JB Learning EMT Midterm 150 Updated Actual Exam
Question and Answer (2026/2027) | Detailed
Rationales
1. You are treating a middle-aged man with chest discomfort. He has a history of three
previous heart attacks and takes nitroglycerin as needed for chest pain. You have
standing orders to administer aspirin to patients with suspected cardiac-related chest
pain or discomfort. While your partner is preparing to give oxygen to the patient, you
should:
A. ensure that the patient's systolic blood pressure is at least 100 mm Hg as aspirin
dilates the blood vessels and can cause a drop in blood pressure.
B. confirm that the patient is not allergic to aspirin, give him the appropriate dose of
aspirin, and document the time and dose given.
C. assist the patient in taking only his nitroglycerin. Aspirin should not be given in
conjunction with nitroglycerin.
D. contact medical control, apprise him or her of the patient's chief complaint and vital
signs, and request permission to give him aspirin. -✓✓ B. confirm that the patient is not
allergic to aspirin, give him the appropriate dose of aspirin, and document the time and
dose given.
2. Why does the incidence of diabetes mellitus increase with age?
A. Decreased food intake, decreased weight gain, and decreased blood sugar levels
B. Decreased physical activity, increased weight gain, and decreased insulin production
C. Increased physical activity, increased food intake, and increased insulin production
D. Decreased physical activity, increased weight gain, and decreased blood sugar
levels -✓✓ B. Decreased physical activity, increased weight gain, and decreased insulin
production
3. How does respiration differ from ventilation?
A. Respiration occurs when the diaphragm and intercostal muscles contract, whereas
ventilation occurs when those same muscles relax.
B. Respiration occurs when oxygen is delivered to the cells of the body, whereas
ventilation occurs when carbon dioxide is removed.
C. Respiration is the process of gas exchange, whereas ventilation is the movement of
air between the lungs and the environment.
D. Ventilation occurs when air is forced into the lungs, whereas respiration occurs when
air is drawn or sucked into the lungs. -✓✓ C. Respiration is the process of gas
exchange, whereas ventilation is the movement of air between the lungs and the
environment.
4. During a 30-minute transport of a stable patient, you should reassess him or her at
least ________ times.
A. 2
B. 6
,C. 4
D. 3 -✓✓ A. 2
5. Which of the following glands regulates the function of all other endocrine glands in
the body?
A. Pituitary
B. Parathyroid
C. Thyroid
D. Adrenal -✓✓ A. Pituitary
6. Activated charcoal is an example of a(n):
A. suspension.
B. elixir.
C. gel.
D. solution. -✓✓ A. suspension.
7. In which of the following patients would the head tilt-chin lift maneuver be the MOST
appropriate method of opening the airway?
A. A 50-year-old male who is unconscious following head trauma
B. A 37-year-old female who is found unconscious in her bed
C. A 24-year-old male who is found unconscious at the base of a tree
D. A 45-year-old male who is semiconscious after falling 20 feet -✓✓ B. A 37-year-old
female who is found unconscious in her bed
8. A 19-year-old male was stung multiple times by fire ants. He is experiencing obvious
signs and symptoms of anaphylactic shock. You administer high-flow oxygen and give
him epinephrine via intramuscular injection. Upon reassessment, you determine that his
condition has not improved. You should:
A. consider that he may actually be experiencing an acute asthma attack.
B. request a paramedic unit that is stationed approximately 15 miles away.
C. provide only supportive care en route to the hospital.
D. repeat the epinephrine injection with the appropriate medical control. -✓✓ D. repeat
the epinephrine injection with the appropriate medical control.
9. An infant's blood pressure typically increases with age because:
A. the infant's total blood volume decreases with age.
B. his or her normal heart rate usually increases with age.
C. as the infant gets older, his or her blood vessels dilate.
D. blood pressure directly corresponds to body weight. -✓✓ D. blood pressure directly
corresponds to body weight.
