paramedic exam practice questions 2025
with complete solutions
After delivery, a paramedic notices a newborns heart rate drops abruptly, skin has become blue
and blotchy, and respiration has stopped. After drying the infant, spontaneous respiration
occurs. What does this assessment describe?
A) Primary asphyxia
B) Primary apnea
C) Secondary apnea
D) Newborn asphyxia - ANSWERSC. Secondary apnea
**ON THE TEST**
A woman who is 38 weeks pregnant had minor spotting yesterday. She now has painless bright
red vaginal bleeding. The uterus is soft and nontender. Her skin is pale and moist. VS BP 100/60
P 112 RR 28 Spo2 95%. What should the paramedic suspect?
A) placental abruptio previa
B) Placenta previa
C) placenta abruptio
D) Uterine rupture - ANSWERSB) Placenta previa
Which childhood disease presents with a diffuse rash all over the body, fever, and white koplik
spots in the mouth?
A) Measles
B) Varciella
C) Hand-Foot and Mouth disease
,D) Rubella - ANSWERSA) Measles
**ON THE TEST**
Which of these would suppress the compensatory mechanism of tachycardia and a geriatric
patient who is experiencing hemorrhagic shock?
A. Thiazide diuretics
B. Beta blockers
C. Calcium channel blockers
D. Blood thinners - ANSWERSB. Beta blockers
What is the correct amount of fluid to a minister to a five week old infant who weighs 8 pounds
with significant dehydration?
A. 36 mL
B. 72 mL
C. 82 mL
D. 160 mL - ANSWERSB. 72mL
Which of these is most likely NOT to be sustained from the tertiary phase of blast injuries?
A. Compression fractures of the spine
B. Rib fractures
C. Hyperextension injuries
D. Pulmonary barotrauma - ANSWERSD. Pulmonary barotrauma
**ON THE TEST**
Which of these is most likely to be sustained from the tertiary phase of blast injuries?
,A) Smoke or toxic fume inhalation, burns, crush injuries
B) Lacerations, eye injuries, extremity fractures
C) Compression fractures of the spine, rib fractures, hyperextension injuries
D) Tympanic membrane rupture, headache, blast lung injury - ANSWERSC) Compression
fractures of the spine, rib fractures, hyperextension injuries
What should a paramedic do when confronted with a prolasped cord?
A) Place gloved fingers between the baby and the mothers pelvic bone
B) Insert gloved hand into the birth canal in order to restrain delivery
C) Attempt to push the cord back into the birth canal
D) Clamp and cut the cord and instruct the mother to push as hard as possible - ANSWERSA)
Place gloved fingers between the baby and the mothers pelvic bone
A 20-year-old has been working in the sun for the past six hours on a very hot day and c/o
extreme dizziness, weakness, thirst, nausea, and has vomited x2. Skin is warm, flushed,
diaphoretic. VS: BP 94/60 orthostatic changes; P 118 and thready; spo2 97%; T 99F. Glucose
120. What should the paramedic initiate for the patient?
A) IV NS in consecutive 200 mL increments
B) Cover with a cold wet shet
C) Give 32 ounces of electrolyte solution orally
D) Transport patient as quickly as possible - ANSWERSA. IV NS in consecutive 200 mL increments
**ON THE TEST**
Which of these is appropriate treatment for hyperemesis gravidarum?
A) EKG monitoring for irregularities
B) Cesarean section
C) Benzodiazepine administration
, D) IV fluid replacement - ANSWERSD) IV fluid replacement
A 28-year-old patient presents with an acute onset of shortness of breath, Hives, and itching on
the face, neck, and palms following dinner. The pt has edema of the lips, tongue, and eyelids,
facial flushing, and stridorous respirations. She is anxious, light headed, and struggling to
breath. VS BP 86/palp, RR 48, P 128, spo2 82% on room air.breath sounds are bilaterally
diminished. Which medication should a paramedic get first?
A. Epinephrine 1:10 IVP
B. Epinephrine 1:1 IVP
C. Benadryl 50mg IVP
D. Benadryl 25mg IVP - ANSWERSA. Epinephrine 1:10 IVP
Which drug should a paramedic administer first to a patient experiencing a systemic allergic
reaction with facial edema, tearing, generalized hives, severe dyspnea and wheezing, palpable
radial pulse and BP 130/80?
A. Benadryl
B. Epinephrine
C. Lidocaine
D. Midazolam - ANSWERSB. Epinephrine
Which drug should a paramedic administer first to a patient experiencing a systemic allergic
reaction with facial edema, tearing, generalized hives, severe dyspnea and wheezing, palpable
radial pulse and BP 130/80?
