New York State EMT Practice Test
Verified 2024
_____ is defined as the ability to reach the patient.
A) Access
B) Rescue
C) Extrication
D) Disentanglement - ANSWER-A) Access
A "silent" heart attack occurs when:
A) sweating is the only presentation
B) the usual chest pain is not present
C) a sudden dysrhythmia causes death
D) the patient minimizes the chest pain - ANSWER-B) the usual chest pain is not
present
A 16-year-old female complains of vaginal bleeding and abdominal cramping that began
several hours ago. During your assessment interview, you should:
A) obtain the majority of your information from one of her parents
B) inquire about the possibility of pregnancy in private, if possible
C) avoid asking questions that she will feel uncomfortable answering
D) recall that patients in this age group prefer not to be treated as adults - ANSWER-B)
inquire about the possibility of pregnancy in private, if possible
A 17-year-old male was shot in the right anterior chest during an altercation with a gang
member. As your partner is applying 100% oxygen, you perform a rapid secondary
assessment and find an open chest wound with a small amount of blood bubbling from
it. You should:
A) place a sterile dressing over the wound and apply direct pressure
B) control the bleeding from the wound and prepare to transport at once
C) apply an occlusive dressing to the wound and continue your assessment
D) direct your partner to assist the patient's ventilations with a bag-mask device -
ANSWER-C) apply an occlusive dressing to the wound and continue your assessment
A 22-year-old male with a history of clinical depression called 9-1-1 and stated that he
has attempted to kill himself. Your unit and law enforcement officers arrive at the scene
simultaneously. You find the patient lying supine on the living room floor. He is
unconscious and cyanotic. An empty bottle of hydromorphone (Dilaudid) is found on an
adjacent table. You should:
A) open the patient's airway and assess his respirations
B) ask the police to handcuff the patient for safety purposes
C) provide care after determining what Dilaudid is used for
D) wait for the police to examine him before providing care - ANSWER-A) open the
patient's airway and assess his respirations
,A 26-year-old female presents with heavy vaginal bleeding. She is conscious, but
restless. Her blood pressure is 84/54 mm Hg, her pulse is 120 beats/min and weak, and
her respirations are 22 breaths/min with adequate depth. She tells you that she inserted
a tampon about 2 hours ago. You should:
A) administer high-flow oxygen, ask her to remove the tampon, perform a detailed
secondary assessment, and transport promptly
B) administer high-flow oxygen, perform a detailed assessment of her vaginal area for
signs of trauma, place her on her side, and transport
C) administer high-flow oxygen, place a sterile pad over her vagina, keep her warm,
elevate her lower extremities, and transport without delay
D) assist her ventilations with a bag-mask device, place one sterile dressing into her
vagina, perform a rapid secondary assessment, and transport - ANSWER-C) administer
high-flow oxygen, place a sterile pad over her vagina, keep her warm, elevate her lower
extremities, and transport without delay
A 27-year-old male was stabbed in the chest during a disagreement at a poker game.
As you approach him, you see that a knife is impaled in his chest. Before you make
physical contact with the patient, it is MOST important to:
A) form a general impression
B) call for an ALS ambulance
C) follow standard precautions
D) ask bystanders what happened - ANSWER-C) follow standard precautions
A 29-year-old male with a head injury opens his eyes when you speak to him, is
confused as to the time and date, and is able to move all of his extremities on
command. His Glasgow Coma Scale (GCS) score is:
A) 10
B) 12
C) 13
D) 14 - ANSWER-C) 13
A 30-year-old male presents with acute shortness of breath, widespread hives, and
facial swelling. He denies any past medical history and takes no medications. During
your assessment, you hear wheezing over all lung fields. His blood pressure is 90/50
mm Hg and his heart rate is 110 beats/min. In addition to giving him 100% oxygen, the
MOST important treatment for this patient is:
A) albuterol
B) epinephrine
C) an antihistamine
D) a beta-antagonist - ANSWER-B) epinephrine
A 31-year-old female is experiencing an acute asthma attack. She is conscious and
alert, but in obvious respiratory distress. After assisting her with her prescribed MDI, you
should:
A) check drug's expiration date to ensure that it is still current
,B) contact medical control and apprise him or her of what you did
C) reassess the patient and document her response to the medication
D) administer another treatment in 30 seconds if she is still in distress - ANSWER-C)
reassess the patient and document her response to the medication
A 37-year-old male is found unconscious in his car. His airway is patent and his
respirations are rapid and labored. As you and your partner are assessing and treating
the patient, a police officer hands you a medication named Alupent, which he found in
the backseat of the patient's car. This medication suggests that the patient has a history
of:
A) asthma
B) heart disease
C) hypertension
D) allergic reactions - ANSWER-A) asthma
A 40-year-old male was in his woodworking shop when he felt a sudden, sharp pain in
his left eye. Your assessment reveals a small splinter of wood embedded in his cornea.