10. A 51-year-old female presents with a sudden onset of difficulty breathing. She is
conscious and alert and able to speak in complete sentences. Her respirations are 26
breaths/min and regular. You should:
A. insert a nasal airway in case her mental status decreases.
B. assist her ventilations with a bag-valve mask.
, C. administer oxygen via a nonrebreathing mask.
D. perform a secondary assessment and then begin treatment. -✓✓ C. administer
oxygen via a nonrebreathing mask.
11. You suspect that a pregnant 16-year-old girl has a broken leg after she was hit by a
car. You explain that you plan to splint her leg, and she agrees to treatment. Which type
of consent is her agreement considered?
A. Minor's
B. Informed
C. Implied
D. Expressed -✓✓ D. Expressed
12. Alkalosis is a condition that occurs when:
A. dangerous acids accumulate in the bloodstream.
B. the level of carbon dioxide in the blood increases.
C. slow, shallow breathing eliminates too much carbon dioxide.
D. blood acidity is reduced by excessive breathing. -✓✓ D. blood acidity is reduced by
excessive breathing.
13. Inadequate circulation of blood throughout the body is called ________.
A. hypotension
B. shock
C. hypoxia
D. perfusion -✓✓ B. shock
14. An infant or small child's airway can be occluded if it is overextended or overflexed
because:
A. the tongue is proportionately small and can fall back into the throat.
B. he or she has a long neck, which makes the trachea prone to collapse.
C. the back of the head is flat, which prevents a neutral position.
D. the occiput is proportionately large and the trachea is flexible. -✓✓ D. the occiput is
proportionately large and the trachea is flexible.
15. Major risk factors for AMI include all of the following, EXCEPT:
A. hypoglycemia.
B. hypertension.
C. diabetes mellitus.
D. elevated cholesterol. -✓✓ A. hypoglycemia.
16. Which of the following conditions or situations would MOST likely make excited
delirium worse?
A. Alcohol withdrawal
B. Limited physical contact
C. Dimly lit environment
D. Elevated blood glucose -✓✓ A. Alcohol withdrawal
Question and Answer (2026/2027) | Detailed
Rationales
1. You are treating a middle-aged man with chest discomfort. He has a history of three
previous heart attacks and takes nitroglycerin as needed for chest pain. You have
standing orders to administer aspirin to patients with suspected cardiac-related chest
pain or discomfort. While your partner is preparing to give oxygen to the patient, you
should:
A. ensure that the patient's systolic blood pressure is at least 100 mm Hg as aspirin
dilates the blood vessels and can cause a drop in blood pressure.
B. confirm that the patient is not allergic to aspirin, give him the appropriate dose of
aspirin, and document the time and dose given.
C. assist the patient in taking only his nitroglycerin. Aspirin should not be given in
conjunction with nitroglycerin.
D. contact medical control, apprise him or her of the patient's chief complaint and vital
signs, and request permission to give him aspirin. -✓✓ B. confirm that the patient is not
allergic to aspirin, give him the appropriate dose of aspirin, and document the time and
dose given.
2. Why does the incidence of diabetes mellitus increase with age?
A. Decreased food intake, decreased weight gain, and decreased blood sugar levels
B. Decreased physical activity, increased weight gain, and decreased insulin production
C. Increased physical activity, increased food intake, and increased insulin production
D. Decreased physical activity, increased weight gain, and decreased blood sugar
levels -✓✓ B. Decreased physical activity, increased weight gain, and decreased insulin
production
3. How does respiration differ from ventilation?
A. Respiration occurs when the diaphragm and intercostal muscles contract, whereas
ventilation occurs when those same muscles relax.
B. Respiration occurs when oxygen is delivered to the cells of the body, whereas
ventilation occurs when carbon dioxide is removed.
C. Respiration is the process of gas exchange, whereas ventilation is the movement of
air between the lungs and the environment.
D. Ventilation occurs when air is forced into the lungs, whereas respiration occurs when
air is drawn or sucked into the lungs. -✓✓ C. Respiration is the process of gas
exchange, whereas ventilation is the movement of air between the lungs and the
environment.
