Service Journeyman Practice Exam 2026/2027
– Fully Solved Exam-Style Questions with
Bolded Answers & In-Depth Rationales |
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1. A patient becomes pale, diaphoretic, hypotensive, and
tachycardic following a significant traumatic injury. Which
condition should the Aerospace Medical Service technician
suspect first?
A. Neurogenic shock
B. Cardiogenic shock
C. Hypovolemic shock
D. Septic shock
Rationale: Hypovolemic shock results from inadequate
circulating intravascular volume, commonly because of
hemorrhage after trauma. Tachycardia and peripheral
vasoconstriction are compensatory responses, while
hypotension, pallor, and diaphoresis indicate worsening
circulatory compromise.
,2. Which finding is most characteristic of increased
intracranial pressure?
A. Bradycardia with hypotension only
B. Decreasing level of consciousness with abnormal pupillary
findings
C. Bilateral equal pupils with normal mentation
D. Increased bowel sounds and abdominal rigidity
Rationale: A declining level of consciousness is a major warning
sign of neurological deterioration. Pupillary asymmetry or
abnormal pupillary responses can indicate impaired cranial
nerve function or brain herniation and require immediate
evaluation.
3. When administering oxygen to a patient with suspected
hypoxia, the technician's priority is to:
A. Delay oxygen until laboratory results are available
B. Administer oxygen only after obtaining a complete medical
history
C. Support oxygenation while simultaneously assessing and
correcting the underlying cause
D. Withhold oxygen unless the patient is unconscious
Rationale: Hypoxia is an immediate threat to tissue
oxygenation. Oxygen support should be provided according to
, the patient's condition and established protocols while the
underlying cause—such as airway obstruction, ventilation
failure, or impaired oxygen transport—is identified and treated.
4. Which intervention is most appropriate for an adult patient
with severe external bleeding from an extremity that is not
controlled by direct pressure?
A. Apply a cold pack only
B. Elevate the limb and observe
C. Remove the existing dressing repeatedly to inspect the
wound
D. Apply a tourniquet when indicated by the severity and
location of the hemorrhage
Rationale: Life-threatening extremity hemorrhage requires
rapid control. A properly applied tourniquet can rapidly stop
severe bleeding when direct pressure is ineffective or
impractical. Repeatedly removing dressings can disrupt clot
formation and worsen blood loss.
5. Which assessment finding most strongly suggests
inadequate ventilation rather than an isolated oxygenation
problem?