Comprehensive Paramedic jb learning
Exam Complete Test Guide, Practice
Questions withVerified Answer Key.Latest
Updated Exam Study Guide 2026/2027.
All of the following processes take place in the uterus, EXCEPT? - ansFertilization
Cervical spondylosis is a degenerative change in the cervical spine that causes: -
ansnarrowing of the spinal canal and pressure on the spinal cord
Common causes of bradycardia include? - ansBeta blocker use
Many veteran EMS providers have embraced a leadership role in primary injury prevention
after? - answitnessing too many episodes of needless suffering
Prior to unloading a patient from the ambulance, you should: - ansensure that the patient is
secured to the stretcher
Q. A size 3 or 4 LMA: - answill accommodate the passage of a 6.0mm ET tube
The second impact that occurs when an adult pedestrian is struck by a motor vehicle would
MOST likely result in injuries to the: - anspelvis and chest
When communicating with a patient whose cultural background differs from the paramedics,
it is MOST important for the paramedic to? - anstreat the patient with utmost respect at all
times
Which of the following statements regarding selective serotonin reuptake inhibitors (RRSIs)
is most correct? - ansSSRIs have fewer anticholinergic and cardiac effects than tricyclics.
Your entire assessment of a patient should: - ansAppear to be a seamless process
An endogenous ligand is? - ansa molecule that is produced by the body and binds to a
receptor
Fall-related fractures in the elderly occur MOST often to the ___, usually in patients with
underlying: - anship, osteoporosis
Gathering a patient's medical history and performing an in-depth physical examination should
occur: - ansOnce the initial assessment and correction of life threats is completed
Nerve agents block ___, an essential enzyme of the nervous system. - anscholinesterase
Q. The MOST effective way to minimize the risk of hypoxia while intubating a child is to: -
anslimit your intubation attempt to 20 seconds.
The 6-second method for calculating the rate of a cardiac rhythm? - ansInvolves counting the
number of QRS complexes in a 6-second-strip and multiplying that number by 10.
The volume of plasma in an adult with a total blood volume of 6.5 liters is approximately? -
ans6.5x0.55 = 3.6L
What is the target heart rate for a 35 yo man with a resting heart rate of 75 bpm? - ans152
beats/min
When a patient takes the "up and over" pathway during a head-on collision: - ansthe anterior
part of the neck may strike the steering wheel, resulting in a fractured larynx
Women who have had a cesarean section? - ansCan have a normal vaginal delivery
A key part of making your practice of prehospital care successful is for you to: - ansDevelop
and cultivate your own style of assessment and an overall strategy for evaluating and
providing care for the patients you will encounter in the unique and varied circumstances in
the field setting
According to the START triage system, if a patient has a strong radial pulse, you should: -
anscontrol bleeding and assess mental status
At 2 months of age, an infant should be able to? - anstrack objects with his or her eyes
,Comprehensive Paramedic jb learning
Exam Complete Test Guide, Practice
Questions withVerified Answer Key.Latest
Updated Exam Study Guide 2026/2027.
Delirium is MOST accurately defined as: - ansan acute alteration in mentation that indicates
an underlying condition
Q. Patients with decompensated asthma or COPD that require positive-pressure ventilation: -
ansmay develop a pneumothorax or experience a decrease in venous return to the heart if they
are ventilated too rapidly
Sudden deceleration of a motor vehicle that is traveling at 60 mph: - ansdissipates
tremendous forces and causes major injuries
The primary component of the immune system is the? - ansLeukocyte
When dispatched to a residence for an injury involving a pregnant woman, you should? -
ansBe alert for evidence of abuse
You have been attempting resuscitation of a middle-aged woman for approximately 15
minutes; however, she has not responded to any of your treatment. There is no evidence of
hypothermia or drug ingestion, and the cardiac monitor shows asystole. You should? -
ansconsider terminating your resuscitative efforts
You receive a call to a skilled nursing facility for an elderly man with generalized weakness.
The patients nurse tells you that he has not eaten anything in the past 18 hours. She presents
you with his chart, which states that he has a history of atrial fibrillation, CHF, and
hypertension. His medications include Vasotec, digoxin, and Warfarin. As you apply the
cardiac monitor, your partner takes the patients vital signs, which reveal a blood pressure of
136/76 mmHg, a rapid and irregular pulse, and respirations of 22 breaths/min. The ECG
reveals atrial fibrillation with a variable rate between 110 and 130 beats/min, and a 12-lead
ECG tracing reveals the same. After applying supplemental oxygen, you should? - ansStart
an IV line to keep the vein open, administer diltiazem, and transport.
