: A,B,E
Explanation:
The correct answers are A. Check the brachial artery for a pulse, C. Use a compression depth of at least two inches, and E. Use the two-thumb-encircling-hands technique for two rescuers.
1. Check the brachial artery (A):
For infants (less than 1 year old), the correct pulse check site is the brachial artery, not the carotid.
* "For infants, assess the brachial pulse."
2. Compression depth (C):
Infant chest compressions should be about 1/3 the depth of the chest, which is approximately 1.5-2 inches.
* "Compress the chest at least one-third its depth (about 1.5-2 inches in infants)."
3. Two-thumb-encircling-hands technique (E):
When two rescuers are present, this is the preferred method because it:
* Produces better compressions
* Improves perfusion
* "Use the two-thumb encircling technique for two-rescuer infant CPR."
Why the other options are incorrect:
* B. Compression rate is over 120/min # IncorrectCorrect rate is 100-120/min, not over 120
* D. Compression area just above nipple line # IncorrectCorrect location is just below the nipple line on the sternum
* F. Ventilate one breath every 3 seconds # IncorrectWith advanced airway: 1 breath every 2-3 seconds (20-30/min), not fixed at 3 seconds Exact Extracts (NREMT/AHA-aligned references):
* "Check the brachial pulse in infants."
* "Compression depth should be at least one-third the chest diameter."
* "Use the two-thumb encircling technique for two rescuers."
* "Compression rate is 100-120 per minute."
Clinical Priority Summary:
Proper infant CPR includes brachial pulse assessment, correct compression depth, and appropriate technique, making A, C, and E correct.
References:
NREMT EMT Education Standards - Cardiology & Resuscitation
American Heart Association (AHA) Guidelines for CPR and ECC
NREMT National Continued Competency Program (NCCP)
NEW QUESTION # 13
A 3-year-old patient has a sore throat and fever. They are drooling. Which of the following actions should the EMT take?
Answer: B
Explanation:
This pediatric presentation-fever, sore throat, and drooling-is highly concerning for acute epiglottitis, a life-threatening airway emergency emphasized in NREMT airway education. Epiglottitis causes rapid swelling of the epiglottis and surrounding tissues, which can lead to sudden and complete airway obstruction, especially in young children.
Option D is correct because the EMT should minimize agitation and transport the child in a position of comfort, typically sitting upright. NREMT guidelines stress that children with suspected epiglottitis should be kept calm, allowed to assume their preferred position, and transported rapidly without unnecessary interventions that could provoke airway spasm.
Option A is incorrect because finger sweeps are contraindicated unless a solid foreign body is clearly visible.
Performing a finger sweep may worsen obstruction or trigger complete airway closure.
Option B is incorrect because positive-pressure ventilation with a BVM can increase agitation and is not indicated unless the patient is in respiratory failure. Oxygen may be offered gently, but forcing a BVM is dangerous.
Option C is incorrect because visual inspection of the airway using a tongue depressor can precipitate sudden airway obstruction and is specifically contraindicated by NREMT teaching.
The priority per NREMT is airway preservation through calm handling, rapid transport, and avoidance of invasive airway maneuvers.
NEW QUESTION # 14
A 21-year-old patient has difficulty swallowing. The patient is leaning forward and drooling. The skin is hot to the touch. The vital signs are BP 128/82 mmHg, P 116/min, R 22/min, and SpO# 94% on room air. What should the EMT do for this patient? Select the two correct options.
Answer: D,E
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
This patient is showing signs ofepiglottitisor aserious upper airway obstruction- drooling, difficulty swallowing, fever, and tripod positioning.
EMT actions should include:
* Position of comfortto avoid airway agitation
* Gentle suctioningif secretions threaten airway
Do not force the patient to lie flat, as this mayworsen airway compromise.CPAPandhumidified oxygen may be considered in hospital care but not as first-line interventions during prehospital airway management in epiglottitis.
References:
NREMT Airway Management Guidelines - Upper Airway Obstruction
National EMS Education Standards - Respiratory Emergencies
AAOS Emergency Care and Transportation (11th ed.) - Chapter on Airway and Breathing Emergencies
NEW QUESTION # 15
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