4. During a 30-minute transport of a stable patient, you should reassess him or her at
least ________ times.
A. 2
B. 6
,C. 4
D. 3 -✓✓ A. 2
5. Which of the following glands regulates the function of all other endocrine glands in
the body?
A. Pituitary
B. Parathyroid
C. Thyroid
D. Adrenal -✓✓ A. Pituitary
6. Activated charcoal is an example of a(n):
A. suspension.
B. elixir.
C. gel.
D. solution. -✓✓ A. suspension.
7. In which of the following patients would the head tilt-chin lift maneuver be the MOST
appropriate method of opening the airway?
A. A 50-year-old male who is unconscious following head trauma
B. A 37-year-old female who is found unconscious in her bed
C. A 24-year-old male who is found unconscious at the base of a tree
D. A 45-year-old male who is semiconscious after falling 20 feet -✓✓ B. A 37-year-old
female who is found unconscious in her bed
8. A 19-year-old male was stung multiple times by fire ants. He is experiencing obvious
signs and symptoms of anaphylactic shock. You administer high-flow oxygen and give
him epinephrine via intramuscular injection. Upon reassessment, you determine that his
condition has not improved. You should:
A. consider that he may actually be experiencing an acute asthma attack.
B. request a paramedic unit that is stationed approximately 15 miles away.
C. provide only supportive care en route to the hospital.
D. repeat the epinephrine injection with the appropriate medical control. -✓✓ D. repeat
the epinephrine injection with the appropriate medical control.
9. An infant's blood pressure typically increases with age because:
A. the infant's total blood volume decreases with age.
B. his or her normal heart rate usually increases with age.
C. as the infant gets older, his or her blood vessels dilate.
D. blood pressure directly corresponds to body weight. -✓✓ D. blood pressure directly
corresponds to body weight.
10. A 51-year-old female presents with a sudden onset of difficulty breathing. She is
conscious and alert and able to speak in complete sentences. Her respirations are 26
breaths/min and regular. You should:
A. insert a nasal airway in case her mental status decreases.
B. assist her ventilations with a bag-valve mask.
, C. administer oxygen via a nonrebreathing mask.
D. perform a secondary assessment and then begin treatment. -✓✓ C. administer
oxygen via a nonrebreathing mask.
11. You suspect that a pregnant 16-year-old girl has a broken leg after she was hit by a
car. You explain that you plan to splint her leg, and she agrees to treatment. Which type
of consent is her agreement considered?
A. Minor's
B. Informed
C. Implied
D. Expressed -✓✓ D. Expressed
12. Alkalosis is a condition that occurs when:
A. dangerous acids accumulate in the bloodstream.
B. the level of carbon dioxide in the blood increases.
C. slow, shallow breathing eliminates too much carbon dioxide.
D. blood acidity is reduced by excessive breathing. -✓✓ D. blood acidity is reduced by
excessive breathing.
13. Inadequate circulation of blood throughout the body is called ________.
A. hypotension
B. shock
C. hypoxia
D. perfusion -✓✓ B. shock
14. An infant or small child's airway can be occluded if it is overextended or overflexed
because:
A. the tongue is proportionately small and can fall back into the throat.
B. he or she has a long neck, which makes the trachea prone to collapse.
C. the back of the head is flat, which prevents a neutral position.
D. the occiput is proportionately large and the trachea is flexible. -✓✓ D. the occiput is
proportionately large and the trachea is flexible.
15. Major risk factors for AMI include all of the following, EXCEPT:
A. hypoglycemia.
B. hypertension.
C. diabetes mellitus.
D. elevated cholesterol. -✓✓ A. hypoglycemia.
16. Which of the following conditions or situations would MOST likely make excited
delirium worse?
A. Alcohol withdrawal
B. Limited physical contact
C. Dimly lit environment
D. Elevated blood glucose -✓✓ A. Alcohol withdrawal
