JBL MODULE 4B PRACTICE EXAM QUESTIONS
WITH CORRECT ANSWERS 2025/2026
A 30-year-old male experienced a generalized (tonic-clonic) seizure, which stopped before you
arrived at the scene. The patient is conscious, is answering your questions appropriately, and
refuses EMS transport. Which of the following would be the MOST compelling reason to
disagree with his refusal of transport?
A. He is currently not prescribed any medications
B. His Glasgow Coma Scale (GCS) score is 15
C. He has experienced seizures since he was 20
D. His wife states that this was his "usual" seizure - CORRECT ANSWER -A. He is currently not
prescribed any medications
A patient who is possibly experiencing a stroke is NOT eligible for thrombolytic (fibrinolytic)
therapy if he or she:
A. has bleeding within the brain.
B. has a GCS score that is less than 8.
C. has had a prior heart attack.
D. is older than 60 years of age. - CORRECT ANSWER -A. has bleeding within the brain
A patient whose speech is slurred and difficult to understand is experiencing:
A. dysphagia.
B. dysarthria.
C. paraplegia.
D. aphasia. - CORRECT ANSWER -B. dysarthria.
,A patient with an altered mental status is:
A. typically alert but is confused as to preceding events.
B. usually able to be aroused with a painful stimulus.
C. not thinking clearly or is incapable of being aroused.
D. completely unresponsive to all forms of stimuli. - CORRECT ANSWER -C. not thinking clearly
or is incapable of being aroused.
During the primary assessment of a semiconscious 70-year-old female, you should:
A. ensure a patent airway and support ventilation as needed.
B. insert a nasopharyngeal airway and assist ventilations.
C. ask family members if the patient has a history of stroke.
D. immediately determine the patient's blood glucose level. - CORRECT ANSWER -A. ensure a
patent airway and support ventilation as needed.
Interruption of cerebral blood flow may result from all of the following, EXCEPT:
A. a thrombus.
B. an embolism.
C. an acute arterial rupture.
D. cerebral vasodilation. - CORRECT ANSWER -D. cerebral vasodilation.
The left cerebral hemisphere controls:
A. the right side of the body.
,B. heart rate and pupil reaction.
C. breathing and blood pressure.
D. the right side of the face. - CORRECT ANSWER -A. the right side of the body.
The MOST significant risk factor for a hemorrhagic stroke is:
A. diabetes mellitus.
B. heavy exertion.
C. hypertension.
D. severe stress. - CORRECT ANSWER -C. hypertension.
The three major parts of the brain are the:
A. cerebrum, cerebellum, and brain stem.
B. cerebellum, medulla, and occiput.
C. brain stem, midbrain, and spinal cord.
D. midbrain, cerebellum, and spinal cord. - CORRECT ANSWER -A. cerebrum, cerebellum, and
brain stem.
When assessing for arm drift of a patient with a suspected stroke, you should:
A. ask the patient to close his or her eyes during the assessment.
B. expect to see one arm slowly drift down to the patient's side.
C. observe movement of the arms for approximately 2 minutes.
D. ask the patient to hold his or her arms up with the palms down. - CORRECT ANSWER -A. ask
the patient to close his or her eyes during the assessment.
, When caring for a patient with documented hypoglycemia, you should be MOST alert for:
A. an acute stroke.
B. a seizure.
C. respiratory distress.
D. a febrile convulsion. - CORRECT ANSWER -B. a seizure.
When you are obtaining medical history from the family of a suspected stroke patient, it is
MOST important to determine:
A. if there is a family history of a stroke.
B. if the patient has been hospitalized before.
C. when the patient last appeared normal.
D. the patient's overall medication compliance. - CORRECT ANSWER -C. when the patient last
appeared normal
Which of the following conditions would be the LEAST likely to mimic the signs and symptoms of
a stroke?
A. Intracranial bleeding
B. A postictal state
C. Hypoglycemia
D. Hypovolemia - CORRECT ANSWER -D. Hypovolemia
Which of the following conditions would MOST likely affect the entire brain?
