DYSRHYTHMIA NCLEX COMPREHENSIVE TEST
2026 FULL SOLUTIONS GRADED A+
▶ When analyzing a cardiac rhythm strip in lead II, you should routinely
evaluate all of the following components, EXCEPT? Answer: S-T segment.
▶ When touching a patient as a form of reassurance, the paramedic
should? Answer: touch the patient on a neutral part of his or her body
▶ A 25-year-old woman was involved in a motor vehicle accident in which
she struck the rear end of another car at a low rate of speed. When you
arrive at the scene and exit the ambulance, you immediately hear the
patient screaming, "My baby, my baby!" After calming the patient down,
she tells you that she is 10 weeks pregnant and that she is afraid that the
car accident injured her child. She confirms that she was properly
restrained at the time of impact. She is conscious and alert, denies
abdominal pain, and has stable vital signs. She refuses spinal motion
restriction precautions, but does consent to EMS transport. You should?
Answer: administer supplemental oxygen, establish a large-bore IV line and
set the rate to keep the vein open, provide emotional support, and transport
her to an appropriate hospital.
▶ An 82-year-old man presents with confusion that has worsened
progressively over the past 2 weeks. Because of his confusion and the fact
that he is hearing impaired, you obtain the majority of your medical history
information from his daughter. She tells you that her father has high blood
pressure but refuses to take medication for it. She also tells you that she
thinks he fell about 3 weeks ago, although he denies falling. The patient's
blood pressure is 168/98 mmHg, his pulse rate is 60 beats/min and
occasionally irregular, and his respirations are 22 breaths/min and regular.
This patient MOST likely: Answer: is experiencing a subdural hematoma
▶ EMS providers can be MOST effective in helping reduce the incidence of
suicide, domestic violence, and child abuse by? Answer: noting risk factors
at the scene and reporting data
▶ From an anatomic and physiologic perspective, inhaled toxins: Answer:
quickly reach the alveoli and rapidly gain access to the circulatory system.
,▶ If a level 1 trauma center is 30 miles away, and a level 2 trauma center is
10 miles away, it would be MOST appropriate to transport the patient with a
severe traumatic brain injury: Answer: via air transport to the level 1
trauma center
▶ Q. You are transporting an intubated patient and note that the digital
capnometry reading has quicky fallen below 30 mmHg. You should:
Answer: take immediate measures to confirm proper placement of the ET
tube
▶ Teething is commonly accompanied by? Answer: fever
▶ The MOST important initial pieces of equipment to bring to the side of an
unconscious patient are the? Answer: Defibrillator and airway
management equipment.
▶ Where would you MOST likely find a Material Safety Data Sheet (MSDS)
that provides information about a hazardous material? Answer: A
permanent manufacturing or storage facility
▶ Which of the following questions would be of LEAST pertinence when
trying to determine a patient's current health status? Answer: " You will
also need to ask about any accidents or injuries the patient had within the
last month or so and about any operations or hospitalizations within the last
6 months or so.
▶ General principles for backing up an ambulance include: Answer:
stopping the vehicle if you lose sight of your spotter
▶ If a patient is unable to tell you who he or she is, where he or she is, and
what day of the week it is? Answer: you should suspect decreased blood
flow to the brain
▶ If a pregnant woman is injured and bleeding severly? Answer: blood
flow will be diverted away from the uterus
▶ If an EMS agency's call volume is too heavy to allow response within an
appropriate time frame? Answer: mutual aid resources are not legally
required to assist
,▶ In contrast to chronic leukemia, acute leukemia occurs when: Answer:
bone marrow is replaced with abnormal lymphoblasts.
▶ Q. The anterior portion of the palate is formed by the: Answer: maxilla
and palatine bones
▶ The heart hypertrophies with age, MOST likely in response to: Answer:
a chronically increased afterload caused by arteriosclerotic blood vessels
▶ The peak magnitude of the pressure wave experienced by a person:
Answer: lessens as the person is farther away from the center of the
explosion
▶ Which of the following questions will allow you to gain insight quickly
when performing a check of a patient's body systems? Answer: "Has your
doctor ever told you that you have a heart, lung or brain problem?"
▶ Which of the following statements regarding second-degree heart block
is MOST correct? Answer: Second-degree heart block occurs when an
impulse reaching the AV node is occasionally prevented from proceeding to
the ventricles and causing a QRS complex.
