Focused Review / NREMT | Paramedic Readiness Exam 5
Paramedic Readiness Exam 5
Comprehensive Examination
2026/2027 | Verified Questions
Focused Review / NREMT | Paramedic Readiness Exam 5 | Professional Paramedic Candidates
100 Verified Questions | 4 Core Domains | Academic Year 2026/2027
Prepared by
Focused Review / NREMT | Paramedic Readiness Exam 5
Comprehensive Readiness Examination Actual Exam | Academic Year 2026/2027
Paramedic Readiness Exam 5 Comprehensive Examination 2026/2027 | Verified Questions
,INTRODUCTION
This comprehensive examination contains 100 verified questions designed to reinforce the official
Focused Review / NREMT Paramedic Readiness Exam 5 course objectives for the Comprehensive
Readiness Examination. The questions are organized across four core domains: Cardiology and
Respiratory Emergencies; Trauma and Medical Emergencies; Obstetrics, Pediatrics, and Geriatrics; and
Operations, Pharmacology, and Patient Assessment. Content is original and aligned to the 2026/2027
academic year, emphasizing clinical reasoning and foundational paramedic knowledge required for actual
exam readiness and clinical proficiency.
ACTUAL QUESTIONS
Domain 1: Cardiology and Respiratory Emergencies
Question 1. A patient presents with crushing chest pain, diaphoresis, and ST-segment
elevation in leads II, III, and aVF. Which coronary artery is most likely occluded?
A. Left anterior descending
B. Left main
C. Circumflex
D. Right coronary artery
Correct Answer: D
Rationale: Inferior STEMI (II, III, aVF) is most commonly caused by occlusion of the right coronary
artery.
Question 2. What is the initial energy setting for synchronized cardioversion of unstable
monomorphic ventricular tachycardia in an adult?
A. 100 J biphasic
B. 50 J
C. 360 J
D. 10 J
Correct Answer: A
Rationale: Current guidelines recommend starting synchronized cardioversion for unstable
monomorphic VT at 100 J biphasic.
Question 3. A patient in cardiac arrest has asystole on the monitor. What is the priority
intervention after confirming the rhythm?
A. Immediate defibrillation
B. High-quality CPR and epinephrine
C. Synchronized cardioversion
D. Adenosine
Correct Answer: B
Rationale: Asystole is a non-shockable rhythm; management prioritizes continuous CPR and
epinephrine administration.
Question 4. Which medication is first-line for symptomatic bradycardia unresponsive to
atropine?
A. Lidocaine
B. Adenosine
C. Transcutaneous pacing or dopamine/epinephrine infusion
D. Amiodarone
Correct Answer: C
Paramedic Readiness Exam 5 Comprehensive Examination 2026/2027 | Verified Questions
, Rationale: When atropine fails, temporary pacing or chronotropic infusions are indicated for
symptomatic bradycardia.
Question 5. A patient with acute pulmonary edema has a blood pressure of 210/120 mm
Hg. Which medication is most appropriate?
A. Fluid bolus
B. Atropine
C. Epinephrine
D. Nitroglycerin
Correct Answer: D
Rationale: Nitroglycerin reduces preload and afterload and is indicated for hypertensive acute
pulmonary edema.
Question 6. What is the correct compression-to-ventilation ratio for adult CPR when an
advanced airway is in place?
A. 30:2
B. 15:2
C. Continuous compressions with 1 breath every 6 seconds
D. 5:1
Correct Answer: C
Rationale: With an advanced airway, compressions are continuous and ventilations are delivered
asynchronously at 10 breaths per minute.
Question 7. A patient in atrial fibrillation with rapid ventricular response is unstable with a
blood pressure of 70/40 mm Hg. What is the priority treatment?
A. Synchronized cardioversion
B. Diltiazem
C. Adenosine
D. Amiodarone infusion only
Correct Answer: A
Rationale: Unstable tachycardia with serious signs requires immediate synchronized cardioversion.
Question 8. Which finding is most consistent with right ventricular infarction?
A. Pulmonary edema
B. Clear lung sounds with jugular venous distention and hypotension
C. Left-sided crackles only
D. Hypertension
Correct Answer: B
Rationale: Right ventricular infarction often presents with clear lungs, elevated JVP, and hypotension,
especially with inferior MI.
Question 9. What is the target oxygen saturation range for most adult patients with acute
coronary syndrome?
A. 100%
B. 90–94% only
C. 88–92%
D. 94–99%
Correct Answer: D
Rationale: Oxygen is titrated to achieve SpO2 of approximately 94–99% to avoid both hypoxia and
hyperoxia.
