PARAMEDIC READINESS EXAM 4 LATEST 2026 UPDATED
QUESTIONS AND VERIFIED 100% SOLUTIONS (2026/2027)
GRADE: A+|STATUS: GUARANTEED PASS
15516- A 60 y/o male is alert to painful stimuli and supine in bed. You notice he has clubbing
and is on low flow home O2. VS are BP 170/90, P 110, R 30, and deep, SPO2 96%. His meds
include lisinopril, Advair, and insulin. You should suspect?
hyperventilation Syndrome
15181- Unresponsive 26 y/o motorcyclist was involved in a car crash, he has snoring
respirations at 10 and unequal chest rise. You should?
ventilate with a bag valve mask
15921- What is the purpose of surfactant?
to relieve pressure from the alveolar walls
8223- When attempting orotracheal intubation using a straight blade, the blade should be?
lift the tip of the epiglottis
2066- 11 y/o male has been skateboarding in 100 degree temp and drinking caffeinated soft
drinks. He is complains of palpitations, monitor is displaying a narrow QRS tachycardia at a
rate of 160 bpm. VS BP 110/60, P 160, R 20. What should you do?
transport the pt by ambulance, monitor closely, and give fluids
9491- 61 y/o Arabic speaking female is pale, diaphoretic and pointing to her chest. She pushes
you hands away when you try to apply a 12 lead, You should?
obtain assistance from family
7828- 8 month old female recently had a cold. She has a low grade fever with an occasional
barking cough. She has a hoarse cry and is sitting up in mothers arms. You should administer?
nebulized Epinephrine
9113- When treating a pt in sickle cell crisis, which type of device should you use to
administer O2?
non rebreather mask
1|Page
,15014- Persistent fetal circulation or persistent pulmonary hypertension of the newborn can
be trigged by
acidosis caused by hypothermia
16039- You arrive on scene of a multiple car crash. You should?
contact dispatch to request additional recourses
15626- 38 y/o male complains of shortness of breath after being stabbed in the L side of his
chest. He has paradoxical movement and has flat jugular veins. VS BP 94/40, P 130 R 26. You
should suspect?
hemothorax
8196- While ventilating an unconscious pt with a BVM you do not see chest rise. You should?
reposition the Airway
13416- Shoulder dystocia refers to a newborn when its?
arm gets stuck above its head
2095- 23 y/o female c/o lower abdominal pain in the vaginal area after intercourse. Admits to
purulent vaginal discharge and a low grade fever. Pt tells you that she has a hx of gonorrhea
and just completed her menstrual cycle. You should suspect?
pelvic Inflammatory Disease
13360- Hypotension due to an anaphylactic reaction occurs primarily as a result of?
increased capillary permeability
7975- Transporting victim of a major trauma, occurred yesterday, to a larger facility. this
patient has been experiencing progressive hypothermia. You hear coarse crackles in bilaterally
during auscultation of the lungs, and the pulse oximeter reading is falling in spite of the
patient being intubated. You should suspect?
acute Respiratory Distress Syndrome has developed
1949- A pt complains of severe RUQ abd pain, right scapula pain, and nausea after eating a
cheeseburger. You should suspect?
cholecystitis
15976- What is the legal term for leaving a pt at the ER w/o a verbal report to go on another
call?
2|Page
, abandonment
13340- 42 y/o female in Cardiac arrest after choking on a piece of food. You see nothing in the
oropharynx but are unable to ventilate her. You should?
begin chest Compressions
13417- You notice large amounts if meconium around a newborns nostrils and mouth. The
newborn has no movement and is cyanotic. You should?
suction the lower airway
13571- An unresponsive 67 y/o female found supine on her living room floor. VS BP 82/40, R
10, her carotid pulse matches the EKG. You should?
perform transcutaneous pacing
13478- 23 y/o male deformed right knee after falling from a ladder. Hospital 45 mins away.
Distal pulses are absent. You should?
apply gentle practice to restore pulse
9200- 36 y/o male was stabbed in the abdomin and has no radial pulses. You should
administer IV fluids rapidly until?
the BP reaches 90 systolic
15334- A physician orders you to infuse a nitroglycerin drip at 50 mcg/min for a pt who
weighs 145 lbs. The premix drip contains 50 mg of nitroglycerin in 250 ML of solution. The IV
tubing is 60 gtts/ML. What is the correct drip rate?
15gtts/min
9494- You are the first to arrive at a construction site where 4 workers are buried in a ditch
with steep sides. Bystanders are digging through the mud to uncover the victims. One victim
is partially exposed, You should?
ask bystander to get out of the ditch until additional resources arrive
135.16487- 45 y/o male with a hx of pancreatitis complains of shortness of breath and spitting
up bright, red blood. His skin and eyes are jaundiced. You should suspect?
esophageal varices
16196- A 72 y/o female with kyphosis needs to have her spine immobilized after a minor fall
from a standing height. You should?
