PARAMEDIC READINESS EXAM 5 QUESTIONS & ANSWERS 2026-2027 | LATEST … EXAM
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
Paramedic Readiness Exam
5 Questions & Answers
2026-2027 | Latest Verified
Exam (Rationales)
Verified Answers Exam Ready With Rationales
199 QUESTIONS
DOCUMENT OVERVIEW
This document contains 199 verified questions with correct answers and detailed rationales focusing on
paramedic readiness exam topics. Each question is paired with a comprehensive explanation, ensuring
clarity and understanding of critical concepts. It is suitable for study, review, and certification preparation,
providing an invaluable resource for aspiring paramedics to enhance their knowledge and confidence.
CONTENTS
01 • Trauma Assessment 02 • Respiratory Issues 03 • Pediatric Emergencies
04 • Injury Management 05 • Obstetric Emergencies 06
• Hazmat and Environmental
Page 1
, 07 08 09 • Cardiac Emergencies
• Neurological Emergencies • Mental Health and Behavioral
10 • Gastrointestinal Issues 11 12
• Legal and Ethical Considerations • Advanced Airway Management
13 14 • Pain Management 15
• Emergency Transport Protocols • Cardiac Rhythm Interpretation
16 • Seizure Management 17 • Endocrine Emergencies
E XA M Q U EST I O N S
Q1 QUESTION 1 OF 199
A 43 year old male was involved in a car crash. He has a forehead contusion, and he complains of a headache
and nausea. A witness says he was unconscious for one minute after the collision. Now, he is asking
repeatedly what happened. What is the most likely cause?
CORRECT ANSWER
Concussion
RATIONALE
The presence of a forehead contusion, loss of consciousness, and subsequent confusion indicate a mild traumatic
brain injury, commonly referred to as a concussion. This injury disrupts normal brain function, leading to symptoms
such as headache, nausea, and memory impairment regarding the event.
Q2 QUESTION 2 OF 199
A 6 year old female was struck by a car and thrown 10 feet. Vital signs are BP 60/P P 140, R 10 and labored. She
has subcutaneous emphysema and absent breath sounds on the left side. What should you suspect?
CORRECT ANSWER
Tension pneumothorax
Page 2
, RATIONALE
Life-threatening respiratory distress and absent breath sounds on the left side, coupled with subcutaneous
emphysema, indicate air accumulation in the pleural space, resulting in increased intrathoracic pressure
characteristic of tension pneumothorax. This condition compromises pulmonary function and circulatory stability,
necessitating immediate intervention.
Q3 QUESTION 3 OF 199
A 22 year old male who was hit with a sledge hammer has an open skull fracture , unequal pupils , and a
decerebrate posture. Vital signs are BP 188/110, P 66, R 18. What should you do?
CORRECT ANSWER
Ventilate at 20 breaths per minute
RATIONALE
Decerebrate posturing and unequal pupils indicate significant brain injury, likely leading to increased intracranial
pressure and compromised cerebral perfusion. Ventilation at 20 breaths per minute helps maintain adequate
oxygenation and carbon dioxide levels, crucial for preventing further brain injury in this critical scenario.
Q4 QUESTION 4 OF 199
You are ordered to administer a 1000 mL bolus of normal saline over 1 hour. The tubing factor is 10 drops/mL.
What is the correct drops per minute?
CORRECT ANSWER
167
RATIONALE
67 drops per minute, which rounds to 167. This question tests the application of infusion rate calculations using
volume, time, and drop factor.
Q5 QUESTION 5 OF 199
Page 3
, A 25 year old male was involved in an ATV crash at the local racetrack. He is wearing a full face helmet and is
unresponsive. There is blood oozing from his mouth and his jaw is clenched. Vital signs are P 130, R 30 and
gurgling, SpO2 86% What should you do?
CORRECT ANSWER
Leave the helmet on and attempt to suction his mouth
RATIONALE
Maintaining the helmet on this patient prevents potential cervical spine injury during removal, while suctioning
addresses the airway obstruction caused by blood and secretions, essential for restoring adequate oxygenation.
This intervention prioritizes airway management and spinal protection in an unresponsive trauma patient.
Q6 QUESTION 6 OF 199
A 4 year old male is in ventricular fibrillation. You have performed 10 cycles of effective CPR administered
epinephrine, and delivered one shock at the initial joules with no change on the ECG. You should defibrillate
at
CORRECT ANSWER
4 J/kg
RATIONALE
Defibrillation in pediatric patients is typically dosed at 2-4 J/kg to ensure adequate energy delivery while minimizing
the risk of injury; adhering to this guideline, 4 J/kg is appropriate after the initial shock has failed to restore a viable
rhythm. This approach aligns with the principle of weight-based medication administration in children, recognizing
their physiological differences from adults.
Q7 QUESTION 7 OF 199
A 20 year old female is lying unconscious in the road. An 8 cm section of her chest moves in the opposite
direction than the rest of her chest when she breathes. What should you suspect?
