FISDAP PARAMEDIC FINAL PAPER 2026
QUESTIONS AND SOLUTIONS GUARANTEED TO
PASS
▶ A client presents with an acute exacerbation of multiple sclerosis. Which
prescribed medication does the nurse prepare to administer?
A) Interferon beta-1b (Betaseron)
B) Baclofen (Lioresal)
C) Methylprednisolone (Medrol)
D) Dantrolene sodium (Dantrium). Answer: C
Methylprednisolone is the drug of choice for acute exacerbations of the
disease. The other medications are not appropriate.
▶ The nurse is assessing a client's understanding of his hypertension
therapy. What client statement indicates a need for further teaching?
A) "When my blood pressure is normal, I will no longer need to take
medication."
B) "If my blood pressure stays under control, I will reduce my risk for a
heart attack."
C) "If I lose weight, I might be able to reduce my blood pressure
medication."
D) "When getting out of bed in the morning, I will sit for a few moments then
stand.". Answer: A
Compliance with antihypertensive therapy is difficult for two reasons. First,
often clients have no distressing symptoms associated with hypertension
and may not believe that they have a problem. Second, many clients
believe that once blood pressure is brought back into the normal range,
they are "cured" and no longer need to take medication. Losing weight
might allow the client to reduce medications. Lowering blood pressure does
lower risk for heart attack. Because blood pressure medications often lead
to orthostatic hypotension, clients should be taught to change position
slowly, sitting first before standing after lying flat.
,▶ Which of the following would be included in the assessment of a patient
with diabetes mellitus who is experiencing a hypoglycemic reaction?
(Select all that apply.)
A) Constricted pupils
B) Flushed skin
C) Tremors
D) Nervousness
E) Extreme thirst
F) Profuse perspiration. Answer: C,D,F
When hypoglycemia occurs, blood glucose levels fall, resulting in
sympathetic nervous system responses such as tremors, nervousness, and
profuse perspiration. Dilated pupils would also occur, not constricted pupils.
Extreme thirst, flushed skin, and constricted pupils are consistent with
hyperglycemia.
▶ A client who has had a stroke with left-sided hemiparesis has been
referred to a rehabilitation center. The client asks, "Why do I need
rehabilitation?" How does the nurse respond?
A) "Rehabilitation will reverse any physical deficits caused by the stroke."
B) "Rehabilitation will help you function at the highest level possible."
C) "If you do not have rehabilitation, you may never walk again."
D) "Your doctor knows best and has ordered this treatment for you.".
Answer: B
The goal of rehabilitation is to maximize the client's abilities in all aspects of
life. The other responses do not answer the client's question appropriately.
▶ The nurse is monitoring a client with hypoglycemia. Glucagon provides
which function?
A) It enhances the activity of insulin, restoring blood glucose levels to
normal more quickly after a high-calorie meal.
B) It prevents hypoglycemia by promoting release of glucose from liver
storage sites.
C) It is a storage form of glucose and can be broken down for energy when
blood glucose levels are low.
, D) It converts excess glucose into glycogen, lowering blood glucose levels
in times of excess.. Answer: B
Glycogen is a counterregulatory hormone secreted by the alpha cells of the
pancreas when blood glucose levels are low. The actions of glycogen that
raise blood glucose levels include stimulating the liver to break down
glycogen (glycogenolysis) and forming new glucose from protein
breakdown (gluconeogenesis). The other statements are not accurate
descriptions of the actions of glucagon.
▶ A client has a deep wound covered with a wet-to-damp dressing. Which
intervention does the nurse include on this client's care plan?
A) Apply a new dressing when the seal breaks and the dressing leaks.
B) Change the dressing when the current dressing is saturated.
C) Leave the dressing intact until next week.
D) Change the dressing every 6 hours around the clock.. Answer: D
Wet-to-damp dressings are changed every 4 to 6 hours to provide
maximum débridement. Synthetic dressings can be left in place for
extended periods of time but need to be changed if the seal breaks and the
exudate is leaking. Dry gauze dressings should be changed when the outer
layer becomes saturated.
▶ A client is hospitalized with a urinary tract infection (UTI). Which clinical
manifestation alerts the nurse to the possibility of a complication from the
UTI?
A) Hematuria
B) Fever and chills
C) Cloudy, dark urine
D) Burning on urination. Answer: B
Lower urinary tract infections are rarely associated with systemic symptoms
of fever and chills. A client with a UTI who develops fever and chills should
be assessed for the development of pyelonephritis. The other options can
be seen with UTI.
