2026 EMT FISDAP READINESS EXAM #2 - LATEST VERSION
2026-2027 ACTUAL EXAM ALL 160 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+.
A 76-year-old female with fever, cough with green sputum for 3 days, and lung
sounds with rhonchi.
CORRECT ANS: Pneumonia
Expert Rationale: The presence of fever, productive cough with green sputum,
and rhonchi (low-pitched, rattling sounds) on lung auscultation are classic signs of
pneumonia, particularly bacterial pneumonia. Green sputum indicates the
presence of white blood cells and infection. Rhonchi are caused by air passing
through airways partially obstructed by mucus or inflammation. The nurse should
expect to see this patient with fever, chills, productive cough, and crackles or
rhonchi on auscultation. Treatment typically includes antibiotics, oxygen therapy,
and supportive care.
DIF: Cognitive Level: Analyze
TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity
A 28-year-old 31 weeks pregnant falls in the shower. She has severe abdominal
pain and bright red vaginal bleeding.
CORRECT ANS: Abruptio placentae
Expert Rationale: Abruptio placentae (placental abruption) is the premature
separation of the placenta from the uterine wall, which can occur due to trauma
such as a fall. Classic signs include sudden, severe abdominal pain, uterine
tenderness, and vaginal bleeding (which may be bright red). Risk factors include
trauma, hypertension, and cocaine use. This is a medical emergency requiring
,immediate transport. The nurse should monitor the patient's vital signs, fetal
heart rate, and provide oxygen. Contrast this with placenta previa, which typically
presents with painless bright red bleeding.
DIF: Cognitive Level: Analyze
TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity
A 25-year-old stabbed in the chest. An occlusive dressing was applied prior to
arrival. Vital signs are 90/62, pulse 122, respirations 28.
CORRECT ANS: Lift one side of the occlusive dressing
Expert Rationale: A tension pneumothorax is a life-threatening complication of a
chest wound. When an occlusive dressing is applied to a chest wound, it can
create a one-way valve effect, trapping air in the pleural space and leading to
increased pressure. This causes respiratory distress, tachycardia, hypotension, and
tracheal deviation. Lifting one side of the occlusive dressing allows air to escape,
relieving the pressure. The nurse should then reassess the patient's vital signs and
respiratory status. If the patient deteriorates, the dressing should be removed and
reapplied as a three-sided dressing.
DIF: Cognitive Level: Apply
TOP: Nursing Process: Implementation
MSC: NCLEX: Physiological Integrity
A 42-year-old is apneic, suddenly grabbed throat while eating, and collapsed.
CORRECT ANS: Compressions
Expert Rationale: A patient who suddenly grabs their throat and collapses is
experiencing a severe airway obstruction (choking). If the patient becomes
unresponsive and apneic, CPR should be initiated immediately. Chest
compressions are indicated because they can help dislodge the foreign body by
increasing intrathoracic pressure. The nurse should start chest compressions and,
after 30 compressions, check the airway for the foreign body. If the object is
visible, it should be removed. The nurse should also activate the emergency
response system.
,DIF: Cognitive Level: Apply
TOP: Nursing Process: Implementation
MSC: NCLEX: Physiological Integrity
A 40-year-old with open ankle fracture with blood. Standard Precautions.
CORRECT ANS: Gloves, goggles, and surgical mask
Expert Rationale: Standard Precautions require the use of personal protective
equipment (PPE) when there is a risk of exposure to blood or bodily fluids. For a
patient with an open fracture with bleeding, the nurse should wear gloves to
prevent contact with blood, goggles to protect the eyes from splashes, and a
surgical mask to protect the mucous membranes. A gown may also be indicated if
there is a risk of splashing. The nurse should also perform hand hygiene before
and after patient contact.
DIF: Cognitive Level: Apply
TOP: Nursing Process: Implementation
MSC: NCLEX: Safe and Effective Care Environment
Lifting a 26-year-old male out of crash onto a long board. Complaints of shortness
of breath and anxiety.
