TEEX Paramedic Final Exam 2025 Questions
and Correct Answers| 200 Questions
Complete with Verified Answers
When caring for an infant or child who is in compensated shock, you should:
A. establish IV or IO access en route to the hospital.
B. assist ventilations to improve tissue oxygenation.
C. intubate at the earliest sign of altered mentation.
D. administer a 10-mL/kg normal saline fluid bolus.
CORRECT ANSWER: establish IV or IO access en route to the hospital
With regard to pulse oximetry, the more hypoxic a patient becomes:
A. the slower he or she will desaturate.
B. the less reliable the pulse oximeter is.
C. the faster he or she will desaturate.
D. the slower his or her PaO2 will fall.
CORRECT ANSWER: the faster he or she will desaturate.
Unlike a nondepolarizing paralytic, a competitive depolarizing paralytic:
A. causes muscle fasciculations.
B. does not induce full paralysis.
C. lowers serum potassium.
D. causes profound sedation.
CORRECT ANSWER: causes muscle fasciculations.
The EMS network begins:
A. by educating dispatchers.
B. with citizen involvement.
C. when paramedics are notified.
D. when an injury has occurred.
CORRECT ANSWER: with citizen involvement.
To date, the preferred weapons of mass destruction for terrorists have been:
A. explosive.
B. chemical.
C. nuclear.
D. biologic.
CORRECT ANSWER: explosive.
Which of the following statements regarding the hot zone at a rescue scene
is correct?
A. The hot zone is designated for the staging of vehicles and equipment
and is also where the command post is located.
B. The hot zone should be a large perimeter around the entire scene and
,should be cordoned off with yellow tape.
C. The hot zone immediately surrounds the dangers of the rescue site
and is only accessible by entry and rescue teams.
D. The hot zone should be specifically designated for decontamination
of rescue personnel and equipment.
CORRECT ANSWER: The hot zone immediately surrounds the dangers of
the rescue site and is only accessible by entry and rescue teams.
Common reality is defined as:
A. sensory stimulation that can be confirmed by others.
B. one person's perception of his or her surroundings.
C. minimal shared reality between two individuals.
D. a perceived thought that is not based on reality.
CORRECT ANSWER: sensory stimulation that can be confirmed by others.
A 67-year-old man presents with severe dyspnea, coarse crackles to all lung
fields, and anxiety. He has a history of several myocardial infarctions and
hypertension. Which of the following interventions will have the MOST
immediate and positive effect?
A. IV or IO access and 20 to 40 mg of furosemide
B. Supplemental oxygen via nonrebreathing mask
C. Positive end-expiratory pressure ventilation
D. 0.4 mg sublingual nitroglycerin, up to three doses
CORRECT ANSWER: Positive end-expiratory pressure ventilation
The correct dose, concentration, and route of epinephrine for a 40-pound
child with an allergic reaction and no signs of cardiovascular collapse are:
A. 0.25 mg 1:1,000 IV.
B. 0.12 mg 1:1,000 IM.
C. 0.18 mg 1:1,000 SQ.
D. 0.21 mg 1:10,000 IV.
CORRECT ANSWER: 0.18 mg 1:1,000 SQ.
A 45-year-old man was cutting down a large tree when it collapsed, pinning
him at the thighs. The patient's wife found him approximately 4 hours after
the incident. The patient is conscious and in severe pain. His blood pressure
is 128/68 mm Hg, pulse is 120 beats/min and regular, and respirations are
22 breaths/min with adequate depth. In addition to supplemental oxygen
and cardiac monitoring, which of the following treatments should you
provide BEFORE the tree is removed from his legs?
A. An IV of normal saline, fluid restriction, and amiodarone if the ECG
shows a widened QRS complex
B. A large-bore IV line set to keep the vein open and 10 mL of a 10%
solution of calcium chloride
C. IV therapy with a crystalloid fluid bolus and albuterol via nebulizer or
mucosal atomizer device
D. Two large-bore IV lines with a 3- to 4-L crystalloid bolus and 1
,mEq/kg of sodium bicarbonate
CORRECT ANSWER: IV therapy with a crystalloid fluid bolus and albuterol
via nebulizer or mucosal atomizer device
When functioning during cold weather, the paramedic should wear:
A. tight-fitting clothing.
B. layered clothing.
C. a HEPA respirator.
D. a single thick jacket.
CORRECT ANSWER: layered clothing.
Damage to the cardiac electrical conduction system caused by an acute
myocardial infarction MOST commonly results in:
A. bradycardia or heart block.
B. severe tachycardia.
C. acute bundle branch block.
D. ventricular dysrhythmias.
CORRECT ANSWER: bradycardia or heart block.
All of the following are examples of real or physical evidence, EXCEPT:
A. blood stains on a wall or window.
B. oral documentation by a witness.
C. a knife that has fingerprints on it.
D. body materials at a crime scene.
CORRECT ANSWER: oral documentation by a witness.
Which of the following wounds usually requires substantial irrigation and
debridement prior to closure?
