Final Exam Scenarios 2025 – Complete
Study Guide & Practice Cases
You and your partner are treating a 66-year-old man who experienced a sudden onset of respiratory
distress. He is conscious but is unable to follow simple verbal commands. Further assessment reveals
that his breathing is severely labored and his oxygen saturation is 80% you should? - ANSWER ✨✔-
--Assist his ventilations with a bag-mask device
A 37-year-old male has an apparent foreign body airway obstruction. He is conscious and alert and is
coughing forcefully. His skin is pink, warm, and moist. The MOST appropriate treatment for this patient
includes? - ANSWER ✨✔---Encouraging him to cough and transwerporting
EMT's arrived at the scene of a patient who was "found down". Family member states that she gave him
naloxone (Narcan) to the patient before the ambulance arrived. The EMT's should suspect that the
patient? - ANSWER ✨✔---Overdosed on an opioid drug.
Your patient is complaining of chest pains. He states it feels just like his last heart attack. You applied
oxygen with no relief. He does not take any medications. His B/P is 88/64, pulse is at 100, and
respirations are 20. Your treatment should include? - ANSWER ✨✔---Aspirin
You are attending to a 24-year-old male asthmatic complaining of shortness of breath and wheezing.
There are several bystanders in a crowded room. The patient tells you that he would have taken his own
albuterol but he was so embarrassed and upset that he could not hold his MDI steady. In helping the
,patient to self administer his medication in accordance with local protocols, you are? -
ANSWER ✨✔---performing patient-assisted medication administration.
You are attending to a 54-year-old male patient complaining of chest pain that appears to be cardiac in
origin. As part of your management of the patient, you administer nitroglycerin as long as the patient
meets defined conditions. This is an example of: - ANSWER ✨✔---Standing orders
You are attending to a 52-year-old female patient who appears to have suffered a stroke. The patient is
alone in her apartment and is unable to speak or communicate with you. In determining her medical
history, it is most appropriate to? - ANSWER ✨✔---search for and document all medications
(prescription and nonprescription) that the patient may be taking.
You are dispatched to a movie theater for a 39-year-old female with signs and symptoms of an allergic
reaction. As you are assessing her, she pulls an epinephrine auto-injector out of her purse and hands it
to you. After confirming the drug's name and expiration date, you should: - ANSWER ✨✔---
Contact medical control
A 49-year-old male with an extensive cardiac history presents with 2 hours of crushing chest pain and
shortness of breath. He is pale and diaphoretic and tells you that he feels like he is going to die. His
medications include nitroglycerin, sildenafil (Viagra), and enalapril (Vasotec). His blood pressure is
140/90 mm Hg and his heart rate is 110 beats/min. In addition to administering supplemental oxygen if
needed, you should: - ANSWER ✨✔---ask him if he took his Viagra within the past 24 hours.
You arrive at a residence approximately 20 minutes after a 7-year-old boy, who weighs 22 kg, ingested a
bottle of Advil. He is conscious and alert and has stable vital signs. Medical control orders you to
administer activated charcoal and then transwerport the child at once. The appropriate maximum dose
of activated charcoal for this child is: - ANSWER ✨✔---44g
You are attending to a 26-year-old suspected overdose patient who is unresponsive. As part of your
care, you administer naloxone to reverse the effects of the suspected opioid overdose. Immediately
after administering the drug you realize that while the dose and the route were correct, the patient
condition did not warrant Naloxone as per your local protocols. Your most appropriate next step should
be to: - ANSWER ✨✔---continue to provide care for the patient and address any issues that the
naloxone administration may have caused.
, A 59-year-old male presents with severe vomiting and diarrhea of 3 days' duration. He is confused and
diaphoretic, and his radial pulses are absent. His blood pressure is 78/50 mm Hg. After applying
supplemental oxygen, you should: - ANSWER ✨✔---prepare for immediate transwerport.
