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Question 1:
A 45-year-old patient is experiencing chest pain and shortness of breath. Which is the most
important first step?
• A) Administer aspirin
• B) Place patient on cardiac monitor
• C) Assess airway, breathing, and circulation
• D) Start IV fluids
Answer: C) Assess airway, breathing, and circulation
Rationale: ABC assessment is always the initial priority in any emergency patient to identify
life-threatening conditions.
Question 2:
A patient has a blood pressure of 60/40 mmHg, tachycardia, and pale skin. What is the priority
treatment?
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• A) Oxygen therapy
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• B) IV fluid bolus
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, • C) Administer epinephrine
• D) Rapid transport
Answer: B) IV fluid bolus
Rationale: Hypotensive shock often requires immediate fluid resuscitation to restore perfusion.
Question 3:
During transport, a patient vomits. What should you do first?
• A) Suction the airway
• B) Reposition the patient supine
• C) Increase oxygen flow
• D) Call medical control
Answer: A) Suction the airway
Rationale: Clearing the airway is critical to prevent aspiration and maintain oxygenation.
Question 4:
Which of the following is a sign of inadequate perfusion?
• A) Warm, dry skin
• B) Tachycardia
• C) Normal capillary refill
• D) Pink lips
Answer: B) Tachycardia
Rationale: Tachycardia is an early compensatory sign of shock and poor tissue perfusion.
Question 5:
The preferred method of spinal immobilization for a supine patient with suspected trauma is:
• A) Scoop stretcher
• B) Long spine board
• C) Stair chair
• D) Blanket roll
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, Answer: B) Long spine board
Rationale: Provides full immobilization of the spine to prevent further injury during transport.
Question 6:
You arrive at a scene where a patient is having a seizure. First action:
• A) Insert airway
• B) Protect the patient from injury
• C) Give IV medications
• D) Perform CPR
Answer: B) Protect the patient from injury
Rationale: Ensuring the patient’s safety during a seizure prevents trauma; airway and
medications come after.
Question 7:
What is the normal adult respiratory rate?
• A) 6–10 breaths/min
• B) 12–20 breaths/min
• C) 20–30 breaths/min
• D) 30–40 breaths/min
Answer: B) 12–20 breaths/min
Rationale: This range is standard for healthy adults; deviations indicate respiratory distress or
compensation.
Question 8:
A patient with a severe allergic reaction shows wheezing, hypotension, and hives. You should:
• A) Give epinephrine IM
• B) Start CPR
• C) Apply oxygen only
• D) Give oral antihistamine
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