EMT FINA EXAM / JB LEARNING F
QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES GRADED A+
LATEST
1. You arrive at a scene where a 29-year-old unresponsive male is lying on the
F F F F F F F F F F F
sidewalk. Bystanders say he “just collapsed.” He has agonal respirations and
F F F F F F F F F F F
no palpable carotid pulse. What should you do first?
F F F F F F F F
A. Apply the AED F F
B. Begin chest compressions
F F
C. Provide two rescue breaths F F F
D. Check for medical alert tags
F F F F
Correct Answer: B
F F
Rationale: Suddencollapse + agonal respirations + absent pulse = start CPR
F F F F F F F F F F F F
immediately. AED is applied after compressions begin.
F F F F F F
2. A 66-year-old female complains of chest tightness and nausea. She is pale
F F F F F F F F F F F F
and diaphoretic. BP 86/50, HR 52, RR 20. Which finding is most concerning?
F F F F F F F F F F F F
A. Nausea
B. Pale, coolskin
F F
C. Bradycardia with hypotension F F
D. Chest tightnessF
Correct Answer: C
F F
Rationale: Bradycardia with hypotension suggests cardiogenic shock during
F F F F F F F F
possible MI. This indicates poor perfusion and likely decompensation.
F F F F F F F F
,3. A 5-year-old child is conscious but choking, producing weak, high-pitched
F F F F F F F F F F
sounds. You should:
F F
A. Begin compressions F
B. Perform abdominal thrustsF F
C. Attempt blind finger sweep
F F F
D. Give back slaps only
F F F
Correct Answer: B F F
Rationale: Partial airway obstructionwith poorair exchange in a child =
F F F F F F F F F F F
abdominal thrusts (if conscious).
F F F
4. A 24-year-oldtrauma patient has shallow breathing at 6/min after a
F F F F F F F F F F F
motorcycle crash. Which intervention is most appropriate?
F F F F F F
A. Nonrebreather mask at 15 LPM F F F F
B. BVM with oxygen F F
C. Nasal cannula at 6 LPM
F F F F
D. CPAP
Correct Answer: B F F
Rationale: Rate of6/min = inadequate ventilation → BVM with high-flow oxygen.
F F F F F F F F F F F
5. You find a 70-year-old male with slurred speechand right-sided weakness.
F F F F F F F F F F F
Last known well time is 2 hours ago. What is the priority?
F F F F F F F F F F F
A. Give oral glucose
F F
B. Transportto stroke center F F F
C. Administer aspirin F
D. Reassess blood pressure F F
Correct Answer: B F F
Rationale: Presentation suggests acute ischemic stroke. Time-sensitive →
F F F F F F F F
transport to stroke-capable facility.
F F F
,6. A patient in an MVC has absent breath sounds on the left, JVD, and
F F F F F F F F F F F F F F
hypotension. What should you suspect? F F F F
A. Asthma exacerbation F
B. Pericardial tamponade F
C. Tension pneumothorax F
D. Flail chest
F
Correct Answer: C
F F
Rationale: Unilateral absent breath sounds + hypotension + JVD = tension
F F F F F F F F F F F
pneumothorax.
7. Which oxygen delivery device provides the highest concentration?
F F F F F F F
A. Nasal cannulaF
B. Venturi mask F
C. Nonrebreather mask F
D. BVM with reservoir
F F
Correct Answer: D
F F
Rationale: BVM with reservoir + O₂ can deliver near 100%O₂.
F F F F F F F F F F
8. A patient with a known peanut allergy is wheezing and hypotensive. Which
F F F F F F F F F F F F
medication should be administered first if allowed?
F F F F F F
A. Epinephrine IM F
B. Albuterol
C. Diphenhydramine
D. Nitroglycerin
Correct Answer: A
F F
Rationale:Epi IM is first-line for anaphylaxis with airway/vascular compromise.
F F F F F F F F F
, 9. A patient is found seizing for 3 minutes. The airwayis open, but
F F F F F F F F F F F F F
respirations are shallow. Next step? F F F F
A. Restrain the patient F F
B. Insert an OPAF F
C. Provide BVM ventilations F F
D. Insert a nasal airway
F F F
Correct Answer: C
F F
Rationale: Shallow breathing during seizure = inadequate ventilation → assist
F F F F F F F F F F
with BVM.
F
10. The best indicator of adequate ventilations in a child receiving BVM
F F F F F F F F F F F
assistanceis: F
A. Chest rise F
B. Oxygen saturation F
C. Skin color
F
D. Heart rate F
Correct Answer: A
F F
Rationale: Visible chestrise confirms effective ventilation immediately.
F F F F F F F
11. You are treating a 10-year-old with a history of asthma who is now
F F F F F F F F F F F F F
unresponsive with no breathing and a pulse of 50. You should:
F F F F F F F F F F
A. Begin compressions
F
B. Start ventilations
F
C. Administer albuterol F
D. Give high-flow oxygen by mask
F F F F
Correct Answer: B
F F
Rationale: Unresponsive, not breathing, pulse <60 → ventilate first, begin
F F F F F F F F F F
compressions if HR <60 after ventilation. F F F F F
QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES GRADED A+
LATEST
1. You arrive at a scene where a 29-year-old unresponsive male is lying on the
F F F F F F F F F F F
sidewalk. Bystanders say he “just collapsed.” He has agonal respirations and
F F F F F F F F F F F
no palpable carotid pulse. What should you do first?
