EMT Practical Exam Medical Scenarios Questions

Last Updated on July 5, 2025

National Registry of Emergency Medical Technicians (NREMT) Emergency Medical Technician (EMT) EMT Practical Exam Medical Scenarios Questions 2025. The National Registry of EMTs (NREMT) and most state EMS offices require a psychomotor (skills) examination in addition to the computer-based cognitive test for EMT certification.

Candidates rotate through a set of live, timed stations, where they must manage simulated patients exactly as they would in the field. The computer-based (cognitive) EMT exam is changing April 7 2025, but the psychomotor format and skill sheets remain the same for EMT and EMR until further notice.

Some states are piloting scenario-based OSCE formats, yet they still test the same core skills—patient assessment, airway, CPR, bleeding control, and shock management.

EMT Practical Exam Medical Scenarios Questions

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EMT Practical Exam Medical Scenarios Questions

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1) For that same patient, what immediate airway support should students recognize is needed?

2 / 50

2) The Responsive Diabetic Patient should receive oral glucose. According to the scenario, what change confirms that treatment is effective?

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3) In Cardiac Chest-Pain (no nitro), the patient rates the pain as:

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4) On arrival, that diabetic patient’s mental status is described as:

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5) In the C-Spine Immobilization – Neurological Deficit scenario, the patient is lying:

6 / 50

6) The patient in the Abdominal-Pain scenario has a BP of 94/50 and pulse 110. Which oxygen therapy is specifically expected of the student?

7 / 50

7) The Burns of Upper Extremity scenario stresses that rescuers must:

8 / 50

8) What legal reminder is included in that same bleeding-control scenario?

9 / 50

9) Under the AED Use scenario, how long should it take the team to clear an obstructed airway once they assume airway control?

10 / 50

10) In that same scenario, what position do rescuers initially find the patient in?

11 / 50

11) Approximately how much external blood loss is noted for that patient?

12 / 50

12) In Responsive Diabetic Patient, which change confirms oral-glucose therapy worked?

13 / 50

13) In Sick Child with Respiratory Difficulty, which airway action is specifically contra-indicated?

14 / 50

14) The unconscious head-injury patient presents with which blood pressure?

15 / 50

15) In the Gunshot Wound to Thigh scenario, distal assessment reveals:

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16) While caring for the Pediatric Poisoning patient, which single piece of information must the team obtain before giving activated charcoal?

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17) How long has that cardiac-arrest patient been pulseless when the team arrives?

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18) In Cardiac Chest-Pain with Nitroglycerin, how many additional nitro tablets should be given?

19 / 50

19) In Conscious Patient with Head Injuries, which statement best describes the patient’s disposition?

20 / 50

20) In the Fractured Clavicle scenario, what was the mechanism of injury?

21 / 50

21) According to the Bleeding Control scenario, which method controls the fore-arm hemorrhage?

22 / 50

22) What respiratory rate accompanies that severe asthma attack?

23 / 50

23) In Adult Cardiac Arrest, what complication should the crew be ready to manage once CPR begins?

24 / 50

24) In the Adult Respiratory Distress (no meds) call, which lung finding should a competent student report?

25 / 50

25) For the SCUBA Diving Emergency, the preferred body position during care is:

26 / 50

26) In Chest Injuries Following Fall, what abnormal heart finding can students hear on auscultation?

27 / 50

27) Pediatric Poisoning directs the team to give activated charcoal at what dose?

28 / 50

28) How is that clavicle-injured patient supporting the affected arm?

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29) In the Multiple-Casualty Incident, why should CPR not be started on Patient #1 (cardiac arrest)?

30 / 50

30) In the Overdose Patient scenario, the man is found supine and snoring. Which airway maneuver must occur before inserting an OPA?

31 / 50

31) In the Do Not Resuscitate scenario, crews must contact medical control to:

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32) In the inhaler-asthma scenario, how many bronchodilator doses has the patient taken before EMS arrival?

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33) When dispatched to the Do-Not-Resuscitate patient, what communication step with medical control is explicitly required?

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34) According to the Anaphylaxis with Autoinjector scenario, what is the very first pharmacological intervention after confirming the AMPLE history?

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35) In the Chest-Pain (no nitroglycerin) scenario, what rating does the patient assign to the pain on a 0-to-10 scale?

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36) For the Chest-Pain with Nitroglycerin scenario, how many additional nitro tablets should the EMT administer after the first has already been taken?

37 / 50

37) In the Sick Child with Respiratory Difficulty scenario, which airway action is contra-indicated and must be avoided?

38 / 50

38) After the airway is cleared and shocks delivered, the patient should convert to:

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39) Which side-effect does that patient already report from the first nitro dose?

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40) For the SCUBA Diving Emergency, which body position is recommended during initial care?

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41) When assisting the Adult Asthma patient who has his own bronchodilator inhaler, which vital-sign threshold would contra-indicate a second dose of albuterol?

42 / 50

42) In the Impaled Object scenario, the patient is found in what position?

43 / 50

43) For the Anaphylaxis with Autoinjector scenario, the very first drug intervention should be:

44 / 50

44) In the AED Use scenario, the obstructed airway must be cleared within:

45 / 50

45) In Adult Respiratory Distress (no meds), which lung finding must students note?

46 / 50

46) In the Basic Trauma Assessment scenario, how are the patient’s pupils described?

47 / 50

47) In the Multiple-Casualty Incident scenario, why is CPR not begun on Patient #1?

48 / 50

48) What respiratory rate is recorded for that child?

49 / 50

49) The Motorcycle/ATV Crash patient’s compromised airway is described as:

50 / 50

50) In the Basic Medical Assessment scenario, after confirming the scene is safe, what is the next critical step the EMT must demonstrate?

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