WFR Review Exam 2025 Questions and
Answers
It is best to avoid: - ANS High risk evacuations for low risk problems
What is the first step in the Patient Assessment System (PAS)? - ANS Scene Size-up
The Primary Assessment includes: - ANS Finding and fixing major critical system problems
What are the three critical systems? - ANS Respiratory, circulatory, nervous
Assume the scene is safe. Which patient in cardiac arrest has the best chance for recovery with
Cardiopulmonary Resuscitation (CPR)?
a. A patient that fell off a 30-meter (100 foot) cliff with signs of blunt trauma to the chest.
b. A patient that was rescued after 10 minutes under water.
c. A patient who had a heart attack and has been pulseless for 45 minutes.
d. A patient who is hypothermic with a body core temperature of 5°C (41°F). - ANS b. A
patient that was rescued after 10 minutes under water
You have started CPR on an avalanche victim who was buried for 15 minutes. When do you
stop? - ANS When the patient regains a spontaneous pulse, when you realize you are in a
danger zone, after 30 minutes of pulselessness
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, An automatic external defibrillator (AED) should be applied to and utilized on a patient: -
ANS Immediately upon arrival on the scene of a cardiac arrest.
The definitive treatment for volume shock is: - ANS To stop fluid loss and restore fluid
volume
From a medical perspective, what is shock? - ANS Inadequate perfusion pressure in the
circulatory system resulting in inadequate oxygenation of body cells.
Which vital sign pattern best supports the assessment "compensated volume shock"? -
ANS Elevated pulse, elevated respiratory rate, normal blood pressure, and Awake on AVPU.
What is the key difference between compensated and decompensated volume shock? -
ANS Mental status
In the wilderness and rescue context, why is it useful to distinguish between acute stress
reaction (ASR) and shock? - ANS Shock might justify a high-risk evacuation while acute stress
reaction does not.
What is respiratory failure? - ANS The respiratory system is unable to provide enough oxygen
to the brain to keep critical systems working to maintain normal mental status.
The immediate, generic treatment for respiratory failure from any mechanism includes: -
ANS Position, reassurance, oxygen, and positive pressure ventilation (PPV) as needed.
When would you consider a respiratory infection to be an emergency? - ANS The patient is in
respiratory failure.
Which type of upper airway obstruction would be most difficult to prevent without medication?
- ANS Swelling from anaphylaxis.
Pg. 2 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
Answers
It is best to avoid: - ANS High risk evacuations for low risk problems
What is the first step in the Patient Assessment System (PAS)? - ANS Scene Size-up
The Primary Assessment includes: - ANS Finding and fixing major critical system problems
What are the three critical systems? - ANS Respiratory, circulatory, nervous
Assume the scene is safe. Which patient in cardiac arrest has the best chance for recovery with
Cardiopulmonary Resuscitation (CPR)?
a. A patient that fell off a 30-meter (100 foot) cliff with signs of blunt trauma to the chest.
b. A patient that was rescued after 10 minutes under water.
c. A patient who had a heart attack and has been pulseless for 45 minutes.
d. A patient who is hypothermic with a body core temperature of 5°C (41°F). - ANS b. A
patient that was rescued after 10 minutes under water
You have started CPR on an avalanche victim who was buried for 15 minutes. When do you
stop? - ANS When the patient regains a spontaneous pulse, when you realize you are in a
danger zone, after 30 minutes of pulselessness
Pg. 1 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
, An automatic external defibrillator (AED) should be applied to and utilized on a patient: -
ANS Immediately upon arrival on the scene of a cardiac arrest.
The definitive treatment for volume shock is: - ANS To stop fluid loss and restore fluid
volume
From a medical perspective, what is shock? - ANS Inadequate perfusion pressure in the
circulatory system resulting in inadequate oxygenation of body cells.
Which vital sign pattern best supports the assessment "compensated volume shock"? -
ANS Elevated pulse, elevated respiratory rate, normal blood pressure, and Awake on AVPU.
What is the key difference between compensated and decompensated volume shock? -
ANS Mental status
In the wilderness and rescue context, why is it useful to distinguish between acute stress
reaction (ASR) and shock? - ANS Shock might justify a high-risk evacuation while acute stress
reaction does not.
What is respiratory failure? - ANS The respiratory system is unable to provide enough oxygen
to the brain to keep critical systems working to maintain normal mental status.
The immediate, generic treatment for respiratory failure from any mechanism includes: -
ANS Position, reassurance, oxygen, and positive pressure ventilation (PPV) as needed.
When would you consider a respiratory infection to be an emergency? - ANS The patient is in
respiratory failure.
Which type of upper airway obstruction would be most difficult to prevent without medication?
- ANS Swelling from anaphylaxis.
Pg. 2 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