▶ A patient who ingested a significant amount of ethylene glycol 6 hours
ago would MOST likely present with: Answer: slurred speech and ataxia
▶ If the windshield of a wrecked vehicle is cracked or broken: Answer: the
front seat occupant has a cervical injury until proven otherwise
▶ Infants are referred to as belly breathers because? Answer: they rely
mostly on their diaphragm to breathe
▶ Q. In contrast to the right lung, the left lung: Answer: has two lobes
▶ Regardless of a paramedic's circadian rhythms, he or she should?
Answer: not overlook the need for rest
▶ Reiter syndrome? Answer: is a rare complication associated with
untreated Chlamydia and is characterized by arthritis and skin lesions
, ▶ The interaction of two hazardous materials that produces a much greater
impact than either chemical alone is called: Answer: synergism
▶ The mitral valve: Answer: is located on the higher-pressure side of the
heart.
▶ Which of the following statements regarding Alzheimer's disease is NOT
correct? Answer: Age alone is thought to be the underlying cause of
Alzheimer's disease
▶ Your patient will MOST likely develop a good first impression of you if
you: Answer: Your appearance should be professional and your demeanor
positive and friendly.
▶ A closed, or contained, mass casualty incident is a situation that:
Answer: is not expected to produce more patients than initially present
▶ Adverse drug reactions in elderly people are the result of: Answer:
changes in drug metabolism due to diminished hepatic function
▶ Burnout is a consequence of? Answer: chronic, unrelieved stress
▶ Crack is a combination of: Answer: cocaine, baking soda, and water
▶ Q. When placing a dislodged tracheostomy tube, it is MOST important
that you: Answer: take appropriate BSI precautions
▶ Relative to younger adults, older adults generally have a harder time
breathing because the? Answer: natural elasticity of the lungs decreases
▶ The MOST common site of deceleration injury in the chest is the:
Answer: aorta
▶ What is the R-on-T phenomenon? Answer: A PVC that occurs when the
ventricles are not fully repolarized.
▶ Which of the following statements regarding an ectopic pregnancy is
MOST correct? Answer: in ectopic pregnancy, a fertilized egg implants
somewhere other than the uterus
2026 FULL SOLUTIONS GRADED A+
▶ When analyzing a cardiac rhythm strip in lead II, you should routinely
evaluate all of the following components, EXCEPT? Answer: S-T segment.
▶ When touching a patient as a form of reassurance, the paramedic
should? Answer: touch the patient on a neutral part of his or her body
▶ A 25-year-old woman was involved in a motor vehicle accident in which
she struck the rear end of another car at a low rate of speed. When you
arrive at the scene and exit the ambulance, you immediately hear the
patient screaming, "My baby, my baby!" After calming the patient down,
she tells you that she is 10 weeks pregnant and that she is afraid that the
car accident injured her child. She confirms that she was properly
restrained at the time of impact. She is conscious and alert, denies
abdominal pain, and has stable vital signs. She refuses spinal motion
restriction precautions, but does consent to EMS transport. You should?
Answer: administer supplemental oxygen, establish a large-bore IV line and
set the rate to keep the vein open, provide emotional support, and transport
her to an appropriate hospital.
▶ An 82-year-old man presents with confusion that has worsened
progressively over the past 2 weeks. Because of his confusion and the fact
that he is hearing impaired, you obtain the majority of your medical history
information from his daughter. She tells you that her father has high blood
pressure but refuses to take medication for it. She also tells you that she
thinks he fell about 3 weeks ago, although he denies falling. The patient's
blood pressure is 168/98 mmHg, his pulse rate is 60 beats/min and
occasionally irregular, and his respirations are 22 breaths/min and regular.
This patient MOST likely: Answer: is experiencing a subdural hematoma
▶ EMS providers can be MOST effective in helping reduce the incidence of
suicide, domestic violence, and child abuse by? Answer: noting risk factors
at the scene and reporting data
▶ From an anatomic and physiologic perspective, inhaled toxins: Answer:
quickly reach the alveoli and rapidly gain access to the circulatory system.