A 27-year-old male was stabbed in the chest during a disagreement at a poker game. As you approach
him, you see that a knife is impaled in his chest. Before you make physical contact with the patient, it is
MOST important to: - ANSWER ✨✔---Follow standard precautions.
A construction worker fell approximately 30 feet. He is semiconscious with rapid, shallow respirations.
Further assessment reveals deformity to the thoracic region of his spine. His blood pressure is 70/50 mm
Hg, his pulse is 66 beats/min and weak, and his skin is warm and dry. In addition to spinal immobilization
and rapid transwerport, the MOST appropriate treatment for this patient includes: - ANSWER ✨✔-
--assisted ventilation, thermal management, and elevation of the lower extremities.
You and your partner arrive at the side of a 60-year-old woman who collapsed about 7 minutes ago. She
is unresponsive, apneic, and pulseless. You should: - ANSWER ✨✔---begin CPR and apply the AED
as soon as it is available.
Your initial attempt to ventilate an unresponsive, apneic 30-year-old man is met with resistance and you
do not see the chest rise. Your second ventilation attempt is also unsuccessful. You should: -
ANSWER ✨✔---perform 30 chest compressions.
Three months after returning home from West Africa, a 50-year-old man begins experiencing a fever,
cough, and muscle aches. The EMT should suspect: - ANSWER ✨✔---Influenza
A patient who presents with a headache, fever, confusion, and red blotches on his or her skin should be
suspected of having: - ANSWER ✨✔---meningitis
You have just completed your primary assessment of a 48-year-old man with crushing chest pain and
difficulty breathing. The patient has been given 324 mg of aspirin and is receiving supplemental oxygen.
As you begin your secondary assessment, you note that his mental status has deteriorated and he is
now bradycardic. You should: - ANSWER ✨✔---prepare the patient for immediate transwerport.
You are attending to a 28-year-old female patient in severe respiratory distress. The patient has had a
high fever all day, and the respiratory distress came on very quickly. Your patient is now sitting in a
Study Guide & Practice Cases
You and your partner are treating a 66-year-old man who experienced a sudden onset of respiratory
distress. He is conscious but is unable to follow simple verbal commands. Further assessment reveals
that his breathing is severely labored and his oxygen saturation is 80% you should? - ANSWER ✨✔-
--Assist his ventilations with a bag-mask device
A 37-year-old male has an apparent foreign body airway obstruction. He is conscious and alert and is
coughing forcefully. His skin is pink, warm, and moist. The MOST appropriate treatment for this patient
includes? - ANSWER ✨✔---Encouraging him to cough and transwerporting
EMT's arrived at the scene of a patient who was "found down". Family member states that she gave him
naloxone (Narcan) to the patient before the ambulance arrived. The EMT's should suspect that the
patient? - ANSWER ✨✔---Overdosed on an opioid drug.
Your patient is complaining of chest pains. He states it feels just like his last heart attack. You applied
oxygen with no relief. He does not take any medications. His B/P is 88/64, pulse is at 100, and
respirations are 20. Your treatment should include? - ANSWER ✨✔---Aspirin
You are attending to a 24-year-old male asthmatic complaining of shortness of breath and wheezing.
There are several bystanders in a crowded room. The patient tells you that he would have taken his own
albuterol but he was so embarrassed and upset that he could not hold his MDI steady. In helping the
,patient to self administer his medication in accordance with local protocols, you are? -
ANSWER ✨✔---performing patient-assisted medication administration.
You are attending to a 54-year-old male patient complaining of chest pain that appears to be cardiac in
origin. As part of your management of the patient, you administer nitroglycerin as long as the patient
meets defined conditions. This is an example of: - ANSWER ✨✔---Standing orders
You are attending to a 52-year-old female patient who appears to have suffered a stroke. The patient is
alone in her apartment and is unable to speak or communicate with you. In determining her medical
history, it is most appropriate to? - ANSWER ✨✔---search for and document all medications
(prescription and nonprescription) that the patient may be taking.
