TEXAS PARAMEDIC LICENSING EXAM
(NREMT-P) QUESTIONS AND CORRECT ANSWERS
RATIONALES 2025 Q&A
THIS EXAM CONTAINS:
❖ TEXAS PARAMEDIC LICENSING EXAM
❖ (NREMT-P) QUESTIONS AND CORRECT ANSWERS
❖ RATIONALES 2025 Q&A
❖ GUARANTEE PASSING SCORE
❖ 100 Q & A
❖ FORMAT SET OF MULTIPLE-CHOICE
❖ EXPERT VERIFIED STUDY GUIDE
, ❖ TEXAS PARAMEDIC LICENSING EXAM
1. What is the primary effect of epinephrine in cardiac arrest?
A. Decreases myocardial oxygen demand
B. Increases coronary and cerebral perfusion pressure
C. Slows conduction through the AV node
D. Causes peripheral vasodilation
** RATIONALE ** Epinephrine increases systemic vascular resistance,
which improves coronary and cerebral perfusion during CPR.
2. Which rhythm is most effectively treated with defibrillation?
A. Asystole
B. Ventricular fibrillation
C. Sinus tachycardia
D. PEA
** RATIONALE ** Ventricular fibrillation is a shockable rhythm that
responds well to defibrillation.
3. A 35-year-old male has a GCS of 3, snoring respirations, and
no gag reflex. What is the best airway intervention?
, A. Nasopharyngeal airway
B. Oropharyngeal airway
C. Nasotracheal intubation
D. Endotracheal intubation
** RATIONALE ** With no gag reflex and unconsciousness, definitive
airway control via endotracheal intubation is indicated.
4. What is the most reliable indicator of proper ET tube placement?
A. Bilateral chest rise
B. Absence of gastric sounds
C. End-tidal CO2 waveform
D. Capnography with waveform
** RATIONALE ** Waveform capnography is the gold standard for
confirming ET tube placement.
5. Which medication is a parasympatholytic used in bradycardia?
A. Atropine
B. Epinephrine
C. Dopamine
D. Adenosine
** RATIONALE ** Atropine blocks the parasympathetic nervous
system, increasing heart rate.
6. Which of the following best describes Beck’s triad?
A. Hypotension, hypertension, bradycardia
B. JVD, muffled heart sounds, hypotension
C. Tachypnea, wheezing, cyanosis
D. Hypertension, bradycardia, irregular respirations
** RATIONALE ** Beck’s triad is classic for cardiac tamponade: JVD,
muffled heart sounds, and hypotension.
7. What is the proper dose of adenosine for a stable adult patient
with SVT?
(NREMT-P) QUESTIONS AND CORRECT ANSWERS
RATIONALES 2025 Q&A
THIS EXAM CONTAINS:
❖ TEXAS PARAMEDIC LICENSING EXAM
❖ (NREMT-P) QUESTIONS AND CORRECT ANSWERS
❖ RATIONALES 2025 Q&A
❖ GUARANTEE PASSING SCORE
❖ 100 Q & A
❖ FORMAT SET OF MULTIPLE-CHOICE
❖ EXPERT VERIFIED STUDY GUIDE
, ❖ TEXAS PARAMEDIC LICENSING EXAM
1. What is the primary effect of epinephrine in cardiac arrest?
A. Decreases myocardial oxygen demand
B. Increases coronary and cerebral perfusion pressure
C. Slows conduction through the AV node
D. Causes peripheral vasodilation
** RATIONALE ** Epinephrine increases systemic vascular resistance,
which improves coronary and cerebral perfusion during CPR.
2. Which rhythm is most effectively treated with defibrillation?
A. Asystole
B. Ventricular fibrillation
C. Sinus tachycardia
D. PEA
** RATIONALE ** Ventricular fibrillation is a shockable rhythm that
responds well to defibrillation.
3. A 35-year-old male has a GCS of 3, snoring respirations, and
no gag reflex. What is the best airway intervention?
, A. Nasopharyngeal airway
B. Oropharyngeal airway
C. Nasotracheal intubation
D. Endotracheal intubation
** RATIONALE ** With no gag reflex and unconsciousness, definitive
airway control via endotracheal intubation is indicated.
4. What is the most reliable indicator of proper ET tube placement?
A. Bilateral chest rise
B. Absence of gastric sounds
C. End-tidal CO2 waveform
D. Capnography with waveform
** RATIONALE ** Waveform capnography is the gold standard for
confirming ET tube placement.
5. Which medication is a parasympatholytic used in bradycardia?
A. Atropine
B. Epinephrine
C. Dopamine
D. Adenosine
** RATIONALE ** Atropine blocks the parasympathetic nervous
system, increasing heart rate.
6. Which of the following best describes Beck’s triad?
A. Hypotension, hypertension, bradycardia
B. JVD, muffled heart sounds, hypotension
C. Tachypnea, wheezing, cyanosis
D. Hypertension, bradycardia, irregular respirations
** RATIONALE ** Beck’s triad is classic for cardiac tamponade: JVD,
muffled heart sounds, and hypotension.
7. What is the proper dose of adenosine for a stable adult patient
with SVT?
