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PARAMEDIC FINAL EXAM — 100 QUESTIONS (NEW UPDATED VERSION) LATEST
ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND
ANSWERS) | GUARANTEED PASS A+ [2026-2027]
AIRWAY, VENTILATION & RSI (1–20)
1. The most reliable confirmation of endotracheal tube placement is:
A. Chest rise
B. Bilateral breath sounds
C. Condensation in tube
D. Continuous waveform capnography
Answer: D
2. During RSI, the preferred induction agent for hypotensive trauma is:
A. Propofol
B. Midazolam
C. Ketamine
D. Diazepam
Answer: C
3. A trauma patient with signs of herniation should be ventilated to an ETCO₂ target of:
A. 50 mmHg
B. 40 mmHg
C. 30–35 mmHg
D. 20–25 mmHg
Answer: D
4. Correct BVM ventilation rate for an adult with an advanced airway:
A. 6/min
B. 8–10/min
C. 12–20/min
D. 20–24/min
Answer: B
5. A patient with severe facial trauma and failed intubation attempts should receive:
A. LMA
B. Needle cricothyrotomy
C. OPA only
2026 2027 GRADED A+
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D. Retry DL intubation
Answer: B
6. Succinylcholine is contraindicated in:
A. Hypoxia
B. Hyperkalemia
C. Trauma
D. COPD
Answer: B
7. A prominent “shark fin” waveform on capnography indicates:
A. Pneumonia
B. Asthma exacerbation
C. Hyperventilation
D. Hypoventilation
Answer: B
8. A cuff pressure above 30 mmHg risks:
A. Aspiration
B. Tracheal necrosis
C. Dislodgement
D. ET tube migration
Answer: B
9. Sellick maneuver (cricoid pressure):
A. Improves visualization
B. Is no longer recommended
C. Prevents hypoxia
D. Increases intubation success
Answer: B
10. A patient with severe COPD should be ventilated to a target ETCO₂ of:
A. 25
B. 35–45
C. 50–60
D. 20–30
Answer: C
11. Apneic oxygenation is accomplished by:
A. 2 L/min nasal cannula
B. 15 L/min nasal cannula during RSI
C. NRB
D. BVM only
Answer: B
2026 2027 GRADED A+
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12. RSI sequence order:
A. Paralyze → sedate → intubate
B. Oxygenate → sedate → paralyze → intubate
C. Sedate → intubate → paralyze
D. Paralysis only
Answer: B
13. “LEMON” airway evaluation predicts:
A. Difficult mask seal
B. Difficult intubation
C. Difficult ventilatory drive
D. Difficult respiratory expansion
Answer: B
14. Positive-pressure ventilation in asthma can cause:
A. Hypocapnia
B. Auto-PEEP
C. Low airway pressures
D. Bradycardia
Answer: B
15. During transport, ETCO₂ suddenly drops to zero. Most likely cause:
A. Cardiac arrest
B. Dislodged ET tube
C. Hyperventilation
D. Bronchospasm
Answer: B
16. A King airway is inappropriate for:
A. Cardiac arrest
B. Patient with gag reflex
C. Intoxication
D. Seizure
Answer: B
17. “Sniffing” position aligns:
A. Thoracic cavity
B. Oral and tracheal axes
C. Cervical and lumbar spines
D. ETCO₂ capnography
Answer: B
18. A patient in pulmonary edema needs:
A. CPAP
B. High-flow NC
C. Bronchodilator
2026 2027 GRADED A+
PARAMEDIC FINAL EXAM — 100 QUESTIONS (NEW UPDATED VERSION) LATEST
ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND
ANSWERS) | GUARANTEED PASS A+ [2026-2027]
AIRWAY, VENTILATION & RSI (1–20)
1. The most reliable confirmation of endotracheal tube placement is:
A. Chest rise
B. Bilateral breath sounds
C. Condensation in tube
D. Continuous waveform capnography
Answer: D
2. During RSI, the preferred induction agent for hypotensive trauma is:
A. Propofol
B. Midazolam
C. Ketamine
D. Diazepam
Answer: C
3. A trauma patient with signs of herniation should be ventilated to an ETCO₂ target of:
A. 50 mmHg
B. 40 mmHg
C. 30–35 mmHg
D. 20–25 mmHg
Answer: D
4. Correct BVM ventilation rate for an adult with an advanced airway:
A. 6/min
B. 8–10/min
C. 12–20/min
D. 20–24/min
Answer: B
5. A patient with severe facial trauma and failed intubation attempts should receive:
A. LMA
B. Needle cricothyrotomy
C. OPA only
2026 2027 GRADED A+
,2|Page
D. Retry DL intubation
Answer: B
6. Succinylcholine is contraindicated in:
A. Hypoxia
B. Hyperkalemia
C. Trauma
D. COPD
Answer: B
7. A prominent “shark fin” waveform on capnography indicates:
A. Pneumonia
B. Asthma exacerbation
C. Hyperventilation
D. Hypoventilation
Answer: B
8. A cuff pressure above 30 mmHg risks:
A. Aspiration
B. Tracheal necrosis
C. Dislodgement
D. ET tube migration
Answer: B
9. Sellick maneuver (cricoid pressure):
A. Improves visualization
B. Is no longer recommended
C. Prevents hypoxia
D. Increases intubation success
Answer: B
10. A patient with severe COPD should be ventilated to a target ETCO₂ of:
A. 25
B. 35–45
C. 50–60
D. 20–30
Answer: C
11. Apneic oxygenation is accomplished by:
A. 2 L/min nasal cannula
B. 15 L/min nasal cannula during RSI
C. NRB
D. BVM only
Answer: B
2026 2027 GRADED A+
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12. RSI sequence order:
A. Paralyze → sedate → intubate
B. Oxygenate → sedate → paralyze → intubate
C. Sedate → intubate → paralyze
D. Paralysis only
Answer: B
13. “LEMON” airway evaluation predicts:
A. Difficult mask seal
B. Difficult intubation
C. Difficult ventilatory drive
D. Difficult respiratory expansion
Answer: B
14. Positive-pressure ventilation in asthma can cause:
A. Hypocapnia
B. Auto-PEEP
C. Low airway pressures
D. Bradycardia
Answer: B
15. During transport, ETCO₂ suddenly drops to zero. Most likely cause:
A. Cardiac arrest
B. Dislodged ET tube
C. Hyperventilation
D. Bronchospasm
Answer: B
16. A King airway is inappropriate for:
A. Cardiac arrest
B. Patient with gag reflex
C. Intoxication
D. Seizure
Answer: B
17. “Sniffing” position aligns:
A. Thoracic cavity
B. Oral and tracheal axes
C. Cervical and lumbar spines
D. ETCO₂ capnography
Answer: B
18. A patient in pulmonary edema needs:
A. CPAP
B. High-flow NC
C. Bronchodilator
2026 2027 GRADED A+
