1
SEVI Test #2 Welsh Actual Exam 2026/2027 –
Complete Exam-Style Questions with
Detailed Rationales | 100% Verified | Pass
Guaranteed – A+ Graded
[SECTION 1: Patient Assessment & Scene Size-Up — Questions 1-7]
Q1: Upon arriving at a motor vehicle collision on a highway, you note a strong odor of gasoline
and see downed power lines arcing near the vehicle. Which of the following is the most
appropriate immediate action?
A. Immediately extricate the driver using the rapid extrication technique.
B. Establish a danger zone and contact the fire department to mitigate the hazards.
C. Approach the vehicle cautiously to begin the primary assessment while keeping low.
D. Park the ambulance within 50 feet to ensure rapid access to equipment.
C. Establish a danger zone and contact the fire department to mitigate the hazards. [CORRECT]
Correct Answer: C
Rationale: Scene safety is the absolute priority in the scene size-up phase; entering a zone with
downed power lines or fuel leaks poses an immediate threat to rescuer survival, violating BSI
precautions. Current NHTSA and EMS safety protocols dictate that hazards such as electricity
and fire must be mitigated by specialized resources before patient contact. Options A and C risk
provider injury or death, and Option D compromises the safety buffer required at hazardous
scenes.
Q2: You are assessing a 45-year-old male complaining of chest pain. He is conscious and alert.
Which component of the OPQRST history provides the most critical information regarding the
potential severity of his condition?
A. Onset
B. Provocation
C. Quality
,2
D. Radiation [CORRECT]
Correct Answer: D
Rationale: Radiation of pain, particularly to the arm, jaw, or back, is a classic hallmark of
myocardial infarction and indicates a more extensive ischemic event, thus aiding in risk
stratification. While onset, provocation, and quality are important for characterizing the
discomfort, radiation helps differentiate cardiac pain from other etiologies like pleuritis or
musculoskeletal pain. Recognizing radiation helps the provider anticipate potential complications
like cardiac arrest and prepare for immediate advanced life support interventions.
Q3: During the primary assessment of an unresponsive patient, you find the patient is not
breathing but has a palpable carotid pulse. How should this patient be managed immediately?
A. Begin high-quality CPR at a ratio of 30:2.
B. Insert an oropharyngeal airway and provide positive pressure ventilation.
C. Perform rescue breathing using a bag-valve-mask device at 10-12 breaths per minute.
[CORRECT]
D. Place the patient in the recovery position and monitor for vomiting.
Correct Answer: C
Rationale: The patient has a pulse but is apneic, which is a respiratory arrest requiring immediate
artificial ventilation to prevent hypoxic brain damage. According to AHA Guidelines, rescue
breathing should be performed at a rate of one breath every 5–6 seconds (10–12 breaths/min) for
an adult with a pulse. Option A is incorrect because CPR is contraindicated in the presence of a
perfusing rhythm; Option B lacks the critical step of verifying airway patency and delivering
breaths; Option D is inappropriate as the patient requires active ventilatory support.
Q4: While forming a general impression of a 65-year-old female, you note she is tripod sitting,
using accessory muscles, and has audible wheezing. This finding most strongly suggests which
immediate condition?
A. Acute coronary syndrome
B. Hypovolemic shock
C. Respiratory distress/failure [CORRECT]
, 3
D. Cerebral vascular accident
Correct Answer: C
Q5: You are called to a residential home for a "sick person." The patient is a 70-year-old male
who appears lethargic. According to the family, he has been vomiting for 24 hours. Based on the
"AVPU" scale, how should you document his mental status?
A. Alert
B. Verbal [CORRECT]
C. Pain
D. Unresponsive
Correct Answer: B
Rationale: The patient is classified as "Verbal" because he opens his eyes or responds when
spoken to, but is not fully oriented or alert to his surroundings without stimulus. This
categorization helps establish a baseline for the level of consciousness (LOC) and guides the
urgency of management, as a decline to "Pain" or "Unresponsive" would indicate significant
deterioration. "Alert" is incorrect due to his lethargy, and "Pain" is incorrect as he responds to
voice.
Q6: When auscultating lung sounds, you hear crackles (rales) bilaterally in the bases of a patient
with severe shortness of breath. This finding is most consistent with:
A. Pneumothorax
B. Upper airway obstruction
C. Pulmonary edema / Fluid overload [CORRECT]
D. Emphysema
Correct Answer: C
Rationale: Crackles, often described as popping or bubbling sounds, are caused by the opening of
small airways and alveoli collapsed by fluid, making them a hallmark sign of pulmonary edema
SEVI Test #2 Welsh Actual Exam 2026/2027 –
Complete Exam-Style Questions with
Detailed Rationales | 100% Verified | Pass
Guaranteed – A+ Graded
[SECTION 1: Patient Assessment & Scene Size-Up — Questions 1-7]
Q1: Upon arriving at a motor vehicle collision on a highway, you note a strong odor of gasoline
and see downed power lines arcing near the vehicle. Which of the following is the most
appropriate immediate action?
