AMLS Pretest questions and answers (all
correct) 2024/2025.
A 28 year old female is being evaluated for an acute onset of an alteration in mentation. She
complained of a stiff neck and persistent headache. Vital signs are P112, R22 and regular, BP 144/88,
SpO2 95% and T 102.3F (39C). The healthcare provider should observe for which complication?
Seizure
-Chapter 2
A 45 year old patient is found supine on the floor of the Triage area. Healthcare providers note
pinpoint pupils, shallow respirations and vomitus in and around the mouth. What course of action
should be implemented next?
Supplemental oxygen and suction
-Chapter 2
Patients with a history of chronic bronchitis that present with shortness of breath are likely to have
which condition?
Pulmonary embolism
-Chapter 3
Acute Respiratory Distress Syndrome (ARDS) is characterized by what pathological change?
Breakdown of fluid between the alveolar-capillary membrane
-Chapter 3
An anxious male complains of a sore throat, fever, chills, dental pain and dyspnea. the patient has a
firm, red pronounced swelling in the sublingual anterior throat area and tongue. What diagnosis is
most likely?
Ludwig's angina
-Chapter 3
Patients on mechanical ventilation may have hypoxemia due to alveolar collapse from mucous
plugging. The best treatment for this is:
Administer PEEP
-Chapter 3
Anaphylaxis is most associated with which physiological event?
Vasodilation
-Chapter 4
An elderly patient in an assisted living facility presents with a diminished level of consciousness and
elevated white blood count. Assessment reveals pale, clammy skin and a urinary catherter with dark
, colored urine. Vital signs are P132, R 38 and shallow, BP 78/46, SpO2 91% and T 100.8°F (32.8°C). What
classification of shock is the patient most likely experiencing?
Distributive
-Chapter 4
Healthcare providers are assessing a patient with pronounced jugular vein distention and muffled
heart tones. Vitals are P 128, R 26, BP 74/52. What classification of shock should be suspected?
Obstructive
- Chapter 5
During compensatory shock, the renin-angiotensin-aldosterone system is activated to cause a/an:
Increase in preload, afterload and re-absorption of sodium
-Chapter 4
A 42 year old patient with a history of rheumatoid arthritis is taking glucocorticoids. Over the past two
weeks, she complains of chronic fatigue, weakness, and loss of appetite with weight loss. Lab results
indicate hyponatremia and hyperkalemia. What underlying diagnosis is suspected?
Adrenal insufficiency
-Chapter 6
Which condition should the healthcare provider consider to usually be a non-emergent, non-life
threatening illness?
Thoracic outlet syndrome
-Chapter 5
Healthcare providers should use extreme caution with nitroglycerin when ST elevation is present in
which ECG leads?
II, III, aVF
-Chapter 5
Which is a high-risk factor for intracerebral hemorrhage?
Cocaine drug abuse
-Chapter 2
What is the initial treatment for a patient experiencing Hyperosmolar Hyperglycemic Nonketotic
Syndrome (HHNS)?
Crystalloid IV fluid resuscitation
-Chapter 6
What condition is most likely to cause respiratory acidosis?
Narcotic overdose
-Chapter 6
correct) 2024/2025.
A 28 year old female is being evaluated for an acute onset of an alteration in mentation. She
complained of a stiff neck and persistent headache. Vital signs are P112, R22 and regular, BP 144/88,
SpO2 95% and T 102.3F (39C). The healthcare provider should observe for which complication?
Seizure
-Chapter 2
A 45 year old patient is found supine on the floor of the Triage area. Healthcare providers note
pinpoint pupils, shallow respirations and vomitus in and around the mouth. What course of action
should be implemented next?
Supplemental oxygen and suction
-Chapter 2
Patients with a history of chronic bronchitis that present with shortness of breath are likely to have
which condition?
Pulmonary embolism
-Chapter 3
Acute Respiratory Distress Syndrome (ARDS) is characterized by what pathological change?
Breakdown of fluid between the alveolar-capillary membrane
-Chapter 3
An anxious male complains of a sore throat, fever, chills, dental pain and dyspnea. the patient has a
firm, red pronounced swelling in the sublingual anterior throat area and tongue. What diagnosis is
most likely?
Ludwig's angina
-Chapter 3
Patients on mechanical ventilation may have hypoxemia due to alveolar collapse from mucous
plugging. The best treatment for this is:
Administer PEEP
-Chapter 3
Anaphylaxis is most associated with which physiological event?
Vasodilation
-Chapter 4
An elderly patient in an assisted living facility presents with a diminished level of consciousness and
elevated white blood count. Assessment reveals pale, clammy skin and a urinary catherter with dark
, colored urine. Vital signs are P132, R 38 and shallow, BP 78/46, SpO2 91% and T 100.8°F (32.8°C). What
classification of shock is the patient most likely experiencing?
Distributive
-Chapter 4
Healthcare providers are assessing a patient with pronounced jugular vein distention and muffled
heart tones. Vitals are P 128, R 26, BP 74/52. What classification of shock should be suspected?
Obstructive
- Chapter 5
During compensatory shock, the renin-angiotensin-aldosterone system is activated to cause a/an:
Increase in preload, afterload and re-absorption of sodium
-Chapter 4
A 42 year old patient with a history of rheumatoid arthritis is taking glucocorticoids. Over the past two
weeks, she complains of chronic fatigue, weakness, and loss of appetite with weight loss. Lab results
indicate hyponatremia and hyperkalemia. What underlying diagnosis is suspected?
Adrenal insufficiency
-Chapter 6
Which condition should the healthcare provider consider to usually be a non-emergent, non-life
threatening illness?
Thoracic outlet syndrome
-Chapter 5
Healthcare providers should use extreme caution with nitroglycerin when ST elevation is present in
which ECG leads?
II, III, aVF
-Chapter 5
Which is a high-risk factor for intracerebral hemorrhage?
Cocaine drug abuse
-Chapter 2
What is the initial treatment for a patient experiencing Hyperosmolar Hyperglycemic Nonketotic
Syndrome (HHNS)?
Crystalloid IV fluid resuscitation
-Chapter 6
What condition is most likely to cause respiratory acidosis?
Narcotic overdose
-Chapter 6