Page 1 of 147
NC EMT STATE EXAM STUDY GUIDE NEWEST
VERSION ALL WITH 450 QUESTIONS AND
CORRECT SOLUTIONS JUST RELEASED THIS
YEAR
Question: You are assessing a young male who was stung on the leg by a scorpion. He is
conscious and alert, his breathing is regular and unlabored, and his blood pressure is 122/64
mm Hg. Assessment of his leg reveals a wheal surrounded by an area of redness. He states that
he had a "bad reaction" the last time he was stung by a scorpion, and carries his own
epinephrine auto-injector. You should:
A. apply high-flow oxygen, apply a chemical cold pack directly to the injection site, and
transport at once.
B. apply high-flow oxygen, obtain approval from medical control to assist him with his
epinephrine, and transport.
C. assess his ABCs and vital signs in 15 minutes and allow him to drive himself to the hospital if
he remains stable.
D. apply oxygen as needed, clean the area with soap and water or a mild antiseptic, and
transport him to the hospital. - CORRECT ANSWER✔✔D. apply oxygen as needed, clean the area
with soap and water or a mild antiseptic, and transport him to the hospital.
Question: After administering 0.3 mg of epinephrine via auto-injector to a 22-year-old female
with an allergic reaction, you note improvement in her breathing and dissipation of her hives.
However, she is still anxious and tachycardic. You should:
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A. contact medical control and obtain authorization to administer another 0.3 mg of
epinephrine.
B. transport her rapidly, as it is obvious that she is having a severe reaction to the epinephrine.
C. monitor her closely but recall that anxiety and tachycardia are side effects of epinephrine.
D. consider administering 0.15 mg of epinephrine to completely resolve her allergic reaction. -
CORRECT ANSWER✔✔C. monitor her closely but recall that anxiety and tachycardia are side
effects of epinephrine
Question: While auscultating breath sounds of a patient who was stung multiple times by a
yellow jacket, you hear bilateral wheezing over all lung fields. This indicates:
A. rapid swelling of the upper airway tissues.
B. a significant amount of fluid in the alveoli.
C. narrowing of the bronchioles in the lungs.
D. enlargement of the bronchioles in the lungs. - CORRECT ANSWER✔✔C. narrowing of the
bronchioles in the lungs.
Question: Chemicals that are responsible for the signs and symptoms of an allergic reaction to a
bee sting include:
A. the bee venom itself.
B. adrenaline and histamines.
C. leukocytes and epinephrine.
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D. histamines and leukotrienes. - CORRECT ANSWER✔✔D. histamines and leukotrienes.
Question: A 48-year-old male is found unconscious in the garden by his wife. When you arrive
at the scene and assess the man, you find that he is unresponsive, has severely labored
breathing, and has hives over his entire trunk. You should:
A.
perform a detailed secondary assessment.
B.
maintain his airway and assist his ventilations.
C.
ask his wife if he has any known allergies.
D.
apply the automated external defibrillator (AED) in the event that cardiac arrest occurs. -
CORRECT ANSWER✔✔B. maintain his airway and assist his ventilations.
Question: You have administered one dose of epinephrine to a 40-year-old female to treat an
allergic reaction that she developed after being stung by a scorpion. Your reassessment reveals
that she is still having difficulty breathing, has a decreasing mental status, and has a blood
pressure of 80/50 mm Hg. You should:
A. monitor her en route to the hospital and call medical control if she worsens.
B. crush up an antihistamine tablet and place it in between her cheek and gum.
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C. request permission from medical control to give another dose of epinephrine.
D. administer a nebulized bronchodilator to improve the status of her breathing. - CORRECT
ANSWER✔✔C. request permission from medical control to give another dose of epinephrine
Question: The two MOST common signs of anaphylaxis are:
A. wheezing and widespread urticaria.
B. watery eyes and localized itching.
C. expiratory stridor and tachycardia.
D. hypertension and swollen hands. - CORRECT ANSWER✔✔A. wheezing and widespread
urticaria.
Question: The foreign substance responsible for causing an allergic reaction is called a(n):
A. allergen.
B. antibody.
C. histamine.
D. leukotriene. - CORRECT ANSWER✔✔A. allergen.
Question: A 73-year-old man presents with a generalized rash, which he thinks may have been
caused by an antibiotic that he recently began taking. He has a history of coronary artery
disease, hypertension, and emphysema. He is conscious and alert, his blood pressure is 144/94
mm Hg, and his pulse is 64 beats/min and regular. You auscultate his breath sounds and hear
4
SUCCESS!
