Paramedic Final Exam Complete
Questions with Approved Answers
Graded A Download to get A Full Score
1) A 60F with acute chest discomfort requires 0.4mg of sublingual nitroglycerin. Prior to administering
the medication, you should - Answer -Ask her if she wears a transdermal nitro patch
2) An elderly man with CHF and shortness of breath requires an IV line in case medication administration
is necessary. Which IV is the most appropriate? - Answer -20g, 1 1/4 inch
3) During the attempted resuscitation of a man in V-Fib cardiac arrest, your protocols call for the
administration of 1.5 mg/kg of lidocaine. You have prefilled syringes of lidocaine in a concentration of
100 mg/5 mL. The patient weighs 180 lb. How many milliliters will you administer? - Answer -6.2
4) Following return of spontaneous circulation, you are ordered to begin a lidocaine infusion at 3 mg/min
on your 50-year-old patient. You add 2 g of lidocaine to a 500-mL bag of normal saline and are using a
microdrip administration set. At how many drops per minute (gtts/min) will you set the IV flow rate? -
Answer -45
5) The most common inhaled medication is - Answer -Oxygen
6) When administering sublingual nitro to a pt, you should do all of the following, except -
Answer -Instruct the pt to chew and swallow the tablet
7) Which of the following inhaled medications is NOT a beta2 agonist bronchodilator? - Answer -
Ipratropium
8) You are preparing to administer a dopamine infusion to a severely hypotensive patient. What is the
concentration on hand if you add 800mg of dopamine to a 500mL of NS? - Answer -1600mcg/mL
9) You are transporting a 1 year old child with moderate dehydration. Your estimated time of arrival at
the hospital is 45 minutes. When administering an isotonic crystalloid solution to this child, you should: -
Answer -Use a volutrol administer set and fill the calibrated drip chamber with a pre calculated
volume of fluid
10) You are treating a 29M who was struck in the abdomen with a steel pipe. He is confused, has absent
radial pulses, BP of 78/50, you should administer - Answer -Normal saline boluses until his mental
status and radial pulses improve
11) Your protocols call for you to administer 5mg of diazepam (Valium) to a patient who is seizing. You
have a 10mL vial of Valium that contains 10mg. How many mL will you give - Answer -5mL
12) A 36 year old man experienced significant burns to his face, head, and chest following an incident
with a barbecue pit. Your assessment of his airway reveals severe swelling. After administering
, medications to sedate and paralyze the patient, you are unable to intubate him. Furthermore, BVM are
producing no chest rise. The quickest way to secure a patient airway in this patient is to: - Answer -
Perform a needle cricothyrotomy
13) A 40M fell 20ft from a tree while trimming branches. Your assessment reveals that he is
unresponsive. You cannot open his airway effectively with the jaw-thrust maneuver. You should: -
Answer -Carefully open his airway with the head tilt chin lift maneuver
14) A 50W presents with acute respiratory distress while eating. Upon arrival, you note that she is
conscious, coughing, and wheezing between coughs. Further assessment reveals that her skin is pink and
moist. In addition to transporting her to the hospital, you should: - Answer -Encourage her to
cough and closely monitor her condition
15) A 56F calls EMS because of a sudden onset of difficulty breathing. When you assess her, you note
that she is only able to speak in two word sentences. Your initial management should include -
Answer -Positive pressure ventilations with 100% oxygen
16) A 66F is found to be unresponsive and apneic. Her carotid pulse is weak and rapid. When ventilating
this patient you should deliver - Answer -Each breath over 1 second at a rate of 10-12 breaths per
minute
17) A construction worker fell approximately 15ft and landed on his head. He is semiconscious. His
respiratory rate is 14 bpm with adequate depth. Further assessment reveals blood draining from his
nose. You should - Answer -Administer oxygen via nonrebreathing mask and continue your
assessment
18) A patient with orthopnea - Answer -Has dyspnea while laying flat
19) A young woman experienced massive facial trauma after being ejected from her car when it struck a
tree. She is semiconscious, has blood draining from her mouth, and has poor respiratory effort. The most
appropriate initial airway management for this patient involves: - Answer -Alternating suctioning
her oropharynx for 15 seconds and assisting her ventilations for 2 minutes until you can definitively
secure her airway.
20) After confirming that an intubated pt remains responsive enough to maintain his or her own airway,
you should first: - Answer -Fully deflate the distal cuff on the ET tube
21) After inserting an OPA in a unresponsive woman, the patient begins to gag. You should -
Answer -Remove the airway and have the suction ready
22) After inserting the ET tube between the vocal cords, you should remove the stylet from the tube and
then: - Answer -inflate the distal cuff with 5 to 10 mL of air.
