Complete Answers 2024/2025
A 54-year-old male complains of abdominal pain. He tells you he has had generalized
crampy pain and diarrhea for three days. His abdomen is soft to palpation. His vital
signs are P 90, R 16, BP 142/86, and spo2 is 96% on room air. You should suspect:
A. Appendicitis.
B. Peritonitis.
C. Cholecystitis.
D. Gastroenteritis. - correct answer D. Gastroenteritis.
An unresponsive 23-year-old male is lying in bed. His mother tells you that he has been
getting sicker all week and not taking his medication. He has a history of type 2
diabetes. His skin is warm and dry. His vital signs are P 98, R 24 and deep, BP 112/84,
and spo2 is 98% on room air. You should suspect:
A. Hypoglycemia.
B. Hyperglycemia.
C. Stroke.
D. Increased intracerebral pressure. - correct answer B. Hyperglycemia.
A 21-year-old female complains of severe nausea and vomiting. She tells you she is six
weeks pregnant, and she has been vomiting four times a day. Her conjunctivae are pale
and dry. Her vital signs are P 110, R 18, BP 104/86, and spo2 is 93% on room air. Her
blood glucose level is 72 mg/dl. You should administer oxygen and:
A. Give her small sips of water.
B. Position her to relieve pressure on her inferior vena cava.
C. Oral glucose.
D. Treat for shock. - correct answer D. Treat for shock.
,An 84-year-old male tells you that he is hearing and seeing demons. He has a history of
schizophrenia. He denies any other complaints. His vital signs are P 64, R 12, BP
122/74, and spo2 is 98% on room air. You should:
A. Tell him that you cannot see or hear them.
B. Ask him to point to where the demons are.
C. Tell him not to worry because you will protect him.
D. Ask him if it is alright with the demons if you transport him to the hospital. - correct
answer A. Tell him that you cannot see or hear them.
A febrile 80-year-old male complains of generalized weakness and foot pain. His left
foot is swollen, red, and pus is draining from the wound. He tells you he has MRSA in
the wound. His vital signs are P 108, R 22, BP 88/62, and spo2 is 94% on room air. You
should:
A. Administer aspirin.
B. Administer oxygen.
C. Apply a compression dressing on his foot.
D. Apply a warm compress to his foot. - correct answer B. Administer oxygen.
An unresponsive 27-year-old female vomited after she ingested a bottle of aspirin. Her
skin is diaphoretic and hot. Her vital signs are P 114, R 24 and deep, BP 82/60, and
spo2 is 95% on room air. Which of the following will provide the most accurate, up-to-
date information on how to manage her condition?
A. Contacting medical control
B. Referring to your written protocols
C. Contacting Poison Control
D. Referring to a pocket reference guide - correct answer C. Contacting Poison Control
A 67-year-old female complains of swelling in her legs and abdomen. She admits to a
history of alcohol abuse. You observe that her sclerae are jaundiced. Which organ
should you suspect is not functioning properly?
A. Kidney
B. Pancreas
,C. Liver
D. Large intestine - correct answer C. Liver
A 10-month-old male is crying after he was stung by a bee. The skin around the site is
reddened, and there is localized swelling. His lungs are clear to auscultation, and he is
interacting with you appropriately. His vital signs are P 120, R 28, BP 90/58, and spo2 is
98% on room air. You should:
A. Administer oxygen.
B. Assist his ventilation.
C. Administer a pediatric epinephrine autoinjector.
D. Monitor him and transport. - correct answer D. Monitor him and transport.
A 34-year-old female has severe anxiety and tells you she is having a panic attack. She
tells you she has been depressed since her son was born two months ago. Her vital
signs are P 88, R 18, BP 132/84, and spo2 is 99% on room air. You should:
A. Tell her to relax, and she will be fine.
B. Reassure her and transport.
C. Discuss with her why her son is causing her to be depressed.
D. Place your hand on her shoulder to comfort her. - correct answer B. Reassure her
and transport.
When does a hernia become a life threat?
A. When the patient is in pain
B. When the intestine protrudes against the skin
C. When the patient is pain-free
D. When the intestine is obstructed - correct answer D. When the intestine is
obstructed
A 1-month-old male has bilateral circumferential superficial burns from his mid-calf to
his toes. He is crying and inconsolable. His mother tells you she placed him in the tub
and then accidentally filled the tub with hot water. You should suspect:
, A. Accidental trauma.
B. Life-threatening injuries.
C. Limb-threatening injuries.
D. Non-accidental trauma. - correct answer D. Non-accidental trauma.
A 44-year-old male complains of groin pain. He tells you he has had an erection for over
an hour. He has a history of sickle cell anemia. His sclerae and conjunctivae appear
pale and yellow. His vital signs are P 98, R 20, BP 138/82, and spo2 is 95% on room
air. You should:
A. Apply a cold pack to the affected area.
B. Transport and monitor his vital signs.
C. Administer aspirin.
D. Administer oxygen. - correct answer D. Administer oxygen.
Why would the fontanel of an 8-month-old female who has meningitis bulge?
A. The brain is herniating.
B. The fontanel is dilating.
C. The meninges are weakened.
D. The ICP has increased. - correct answer D. The ICP has increased.
A febrile 66-year-old female complains of chills and body aches. She tells you she
removed a tick from her back yesterday. You observe a 3 cm circle of reddened skin
that is normal in the center. You should:
A. Apply a moist, sterile dressing.
B. Cleanse the area with soap and water.
C. Administer oxygen.
D. Assess her vital signs. - correct answer D. Assess her vital signs.
A 32-year-old female has a single episode of tonic-clonic seizure activity. She is awake
now and restless. She has a history of alcohol abuse and tells you she quit drinking