NC EMT STATE EXAM STUDY GUIDE NEWEST
VERSION ALL WITH 450 QUESTIONS AND
CORRECT SOLUTIONS JUST RELEASED THIS
YEAR
Question: You are assessing a young male who was stung on the leg by a scorpion. He is
conscious and alert, his breathing is regular and unlabored, and his blood pressure is 122/64
mm Hg. Assessment of his leg reveals a wheal surrounded by an area of redness. He states that
he had a "bad reaction" the last time he was stung by a scorpion, and carries his own
epinephrine auto-injector. You should:
A. apply high-flow oxygen, apply a chemical cold pack directly to the injection site, and
transport at once.
B. apply high-flow oxygen, obtain approval from medical control to assist him with his
epinephrine, and transport.
C. assess his ABCs and vital signs in 15 minutes and allow him to drive himself to the hospital if
he remains stable.
D. apply oxygen as needed, clean the area with soap and water or a mild antiseptic, and
transport him to the hospital. - CORRECT ANSWER✔✔D. apply oxygen as needed, clean the area
with soap and water or a mild antiseptic, and transport him to the hospital.
Question: After administering 0.3 mg of epinephrine via auto-injector to a 22-year-old female
with an allergic reaction, you note improvement in her breathing and dissipation of her hives.
However, she is still anxious and tachycardic. You should:
1
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,Page 2 of 147
A. contact medical control and obtain authorization to administer another 0.3 mg of
epinephrine.
B. transport her rapidly, as it is obvious that she is having a severe reaction to the epinephrine.
C. monitor her closely but recall that anxiety and tachycardia are side effects of epinephrine.
D. consider administering 0.15 mg of epinephrine to completely resolve her allergic reaction. -
CORRECT ANSWER✔✔C. monitor her closely but recall that anxiety and tachycardia are side
effects of epinephrine
Question: While auscultating breath sounds of a patient who was stung multiple times by a
yellow jacket, you hear bilateral wheezing over all lung fields. This indicates:
A. rapid swelling of the upper airway tissues.
B. a significant amount of fluid in the alveoli.
C. narrowing of the bronchioles in the lungs.
D. enlargement of the bronchioles in the lungs. - CORRECT ANSWER✔✔C. narrowing of the
bronchioles in the lungs.
Question: Chemicals that are responsible for the signs and symptoms of an allergic reaction to a
bee sting include:
A. the bee venom itself.
B. adrenaline and histamines.
C. leukocytes and epinephrine.
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D. histamines and leukotrienes. - CORRECT ANSWER✔✔D. histamines and leukotrienes.
Question: A 48-year-old male is found unconscious in the garden by his wife. When you arrive
at the scene and assess the man, you find that he is unresponsive, has severely labored
breathing, and has hives over his entire trunk. You should:
A.
perform a detailed secondary assessment.
B.
maintain his airway and assist his ventilations.
C.
ask his wife if he has any known allergies.
D.
apply the automated external defibrillator (AED) in the event that cardiac arrest occurs. -
CORRECT ANSWER✔✔B. maintain his airway and assist his ventilations.
Question: You have administered one dose of epinephrine to a 40-year-old female to treat an
allergic reaction that she developed after being stung by a scorpion. Your reassessment reveals
that she is still having difficulty breathing, has a decreasing mental status, and has a blood
pressure of 80/50 mm Hg. You should:
A. monitor her en route to the hospital and call medical control if she worsens.
B. crush up an antihistamine tablet and place it in between her cheek and gum.
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C. request permission from medical control to give another dose of epinephrine.
D. administer a nebulized bronchodilator to improve the status of her breathing. - CORRECT
ANSWER✔✔C. request permission from medical control to give another dose of epinephrine
Question: The two MOST common signs of anaphylaxis are:
A. wheezing and widespread urticaria.
B. watery eyes and localized itching.
C. expiratory stridor and tachycardia.
D. hypertension and swollen hands. - CORRECT ANSWER✔✔A. wheezing and widespread
urticaria.
Question: The foreign substance responsible for causing an allergic reaction is called a(n):
A. allergen.
B. antibody.
C. histamine.
D. leukotriene. - CORRECT ANSWER✔✔A. allergen.
Question: A 73-year-old man presents with a generalized rash, which he thinks may have been
caused by an antibiotic that he recently began taking. He has a history of coronary artery
disease, hypertension, and emphysema. He is conscious and alert, his blood pressure is 144/94
mm Hg, and his pulse is 64 beats/min and regular. You auscultate his breath sounds and hear
4
SUCCESS!