* If a patient sees you as someone with whom it is safe to be, who does not pose a threat, and
who honestly cares, then he or she will most likely? - ansbe reassured that you will handle the
crisis
Fluid-refractory hypotension following a barbiturate overdose is treated MOST effectively
with? - ansDopamine
In prehospital care, the priorities of evaluation and treatment are based on: - ansThe degree of
threat to the patient's life
Level ___ personal protective equipment would MOST likely be worn during the transport of
patients with the potential of secondary contamination. - ansC
Q. Which of the following statements regarding translaryngeal catheter ventilation is MOST
correct? - ansventilation is achieved by the use of a high-pressure jet ventilator
Resting tremor of an extremity and bradykinesia are associated with: - ansParkinson's disease
The greatest amount of kinetic energy would be created if a ___ pound driver struck a tree
while traveling at ___ mph. - ans150, 40
Torsades de pointes? - ansIs a variant of polymorphic ventricular tachycardia and is often
caused by a prolonged Q-T interval.
Which of the following assessment parameters is MOST difficult to interpret when a
pregnant woman is injured? - anspulse rate
With regard to injury prevention, effective educational techniques include all of the following
EXCEPT? - anspenalties
,Comprehensive Paramedic jb learning
Exam Complete Test Guide, Practice
Questions withVerified Answer Key.Latest
Updated Exam Study Guide 2026/2027.
A person taking beta blockers or calcium channel blockers would MOST likely present with:
- ansa slower than usual heart rate
Hypertrophic cardiomyopathy is characterized by? - ansenlargement or thickening of the
heart muscle
Myocardial ischemia occurs when the heart muscle? - ansIs deprived of oxygen because of a
blocked coronary artery.
Q. Approximately how far should you insert a 5.0mm ET tube in a 4-year-old child? - ans15
cm (diameter x 3)
The dome-shaped top of the uterus is called the? - ansfundus
The permissible exposure limit (PEL) of a given chemical is the: - ansmaximum
concentration of a chemical that a person may be exposed to under OSHA regulations
When chlorine gas comes in contact with the body's mucous membranes, it forms? -
ansHydrochloric acid
Which of the following injuries would MOST likely require transport to a level 1 trauma
center? - ansTwo or more proximal long bone fractures
Which of the following is NOT a part of your overall job as a paramedic? - ansAlways
remember that your overall job as a paramedic is to quickly identify your patient's
problem(s), set your care priorities, develop a patient care plan, and quickly and efficiently
execute the patient care plan.
Which of the following statements regarding ethics in the workplace is MOST correct? -
ansoff-duty misconduct on the part of the paramedic may lessen the public's confidence of
EMS in general
A decreased number of pacemaker cells in the sinoatrial node would MOST likely contribute
to a decline in cardiac output secondary to: - ansbradycardia
Atrial kick is MOST accurately defined as? - ans20% of ventricular filling caused by atrial
contraction.
Complications in a pregnant woman with cystic fibrosis are usually the result of? -
ansreduced pulmonary function
Muscle cramps and paresthesias in a malnourished patient with alcoholism are most likely the
result of? - anshypocalcemia
Q. Wheezing is resolved with medications that: - ansrelax the smooth muscle of the
bronchiole
Signs and symptoms of marijuana use include all of the following, EXCEPT? - ansDecreased
appetite
The most significant fall occurs from a height greater than: - ans15 feet
When determining whether a patient is sick, your MOST effective tool is often: - ansA quick
visual assessment based on the chief complaint, respiration's, pulse, mental status, and skin
signs and color.
You are dispatched to a residence for a 50-year-old woman with respiratory distress. While
you are assessing the patient, she tells you that she began experiencing flu-like symptoms 4
days ago, shortly after delivering mail on the rural mail route for which she is responsible.
Due to her illness, she has been unable to return to work. Her blood pressure is 90/50 mmHg,
pulse rate is 120 beats/min, and respirations are 26 breaths/min and labored. Auscultation of
, Comprehensive Paramedic jb learning
Exam Complete Test Guide, Practice
Questions withVerified Answer Key.Latest
Updated Exam Study Guide 2026/2027.
her breath sounds reveals the presence of coarse crackles. This patient has MOST likely been
exposed to: - ansanthrax
You arrive at the scene of an injured person. As you and your partner approach the patient,
you see that he is bleeding profusely from a large laceration to his neck. As you are about to
begin care, a man walks up and states, "I cut him!" You should? - ansretreat from the scene to
a safe area and immediately notify law enforcement
___ is the process in which individual units or different organizations make independent
decisions about the next appropriate action. - ansfreelancing
A person wishes to be an organ donor. He or she must? - anshave witnessed informed
consent, usually in writing
Approximately one third of the body's platelets: - ansare stored in the spleen.