A) Benadryl
B) Solu-Medrol
C) Albuterol
D) Epinephrine - ANSWERSD) Epinephrine
with complete solutions
After delivery, a paramedic notices a newborns heart rate drops abruptly, skin has become blue
and blotchy, and respiration has stopped. After drying the infant, spontaneous respiration
occurs. What does this assessment describe?
A) Primary asphyxia
B) Primary apnea
C) Secondary apnea
D) Newborn asphyxia - ANSWERSC. Secondary apnea
**ON THE TEST**
A woman who is 38 weeks pregnant had minor spotting yesterday. She now has painless bright
red vaginal bleeding. The uterus is soft and nontender. Her skin is pale and moist. VS BP 100/60
P 112 RR 28 Spo2 95%. What should the paramedic suspect?
A) placental abruptio previa
B) Placenta previa
C) placenta abruptio
D) Uterine rupture - ANSWERSB) Placenta previa
Which childhood disease presents with a diffuse rash all over the body, fever, and white koplik
spots in the mouth?
A) Measles
B) Varciella
C) Hand-Foot and Mouth disease
,D) Rubella - ANSWERSA) Measles
**ON THE TEST**
Which of these would suppress the compensatory mechanism of tachycardia and a geriatric
patient who is experiencing hemorrhagic shock?
A. Thiazide diuretics
B. Beta blockers
C. Calcium channel blockers
D. Blood thinners - ANSWERSB. Beta blockers
What is the correct amount of fluid to a minister to a five week old infant who weighs 8 pounds
with significant dehydration?
A. 36 mL
B. 72 mL
C. 82 mL
D. 160 mL - ANSWERSB. 72mL
Which of these is most likely NOT to be sustained from the tertiary phase of blast injuries?
A. Compression fractures of the spine
B. Rib fractures
C. Hyperextension injuries
D. Pulmonary barotrauma - ANSWERSD. Pulmonary barotrauma
**ON THE TEST**
Which of these is most likely to be sustained from the tertiary phase of blast injuries?
,A) Smoke or toxic fume inhalation, burns, crush injuries
B) Lacerations, eye injuries, extremity fractures
C) Compression fractures of the spine, rib fractures, hyperextension injuries
D) Tympanic membrane rupture, headache, blast lung injury - ANSWERSC) Compression
fractures of the spine, rib fractures, hyperextension injuries
What should a paramedic do when confronted with a prolasped cord?
A) Place gloved fingers between the baby and the mothers pelvic bone
B) Insert gloved hand into the birth canal in order to restrain delivery
C) Attempt to push the cord back into the birth canal
D) Clamp and cut the cord and instruct the mother to push as hard as possible - ANSWERSA)
Place gloved fingers between the baby and the mothers pelvic bone
A 20-year-old has been working in the sun for the past six hours on a very hot day and c/o
extreme dizziness, weakness, thirst, nausea, and has vomited x2. Skin is warm, flushed,
diaphoretic. VS: BP 94/60 orthostatic changes; P 118 and thready; spo2 97%; T 99F. Glucose
120. What should the paramedic initiate for the patient?
A) IV NS in consecutive 200 mL increments
B) Cover with a cold wet shet
C) Give 32 ounces of electrolyte solution orally
D) Transport patient as quickly as possible - ANSWERSA. IV NS in consecutive 200 mL increments
**ON THE TEST**
Which of these is appropriate treatment for hyperemesis gravidarum?
A) EKG monitoring for irregularities
B) Cesarean section
C) Benzodiazepine administration
, D) IV fluid replacement - ANSWERSD) IV fluid replacement
A 28-year-old patient presents with an acute onset of shortness of breath, Hives, and itching on
the face, neck, and palms following dinner. The pt has edema of the lips, tongue, and eyelids,
facial flushing, and stridorous respirations. She is anxious, light headed, and struggling to
breath. VS BP 86/palp, RR 48, P 128, spo2 82% on room air.breath sounds are bilaterally
diminished. Which medication should a paramedic get first?
A. Epinephrine 1:10 IVP
B. Epinephrine 1:1 IVP
C. Benadryl 50mg IVP
D. Benadryl 25mg IVP - ANSWERSA. Epinephrine 1:10 IVP
Which drug should a paramedic administer first to a patient experiencing a systemic allergic
reaction with facial edema, tearing, generalized hives, severe dyspnea and wheezing, palpable
radial pulse and BP 130/80?
A. Benadryl
B. Epinephrine
C. Lidocaine
D. Midazolam - ANSWERSB. Epinephrine
Which drug should a paramedic administer first to a patient experiencing a systemic allergic
reaction with facial edema, tearing, generalized hives, severe dyspnea and wheezing, palpable
radial pulse and BP 130/80?
A) Benadryl
B) Solu-Medrol
C) Albuterol
D) Epinephrine - ANSWERSD) Epinephrine
