CRITICAL CARE PARAMEDIC (KYLE
FAUDREE'S FLIGHT PARAMEDIC
CERTIFICATION) ACTUAL EXAM PAPER
2026 QUESTIONS WITH ANSWERS
GRADED A+
◍ What is the nursing role in managing clients with endocrine dysfunction?.
Answer: To apply the nursing process and clinical judgment while providing
care.
◍ 2. A nurse is admitting a client with a diagnosis of Addison's disease to the
hospital. On assessment, the nurse would expect to note which finding that
is a manifestation of this disorder?a) peripheral edemab) excessive facial
hairc) lower than normal blood glucose leveld) high blood pressure.
Answer: 2) C- Blood glucose levels are low in Addison's disease as a result
of decreased secretion of glucocorticoids (cortisol). Edema is absent, and
aldosterone secretion is decreased so the client develops a deficient fluid
volume. Facial hair increases with adrenocortical hyperfunction. Clients
with Addison's disease develop hypotension as a result of deficient fluid
volume. Options A, B and D are unrelated to Addison's disease.
◍ What appetite changes may indicate an endocrine problem?.
Answer: Weight loss with increased appetite (hyperthyroidism) or weight
gain (hypothyroidism).
◍ Asked about asthma medication.
Answer: Reports asthma medication has not changedReports inhaler is
albuterol (Proventil)Reports using inhaler no more than 2 times per
weekReports recommended dose is 1-3 puffs as neededReports typically
, taking 2 puffsReports sometimes needing 3 puffs to control
symptomsDenies adverse effects of asthma medication
◍ What are the diagnostic tests for hyperparathyroidism?.
Answer: Elevated PTH, serum calcium, magnesium, vitamin D, and
decreased serum phosphorus.
◍ What is the treatment for acute hypoparathyroidism?.
Answer: IV calcium gluconate and a calm environment with close
monitoring.
◍ Why is understanding a patient's value-belief patterns important?.
Answer: To help determine appropriate treatment plans, especially for
conditions like diabetes.
◍ 8. A nurse is caring for a client following thyroidectomy and is monitoring
for complications. Which of the following if noted in the client, would
indicate a need for physician notification? a) surgical pain in the neck areab)
voice hoarsenessc) numbness and tingling around the mouthd) weakness of
the voice.
Answer: 8) C- Hypocalcemia can develop after thyroidectomy if the
parathyroid glands are accidentally removed or traumatized during surgery.
If the client develops numbness and tingling around the mouth or in the
fingertips or toes, muscle spasms, or twitching, the physician should be
called immediately. A hoarse or weak voice may occur temporarily if there
has been unilateral injury to the laryngeal nerve during surgery. Pain is
expected in the postoperative period. Calcium gluconate ampules should be
available at the bedside, and the client should have a patent intravenous (IV)
line in the event that hypocalcemic tetany occurs
◍ 22. A nurse is caring for a hospitalized older client with a diagnosis of
dehydration who also has diabetes mellitus. The client is alert but
disoriented, pale, and slightly diaphoretic, and the nurse suspects that the
client is hypoglycemic. The initial nursing intervention would be to:a)
administer oral glucoseb) assist the client to bed, put the side rails up, and
call the physicianc) seat the client at the nurse's desk while checking the
, physician's orderd) obtain a fingerstick blood specimen and test the glucose
level.
Answer: 22) D- The nurse should confirm that the client is hypoglycemic by
checking the blood glucose. Option A is incorrect because hypoglycemia
has not been determined. More information should be gathered before
calling the physician, so option B is incorrect. Option C does not meet the
client's immediate needs.
◍ An incoherent client with a history of hypothyroidism is brought to the
emergency department by the rescue squad. Physical and laboratory findings
reveal hypothermia, hypoventilation, respiratory acidosis, bradycardia,
hypotension, and nonpitting edema of the face and periorbital area.
Knowing that these findings suggest severe hypothyroidism, the nurse
prepares to take emergency action to prevent the potential complication
of:thyroid storm.cretinism.myxedema coma.Hashimoto's thyroiditis..
Answer: myxedema coma.
◍ What diagnostic tests confirm Addison's Disease?.
Answer: Increased serum ACTH, decreased serum cortisol, hyperkalemia,
hyponatremia
◍ 11. The most common benign tumor of the pituitary gland is a: a. Gliomab
Prolactinomac. Carcinoid tumord. Islet cell tumor.
Answer: 11. B: Prolactinomas can cause symptoms by releasing excessive
amounts of prolactin into the blood or mechanically by pressing on
surrounding tissues. In women, symptoms may include menstrual
irregularities and infertility; in men erectile dysfunction and libido may be
impaired.
◍ Asked review of systems for skin, hair and nails.
