LOYOLA EMS SYSTEM ENTRY EXAM 300 ACTUAL
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALE LATEST UPDATE ALREADY GRADED A+
ASSURED PASS
This comprehensive practice question bank is specifically designed for candidates
preparing for the Loyola EMS System Entry Exam 2026. It contains 300 unique,
multiple-choice questions organized into ten key content sections covering patient
assessment, cardiac emergencies, respiratory emergencies, neurological
emergencies, medical emergencies, pediatric emergencies, trauma, pharmacology,
medical-legal documentation, and operational procedures. Each question is based
on Loyola EMS System Standard Operating Procedures and Region VIII protocols.
This resource serves as an intensive review tool to help EMTs and Paramedics
assess their knowledge, identify areas for improvement, and build confidence for
successful system entry.
Section 1: Patient Assessment and Scene Management
Question 1
Which action has the highest priority when arriving on scene of a multiple-vehicle
collision?
A. Assess the mechanism of injury
B. Ensure scene safety
C. Begin triage
D. Request additional units
Answer: B
Rationale: Provider safety is always the first priority before any patient contact or
care. Scene safety and BSI/PPE must be ensured before proceeding with patient
assessment .
Question 2
,During a primary assessment, which finding requires immediate intervention?
A. Stable vital signs
B. Airway obstruction
C. Complaint of pain
D. Minor bleeding
Answer: B
Rationale: Airway obstruction is an immediate life threat that must be addressed
during the primary assessment before other findings .
Question 3
What is the correct sequence for patient assessment in the Loyola EMS System?
A. Scene safety, Initial assessment, History and physical exam, Detailed physical
exam, Ongoing assessment
B. Initial assessment, Scene safety, Detailed physical exam, History, Ongoing
assessment
C. History, Scene safety, Initial assessment, Detailed exam, Ongoing assessment
D. Detailed physical exam, Scene safety, Initial assessment, History, Ongoing
assessment
Answer: A
Rationale: The Loyola EMS System requires a structured approach: 1) Scene
safety/BSI/PPE, 2) Initial assessment (ABCDs with C-spine), 3) History and
physical exams including SAMPLE and vital signs, 4) Detailed physical exam, 5)
Ongoing assessment with reassessment of ABCs .
Question 4
When assessing a patients level of consciousness using AVPU, what does the P
stand for?
A. Perfusion
B. Pupils
C. Pain
D. Pulse
Answer: C
Rationale: AVPU stands for Alert, Verbal, Pain, Unresponsive. The patient's
response to painful stimuli helps determine the severity of altered mental status .
Question 5
The SAMPLE history includes all of the following EXCEPT:
,A. Signs and symptoms
B. Allergies
C. Location of pain only
D. Medications
Answer: C
Rationale: SAMPLE stands for: Signs and symptoms, Allergies, Medications, Past
medical history, Last oral intake, and Events leading up to the condition. While
pain location is assessed with OPQRST, it is not a standalone component of the
SAMPLE history .
Question 6
What is the target oxygen saturation for most adult patients in the Loyola EMS
System?
A. 88-92%
B. 92-94%
C. 94-98%
D. 98-100%
Answer: C
Rationale: The target SpO2 for most patients is 94-98%. For COPD patients with
adequate respiratory effort and minimal distress, a target of 92% may be acceptable
.
Question 7
A patient with respiratory distress has inadequate rate and depth with moderate to
severe distress. According to Loyola EMS protocols, what is the appropriate
oxygen delivery method?
A. High FiO2 by BVM ventilation
B. Low FiO2 via nasal cannula at 2-4 L/min
C. High FiO2 via non-rebreather mask at 15 L/min
D. Room air with pulse oximetry monitoring only
Answer: A
Rationale: For patients with inadequate rate/depth, moderate/severe distress, or
instability, Loyola protocols require High FiO2 by BVM ventilation to provide
positive pressure support and adequate oxygenation .
Question 8
When suctioning an adult patient's airway, suction time should not exceed:
, A. 5 seconds
B. 10 seconds
C. 15 seconds
D. 30 seconds
Answer: C
Rationale: Prolonged suctioning can cause hypoxia; adult suctioning should be
limited to 15 seconds. Pediatric suctioning time is limited to 10 seconds .
Question 9
What is the correct initial step when performing adult bag-valve-mask ventilation?
A. Deliver rapid breaths
B. Insert an oropharyngeal airway without assessment
C. Ensure proper mask seal and head position
D. Ventilate without checking for chest rise
Answer: C
Rationale: Ensuring proper mask seal and head position is essential for effective
BVM ventilation. The airway must be opened and the mask properly fitted before
delivering breaths .
Question 10
What is the target oxygen saturation for a COPD patient in the Loyola EMS
System?
A. 88-92%
B. 92-94%
C. 94-98%
D. 98-100%
Answer: A
Rationale: The Loyola EMS System allows for a lower target SpO2 of 92% for
COPD patients with adequate respiratory effort and minimal distress to avoid
suppressing their hypoxic drive .
Question 11
What is the target ventilation rate for an adult with inadequate breathing?
