DYSRHYTHMIA NCLEX PRACTICE SCRIPT 2026
QUESTIONS WITH SOLUTIONS GRADED A+
▶ 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
▶ Working to ensure a patient's privacy, confidentiality, and comfort level
will: Answer: Will go a long way toward establishing positive patient rapport
and encourage more honest, open communication.
▶ * A paramedic who looks the part of professional? Answer: inspires
confidence in his or her patients
▶ Cardiac dysrhythmias in older people are LESS commonly the result of:
Answer: poorly controlled anxiety
,▶ In contrast to a type II ambulance, a type III ambulance: Answer: is a
specialty van that usually has a modular ambulance body
▶ Q. A patient who is coughing up thick pulmonary secretions should NOT
take: Answer: an antitussive
▶ The external female genitalia are collectively reffered to as the? Answer:
pudendum
▶ The paramedic should always address a patient: Answer: Ask the
patient his/her name and how he/she would like to be addressed.
▶ Unlike decoration injuries, crush and compression injuries occur:
Answer: at the time of impact
▶ Which of the following is an example of a protocol? Answer: standing
orders
▶ You receive a call to a residence for a 44-year-old man who is "ill." The
patient, who receives dialysis treatments three times a week, tells you that
he has missed his last two treatments because he was not feeling well. As
your partner takes the patient's vital signs, you apply the ECG, which
reveals a sinus rhythm with tall T waves. The 12-lead ECG reveals a sinus
rhythm with inverted complexes in lead aVR. On the basis of your clinical
findings, you should be MOST suspicious that the patient is: Answer:
hyperkalemic
▶ You should be MOST suspicious that a patient has systemic iron toxicity
if he or she presents with: Answer: hematemesis
▶ A classic sign of atrial flutter is: Answer: the presence of sawtooth F
waves.
▶ According to the Haddon matrix, which of the following is an example of
a pre-event strategy used to prevent injury in a child who is riding in a
motor vehicle? Answer: reducing driving during high-risk times
▶ Physiologic age-related decreases in skin elasticity are the result of:
Answer: decreased collagen and elastin production
, ▶ Q. A patient with quiet tachypnea is MOST likely experiencing: Answer:
shock
▶ The headache commonly experienced by a women during their
menstrual cycle is caused by? Answer: hormonal release
▶ The most effective way to reinforce your interest in and concern for your
patient is to? Answer: use a calm and steady tone of reassurance
▶ The primary determinants of the extent of trauma a patient sustains are
the: Answer: amount of energy in the object and the mechanism by which
the object is delivered to the body
▶ The toxic chemical in castor beans is: Answer: ricin
▶ Using casual nicknames can be especially problematic when: Answer:
Cultural differences exist between you and the patient.
▶ You receive a call to a residence in a rural area of your jurisdiction for a
patient with an acute COPD exacerbation. Upon arriving at the scene, you
knock on the door and identify yourself. The patient, an elderly-sounding
man, tells you that you took too long to get to him, and that he has a
shotgun. You should: Answer: immediately retreat to the ambulance and
notify law enforcement
▶ * The ___ reflex happens when an infant is startled and opens his or her
arms wide? Answer: moro
▶ At a minimum, a level 2 trauma center should: Answer: be able to
initiate definitive care for all injured patients
▶ Elderly people are more susceptible to intracranial bleeding because of:
Answer: enlargement of the subdural space
▶ EMS providers who read off a list of questions to the patient to fill in all
the blanks on the run report: Answer: Tend to make little or no eye contact.
▶ Pelvic inflammatory disease (PID) commonly affects all of the following
organs, EXCEPT the? Answer: urinary bladder
QUESTIONS WITH SOLUTIONS GRADED A+
▶ 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
▶ Working to ensure a patient's privacy, confidentiality, and comfort level
will: Answer: Will go a long way toward establishing positive patient rapport
and encourage more honest, open communication.
▶ * A paramedic who looks the part of professional? Answer: inspires
confidence in his or her patients
▶ Cardiac dysrhythmias in older people are LESS commonly the result of:
Answer: poorly controlled anxiety
,▶ In contrast to a type II ambulance, a type III ambulance: Answer: is a
specialty van that usually has a modular ambulance body
▶ Q. A patient who is coughing up thick pulmonary secretions should NOT
take: Answer: an antitussive
▶ The external female genitalia are collectively reffered to as the? Answer:
pudendum
▶ The paramedic should always address a patient: Answer: Ask the
patient his/her name and how he/she would like to be addressed.
▶ Unlike decoration injuries, crush and compression injuries occur:
Answer: at the time of impact
▶ Which of the following is an example of a protocol? Answer: standing
orders
▶ You receive a call to a residence for a 44-year-old man who is "ill." The
patient, who receives dialysis treatments three times a week, tells you that
he has missed his last two treatments because he was not feeling well. As
your partner takes the patient's vital signs, you apply the ECG, which
reveals a sinus rhythm with tall T waves. The 12-lead ECG reveals a sinus
rhythm with inverted complexes in lead aVR. On the basis of your clinical
findings, you should be MOST suspicious that the patient is: Answer:
hyperkalemic
▶ You should be MOST suspicious that a patient has systemic iron toxicity
if he or she presents with: Answer: hematemesis
▶ A classic sign of atrial flutter is: Answer: the presence of sawtooth F
waves.
▶ According to the Haddon matrix, which of the following is an example of
a pre-event strategy used to prevent injury in a child who is riding in a
motor vehicle? Answer: reducing driving during high-risk times
▶ Physiologic age-related decreases in skin elasticity are the result of:
Answer: decreased collagen and elastin production
, ▶ Q. A patient with quiet tachypnea is MOST likely experiencing: Answer:
shock
▶ The headache commonly experienced by a women during their
menstrual cycle is caused by? Answer: hormonal release
▶ The most effective way to reinforce your interest in and concern for your
patient is to? Answer: use a calm and steady tone of reassurance
▶ The primary determinants of the extent of trauma a patient sustains are
the: Answer: amount of energy in the object and the mechanism by which
the object is delivered to the body
▶ The toxic chemical in castor beans is: Answer: ricin
▶ Using casual nicknames can be especially problematic when: Answer:
Cultural differences exist between you and the patient.
▶ You receive a call to a residence in a rural area of your jurisdiction for a
patient with an acute COPD exacerbation. Upon arriving at the scene, you
knock on the door and identify yourself. The patient, an elderly-sounding
man, tells you that you took too long to get to him, and that he has a
shotgun. You should: Answer: immediately retreat to the ambulance and
notify law enforcement
▶ * The ___ reflex happens when an infant is startled and opens his or her
arms wide? Answer: moro
▶ At a minimum, a level 2 trauma center should: Answer: be able to
initiate definitive care for all injured patients
▶ Elderly people are more susceptible to intracranial bleeding because of:
Answer: enlargement of the subdural space
▶ EMS providers who read off a list of questions to the patient to fill in all
the blanks on the run report: Answer: Tend to make little or no eye contact.
▶ Pelvic inflammatory disease (PID) commonly affects all of the following
organs, EXCEPT the? Answer: urinary bladder
