EDITION LATEST UPDATED 2026-2027 ACTUAL FINAL
EXAM WITH CERTIFIED QUESTIONS AND CORRECT
VERIFIED ANSWERS RATED A+ GRADE
1. You are first on scene of a motor vehicle
collision. After ensuring scene safety, your next
priority is:
a) Requesting additional resources
b) Performing a primary assessment of the
patient
c) Extricating the patient from the vehicle
d) Obtaining a SAMPLE history
Rationale: The primary assessment (ABCs)
follows scene safety and precedes all other
actions.
2. A patient is found unconscious with snoring
respirations. The first action is:
a) Administer oxygen via non-rebreather
b) Perform a head-tilt chin-lift and insert an
oropharyngeal airway
c) Apply a cervical collar
, d) Check for a carotid pulse
Rationale: Snoring indicates airway obstruction;
open airway immediately.
3. Which pulse should be palpated to assess for
the presence of a carotid pulse in an adult
cardiac arrest?
a) Femoral
b) Carotid
c) Radial
d) Brachial
Rationale: Carotid artery is central and most
accessible in adults during arrest.
4. A patient with a history of anaphylaxis to bee
stings is stung and develops stridor and
difficulty breathing. The priority medication is:
a) Diphenhydramine
b) Epinephrine 1:1000 IM
c) Albuterol nebulizer
d) Methylprednisolone
Rationale: Epinephrine is first-line for
anaphylaxis with respiratory compromise.
,5. You are assessing a patient with chest pain. He
describes it as pressure radiating to the jaw. He
is pale and diaphoretic. Vital signs: HR 110, BP
100/70, RR 22. You should:
a) Administer oral aspirin and transport non-
emergently
b) Administer aspirin, consider nitroglycerin if
not contraindicated, and transport emergently
c) Apply AED pads
d) Give oral glucose
Rationale: Suspected ACS with pain radiating
and diaphoresis requires rapid transport and
aspirin.
6. A patient with a suspected spinal injury is log-
rolled onto a long spine board. The primary
reason for this technique is to:
a) Allow for cervical collar application
b) Maintain spinal alignment and prevent
movement
c) Facilitate airway management
d) Speed up extrication
, Rationale: Log rolling maintains neutral spinal
alignment during patient repositioning.
7. Which Glasgow Coma Scale score indicates
severe traumatic brain injury?
a) 13-15
b) 9-12
c) 3-8
d) 0-2
*Rationale: GCS 3-8 = severe, 9-12 = moderate,
13-15 = mild.*
8. A patient has a deep laceration on the forearm
with bright red blood spurting. This indicates:
a) Venous bleeding
b) Arterial bleeding
c) Capillary bleeding
d) Lymphatic bleeding
Rationale: Spurting, bright red blood = arterial
hemorrhage.
9. During a primary assessment, you note a
patient has absent breath sounds on the left
side and tracheal deviation to the right. This is