EMT Practical Exam Medical Scenarios Questions

Last Updated on July 11, 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

1 / 50

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

2 / 50

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

3 / 50

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

4 / 50

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

5 / 50

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

6 / 50

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

7 / 50

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

8 / 50

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

9 / 50

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

10 / 50

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

11 / 50

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

12 / 50

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

13 / 50

13) What respiratory rate is recorded for that child?

14 / 50

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

15 / 50

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

16 / 50

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

17 / 50

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

18 / 50

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

19 / 50

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

20 / 50

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

21 / 50

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

22 / 50

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

23 / 50

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

24 / 50

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

25 / 50

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

26 / 50

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

27 / 50

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

28 / 50

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

29 / 50

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

30 / 50

30) 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?

31 / 50

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

32 / 50

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

33 / 50

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

34 / 50

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

35 / 50

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

36 / 50

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

37 / 50

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

38 / 50

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

39 / 50

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

40 / 50

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

41 / 50

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

42 / 50

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

43 / 50

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

44 / 50

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

45 / 50

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

46 / 50

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

47 / 50

47) What respiratory rate accompanies that severe asthma attack?

48 / 50

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

49 / 50

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

50 / 50

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

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