CRITICAL CARE PARAMEDIC EXAM 1 EXAM
PREP: QUESTIONS AND ANSWERS 2026
FINAL PAPER.
◍ While packaging the patient for transfer, the CCTP should
____________ before moving the patient to their stretcher.
A. Silence the alarms of all of the patient's equipment
B. Temporarily disconnect all continuous diagnostics
C. Manually ventilate intubated patients with a bag-mask device
D. Consolidate as many infusion lines as possible Answer:D.
Consolidate as many infusion lines as possible
◍ CRT should be checked using:
A. A stethoscope.
B. The nail bed.
C. Hair color.
D. BP and respiration rate. Answer:B. The nail bed.
◍ Which of the following factors are used to calculate the shock
index?
A. Heart rate, age
,B. Age, height
C. Height, SBP
D. Age, temperature Answer:A. Heart rate, age
◍ While evaluating the need to RSI a patient, what sign would
suggest that the patient has an increased work of breathing?
A. Tachycardia
B. Intercostal retractions
C. Increased tidal volume
D. Altered mental status Answer:B. Intercostal retractions
◍ During primary assessment, bowel sounds should be present in
how many abdominal quadrants?
A. 1
B. 2
C. 3
D. 4 Answer:D. 4
◍ During primary assessment, the first sign of respiratory trouble is:
A. A change in respiratory rate
B. Elevated SBP
,C. Cramps
D. Dull eyes Answer:A. A change in respiratory rate
◍ Your patient responds to verbal stimuli, speaks with nonsensical
words, and withdraws from pain. What is the patient's GCS?
A. 4
B. 7
C. 9
D. 11 Answer:C. 9
◍ While calculating a GCS, you notice a motor response with
hyperextension of the neck and stiff, extended extremities. What
would you rate it?
A. 1
B. 2
C. 3
D. 4 Answer:B. 2
◍ You are caring for a patient who has sustained a significant head
injury. During a routine neurologic assessment, you pay close
attention to the patient's GCS. During the examination, you note that
the previous GCS score was 13 and now it is 9. Based on this finding,
you might suspect which of the following?
, A. The patient is not tolerating the transport
B. The initial GCS was calculated incorrectly
C. The intracranial pressure is increasing
D. The patient will become tachycardic Answer:C. The intracranial
pressure is increasing
◍ Late findings consistent with increasing intracranial pressure (ICP)
are hypertension, irregular respirations, and:
A. facial droop
B. bradycardia
C. constricted pupils
D. hyperkalemia Answer:B. bradycardia
◍ Which of the following changes most likely represents a serious
neurologic pathology and should be reported immediately?
A. Peaked T waves
B. Dried mucosa
C. Photophobia
D. Unequal pupils Answer:D. Unequal pupils
◍ Which of the following symptoms suggests that a patient may have
an upper Gl bleed?
PREP: QUESTIONS AND ANSWERS 2026
FINAL PAPER.
◍ While packaging the patient for transfer, the CCTP should
____________ before moving the patient to their stretcher.
A. Silence the alarms of all of the patient's equipment
B. Temporarily disconnect all continuous diagnostics
C. Manually ventilate intubated patients with a bag-mask device
D. Consolidate as many infusion lines as possible Answer:D.
Consolidate as many infusion lines as possible
◍ CRT should be checked using:
A. A stethoscope.
B. The nail bed.
C. Hair color.
D. BP and respiration rate. Answer:B. The nail bed.
◍ Which of the following factors are used to calculate the shock
index?
A. Heart rate, age
,B. Age, height
C. Height, SBP
D. Age, temperature Answer:A. Heart rate, age
◍ While evaluating the need to RSI a patient, what sign would
suggest that the patient has an increased work of breathing?
A. Tachycardia
B. Intercostal retractions
C. Increased tidal volume
D. Altered mental status Answer:B. Intercostal retractions
◍ During primary assessment, bowel sounds should be present in
how many abdominal quadrants?
A. 1
B. 2
C. 3
D. 4 Answer:D. 4
◍ During primary assessment, the first sign of respiratory trouble is:
A. A change in respiratory rate
B. Elevated SBP
,C. Cramps
D. Dull eyes Answer:A. A change in respiratory rate
◍ Your patient responds to verbal stimuli, speaks with nonsensical
words, and withdraws from pain. What is the patient's GCS?
A. 4
B. 7
C. 9
D. 11 Answer:C. 9
◍ While calculating a GCS, you notice a motor response with
hyperextension of the neck and stiff, extended extremities. What
would you rate it?
A. 1
B. 2
C. 3
D. 4 Answer:B. 2
◍ You are caring for a patient who has sustained a significant head
injury. During a routine neurologic assessment, you pay close
attention to the patient's GCS. During the examination, you note that
the previous GCS score was 13 and now it is 9. Based on this finding,
you might suspect which of the following?
, A. The patient is not tolerating the transport
B. The initial GCS was calculated incorrectly
C. The intracranial pressure is increasing
D. The patient will become tachycardic Answer:C. The intracranial
pressure is increasing
◍ Late findings consistent with increasing intracranial pressure (ICP)
are hypertension, irregular respirations, and:
A. facial droop
B. bradycardia
C. constricted pupils
D. hyperkalemia Answer:B. bradycardia
◍ Which of the following changes most likely represents a serious
neurologic pathology and should be reported immediately?
A. Peaked T waves
B. Dried mucosa
C. Photophobia
D. Unequal pupils Answer:D. Unequal pupils
◍ Which of the following symptoms suggests that a patient may have
an upper Gl bleed?
