JBL EMT MIDTERM CHAPTERS 1-
24 EXAM Latest Actual
Questions and Verified Answers
A+ Grade
1. A 75-year-old woman complains of heaviness in her chest, nausea, and
sweating that suddenly began about an hour ago. She is conscious and alert but
anxious. Her blood pressure is 144/84 mm Hg, and her heart rate is 110
beats/min. She took two prescribed nitroglycerin tablets (0.4 mg) before your
arrival but still feels chest heaviness. You should:
A. Give her high-flow oxygen, avoid administering more nitroglycerin due to risk of
blood pressure drop, and transport.
B. Transport her immediately and wait at least 20 minutes before considering a
third dose of nitroglycerin.
C. Recall that geriatric patients often take multiple medications, which can interact
negatively.
D. Assist her with one more nitroglycerin tablet, reassess her blood pressure, and
contact medical control.
Correct Answer: C
Explanation: Elderly patients often take multiple medications, increasing the risk
of drug interactions and adverse effects, especially with nitrates. It’s important to
consider this during treatment.
2. EMTs respond to an unresponsive known heroin user. If they administer
naloxone (Narcan), they should recall that:
A. The effects of naloxone last longer than most opioids.
B. Naloxone administration could cause seizures in this patient.
,C. Naloxone should not be given if the patient’s breathing is slow.
D. Naloxone should be administered in increments of 2 mg.
Correct Answer: B
Explanation: Naloxone can precipitate withdrawal and, in some cases, cause
seizures, especially in opioid-dependent patients.
3. A 60-year-old male presents with acute respiratory distress. He is conscious,
alert, has pink and dry skin, respirations of 22/min with adequate depth. The
most appropriate treatment is:
A. Oxygen via nasal cannula, vital signs, and prompt transport.
B. Assisted ventilation with BVM and a full exam.
C. Oxygen via nonrebreather mask and secondary assessment.
D. Positive-pressure ventilations and immediate transport.
Correct Answer: C
Explanation: The patient’s respirations are adequate, so providing oxygen via
nonrebreather and performing a focused assessment is appropriate.
4. What are the signs and symptoms of asthma?
Wheezing on inspiration and expiration
Bronchospasm
Correct Answer: Both options are correct.
Explanation: Asthma causes bronchospasm leading to wheezing, often on
inspiration and expiration.
5. What are the signs and symptoms of anaphylaxis?
, Flushed skin or hives (urticaria)
Generalized edema
Decreased blood pressure (hypotension)
Laryngeal edema with dyspnea
Wheezing or stridor
Correct Answer: All of the above
Explanation: Anaphylaxis is a severe allergic reaction involving multiple systems,
including skin, respiratory, and cardiovascular.
6. What are the signs and symptoms of bronchiolitis?
Shortness of breath
Wheezing
Coughing
Fever
Dehydration
Tachypnea
Tachycardia
Correct Answer: All listed symptoms.
Explanation: Bronchiolitis typically presents with respiratory distress signs,
especially in infants.
7. What are the signs and symptoms of bronchitis?
Chronic cough with sputum production
, Wheezing
Cyanosis
Tachypnea
Correct Answer: All listed symptoms.
Explanation: Chronic inflammation of the bronchi causes cough and wheezing,
with possible cyanosis in severe cases.
8. What are the signs and symptoms of congestive heart failure (CHF)?
Dependent edema (lower extremities)
Crackles (pulmonary edema)
Orthopnea
Paroxysmal nocturnal dyspnea
Correct Answer: All of the above
Explanation: CHF causes fluid buildup leading to these signs and symptoms.
9. What are the signs and symptoms of COVID-19?
Cough
Fever
Dyspnea
Chest pain
Anosmia (loss of smell)
Correct Answer: All of the above
Explanation: COVID-19 manifests with respiratory symptoms and anosmia.
24 EXAM Latest Actual
Questions and Verified Answers
A+ Grade
1. A 75-year-old woman complains of heaviness in her chest, nausea, and
sweating that suddenly began about an hour ago. She is conscious and alert but
anxious. Her blood pressure is 144/84 mm Hg, and her heart rate is 110
beats/min. She took two prescribed nitroglycerin tablets (0.4 mg) before your
arrival but still feels chest heaviness. You should:
A. Give her high-flow oxygen, avoid administering more nitroglycerin due to risk of
blood pressure drop, and transport.
B. Transport her immediately and wait at least 20 minutes before considering a
third dose of nitroglycerin.
C. Recall that geriatric patients often take multiple medications, which can interact
negatively.
D. Assist her with one more nitroglycerin tablet, reassess her blood pressure, and
contact medical control.
Correct Answer: C
Explanation: Elderly patients often take multiple medications, increasing the risk
of drug interactions and adverse effects, especially with nitrates. It’s important to
consider this during treatment.
2. EMTs respond to an unresponsive known heroin user. If they administer
naloxone (Narcan), they should recall that:
A. The effects of naloxone last longer than most opioids.
B. Naloxone administration could cause seizures in this patient.
,C. Naloxone should not be given if the patient’s breathing is slow.
D. Naloxone should be administered in increments of 2 mg.
Correct Answer: B
Explanation: Naloxone can precipitate withdrawal and, in some cases, cause
seizures, especially in opioid-dependent patients.
3. A 60-year-old male presents with acute respiratory distress. He is conscious,
alert, has pink and dry skin, respirations of 22/min with adequate depth. The
most appropriate treatment is:
A. Oxygen via nasal cannula, vital signs, and prompt transport.
B. Assisted ventilation with BVM and a full exam.
C. Oxygen via nonrebreather mask and secondary assessment.
D. Positive-pressure ventilations and immediate transport.
Correct Answer: C
Explanation: The patient’s respirations are adequate, so providing oxygen via
nonrebreather and performing a focused assessment is appropriate.
4. What are the signs and symptoms of asthma?
Wheezing on inspiration and expiration
Bronchospasm
Correct Answer: Both options are correct.
Explanation: Asthma causes bronchospasm leading to wheezing, often on
inspiration and expiration.
5. What are the signs and symptoms of anaphylaxis?
, Flushed skin or hives (urticaria)
Generalized edema
Decreased blood pressure (hypotension)
Laryngeal edema with dyspnea
Wheezing or stridor
Correct Answer: All of the above
Explanation: Anaphylaxis is a severe allergic reaction involving multiple systems,
including skin, respiratory, and cardiovascular.
6. What are the signs and symptoms of bronchiolitis?
Shortness of breath
Wheezing
Coughing
Fever
Dehydration
Tachypnea
Tachycardia
Correct Answer: All listed symptoms.
Explanation: Bronchiolitis typically presents with respiratory distress signs,
especially in infants.
7. What are the signs and symptoms of bronchitis?
Chronic cough with sputum production
, Wheezing
Cyanosis
Tachypnea
Correct Answer: All listed symptoms.
Explanation: Chronic inflammation of the bronchi causes cough and wheezing,
with possible cyanosis in severe cases.
8. What are the signs and symptoms of congestive heart failure (CHF)?
Dependent edema (lower extremities)
Crackles (pulmonary edema)
Orthopnea
Paroxysmal nocturnal dyspnea
Correct Answer: All of the above
Explanation: CHF causes fluid buildup leading to these signs and symptoms.
9. What are the signs and symptoms of COVID-19?
Cough
Fever
Dyspnea
Chest pain
Anosmia (loss of smell)
Correct Answer: All of the above
Explanation: COVID-19 manifests with respiratory symptoms and anosmia.