3|Page
QUESTIONS AND VERIFIED 100% SOLUTIONS (2026/2027)
GRADE: A+|STATUS: GUARANTEED PASS
15516- A 60 y/o male is alert to painful stimuli and supine in bed. You notice he has clubbing
and is on low flow home O2. VS are BP 170/90, P 110, R 30, and deep, SPO2 96%. His meds
include lisinopril, Advair, and insulin. You should suspect?
hyperventilation Syndrome
15181- Unresponsive 26 y/o motorcyclist was involved in a car crash, he has snoring
respirations at 10 and unequal chest rise. You should?
ventilate with a bag valve mask
15921- What is the purpose of surfactant?
to relieve pressure from the alveolar walls
8223- When attempting orotracheal intubation using a straight blade, the blade should be?
lift the tip of the epiglottis
2066- 11 y/o male has been skateboarding in 100 degree temp and drinking caffeinated soft
drinks. He is complains of palpitations, monitor is displaying a narrow QRS tachycardia at a
rate of 160 bpm. VS BP 110/60, P 160, R 20. What should you do?
transport the pt by ambulance, monitor closely, and give fluids
9491- 61 y/o Arabic speaking female is pale, diaphoretic and pointing to her chest. She pushes
you hands away when you try to apply a 12 lead, You should?
obtain assistance from family
7828- 8 month old female recently had a cold. She has a low grade fever with an occasional
barking cough. She has a hoarse cry and is sitting up in mothers arms. You should administer?
nebulized Epinephrine
9113- When treating a pt in sickle cell crisis, which type of device should you use to
administer O2?
non rebreather mask
1|Page
,15014- Persistent fetal circulation or persistent pulmonary hypertension of the newborn can
be trigged by
acidosis caused by hypothermia
16039- You arrive on scene of a multiple car crash. You should?
contact dispatch to request additional recourses
15626- 38 y/o male complains of shortness of breath after being stabbed in the L side of his
chest. He has paradoxical movement and has flat jugular veins. VS BP 94/40, P 130 R 26. You
should suspect?
hemothorax
8196- While ventilating an unconscious pt with a BVM you do not see chest rise. You should?
reposition the Airway
13416- Shoulder dystocia refers to a newborn when its?
arm gets stuck above its head
2095- 23 y/o female c/o lower abdominal pain in the vaginal area after intercourse. Admits to
purulent vaginal discharge and a low grade fever. Pt tells you that she has a hx of gonorrhea
and just completed her menstrual cycle. You should suspect?
pelvic Inflammatory Disease
13360- Hypotension due to an anaphylactic reaction occurs primarily as a result of?
increased capillary permeability
7975- Transporting victim of a major trauma, occurred yesterday, to a larger facility. this
patient has been experiencing progressive hypothermia. You hear coarse crackles in bilaterally
during auscultation of the lungs, and the pulse oximeter reading is falling in spite of the
patient being intubated. You should suspect?
acute Respiratory Distress Syndrome has developed
1949- A pt complains of severe RUQ abd pain, right scapula pain, and nausea after eating a
cheeseburger. You should suspect?
cholecystitis
15976- What is the legal term for leaving a pt at the ER w/o a verbal report to go on another
call?
2|Page
, abandonment
13340- 42 y/o female in Cardiac arrest after choking on a piece of food. You see nothing in the
oropharynx but are unable to ventilate her. You should?
begin chest Compressions
13417- You notice large amounts if meconium around a newborns nostrils and mouth. The
newborn has no movement and is cyanotic. You should?
suction the lower airway
13571- An unresponsive 67 y/o female found supine on her living room floor. VS BP 82/40, R
10, her carotid pulse matches the EKG. You should?
perform transcutaneous pacing
13478- 23 y/o male deformed right knee after falling from a ladder. Hospital 45 mins away.
Distal pulses are absent. You should?
apply gentle practice to restore pulse
9200- 36 y/o male was stabbed in the abdomin and has no radial pulses. You should
administer IV fluids rapidly until?
the BP reaches 90 systolic
15334- A physician orders you to infuse a nitroglycerin drip at 50 mcg/min for a pt who
weighs 145 lbs. The premix drip contains 50 mg of nitroglycerin in 250 ML of solution. The IV
tubing is 60 gtts/ML. What is the correct drip rate?
15gtts/min
9494- You are the first to arrive at a construction site where 4 workers are buried in a ditch
with steep sides. Bystanders are digging through the mud to uncover the victims. One victim
is partially exposed, You should?
ask bystander to get out of the ditch until additional resources arrive
135.16487- 45 y/o male with a hx of pancreatitis complains of shortness of breath and spitting
up bright, red blood. His skin and eyes are jaundiced. You should suspect?
esophageal varices
16196- A 72 y/o female with kyphosis needs to have her spine immobilized after a minor fall
from a standing height. You should?
3|Page