During an explosion, secondary blast injuries occur when: - ansthe patient is struck by flying
debris, such as shrapnel
Hypertensive emergencies in the geriatric population: - ansrequire a controlled decline in
blood pressure that often cannot be achieved in the prehospital setting.
Q. An elderly woman with COPD presents with peripheral edema. The patient is conscious
but agitated. She is breathing with slight difficulty but has adequate tidal volume. During
your assessment, you note that her jugular veins engorge when you apply pressure to her right
upper abdominal quadrant. She tells you that she takes a "water pill" and Vasotec for high
blood pressure. You should: - anssuspect acute right heart failure and administer oxygen
Regardless of what a patient asks, the paramedic should? - ansimmediately acknowledge
what the patient asked
Which of the following clinical findings is LEAST suggestive of a peripheral vascular
disorder? - ansAn S3 sound during auscultation of the heart.
Which of the following medications would MOST likely be used in the prehospital setting to
treat some women with severe premenstrual syndrome? - ansglucose and fentanyl
You are in the BEST position to decide what, if any, care needs to be provided at the scene
versus en route to the hospital once you: - ansHave qualified whether your patient is sick or
not sick, and then you must quantify how sick the patient is.
A do not resuscitate (DNR) order is MOST accurately defined as a? - answritten order
designed to tell health care providers when resuscitation is or is not appropriate
Elderly patients experience a slower physiologic response to hypoxemia and hypercarbia
because of: - ansdecreased sensitivity to changes in arterial blood content
Q. Digital intubation is absolutely contraindicated if the patient: - ansis unconscious but
breathing
Which of the following general statements regarding trauma is MOST correct? - ansBlunt
trauma is difficult to diagnose by paramedics in the field and is often more lethal than
penetrating trauma
Which of the following statements regarding growth spurts in adolescents is most correct? -
ansboys generally experience this stage of growth later in life than girls do
Which of the following statements regarding the use of vasopressin in cardiac arrest is MOST
correct? - ansA one-time dose of 40 units of vasopressin may be given to replace the first or
second dose of epinephrine.
Exam Complete Test Guide, Practice
Questions withVerified Answer Key.Latest
Updated Exam Study Guide 2026/2027.
All of the following processes take place in the uterus, EXCEPT? - ansFertilization
Cervical spondylosis is a degenerative change in the cervical spine that causes: -
ansnarrowing of the spinal canal and pressure on the spinal cord
Common causes of bradycardia include? - ansBeta blocker use
Many veteran EMS providers have embraced a leadership role in primary injury prevention
after? - answitnessing too many episodes of needless suffering
Prior to unloading a patient from the ambulance, you should: - ansensure that the patient is
secured to the stretcher
Q. A size 3 or 4 LMA: - answill accommodate the passage of a 6.0mm ET tube
The second impact that occurs when an adult pedestrian is struck by a motor vehicle would
MOST likely result in injuries to the: - anspelvis and chest
When communicating with a patient whose cultural background differs from the paramedics,
it is MOST important for the paramedic to? - anstreat the patient with utmost respect at all
times
Which of the following statements regarding selective serotonin reuptake inhibitors (RRSIs)
is most correct? - ansSSRIs have fewer anticholinergic and cardiac effects than tricyclics.
Your entire assessment of a patient should: - ansAppear to be a seamless process
An endogenous ligand is? - ansa molecule that is produced by the body and binds to a
receptor
Fall-related fractures in the elderly occur MOST often to the ___, usually in patients with
underlying: - anship, osteoporosis
Gathering a patient's medical history and performing an in-depth physical examination should
occur: - ansOnce the initial assessment and correction of life threats is completed
Nerve agents block ___, an essential enzyme of the nervous system. - anscholinesterase
Q. The MOST effective way to minimize the risk of hypoxia while intubating a child is to: -
anslimit your intubation attempt to 20 seconds.
The 6-second method for calculating the rate of a cardiac rhythm? - ansInvolves counting the
number of QRS complexes in a 6-second-strip and multiplying that number by 10.