A. Reduced blood supply to the left hemisphere
WITH CORRECT ANSWERS 2025/2026
A 30-year-old male experienced a generalized (tonic-clonic) seizure, which stopped before you
arrived at the scene. The patient is conscious, is answering your questions appropriately, and
refuses EMS transport. Which of the following would be the MOST compelling reason to
disagree with his refusal of transport?
A. He is currently not prescribed any medications
B. His Glasgow Coma Scale (GCS) score is 15
C. He has experienced seizures since he was 20
D. His wife states that this was his "usual" seizure - CORRECT ANSWER -A. He is currently not
prescribed any medications
A patient who is possibly experiencing a stroke is NOT eligible for thrombolytic (fibrinolytic)
therapy if he or she:
A. has bleeding within the brain.
B. has a GCS score that is less than 8.
C. has had a prior heart attack.
D. is older than 60 years of age. - CORRECT ANSWER -A. has bleeding within the brain
A patient whose speech is slurred and difficult to understand is experiencing:
A. dysphagia.
B. dysarthria.
C. paraplegia.
D. aphasia. - CORRECT ANSWER -B. dysarthria.
,A patient with an altered mental status is:
A. typically alert but is confused as to preceding events.
B. usually able to be aroused with a painful stimulus.
C. not thinking clearly or is incapable of being aroused.
D. completely unresponsive to all forms of stimuli. - CORRECT ANSWER -C. not thinking clearly
or is incapable of being aroused.
During the primary assessment of a semiconscious 70-year-old female, you should:
A. ensure a patent airway and support ventilation as needed.
B. insert a nasopharyngeal airway and assist ventilations.
C. ask family members if the patient has a history of stroke.
D. immediately determine the patient's blood glucose level. - CORRECT ANSWER -A. ensure a
patent airway and support ventilation as needed.
Interruption of cerebral blood flow may result from all of the following, EXCEPT:
A. a thrombus.
B. an embolism.
C. an acute arterial rupture.
D. cerebral vasodilation. - CORRECT ANSWER -D. cerebral vasodilation.
The left cerebral hemisphere controls:
A. the right side of the body.
,B. heart rate and pupil reaction.
C. breathing and blood pressure.
D. the right side of the face. - CORRECT ANSWER -A. the right side of the body.
The MOST significant risk factor for a hemorrhagic stroke is:
A. diabetes mellitus.
B. heavy exertion.
C. hypertension.
D. severe stress. - CORRECT ANSWER -C. hypertension.
The three major parts of the brain are the:
A. cerebrum, cerebellum, and brain stem.
B. cerebellum, medulla, and occiput.
C. brain stem, midbrain, and spinal cord.
D. midbrain, cerebellum, and spinal cord. - CORRECT ANSWER -A. cerebrum, cerebellum, and
brain stem.
When assessing for arm drift of a patient with a suspected stroke, you should:
A. ask the patient to close his or her eyes during the assessment.
B. expect to see one arm slowly drift down to the patient's side.
C. observe movement of the arms for approximately 2 minutes.
D. ask the patient to hold his or her arms up with the palms down. - CORRECT ANSWER -A. ask
the patient to close his or her eyes during the assessment.
, When caring for a patient with documented hypoglycemia, you should be MOST alert for:
A. an acute stroke.
B. a seizure.
C. respiratory distress.
D. a febrile convulsion. - CORRECT ANSWER -B. a seizure.
When you are obtaining medical history from the family of a suspected stroke patient, it is
MOST important to determine:
A. if there is a family history of a stroke.
B. if the patient has been hospitalized before.
C. when the patient last appeared normal.
D. the patient's overall medication compliance. - CORRECT ANSWER -C. when the patient last
appeared normal
Which of the following conditions would be the LEAST likely to mimic the signs and symptoms of
a stroke?
A. Intracranial bleeding
B. A postictal state
C. Hypoglycemia
D. Hypovolemia - CORRECT ANSWER -D. Hypovolemia
Which of the following conditions would MOST likely affect the entire brain?
A. Reduced blood supply to the left hemisphere