Answer: Denies integumentary issues
◍ 4. A clinic nurse is performing an assessment on a client who has
hypothyroidism. The nurse would expect to note which clinical
manifestation?a) complaints of difficulty sleepingb) complaints of
diarrheac) significant weight loss since the last clinic visitd) complaints of
FAUDREE'S FLIGHT PARAMEDIC
CERTIFICATION) ACTUAL EXAM PAPER
2026 QUESTIONS WITH ANSWERS
GRADED A+
◍ What is the nursing role in managing clients with endocrine dysfunction?.
Answer: To apply the nursing process and clinical judgment while providing
care.
◍ 2. A nurse is admitting a client with a diagnosis of Addison's disease to the
hospital. On assessment, the nurse would expect to note which finding that
is a manifestation of this disorder?a) peripheral edemab) excessive facial
hairc) lower than normal blood glucose leveld) high blood pressure.
Answer: 2) C- Blood glucose levels are low in Addison's disease as a result
of decreased secretion of glucocorticoids (cortisol). Edema is absent, and
aldosterone secretion is decreased so the client develops a deficient fluid
volume. Facial hair increases with adrenocortical hyperfunction. Clients
with Addison's disease develop hypotension as a result of deficient fluid
volume. Options A, B and D are unrelated to Addison's disease.
◍ What appetite changes may indicate an endocrine problem?.
Answer: Weight loss with increased appetite (hyperthyroidism) or weight
gain (hypothyroidism).
◍ Asked about asthma medication.
Answer: Reports asthma medication has not changedReports inhaler is
albuterol (Proventil)Reports using inhaler no more than 2 times per
weekReports recommended dose is 1-3 puffs as neededReports typically
, taking 2 puffsReports sometimes needing 3 puffs to control
symptomsDenies adverse effects of asthma medication
◍ What are the diagnostic tests for hyperparathyroidism?.
Answer: Elevated PTH, serum calcium, magnesium, vitamin D, and
decreased serum phosphorus.
◍ What is the treatment for acute hypoparathyroidism?.
Answer: IV calcium gluconate and a calm environment with close
monitoring.
◍ Why is understanding a patient's value-belief patterns important?.
Answer: To help determine appropriate treatment plans, especially for
conditions like diabetes.
◍ 8. A nurse is caring for a client following thyroidectomy and is monitoring
for complications. Which of the following if noted in the client, would
indicate a need for physician notification? a) surgical pain in the neck areab)
voice hoarsenessc) numbness and tingling around the mouthd) weakness of
the voice.
Answer: 8) C- Hypocalcemia can develop after thyroidectomy if the
parathyroid glands are accidentally removed or traumatized during surgery.
If the client develops numbness and tingling around the mouth or in the
fingertips or toes, muscle spasms, or twitching, the physician should be
called immediately. A hoarse or weak voice may occur temporarily if there
has been unilateral injury to the laryngeal nerve during surgery. Pain is
expected in the postoperative period. Calcium gluconate ampules should be
available at the bedside, and the client should have a patent intravenous (IV)
line in the event that hypocalcemic tetany occurs
◍ 22. A nurse is caring for a hospitalized older client with a diagnosis of
dehydration who also has diabetes mellitus. The client is alert but
disoriented, pale, and slightly diaphoretic, and the nurse suspects that the
client is hypoglycemic. The initial nursing intervention would be to:a)
administer oral glucoseb) assist the client to bed, put the side rails up, and
call the physicianc) seat the client at the nurse's desk while checking the
, physician's orderd) obtain a fingerstick blood specimen and test the glucose
level.
Answer: 22) D- The nurse should confirm that the client is hypoglycemic by
checking the blood glucose. Option A is incorrect because hypoglycemia
has not been determined. More information should be gathered before
calling the physician, so option B is incorrect. Option C does not meet the
client's immediate needs.
◍ An incoherent client with a history of hypothyroidism is brought to the
emergency department by the rescue squad. Physical and laboratory findings
reveal hypothermia, hypoventilation, respiratory acidosis, bradycardia,
hypotension, and nonpitting edema of the face and periorbital area.
Knowing that these findings suggest severe hypothyroidism, the nurse
prepares to take emergency action to prevent the potential complication
of:thyroid storm.cretinism.myxedema coma.Hashimoto's thyroiditis..
Answer: myxedema coma.
◍ What diagnostic tests confirm Addison's Disease?.
Answer: Increased serum ACTH, decreased serum cortisol, hyperkalemia,
hyponatremia
◍ 11. The most common benign tumor of the pituitary gland is a: a. Gliomab
Prolactinomac. Carcinoid tumord. Islet cell tumor.
Answer: 11. B: Prolactinomas can cause symptoms by releasing excessive
amounts of prolactin into the blood or mechanically by pressing on
surrounding tissues. In women, symptoms may include menstrual
irregularities and infertility; in men erectile dysfunction and libido may be
impaired.
◍ Asked review of systems for skin, hair and nails.
Answer: Denies integumentary issues
◍ 4. A clinic nurse is performing an assessment on a client who has
hypothyroidism. The nurse would expect to note which clinical
manifestation?a) complaints of difficulty sleepingb) complaints of
diarrheac) significant weight loss since the last clinic visitd) complaints of
