PARAMEDIC NATIONAL REGISTRY EXAM SCRIPT 2026
QUESTIONS AND ANSWERS RATED A+
✔✔What is a complication of a precipitous delivery (fast labor)? - ✔✔Maternal
lacerations
✔✔Following delivery of the head you clear the airway and noticed you have a nucal
cord, what is the appropriate action to take? - ✔✔Gently remove the cord from the neck
✔✔You are on scene of an MVA with a 30 y/o female sitting in the front seat. Pt
presents as cool, wet, and pale with low back pain and tingling in the legs. What is your
next appropriate action? - ✔✔C-Collar and KED's board
✔✔Which of the following is an example of involuntary consent? - ✔✔Psych patient in
mental institution
✔✔You have a patient that drove his car into a pool; steering wheel of car is bent.
Patient presents with hypotension, warm flush skin. What type of shock is this? -
✔✔Neurogenic shock
✔✔When placing an IO, how do you know if you are in the correct location? - ✔✔Bone
marrow can aspirate, flush with NS
✔✔You patient has no eye opening , makes incomprehensible sounds, and moves her
right hand to push you away when you pinch her left arm. what is your patients GCS
score? - ✔✔8
✔✔What is a tort? - ✔✔Breach of duty, injured party has a right to file a suit
✔✔What are the categories of the GCS scale? - ✔✔Eye opening
Best Verbal Response
Best Motor
✔✔What is the reasoning for fluid therapy in trauma? - ✔✔Correct hypovolemia
✔✔Your patient is a 23 y/o female in her 3rd trimester, sitting on the couch rubbing her
belly. What is your first appropriate action? - ✔✔Ask for patient history
✔✔How would you determine who is incident command on a large scale emergency? -
✔✔Guy with the vest on
✔✔What is the most common type of Hepatitis? - ✔✔A
, ✔✔How is Hep C is transmitted? - ✔✔Blood
✔✔What is the most detrimental to the unborn fetus? - ✔✔Rubella
✔✔What is the pathophysiology of Parkinson's disease? - ✔✔Insufficient formation and
action of dopamine, impairs motor skills, speech, and other functions.
✔✔You have a 20 y/o male hit 2 hours ago, and called 911 20 mins ago. Presents with
a flail segment and coughing blood what do you suspect? - ✔✔Pulmonary contusion
✔✔You have a patient with pulse of 220 and BP 70/P - ✔✔Sync cardiovert/ consider
Adenosine
✔✔How would you determine the tube size for an infant? - ✔✔(Age/4)+4
✔✔Partner refuses to respond to call because location in known for its violence. -
✔✔Breech of Duty
✔✔Which meds are prescribed for SVT? - ✔✔Atenolol/Adenosine
✔✔59 y/o female, husband did Heimlich. Pt sill c/o rapid heart rate. Pt has increased
BP, ST @ 110, RR 24. What is your next appropriate action? - ✔✔Nothing
✔✔Mobile Radios - ✔✔Radios mounted in the vehicle, more power and larger antenna
✔✔Hand Held - ✔✔Portable radios that are light weight, but have a decreased range
and power
✔✔Simplex Radio System - ✔✔Single channel, one way communication mechanism
one frequency to both transmit and recieve radio traffic. Allows only one person to
speak at a time. Requires 2 frequencies, one to recieve and one to transmit.
✔✔Multiplex System - ✔✔Allows simultaneous transmission of multiple, different radio
transmissions over one radio frequency.
✔✔What is the primary immunoglobulin in an anaphylactic reaction? - ✔✔IgE
✔✔The umbilical cord consists of_ arteries, and _ vein(s)? - ✔✔2 Arteries and 1 Vein
✔✔Peaked T waves on the ECG is indicative of what? - ✔✔Hyperkalemia
✔✔What is the drug of choice for seizures in the eclamptic patient? - ✔✔Magnesium
Sulfate
QUESTIONS AND ANSWERS RATED A+
✔✔What is a complication of a precipitous delivery (fast labor)? - ✔✔Maternal
lacerations
✔✔Following delivery of the head you clear the airway and noticed you have a nucal
cord, what is the appropriate action to take? - ✔✔Gently remove the cord from the neck
✔✔You are on scene of an MVA with a 30 y/o female sitting in the front seat. Pt
presents as cool, wet, and pale with low back pain and tingling in the legs. What is your
next appropriate action? - ✔✔C-Collar and KED's board
✔✔Which of the following is an example of involuntary consent? - ✔✔Psych patient in
mental institution
✔✔You have a patient that drove his car into a pool; steering wheel of car is bent.
Patient presents with hypotension, warm flush skin. What type of shock is this? -
✔✔Neurogenic shock
✔✔When placing an IO, how do you know if you are in the correct location? - ✔✔Bone
marrow can aspirate, flush with NS
✔✔You patient has no eye opening , makes incomprehensible sounds, and moves her
right hand to push you away when you pinch her left arm. what is your patients GCS
score? - ✔✔8
✔✔What is a tort? - ✔✔Breach of duty, injured party has a right to file a suit
✔✔What are the categories of the GCS scale? - ✔✔Eye opening
Best Verbal Response
Best Motor
✔✔What is the reasoning for fluid therapy in trauma? - ✔✔Correct hypovolemia
✔✔Your patient is a 23 y/o female in her 3rd trimester, sitting on the couch rubbing her
belly. What is your first appropriate action? - ✔✔Ask for patient history
✔✔How would you determine who is incident command on a large scale emergency? -
✔✔Guy with the vest on
✔✔What is the most common type of Hepatitis? - ✔✔A
, ✔✔How is Hep C is transmitted? - ✔✔Blood
✔✔What is the most detrimental to the unborn fetus? - ✔✔Rubella
✔✔What is the pathophysiology of Parkinson's disease? - ✔✔Insufficient formation and
action of dopamine, impairs motor skills, speech, and other functions.
✔✔You have a 20 y/o male hit 2 hours ago, and called 911 20 mins ago. Presents with
a flail segment and coughing blood what do you suspect? - ✔✔Pulmonary contusion
✔✔You have a patient with pulse of 220 and BP 70/P - ✔✔Sync cardiovert/ consider
Adenosine
✔✔How would you determine the tube size for an infant? - ✔✔(Age/4)+4
✔✔Partner refuses to respond to call because location in known for its violence. -
✔✔Breech of Duty
✔✔Which meds are prescribed for SVT? - ✔✔Atenolol/Adenosine
✔✔59 y/o female, husband did Heimlich. Pt sill c/o rapid heart rate. Pt has increased
BP, ST @ 110, RR 24. What is your next appropriate action? - ✔✔Nothing
✔✔Mobile Radios - ✔✔Radios mounted in the vehicle, more power and larger antenna
✔✔Hand Held - ✔✔Portable radios that are light weight, but have a decreased range
and power
✔✔Simplex Radio System - ✔✔Single channel, one way communication mechanism
one frequency to both transmit and recieve radio traffic. Allows only one person to
speak at a time. Requires 2 frequencies, one to recieve and one to transmit.
✔✔Multiplex System - ✔✔Allows simultaneous transmission of multiple, different radio
transmissions over one radio frequency.
✔✔What is the primary immunoglobulin in an anaphylactic reaction? - ✔✔IgE
✔✔The umbilical cord consists of_ arteries, and _ vein(s)? - ✔✔2 Arteries and 1 Vein
✔✔Peaked T waves on the ECG is indicative of what? - ✔✔Hyperkalemia
✔✔What is the drug of choice for seizures in the eclamptic patient? - ✔✔Magnesium
Sulfate
