1 of 20
FCTC WRITTEN EXAM 2025/2026 ACTUAL EXAM 150 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
A team leader orders 1 mg of epinephrine, and a team member verbally acknowledges
when the medication is administered. What element of effective resuscitation team
dynamics does this represent? - ......ANSWER........Closed-loop communication
After verifying the absence of a pulse, you initiate CPR with adequate bag-mask ventilation.
The patient's lead II ECG appears below. What is your next action? - ......ANSWER........IV or
IO access
After verifying unresponsiveness and abnormal breathing, you activate the emergency
response team. What is your next action? - ......ANSWER........Check for a pulse.
An 80-year-old woman presents to the emergency department with dizziness. She now
states she is asymptomatic after walking around. Her blood pressure is 102/72 mm Hg.
She is alert and oriented. Her lead II ECG is below. After you start an IV, what is the next
action? - ......ANSWER........Conduct a problem-focused history and physical examination.
An AED advises a shock for a pulseless patient lying in snow. What is the next action?
- ......ANSWER........Administer the shock immediately and continue as directed by the
AED.
,2 of 20
An AED does not promptly analyze a rhythm. What is your next step?
- ......ANSWER........Begin chest compressions.
Bradycardia require treatment when? - ......ANSWER........chest pain or shortness of breath
is present
Choose an appropriate indication to stop or withhold resuscitative efforts.
- ......ANSWER........Evidence of rigor mortis.
During a pause in CPR, you see this lead II ECG rhythm on the monitor. The patient has no
pulse. What is the next action? - ......ANSWER........Resume compressions
During your assessment, your patient suddenly loses consciousness. After calling for help
and determining that the patient is not breathing, you are unsure whether the patient has a
pulse. What is your next action? - ......ANSWER........Begin chest compressions.
Emergency medical responders are unable to obtain a peripheral IV for a patient in cardiac
arrest. What is the next most preferred route for drug administration?
- ......ANSWER........Intraosseous (IO)
EMS is transporting a patient with a positive prehospital stroke assessment. Upon arrival in
the emergency department, the initial blood pressure is 138/78 mm Hg, the pulse rate is
80/min, the respiratory rate is 12 breaths/min, and the pulse oximetry reading is 95% on
room air. The lead II ECG displays sinus rhythm. The blood glucose level is within normal
limits. What intervention should you perform next? - ......ANSWER........Head CT scan
, 3 of 20
EMS personnel arrive to find a patient in cardiac arrest. Bystanders are performing CPR.
After attaching a cardiac monitor, the responder observes the following rhythm strip. What
is the most important early intervention? - ......ANSWER........defibrillation
Family members found a 45-year-old woman unresponsive in bed. The patient is
unconscious and in respiratory arrest. What is the recommended initial airway
management technique? - ......ANSWER........Performing a head tilt-chin lift maneuver
For the past 25 minutes, an EMS crew has attempted resuscitation of a patient who
originally presented in ventricular fibrillation. After the first shock, the ECG screen
displayed asystole, which has persisted despite 2 doses of epinephrine, a fluid bolus, and
high-quality CPR. What is your next treatment? - ......ANSWER........Consider terminating
resuscitate efforts after consulting medical control.
hat is the recommended IV fluid (normal saline or Ringer's lactate) bolus dose for a patient
who achieves ROSC but is hypotensive during the post-cardiac arrest period?
- ......ANSWER........1 to 2 Liters
How do you treat non-symptomatic bradycardia - ......ANSWER........monitor and observe
how do you treat symptomatic bradycardia - ......ANSWER........give 0.5mg atropine every
3-5 mins to max of 3mg
FCTC WRITTEN EXAM 2025/2026 ACTUAL EXAM 150 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
A team leader orders 1 mg of epinephrine, and a team member verbally acknowledges
when the medication is administered. What element of effective resuscitation team
dynamics does this represent? - ......ANSWER........Closed-loop communication
After verifying the absence of a pulse, you initiate CPR with adequate bag-mask ventilation.
The patient's lead II ECG appears below. What is your next action? - ......ANSWER........IV or
IO access
After verifying unresponsiveness and abnormal breathing, you activate the emergency
response team. What is your next action? - ......ANSWER........Check for a pulse.
An 80-year-old woman presents to the emergency department with dizziness. She now
states she is asymptomatic after walking around. Her blood pressure is 102/72 mm Hg.
She is alert and oriented. Her lead II ECG is below. After you start an IV, what is the next
action? - ......ANSWER........Conduct a problem-focused history and physical examination.
An AED advises a shock for a pulseless patient lying in snow. What is the next action?
- ......ANSWER........Administer the shock immediately and continue as directed by the
AED.
,2 of 20
An AED does not promptly analyze a rhythm. What is your next step?
- ......ANSWER........Begin chest compressions.
Bradycardia require treatment when? - ......ANSWER........chest pain or shortness of breath
is present
Choose an appropriate indication to stop or withhold resuscitative efforts.
- ......ANSWER........Evidence of rigor mortis.
During a pause in CPR, you see this lead II ECG rhythm on the monitor. The patient has no
pulse. What is the next action? - ......ANSWER........Resume compressions
During your assessment, your patient suddenly loses consciousness. After calling for help
and determining that the patient is not breathing, you are unsure whether the patient has a
pulse. What is your next action? - ......ANSWER........Begin chest compressions.
Emergency medical responders are unable to obtain a peripheral IV for a patient in cardiac
arrest. What is the next most preferred route for drug administration?
- ......ANSWER........Intraosseous (IO)
EMS is transporting a patient with a positive prehospital stroke assessment. Upon arrival in
the emergency department, the initial blood pressure is 138/78 mm Hg, the pulse rate is
80/min, the respiratory rate is 12 breaths/min, and the pulse oximetry reading is 95% on
room air. The lead II ECG displays sinus rhythm. The blood glucose level is within normal
limits. What intervention should you perform next? - ......ANSWER........Head CT scan
, 3 of 20
EMS personnel arrive to find a patient in cardiac arrest. Bystanders are performing CPR.
After attaching a cardiac monitor, the responder observes the following rhythm strip. What
is the most important early intervention? - ......ANSWER........defibrillation
Family members found a 45-year-old woman unresponsive in bed. The patient is
unconscious and in respiratory arrest. What is the recommended initial airway
management technique? - ......ANSWER........Performing a head tilt-chin lift maneuver
For the past 25 minutes, an EMS crew has attempted resuscitation of a patient who
originally presented in ventricular fibrillation. After the first shock, the ECG screen
displayed asystole, which has persisted despite 2 doses of epinephrine, a fluid bolus, and
high-quality CPR. What is your next treatment? - ......ANSWER........Consider terminating
resuscitate efforts after consulting medical control.
hat is the recommended IV fluid (normal saline or Ringer's lactate) bolus dose for a patient
who achieves ROSC but is hypotensive during the post-cardiac arrest period?
- ......ANSWER........1 to 2 Liters
How do you treat non-symptomatic bradycardia - ......ANSWER........monitor and observe
how do you treat symptomatic bradycardia - ......ANSWER........give 0.5mg atropine every
3-5 mins to max of 3mg
