Paramedic Final Exam Test Bank
Questions and Answers (2026) |
Newest Practice Questions | 100%
Correct Answers | A+
• After falls, _______________ is/are the second leading cause of accidental death
among elderly people. -✓✓motor vehicle crashes
• After obtaining an elderly patient's chief complaint, gathering additional information
about the history of present illness would MOST likely be complicated because: -
✓✓chronic problems may affect the acute problem.
• Aging brings a widespread decrease in bone mass, especially: -✓✓in
postmenopausal women
• Aging kidneys have a decreased glomerular filtration rate, which predisposes an older
person to all of the following conditions, EXCEPT: -✓✓profound dehydration
• A key element of the "G" in the GEMS diamond includes: -✓✓recalling that elderly
patients often present atypically.
• An 82-year-old man presents with confusion that has worsened progressively over the
past 2 weeks. Because of his confusion and the fact that he is hearing impaired, you
obtain the majority of your medical history information from his daughter. She tells you
that her father has high blood pressure but refuses to take medication for it. She also
tells you that she thinks he fell about 3 weeks ago, although he denies falling. The
patient's blood pressure is 168/98 mm Hg, pulse rate is 60 beats/min and occasionally
irregular, and respirations are 22 breaths/min and regular. This patient MOST likely: -
✓✓is experiencing a subdural hematoma
• An elderly person is at increased risk for aspiration, primarily from: -✓✓decreased
cough and gag reflexes
• An increase in blood pressure that commonly occurs with aging is physiologically
exacerbated by: -✓✓an overproduction of collagen and decreased quantities of elastin.
• Cervical spondylosis is a degenerative change in the cervical spine that causes: -
✓✓narrowing of the spinal canal and pressure on the spinal cord.
• Components of the environmental assessment of an elderly patient include all of the
following, EXCEPT: -✓✓inquiring about any delays in obtaining food.
,• Decreased elasticity of the lungs and calcification of the costochondral cartilage results
in: -✓✓an increase in residual lung volume.
• Failure of the heart's primary pacemaker and the development of alternate
pacemakers in the atria would MOST likely result in: -✓✓atrial fibrillation
• Heat gain or loss in response to environmental changes is delayed in elderly people
for all of the following reasons, EXCEPT: -✓✓chronic hyperthyroidism
• Hypotension and orthostatic vital sign changes would MOST likely occur in elderly
people who take: -✓✓diuretics
• In contrast to a 30-year-old man, if a 70-year-old man were to consume an excessive
amount of alcohol: -✓✓he would experience a higher blood alcohol concentration due
to decreases in body mass and total body water.
• MOST age-related visual disturbances are the result of: -✓✓cataracts or glaucoma
• Physiologic age-related decreases in skin elasticity are the result of: -✓✓decreased
collagen and elastin production.
• Presbycusis is defined as: -✓✓loss of high-frequency sounds and the inability to
differentiate a particular sound from background noise.
• Resting tremor of an extremity and bradykinesia are associated with: -✓✓Parkinson
Disease
• The medical assessment of an elderly patient can be complex because: -✓✓he or she
often has more than one medical condition.
• Therapeutic doses of certain drugs may reach toxic levels in older people due to
deterioration of the: -✓✓liver
• The son of a 76-year-old woman called 9-1-1 because his mother is "ill". The patient
presents with mild confusion, poor skin turgor, and tachycardia. She is incontinent of
urine and asks you for a glass of water. Her son tells you that she had not been feeling
well for the past several weeks, but would not allow him to take her to the doctor. Which
of the following assessment parameters will MOST likely reinforce your suspicion
regarding the underlying cause of this patient's condition? -✓✓blood glucose
• Typical signs and symptoms of Meniere disease include all of the following, EXCEPT:
-✓✓otorrhea.
,• When assessing an older person, you should remember that it is common for him or
her to: -✓✓respond slowly to questions
• When assessing an unresponsive older person's airway, it is MOST important to
remember that: -✓✓delayed gastric emptying increases the risk of aspiration.
