1. A 16-year-old female is in active labor. Her parents are not present. Can she legally consent to treatment?

2. You are caring for a patient who becomes combative and refuses transport. Despite your efforts, he signs the refusal form. What should you document?

3. During an MCI, you have triaged the following patients: Patient A (apneic, opens airway, still apneic), Patient B (RR 32, cap refill 1 second, follows commands), Patient C (ambulatory with minor cuts), Patient D (RR 10, cap refill 2 seconds, confused). What is the correct triage order from highest to lowest priority?

4. Who has the authority to expand the Incident Command System by establishing branches, divisions, or groups?

5. What is the minimum safe distance from a hazardous materials spill when you cannot identify the material?

6. During a cardiac arrest, you need to communicate with dispatch about resource needs. Which method of communication is MOST appropriate?

7. You are called to care for a patient with suspected meningitis. What PPE is MOST appropriate?

8. While transporting a critical patient with lights and sirens, your ambulance is involved in a collision at an intersection. What should you do FIRST?

9. A family member asks you not to tell their elderly parent about a serious diagnosis you discovered during assessment. What should you do?

10. What is the primary purpose of a prehospital care report (PCR)?

11. During an MCI, you encounter a patient with a partial amputation of the foot with controlled bleeding who can walk. Using START triage, how should this patient be categorized?

12. You arrive at a scene with multiple agencies responding (fire, police, EMS). Who is responsible for coordinating all agencies during the incident?

13. Which of the following is considered a covered entity under HIPAA?

14. During your patient assessment, you make an error in your documentation. What is the correct way to handle this?

15. You respond to a factory where workers are reporting difficulty breathing and nausea. You notice a yellow placard with a number 6 on a storage container. What does this indicate?

16. When should you use plain English instead of radio codes during communications?

17. Which of the following is the MOST effective method for preventing the spread of bloodborne pathogens?

18. What is the purpose of the “buffer zone” when positioning an ambulance at a scene?

19. You recognize a patient as a coworker from your other job. The patient asks you not to tell anyone about this call. What should you do?

20. Your agency is reviewing response times for cardiac arrest calls. This is an example of what type of quality improvement activity?

21. Which component of a patient care report (PCR) documents the patient’s subjective statements, chief complaint, and history in their own words?

22. What legal principle protects an EMT from liability for negligence when providing emergency care in good faith, within their scope of practice, and without expectation of payment?

23. Which documentation principle states that if an intervention or assessment was not documented, it is legally considered not to have been performed?

24. An EMT responds to a call for a 34-year-old male with chest pain. The patient appears alert but is disoriented to time and place. The EMT wants to administer aspirin per protocol. Which statement best describes the legal situation regarding consent?

25. An EMT realizes after submitting a patient care report that she accidentally documented “nitroglycerin administered” when the patient actually received aspirin. What is the correct procedure for correcting this documentation error?

26. You respond to a motor vehicle crash where a 45-year-old female was the driver. She has a laceration on her forehead and appears dazed but refuses treatment, stating she is fine and just wants to go home. She knows her name, the date, and where she is. What is your MOST appropriate legal action?

27. An EMT is completing a PCR for a patient with chest pain who was transported to the emergency department. Which entry demonstrates proper objective documentation?

28. You are treating an unresponsive 72-year-old male found by family members at home. Family states he has a history of diabetes, hypertension, and “some kind of heart problem.” They do not know his medications. His blood glucose is 42 mg/dL. After administering oral glucose, his mental status improves, and he becomes oriented. When documenting this call, which information is MOST critical to include in your patient care report?

29. You respond to a residence for a 16-year-old female with abdominal pain. She tells you privately that she is pregnant but begs you not to tell her parents, who are unaware. Her parents arrive on scene and demand to know what is wrong with their daughter. She is alert, oriented, and otherwise stable. What is your BEST course of action regarding disclosure and documentation?

30. An EMT responds to a call where a patient dies despite resuscitation efforts. The death appears suspicious, with injuries inconsistent with the reported mechanism. Law enforcement is on scene. Which documentation approach is MOST appropriate for this situation?

