There is a growing awareness of the health impacts of ethylene oxide (EtO) and its role as a carcinogenic and mutagenic air contaminant of concern. Given the need to better understand EtO emissions and associated health effects, it is imperative to overcome the significant challenges associated with EtO measurement in complex air matrices, such as combustion emissions. This work focused on addressing these challenges by evaluating the utility of widely used canister-based EtO ambient measurement approaches, EPA Methods TO-15 and TO-15A, to investigate the presence of EtO in heavy-duty diesel vehicle (HDDV) exhaust. Chassis dynamometer testing was performed on two HDDVs and emissions samples were collected and analyzed following TO-15/TO-15A. Initial testing utilizing TO-15 led to the identification of a diesel exhaust constituent, ethyl nitrite, that coeluted with EtO during analysis and contributed large positive bias. An optimized TO-15A analytical approach was developed and utilized to measure EtO in diesel exhaust from two HDDVs in additional dynamometer tests. Using this optimized approach, EtO was not detected in HDDV exhaust in these tests. This work highlights the importance of utilizing this optimized approach to accurately quantify EtO in mobile source exhaust and may also be needed for testing other combustion sources.