• Which of the following cardiac dysrhythmias is associated with the highest risk of
stroke? -✓✓atrial fibrillation
• Which of the following central nervous system functions does NOT change as a
person ages? -✓✓intelligence level
• Which of the following conditions would MOST likely impair pulmonary function by
limiting lung volume and maximal inspiratory pressure? -✓✓Kyphosis
• Which of the following is NOT a predisposing risk factor for trauma in the elderly? -
✓✓decreased body water
• Which of the following may you be the LEAST likely to observe in a 90-year-old patient
with a severe infection? -✓✓fever
• Which of the following risk factors is associated with the HIGHEST rate of mortality
following a burn injury in an elderly person? -✓✓Preexisting medical condition
• Which of the following statements regarding Alzheimer disease is NOT correct? -
✓✓Age alone is thought to be the underlying cause of Alzheimer disease.
• You are called to a residence for a 74-year-old woman who fainted. During your
assessment, the patient's son tells you that he was standing next to his mother when
she fainted and that he caught her before she fell to the floor. He further tells you that
his mother has angina and kidney disease. The patient is now conscious but confused.
Her blood pressure is 80/50 mm Hg, pulse is 110 beats/min and weak, and respirations
are 22 breaths/min and regular. As your partner administers supplemental oxygen to the
patient, you should: -✓✓assess for the presence of a nitroglycerin patch on the patient
and remove it if she is wearing one.
• A person with amblyopia has: -✓✓partial or complete vision loss in one eye
• By placing one hand on your forehead and your other hand over your abdomen, you
are asking a hearing-impaired person if he or she: -✓✓feels sick
• During your assessment of a 4-year-old female, you find injury patterns that are highly
suggestive of abuse. The child's mother is present; she is apprehensive and is hesitant
to allow you to transport her daughter. You should: -✓✓ask your partner to retrieve an
, extra set of latex-free gloves from the ambulance, as this will enable him or her to
discreetly call the police.
• Intellectual disability is MOST accurately defined as: -✓✓insufficient development of
the brain that results in the inability to learn and socially adapt at the usual rate.
• The fistula used for hemodialysis is a surgical connection between: -✓✓an artery and
a vein
• The purpose of the wafer that is included in an ostomy kit is to: -✓✓protect the skin
from irritation
• Triple lumen central catheters are usually placed in the: -✓✓subclavian or femoral
vein.
• When caring for a patient with suspected abuse or neglect, your FIRST priority should
be to: -✓✓take deliberate action to ensure your safety
• When urine becomes evident in the tubing during insertion of an indwelling urinary
catheter in a male, you should: -✓✓continue inserting the catheter until the Y between
the drainage port and the balloon port is at the tip of the penis.
• Which of the following are often the primary tasks for paramedics who are caring for a
patient with a terminal illness? -✓✓pain assessment and management
• Which of the following statements regarding paralysis is correct? -✓✓A paralyzed
patient has lost the ability to voluntarily move a body part.
• Which of the following statements would be appropriate when documenting a case of
suspected abuse? -✓✓"The injury was reported to have occurred at 1420 hours."
• You are assessing a 6-year-old Asian child who presents with a fever. During your
assessment, you note red, flat, rounded lesions on the child's torso. This finding is
MOST indicative of: -✓✓cupping
• You are caring for an elderly woman with terminal sarcoma. She is conscious,
extremely weak, and in severe pain. Her son tells you that she has a living will and an
out-of-hospital do not resuscitate order, and produces the appropriate documentation.
The patient is on home oxygen at 2 L/min via nasal cannula. You should: -
✓✓administer an appropriate dose of morphine or fentanyl to the patient and provide
emotional support to the son.