31. Which ethical principle requires EMTs to act in the best interest of the patient and prioritize patient welfare above personal interests?

32. Which behavior BEST demonstrates professional conduct by an EMT at the scene of an emergency?

33. The principle of nonmaleficence in EMS practice is best described by which statement?

34. An EMT arrives at a scene and recognizes the patient as a coworker’s spouse. The patient is embarrassed and asks the EMT not to tell anyone about the call. Which response BEST demonstrates professional behavior?

35. An EMT responds to a call for a patient with chronic pain who frequently uses EMS services. The patient’s pain is not an emergency, but they insist on being transported. The EMT feels frustrated but recognizes an ethical obligation. Which ethical principle MOST directly applies to providing care without judgment in this situation?

36. During a cardiac arrest resuscitation, an EMT makes an error in medication dosing. The error is caught immediately and corrected, but the EMT is embarrassed. When completing the patient care report, the EMT considers omitting the error to avoid scrutiny. Which action demonstrates the HIGHEST level of professionalism?

37. An EMT is caring for an elderly patient who confides that her adult son has been taking her Social Security checks and not buying food for her. The patient begs the EMT not to report this because she doesn’t want her son to get in trouble. Which action is ethically MOST appropriate?

38. An EMT discovers that a colleague has been arriving late to shifts and appears fatigued on duty. The colleague mentions working a second full-time job. The EMT is concerned about patient safety. Which action demonstrates the MOST professional approach?

39. You are transporting a patient who was involved in a domestic violence incident. During transport, the patient asks you not to tell police certain details about how the assault occurred because she fears retaliation. You know that police are waiting at the hospital to take a statement. Which action best balances your ethical obligations?

40. An EMT with 10 years of experience is paired with a new EMT who graduated last month. During a cardiac arrest, the experienced EMT notices the new EMT performing CPR compressions that are too shallow. The experienced EMT is frustrated and wants to take over. Considering professional development, team dynamics, and patient care, what is the MOST appropriate approach?

41. Which action is the FIRST priority when arriving at the scene of a motor vehicle collision?

42. When forming a general impression of a patient, which findings would indicate a “sick” patient requiring immediate intervention?

43. You respond to a two-story residential home for a patient who fell from a ladder. Bystanders report the patient fell approximately 12 feet onto a concrete patio. Based on this mechanism of injury, which injury patterns should you anticipate?

44. During primary assessment of an unresponsive adult patient, you observe that the patient has gurgling respirations. What is your immediate priority action?

45. You respond to a single-vehicle collision on a rural highway at night. As you approach, you observe downed power lines across the roadway near the vehicle. The driver appears to be moving inside the car. What is your most appropriate initial action?

46. You are assessing a 54-year-old male with chest pain. He opens his eyes when you speak to him, knows his name, knows he is at home, but is unsure of the day or date. How would you document his mental status?

47. You respond to a residence for a 72-year-old female with difficulty breathing. Upon entering the room, you observe the patient sitting upright in a tripod position, using accessory muscles, with audible wheezing. Her skin is pale and diaphoretic. What does your general impression tell you about this patient’s status?

48. You respond to a motor vehicle collision involving a compact car that struck a utility pole at moderate speed. The driver was unrestrained, the steering wheel is bent, and the windshield is starred on the driver’s side. Based on this mechanism, which injuries should you anticipate during your assessment?

49. You are assessing a 34-year-old female who was found unresponsive by her roommate. Her respiratory rate is 6 breaths per minute with shallow tidal volume, her pupils are pinpoint, and her skin is pale. The roommate states the patient has a history of chronic back pain. Which statement BEST explains the pathophysiology connecting these findings?

50. You respond to an industrial warehouse for an unresponsive worker. Upon arrival, you observe an overturned chemical drum with a diamond-shaped placard showing the number 3 in a red quadrant. A strong chemical odor is present, and you notice a visible vapor near the floor. Several employees are attempting to drag the patient toward the exit. What is your MOST appropriate action?