DYSRHYTHMIA NCLEX ACTUAL TEST PAPER
2026 QUESTIONS WITH SOLUTIONS GRADED A+
▶ Q. Which of the following is NOT performed before, during, or after
insertion of a nasogastric (NG) tube in a conscious patient? Answer:
keeping the patients head in a flexed position during insertion of the tube
▶ The BEST example the paramedic can set with regard to injury
prevention is? Answer: taking care of himself or herself and serving as a
role model for others
▶ Which of the following cardiac dysrhythmias is associated with the
HIGHEST risk of stroke? Answer: Atrial fibrillation
▶ Which of the following is NOT a common sign of lead poisoning?
Answer: Hypotension
▶ Which of the following is NOT a pre-incident indicator of terrorism?
Answer: there is a report of a loud explosion
▶ A cardiac patient with respiratory distress should be assumed to be
experiencing? Answer: Heart failure with pulmonary edema.
▶ Asking the patient about the date, time, location, and events surrounding
the current situation will enable you to: Answer: Determine if the patient is
(A&Ox4) Alert to Person, Place, Time and Event
▶ During the attempted resuscitation of a 79 yo man in cardiac arrest, a
young man arrives at the scene and asks you to cease resuscitative efforts.
He further tells you that the pt has entrusted him to make all of his medical
decisions. You should? Answer: continue full resuscitative efforts and ask
the man if the pt has a living will and if he has documentation naming him
as the person authorized to make decisions
▶ Eye-to-eye contact with a patient communicates? Answer: honesty and
concern
▶ Hematologic manifestations of lead poisoning include: Answer: anemia
,▶ If a person survives the initial trauma from a shotgun wound at a close
range: Answer: contaminants that were driven into the wound can cause a
severe infection
▶ Q. The cricothyroid membrane is the ideal site for making a surgical
opening into the trachea because: Answer: no important structures lie
between the skin covering the cricothyroid membrane and the airway
▶ Requesting a hazardous materials (Haz-Mat) team as early as possible
to a scene involving a weapon of mass destruction is MOST important
because: Answer: it takes time for the Haz-Mat team to assemble their
personnel and equipment
▶ Risk factors for pelvic inflammatory disease (PID) include all of the
following, EXCEPT? Answer: monogamy
▶ The social assessment component of the GEMS diamond includes:
Answer: determining if activities of daily living are being provided by
another person
▶ * When cells are hypoxic for more than a few seconds? Answer: they
produce substances that may damage other local or distant body systems
▶ A 55-year-old man complains of severe pain between his shoulder
blades, which he describes as "ripping" in nature. He tells you that the pain
began suddenly and has been intense and unrelenting since its onset. His
medical history includes HTN; however, he admits to being noncompliant
with his antihypertensive medication. Which of the following assessment
findings would MOST likely reinforce your suspicion regarding the cause of
his pain? Answer: Difference in blood pressure between the two arms.
▶ During third trimester vaginal bleeding? Answer: the mother may lose as
much as 40% of her blood volume before significant signs of hypovolemia
occur
▶ Older men often experience difficulty urinating because of: Answer:
urethral pressure from an enlarged prostate
,▶ People who call 911 at the moment of a loved one's death MOST often
needed? Answer: information and support
▶ Q. Intrapulmonary shunting occurs when: Answer: nonfunctional alveoli
inhibit pulmonary gas exchange
▶ The recommended dose and method for administering naloxone to a
patient who overdosed on a narcotic and is unresponsive and
hypoventilating is: Answer: 2 mg injected slowly until the patient's
respirations improve
▶ When a patient presents with two seemingly unrelated complaints, it is
MOST important for the paramedic to determine: Answer: If the two
complaints are related. If they are not related, which one will take priority.
▶ When a person falls from a significant height and lands on his or her
feet, axial loading results in: Answer: compression or burst fractures to the
lumbar spine
▶ Which of the following medications would be the LEAST likely to cause
hypotension? Answer: toradol
▶ A critical incident is MOST accurately defined as? Answer: an incident
that overwhelms the ability of an EMS worker or system to cope with the
experience, either at the scene or later
▶ A helicopter landing zone should be: Answer: 100 feet by 100 feet in
size, and on a surface that is firm, level, and free of debris
▶ An elderly person is more likely to sustain serious injury following trauma
due to: Answer: brittle, demineralized bone
▶ Following a head-on collision of a motorcycle and a truck, the
motorcyclist would MOST likely experience initial injury to the: Answer:
femurs and tibias
▶ Prehospital treatment for a patient who overdosed on aspirin would
MOST likely include: Answer: sodium bicarbonate
, ▶ Q. What function do the nasal turbinates serve? Answer: warming and
humidifying inhaled air
▶ The history of present illness is MOST accurately defined as: Answer: A
clear sequence and chronologic account of the patient's sign and
symptoms, that is, what happened and when.
