FINAL EXAM WEST COAST EMT QUESTIONS AND
ANSWERS (VERIFIED ANSWERS) LATEST EXAM UPDATE
2025/2026
You have an AMA patient who is refusing transport. What should you be
doing?
When a patient is AMA, they first must be A/O 4x to show that they are alert
and oriented and
able to make their own decisions. You must inform them of all the possible
risks that come with
not being transported (such as death).
During documentation, make sure the patient signs the AMA to prove they do
not need transport
(and to not get sued). DOCUMENT EVERYTHING
All information in a PCR needs to be confidential. Why?
Patient confidentiality due to HIPAA (Health Insurance Portability and
Accountability)
What is supra ventricular tachycardia (SVT)?
irregularly fast or erratic heartbeat (arrhythmia) that affects the upper heart
chambers
The physical act of moving air into and out of the lungs is called:
ventilation
Which of the following is the MOST common cause of airway obstruction in
the unresponsive patient?
the tongue
What should a normal patient's capillary refill be?
less than 2 seconds
,After you determine a patient is unconscious, what is the next step?
Begin CPR and begin respiratory support (ie maintain their ABCs)
After compressions, ventilate and repeat cycle until ALS arrives
When a patient has signs of poor perfusion, what do you do next?
Provide high-flow O2 via BVM
Keep patient warm
Rapid transport
A 67-year-old female with severe chest pain becomes unresponsive, pulseless,
and apneic during transport. You should:
stop the ambulance, begin CPR, and attach the AED as soon as possible.
What is an aneurysm?
Defined as a swelling within a brain artery due to weakening of the artery
wall
What is HYPERglycemia? What are the signs and symptoms and the
treatment of it?
High blood sugar
S/S:
Altered mental status (intoxicated like behavior)
Lowered level of consciousness
Polyuria, dark urine, excessive thirst
Kussmaul respirations (smells fruity)
Rapid, weak pulse
Symptoms will prevent themselves gradually
You just administered an EpiPen to your patient. The patient is improved but
is now complaining of chest pain. should:
Notify medical control
It is most important to determine the patients weight when asking questions
pertaining to a toxic ingestion because?
, Activated Charcoal is given based on a patients weight.
Keep in mind scene safety and know when to call law enforcement
Remember to always do BSI, PPE scene safety as well as doing scene size up to
determine best course of action for you
Only call law enforcement when you know that patient is dangerous or is in
danger and must be restrained to be treated
If you arrive on scene and law enforcement is there, then wait until you are
able to gain entry or talk to whoever in charge to determine where to station
Which of the following is an example of a functional behavioral disorder?
schizophrenia
When documenting a call in which a female was sexually assaulted, you
should:
keep the report concise and record only what the patient stated in her own
words.
An unrestrained driver of a car that has struck a tree at 45 mph has suffered a
contusion (bruise) to his heart. The EMT would recognize that this injury
occurred during which impact of the collision?
Organ collision
External bleeding from a vein is relatively easy to control because:
veins are under a lower pressure.
According to the rule of palm method for estimating the extent of a patient's
burns, the palm of the patient's hand is equal to _____ of his or her total BSA.
1%
In which of the following patients should you remove an impaled object?
a pulseless and apneic patient with a knife impaled in the back
ANSWERS (VERIFIED ANSWERS) LATEST EXAM UPDATE
2025/2026
You have an AMA patient who is refusing transport. What should you be
doing?
When a patient is AMA, they first must be A/O 4x to show that they are alert
and oriented and
able to make their own decisions. You must inform them of all the possible
risks that come with
not being transported (such as death).
During documentation, make sure the patient signs the AMA to prove they do
not need transport
(and to not get sued). DOCUMENT EVERYTHING
All information in a PCR needs to be confidential. Why?
Patient confidentiality due to HIPAA (Health Insurance Portability and
Accountability)
What is supra ventricular tachycardia (SVT)?
irregularly fast or erratic heartbeat (arrhythmia) that affects the upper heart
chambers
The physical act of moving air into and out of the lungs is called:
ventilation
Which of the following is the MOST common cause of airway obstruction in
the unresponsive patient?
the tongue
What should a normal patient's capillary refill be?
less than 2 seconds
,After you determine a patient is unconscious, what is the next step?
Begin CPR and begin respiratory support (ie maintain their ABCs)
After compressions, ventilate and repeat cycle until ALS arrives
When a patient has signs of poor perfusion, what do you do next?
Provide high-flow O2 via BVM
Keep patient warm
Rapid transport
A 67-year-old female with severe chest pain becomes unresponsive, pulseless,
and apneic during transport. You should:
stop the ambulance, begin CPR, and attach the AED as soon as possible.
What is an aneurysm?
Defined as a swelling within a brain artery due to weakening of the artery
wall
What is HYPERglycemia? What are the signs and symptoms and the
treatment of it?
High blood sugar
S/S:
Altered mental status (intoxicated like behavior)
Lowered level of consciousness
Polyuria, dark urine, excessive thirst
Kussmaul respirations (smells fruity)
Rapid, weak pulse
Symptoms will prevent themselves gradually
You just administered an EpiPen to your patient. The patient is improved but
is now complaining of chest pain. should:
Notify medical control
It is most important to determine the patients weight when asking questions
pertaining to a toxic ingestion because?
, Activated Charcoal is given based on a patients weight.
Keep in mind scene safety and know when to call law enforcement
Remember to always do BSI, PPE scene safety as well as doing scene size up to
determine best course of action for you
Only call law enforcement when you know that patient is dangerous or is in
danger and must be restrained to be treated
If you arrive on scene and law enforcement is there, then wait until you are
able to gain entry or talk to whoever in charge to determine where to station
Which of the following is an example of a functional behavioral disorder?
schizophrenia
When documenting a call in which a female was sexually assaulted, you
should:
keep the report concise and record only what the patient stated in her own
words.
An unrestrained driver of a car that has struck a tree at 45 mph has suffered a
contusion (bruise) to his heart. The EMT would recognize that this injury
occurred during which impact of the collision?
Organ collision
External bleeding from a vein is relatively easy to control because:
veins are under a lower pressure.
According to the rule of palm method for estimating the extent of a patient's
burns, the palm of the patient's hand is equal to _____ of his or her total BSA.
1%
In which of the following patients should you remove an impaled object?
a pulseless and apneic patient with a knife impaled in the back