Paramedic Readiness Exam 5 Comprehensive Examination 2026/2027 | Verified Questions
Paramedic Readiness Exam 5
Comprehensive Examination
2026/2027 | Verified Questions
Focused Review / NREMT | Paramedic Readiness Exam 5 | Professional Paramedic Candidates
100 Verified Questions | 4 Core Domains | Academic Year 2026/2027
Prepared by
Focused Review / NREMT | Paramedic Readiness Exam 5
Comprehensive Readiness Examination Actual Exam | Academic Year 2026/2027
Paramedic Readiness Exam 5 Comprehensive Examination 2026/2027 | Verified Questions
,INTRODUCTION
This comprehensive examination contains 100 verified questions designed to reinforce the official
Focused Review / NREMT Paramedic Readiness Exam 5 course objectives for the Comprehensive
Readiness Examination. The questions are organized across four core domains: Cardiology and
Respiratory Emergencies; Trauma and Medical Emergencies; Obstetrics, Pediatrics, and Geriatrics; and
Operations, Pharmacology, and Patient Assessment. Content is original and aligned to the 2026/2027
academic year, emphasizing clinical reasoning and foundational paramedic knowledge required for actual
exam readiness and clinical proficiency.
ACTUAL QUESTIONS
Domain 1: Cardiology and Respiratory Emergencies
Question 1. A patient presents with crushing chest pain, diaphoresis, and ST-segment
elevation in leads II, III, and aVF. Which coronary artery is most likely occluded?
A. Left anterior descending
B. Left main
C. Circumflex
D. Right coronary artery
Correct Answer: D
Rationale: Inferior STEMI (II, III, aVF) is most commonly caused by occlusion of the right coronary
artery.
Question 2. What is the initial energy setting for synchronized cardioversion of unstable
monomorphic ventricular tachycardia in an adult?
A. 100 J biphasic
B. 50 J
C. 360 J
D. 10 J
Correct Answer: A
Rationale: Current guidelines recommend starting synchronized cardioversion for unstable
monomorphic VT at 100 J biphasic.
Question 3. A patient in cardiac arrest has asystole on the monitor. What is the priority
intervention after confirming the rhythm?
A. Immediate defibrillation
B. High-quality CPR and epinephrine
C. Synchronized cardioversion
D. Adenosine
Correct Answer: B
Rationale: Asystole is a non-shockable rhythm; management prioritizes continuous CPR and
epinephrine administration.
Question 4. Which medication is first-line for symptomatic bradycardia unresponsive to
atropine?
A. Lidocaine
B. Adenosine
C. Transcutaneous pacing or dopamine/epinephrine infusion
D. Amiodarone
Correct Answer: C
Paramedic Readiness Exam 5 Comprehensive Examination 2026/2027 | Verified Questions
, Rationale: When atropine fails, temporary pacing or chronotropic infusions are indicated for
symptomatic bradycardia.
Question 5. A patient with acute pulmonary edema has a blood pressure of 210/120 mm
Hg. Which medication is most appropriate?
A. Fluid bolus
B. Atropine
C. Epinephrine
D. Nitroglycerin
Correct Answer: D
Rationale: Nitroglycerin reduces preload and afterload and is indicated for hypertensive acute
pulmonary edema.
Question 6. What is the correct compression-to-ventilation ratio for adult CPR when an
advanced airway is in place?
A. 30:2
B. 15:2
C. Continuous compressions with 1 breath every 6 seconds
D. 5:1
Correct Answer: C
Rationale: With an advanced airway, compressions are continuous and ventilations are delivered
asynchronously at 10 breaths per minute.
Question 7. A patient in atrial fibrillation with rapid ventricular response is unstable with a
blood pressure of 70/40 mm Hg. What is the priority treatment?
A. Synchronized cardioversion
B. Diltiazem
C. Adenosine
D. Amiodarone infusion only
Correct Answer: A
Rationale: Unstable tachycardia with serious signs requires immediate synchronized cardioversion.
Question 8. Which finding is most consistent with right ventricular infarction?
A. Pulmonary edema
B. Clear lung sounds with jugular venous distention and hypotension
C. Left-sided crackles only
D. Hypertension
Correct Answer: B
Rationale: Right ventricular infarction often presents with clear lungs, elevated JVP, and hypotension,
especially with inferior MI.
Question 9. What is the target oxygen saturation range for most adult patients with acute
coronary syndrome?
A. 100%
B. 90–94% only
C. 88–92%
D. 94–99%
Correct Answer: D
Rationale: Oxygen is titrated to achieve SpO2 of approximately 94–99% to avoid both hypoxia and
hyperoxia.
Paramedic Readiness Exam 5 Comprehensive Examination 2026/2027 | Verified Questions