You are dispatched to a movie theater for a 39-year-old female with signs and symptoms of an allergic
reaction. As you are assessing her, she pulls an epinephrine auto-injector out of her purse and hands it
to you. After confirming the drug's name and expiration date, you should: - ANSWER ✨✔---
Contact medical control
A 49-year-old male with an extensive cardiac history presents with 2 hours of crushing chest pain and
shortness of breath. He is pale and diaphoretic and tells you that he feels like he is going to die. His
medications include nitroglycerin, sildenafil (Viagra), and enalapril (Vasotec). His blood pressure is
140/90 mm Hg and his heart rate is 110 beats/min. In addition to administering supplemental oxygen if
needed, you should: - ANSWER ✨✔---ask him if he took his Viagra within the past 24 hours.
You arrive at a residence approximately 20 minutes after a 7-year-old boy, who weighs 22 kg, ingested a
bottle of Advil. He is conscious and alert and has stable vital signs. Medical control orders you to
administer activated charcoal and then transwerport the child at once. The appropriate maximum dose
of activated charcoal for this child is: - ANSWER ✨✔---44g
You are attending to a 26-year-old suspected overdose patient who is unresponsive. As part of your
care, you administer naloxone to reverse the effects of the suspected opioid overdose. Immediately
after administering the drug you realize that while the dose and the route were correct, the patient
condition did not warrant Naloxone as per your local protocols. Your most appropriate next step should
be to: - ANSWER ✨✔---continue to provide care for the patient and address any issues that the
naloxone administration may have caused.
, A 59-year-old male presents with severe vomiting and diarrhea of 3 days' duration. He is confused and
diaphoretic, and his radial pulses are absent. His blood pressure is 78/50 mm Hg. After applying
supplemental oxygen, you should: - ANSWER ✨✔---prepare for immediate transwerport.
A 27-year-old male was stabbed in the chest during a disagreement at a poker game. As you approach
him, you see that a knife is impaled in his chest. Before you make physical contact with the patient, it is
MOST important to: - ANSWER ✨✔---Follow standard precautions.
A construction worker fell approximately 30 feet. He is semiconscious with rapid, shallow respirations.
Further assessment reveals deformity to the thoracic region of his spine. His blood pressure is 70/50 mm
Hg, his pulse is 66 beats/min and weak, and his skin is warm and dry. In addition to spinal immobilization
and rapid transwerport, the MOST appropriate treatment for this patient includes: - ANSWER ✨✔-
--assisted ventilation, thermal management, and elevation of the lower extremities.
You and your partner arrive at the side of a 60-year-old woman who collapsed about 7 minutes ago. She
is unresponsive, apneic, and pulseless. You should: - ANSWER ✨✔---begin CPR and apply the AED
as soon as it is available.
Your initial attempt to ventilate an unresponsive, apneic 30-year-old man is met with resistance and you
do not see the chest rise. Your second ventilation attempt is also unsuccessful. You should: -
ANSWER ✨✔---perform 30 chest compressions.
Three months after returning home from West Africa, a 50-year-old man begins experiencing a fever,
cough, and muscle aches. The EMT should suspect: - ANSWER ✨✔---Influenza
A patient who presents with a headache, fever, confusion, and red blotches on his or her skin should be
suspected of having: - ANSWER ✨✔---meningitis
You have just completed your primary assessment of a 48-year-old man with crushing chest pain and
difficulty breathing. The patient has been given 324 mg of aspirin and is receiving supplemental oxygen.
As you begin your secondary assessment, you note that his mental status has deteriorated and he is
now bradycardic. You should: - ANSWER ✨✔---prepare the patient for immediate transwerport.
You are attending to a 28-year-old female patient in severe respiratory distress. The patient has had a
high fever all day, and the respiratory distress came on very quickly. Your patient is now sitting in a
