PARAMEDIC 2026 FINAL EXAM PREP WITH 1500 QUESTIONS AND
CORRECT VERIFIED ANSWERS WITH RATIONALES/ FISDAP
PARAMEDIC FINAL EXAM TEST BANK (LATEST!)
1. The first step in assessing a patient is:
A) Scene safety
B) Airway assessment
C) Vital signs
D) History taking
Rationale: Ensuring the scene is safe protects both the provider and patient.
2. What is the normal range for adult systolic blood pressure?
A) 80–100 mmHg
B) 90–120 mmHg
C) 130–150 mmHg
D) 60–80 mmHg
Rationale: Normal adult systolic BP is typically 90–120 mmHg.
3. Which oxygen delivery device provides the highest oxygen concentration?
A) Nasal cannula
B) Simple face mask
C) Non-rebreather mask
D) Venturi mask
Rationale: Non-rebreather masks can deliver 90–100% oxygen when properly fitted.
4. The primary concern in a patient with anaphylaxis is:
A) Airway obstruction
B) Hypothermia
C) Pain
D) Nausea
Rationale: Rapid swelling of the airway can lead to life-threatening obstruction.
,5. Which ECG rhythm requires immediate defibrillation?
A) Asystole
B) Ventricular fibrillation (VF)
C) Pulseless electrical activity (PEA)
D) Sinus bradycardia
Rationale: VF is a shockable rhythm; asystole and PEA are not.
6. The proper compression-to-ventilation ratio for adult CPR is:
A) 15:2
B) 30:2
C) 20:2
D) 5:1
Rationale: Current guidelines recommend 30 compressions followed by 2 breaths.
7. The most common cause of airway obstruction in an unconscious adult is:
A) Swelling
B) Tongue
C) Vomitus
D) Blood
Rationale: The tongue can fall back and block the airway in an unconscious patient.
8. What is the drug of choice for anaphylaxis?
A) Epinephrine
B) Albuterol
C) Diphenhydramine
D) Atropine
Rationale: Epinephrine rapidly reverses airway edema and vasodilation.
9. In trauma patients, the first priority is:
, A) Airway, breathing, circulation (ABCs)
B) Pain control
C) Obtaining history
D) Transport
Rationale: Life-threatening conditions must be managed before secondary concerns.
10. Which sign indicates hypovolemic shock?
A) Bounding pulse
B) Rapid, weak pulse
C) Warm, flushed skin
D) Bradycardia
Rationale: Blood loss leads to poor perfusion and a weak, rapid pulse.
11. The preferred route of drug administration in cardiac arrest is:
A) Oral
B) Subcutaneous
C) Intravenous or intraosseous (IV/IO)
D) Intramuscular
Rationale: IV/IO provides rapid systemic absorption in emergencies.
12. Which condition is contraindicated for nitroglycerin administration?
A) Chest pain
B) Systolic BP < 90 mmHg
C) History of angina
D) Shortness of breath
Rationale: Hypotension can worsen if nitroglycerin is given.
13. What is the normal respiratory rate for an adult?
A) 4–10/min
B) 12–20/min
C) 24–30/min
D) 8–12/min
Rationale: Adults typically breathe 12–20 times per minute at rest.
CORRECT VERIFIED ANSWERS WITH RATIONALES/ FISDAP
PARAMEDIC FINAL EXAM TEST BANK (LATEST!)
1. The first step in assessing a patient is:
A) Scene safety
B) Airway assessment
C) Vital signs
D) History taking
Rationale: Ensuring the scene is safe protects both the provider and patient.
2. What is the normal range for adult systolic blood pressure?
A) 80–100 mmHg
B) 90–120 mmHg
C) 130–150 mmHg
D) 60–80 mmHg
Rationale: Normal adult systolic BP is typically 90–120 mmHg.
3. Which oxygen delivery device provides the highest oxygen concentration?
A) Nasal cannula
B) Simple face mask
C) Non-rebreather mask
D) Venturi mask
Rationale: Non-rebreather masks can deliver 90–100% oxygen when properly fitted.
4. The primary concern in a patient with anaphylaxis is:
A) Airway obstruction
B) Hypothermia
C) Pain
D) Nausea
Rationale: Rapid swelling of the airway can lead to life-threatening obstruction.
,5. Which ECG rhythm requires immediate defibrillation?
A) Asystole
B) Ventricular fibrillation (VF)
C) Pulseless electrical activity (PEA)
D) Sinus bradycardia
Rationale: VF is a shockable rhythm; asystole and PEA are not.
6. The proper compression-to-ventilation ratio for adult CPR is:
A) 15:2
B) 30:2
C) 20:2
D) 5:1
Rationale: Current guidelines recommend 30 compressions followed by 2 breaths.
7. The most common cause of airway obstruction in an unconscious adult is:
A) Swelling
B) Tongue
C) Vomitus
D) Blood
Rationale: The tongue can fall back and block the airway in an unconscious patient.
8. What is the drug of choice for anaphylaxis?
A) Epinephrine
B) Albuterol
C) Diphenhydramine
D) Atropine
Rationale: Epinephrine rapidly reverses airway edema and vasodilation.
9. In trauma patients, the first priority is:
, A) Airway, breathing, circulation (ABCs)
B) Pain control
C) Obtaining history
D) Transport
Rationale: Life-threatening conditions must be managed before secondary concerns.
10. Which sign indicates hypovolemic shock?
A) Bounding pulse
B) Rapid, weak pulse
C) Warm, flushed skin
D) Bradycardia
Rationale: Blood loss leads to poor perfusion and a weak, rapid pulse.
11. The preferred route of drug administration in cardiac arrest is:
A) Oral
B) Subcutaneous
C) Intravenous or intraosseous (IV/IO)
D) Intramuscular
Rationale: IV/IO provides rapid systemic absorption in emergencies.
12. Which condition is contraindicated for nitroglycerin administration?
A) Chest pain
B) Systolic BP < 90 mmHg
C) History of angina
D) Shortness of breath
Rationale: Hypotension can worsen if nitroglycerin is given.
13. What is the normal respiratory rate for an adult?
A) 4–10/min
B) 12–20/min
C) 24–30/min
D) 8–12/min
Rationale: Adults typically breathe 12–20 times per minute at rest.