23) After inserting the needle into through the cricothyroid membrane, you should next: -
Answer -Insert the needle about 1 cm farther and then aspirate with the syringe
24) After opening an unresponsive pt airway, you determine that his respirations are rapid, irregular, and
shallow. You should: - Answer -Begin PPV
Questions with Approved Answers
Graded A Download to get A Full Score
1) A 60F with acute chest discomfort requires 0.4mg of sublingual nitroglycerin. Prior to administering
the medication, you should - Answer -Ask her if she wears a transdermal nitro patch
2) An elderly man with CHF and shortness of breath requires an IV line in case medication administration
is necessary. Which IV is the most appropriate? - Answer -20g, 1 1/4 inch
3) During the attempted resuscitation of a man in V-Fib cardiac arrest, your protocols call for the
administration of 1.5 mg/kg of lidocaine. You have prefilled syringes of lidocaine in a concentration of
100 mg/5 mL. The patient weighs 180 lb. How many milliliters will you administer? - Answer -6.2
4) Following return of spontaneous circulation, you are ordered to begin a lidocaine infusion at 3 mg/min
on your 50-year-old patient. You add 2 g of lidocaine to a 500-mL bag of normal saline and are using a
microdrip administration set. At how many drops per minute (gtts/min) will you set the IV flow rate? -
Answer -45
5) The most common inhaled medication is - Answer -Oxygen
6) When administering sublingual nitro to a pt, you should do all of the following, except -
Answer -Instruct the pt to chew and swallow the tablet
7) Which of the following inhaled medications is NOT a beta2 agonist bronchodilator? - Answer -
Ipratropium
8) You are preparing to administer a dopamine infusion to a severely hypotensive patient. What is the
concentration on hand if you add 800mg of dopamine to a 500mL of NS? - Answer -1600mcg/mL
9) You are transporting a 1 year old child with moderate dehydration. Your estimated time of arrival at
the hospital is 45 minutes. When administering an isotonic crystalloid solution to this child, you should: -
Answer -Use a volutrol administer set and fill the calibrated drip chamber with a pre calculated
volume of fluid
10) You are treating a 29M who was struck in the abdomen with a steel pipe. He is confused, has absent
radial pulses, BP of 78/50, you should administer - Answer -Normal saline boluses until his mental
status and radial pulses improve
11) Your protocols call for you to administer 5mg of diazepam (Valium) to a patient who is seizing. You
have a 10mL vial of Valium that contains 10mg. How many mL will you give - Answer -5mL
12) A 36 year old man experienced significant burns to his face, head, and chest following an incident
with a barbecue pit. Your assessment of his airway reveals severe swelling. After administering
, medications to sedate and paralyze the patient, you are unable to intubate him. Furthermore, BVM are
producing no chest rise. The quickest way to secure a patient airway in this patient is to: - Answer -
Perform a needle cricothyrotomy
13) A 40M fell 20ft from a tree while trimming branches. Your assessment reveals that he is
unresponsive. You cannot open his airway effectively with the jaw-thrust maneuver. You should: -
Answer -Carefully open his airway with the head tilt chin lift maneuver
14) A 50W presents with acute respiratory distress while eating. Upon arrival, you note that she is
conscious, coughing, and wheezing between coughs. Further assessment reveals that her skin is pink and
moist. In addition to transporting her to the hospital, you should: - Answer -Encourage her to
cough and closely monitor her condition
15) A 56F calls EMS because of a sudden onset of difficulty breathing. When you assess her, you note
that she is only able to speak in two word sentences. Your initial management should include -
Answer -Positive pressure ventilations with 100% oxygen
16) A 66F is found to be unresponsive and apneic. Her carotid pulse is weak and rapid. When ventilating
this patient you should deliver - Answer -Each breath over 1 second at a rate of 10-12 breaths per
minute
17) A construction worker fell approximately 15ft and landed on his head. He is semiconscious. His
respiratory rate is 14 bpm with adequate depth. Further assessment reveals blood draining from his
nose. You should - Answer -Administer oxygen via nonrebreathing mask and continue your
assessment
18) A patient with orthopnea - Answer -Has dyspnea while laying flat
19) A young woman experienced massive facial trauma after being ejected from her car when it struck a
tree. She is semiconscious, has blood draining from her mouth, and has poor respiratory effort. The most
appropriate initial airway management for this patient involves: - Answer -Alternating suctioning
her oropharynx for 15 seconds and assisting her ventilations for 2 minutes until you can definitively
secure her airway.
20) After confirming that an intubated pt remains responsive enough to maintain his or her own airway,
you should first: - Answer -Fully deflate the distal cuff on the ET tube
21) After inserting an OPA in a unresponsive woman, the patient begins to gag. You should -
Answer -Remove the airway and have the suction ready
22) After inserting the ET tube between the vocal cords, you should remove the stylet from the tube and
then: - Answer -inflate the distal cuff with 5 to 10 mL of air.
23) After inserting the needle into through the cricothyroid membrane, you should next: -
Answer -Insert the needle about 1 cm farther and then aspirate with the syringe
24) After opening an unresponsive pt airway, you determine that his respirations are rapid, irregular, and
shallow. You should: - Answer -Begin PPV
