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EMT Basic Practice Exam 1 (Multiple Choice) Final Review Questions & Rationalized Answers, Exams of Nursing

National Polytechnic CollegeNursing

EMT Basic Practice Exam 1 (Multiple Choice) Final Review Questions & Rationalized Answers This document provides a full set of multiple-choice questions for EMT Basic Practice Exam 1, complete with rationalized answers for final exam review. Covering essential topics such as airway management, trauma, cardiology, medical emergencies, and EMS operations, each answer includes a clear explanation to reinforce understanding. Ideal for students preparing for certification with structured and reasoned practice content.

Typology: Exams

2024/2025

Available from 06/11/2025

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Nurseexcel 🇺🇸

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EMT Basic Practice Exam 1(Multiple Choice) Final Review
Questions and Rationalized Answers
1. EMTspshouldpwearphigh-
efficiencypparticulatepairp(HEPA)prespiratorspwhenptheyparepinpcontactpwithpcontactpwithp
patientspwhophavepwhichpofpthepfollow-ping?
A.
HIVp(HumanpImmunodeficiencypVirus)porpAIDSp(AcquiredpImmunepDeficiencypSyndrome)
B.
Tuberculosisp(TB)
C.
OpenpWounds
D.
HepatitispB:pB.pTuberculosis
HEPAprespiratorsparepwornpwhenpinpcontactpwithppatientspairbornepinfectionspsuchpaspTB.pHIV/AI
DSpandpHepatitispBparepbothpblood-
borneppathogens.pContaminantspfrompopenpwoundspwouldpalsopbepblood-borne.
2. Youparepcalledptopassistpap60-year-
oldpfemalepwhopcomplainspofpapseverepheadache.pUponpenteringpthephome,pyoupsmellpap
strongpodorpofpnaturalpgas.pWhatpispyourpfirstpreaction?
A.
Checkptheppatient'spairway,pbreathing,pandpcirculation.
B.
Insertpapnasopharyngealpairwaypandpassesspvitalpsigns.
C.
Removeptheppatientpfrompthephouseptopyourpambulance.
D.
Openpallpwindowspandpdeterminepthepsourcepofpthepgaspleak.:pC.pRemoveptheppatientpfro
mpthephouseptopyourpambulance.
Yourpfirstpactionpshouldpbeptopremovepyourpcrewpandptheppatientpfromptheppossiblepnoxiouspga
spandptopnotifypthepgaspcompanypofpthepleak.pYoupmaypalsopbeprequiredptopalertphazardouspmate
rialpresponsepteam.pTreatmentpforptheppatientpwillpbeginpwithpanpABCpassessmentpandpmanage
mentpofpanypproblemspyoupmightpencounter.
3. Thepmostpcommonpelectricalprhythmpdisturbancepthatpresultspinpsuddenpcardiacpar
rest.
A.
PulselesspElectricalpActivity
pf3
pf4
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pfd
pfe
pff
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Download EMT Basic Practice Exam 1 (Multiple Choice) Final Review Questions & Rationalized Answers and more Exams Nursing in PDF only on Docsity!

EMT Basic Practice Exam 1 (Multiple Choice) Final Review

Questions and Rationalized Answers

  1. EMTspshouldpwearphigh- efficiencypparticulatepairp(HEPA)prespiratorspwhenptheyparepinpcontactpwithpcontactpwithp patientspwhophavepwhichpofpthepfollow-ping? A. HIVp(HumanpImmunodeficiencypVirus)porpAIDSp(AcquiredpImmunepDeficiencypSyndrome) B. Tuberculosisp(TB) C. OpenpWounds D. HepatitispB:p B.pTuberculosis HEPAprespiratorsparepwornpwhenpinpcontactpwithppatientspairbornepinfectionspsuchpaspTB.pHIV/AI DSpandpHepatitispBparepbothpblood- borneppathogens.pContaminantspfrompopenpwoundspwouldpalsopbepblood-borne.
  2. Youparepcalledptopassistpap 60 - year- oldpfemalepwhopcomplainspofpapseverepheadache.pUponpenteringpthephome,pyoupsmellpap strongpodorpofpnaturalpgas.pWhatpispyourpfirstpreaction? A. Checkptheppatient'spairway,pbreathing,pandpcirculation. B. Insertpapnasopharyngealpairwaypandpassesspvitalpsigns. C. Removeptheppatientpfrompthephouseptopyourpambulance. D. Openpallpwindowspandpdeterminepthepsourcepofpthepgaspleak.:p C.pRemoveptheppatientpfro mpthephouseptopyourpambulance. Yourpfirstpactionpshouldpbeptopremovepyourpcrewpandptheppatientpfromptheppossiblepnoxiouspga spandptopnotifypthepgaspcompanypofpthepleak.pYoupmaypalsopbeprequiredptopalertphazardouspmate rialpresponsepteam.pTreatmentpforptheppatientpwillpbeginpwithpanpABCpassessmentpandpmanage mentpofpanypproblemspyoupmightpencounter.
  3. Thepmostpcommonpelectricalprhythmpdisturbancepthatpresultspinpsuddenpcardiacpar rest. A. PulselesspElectricalpActivity