A. 8-10 breaths per minute
B. 10-12 breaths per minute
C. 12-16 breaths per minute
D. 16-20 breaths per minute
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALE LATEST UPDATE ALREADY GRADED A+
ASSURED PASS
This comprehensive practice question bank is specifically designed for candidates
preparing for the Loyola EMS System Entry Exam 2026. It contains 300 unique,
multiple-choice questions organized into ten key content sections covering patient
assessment, cardiac emergencies, respiratory emergencies, neurological
emergencies, medical emergencies, pediatric emergencies, trauma, pharmacology,
medical-legal documentation, and operational procedures. Each question is based
on Loyola EMS System Standard Operating Procedures and Region VIII protocols.
This resource serves as an intensive review tool to help EMTs and Paramedics
assess their knowledge, identify areas for improvement, and build confidence for
successful system entry.
Section 1: Patient Assessment and Scene Management
Question 1
Which action has the highest priority when arriving on scene of a multiple-vehicle
collision?
A. Assess the mechanism of injury
B. Ensure scene safety
C. Begin triage
D. Request additional units
Answer: B
Rationale: Provider safety is always the first priority before any patient contact or
care. Scene safety and BSI/PPE must be ensured before proceeding with patient
assessment .
Question 2
,During a primary assessment, which finding requires immediate intervention?
A. Stable vital signs
B. Airway obstruction
C. Complaint of pain
D. Minor bleeding
Answer: B
Rationale: Airway obstruction is an immediate life threat that must be addressed
during the primary assessment before other findings .
Question 3
What is the correct sequence for patient assessment in the Loyola EMS System?
A. Scene safety, Initial assessment, History and physical exam, Detailed physical
exam, Ongoing assessment
B. Initial assessment, Scene safety, Detailed physical exam, History, Ongoing
assessment
C. History, Scene safety, Initial assessment, Detailed exam, Ongoing assessment
D. Detailed physical exam, Scene safety, Initial assessment, History, Ongoing
assessment
Answer: A
Rationale: The Loyola EMS System requires a structured approach: 1) Scene
safety/BSI/PPE, 2) Initial assessment (ABCDs with C-spine), 3) History and
physical exams including SAMPLE and vital signs, 4) Detailed physical exam, 5)
Ongoing assessment with reassessment of ABCs .
Question 4
When assessing a patients level of consciousness using AVPU, what does the P
stand for?
A. Perfusion
B. Pupils
C. Pain
D. Pulse
Answer: C
Rationale: AVPU stands for Alert, Verbal, Pain, Unresponsive. The patient's
response to painful stimuli helps determine the severity of altered mental status .
Question 5
The SAMPLE history includes all of the following EXCEPT:
,A. Signs and symptoms
B. Allergies
C. Location of pain only
D. Medications
Answer: C
Rationale: SAMPLE stands for: Signs and symptoms, Allergies, Medications, Past
medical history, Last oral intake, and Events leading up to the condition. While
pain location is assessed with OPQRST, it is not a standalone component of the
SAMPLE history .
Question 6
What is the target oxygen saturation for most adult patients in the Loyola EMS
System?
A. 88-92%
B. 92-94%
C. 94-98%
D. 98-100%
Answer: C
Rationale: The target SpO2 for most patients is 94-98%. For COPD patients with
adequate respiratory effort and minimal distress, a target of 92% may be acceptable
.
Question 7
A patient with respiratory distress has inadequate rate and depth with moderate to
severe distress. According to Loyola EMS protocols, what is the appropriate
oxygen delivery method?
A. High FiO2 by BVM ventilation
B. Low FiO2 via nasal cannula at 2-4 L/min
C. High FiO2 via non-rebreather mask at 15 L/min
D. Room air with pulse oximetry monitoring only
Answer: A
Rationale: For patients with inadequate rate/depth, moderate/severe distress, or
instability, Loyola protocols require High FiO2 by BVM ventilation to provide
positive pressure support and adequate oxygenation .
Question 8
When suctioning an adult patient's airway, suction time should not exceed:
, A. 5 seconds
B. 10 seconds
C. 15 seconds
D. 30 seconds
Answer: C
Rationale: Prolonged suctioning can cause hypoxia; adult suctioning should be
limited to 15 seconds. Pediatric suctioning time is limited to 10 seconds .
Question 9
What is the correct initial step when performing adult bag-valve-mask ventilation?
A. Deliver rapid breaths
B. Insert an oropharyngeal airway without assessment
C. Ensure proper mask seal and head position
D. Ventilate without checking for chest rise
Answer: C
Rationale: Ensuring proper mask seal and head position is essential for effective
BVM ventilation. The airway must be opened and the mask properly fitted before
delivering breaths .
Question 10
What is the target oxygen saturation for a COPD patient in the Loyola EMS
System?
A. 88-92%
B. 92-94%
C. 94-98%
D. 98-100%
Answer: A
Rationale: The Loyola EMS System allows for a lower target SpO2 of 92% for
COPD patients with adequate respiratory effort and minimal distress to avoid
suppressing their hypoxic drive .
Question 11
What is the target ventilation rate for an adult with inadequate breathing?
A. 8-10 breaths per minute
B. 10-12 breaths per minute
C. 12-16 breaths per minute
D. 16-20 breaths per minute