The volume of plasma in an adult with a total blood volume of 6.5 liters is approximately? -
ans6.5x0.55 = 3.6L
What is the target heart rate for a 35 yo man with a resting heart rate of 75 bpm? - ans152
beats/min
When a patient takes the "up and over" pathway during a head-on collision: - ansthe anterior
part of the neck may strike the steering wheel, resulting in a fractured larynx
Women who have had a cesarean section? - ansCan have a normal vaginal delivery
A key part of making your practice of prehospital care successful is for you to: - ansDevelop
and cultivate your own style of assessment and an overall strategy for evaluating and
providing care for the patients you will encounter in the unique and varied circumstances in
the field setting
According to the START triage system, if a patient has a strong radial pulse, you should: -
anscontrol bleeding and assess mental status
At 2 months of age, an infant should be able to? - anstrack objects with his or her eyes
,Comprehensive Paramedic jb learning
Exam Complete Test Guide, Practice
Questions withVerified Answer Key.Latest
Updated Exam Study Guide 2026/2027.
Delirium is MOST accurately defined as: - ansan acute alteration in mentation that indicates
an underlying condition
Q. Patients with decompensated asthma or COPD that require positive-pressure ventilation: -
ansmay develop a pneumothorax or experience a decrease in venous return to the heart if they
are ventilated too rapidly
Sudden deceleration of a motor vehicle that is traveling at 60 mph: - ansdissipates
tremendous forces and causes major injuries
The primary component of the immune system is the? - ansLeukocyte
When dispatched to a residence for an injury involving a pregnant woman, you should? -
ansBe alert for evidence of abuse
You have been attempting resuscitation of a middle-aged woman for approximately 15
minutes; however, she has not responded to any of your treatment. There is no evidence of
hypothermia or drug ingestion, and the cardiac monitor shows asystole. You should? -
ansconsider terminating your resuscitative efforts
You receive a call to a skilled nursing facility for an elderly man with generalized weakness.
The patients nurse tells you that he has not eaten anything in the past 18 hours. She presents
you with his chart, which states that he has a history of atrial fibrillation, CHF, and
hypertension. His medications include Vasotec, digoxin, and Warfarin. As you apply the
cardiac monitor, your partner takes the patients vital signs, which reveal a blood pressure of
136/76 mmHg, a rapid and irregular pulse, and respirations of 22 breaths/min. The ECG
reveals atrial fibrillation with a variable rate between 110 and 130 beats/min, and a 12-lead
ECG tracing reveals the same. After applying supplemental oxygen, you should? - ansStart
an IV line to keep the vein open, administer diltiazem, and transport.
* If a patient sees you as someone with whom it is safe to be, who does not pose a threat, and
who honestly cares, then he or she will most likely? - ansbe reassured that you will handle the
crisis
Fluid-refractory hypotension following a barbiturate overdose is treated MOST effectively
with? - ansDopamine
In prehospital care, the priorities of evaluation and treatment are based on: - ansThe degree of
threat to the patient's life
Level ___ personal protective equipment would MOST likely be worn during the transport of
patients with the potential of secondary contamination. - ansC
Q. Which of the following statements regarding translaryngeal catheter ventilation is MOST
correct? - ansventilation is achieved by the use of a high-pressure jet ventilator
Resting tremor of an extremity and bradykinesia are associated with: - ansParkinson's disease
The greatest amount of kinetic energy would be created if a ___ pound driver struck a tree
while traveling at ___ mph. - ans150, 40
Torsades de pointes? - ansIs a variant of polymorphic ventricular tachycardia and is often
caused by a prolonged Q-T interval.
Which of the following assessment parameters is MOST difficult to interpret when a
pregnant woman is injured? - anspulse rate
With regard to injury prevention, effective educational techniques include all of the following
EXCEPT? - anspenalties
,Comprehensive Paramedic jb learning
Exam Complete Test Guide, Practice
Questions withVerified Answer Key.Latest
Updated Exam Study Guide 2026/2027.
A person taking beta blockers or calcium channel blockers would MOST likely present with:
- ansa slower than usual heart rate
Hypertrophic cardiomyopathy is characterized by? - ansenlargement or thickening of the
heart muscle
Myocardial ischemia occurs when the heart muscle? - ansIs deprived of oxygen because of a
blocked coronary artery.
Q. Approximately how far should you insert a 5.0mm ET tube in a 4-year-old child? - ans15
cm (diameter x 3)
The dome-shaped top of the uterus is called the? - ansfundus
The permissible exposure limit (PEL) of a given chemical is the: - ansmaximum
concentration of a chemical that a person may be exposed to under OSHA regulations
When chlorine gas comes in contact with the body's mucous membranes, it forms? -
ansHydrochloric acid
Which of the following injuries would MOST likely require transport to a level 1 trauma
center? - ansTwo or more proximal long bone fractures
Which of the following is NOT a part of your overall job as a paramedic? - ansAlways
remember that your overall job as a paramedic is to quickly identify your patient's
problem(s), set your care priorities, develop a patient care plan, and quickly and efficiently
execute the patient care plan.