A. Immediately extricate the driver using the rapid extrication technique.
B. Establish a danger zone and contact the fire department to mitigate the hazards.
C. Approach the vehicle cautiously to begin the primary assessment while keeping low.
D. Park the ambulance within 50 feet to ensure rapid access to equipment.
C. Establish a danger zone and contact the fire department to mitigate the hazards. [CORRECT]
Correct Answer: C
Rationale: Scene safety is the absolute priority in the scene size-up phase; entering a zone with
downed power lines or fuel leaks poses an immediate threat to rescuer survival, violating BSI
precautions. Current NHTSA and EMS safety protocols dictate that hazards such as electricity
and fire must be mitigated by specialized resources before patient contact. Options A and C risk
provider injury or death, and Option D compromises the safety buffer required at hazardous
scenes.
Q2: You are assessing a 45-year-old male complaining of chest pain. He is conscious and alert.
Which component of the OPQRST history provides the most critical information regarding the
potential severity of his condition?
A. Onset
B. Provocation
C. Quality
,2
D. Radiation [CORRECT]
Correct Answer: D
Rationale: Radiation of pain, particularly to the arm, jaw, or back, is a classic hallmark of
myocardial infarction and indicates a more extensive ischemic event, thus aiding in risk
stratification. While onset, provocation, and quality are important for characterizing the
discomfort, radiation helps differentiate cardiac pain from other etiologies like pleuritis or
musculoskeletal pain. Recognizing radiation helps the provider anticipate potential complications
like cardiac arrest and prepare for immediate advanced life support interventions.
Q3: During the primary assessment of an unresponsive patient, you find the patient is not
breathing but has a palpable carotid pulse. How should this patient be managed immediately?
A. Begin high-quality CPR at a ratio of 30:2.
B. Insert an oropharyngeal airway and provide positive pressure ventilation.
C. Perform rescue breathing using a bag-valve-mask device at 10-12 breaths per minute.
[CORRECT]
D. Place the patient in the recovery position and monitor for vomiting.
Correct Answer: C
Rationale: The patient has a pulse but is apneic, which is a respiratory arrest requiring immediate
artificial ventilation to prevent hypoxic brain damage. According to AHA Guidelines, rescue
breathing should be performed at a rate of one breath every 5–6 seconds (10–12 breaths/min) for
an adult with a pulse. Option A is incorrect because CPR is contraindicated in the presence of a
perfusing rhythm; Option B lacks the critical step of verifying airway patency and delivering
breaths; Option D is inappropriate as the patient requires active ventilatory support.
Q4: While forming a general impression of a 65-year-old female, you note she is tripod sitting,
using accessory muscles, and has audible wheezing. This finding most strongly suggests which
immediate condition?
A. Acute coronary syndrome
B. Hypovolemic shock
C. Respiratory distress/failure [CORRECT]
, 3
D. Cerebral vascular accident
Correct Answer: C
Q5: You are called to a residential home for a "sick person." The patient is a 70-year-old male
who appears lethargic. According to the family, he has been vomiting for 24 hours. Based on the
"AVPU" scale, how should you document his mental status?
A. Alert
B. Verbal [CORRECT]
C. Pain
D. Unresponsive
Correct Answer: B
Rationale: The patient is classified as "Verbal" because he opens his eyes or responds when
spoken to, but is not fully oriented or alert to his surroundings without stimulus. This
categorization helps establish a baseline for the level of consciousness (LOC) and guides the
urgency of management, as a decline to "Pain" or "Unresponsive" would indicate significant
deterioration. "Alert" is incorrect due to his lethargy, and "Pain" is incorrect as he responds to
voice.
Q6: When auscultating lung sounds, you hear crackles (rales) bilaterally in the bases of a patient
with severe shortness of breath. This finding is most consistent with:
A. Pneumothorax
B. Upper airway obstruction
C. Pulmonary edema / Fluid overload [CORRECT]
D. Emphysema
Correct Answer: C
Rationale: Crackles, often described as popping or bubbling sounds, are caused by the opening of
small airways and alveoli collapsed by fluid, making them a hallmark sign of pulmonary edema