CORRECT ANSWER
Flail chest
Page 4
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
Paramedic Readiness Exam
5 Questions & Answers
2026-2027 | Latest Verified
Exam (Rationales)
Verified Answers Exam Ready With Rationales
199 QUESTIONS
DOCUMENT OVERVIEW
This document contains 199 verified questions with correct answers and detailed rationales focusing on
paramedic readiness exam topics. Each question is paired with a comprehensive explanation, ensuring
clarity and understanding of critical concepts. It is suitable for study, review, and certification preparation,
providing an invaluable resource for aspiring paramedics to enhance their knowledge and confidence.
CONTENTS
01 • Trauma Assessment 02 • Respiratory Issues 03 • Pediatric Emergencies
04 • Injury Management 05 • Obstetric Emergencies 06
• Hazmat and Environmental
Page 1
, 07 08 09 • Cardiac Emergencies
• Neurological Emergencies • Mental Health and Behavioral
10 • Gastrointestinal Issues 11 12
• Legal and Ethical Considerations • Advanced Airway Management
13 14 • Pain Management 15
• Emergency Transport Protocols • Cardiac Rhythm Interpretation
16 • Seizure Management 17 • Endocrine Emergencies
E XA M Q U EST I O N S
Q1 QUESTION 1 OF 199
A 43 year old male was involved in a car crash. He has a forehead contusion, and he complains of a headache
and nausea. A witness says he was unconscious for one minute after the collision. Now, he is asking
repeatedly what happened. What is the most likely cause?
CORRECT ANSWER
Concussion
RATIONALE
The presence of a forehead contusion, loss of consciousness, and subsequent confusion indicate a mild traumatic
brain injury, commonly referred to as a concussion. This injury disrupts normal brain function, leading to symptoms
such as headache, nausea, and memory impairment regarding the event.
Q2 QUESTION 2 OF 199
A 6 year old female was struck by a car and thrown 10 feet. Vital signs are BP 60/P P 140, R 10 and labored. She
has subcutaneous emphysema and absent breath sounds on the left side. What should you suspect?
CORRECT ANSWER
Tension pneumothorax
Page 2
, RATIONALE
Life-threatening respiratory distress and absent breath sounds on the left side, coupled with subcutaneous
emphysema, indicate air accumulation in the pleural space, resulting in increased intrathoracic pressure
characteristic of tension pneumothorax. This condition compromises pulmonary function and circulatory stability,
necessitating immediate intervention.
Q3 QUESTION 3 OF 199
A 22 year old male who was hit with a sledge hammer has an open skull fracture , unequal pupils , and a
decerebrate posture. Vital signs are BP 188/110, P 66, R 18. What should you do?
CORRECT ANSWER
Ventilate at 20 breaths per minute
RATIONALE
Decerebrate posturing and unequal pupils indicate significant brain injury, likely leading to increased intracranial
pressure and compromised cerebral perfusion. Ventilation at 20 breaths per minute helps maintain adequate
oxygenation and carbon dioxide levels, crucial for preventing further brain injury in this critical scenario.
Q4 QUESTION 4 OF 199
You are ordered to administer a 1000 mL bolus of normal saline over 1 hour. The tubing factor is 10 drops/mL.
What is the correct drops per minute?
CORRECT ANSWER
167
RATIONALE
67 drops per minute, which rounds to 167. This question tests the application of infusion rate calculations using
volume, time, and drop factor.
Q5 QUESTION 5 OF 199
Page 3
, A 25 year old male was involved in an ATV crash at the local racetrack. He is wearing a full face helmet and is
unresponsive. There is blood oozing from his mouth and his jaw is clenched. Vital signs are P 130, R 30 and
gurgling, SpO2 86% What should you do?
CORRECT ANSWER
Leave the helmet on and attempt to suction his mouth
RATIONALE
Maintaining the helmet on this patient prevents potential cervical spine injury during removal, while suctioning
addresses the airway obstruction caused by blood and secretions, essential for restoring adequate oxygenation.
This intervention prioritizes airway management and spinal protection in an unresponsive trauma patient.
Q6 QUESTION 6 OF 199
A 4 year old male is in ventricular fibrillation. You have performed 10 cycles of effective CPR administered
epinephrine, and delivered one shock at the initial joules with no change on the ECG. You should defibrillate
at
CORRECT ANSWER
4 J/kg
RATIONALE
Defibrillation in pediatric patients is typically dosed at 2-4 J/kg to ensure adequate energy delivery while minimizing
the risk of injury; adhering to this guideline, 4 J/kg is appropriate after the initial shock has failed to restore a viable
rhythm. This approach aligns with the principle of weight-based medication administration in children, recognizing
their physiological differences from adults.
Q7 QUESTION 7 OF 199
A 20 year old female is lying unconscious in the road. An 8 cm section of her chest moves in the opposite
direction than the rest of her chest when she breathes. What should you suspect?
CORRECT ANSWER
Flail chest
Page 4