A. Any wound to the face
B. Degloving injuries
C. Wounds over tension lines
D. Jagged lacerations
CORRECT ANSWER: Degloving injuries
An increasing peak expiratory flow reading in a patient with respiratory
distress suggests that the patient is:
A. no longer experiencing bronchospasm.
B. in need of further bronchodilator therapy.
C. responding to bronchodilator therapy.
D. experiencing worsened hypoxemia.
CORRECT ANSWER: responding to bronchodilator therapy.
Retractions of the sternum or ribs during inhalation:
A. are common in patients with emphysema.
B. are signs of acute respiratory failure in adults.
C. are especially common in infants and small children.
D. occur when soft tissue is pulled in around the bones.
, CORRECT ANSWER: are especially common in infants and small children.
An epidural hematoma typically causes rapid deterioration in the headinjured
patient's condition because: A. numerous axons are severely damaged.
B. concomitant spinal cord injury is often present.
C. the meningeal veins are often disrupted.
D. it is associated with brisk arterial bleeding.
CORRECT ANSWER: it is associated with brisk arterial bleeding
The site MOST commonly used for inserting an IO needle is the:
A. tibial tuberosity below the knee.
B. medial malleolus of the leg.
C. manubrium of the sternum.
D. flat bone of the proximal tibia.
CORRECT ANSWER: flat bone of the proximal tibia.
You are caring for a patient who experienced blunt abdominal trauma. The
patient is conscious, but restless. His respirations are rapid and shallow and
his pulse is rapid and weak. What will maximize this patient's chances of
survival?
A. Aggressive airway support, a detailed physical exam at the scene,
transport to the closest hospital, and IV therapy performed en route
B. Application and inflation of the PASG, ventilation assistance, 2 to 3 L
of IV fluid at the scene, and rapid transport to a trauma center
C. Basic airway and circulation support at the scene, prompt transport to
a trauma center, and IV fluid boluses as needed en route
D. Administering supplemental oxygen, administering crystalloid IV
fluids at the scene, and rapidly transporting to a trauma center
CORRECT ANSWER: Basic airway and circulation support at the scene,
prompt transport to a trauma center, and IV fluid boluses as needed en
route
The presence of dizziness in a patient with a suspected myocardial
infarction is MOST likely the result of:
A. a reduction in cardiac output.
B. fear and anxiety.
C. the effects of nitroglycerin.
D. acute left-sided heart failure.
CORRECT ANSWER: a reduction in cardiac output
The conversion of glycogen to glucose occurs in the:
A. liver.
B. pancreas.
C. blood.
D. spleen.
CORRECT ANSWER: liver.
and Correct Answers| 200 Questions
Complete with Verified Answers
When caring for an infant or child who is in compensated shock, you should:
A. establish IV or IO access en route to the hospital.
B. assist ventilations to improve tissue oxygenation.
C. intubate at the earliest sign of altered mentation.
D. administer a 10-mL/kg normal saline fluid bolus.
CORRECT ANSWER: establish IV or IO access en route to the hospital
With regard to pulse oximetry, the more hypoxic a patient becomes:
A. the slower he or she will desaturate.
B. the less reliable the pulse oximeter is.
C. the faster he or she will desaturate.
D. the slower his or her PaO2 will fall.
CORRECT ANSWER: the faster he or she will desaturate.
Unlike a nondepolarizing paralytic, a competitive depolarizing paralytic:
A. causes muscle fasciculations.
B. does not induce full paralysis.
C. lowers serum potassium.
D. causes profound sedation.
CORRECT ANSWER: causes muscle fasciculations.
The EMS network begins:
A. by educating dispatchers.
B. with citizen involvement.
C. when paramedics are notified.
D. when an injury has occurred.
CORRECT ANSWER: with citizen involvement.
To date, the preferred weapons of mass destruction for terrorists have been:
A. explosive.
B. chemical.
C. nuclear.
D. biologic.
CORRECT ANSWER: explosive.
Which of the following statements regarding the hot zone at a rescue scene
is correct?
A. The hot zone is designated for the staging of vehicles and equipment
and is also where the command post is located.
B. The hot zone should be a large perimeter around the entire scene and
,should be cordoned off with yellow tape.
C. The hot zone immediately surrounds the dangers of the rescue site
and is only accessible by entry and rescue teams.
D. The hot zone should be specifically designated for decontamination
of rescue personnel and equipment.
CORRECT ANSWER: The hot zone immediately surrounds the dangers of
the rescue site and is only accessible by entry and rescue teams.
Common reality is defined as:
A. sensory stimulation that can be confirmed by others.
B. one person's perception of his or her surroundings.
C. minimal shared reality between two individuals.
D. a perceived thought that is not based on reality.
CORRECT ANSWER: sensory stimulation that can be confirmed by others.
A 67-year-old man presents with severe dyspnea, coarse crackles to all lung
fields, and anxiety. He has a history of several myocardial infarctions and
hypertension. Which of the following interventions will have the MOST
immediate and positive effect?
