FISDAP PARAMEDIC ACTUAL EXAM QUESTIONS
2026 SOLVED WITH CORRECT ANSWERS
▶ The nurse observes a small opening that is draining purulent material on
the skin over the trochanter area of a bedridden client. Which is the nurse's
next best action?
A) Probe for a larger pocket of necrotic tissue.
B) Apply alginate dressing daily.
C) Apply a transparent film dressing.
D) Measure the reddened area on the skin surface.. Answer: A
This "hidden" wound may first be observed as a small opening in the skin
through which purulent drainage exudes. Applying a transparent film
dressing would not help this type of wound to heal. Measuring the
reddened area would not assist in determining the actual size of the wound,
because internal damage has occurred. Alginate dressings could not be
applied if the area were not opened.
▶ When reviewing an older client's medical record, which findings lead the
nurse to perform a nutrition assessment? (Select all that apply.)
A) Widow/widower status
B) Chronic constipation
C) Cholecystectomy 4 years ago
D) Random blood sugar level of 198 mg/dL
E) History of depression
F) Inability to afford a new pair of glasses. Answer: A,B,E,F
Many factors contribute to malnutrition in older clients. Depression and
loneliness from the loss of a spouse; constipation; poor eyesight; chronic
medical problems, including depression; and taking prescription and/or
over-the-counter medications can contribute to malnutrition. Blood glucose
levels and a previous cholecystectomy would not necessarily contribute.
▶ The nurse is caring for a female client who is 5 feet, 7 inches tall and
weighs 115 pounds. The client asks the nurse if she needs to lose weight.
Which response by the nurse is best?
,A) "No. In fact, your body mass index suggests that you are already
underweight."
B) "Yes. Your body mass index suggests you are slightly overweight."
C) "Your weight is just fine. Don't worry about it."
D) "Maybe. Let's look at your risks for cardiovascular disease.". Answer: A
The client's body mass index (BMI) is 18.0, so she is already underweight.
It is inaccurate to tell the client she is overweight, and it is unnecessary to
consider her weight in light of any cardiovascular risk factors. The nurse
should not reassure the client that her weight is just fine because she is
underweight.
▶ A client who has type 2 diabetes is prescribed glipizide (Glucotrol).
Which precautions does the nurse include in the teaching plan related to
this medication?
A) "Avoid taking nonsteroidal anti-inflammatory drugs."
B) "Change positions slowly when you get up."
C) "If you miss a dose of this drug, you can double the next dose."
D) "Discontinue the medication if you develop an infection.". Answer: A
Nonsteroidal anti-inflammatory drugs potentiate the hypoglycemic effects of
sulfonylurea agents. Glipizide is a sulfonylurea. The other statements are
not applicable to glipizide.
▶ The nurse is caring for a client who had a stroke. Which nursing
intervention does the nurse implement during the first 72 hours to prevent
complications?
A) Position with the head of the bed flat to enhance cerebral perfusion.
B) Monitor neurologic and vital signs closely to identify early changes in
status.
C) Administer prescribed analgesics to promote pain relief.
D) Cluster nursing procedures together to avoid fatiguing the client..
Answer: B
Early detection of neurologic, blood pressure, and heart rhythm changes
offers an opportunity to intervene in a timely fashion. Evidence is not yet
sufficient to recommend a specific back rest elevation after stroke.
, Analgesics are often held during the first 72 hours to ensure that the client's
neurologic status is not altered by pain medications. Preventing fatigue is
not a priority in the first 72 hours.
▶ A client with diabetes is prescribed insulin glargine once daily and
regular insulin four times daily. One dose of regular insulin is scheduled at
the same time as the glargine. How does the nurse instruct the client to
administer the two doses of insulin?
A) "Draw up and inject the insulin glargine first, then draw up and inject the
regular insulin."
B) "First draw up the dose of regular insulin, then draw up the dose of
insulin glargine in the same syringe, mix, and inject the two insulins
together."
C) "First draw up the dose of insulin glargine, then draw up the dose of
regular insulin in the same syringe, mix, and inject the two insulins
together."
D) "Draw up and inject the insulin glargine first, wait 20 minutes, then draw
up and inject the regular insulin.". Answer: A
Insulin glargine must not be diluted or mixed with any other insulin or
solution. Mixing results in an unpredictable alteration in the onset of action
and time to peak action. The correct instruction is to draw up and inject first
the glargine, then the regular insulin right afterward.
▶ The nurse would identify which body systems as directly involved in the
process of normal gas exchange? (Select all that apply.)
A) Endocrine system
B) Neurologic system
C) Hepatic system
D) Immune system
E) Cardiovascular system
F) Pulmonary system. Answer: B, E, F
The neurologic system controls respiratory drive; the respiratory system
controls delivery of oxygen to the lung capillaries; and the cardiac system is
responsible for the perfusion of vital organs. These systems are primarily
responsible for the adequacy of gas exchange in the body. The endocrine
2026 SOLVED WITH CORRECT ANSWERS
▶ The nurse observes a small opening that is draining purulent material on
the skin over the trochanter area of a bedridden client. Which is the nurse's
next best action?
