2025 | LATEST AND ACCURATE REAL
EXAM QUESTIONS WITH DETAILED
ANSWERS | VERIFIED FOR
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1. You have been asked to audit prehospital care reports. Which entry requires
review?
A. Patient is alert and oriented.
B. Patient seated upright with chest pain.
C. Patient supine with chest pain on stretcher.
D. Patient sitting on supine with chest pain on a stretcher.
Correct Answer: D
Rationale: The phrase "patient sitting on supine" is contradictory and unclear, indicating
documentation error that needs review.
2. An 82-year-old female is mumbling and throwing clothes. The nurse says she is
diabetic. What should you do? A. Give insulin.
B. Administer glucagon IM.
C. Give oral glucose.
D. Start IV fluids.
Correct Answer: C
Rationale: Altered mental status in diabetics can indicate hypoglycemia. Oral glucose is
appropriate if she can swallow.
3. An unresponsive 3-year-old is supine in a ditch. VS: 60/40, HR 60, R 8. What
should you do first? A. Start CPR.
B. Assist ventilations.
C. Administer fluids.
D. Check glucose.
Correct Answer: B
Rationale: The child is bradypneic with hypotension. Assisting ventilations addresses
the most immediate life threat: inadequate breathing.
4. What is the leading cause of bradycardia in pediatric patients?
A. Hypovolemia
B. Head trauma
,C. Hypoxia
D. Seizures
Correct Answer: C
Rationale: Hypoxia is the most common cause of bradycardia in children due to their
reliance on oxygen to maintain cardiac output.
5. A newborn is delivered with central cyanosis and is covered in thick greenish
fluid. What should you do first? A. Dry the baby.
B. Stimulate the baby to cry.
C. Inspect oropharynx.
D. Clamp and cut the cord.
Correct Answer: C
Rationale: Thick greenish fluid indicates meconium; inspect the airway for obstruction
before stimulating the newborn.
6. A 46-year-old woman has fever and lower abdominal pain that worsens when
walking and abnormal vaginal discharge. What should you suspect?
A. Ectopic pregnancy
B. Appendicitis
C. Pelvic inflammatory disease
D. UTI
Correct Answer: C
Rationale: Classic symptoms of PID include lower abdominal pain, fever, discharge,
and worsening pain with movement.
7. A 12-year-old male hemophiliac has uncontrolled bleeding from a deep palm
laceration. What should you do? A. Apply a tourniquet.
B. Elevate the hand.
C. Use a hemostatic agent.
D. Start IV fluids.
Correct Answer: C
Rationale: Hemophiliacs have difficulty clotting. A hemostatic agent helps stop bleeding
when standard measures may fail.
8. Which body system is responsible for protection, temperature regulation, and
excretion? A. Muscular
B. Circulatory
C. Integumentary D. Endocrine
Correct Answer: C
Rationale: The integumentary system (skin) provides barrier protection, temperature
control, and excretion via sweat.
, 9. An unconscious male is cyanotic and actively vomiting. You've been suctioning
for a minute. What's your next step? A. Continue suctioning.
B. Open airway and check pulse.
C. Insert OPA.
D. Begin chest compressions.
Correct Answer: B
Rationale: After suctioning, reassess airway and check for circulation before taking
further steps.
10. A 32-year-old female post-MVA reports tearing back pain. Her left radial pulse
is stronger than her right. Suspect:
A. Myocardial infarction
B. Tension pneumothorax
C. Aortic dissection
D. Pulmonary embolism Correct Answer: C
Rationale: Tearing back pain and unequal pulses are hallmark signs of aortic
dissection.
11. A 48-year-old male in a vehicle is responsive only to verbal stimuli. Smoke is
inside the vehicle. What should you do?
A. Wait for fire department
B. Apply oxygen
C. Perform rapid extrication
D. Assess circulation
Correct Answer: C
Rationale: Smoke poses an immediate life threat. Rapid extrication is necessary to
remove the patient from danger.
12. You are delivering a baby and the amniotic sac is still intact. What should you
do?
A. Wait for sac to rupture naturally
B. Cut the sac with trauma shears
C. Tear the sac
D. Apply gentle pressure
Correct Answer: C
Rationale: If the sac remains intact during delivery, it should be torn manually to allow
the newborn to breathe.
13. A 54-year-old female says she drank bleach to kill herself. What should you
do?
A. Give activated charcoal
B. Give water
C. Contact poison control