A. IV or IO access and 20 to 40 mg of furosemide
B. Supplemental oxygen via nonrebreathing mask
C. Positive end-expiratory pressure ventilation
D. 0.4 mg sublingual nitroglycerin, up to three doses
CORRECT ANSWER: Positive end-expiratory pressure ventilation
The correct dose, concentration, and route of epinephrine for a 40-pound
child with an allergic reaction and no signs of cardiovascular collapse are:
A. 0.25 mg 1:1,000 IV.
B. 0.12 mg 1:1,000 IM.
C. 0.18 mg 1:1,000 SQ.
D. 0.21 mg 1:10,000 IV.
CORRECT ANSWER: 0.18 mg 1:1,000 SQ.
A 45-year-old man was cutting down a large tree when it collapsed, pinning
him at the thighs. The patient's wife found him approximately 4 hours after
the incident. The patient is conscious and in severe pain. His blood pressure
is 128/68 mm Hg, pulse is 120 beats/min and regular, and respirations are
22 breaths/min with adequate depth. In addition to supplemental oxygen
and cardiac monitoring, which of the following treatments should you
provide BEFORE the tree is removed from his legs?
A. An IV of normal saline, fluid restriction, and amiodarone if the ECG
shows a widened QRS complex
B. A large-bore IV line set to keep the vein open and 10 mL of a 10%
solution of calcium chloride
C. IV therapy with a crystalloid fluid bolus and albuterol via nebulizer or
mucosal atomizer device
D. Two large-bore IV lines with a 3- to 4-L crystalloid bolus and 1
,mEq/kg of sodium bicarbonate
CORRECT ANSWER: IV therapy with a crystalloid fluid bolus and albuterol
via nebulizer or mucosal atomizer device
When functioning during cold weather, the paramedic should wear:
A. tight-fitting clothing.
B. layered clothing.
C. a HEPA respirator.
D. a single thick jacket.
CORRECT ANSWER: layered clothing.
Damage to the cardiac electrical conduction system caused by an acute
myocardial infarction MOST commonly results in:
A. bradycardia or heart block.
B. severe tachycardia.
C. acute bundle branch block.
D. ventricular dysrhythmias.
CORRECT ANSWER: bradycardia or heart block.
All of the following are examples of real or physical evidence, EXCEPT:
A. blood stains on a wall or window.
B. oral documentation by a witness.
C. a knife that has fingerprints on it.
D. body materials at a crime scene.
CORRECT ANSWER: oral documentation by a witness.
Which of the following wounds usually requires substantial irrigation and
debridement prior to closure?
A. Any wound to the face
B. Degloving injuries
C. Wounds over tension lines
D. Jagged lacerations
CORRECT ANSWER: Degloving injuries
An increasing peak expiratory flow reading in a patient with respiratory
distress suggests that the patient is:
A. no longer experiencing bronchospasm.
B. in need of further bronchodilator therapy.
C. responding to bronchodilator therapy.
D. experiencing worsened hypoxemia.
CORRECT ANSWER: responding to bronchodilator therapy.
Retractions of the sternum or ribs during inhalation:
A. are common in patients with emphysema.
B. are signs of acute respiratory failure in adults.
C. are especially common in infants and small children.
D. occur when soft tissue is pulled in around the bones.
, CORRECT ANSWER: are especially common in infants and small children.
An epidural hematoma typically causes rapid deterioration in the headinjured
patient's condition because: A. numerous axons are severely damaged.
B. concomitant spinal cord injury is often present.
C. the meningeal veins are often disrupted.
D. it is associated with brisk arterial bleeding.
CORRECT ANSWER: it is associated with brisk arterial bleeding
The site MOST commonly used for inserting an IO needle is the:
A. tibial tuberosity below the knee.
B. medial malleolus of the leg.
C. manubrium of the sternum.
D. flat bone of the proximal tibia.
CORRECT ANSWER: flat bone of the proximal tibia.
You are caring for a patient who experienced blunt abdominal trauma. The
patient is conscious, but restless. His respirations are rapid and shallow and
his pulse is rapid and weak. What will maximize this patient's chances of
survival?
A. Aggressive airway support, a detailed physical exam at the scene,
transport to the closest hospital, and IV therapy performed en route
B. Application and inflation of the PASG, ventilation assistance, 2 to 3 L
of IV fluid at the scene, and rapid transport to a trauma center
C. Basic airway and circulation support at the scene, prompt transport to
a trauma center, and IV fluid boluses as needed en route
D. Administering supplemental oxygen, administering crystalloid IV
fluids at the scene, and rapidly transporting to a trauma center
CORRECT ANSWER: Basic airway and circulation support at the scene,
prompt transport to a trauma center, and IV fluid boluses as needed en
route
The presence of dizziness in a patient with a suspected myocardial
infarction is MOST likely the result of:
A. a reduction in cardiac output.
B. fear and anxiety.
C. the effects of nitroglycerin.
D. acute left-sided heart failure.
CORRECT ANSWER: a reduction in cardiac output
The conversion of glycogen to glucose occurs in the:
A. liver.
B. pancreas.
C. blood.
D. spleen.
CORRECT ANSWER: liver.