B. VentricularpFibrillation C. VentricularpTachycardia D. Asystole:p B.pVentricularpFibrillation Becausepventricularpfibrillationpispthepmostpcommonpcausepofpsuddenpcardiacparrest.,pitpispcriti calptopapplypanpAEDponpanpunconsciouspapneicpandppulselessppatientpaspquicklypasppossible.p Thepotherprhythmspcanpalsopcausepappatientptopbepinpcardiacparrest,pbutptheypdopnotpoccurpaspf requentlypasp"V-fib".

  1. Whichpofpthepfollowingpispthephighestppriorityppatient? A. 57 - year-oldpmalepwithpchestppainpandpsystolicpbloodppressurepofp80. B. 40 - year-oldpfemalepwithpmoderateppainpfrompaplegpinjury.

pincorrectpbecausepinfantspofpthispageparepnotpdevelopedpenoughptoptellpyouptheirpagepregardle sspofptheirpmentalpstatus.

  1. Whatpispthepbestpmethodptopassesspcirculationpinpanpinfant? A. Palpatepthepcarotidppulse. B. Palpatepthepbrachialppulse. C. Palpatepthepradialppulse. D. Observepcapillaryprefillptime.:p B.pPalpatepthepbrachialppulse.

Assesspcirculationpinpanpinfantpbyppalpatingpthepbrachialppulsepinpthepupperparm.pThepcarotidpa ndpradialppulsesparepdifficultptoplocatepinpinfants.pCapillaryprefillptimepshowspthatptheppatientph aspimpairedpcirculation,pbutpitpispnotpthepfirstptoolptopusepinpassessingpcirculationpbecausepitpispa ffectedpbypexternalpfactorsp(likepthepenvironment)paspwellpaspinternalpfactorsplikeppoorpperfusi on.

  1. Ap 45 - year- oldpmalepispexperiencingpchestpdiscomfort.pAfterpplacingphimpinphisppositionpofpcomfort,p yourpnextpactionpshouldpbe? A. Ventilateptheppatientpwithpapnonrebreatherpmaskpatp 15 pL/min. B. Ventilateptheppatientpwithpthepbag-valvepmaskpatp 15 pL/min. C. Administerpoxygenpbyprebreatherpmaskpatp 15 pL/min. D. Administerpoxygenpbypthepnasalpcannulapatp 6 pL/min.:p C.pAdministerpoxygenpbyprebreatherp maskpatp 15 pL/min. Therepispnopinformationptopindicatepthatptheppatientprequirespventilatorypsupport.pAnyppatientp experiencingpchestpdiscomfortpshouldpreceivepthephighestppossiblepconcentrationpofpoxygen.
  2. Whichppatientpshouldpreceivepaprapidptraumapsurveyptopdeterminephiddenpinjuries? A. Alertp 2 - year-oldpchildpinpapcarpseatpwhopwaspinpapmediumpspeedpcrash. B. Alertp 20 - year-oldpmalepwhopfellp 10 pfeetpoffpofpapladder. C. Alertp 65 - year-oldpfemalepwhopfellpinpthepbathtubpandpispcomplainingpofpwristppain. D. Alertp 11 - year- oldpfemalepwhoptrippedpwhileprollerpskatingpandpfellpdownpthreepsteps.:p A.pAlertp 2 - year- oldpchildpinpapcarpseatpwhopwaspinpapmediumpspeedpcrash. Theprapidptraumapsurveypispusedpwhenpyouparepunsurepofptheppresencepofphiddenpinjuriesporpfpt hepmechanismpofpinjuryp(MOI)pispunclearporpseverepenoughptopsuggestpthepneedpforpaprapidpass essment.pAp 2 - year- oldpchildpcouldpbepseverelypinjuredpbypapmediumpspeedpcollision,pevenpifpheporpshepappearspaler tpandpwaspproperlyprestrained.pThepotherpchoicespdopnotprepresentpMOIspconsideredptopbephighpri skpforphiddenpinjury.
  3. Whichpofpthepfollowingpispapsignpofpincreasedppressurepinpthepcirculatorypsystem?

supine,ptheypwillpnotpbepengorgedpwithpbloodpandpoverlypfirmptoptheptouch.pThispispwhatpispmeantpb ypthepphrasepdistendedpneckpveins.pDistendedpneckpveinsp(inpanypposition)parepapsignpofpincreas edpcirculatoryppressure.pThepcarotidppulsepshouldpalwayspbeppalpable.pApdecreasedpradialppul sepmaypindicatephypovolemicpshockporpanpinjuredpextremity.

