Nevada Paramedic Certification Exam
Practice Questions And Correct Answers
(Verified Answers) Plus Rationales 2026
Q&A | Instant Download Pdf
1. A paramedic arrives at the scene of a motor vehicle collision and finds
a patient with shallow respirations and a Glasgow Coma Scale score of
7. What is the most appropriate airway management intervention?
A. Nasal cannula oxygen
B. Bag-valve-mask ventilation
C. Oropharyngeal airway only
D. Endotracheal intubation
Answer: D
A Glasgow Coma Scale score below 8 indicates severe impairment of
consciousness and inability to maintain airway protection. Endotracheal
intubation is the definitive airway management to secure the airway and
ensure adequate ventilation.
2. Which cardiac rhythm is most commonly associated with sudden
cardiac arrest in adults?
A. Asystole
B. Ventricular fibrillation
C. Sinus bradycardia
D. Atrial flutter
Answer: B
Ventricular fibrillation is the most common initial rhythm in sudden cardiac
arrest and is characterized by chaotic electrical activity leading to
ineffective cardiac contractions and loss of circulation.
, 3. What is the recommended initial adult dose of epinephrine during
cardiac arrest?
A. 0.1 mg IV
B. 0.3 mg IM
C. 1 mg IV/IO
D. 5 mg IV
Answer: C
Advanced cardiac life support guidelines recommend 1 mg of epinephrine
administered intravenously or intraosseously every 3–5 minutes during
cardiac arrest to improve coronary and cerebral perfusion.
4. A patient with chest pain has ST elevation in leads II, III, and aVF. What
area of the heart is most likely affected?
A. Anterior wall
B. Lateral wall
C. Inferior wall
D. Septal wall
Answer: C
ST elevation in leads II, III, and aVF indicates an inferior myocardial
infarction, which typically involves the right coronary artery supplying the
inferior portion of the heart.
5. Which medication is most appropriate for treating symptomatic
bradycardia?
A. Atropine
B. Adenosine
C. Lidocaine
D. Amiodarone
Answer: A
Atropine blocks vagal influences on the heart, increasing heart rate and
improving conduction through the atrioventricular node, making it the
first-line medication for symptomatic bradycardia.
, 6. A patient presents with wheezing, hypotension, and hives after a bee
sting. What is the first-line treatment?
A. Diphenhydramine
B. Epinephrine
C. Albuterol
D. Prednisone
Answer: B
Epinephrine is the primary treatment for anaphylaxis because it reverses
airway constriction, improves blood pressure, and reduces further allergic
mediator release.
7. What is the primary effect of nitroglycerin in treating chest pain?
A. Increased heart rate
B. Coronary artery dilation
C. Reduced oxygen delivery
D. Increased blood pressure
Answer: B
Nitroglycerin dilates coronary arteries and reduces preload, which
improves myocardial oxygen supply and decreases cardiac workload,
relieving ischemic chest pain.
8. A patient with diabetic ketoacidosis most commonly presents with
which breathing pattern?
A. Cheyne-Stokes respirations
B. Kussmaul respirations
C. Apneustic breathing
D. Ataxic respirations
Answer: B
Kussmaul respirations are deep, rapid breathing patterns that occur as the
body attempts to compensate for metabolic acidosis by eliminating carbon
dioxide.
Practice Questions And Correct Answers
(Verified Answers) Plus Rationales 2026
Q&A | Instant Download Pdf
1. A paramedic arrives at the scene of a motor vehicle collision and finds
a patient with shallow respirations and a Glasgow Coma Scale score of
7. What is the most appropriate airway management intervention?
A. Nasal cannula oxygen
B. Bag-valve-mask ventilation
C. Oropharyngeal airway only
D. Endotracheal intubation
Answer: D
A Glasgow Coma Scale score below 8 indicates severe impairment of
consciousness and inability to maintain airway protection. Endotracheal
intubation is the definitive airway management to secure the airway and
ensure adequate ventilation.
2. Which cardiac rhythm is most commonly associated with sudden
cardiac arrest in adults?
A. Asystole
B. Ventricular fibrillation
C. Sinus bradycardia
D. Atrial flutter
Answer: B
Ventricular fibrillation is the most common initial rhythm in sudden cardiac
arrest and is characterized by chaotic electrical activity leading to
ineffective cardiac contractions and loss of circulation.
, 3. What is the recommended initial adult dose of epinephrine during
cardiac arrest?
A. 0.1 mg IV
B. 0.3 mg IM
C. 1 mg IV/IO
D. 5 mg IV
Answer: C
Advanced cardiac life support guidelines recommend 1 mg of epinephrine
administered intravenously or intraosseously every 3–5 minutes during
cardiac arrest to improve coronary and cerebral perfusion.
4. A patient with chest pain has ST elevation in leads II, III, and aVF. What
area of the heart is most likely affected?
A. Anterior wall
B. Lateral wall
C. Inferior wall
D. Septal wall
Answer: C
ST elevation in leads II, III, and aVF indicates an inferior myocardial
infarction, which typically involves the right coronary artery supplying the
inferior portion of the heart.
5. Which medication is most appropriate for treating symptomatic
bradycardia?
A. Atropine
B. Adenosine
C. Lidocaine
D. Amiodarone
Answer: A
Atropine blocks vagal influences on the heart, increasing heart rate and
improving conduction through the atrioventricular node, making it the
first-line medication for symptomatic bradycardia.
, 6. A patient presents with wheezing, hypotension, and hives after a bee
sting. What is the first-line treatment?
A. Diphenhydramine
B. Epinephrine
C. Albuterol
D. Prednisone
Answer: B
Epinephrine is the primary treatment for anaphylaxis because it reverses
airway constriction, improves blood pressure, and reduces further allergic
mediator release.
7. What is the primary effect of nitroglycerin in treating chest pain?
A. Increased heart rate
B. Coronary artery dilation
C. Reduced oxygen delivery
D. Increased blood pressure
Answer: B
Nitroglycerin dilates coronary arteries and reduces preload, which
improves myocardial oxygen supply and decreases cardiac workload,
relieving ischemic chest pain.
8. A patient with diabetic ketoacidosis most commonly presents with
which breathing pattern?
A. Cheyne-Stokes respirations
B. Kussmaul respirations
C. Apneustic breathing
D. Ataxic respirations
Answer: B
Kussmaul respirations are deep, rapid breathing patterns that occur as the
body attempts to compensate for metabolic acidosis by eliminating carbon
dioxide.
