West Coast EMT Block Exam 2 Version B Questions and
Answers 2026–2027 | Complete EMT Certification Exam Prep |
Airway, Shock, Pharmacology & Patient Assessment Review |
A+ Verified
Question 1
A 58-year-old male is found unresponsive, pulseless, and apneic
by his family. Bystanders have not initiated CPR. What is your
immediate priority?
• A) Attach the AED and analyze the rhythm.
• B) Initiate high-quality chest compressions immediately.
• C) Insert an oropharyngeal airway and ventilate with a
BVM.
• D) Obtain a detailed medical history from the family.
• Correct Answer: B
• Rationale: In any patient found in cardiac arrest, the
absolute immediate priority is high-quality chest
compressions to circulate oxygenated blood. Compressions
should be started immediately while preparing the AED
and airway adjuncts.
Question 2
You are treating a 45-year-old female experiencing severe
shortness of breath, audible wheezing, and a tight chest. She
,has a history of asthma and is using her prescribed albuterol
inhaler with little relief. Her vital signs are: HR 120, BP 130/80,
RR 28, SpO2 88% on room air. What is the most appropriate
initial intervention?
• A) Administer oral glucose.
• B) Apply supplemental oxygen via non-rebreather mask or
nasal cannula to maintain SpO2 >= 94%.
• C) Administer sublingual nitroglycerin.
• D) Place the patient in a flat supine position.
• Correct Answer: B
• Rationale: An asthma exacerbation causing hypoxia (SpO2
88%) requires immediate supplemental oxygen
administration to correct hypoxemia, alongside assisting
with bronchodilator therapy per protocol.
Question 3
Which of the following signs or symptoms is most characteristic
of hypoglycemia in a diabetic patient?
• A) Kussmaul respirations and a fruity breath odor
• B) Gradual onset of excessive thirst and frequent urination
• C) Rapid onset of altered mental status, cool/clammy skin,
and tachycardia
, • D) Hot, dry, and flushed skin with a history of missed
insulin doses
• Correct Answer: C
• Rationale: Hypoglycemia (low blood sugar) typically
presents with a sudden onset of altered mental status,
diaphoresis (cool/clammy skin), tachycardia, and nervous
tremors due to the release of epinephrine.
Question 4
An adult patient is experiencing severe anaphylaxis after being
stung by a wasp. They exhibit hives, facial swelling, stridor, and
a blood pressure of 88/50 mmHg. What medication is indicated,
and what is the standard adult dose?
• A) Albuterol, 2.5 mg nebulized
• B) Epinephrine, 0.3 mg (1:1,000) via intramuscular
injection
• C) Diphenhydramine, 12.5 mg IV push
• D) Naloxone, 2 mg intranasal
• Correct Answer: B
• Rationale: Epinephrine is the primary lifesaving medication
for anaphylaxis. The standard adult IM dose is 0.3 mg of a
1:1,000 concentration, which causes vasoconstriction and
bronchodilation.
, Question 5
When performing a FAST exam for a suspected stroke patient,
what does the "T" stand for, and why is it critical?
• A) Temperature; to check for concurrent systemic
infection.
• B) Time; to determine the exact time symptom onset
occurred for treatment window eligibility.
• C) Tone; to assess muscle rigidity in the extremities.
• D) Tremors; to evaluate for Parkinsonian movement
disorders.
• Correct Answer: B
• Rationale: The "T" in FAST stands for Time. Establishing the
exact time the patient was last known normal is critical
because thrombolytic therapy (tPA) or mechanical
thrombectomy have strict time windows for
administration.
Question 6
How should you manage a responsive patient suffering from
severe generalized hypothermia (core body temperature below
30°C / 86°F)?
• A) Rapidly massage their extremities to restore peripheral
blood flow.
Answers 2026–2027 | Complete EMT Certification Exam Prep |
Airway, Shock, Pharmacology & Patient Assessment Review |
A+ Verified
Question 1
A 58-year-old male is found unresponsive, pulseless, and apneic
by his family. Bystanders have not initiated CPR. What is your
immediate priority?
• A) Attach the AED and analyze the rhythm.
• B) Initiate high-quality chest compressions immediately.
• C) Insert an oropharyngeal airway and ventilate with a
BVM.
• D) Obtain a detailed medical history from the family.
• Correct Answer: B
• Rationale: In any patient found in cardiac arrest, the
absolute immediate priority is high-quality chest
compressions to circulate oxygenated blood. Compressions
should be started immediately while preparing the AED
and airway adjuncts.
Question 2
You are treating a 45-year-old female experiencing severe
shortness of breath, audible wheezing, and a tight chest. She
,has a history of asthma and is using her prescribed albuterol
inhaler with little relief. Her vital signs are: HR 120, BP 130/80,
RR 28, SpO2 88% on room air. What is the most appropriate
initial intervention?
• A) Administer oral glucose.
• B) Apply supplemental oxygen via non-rebreather mask or
nasal cannula to maintain SpO2 >= 94%.
• C) Administer sublingual nitroglycerin.
• D) Place the patient in a flat supine position.
• Correct Answer: B
• Rationale: An asthma exacerbation causing hypoxia (SpO2
88%) requires immediate supplemental oxygen
administration to correct hypoxemia, alongside assisting
with bronchodilator therapy per protocol.
Question 3
Which of the following signs or symptoms is most characteristic
of hypoglycemia in a diabetic patient?
• A) Kussmaul respirations and a fruity breath odor
• B) Gradual onset of excessive thirst and frequent urination
• C) Rapid onset of altered mental status, cool/clammy skin,
and tachycardia
, • D) Hot, dry, and flushed skin with a history of missed
insulin doses
• Correct Answer: C
• Rationale: Hypoglycemia (low blood sugar) typically
presents with a sudden onset of altered mental status,
diaphoresis (cool/clammy skin), tachycardia, and nervous
tremors due to the release of epinephrine.
Question 4
An adult patient is experiencing severe anaphylaxis after being
stung by a wasp. They exhibit hives, facial swelling, stridor, and
a blood pressure of 88/50 mmHg. What medication is indicated,
and what is the standard adult dose?
• A) Albuterol, 2.5 mg nebulized
• B) Epinephrine, 0.3 mg (1:1,000) via intramuscular
injection
• C) Diphenhydramine, 12.5 mg IV push
• D) Naloxone, 2 mg intranasal
• Correct Answer: B
• Rationale: Epinephrine is the primary lifesaving medication
for anaphylaxis. The standard adult IM dose is 0.3 mg of a
1:1,000 concentration, which causes vasoconstriction and
bronchodilation.
, Question 5
When performing a FAST exam for a suspected stroke patient,
what does the "T" stand for, and why is it critical?
• A) Temperature; to check for concurrent systemic
infection.
• B) Time; to determine the exact time symptom onset
occurred for treatment window eligibility.
• C) Tone; to assess muscle rigidity in the extremities.
• D) Tremors; to evaluate for Parkinsonian movement
disorders.
• Correct Answer: B
• Rationale: The "T" in FAST stands for Time. Establishing the
exact time the patient was last known normal is critical
because thrombolytic therapy (tPA) or mechanical
thrombectomy have strict time windows for
administration.
Question 6
How should you manage a responsive patient suffering from
severe generalized hypothermia (core body temperature below
30°C / 86°F)?
• A) Rapidly massage their extremities to restore peripheral
blood flow.