▶ There is evidence that a 21-year-old woman was given Rohypnol before
being raped. She presents with alcohol on her breath, drowsiness, and
memory loss. Her blood pressure is 98/68 mmHg, pulse is 58 beats/min
and weak, and her respirations are decreased and shallow. You attempt to
administer high-flow oxygen, but she resists. What should you do now?
Answer: consider administering naloxone in case she was also given a
narcotic drug.
▶ When analyzing a cardiac rhythm strip in lead II, you should routinely
evaluate all of the following components, EXCEPT? Answer: S-T segment.
▶ When touching a patient as a form of reassurance, the paramedic
should? Answer: touch the patient on a neutral part of his or her body
▶ A 25-year-old woman was involved in a motor vehicle accident in which
she struck the rear end of another car at a low rate of speed. When you
arrive at the scene and exit the ambulance, you immediately hear the
patient screaming, "My baby, my baby!" After calming the patient down,
she tells you that she is 10 weeks pregnant and that she is afraid that the
car accident injured her child. She confirms that she was properly
restrained at the time of impact. She is conscious and alert, denies
abdominal pain, and has stable vital signs. She refuses spinal motion
restriction precautions, but does consent to EMS transport. You should?
Answer: administer supplemental oxygen, establish a large-bore IV line and
set the rate to keep the vein open, provide emotional support, and transport
her to an appropriate hospital.
▶ An 82-year-old man presents with confusion that has worsened
progressively over the past 2 weeks. Because of his confusion and the fact
that he is hearing impaired, you obtain the majority of your medical history
information from his daughter. She tells you that her father has high blood
pressure but refuses to take medication for it. She also tells you that she
thinks he fell about 3 weeks ago, although he denies falling. The patient's
2026 QUESTIONS WITH SOLUTIONS GRADED A+
▶ Q. Which of the following is NOT performed before, during, or after
insertion of a nasogastric (NG) tube in a conscious patient? Answer:
keeping the patients head in a flexed position during insertion of the tube
▶ The BEST example the paramedic can set with regard to injury
prevention is? Answer: taking care of himself or herself and serving as a
role model for others
▶ Which of the following cardiac dysrhythmias is associated with the
HIGHEST risk of stroke? Answer: Atrial fibrillation
▶ Which of the following is NOT a common sign of lead poisoning?
Answer: Hypotension
▶ Which of the following is NOT a pre-incident indicator of terrorism?
Answer: there is a report of a loud explosion
▶ A cardiac patient with respiratory distress should be assumed to be
experiencing? Answer: Heart failure with pulmonary edema.
▶ Asking the patient about the date, time, location, and events surrounding
the current situation will enable you to: Answer: Determine if the patient is
(A&Ox4) Alert to Person, Place, Time and Event
▶ During the attempted resuscitation of a 79 yo man in cardiac arrest, a
young man arrives at the scene and asks you to cease resuscitative efforts.
He further tells you that the pt has entrusted him to make all of his medical
decisions. You should? Answer: continue full resuscitative efforts and ask
the man if the pt has a living will and if he has documentation naming him
as the person authorized to make decisions
▶ Eye-to-eye contact with a patient communicates? Answer: honesty and
concern
▶ Hematologic manifestations of lead poisoning include: Answer: anemia
,▶ If a person survives the initial trauma from a shotgun wound at a close
range: Answer: contaminants that were driven into the wound can cause a
severe infection
▶ Q. The cricothyroid membrane is the ideal site for making a surgical
opening into the trachea because: Answer: no important structures lie
between the skin covering the cricothyroid membrane and the airway
▶ Requesting a hazardous materials (Haz-Mat) team as early as possible
to a scene involving a weapon of mass destruction is MOST important
because: Answer: it takes time for the Haz-Mat team to assemble their
personnel and equipment
▶ Risk factors for pelvic inflammatory disease (PID) include all of the
following, EXCEPT? Answer: monogamy
▶ The social assessment component of the GEMS diamond includes:
Answer: determining if activities of daily living are being provided by
another person
▶ * When cells are hypoxic for more than a few seconds? Answer: they
produce substances that may damage other local or distant body systems
▶ A 55-year-old man complains of severe pain between his shoulder
blades, which he describes as "ripping" in nature. He tells you that the pain
began suddenly and has been intense and unrelenting since its onset. His
medical history includes HTN; however, he admits to being noncompliant
with his antihypertensive medication. Which of the following assessment
findings would MOST likely reinforce your suspicion regarding the cause of
his pain? Answer: Difference in blood pressure between the two arms.