QUESTIONS AND SOLUTIONS GUARANTEED TO
PASS
▶ A client presents with an acute exacerbation of multiple sclerosis. Which
prescribed medication does the nurse prepare to administer?
A) Interferon beta-1b (Betaseron)
B) Baclofen (Lioresal)
C) Methylprednisolone (Medrol)
D) Dantrolene sodium (Dantrium). Answer: C
Methylprednisolone is the drug of choice for acute exacerbations of the
disease. The other medications are not appropriate.
▶ The nurse is assessing a client's understanding of his hypertension
therapy. What client statement indicates a need for further teaching?
A) "When my blood pressure is normal, I will no longer need to take
medication."
B) "If my blood pressure stays under control, I will reduce my risk for a
heart attack."
C) "If I lose weight, I might be able to reduce my blood pressure
medication."
D) "When getting out of bed in the morning, I will sit for a few moments then
stand.". Answer: A
Compliance with antihypertensive therapy is difficult for two reasons. First,
often clients have no distressing symptoms associated with hypertension
and may not believe that they have a problem. Second, many clients
believe that once blood pressure is brought back into the normal range,
they are "cured" and no longer need to take medication. Losing weight
might allow the client to reduce medications. Lowering blood pressure does
lower risk for heart attack. Because blood pressure medications often lead
to orthostatic hypotension, clients should be taught to change position
slowly, sitting first before standing after lying flat.
,▶ Which of the following would be included in the assessment of a patient
with diabetes mellitus who is experiencing a hypoglycemic reaction?
(Select all that apply.)
A) Constricted pupils
B) Flushed skin
C) Tremors
D) Nervousness
E) Extreme thirst
F) Profuse perspiration. Answer: C,D,F
When hypoglycemia occurs, blood glucose levels fall, resulting in
sympathetic nervous system responses such as tremors, nervousness, and
profuse perspiration. Dilated pupils would also occur, not constricted pupils.
Extreme thirst, flushed skin, and constricted pupils are consistent with
hyperglycemia.
▶ A client who has had a stroke with left-sided hemiparesis has been
referred to a rehabilitation center. The client asks, "Why do I need
rehabilitation?" How does the nurse respond?
A) "Rehabilitation will reverse any physical deficits caused by the stroke."
B) "Rehabilitation will help you function at the highest level possible."
C) "If you do not have rehabilitation, you may never walk again."
D) "Your doctor knows best and has ordered this treatment for you.".
Answer: B
The goal of rehabilitation is to maximize the client's abilities in all aspects of
life. The other responses do not answer the client's question appropriately.
▶ The nurse is monitoring a client with hypoglycemia. Glucagon provides
which function?
A) It enhances the activity of insulin, restoring blood glucose levels to
normal more quickly after a high-calorie meal.
B) It prevents hypoglycemia by promoting release of glucose from liver
storage sites.
C) It is a storage form of glucose and can be broken down for energy when
blood glucose levels are low.
, D) It converts excess glucose into glycogen, lowering blood glucose levels
in times of excess.. Answer: B
Glycogen is a counterregulatory hormone secreted by the alpha cells of the
pancreas when blood glucose levels are low. The actions of glycogen that
raise blood glucose levels include stimulating the liver to break down
glycogen (glycogenolysis) and forming new glucose from protein
breakdown (gluconeogenesis). The other statements are not accurate
descriptions of the actions of glucagon.
▶ A client has a deep wound covered with a wet-to-damp dressing. Which
intervention does the nurse include on this client's care plan?
A) Apply a new dressing when the seal breaks and the dressing leaks.
B) Change the dressing when the current dressing is saturated.
C) Leave the dressing intact until next week.
D) Change the dressing every 6 hours around the clock.. Answer: D
Wet-to-damp dressings are changed every 4 to 6 hours to provide
maximum débridement. Synthetic dressings can be left in place for
extended periods of time but need to be changed if the seal breaks and the
exudate is leaking. Dry gauze dressings should be changed when the outer
layer becomes saturated.
▶ A client is hospitalized with a urinary tract infection (UTI). Which clinical
manifestation alerts the nurse to the possibility of a complication from the
UTI?
A) Hematuria
B) Fever and chills
C) Cloudy, dark urine
D) Burning on urination. Answer: B
Lower urinary tract infections are rarely associated with systemic symptoms
of fever and chills. A client with a UTI who develops fever and chills should
be assessed for the development of pyelonephritis. The other options can
be seen with UTI.