CORRECT ANS: Apply oxygen
Expert Rationale: Shortness of breath and anxiety in a trauma patient are signs of
hypoxia or potential respiratory compromise. The nurse should apply oxygen to
maintain adequate oxygenation and prevent further deterioration. Oxygen should
be administered via a non-rebreather mask at 15 L/min to achieve high
concentrations. The nurse should also assess the patient's respiratory rate, oxygen
saturation, and breath sounds. After applying oxygen, the nurse should continue
with spinal precautions and immobilization.
DIF: Cognitive Level: Apply
TOP: Nursing Process: Implementation
MSC: NCLEX: Physiological Integrity
, A confused 22-year-old male with weak pulse of 122, distended abdomen, pale
and clammy.
CORRECT ANS: Internal bleeding
Expert Rationale: The combination of a weak, rapid pulse (tachycardia), pale and
clammy skin (signs of shock), and a distended abdomen suggests internal bleeding
(hemorrhagic shock). The patient's confusion indicates poor cerebral perfusion.
The nurse should suspect bleeding into the abdominal cavity, possibly from
trauma to the spleen, liver, or other organs. Treatment includes high-flow oxygen,
IV access with large-bore catheters, fluid resuscitation, and immediate transport
to a trauma center. The nurse should also assess the patient's blood pressure and
heart rate continuously.
DIF: Cognitive Level: Analyze
TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity
An unresponsive 22-year-old is breathing 6/min after a motorcycle crash.
CORRECT ANS: Begin ventilation with BVM
Expert Rationale: A respiratory rate of 6 breaths per minute indicates respiratory
failure. The patient is unable to maintain adequate ventilation and oxygenation.
The nurse should immediately begin ventilation with a bag-valve-mask (BVM)
device at a rate of 10-12 breaths per minute, providing supplemental oxygen. The
nurse should also assess the patient's airway and insert an oropharyngeal airway
(OPA) if no gag reflex is present. Continuous monitoring of oxygen saturation and
end-tidal CO2 is indicated. This is a life-threatening emergency requiring rapid
intervention.
DIF: Cognitive Level: Apply
TOP: Nursing Process: Implementation
MSC: NCLEX: Physiological Integrity
An 88-year-old female in hospice care is pulseless and apneic with dependent
lividity. Her son says, "She died 2 hours ago after I gave her a large dose of pain
medication."
2026-2027 ACTUAL EXAM ALL 160 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+.
A 76-year-old female with fever, cough with green sputum for 3 days, and lung
sounds with rhonchi.
CORRECT ANS: Pneumonia
Expert Rationale: The presence of fever, productive cough with green sputum,
and rhonchi (low-pitched, rattling sounds) on lung auscultation are classic signs of
pneumonia, particularly bacterial pneumonia. Green sputum indicates the
presence of white blood cells and infection. Rhonchi are caused by air passing
through airways partially obstructed by mucus or inflammation. The nurse should
expect to see this patient with fever, chills, productive cough, and crackles or
rhonchi on auscultation. Treatment typically includes antibiotics, oxygen therapy,
and supportive care.
DIF: Cognitive Level: Analyze
TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity
A 28-year-old 31 weeks pregnant falls in the shower. She has severe abdominal
pain and bright red vaginal bleeding.
CORRECT ANS: Abruptio placentae
Expert Rationale: Abruptio placentae (placental abruption) is the premature
separation of the placenta from the uterine wall, which can occur due to trauma
such as a fall. Classic signs include sudden, severe abdominal pain, uterine
tenderness, and vaginal bleeding (which may be bright red). Risk factors include
trauma, hypertension, and cocaine use. This is a medical emergency requiring
,immediate transport. The nurse should monitor the patient's vital signs, fetal
heart rate, and provide oxygen. Contrast this with placenta previa, which typically
presents with painless bright red bleeding.
DIF: Cognitive Level: Analyze
TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity
A 25-year-old stabbed in the chest. An occlusive dressing was applied prior to
arrival. Vital signs are 90/62, pulse 122, respirations 28.
CORRECT ANS: Lift one side of the occlusive dressing
Expert Rationale: A tension pneumothorax is a life-threatening complication of a
chest wound. When an occlusive dressing is applied to a chest wound, it can
create a one-way valve effect, trapping air in the pleural space and leading to
increased pressure. This causes respiratory distress, tachycardia, hypotension, and
tracheal deviation. Lifting one side of the occlusive dressing allows air to escape,
relieving the pressure. The nurse should then reassess the patient's vital signs and
respiratory status. If the patient deteriorates, the dressing should be removed and
reapplied as a three-sided dressing.