  1. Anpautomatedpexternalpdefibrillatorp(AED)pwillpshockpwhichpifpthepfollowingprhythms? A. SinuspRhythm B. Asystole C. VentricularpFibrillation D. PulselesspElectricalpActivity:p C.pVentricularpFibrillation Thepotherprhythmspdopnotpbenefitpfrompanpelectricalpshock.pTheppurposepofpearlypdefibrillationp isptopstoppaphighlypchaotic,pdisorganizedpelectricalprhythmpsuchpaspventricularpfibrillation,pwithp thephopepthatpanporganizedprhythmpwillpbeginpandpgeneratepappulse.
  2. Topassesspthepmotorpfunctionpinptheplowerpextremitiespofpapresponsiveppatient,pyo upwould... A. Askptheppatientptopbendphispknee B. Askptheppatientptopwigglephisptoes C. Carefullypmoveptheppatient'spleg D. Touchpthepskinpofptheppatient'spfoot:p B.pAskptheppatientptopwigglephisptoes Assesspthepmotorpfunctionpbypaskingptheppatientptopwigglephisptoes;pmovingptheplegporphavingpthep patientpbendpthepkneepcanpcompromisepspinalpstability;poptionpDpdescribespassessmentpofpsen sation,pnotpmotorpfunction.
  3. Whichppatientpcanpsafelypreceiveponlypapfocusedpphysicalpexaminationpratherptha npaprapidptraumapsurvey? A. 10 - year- oldpmalepwithpapdeformedprightplowerplegpwhopispresponsivepafterpfallingpoffphispbicycle. B. 20 - year-oldpfemalepwhopcomplainspofpsevereppainpinpherpanklepafterpsteppingpoffpapcurb. C. 70 - year-oldpmalepwhopcomplainspofpneckppainpafterpapmediumpspeedpcolli-psion. D. 30 - year- oldpmalepwhopispunresponsivepbutphasponlypminorpcutsponpthepextremities.:p B.p 20 - year-

oldpfemalepwhopcomplainspofpsevereppainpinpherpanklepafterpsteppingpoffpapcurb. PatientpBpisptheponlyponepbothpresponsivepandpwhophaspnopsignificantpMOI.

D. 53 - year- oldpfemalepwithpaphistorypofpsmokingpwhopispdistressedpandpshortpofpbreath:p B.p 35 - year- oldpfemalepwhophaspbeenpinpapsinglepcarpcollisionpandpwhopbrieflyplostpconsciousness Traumapandpmedicalppatientspwhoparepunresponsivepandpallppatientspwhophavepanpalteredpme ntalpstatuspshouldpreceivepapdetailedpphysicalpexamination.pItpispeasypto

overlookpsomethingpwhenptheppatientpispnotpconsciouspenoughptoptellpwhatphurtsporpifpthepMO Ipandpnaturepofpillnessp(NOI)parepunclear.

  1. Wherepispapdetailedpphysicalpexamptypicallypperformed? A. Atpthepscenepofpthepaccidentporpinjury B. Inpthephospitalpemergencypdepartment C. Inpthepambulancepduringptransport D. Inptheptriagepareapofptheptraumapcenter:p C.pInpthepambulancepduringptransport Thepdetailedpphysicalpassessmentpispusuallypperformedpinpthepbackpofpthepambulancepduringptra nsport;pitsppurposepisptoprevealphiddenpinjuriespthatpescapedpthepinitialprapidpassessment.
  2. Theppurposepofpthepongoingpassessmentpisptopre- evaluateptheppatient'spconditionpandpto... A. Findpanypinjuriespmissedpduringpthepinitialpassessment B. Reassureptheppatientpthatpyouparepstillpcaringpforphimporpher C. Checkpthepadequacypofpeachpinterventionpperformed D. ProtectpthepEMTpagainstpliabilitypmalpractice:p C.pCheckpthepadequacypofpeachpinterventio npperformed Theppurposepofpthepongoingpassessmentpisptopcheckpthepadequacypofpyourpinitialpinterventi ons.pThepdetailedpexaminationpispdesignedptopfindpmissedpinjuries.
  3. ImmediatelypafterpdeliveringpapshockpwithpanpAEDptopappatientpinpcardiacparrest,pyou pshould A. Checkpforpappulse B. Checkpforpbreathingpandpprovideprescuepbreathspaspnecessary C. AnalyzepwithpthepAEDpandpshockpagainpifpneeded D. DopCPR:p D.pDopCPR AmericanpHeartpAssociationpguidelinespadvisepthatpevenpifptherepispanporganizedprhythm,pap pulsepwillpnotpbeppalpablepimmediatelypafterpapshock.pCPRpispcrucialptopmaintainingpbloodp flowpandpventilationpduringpthisptime.
  4. YoupshouldpapplypanpAEDpto A. Adultppatientspexperiencingpchestpdiscomfort