,▶ If a level 1 trauma center is 30 miles away, and a level 2 trauma center is
10 miles away, it would be MOST appropriate to transport the patient with a
severe traumatic brain injury: Answer: via air transport to the level 1
trauma center
▶ Q. You are transporting an intubated patient and note that the digital
capnometry reading has quicky fallen below 30 mmHg. You should:
Answer: take immediate measures to confirm proper placement of the ET
tube
▶ Teething is commonly accompanied by? Answer: fever
▶ The MOST important initial pieces of equipment to bring to the side of an
unconscious patient are the? Answer: Defibrillator and airway
management equipment.
▶ Where would you MOST likely find a Material Safety Data Sheet (MSDS)
that provides information about a hazardous material? Answer: A
permanent manufacturing or storage facility
▶ Which of the following questions would be of LEAST pertinence when
trying to determine a patient's current health status? Answer: " You will
also need to ask about any accidents or injuries the patient had within the
last month or so and about any operations or hospitalizations within the last
6 months or so.
▶ General principles for backing up an ambulance include: Answer:
stopping the vehicle if you lose sight of your spotter
▶ If a patient is unable to tell you who he or she is, where he or she is, and
what day of the week it is? Answer: you should suspect decreased blood
flow to the brain
▶ If a pregnant woman is injured and bleeding severly? Answer: blood
flow will be diverted away from the uterus
▶ If an EMS agency's call volume is too heavy to allow response within an
appropriate time frame? Answer: mutual aid resources are not legally
required to assist
,▶ In contrast to chronic leukemia, acute leukemia occurs when: Answer:
bone marrow is replaced with abnormal lymphoblasts.
▶ Q. The anterior portion of the palate is formed by the: Answer: maxilla
and palatine bones
▶ The heart hypertrophies with age, MOST likely in response to: Answer:
a chronically increased afterload caused by arteriosclerotic blood vessels
▶ The peak magnitude of the pressure wave experienced by a person:
Answer: lessens as the person is farther away from the center of the
explosion
▶ Which of the following questions will allow you to gain insight quickly
when performing a check of a patient's body systems? Answer: "Has your
doctor ever told you that you have a heart, lung or brain problem?"
▶ Which of the following statements regarding second-degree heart block
is MOST correct? Answer: Second-degree heart block occurs when an
impulse reaching the AV node is occasionally prevented from proceeding to
the ventricles and causing a QRS complex.
▶ A patient who ingested a significant amount of ethylene glycol 6 hours
ago would MOST likely present with: Answer: slurred speech and ataxia
▶ If the windshield of a wrecked vehicle is cracked or broken: Answer: the
front seat occupant has a cervical injury until proven otherwise
▶ Infants are referred to as belly breathers because? Answer: they rely
mostly on their diaphragm to breathe
▶ Q. In contrast to the right lung, the left lung: Answer: has two lobes
▶ Regardless of a paramedic's circadian rhythms, he or she should?
Answer: not overlook the need for rest
▶ Reiter syndrome? Answer: is a rare complication associated with
untreated Chlamydia and is characterized by arthritis and skin lesions
, ▶ The interaction of two hazardous materials that produces a much greater
impact than either chemical alone is called: Answer: synergism
▶ The mitral valve: Answer: is located on the higher-pressure side of the
heart.
▶ Which of the following statements regarding Alzheimer's disease is NOT
correct? Answer: Age alone is thought to be the underlying cause of
Alzheimer's disease
▶ Your patient will MOST likely develop a good first impression of you if
you: Answer: Your appearance should be professional and your demeanor
positive and friendly.
▶ A closed, or contained, mass casualty incident is a situation that:
Answer: is not expected to produce more patients than initially present
▶ Adverse drug reactions in elderly people are the result of: Answer:
changes in drug metabolism due to diminished hepatic function
▶ Burnout is a consequence of? Answer: chronic, unrelieved stress
▶ Crack is a combination of: Answer: cocaine, baking soda, and water
▶ Q. When placing a dislodged tracheostomy tube, it is MOST important
that you: Answer: take appropriate BSI precautions
▶ Relative to younger adults, older adults generally have a harder time
breathing because the? Answer: natural elasticity of the lungs decreases
▶ The MOST common site of deceleration injury in the chest is the:
Answer: aorta
▶ What is the R-on-T phenomenon? Answer: A PVC that occurs when the
ventricles are not fully repolarized.
▶ Which of the following statements regarding an ectopic pregnancy is
MOST correct? Answer: in ectopic pregnancy, a fertilized egg implants
somewhere other than the uterus