F F F F F F F F
A. Apply the AED F F
B. Begin chest compressions
F F
C. Provide two rescue breaths F F F
D. Check for medical alert tags
F F F F
Correct Answer: B
F F
Rationale: Suddencollapse + agonal respirations + absent pulse = start CPR
F F F F F F F F F F F F
immediately. AED is applied after compressions begin.
F F F F F F
2. A 66-year-old female complains of chest tightness and nausea. She is pale
F F F F F F F F F F F F
and diaphoretic. BP 86/50, HR 52, RR 20. Which finding is most concerning?
F F F F F F F F F F F F
A. Nausea
B. Pale, coolskin
F F
C. Bradycardia with hypotension F F
D. Chest tightnessF
Correct Answer: C
F F
Rationale: Bradycardia with hypotension suggests cardiogenic shock during
F F F F F F F F
possible MI. This indicates poor perfusion and likely decompensation.
F F F F F F F F
,3. A 5-year-old child is conscious but choking, producing weak, high-pitched
F F F F F F F F F F
sounds. You should:
F F
A. Begin compressions F
B. Perform abdominal thrustsF F
C. Attempt blind finger sweep
F F F
D. Give back slaps only
F F F
Correct Answer: B F F
Rationale: Partial airway obstructionwith poorair exchange in a child =
F F F F F F F F F F F
abdominal thrusts (if conscious).
F F F
4. A 24-year-oldtrauma patient has shallow breathing at 6/min after a
F F F F F F F F F F F
motorcycle crash. Which intervention is most appropriate?
F F F F F F
A. Nonrebreather mask at 15 LPM F F F F
B. BVM with oxygen F F
C. Nasal cannula at 6 LPM
F F F F
D. CPAP
Correct Answer: B F F
Rationale: Rate of6/min = inadequate ventilation → BVM with high-flow oxygen.
F F F F F F F F F F F
5. You find a 70-year-old male with slurred speechand right-sided weakness.
F F F F F F F F F F F
Last known well time is 2 hours ago. What is the priority?
F F F F F F F F F F F
A. Give oral glucose
F F
B. Transportto stroke center F F F
C. Administer aspirin F
D. Reassess blood pressure F F
Correct Answer: B F F
Rationale: Presentation suggests acute ischemic stroke. Time-sensitive →
F F F F F F F F
transport to stroke-capable facility.
F F F
,6. A patient in an MVC has absent breath sounds on the left, JVD, and
F F F F F F F F F F F F F F
hypotension. What should you suspect? F F F F
A. Asthma exacerbation F
B. Pericardial tamponade F
C. Tension pneumothorax F
D. Flail chest
F
Correct Answer: C
F F
Rationale: Unilateral absent breath sounds + hypotension + JVD = tension
F F F F F F F F F F F
pneumothorax.
7. Which oxygen delivery device provides the highest concentration?
F F F F F F F
A. Nasal cannulaF
B. Venturi mask F
C. Nonrebreather mask F
D. BVM with reservoir
F F
Correct Answer: D
F F
Rationale: BVM with reservoir + O₂ can deliver near 100%O₂.
F F F F F F F F F F
8. A patient with a known peanut allergy is wheezing and hypotensive. Which
F F F F F F F F F F F F
medication should be administered first if allowed?
F F F F F F
A. Epinephrine IM F
B. Albuterol
C. Diphenhydramine
D. Nitroglycerin
Correct Answer: A
F F
Rationale:Epi IM is first-line for anaphylaxis with airway/vascular compromise.
F F F F F F F F F
, 9. A patient is found seizing for 3 minutes. The airwayis open, but
F F F F F F F F F F F F F
respirations are shallow. Next step? F F F F
A. Restrain the patient F F
B. Insert an OPAF F
C. Provide BVM ventilations F F
D. Insert a nasal airway
F F F
Correct Answer: C
F F
Rationale: Shallow breathing during seizure = inadequate ventilation → assist
F F F F F F F F F F
with BVM.
F
10. The best indicator of adequate ventilations in a child receiving BVM
F F F F F F F F F F F
assistanceis: F
A. Chest rise F
B. Oxygen saturation F
C. Skin color
F
D. Heart rate F
Correct Answer: A
F F
Rationale: Visible chestrise confirms effective ventilation immediately.
F F F F F F F
11. You are treating a 10-year-old with a history of asthma who is now
F F F F F F F F F F F F F
unresponsive with no breathing and a pulse of 50. You should:
F F F F F F F F F F
A. Begin compressions
F
B. Start ventilations
F
C. Administer albuterol F
D. Give high-flow oxygen by mask
F F F F
Correct Answer: B
F F
Rationale: Unresponsive, not breathing, pulse <60 → ventilate first, begin
F F F F F F F F F F
compressions if HR <60 after ventilation. F F F F F