A) Probe for a larger pocket of necrotic tissue.
B) Apply alginate dressing daily.
C) Apply a transparent film dressing.
D) Measure the reddened area on the skin surface.. Answer: A
This "hidden" wound may first be observed as a small opening in the skin
through which purulent drainage exudes. Applying a transparent film
dressing would not help this type of wound to heal. Measuring the
reddened area would not assist in determining the actual size of the wound,
because internal damage has occurred. Alginate dressings could not be
applied if the area were not opened.
▶ When reviewing an older client's medical record, which findings lead the
nurse to perform a nutrition assessment? (Select all that apply.)
A) Widow/widower status
B) Chronic constipation
C) Cholecystectomy 4 years ago
D) Random blood sugar level of 198 mg/dL
E) History of depression
F) Inability to afford a new pair of glasses. Answer: A,B,E,F
Many factors contribute to malnutrition in older clients. Depression and
loneliness from the loss of a spouse; constipation; poor eyesight; chronic
medical problems, including depression; and taking prescription and/or
over-the-counter medications can contribute to malnutrition. Blood glucose
levels and a previous cholecystectomy would not necessarily contribute.
▶ The nurse is caring for a female client who is 5 feet, 7 inches tall and
weighs 115 pounds. The client asks the nurse if she needs to lose weight.
Which response by the nurse is best?
,A) "No. In fact, your body mass index suggests that you are already
underweight."
B) "Yes. Your body mass index suggests you are slightly overweight."
C) "Your weight is just fine. Don't worry about it."
D) "Maybe. Let's look at your risks for cardiovascular disease.". Answer: A
The client's body mass index (BMI) is 18.0, so she is already underweight.
It is inaccurate to tell the client she is overweight, and it is unnecessary to
consider her weight in light of any cardiovascular risk factors. The nurse
should not reassure the client that her weight is just fine because she is
underweight.
▶ A client who has type 2 diabetes is prescribed glipizide (Glucotrol).
Which precautions does the nurse include in the teaching plan related to
this medication?
A) "Avoid taking nonsteroidal anti-inflammatory drugs."
B) "Change positions slowly when you get up."
C) "If you miss a dose of this drug, you can double the next dose."
D) "Discontinue the medication if you develop an infection.". Answer: A
Nonsteroidal anti-inflammatory drugs potentiate the hypoglycemic effects of
sulfonylurea agents. Glipizide is a sulfonylurea. The other statements are
not applicable to glipizide.
▶ The nurse is caring for a client who had a stroke. Which nursing
intervention does the nurse implement during the first 72 hours to prevent
complications?
A) Position with the head of the bed flat to enhance cerebral perfusion.
B) Monitor neurologic and vital signs closely to identify early changes in
status.
C) Administer prescribed analgesics to promote pain relief.
D) Cluster nursing procedures together to avoid fatiguing the client..
Answer: B
Early detection of neurologic, blood pressure, and heart rhythm changes
offers an opportunity to intervene in a timely fashion. Evidence is not yet
sufficient to recommend a specific back rest elevation after stroke.
, Analgesics are often held during the first 72 hours to ensure that the client's
neurologic status is not altered by pain medications. Preventing fatigue is
not a priority in the first 72 hours.
▶ A client with diabetes is prescribed insulin glargine once daily and
regular insulin four times daily. One dose of regular insulin is scheduled at
the same time as the glargine. How does the nurse instruct the client to
administer the two doses of insulin?
A) "Draw up and inject the insulin glargine first, then draw up and inject the
regular insulin."
B) "First draw up the dose of regular insulin, then draw up the dose of
insulin glargine in the same syringe, mix, and inject the two insulins
together."
C) "First draw up the dose of insulin glargine, then draw up the dose of
regular insulin in the same syringe, mix, and inject the two insulins
together."
D) "Draw up and inject the insulin glargine first, wait 20 minutes, then draw
up and inject the regular insulin.". Answer: A
Insulin glargine must not be diluted or mixed with any other insulin or
solution. Mixing results in an unpredictable alteration in the onset of action
and time to peak action. The correct instruction is to draw up and inject first
the glargine, then the regular insulin right afterward.
▶ The nurse would identify which body systems as directly involved in the
process of normal gas exchange? (Select all that apply.)
A) Endocrine system
B) Neurologic system
C) Hepatic system
D) Immune system
E) Cardiovascular system
F) Pulmonary system. Answer: B, E, F
The neurologic system controls respiratory drive; the respiratory system
controls delivery of oxygen to the lung capillaries; and the cardiac system is
responsible for the perfusion of vital organs. These systems are primarily
responsible for the adequacy of gas exchange in the body. The endocrine
