Amls final exam updated 2025/2026 questions and answers100%
correct.
1. A 45-year-old patientis found supine on the floor. Healthcareproviders notepinpoint
pupils, shallowrespirations,and vomitus in and around the mouth.What courseof action
shouldbetakennext?:Supplementaloxygen and suction
2. Patients with a history of COPD that present with an acute onset of shortness
of breathare
likely to havewhichcondition?:Pulmonaryembolism
3. During compensatoryshock, the renin-angiotensine-aldosteronesystem is activatedto
causea/an::Increasein preload,afterload,and re-absorptionof sodium
4. Whatclinical findings aremostcommonlyassociatedwitha pulmonary embolus?:
Clear
breath sounds with tachypnea
5. Whatconditionis mostlikely to causerespiratoryacidosis?:Narcotic overdose
6. A 55-year-old complains of an "aching" chest discomfort that persists over several da
The patient has a temperature of 101*F (38.3*C).
Which findingwill helpnarrowthe
diagnosisto pericarditis?:ST-segmentelevation in all leads
7. Anaphylaxisis mostassociatedwithwhichphysiologicalevent?:Vasodi- lation
8. AcuteRespiratoryDistressSyndrome(ARDS) is characterizedby what pathologic
change?:Breakdown of the alveolar
-capillary membrane
9. Continuouspositiveairwaypressurewouldbemostbeneficialin treating which patient?:
A
22-year-old with severe asthma who is not responding to nebulizer treatments
10. What is the initial treatment for a patient experiencing hyperosmolar hyperglycemi
nonketoticcoma(HHNC)?: CrystalloidIV fluid administration
11. Your patienthashada seizuresecondarytoa nerveagentexposure.Whatmedication would
be best to diminish the seizure?:
Midazolam
12. Respiratoryalkalosismayoccur as a resultof::Feverand anxiety
13. An age-relatedchangethatincreasestherisk of respiratorycompromise is::Decrease in
lung compliance
14. Paroxysmalnocturnaldyspneais mostcommonin patientswitha historyof::Left-sided
heart failure
1/9
, Amls final exam updated 2025/2026 questions and answers
100%
correct.
15. The patient presents with a history of fever and an upper respiratory infection.
Historical
informationrevealsincreasingwaterintake,orthostatic hypotension,andan increasein
urination.You suspectthesesymptomsare caused by:: Hyperglycemia
16. You aredispatchedto thehomeof a 32-year-old patientwitha historyof Graves' disease.
The patient was in the ER earlier today for some "testsmyfor
ulcers."He receivedcontrastand
wasdischarged.He is nowcomplainingof not feelingwell,chestpain,and palpitations.You note
an anxiouspatient with fine tremors.
He is diaphoretic and has a temperature of 101.5*F,
BP
100/62,P 156 (sinus tachycardia),
R 30, glucose level 133.
Which of the following are
management considerations for this patient?:Beta Blockers
17. Metabolicacidosisis bestdescribedby whicharterialbloodgasinterpre- tation?:pH
decreased, pCO2 decreased, H2CO3 low
18. The AMLS AssessmentPathwayfirst advisessafetyand initial observa- tions of the scene.
The second process described in this pathway asks the healthcare providerIdentify
to:: and
manage life-threats
19. Observinga patient'sbodypositioningcan be an earlyindicatorthatthe patient is::Sick or
not sick
20. Which assessmentfinding is crucial to obtainfrom a patientsuspected of a stroke?:
Onset
of symptoms
21. A 62-year-old patientpresentswitha severeheadache.It is describedas a "thunderclap"
accompanied with nausea, blurred vision,and an elevated blood pressure.
What neurologic
condition is most likely causing this -pa
tient's presentation?:
Subarachnoid hemorrhage
22. A 38-year-old presentswithmild chesttightnessandurticariaaftermow- ing the lawn.He
felt a "sting" in his left lower leg and states the symptoms
cameon suddenly.BP 130/82,P 100,R
20witha normalworkof breathingand clear lung sounds. The healthcare provider should::
Initiate an IV with 0.9% normal saline and administer 0.5mg of epinephrine
23. Healthcare providers are treating a patient complaining of substernal chest pain
accompanied with nausea and one episode of vomiting.The pa- tienthashadtwocardiacstents
placedwithinthelastyear.He hasa familial history of heart disease and takes a baby aspiri
daily.What information is most concerning?:Recent stent placement
24. The patientcomplainsof sharpchestpain thatworsenswhensupine.He is bed ridden due
2/9
correct.