DIF: Cognitive Level: Apply
TOP: Nursing Process: Implementation
MSC: NCLEX: Physiological Integrity
A 42-year-old is apneic, suddenly grabbed throat while eating, and collapsed.
CORRECT ANS: Compressions
Expert Rationale: A patient who suddenly grabs their throat and collapses is
experiencing a severe airway obstruction (choking). If the patient becomes
unresponsive and apneic, CPR should be initiated immediately. Chest
compressions are indicated because they can help dislodge the foreign body by
increasing intrathoracic pressure. The nurse should start chest compressions and,
after 30 compressions, check the airway for the foreign body. If the object is
visible, it should be removed. The nurse should also activate the emergency
response system.
,DIF: Cognitive Level: Apply
TOP: Nursing Process: Implementation
MSC: NCLEX: Physiological Integrity
A 40-year-old with open ankle fracture with blood. Standard Precautions.
CORRECT ANS: Gloves, goggles, and surgical mask
Expert Rationale: Standard Precautions require the use of personal protective
equipment (PPE) when there is a risk of exposure to blood or bodily fluids. For a
patient with an open fracture with bleeding, the nurse should wear gloves to
prevent contact with blood, goggles to protect the eyes from splashes, and a
surgical mask to protect the mucous membranes. A gown may also be indicated if
there is a risk of splashing. The nurse should also perform hand hygiene before
and after patient contact.
DIF: Cognitive Level: Apply
TOP: Nursing Process: Implementation
MSC: NCLEX: Safe and Effective Care Environment
Lifting a 26-year-old male out of crash onto a long board. Complaints of shortness
of breath and anxiety.
CORRECT ANS: Apply oxygen
Expert Rationale: Shortness of breath and anxiety in a trauma patient are signs of
hypoxia or potential respiratory compromise. The nurse should apply oxygen to
maintain adequate oxygenation and prevent further deterioration. Oxygen should
be administered via a non-rebreather mask at 15 L/min to achieve high
concentrations. The nurse should also assess the patient's respiratory rate, oxygen
saturation, and breath sounds. After applying oxygen, the nurse should continue
with spinal precautions and immobilization.
DIF: Cognitive Level: Apply
TOP: Nursing Process: Implementation
MSC: NCLEX: Physiological Integrity
, A confused 22-year-old male with weak pulse of 122, distended abdomen, pale
and clammy.
CORRECT ANS: Internal bleeding
Expert Rationale: The combination of a weak, rapid pulse (tachycardia), pale and
clammy skin (signs of shock), and a distended abdomen suggests internal bleeding
(hemorrhagic shock). The patient's confusion indicates poor cerebral perfusion.
The nurse should suspect bleeding into the abdominal cavity, possibly from
trauma to the spleen, liver, or other organs. Treatment includes high-flow oxygen,
IV access with large-bore catheters, fluid resuscitation, and immediate transport
to a trauma center. The nurse should also assess the patient's blood pressure and
heart rate continuously.
DIF: Cognitive Level: Analyze
TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity
An unresponsive 22-year-old is breathing 6/min after a motorcycle crash.
CORRECT ANS: Begin ventilation with BVM
Expert Rationale: A respiratory rate of 6 breaths per minute indicates respiratory
failure. The patient is unable to maintain adequate ventilation and oxygenation.
The nurse should immediately begin ventilation with a bag-valve-mask (BVM)
device at a rate of 10-12 breaths per minute, providing supplemental oxygen. The
nurse should also assess the patient's airway and insert an oropharyngeal airway
(OPA) if no gag reflex is present. Continuous monitoring of oxygen saturation and
end-tidal CO2 is indicated. This is a life-threatening emergency requiring rapid
intervention.
DIF: Cognitive Level: Apply
TOP: Nursing Process: Implementation
MSC: NCLEX: Physiological Integrity
An 88-year-old female in hospice care is pulseless and apneic with dependent
lividity. Her son says, "She died 2 hours ago after I gave her a large dose of pain
medication."
