NU 646 THEORY AND PRACTICE OF
PSYCHOTHERAPY EXAM SCRIPT 2026 FULL
EVALUATION VERIFIED A+
◉ A 40-year-old woman presents with widespread hives that she
noticed about 45 minutes after taking penicillin. She is conscious
and alert and denies difficulty breathing. Her breath sounds are
clear to auscultation bilaterally, her vital signs are stable, and her
oxygen saturation is 94%. She tells you she is allergic to wasps and
has an epinephrine auto-injector. You should:
• A:assist her in administering epinephrine via her auto-injector.
• B:give high-flow oxygen and administer 100 mg of Benadryl.
• C:give supplemental oxygen and transport her to the hospital.
• D:advise her that she can probably drive herself to the hospital.
Answer: You selected C; This is correct!
Reason:The patient is experiencing an allergic reaction, but she is
not in anaphylactic shock. Urticaria (hives) is common to all allergic
reactions, regardless of severity; however, wheezing and
hypotension, which she does not have, are specific to anaphylaxis.
Although she carries an epinephrine auto-injector for her allergy to
wasps, she was not stung by a wasp. Furthermore, the absence of
wheezing and hypotension negates epinephrine administration. Give
supplemental oxygen (in a concentration sufficient to maintain an
SpO2 of greater than 94%) and transport her to the hospital.
,Because it can take up to an hour for signs of a severe allergic
reaction to manifest, the patient should not drive herself.
Diphenhydramine (Benadryl), an antihistamine, is an appropriate
drug based on her presentation; however, it is not typically carried
on a BLS unit. Furthermore, the correct dose is 25 to 50 mg.
◉ Immediately following a generalized motor seizure, most patients
are:
• A:hyperactive.
• B:confused.
• C:apneic.
• D:awake and alert. Answer: You selected B; This is correct!
Reason:After a generalized (grand mal) motor seizure, the patient
typically will be confused, sleepy, or in some cases, combative. This
is referred to as the postictal phase. The patient's level of
consciousness typically improves within 30 minutes. In many cases,
the patient's respirations will be fast (tachypnea) following a
seizure; this is the body's attempt to eliminate excess carbon dioxide
that accumulated in the blood during the seizure.
◉ When assessing a conscious patient who overdosed on a drug, you
should FIRST determine:
• A:if there is a history of prior overdose.
• B:the patient's weight in kilograms.
,• C:the type of medication ingested.
• D:when the medication was ingested. Answer: You selected C; This
is correct!
Reason: When assessing a patient who has overdosed on a drug, you
should first determine what was ingested, which will provide you
with immediate information about whether or not the substance is
toxic. You should then find out when the medication was ingested.
This information will provide medical control (or poison control)
with the information needed to direct the most appropriate
treatment. The patient's weight also should be estimated in
kilograms in the event that an antidote is required. Information
regarding prior drug overdoses would normally be obtained during
the SAMPLE history.
◉ Which of the following actions should be carried out during the
primary assessment of an unresponsive patient?
• A:Assessing the skin
• B:Obtaining a blood pressure
• C:Palpating the cranium
• D:Auscultating the lungs Answer: You selected A; This is correct!
Reason:Components of the primary assessment for both responsive
and unresponsive patients include assessing and managing the
airway and assessing and managing circulation, which includes
, controlling any major bleeding; assessing the rate, regularity, and
quality of the pulse; and assessing the color, condition, and
temperature of the skin.
◉ When restraining a violent patient, you should make sure that:
• A:the patient is restrained using maximal force.
• B:at least two EMTs restrain the patient.
• C:consent for restraint has been obtained from a family member.
• D:someone talks to the patient during the process. Answer: You
selected D; This is correct!
Reason:If a violent patient needs to be restrained, you must ensure
the presence of at least four people (one per extremity). One of the
EMTs should continuously talk to the patient to explain what is
happening, even if the patient is not listening. Restraint is a last
resort used to protect the EMT as well as the patient. Consent is not
needed from a family member prior to restraining the patient. Just
enough force to effectively restrain the patient is all that is required
to prevent causing unnecessary injury.
◉ Immediately following a generalized seizure involving tonic-clonic
activity, most patients:
• A:have a slow heart rate because of cardiac depression during the
seizure.
• B:are unresponsive but gradually regain consciousness.
