Illinois Paramedic Certification Exam
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1. What is the normal range for an adult’s respiratory rate?
A. 6–10 breaths per minute
B. 12–20 breaths per minute
C. 22–28 breaths per minute
D. 8–16 breaths per minute
Normal adult respiratory rate is 12–20 breaths per minute, indicating
adequate ventilation.
2. Which of the following is the most appropriate initial treatment for a
patient in anaphylactic shock?
A. Oxygen administration
B. IV fluid bolus
C. Epinephrine IM
D. Antihistamine IV
Epinephrine is the first-line treatment because it reverses airway
constriction and vascular collapse.
3. What is the preferred site for intraosseous (IO) access in adults?
A. Distal femur
B. Proximal tibia
C. Humeral head
D. Iliac crest
, The proximal tibia provides reliable vascular access and is commonly
used in adults and children.
4. A patient presents with chest pain radiating to the left arm and jaw.
Which drug should be administered first if available?
A. Morphine
B. Aspirin
C. Nitroglycerin
D. Oxygen
Aspirin is given first to inhibit platelet aggregation and minimize infarct
size.
5. During CPR, what is the correct compression-to-breath ratio for an adult
with one rescuer?
A. 15:2
B. 30:2
C. 10:1
D. 20:2
Current AHA guidelines recommend 30 compressions followed by 2
breaths for adults.
6. Which of the following best describes ventricular fibrillation (VF)?
A. Rapid P waves with QRS complexes
B. Chaotic, irregular waves with no pulse
C. Wide QRS with regular rhythm
D. Sinus rhythm with ectopic beats
VF is characterized by chaotic electrical activity and the absence of a
pulse.
7. What is the correct dose of epinephrine for cardiac arrest?
A. 0.1 mg IV every 5 minutes
B. 0.5 mg IV every 10 minutes
C. 1 mg IV every 3–5 minutes
D. 2 mg IV every 10 minutes
Epinephrine 1 mg IV is given every 3–5 minutes to improve perfusion
pressure during resuscitation.
, 8. A 5-year-old has a pulse but is not breathing. How often should you
ventilate?
A. Every 3 seconds
B. Every 5–6 seconds
C. Every 8 seconds
D. Every 10 seconds
For children with a pulse, rescue breaths are given every 5–6 seconds.
9. What is the best way to confirm endotracheal tube placement?
A. Chest rise
B. Breath sounds
C. Capnography (ETCO₂ detection)
D. Fogging in the tube
Capnography provides the most reliable confirmation of tracheal
placement.
10.Which cardiac rhythm is most commonly associated with sudden cardiac
arrest?
A. Sinus tachycardia
B. Ventricular fibrillation
C. Sinus bradycardia
D. Atrial fibrillation
VF is the most frequent initial rhythm in sudden cardiac arrest.
11.What is the appropriate joule setting for defibrillating an adult in VF
using a biphasic defibrillator?
A. 50 J
B. 100 J
C. 200 J
D. 360 J
Biphasic defibrillators typically start at 200 J for adults in VF.
12.Which medication is used to treat symptomatic bradycardia?
A. Amiodarone
B. Atropine
C. Adenosine
With Actual Questions & Verified
Answers,Plus Rationales/Expert
Verified For Guaranteed Pass Graded
A+/2026 /Latest Update/Instant
Download Pdf
1. What is the normal range for an adult’s respiratory rate?
A. 6–10 breaths per minute
B. 12–20 breaths per minute
C. 22–28 breaths per minute
D. 8–16 breaths per minute
Normal adult respiratory rate is 12–20 breaths per minute, indicating
adequate ventilation.
2. Which of the following is the most appropriate initial treatment for a
patient in anaphylactic shock?
A. Oxygen administration
B. IV fluid bolus
C. Epinephrine IM
D. Antihistamine IV
Epinephrine is the first-line treatment because it reverses airway
constriction and vascular collapse.
3. What is the preferred site for intraosseous (IO) access in adults?
A. Distal femur
B. Proximal tibia
C. Humeral head
D. Iliac crest
, The proximal tibia provides reliable vascular access and is commonly
used in adults and children.
4. A patient presents with chest pain radiating to the left arm and jaw.
Which drug should be administered first if available?
A. Morphine
B. Aspirin
C. Nitroglycerin
D. Oxygen
Aspirin is given first to inhibit platelet aggregation and minimize infarct
size.
5. During CPR, what is the correct compression-to-breath ratio for an adult
with one rescuer?
A. 15:2
B. 30:2
C. 10:1
D. 20:2
Current AHA guidelines recommend 30 compressions followed by 2
breaths for adults.
6. Which of the following best describes ventricular fibrillation (VF)?
A. Rapid P waves with QRS complexes
B. Chaotic, irregular waves with no pulse
C. Wide QRS with regular rhythm
D. Sinus rhythm with ectopic beats
VF is characterized by chaotic electrical activity and the absence of a
pulse.
7. What is the correct dose of epinephrine for cardiac arrest?
A. 0.1 mg IV every 5 minutes
B. 0.5 mg IV every 10 minutes
C. 1 mg IV every 3–5 minutes
D. 2 mg IV every 10 minutes
Epinephrine 1 mg IV is given every 3–5 minutes to improve perfusion
pressure during resuscitation.
, 8. A 5-year-old has a pulse but is not breathing. How often should you
ventilate?
A. Every 3 seconds
B. Every 5–6 seconds
C. Every 8 seconds
D. Every 10 seconds
For children with a pulse, rescue breaths are given every 5–6 seconds.
9. What is the best way to confirm endotracheal tube placement?
A. Chest rise
B. Breath sounds
C. Capnography (ETCO₂ detection)
D. Fogging in the tube
Capnography provides the most reliable confirmation of tracheal
placement.
10.Which cardiac rhythm is most commonly associated with sudden cardiac
arrest?
A. Sinus tachycardia
B. Ventricular fibrillation
C. Sinus bradycardia
D. Atrial fibrillation
VF is the most frequent initial rhythm in sudden cardiac arrest.
11.What is the appropriate joule setting for defibrillating an adult in VF
using a biphasic defibrillator?
A. 50 J
B. 100 J
C. 200 J
D. 360 J
Biphasic defibrillators typically start at 200 J for adults in VF.
12.Which medication is used to treat symptomatic bradycardia?
A. Amiodarone
B. Atropine
C. Adenosine