Onlypthoseppatientspthatparepunresponsive,ppulseless,pandpapneicpshouldphavepthepAEDpapplie d.

  1. Inpwhichpofpthepfollowingpsituationspshouldpyoupcallpforpimmediatepassis-ptance? A. Youpmustpcarepforptwopcriticalppatientspwithpgunshotpwounds. B. Youppatientpispap 26 - year-oldpfemalepinpactiveplabor. C. Yourppatientpispapchildpwithpfeverpwhophasphadpapbriefpseizure. D. Yourppartnerpispneededptopstabilizepthepcervicalpspine.:p A.pYoupmustpcarepforptwopcriticalp patientspwihpgunshotpwounds. Youpcouldpmakepthepargumentpthatpyoupneedpadditionalphelppinpthepmanagementpogpeachpofpth esepsituations;phowever,ptheponepwithpthepmostpcriticalpneedpispwhenpyoupmustpcarepforpmorep thanponepcriticalppatient.pBothppatietnspwithpgunpshotpwoundspneedpimmediatepattention,psopy oupshouldpcallpforpbackup.pInpthepotherpthreepsituations,pyoupshouldpnotprequirepassistancepunle sspsomepcomplicatingpfactorppresentspitself.pPatientpBpmayporpmaypnotprequirepALSpassistance,p butpmostp(overp80%)pdeliveriesparepsimplepandpuncomplicatedpandpcanpeasilypbepmanagedpbyp basicplifepsupportp(BLS)pproviders.pPAtientpCpisphavingpapfebrilepseizure,pwhichpipmanagedpbypst abiloizingpthepABCspandptransporting.pInppatientpD,pevenpifpyourppartnerpisprequiredptopstabilizep thepncervialpspine,pyoupshouldpbwpableptopmanageptheppatientpforptheptimepbeingpuntilpotherpa ssistnceparrivesptopassistpwithppackingpandpandpmovingptheppatient.
  2. Whatpispthepstructurepthatppreventspfoodpandpliquidpfrompenteringpthe tracheapduringpswallowing? A. Larynx B. CricoidpCartilage C. Epiglottis D. Diaphragm:p C.pEpiglottis Thepepiglottispispthepleaf-shapedpstructurepthatpclosespoffptheptracheapduringpswal- plowing.pTheplarynxpispthepvoicepbox,pthepstructurepthatpproducespspeechpvibrations;pthepcricoi dpcartilagepformsptheplowerpportionpofptheplarynx;pthepdiaphragmpispaplargepmusclepthatpcontr actsptopinitiatepinhalation.
  3. Thepairpsacspinptheplungspwherepoxygen-carbonpdioxidepexchangepoccursparepthe...

A. Bronchioles B. Bronchi C. Epiglottis D. Alveoli:p D.pAlveoli

  1. Appatientpcomplainingpofpfacialpparalysisponponepsidepofphispfacepwithptear- ping,plocalizedppain,pandpsensitivitypmaypbepsufferingpfrompthepmostpcommonpformpofpfaci alpparalysispcalledp. A. Dystonia B. Muscularpdystrophy

C. Amyotrophicplateralpsclerosisp(ALSporpLoupGehrig'spdisease) D. Bell'sppalsy:p D.pBell'spPalsy Bell'sppalsypispthepmostpcommonpformpofpfacialpparalysis.pMuscularpdystrophypispapdegenerativ epdiseasepcharacterizedpbypthepweakeningpofpskeletalpmuscles.pALS, a.k.apLoupGehrig'spdiseasepaffectspthepnervepcellspthatpcontrolpvoluntarypmovement.pDystoniapd escribesprepetitivepmotionsporpabnormalpposturing.

