NEW YORK STATE EMT B PRACTICE EXAM
Question 1: An EMT is assessing a 68-year-old male complaining of sudden onset
shortness of breath. He has a history of congestive heart failure. His skin is pale, cool, and diaphoretic. Lung sounds reveal rales (crackles) bilaterally. What is the most appropriate initial intervention?
Choices:
1) Administer aspirin 325 mg orally.2) Assist with nitroglycerin administration.3) Apply oxygen via non-rebreather mask at 15 L/min.4) Prepare for rapid transport in a supine position.
Correct Answer: Option 3
Explanation: For a patient with acute shortness of breath and signs of hypoxia, especially with a history of CHF and rales, high-�ow oxygen is the most critical initial intervention to improve oxygenation.
Question 2: A 24-year-old female is found unconscious after a suspected opioid
overdose. Her respirations are slow and shallow at 6 breaths per minute. What medication would an EMT typically administer, if available and protocols allow?
Choices:
1) Albuterol 2) Epinephrine 3) Naloxone 4) Activated Charcoal
Correct Answer: Option 3
Explanation: Naloxone is an opioid antagonist used to reverse the e�ects of opioid overdose, particularly respiratory depression.
Question 3: When performing CPR on an adult, what is the correct compression
depth?
Choices:
1) At least 1 inch (2.5 cm) 2) At least 1.5 inches (3.8 cm) 3) At least 2 inches (5 cm) but no more than 2.4 inches (6 cm) 4) At least 2.5 inches (6.4 cm)
Correct Answer: Option 3
Explanation: For adult CPR, compressions should be at least 2 inches (5 cm) deep but no more than 2.4 inches (6 cm) to ensure adequate blood �ow.Question 4: A 45-year-old male has sustained a deep laceration to his forearm with signi�cant arterial bleeding. After applying direct pressure and elevating the limb, the bleeding continues. What is the next most appropriate step?
Choices:
1) Apply a tourniquet proximal to the injury.2) Apply a pressure dressing over the wound.3) Apply a cold pack to the injury site.4) Wait for advanced life support (ALS) to arrive.
Correct Answer: Option 1
Explanation: If direct pressure and elevation are insu�cient to control severe arterial bleeding, a tourniquet should be applied proximal to the injury.
Question 5: Which of the following is a sign of adequate perfusion?
Choices:
1) Pale, cool, clammy skin 2) Rapid, thready pulse 3) Capillary re�ll less than 2 seconds 4) Altered mental status
Correct Answer: Option 3
Explanation: Capillary re�ll time of less than 2 seconds in an adult indicates good peripheral perfusion. Pale skin, rapid pulse, and altered mental status are signs of poor perfusion or shock.
Question 6: A 72-year-old female presents with sudden onset of slurred speech,
facial droop, and weakness on her left side. Her blood glucose is 90 mg/dL. What condition should the EMT suspect?
Choices:
1) Hypoglycemia 2) Myocardial infarction 3) Stroke 4) Seizure
Correct Answer: Option 3
Explanation: The sudden onset of slurred speech, facial droop, and unilateral weakness are classic signs of a stroke. A normal blood glucose rules out hypoglycemia as the primary cause.