▶ During third trimester vaginal bleeding? Answer: the mother may lose as
much as 40% of her blood volume before significant signs of hypovolemia
occur
▶ Older men often experience difficulty urinating because of: Answer:
urethral pressure from an enlarged prostate
,▶ People who call 911 at the moment of a loved one's death MOST often
needed? Answer: information and support
▶ Q. Intrapulmonary shunting occurs when: Answer: nonfunctional alveoli
inhibit pulmonary gas exchange
▶ The recommended dose and method for administering naloxone to a
patient who overdosed on a narcotic and is unresponsive and
hypoventilating is: Answer: 2 mg injected slowly until the patient's
respirations improve
▶ When a patient presents with two seemingly unrelated complaints, it is
MOST important for the paramedic to determine: Answer: If the two
complaints are related. If they are not related, which one will take priority.
▶ When a person falls from a significant height and lands on his or her
feet, axial loading results in: Answer: compression or burst fractures to the
lumbar spine
▶ Which of the following medications would be the LEAST likely to cause
hypotension? Answer: toradol
▶ A critical incident is MOST accurately defined as? Answer: an incident
that overwhelms the ability of an EMS worker or system to cope with the
experience, either at the scene or later
▶ A helicopter landing zone should be: Answer: 100 feet by 100 feet in
size, and on a surface that is firm, level, and free of debris
▶ An elderly person is more likely to sustain serious injury following trauma
due to: Answer: brittle, demineralized bone
▶ Following a head-on collision of a motorcycle and a truck, the
motorcyclist would MOST likely experience initial injury to the: Answer:
femurs and tibias
▶ Prehospital treatment for a patient who overdosed on aspirin would
MOST likely include: Answer: sodium bicarbonate
, ▶ Q. What function do the nasal turbinates serve? Answer: warming and
humidifying inhaled air
▶ The history of present illness is MOST accurately defined as: Answer: A
clear sequence and chronologic account of the patient's sign and
symptoms, that is, what happened and when.
▶ There is evidence that a 21-year-old woman was given Rohypnol before
being raped. She presents with alcohol on her breath, drowsiness, and
memory loss. Her blood pressure is 98/68 mmHg, pulse is 58 beats/min
and weak, and her respirations are decreased and shallow. You attempt to
administer high-flow oxygen, but she resists. What should you do now?
Answer: consider administering naloxone in case she was also given a
narcotic drug.
▶ When analyzing a cardiac rhythm strip in lead II, you should routinely
evaluate all of the following components, EXCEPT? Answer: S-T segment.
▶ When touching a patient as a form of reassurance, the paramedic
should? Answer: touch the patient on a neutral part of his or her body
▶ A 25-year-old woman was involved in a motor vehicle accident in which
she struck the rear end of another car at a low rate of speed. When you
arrive at the scene and exit the ambulance, you immediately hear the
patient screaming, "My baby, my baby!" After calming the patient down,
she tells you that she is 10 weeks pregnant and that she is afraid that the
car accident injured her child. She confirms that she was properly
restrained at the time of impact. She is conscious and alert, denies
abdominal pain, and has stable vital signs. She refuses spinal motion
restriction precautions, but does consent to EMS transport. You should?
Answer: administer supplemental oxygen, establish a large-bore IV line and
set the rate to keep the vein open, provide emotional support, and transport
her to an appropriate hospital.
▶ An 82-year-old man presents with confusion that has worsened
progressively over the past 2 weeks. Because of his confusion and the fact
that he is hearing impaired, you obtain the majority of your medical history
information from his daughter. She tells you that her father has high blood
pressure but refuses to take medication for it. She also tells you that she
thinks he fell about 3 weeks ago, although he denies falling. The patient's
