A+ |2026/2027 Update Actual exam|
Questions And Verif̣ied Answers With
Rationales|100% Accurate Answers
NEW UPDATE
A 47 year old male who was f̣ound unconscious on the side o f̣ the road respond only to pain f̣ul stimulus.
When you attempt to establish IV access he stif̣fens
̣ his arms and legs. He has minor abrasions all over
his body. Vital signs are BO 178/122 P56 R irregular ETCO2 30. What should you do? - correct answers-
Assist ventilations at 12 breaths per minHg.
8. A 28 year old f̣emale has a sudden onset of̣ tightness in her chest and server di f̣ficulty
̣ breathing. Her
tongue f̣ace and neck appear swollen and she has red itchy hives on her torso. Her signs are BP 80/40 P
130. You should administer - correct answers-Epinephrine 0.3mg
9. You are asked to set up a patient treatment area a f̣ter a box labeled "radio active" was f̣ound
unattended in a park. Which of̣ the f̣ollowing would be the best location. - correct answers-Building in
the park
10. You are at a house f̣ire with multiple patients. Which patient should be transported First to a burn
center? - correct answers-52 year old with second degree burns to f̣ace and right hand
11. What is the most common cause of̣ status epilepticus in adults. - correct answers-Failure to take
prescribed medications
12. A 58 year old male with history of̣ renal f̣ailure complains o f̣ dizziness lethargy and di f̣ficulty
̣
breathing. He says he missed his last dialysis appointment. Vital signs are BP 160/90 P 100 R 28 with
rales heard in the basses. SPO2 92% you should suspect. - correct answers-Fluid Overload.
,13. A 12 year old girl is seizing. Her mom tells you that her daughter has been f̣eeling tired f̣or days. Her
skin is dry and she has been very thirsty. Vital signs are BP 118/80 P115 R26 you should suspect. - correct
answers-Diabetic ketoacidosis
14. A 42 year old f̣emale has f̣allen down a f̣light o f̣ stairs. She appears anxious her skin is cool and
clammy her radial pulses are weak at 112 beats per min and she complains o f̣ abdominal pain in the le f̣t
upper quadrant with radiation to the le f̣t scapula. You should suspect. - correct answers-Torn or
lacerated spleen.
1. A 30 year old climber is experiencing sever shortness o f̣ breath a f̣ter reaching an elevation o f̣
12000f̣eet. The PT is very anxious and has rales noted to all quadrants but is otherwise healthy. He is not
accustomed to high altitudes. What should you do? - correct answers-Administer oxygen while
descending to a lower altitude.
2. A 26 year old f̣emale does not respond to verbal stimuli but moans in response to pain. A f̣riend states
the patient has ingested approx 150 amitriptyline tables. Vital Signs are BP 88/50 R16. You establish IV
access and administer a f̣luid challenge. En route to the hospital her ECG shows a widening QRS. You
should administer - correct answers-Sodium Bicarbonate.
3. You PT experienced trauma yesterday and you are trans f̣erring her to a larger f̣acility. She has been
experiencing progressive hypoxia. You notice coarse crackles in all lung f̣ields on ventilation. Vital signs
are BP 90/50 and SPO2 90%. You should - correct answers-Transport emergency and continue
ventilation.
4. An alert 22 year old male was just disentangled f̣rom debris in a house collapse. He denies head or
neck pain, but complains of̣ server hip pain. Vital signs are BP 88/40. P120 R 16 you should administer. -
correct answers-sodium bicarbonate
5. Braxton Hicks contractions - correct answers-occur in the second trimester and are f̣alse labor.
6. A 40 year old male crashed his motorcycle. He had a brie f̣ loss o f̣ consciousness, woke up and
walked home. You f̣ind him 2 hours later at home unconscious. You should suspect. - correct
answers-epidural hematoma
7.
, 15. Emergency medical responders are ventilating an apneic medical patient with a bag valve mask. You
note abdominal distention and minimal chest rise. What should you do? - correct answers-Reposition
the head.
16. A 6 month old male was f̣ound lying f̣ace down in the crib. He is cyanotic and apneic. A weak
brachial pulse is present. You are unable to see a chest rise with your second attempt at rescue
breathing af̣ter repositioning the head. What should you do. - correct answers-Start CPR
17. You have just been called to a dialysis clinic f̣or a 58 year old male in cardiac arrest. The online
physician may order you to administer which of̣ the f̣ollowing medications. - correct answers-Sodium
Bicarbonate.
18. A 27 year old male has been assaulted with a pen in the supraclavicular area. He is anxious and pale
and his vital signs are BP 80/42 P 128 R 32 and shallow. First responders have sealed the wound with a
bandage. Assessment reveals lung sounds on the right and poor chest rise what should you do. - correct
answers-Burp dressing
19. A 50 pound child is unresponsive pulseless and apneic. The cardiac monitor displays ventricular
f̣ibrillations. CPR is in progress. The initial de f̣ibrillator should be at. - correct answers-50 joules.
20. An 11 year old male has been skateboarding in 100 degrees temperature and has been drinking
caf̣feinated
̣ sof̣t drinks. He complains of̣ palpations. The cardiac monitor displays a narrow QRS
tachycardia at a rate of̣ 160 beats. Vitals signs BP 110/60 P160 R 20 What should you do? - correct
answers-Transport the patient by ambulance monitor closely and administer f̣luids en route.
21. An 80 year old male in server respiratory distress. He has a history o f̣ hypertension and breathing
problems. He takes inderal daily. Vital signs are BP 170/70 P72 and irregular R40 and extremely labored
skin warm and diaphoretic. Lung sounds are di f̣fuse
̣ bilateral crackles and wheezing. He coughs up blood
tinged sputum. Which of̣ the f̣ollowing is most important. - correct answers-Decreasing preload
22. A 50 year old patient is f̣ound lying outside on the ground. The ambient temperature is 40 degrees F.
You thermometer reads 20C 86F. He is in V- f̣ib and pulseless and apneic. You should - correct answers-
Def̣ibrillate once perf̣orm CPR intubate and transport rapidly.