• You respond to a dialysis center for a patient with shortness of breath. When you
arrive, you find the patient, an older female, still receiving dialysis. She is conscious and
alert and is experiencing mild respiratory distress. As your partner administers oxygen,
Questions and Answers (2026) |
Newest Practice Questions | 100%
Correct Answers | A+
• After falls, _______________ is/are the second leading cause of accidental death
among elderly people. -✓✓motor vehicle crashes
• After obtaining an elderly patient's chief complaint, gathering additional information
about the history of present illness would MOST likely be complicated because: -
✓✓chronic problems may affect the acute problem.
• Aging brings a widespread decrease in bone mass, especially: -✓✓in
postmenopausal women
• Aging kidneys have a decreased glomerular filtration rate, which predisposes an older
person to all of the following conditions, EXCEPT: -✓✓profound dehydration
• A key element of the "G" in the GEMS diamond includes: -✓✓recalling that elderly
patients often present atypically.
• An 82-year-old man presents with confusion that has worsened progressively over the
past 2 weeks. Because of his confusion and the fact that he is hearing impaired, you
obtain the majority of your medical history information from his daughter. She tells you
that her father has high blood pressure but refuses to take medication for it. She also
tells you that she thinks he fell about 3 weeks ago, although he denies falling. The
patient's blood pressure is 168/98 mm Hg, pulse rate is 60 beats/min and occasionally
irregular, and respirations are 22 breaths/min and regular. This patient MOST likely: -
✓✓is experiencing a subdural hematoma
• An elderly person is at increased risk for aspiration, primarily from: -✓✓decreased
cough and gag reflexes
• An increase in blood pressure that commonly occurs with aging is physiologically
exacerbated by: -✓✓an overproduction of collagen and decreased quantities of elastin.
• Cervical spondylosis is a degenerative change in the cervical spine that causes: -
✓✓narrowing of the spinal canal and pressure on the spinal cord.
• Components of the environmental assessment of an elderly patient include all of the
following, EXCEPT: -✓✓inquiring about any delays in obtaining food.
,• Decreased elasticity of the lungs and calcification of the costochondral cartilage results
in: -✓✓an increase in residual lung volume.
• Failure of the heart's primary pacemaker and the development of alternate
pacemakers in the atria would MOST likely result in: -✓✓atrial fibrillation
• Heat gain or loss in response to environmental changes is delayed in elderly people
for all of the following reasons, EXCEPT: -✓✓chronic hyperthyroidism
• Hypotension and orthostatic vital sign changes would MOST likely occur in elderly
people who take: -✓✓diuretics
• In contrast to a 30-year-old man, if a 70-year-old man were to consume an excessive
amount of alcohol: -✓✓he would experience a higher blood alcohol concentration due
to decreases in body mass and total body water.
• MOST age-related visual disturbances are the result of: -✓✓cataracts or glaucoma
• Physiologic age-related decreases in skin elasticity are the result of: -✓✓decreased
collagen and elastin production.
• Presbycusis is defined as: -✓✓loss of high-frequency sounds and the inability to
differentiate a particular sound from background noise.
• Resting tremor of an extremity and bradykinesia are associated with: -✓✓Parkinson
Disease
• The medical assessment of an elderly patient can be complex because: -✓✓he or she
often has more than one medical condition.
• Therapeutic doses of certain drugs may reach toxic levels in older people due to
deterioration of the: -✓✓liver
• The son of a 76-year-old woman called 9-1-1 because his mother is "ill". The patient
presents with mild confusion, poor skin turgor, and tachycardia. She is incontinent of
urine and asks you for a glass of water. Her son tells you that she had not been feeling
well for the past several weeks, but would not allow him to take her to the doctor. Which
of the following assessment parameters will MOST likely reinforce your suspicion
regarding the underlying cause of this patient's condition? -✓✓blood glucose
• Typical signs and symptoms of Meniere disease include all of the following, EXCEPT:
-✓✓otorrhea.
,• When assessing an older person, you should remember that it is common for him or
her to: -✓✓respond slowly to questions
• When assessing an unresponsive older person's airway, it is MOST important to
remember that: -✓✓delayed gastric emptying increases the risk of aspiration.