PSYCHOTHERAPY EXAM SCRIPT 2026 FULL
EVALUATION VERIFIED A+
◉ A 40-year-old woman presents with widespread hives that she
noticed about 45 minutes after taking penicillin. She is conscious
and alert and denies difficulty breathing. Her breath sounds are
clear to auscultation bilaterally, her vital signs are stable, and her
oxygen saturation is 94%. She tells you she is allergic to wasps and
has an epinephrine auto-injector. You should:
• A:assist her in administering epinephrine via her auto-injector.
• B:give high-flow oxygen and administer 100 mg of Benadryl.
• C:give supplemental oxygen and transport her to the hospital.
• D:advise her that she can probably drive herself to the hospital.
Answer: You selected C; This is correct!
Reason:The patient is experiencing an allergic reaction, but she is
not in anaphylactic shock. Urticaria (hives) is common to all allergic
reactions, regardless of severity; however, wheezing and
hypotension, which she does not have, are specific to anaphylaxis.
Although she carries an epinephrine auto-injector for her allergy to
wasps, she was not stung by a wasp. Furthermore, the absence of
wheezing and hypotension negates epinephrine administration. Give
supplemental oxygen (in a concentration sufficient to maintain an
SpO2 of greater than 94%) and transport her to the hospital.
,Because it can take up to an hour for signs of a severe allergic
reaction to manifest, the patient should not drive herself.
Diphenhydramine (Benadryl), an antihistamine, is an appropriate
drug based on her presentation; however, it is not typically carried
on a BLS unit. Furthermore, the correct dose is 25 to 50 mg.
◉ Immediately following a generalized motor seizure, most patients
are:
• A:hyperactive.
• B:confused.
• C:apneic.
• D:awake and alert. Answer: You selected B; This is correct!
Reason:After a generalized (grand mal) motor seizure, the patient
typically will be confused, sleepy, or in some cases, combative. This
is referred to as the postictal phase. The patient's level of
consciousness typically improves within 30 minutes. In many cases,
the patient's respirations will be fast (tachypnea) following a
seizure; this is the body's attempt to eliminate excess carbon dioxide
that accumulated in the blood during the seizure.
◉ When assessing a conscious patient who overdosed on a drug, you
should FIRST determine:
• A:if there is a history of prior overdose.
• B:the patient's weight in kilograms.
,• C:the type of medication ingested.
• D:when the medication was ingested. Answer: You selected C; This
is correct!
Reason: When assessing a patient who has overdosed on a drug, you
should first determine what was ingested, which will provide you
with immediate information about whether or not the substance is
toxic. You should then find out when the medication was ingested.
This information will provide medical control (or poison control)
with the information needed to direct the most appropriate
treatment. The patient's weight also should be estimated in
kilograms in the event that an antidote is required. Information
regarding prior drug overdoses would normally be obtained during
the SAMPLE history.
◉ Which of the following actions should be carried out during the
primary assessment of an unresponsive patient?
• A:Assessing the skin
• B:Obtaining a blood pressure
• C:Palpating the cranium
• D:Auscultating the lungs Answer: You selected A; This is correct!
Reason:Components of the primary assessment for both responsive
and unresponsive patients include assessing and managing the
airway and assessing and managing circulation, which includes
, controlling any major bleeding; assessing the rate, regularity, and
quality of the pulse; and assessing the color, condition, and
temperature of the skin.
◉ When restraining a violent patient, you should make sure that:
• A:the patient is restrained using maximal force.
• B:at least two EMTs restrain the patient.
• C:consent for restraint has been obtained from a family member.
• D:someone talks to the patient during the process. Answer: You
selected D; This is correct!
Reason:If a violent patient needs to be restrained, you must ensure
the presence of at least four people (one per extremity). One of the
EMTs should continuously talk to the patient to explain what is
happening, even if the patient is not listening. Restraint is a last
resort used to protect the EMT as well as the patient. Consent is not
needed from a family member prior to restraining the patient. Just
enough force to effectively restrain the patient is all that is required
to prevent causing unnecessary injury.
◉ Immediately following a generalized seizure involving tonic-clonic
activity, most patients:
• A:have a slow heart rate because of cardiac depression during the
seizure.
• B:are unresponsive but gradually regain consciousness.
