2025 PARAMEDIC READINESS EXAM 5
STUDY GUIDE COMPREHENSIVE
REVIEW NOTES PRACTICE
QUESTIONS DETAILED ANSWER
RATIONALES and NATIONAL
REGISTRY EXAM PREP
A 3 month old infant who weighs 6kg has a history of congenital heart
disease. Vital signs R 60 with cyanotic nailbeds, SpO2 at 88%, P matches
ECG below. What should you administer?
0.6 mg of adenosine , IV push
3 multiple choice options
A 44 year old male is unresponsive after a penetrating injury to his chest.
His jugular veins are flat and his vital signs are BP 70/44, P 130, R 22 with
unequal breath sounds. What should you suspect?
Simple pneumothorax
3 multiple choice options
While using the START system at a major incident, you encounter a patient
who is apneic. After positioning the airway, the patient has a respiratory
rate of 16 breaths/minute. How should you classify this patient?
Immediate
3 multiple choice options
,A 47 year old male with a tracheostomy has shallow respirations and
mottled skin . His caretaker tells you that she just replaced the
tracheostomy tube What should you do ?
Ventilate by bag - valve mask
An unconscious 44 year old female is cyanotic and has agonal respirations.
Her lips and tongue are swollen and her tongue is protruding from her
mouth. She recently left her physician's office after receiving an injection of
antibiotics. You are unable to ventilate her. What should you do?
Perform needle cricothyrotomy
3 multiple choice options
An unresponsive 82 year old female is on the concrete floor in her
basement. Vital signs are BP 100/70, P 44, R 10, temp 90 degrees F. What
should you do?
Begin active external warming
3 multiple choice options
An anxious 15 year old male was the unrestrained passenger in a rollover
car crash. He denies pain and refuses treatment. Law enforcement is on
scene and unable to contact the patient's parents. What should you do?
Obtain baseline vital signs
3 multiple choice options
, While lifting a patient with the stretcher your partner complains of sharp
back pain. What should you do?
Stop lifting
3 multiple choice options
A 59 year old female with a history of asthma is seated in the tripod
position. She speaks in 2-3 word sentences. She used her inhaler twice prior
to EMS arrival. Vital signs are BP 124/66, P matches ECG below, R 22 and
distant. What should you suspect?
Status asthmaticus
3 multiple choice options
A 40 year old male has a hearing impairment. His 9 year old daughter
knows limited American Sign Language. While attempting to establish IV
access he pushed your hand away. What should you do?
Carefully document your inability to obtain informed consent
3 multiple choice options
A pregnant patient has a generalized seizure during labor. What should you
administer?
Magnesium sulfate
3 multiple choice options
STUDY GUIDE COMPREHENSIVE
REVIEW NOTES PRACTICE
QUESTIONS DETAILED ANSWER
RATIONALES and NATIONAL
REGISTRY EXAM PREP
A 3 month old infant who weighs 6kg has a history of congenital heart
disease. Vital signs R 60 with cyanotic nailbeds, SpO2 at 88%, P matches
ECG below. What should you administer?
0.6 mg of adenosine , IV push
3 multiple choice options
A 44 year old male is unresponsive after a penetrating injury to his chest.
His jugular veins are flat and his vital signs are BP 70/44, P 130, R 22 with
unequal breath sounds. What should you suspect?
Simple pneumothorax
3 multiple choice options
While using the START system at a major incident, you encounter a patient
who is apneic. After positioning the airway, the patient has a respiratory
rate of 16 breaths/minute. How should you classify this patient?
Immediate
3 multiple choice options
,A 47 year old male with a tracheostomy has shallow respirations and
mottled skin . His caretaker tells you that she just replaced the
tracheostomy tube What should you do ?
Ventilate by bag - valve mask
An unconscious 44 year old female is cyanotic and has agonal respirations.
Her lips and tongue are swollen and her tongue is protruding from her
mouth. She recently left her physician's office after receiving an injection of
antibiotics. You are unable to ventilate her. What should you do?
Perform needle cricothyrotomy
3 multiple choice options
An unresponsive 82 year old female is on the concrete floor in her
basement. Vital signs are BP 100/70, P 44, R 10, temp 90 degrees F. What
should you do?
Begin active external warming
3 multiple choice options
An anxious 15 year old male was the unrestrained passenger in a rollover
car crash. He denies pain and refuses treatment. Law enforcement is on
scene and unable to contact the patient's parents. What should you do?
Obtain baseline vital signs
3 multiple choice options
, While lifting a patient with the stretcher your partner complains of sharp
back pain. What should you do?
Stop lifting
3 multiple choice options
A 59 year old female with a history of asthma is seated in the tripod
position. She speaks in 2-3 word sentences. She used her inhaler twice prior
to EMS arrival. Vital signs are BP 124/66, P matches ECG below, R 22 and
distant. What should you suspect?
Status asthmaticus
3 multiple choice options
A 40 year old male has a hearing impairment. His 9 year old daughter
knows limited American Sign Language. While attempting to establish IV
access he pushed your hand away. What should you do?
Carefully document your inability to obtain informed consent
3 multiple choice options
A pregnant patient has a generalized seizure during labor. What should you
administer?
Magnesium sulfate
3 multiple choice options