  1. Apgurglingpsoundpheardpwithpartificialpventilationpispapsignpthat... A. Theppatientpmustpsuctionedpimmediately. B. Supplementalpoxygenpshouldpbepaddedptopthepgas-valvepmask. C. Thepairwaypispmostplikelypopen,ppatent,pandpclear. D. Theppatientpisptryingptopcommunicatepwithpyou.:p A.pTheppatientpmustpbepsuctionedpi mmediately. Apgurglingpsoundpmeanspthatptheppatientpneedsptopbepsuctionedpimmediately;pventi- plationpcannotpbepadequatepwhenpthepairwaypispblockedpfrompmucous,pblood,porpotherpsecretio ns.
  2. Thepfirstpsteppinpartificialpventilationpwithpapbag-valve- maskpunitpinppatientspwithpnopsuspectedptraumapispto... A. Positionpthepmaskpcorrectlyponpthepfacepusingpbothphands. B. Placeptheppatient'spheadpinpaphyper-extended,psniffingpposition. C. Insertpanpairwaypadjunctpandpselectpthepcorrectpmaskpsize. D. Havepanpassistantpsqueezepthepbagpuntilptheppatient'spchestprises.:p B.pPlaceptheppatient' spheadpinpaphyper-extended,psniffingpposition. ThepcorrectporderpofpstepspispB,pC,pA,pD.
  3. Youptakepapreportpfrompapfirstpresponderpwhopdescribespappatientpasppostic- ptal;pbasedponpthispreport,pyoupwouldpexpectptopfindptopfindptheppatient... A. Alertpandporiented B. Confused C. Unresponsive D. Hallucinating:p B.pConfused

C. Untilpresistancepispencountered D. Pastpthepvocalpcords:p B.pAspfarpaspthepbasepofptheptongue ChoicepBpispthepcorrectpprocedure.pChoicepApispcorrectpforpaprigidpcatheter,pchoicepCpispthepcorrec tpmethodpforpinsertingpanporopharyngealpairway,pandpchoicepDpispapplicableponlyptopendotrache alpintubation.

  1. Whatpispthepcorrectpprocedurepforpappatientpwhophaspsecretionsporpemesispthatpsuctio ningpcannotpeasilypremove? A. Insertpanporopharyngealporpnasopharyngealpairwaypimmediately. B. Suctionpforp 15 pseconds,pventilatepforp 2 pminutes,pandpthenprepeat. C. Logrollptheppatientpandpclearptheporopharynxpandpnasopharynx. D. Hyperventilateptheppatientpwithpapbag- valvepmaskpunit.:p C.pLogrollptheppatientpandpclearptheporopharynxpandpnasopharynx. ChoicepCpispthepcorrectpprocedurepforpclearingpthepairwaypwhenpsimplepsuctioningpispnotpwor king.pChoicepBpispappropriatepforpappatientpwithpcopiouspfrothypsecretionsplikepthepkindpprodu cedpwithppulmonarypedema.pChoicespApandpDparepinappropriatepwithoutpfirstpclearingpthepair way.
  2. Whatpisptheppurposepofpthepheadptilt/chin-liftptechnique? A. Toppositionptheppatientpforpinsertionpofpanpairwaypadjunct. B. Topremovepforeignpbodiespfrompthepupperpairway. C. Tophelpptheprescuerpbetterpvisualizeptheplarynxpandpvocalpcords. D. Topliftptheptonguepandpepiglottispoutpofptheirpobstructingpposition.:p D.pTopliftptheptonguepa ndpepiglottispoutpofptheirpobstructingpposition. Theppurposepofpthephead-tilt/chin- liftpisptopliftptheptonguepandpthepepiglottispoutpofpthepairway;pitpispnotpusefulpforpintubationp(usept hepsniffingpposition),ptopremovepforeignpbodies,porptopvisualizeptheplarynx.
  3. Afterpopeningpthepairway,pthepnextpsteppinppatientpmanagementpispto... A. Insertpanpendotrachealptube. B. Assesspadequacypofprespirations. C. Beginpmouth-to-mouthpventilations.

D. Applypbag-valvepmaskpventilation.:p B.pAssesspadequacypofprespirations. Afterpopeningpthepairway,pthepEMTpshouldpassesspthepratepandpdepthpofpventilations;pchoicespA,pC ,pand/orpDpwouldpoccurponlypafterprespiratorypadequacyphaspbeenpassessedpandptheyparepappro priateptopuse.

  1. Appatientpshouldpreceivephigh-flowpoxygenpifpheporpshepexhibitsp. A. Fever