You should:
A) scrape the splinter away with moist, sterile gauze
B) cover his right eye and flush the left eye with saline
C) cover both of his eyes and transport to the hospital
D) remove the object with a cotton-tipped applicator - ANSWER-C) cover both of his
eyes and transport to the hospital
A 40-year-old unrestrained female impacted the steering wheel of her vehicle with her
chest when she hit a tree while traveling at 45 mph. She is conscious and alert, but is
experiencing significant chest pain and shortness of breath. Which of the following
injuries did this patient likely NOT experience?
A) head injury
B) cardiac contusion
C) pulmonary contusion
D) multiple rib fractures - ANSWER-A) head injury
A 47-year-old male presents with severe abdominal pain of 3 hours' duration. His
abdomen is distended and guarded. Your MOST important consideration for this patient
should be to:
A) transport him to a supine position
B) be alert for signs and symptoms of shock
C) assess his blood pressure to determine perfusion adequacy
D) determine the exact location and cause of his pain - ANSWER-B) be alert for signs
and symptoms of shock
A 48-year-old male is found unconscious in the garden by his wife. When you arrive at
the scene and assess the man, you find that he is unresponsive, has severely labored
breathing, and has hives over his entire trunk. You should:
A) perform a detailed secondary assessment
, B) maintain his airway and assist his ventilations
C) ask his wife if he has any known allergies
D) apply the automated external defibrillator (AED) in the event that cardiac arrest
occurs - ANSWER-B) maintain his airway and assist his ventilations
A 49-year-old male with an extensive cardiac history presents with 2 hours of crushing
chest pain and shortness of breath. He is pale and diaphoretic and tells you that he
feels like he is going to die. His medications include nitroglycerin, sildenafil (Viagra), and
enalapril (Vasotec). His blood pressure is 140/90 mm Hg and his heart rate is 110
beats/min. In addition, to administering 100% oxygen, you should:
A) obtain physician approval to give the nitroglycerin
B) place him in a supine position and transport at once
C) administer one nitroglycerin and call medical control
D) ask him if he took his Viagra within the past 24 hours - ANSWER-D) ask him if he
took his Viagra within the past 24 hours
A 5-year-old boy has fallen and has a severe deformity of the forearm near the wrist. He
has possibly sustained a fracture of the:
A) proximal forearm
B) superior forearm
C) dorsal forearm
D) distal forearm - ANSWER-D) distal forearm
A 50-year-old female is entrapped in her passenger car after it struck a tree. As the
rescue team is preparing to extricate her, you quickly assess her and determine that
she is breathing shallowly and that her radial pulse is absent. You should:
A) maintain spinal stabilization as she is extricated
B) secure her with a short backboard or vest device
C) stabilize her condition before extrication begins
D) begin CPR as the rescue team begins extrication - ANSWER-A) maintain spinal
stabilization as she is extricated
A 54-year-old male experienced an avulsion to his penis when his foreskin got caught in
the zipper of his pants. He was able to unzip his pants and remove the foreskin prior to
your arrival. Your assessment reveals that he is in severe pain and that the avulsion is
bleeding moderately. The MOST appropriate treatment for this patient includes:
A) applying direct pressure with a dry, sterile dressing
B) covering the avulsion with moist, sterile dressings
C) requesting a paramedic to administer pain medication
D) administering 100% oxygen via a nonrebreathing mask - ANSWER-A) applying
direct pressure with a dry, sterile dressing
A 56-year-old male has an incomplete avulsion to his right forearm. After controlling any
bleeding from the wound, you should:
A) carefully probe the wound to determine if the bleeding is venous or arterial
B) carefully remove the avulsed flap and wrap it in a moist, sterile trauma dressing