• Which of the following cardiac dysrhythmias is associated with the highest risk of
stroke? -✓✓atrial fibrillation
• Which of the following central nervous system functions does NOT change as a
person ages? -✓✓intelligence level
• Which of the following conditions would MOST likely impair pulmonary function by
limiting lung volume and maximal inspiratory pressure? -✓✓Kyphosis
• Which of the following is NOT a predisposing risk factor for trauma in the elderly? -
✓✓decreased body water
• Which of the following may you be the LEAST likely to observe in a 90-year-old patient
with a severe infection? -✓✓fever
• Which of the following risk factors is associated with the HIGHEST rate of mortality
following a burn injury in an elderly person? -✓✓Preexisting medical condition
• Which of the following statements regarding Alzheimer disease is NOT correct? -
✓✓Age alone is thought to be the underlying cause of Alzheimer disease.
• You are called to a residence for a 74-year-old woman who fainted. During your
assessment, the patient's son tells you that he was standing next to his mother when
she fainted and that he caught her before she fell to the floor. He further tells you that
his mother has angina and kidney disease. The patient is now conscious but confused.
Her blood pressure is 80/50 mm Hg, pulse is 110 beats/min and weak, and respirations
are 22 breaths/min and regular. As your partner administers supplemental oxygen to the
patient, you should: -✓✓assess for the presence of a nitroglycerin patch on the patient
and remove it if she is wearing one.
• A person with amblyopia has: -✓✓partial or complete vision loss in one eye
• By placing one hand on your forehead and your other hand over your abdomen, you
are asking a hearing-impaired person if he or she: -✓✓feels sick
• During your assessment of a 4-year-old female, you find injury patterns that are highly
suggestive of abuse. The child's mother is present; she is apprehensive and is hesitant
to allow you to transport her daughter. You should: -✓✓ask your partner to retrieve an
, extra set of latex-free gloves from the ambulance, as this will enable him or her to
discreetly call the police.
• Intellectual disability is MOST accurately defined as: -✓✓insufficient development of
the brain that results in the inability to learn and socially adapt at the usual rate.
• The fistula used for hemodialysis is a surgical connection between: -✓✓an artery and
a vein
• The purpose of the wafer that is included in an ostomy kit is to: -✓✓protect the skin
from irritation
• Triple lumen central catheters are usually placed in the: -✓✓subclavian or femoral
vein.
• When caring for a patient with suspected abuse or neglect, your FIRST priority should
be to: -✓✓take deliberate action to ensure your safety
• When urine becomes evident in the tubing during insertion of an indwelling urinary
catheter in a male, you should: -✓✓continue inserting the catheter until the Y between
the drainage port and the balloon port is at the tip of the penis.
• Which of the following are often the primary tasks for paramedics who are caring for a
patient with a terminal illness? -✓✓pain assessment and management
• Which of the following statements regarding paralysis is correct? -✓✓A paralyzed
patient has lost the ability to voluntarily move a body part.
• Which of the following statements would be appropriate when documenting a case of
suspected abuse? -✓✓"The injury was reported to have occurred at 1420 hours."
• You are assessing a 6-year-old Asian child who presents with a fever. During your
assessment, you note red, flat, rounded lesions on the child's torso. This finding is
MOST indicative of: -✓✓cupping
• You are caring for an elderly woman with terminal sarcoma. She is conscious,
extremely weak, and in severe pain. Her son tells you that she has a living will and an
out-of-hospital do not resuscitate order, and produces the appropriate documentation.
The patient is on home oxygen at 2 L/min via nasal cannula. You should: -
✓✓administer an appropriate dose of morphine or fentanyl to the patient and provide
emotional support to the son.
• You respond to a dialysis center for a patient with shortness of breath. When you
arrive, you find the patient, an older female, still receiving dialysis. She is conscious and
alert and is experiencing mild respiratory distress. As your partner administers oxygen,