1. A 45-year-old patientis found supine on the floor. Healthcareproviders notepinpoint
pupils, shallowrespirations,and vomitus in and around the mouth.What courseof action
shouldbetakennext?:Supplementaloxygen and suction
2. Patients with a history of COPD that present with an acute onset of shortness
of breathare
likely to havewhichcondition?:Pulmonaryembolism
3. During compensatoryshock, the renin-angiotensine-aldosteronesystem is activatedto
causea/an::Increasein preload,afterload,and re-absorptionof sodium
4. Whatclinical findings aremostcommonlyassociatedwitha pulmonary embolus?:
Clear
breath sounds with tachypnea
5. Whatconditionis mostlikely to causerespiratoryacidosis?:Narcotic overdose
6. A 55-year-old complains of an "aching" chest discomfort that persists over several da
The patient has a temperature of 101*F (38.3*C).
Which findingwill helpnarrowthe
diagnosisto pericarditis?:ST-segmentelevation in all leads
7. Anaphylaxisis mostassociatedwithwhichphysiologicalevent?:Vasodi- lation
8. AcuteRespiratoryDistressSyndrome(ARDS) is characterizedby what pathologic
change?:Breakdown of the alveolar
-capillary membrane
9. Continuouspositiveairwaypressurewouldbemostbeneficialin treating which patient?:
A
22-year-old with severe asthma who is not responding to nebulizer treatments
10. What is the initial treatment for a patient experiencing hyperosmolar hyperglycemi
nonketoticcoma(HHNC)?: CrystalloidIV fluid administration
11. Your patienthashada seizuresecondarytoa nerveagentexposure.Whatmedication would
be best to diminish the seizure?:
Midazolam
12. Respiratoryalkalosismayoccur as a resultof::Feverand anxiety
13. An age-relatedchangethatincreasestherisk of respiratorycompromise is::Decrease in
lung compliance
14. Paroxysmalnocturnaldyspneais mostcommonin patientswitha historyof::Left-sided
heart failure
1/9
, Amls final exam updated 2025/2026 questions and answers
100%
correct.
15. The patient presents with a history of fever and an upper respiratory infection.
Historical
informationrevealsincreasingwaterintake,orthostatic hypotension,andan increasein
urination.You suspectthesesymptomsare caused by:: Hyperglycemia
16. You aredispatchedto thehomeof a 32-year-old patientwitha historyof Graves' disease.
The patient was in the ER earlier today for some "testsmyfor
ulcers."He receivedcontrastand
wasdischarged.He is nowcomplainingof not feelingwell,chestpain,and palpitations.You note
an anxiouspatient with fine tremors.
He is diaphoretic and has a temperature of 101.5*F,
BP
100/62,P 156 (sinus tachycardia),
R 30, glucose level 133.
Which of the following are
management considerations for this patient?:Beta Blockers
17. Metabolicacidosisis bestdescribedby whicharterialbloodgasinterpre- tation?:pH
decreased, pCO2 decreased, H2CO3 low
18. The AMLS AssessmentPathwayfirst advisessafetyand initial observa- tions of the scene.
The second process described in this pathway asks the healthcare providerIdentify
to:: and
manage life-threats
19. Observinga patient'sbodypositioningcan be an earlyindicatorthatthe patient is::Sick or
not sick
20. Which assessmentfinding is crucial to obtainfrom a patientsuspected of a stroke?:
Onset
of symptoms
21. A 62-year-old patientpresentswitha severeheadache.It is describedas a "thunderclap"
accompanied with nausea, blurred vision,and an elevated blood pressure.
What neurologic
condition is most likely causing this -pa
tient's presentation?:
Subarachnoid hemorrhage
22. A 38-year-old presentswithmild chesttightnessandurticariaaftermow- ing the lawn.He
felt a "sting" in his left lower leg and states the symptoms
cameon suddenly.BP 130/82,P 100,R
20witha normalworkof breathingand clear lung sounds. The healthcare provider should::
Initiate an IV with 0.9% normal saline and administer 0.5mg of epinephrine
23. Healthcare providers are treating a patient complaining of substernal chest pain
accompanied with nausea and one episode of vomiting.The pa- tienthashadtwocardiacstents
placedwithinthelastyear.He hasa familial history of heart disease and takes a baby aspiri
daily.What information is most concerning?:Recent stent placement
24. The patientcomplainsof sharpchestpain thatworsenswhensupine.He is bed ridden due
2/9
