Quebec paramedic clinical integration — built from the free PICPSP protocols and the PNIC Plan directeur
Practice on the go and jump straight back to where you left off.
About the program
In Quebec, paramedic technicians (TAP) must hold a college diploma, complete the Programme national d'intégration clinique (PNIC) and pass its evaluations before being entered in the national workforce register. The PNIC has a theory exam of about 100 multiple-choice questions, a 30-question ethics and legal assignment, and a practical part.
ExamHub's questions follow the Clinical intervention protocols for primary care paramedics (PICPSP), 2nd edition (spring 2026), published for free by Santé Québec, together with the PNIC Guide for new graduates and Plan directeur: clinical assessment, resuscitation, medications, trauma, obstetrics, triage and reports.
The Québec.ca page describes the theory exam as about 100 questions with a 60% pass mark; the PNIC Guide gives 3 hours (2 hours plus a 50% extension granted to every candidate). ExamHub's test mode draws 100 questions in 180 minutes; the split by block is ExamHub's estimate inside the ranges the Plan directeur publishes, and the real exam stays confidential. The Plan directeur lists two ranges for the summary block (3–7% on page 3, 15–25% in Tableau 1 on page 4); we use 3–7%. The exam's stated source is the Extranet Préhospitalier Québec clinical documents, which need a login and were not used, and no clinician has reviewed this bank. The consent, refusal and reporting questions are practice only and are never drawn in the test.
What's covered
Five categories follow the blocks of the PNIC Plan directeur and make up the 100-question test. The sixth, consent, refusal and reporting, is practice only: the Plan directeur gives it no theory-exam percentage, so the test never draws from it.
Try a few
Three sample questions from the bank, with the answer and the explanation.
Why: For pediatric patients, the ratio is 30:2 for a lone rescuer or 15:2 (15 compressions to 2 ventilations) with two rescuers; the two-minute periods consist of 10 cycles of 15:2. In an adult, the ratio is 30:2 (5 cycles).
Why: With no STEMI on the first ECG, the protocol calls for a second 12-lead ECG before departure and considers serial ECGs, because ischemia can evolve. Transmission to the USC serves to confirm a suspected STEMI, not to confirm its absence.
Why: Among the neurological instability criteria are “P-U” and a Glasgow ≤ 13 in a trauma situation.
FAQ
The Programme national d'intégration clinique (PNIC) is the Quebec program that new paramedic technician (TAP) graduates complete before practising. The Québec.ca page describes its theory exam as about 100 multiple-choice questions, some tied to a case and some independent, with a 60% pass mark. The PNIC Guide gives a 3-hour limit (2 hours plus a 50% extension granted to every candidate) and reports only pass or fail.
No. The real exam is confidential. ExamHub's test mode draws 100 original questions with a 60% target and a 180-minute timer. The PNIC Plan directeur publishes only a percentage range for each block, so the exact split inside each range is ExamHub's estimate. The Plan directeur also gives two figures for the summary block (3–7% on page 3, 15–25% in Tableau 1 on page 4); we use 3–7%. The program also includes a 30-question ethics and legal assignment and a practical part that a quiz cannot replace. Exam practice only, not for patient care.
The free PICPSP protocols for primary care paramedics (2nd edition, spring 2026), the PNIC Guide for new graduates and the PNIC Plan directeur. The Plan directeur says the exam itself is written from the clinical documents of the Extranet Préhospitalier Québec, which need a login: we did not use the Extranet. No clinician has reviewed this bank. The Québec.ca PNIC page does not say which edition of the protocols the exam follows: confirm the current documents with the PNIC team.
We do not claim they are. The Plan directeur gives that competency no theory-exam percentage and sends it to the ethics work and the practical part. Our 14 questions on it are practice only: test mode never draws them.
Yes, ExamHub's own question bank is available in both languages. The bank was written in French from the Quebec protocols and translated into English; use the language switch at the top of the page.