Which of the following statements regarding ethics in the workplace is MOST correct? -
ansoff-duty misconduct on the part of the paramedic may lessen the public's confidence of
EMS in general
A decreased number of pacemaker cells in the sinoatrial node would MOST likely contribute
to a decline in cardiac output secondary to: - ansbradycardia
Atrial kick is MOST accurately defined as? - ans20% of ventricular filling caused by atrial
contraction.
Complications in a pregnant woman with cystic fibrosis are usually the result of? -
ansreduced pulmonary function
Muscle cramps and paresthesias in a malnourished patient with alcoholism are most likely the
result of? - anshypocalcemia
Q. Wheezing is resolved with medications that: - ansrelax the smooth muscle of the
bronchiole
Signs and symptoms of marijuana use include all of the following, EXCEPT? - ansDecreased
appetite
The most significant fall occurs from a height greater than: - ans15 feet
When determining whether a patient is sick, your MOST effective tool is often: - ansA quick
visual assessment based on the chief complaint, respiration's, pulse, mental status, and skin
signs and color.
You are dispatched to a residence for a 50-year-old woman with respiratory distress. While
you are assessing the patient, she tells you that she began experiencing flu-like symptoms 4
days ago, shortly after delivering mail on the rural mail route for which she is responsible.
Due to her illness, she has been unable to return to work. Her blood pressure is 90/50 mmHg,
pulse rate is 120 beats/min, and respirations are 26 breaths/min and labored. Auscultation of
, Comprehensive Paramedic jb learning
Exam Complete Test Guide, Practice
Questions withVerified Answer Key.Latest
Updated Exam Study Guide 2026/2027.
her breath sounds reveals the presence of coarse crackles. This patient has MOST likely been
exposed to: - ansanthrax
You arrive at the scene of an injured person. As you and your partner approach the patient,
you see that he is bleeding profusely from a large laceration to his neck. As you are about to
begin care, a man walks up and states, "I cut him!" You should? - ansretreat from the scene to
a safe area and immediately notify law enforcement
___ is the process in which individual units or different organizations make independent
decisions about the next appropriate action. - ansfreelancing
A person wishes to be an organ donor. He or she must? - anshave witnessed informed
consent, usually in writing
Approximately one third of the body's platelets: - ansare stored in the spleen.
During an explosion, secondary blast injuries occur when: - ansthe patient is struck by flying
debris, such as shrapnel
Hypertensive emergencies in the geriatric population: - ansrequire a controlled decline in
blood pressure that often cannot be achieved in the prehospital setting.
Q. An elderly woman with COPD presents with peripheral edema. The patient is conscious
but agitated. She is breathing with slight difficulty but has adequate tidal volume. During
your assessment, you note that her jugular veins engorge when you apply pressure to her right
upper abdominal quadrant. She tells you that she takes a "water pill" and Vasotec for high
blood pressure. You should: - anssuspect acute right heart failure and administer oxygen
Regardless of what a patient asks, the paramedic should? - ansimmediately acknowledge
what the patient asked
Which of the following clinical findings is LEAST suggestive of a peripheral vascular
disorder? - ansAn S3 sound during auscultation of the heart.
Which of the following medications would MOST likely be used in the prehospital setting to
treat some women with severe premenstrual syndrome? - ansglucose and fentanyl
You are in the BEST position to decide what, if any, care needs to be provided at the scene
versus en route to the hospital once you: - ansHave qualified whether your patient is sick or
not sick, and then you must quantify how sick the patient is.
A do not resuscitate (DNR) order is MOST accurately defined as a? - answritten order
designed to tell health care providers when resuscitation is or is not appropriate
Elderly patients experience a slower physiologic response to hypoxemia and hypercarbia
because of: - ansdecreased sensitivity to changes in arterial blood content
Q. Digital intubation is absolutely contraindicated if the patient: - ansis unconscious but
breathing
Which of the following general statements regarding trauma is MOST correct? - ansBlunt
trauma is difficult to diagnose by paramedics in the field and is often more lethal than
penetrating trauma
Which of the following statements regarding growth spurts in adolescents is most correct? -
ansboys generally experience this stage of growth later in life than girls do
Which of the following statements regarding the use of vasopressin in cardiac arrest is MOST
correct? - ansA one-time dose of 40 units of vasopressin may be given to replace the first or
second dose of epinephrine.
