APRP TEST QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES Q &A 2026
|INSTANT DOWNLOAD PDF
1. Which of the following is the first step in the primary
assessment of a trauma patient?
A. Obtaining vital signs
B. Airway assessment
C. Circulation assessment
D. Disability assessment
Rationale: The primary survey follows the ABCDE sequence.
Airway is assessed first to ensure the patient can maintain
adequate oxygenation.
Correct Answer: B
2. A 45-year-old patient presents with chest pain radiating to
the left arm. Which of the following interventions is most
appropriate initially?
A. Immediate defibrillation
B. Administration of nitroglycerin if BP > 100 mmHg
C. Rapid transport without intervention
D. Administering IV antibiotics
Rationale: Chest pain with radiation suggests ACS. Nitroglycerin
can be administered if the systolic BP is safe, along with oxygen
and monitoring.
Correct Answer: B
,3. Which type of shock is characterized by widespread
vasodilation and relative hypovolemia?
A. Hypovolemic
B. Cardiogenic
C. Distributive
D. Obstructive
Rationale: Distributive shock (e.g., septic, anaphylactic)
involves vasodilation leading to relative hypovolemia despite
normal or increased intravascular volume.
Correct Answer: C
4. What is the normal range for adult respiratory rate?
A. 8–12 breaths/min
B. 12–20 breaths/min
C. 20–28 breaths/min
D. 28–36 breaths/min
Rationale: Normal adult respiratory rate is 12–20 breaths per
minute; deviations may indicate respiratory distress.
Correct Answer: B
5. Which of the following is a sign of increased intracranial
pressure?
A. Bradycardia, hypertension, irregular respirations
B. Tachycardia, hypotension, shallow respirations
C. Hypotension, tachypnea, dilated pupils
D. Fever, bradycardia, hypotension
,Rationale: Cushing’s triad (bradycardia, hypertension, irregular
respirations) indicates increased ICP.
Correct Answer: A
6. During airway management, what is the most reliable
method to confirm endotracheal tube placement?
A. Visual confirmation of tube passing the vocal cords
B. Auscultation of bilateral breath sounds
C. End-tidal CO2 detection
D. Observation of chest rise
Rationale: End-tidal CO2 provides real-time confirmation of
tracheal placement and ongoing tube patency.
Correct Answer: C
7. Which cardiac rhythm is most commonly associated with
sudden cardiac arrest?
A. Atrial fibrillation
B. Ventricular fibrillation
C. Sinus tachycardia
D. First-degree AV block
Rationale: Ventricular fibrillation is a primary cause of sudden
cardiac arrest and requires immediate defibrillation.
Correct Answer: B
8. For a patient in anaphylactic shock, which of the following
is the first-line treatment?
A. IV corticosteroids
B. Subcutaneous epinephrine
, C. IM epinephrine
D. Oxygen and fluids only
Rationale: IM epinephrine is first-line for rapid reversal of life-
threatening anaphylaxis.
Correct Answer: C
9. A patient presents with signs of hypovolemic shock. Which
of the following interventions is most critical?
A. Administer high-flow oxygen and start IV fluids
B. Immediate intubation
C. Give vasopressors first
D. Rapid defibrillation
Rationale: Hypovolemic shock requires volume replacement
and oxygenation as the initial priority before other
interventions.
Correct Answer: A
10. Which of the following best describes a tension
pneumothorax?
A. Air enters pleural space during inspiration and exits during
expiration
B. Air accumulates under pressure, collapsing the lung and
shifting mediastinum
C. Infection causes fluid accumulation in the pleural space
D. Chronic lung disease with hyperinflation
Rationale: Tension pneumothorax leads to life-threatening
pressure buildup, mediastinal shift, and compromised
(VERIFIED ANSWERS) PLUS RATIONALES Q &A 2026
|INSTANT DOWNLOAD PDF
1. Which of the following is the first step in the primary
assessment of a trauma patient?
A. Obtaining vital signs
B. Airway assessment
C. Circulation assessment
D. Disability assessment
Rationale: The primary survey follows the ABCDE sequence.
Airway is assessed first to ensure the patient can maintain
adequate oxygenation.
Correct Answer: B
2. A 45-year-old patient presents with chest pain radiating to
the left arm. Which of the following interventions is most
appropriate initially?
A. Immediate defibrillation
B. Administration of nitroglycerin if BP > 100 mmHg
C. Rapid transport without intervention
D. Administering IV antibiotics
Rationale: Chest pain with radiation suggests ACS. Nitroglycerin
can be administered if the systolic BP is safe, along with oxygen
and monitoring.
Correct Answer: B
,3. Which type of shock is characterized by widespread
vasodilation and relative hypovolemia?
A. Hypovolemic
B. Cardiogenic
C. Distributive
D. Obstructive
Rationale: Distributive shock (e.g., septic, anaphylactic)
involves vasodilation leading to relative hypovolemia despite
normal or increased intravascular volume.
Correct Answer: C
4. What is the normal range for adult respiratory rate?
A. 8–12 breaths/min
B. 12–20 breaths/min
C. 20–28 breaths/min
D. 28–36 breaths/min
Rationale: Normal adult respiratory rate is 12–20 breaths per
minute; deviations may indicate respiratory distress.
Correct Answer: B
5. Which of the following is a sign of increased intracranial
pressure?
A. Bradycardia, hypertension, irregular respirations
B. Tachycardia, hypotension, shallow respirations
C. Hypotension, tachypnea, dilated pupils
D. Fever, bradycardia, hypotension
,Rationale: Cushing’s triad (bradycardia, hypertension, irregular
respirations) indicates increased ICP.
Correct Answer: A
6. During airway management, what is the most reliable
method to confirm endotracheal tube placement?
A. Visual confirmation of tube passing the vocal cords
B. Auscultation of bilateral breath sounds
C. End-tidal CO2 detection
D. Observation of chest rise
Rationale: End-tidal CO2 provides real-time confirmation of
tracheal placement and ongoing tube patency.
Correct Answer: C
7. Which cardiac rhythm is most commonly associated with
sudden cardiac arrest?
A. Atrial fibrillation
B. Ventricular fibrillation
C. Sinus tachycardia
D. First-degree AV block
Rationale: Ventricular fibrillation is a primary cause of sudden
cardiac arrest and requires immediate defibrillation.
Correct Answer: B
8. For a patient in anaphylactic shock, which of the following
is the first-line treatment?
A. IV corticosteroids
B. Subcutaneous epinephrine
, C. IM epinephrine
D. Oxygen and fluids only
Rationale: IM epinephrine is first-line for rapid reversal of life-
threatening anaphylaxis.
Correct Answer: C
9. A patient presents with signs of hypovolemic shock. Which
of the following interventions is most critical?
A. Administer high-flow oxygen and start IV fluids
B. Immediate intubation
C. Give vasopressors first
D. Rapid defibrillation
Rationale: Hypovolemic shock requires volume replacement
and oxygenation as the initial priority before other
interventions.
Correct Answer: A
10. Which of the following best describes a tension
pneumothorax?
A. Air enters pleural space during inspiration and exits during
expiration
B. Air accumulates under pressure, collapsing the lung and
shifting mediastinum
C. Infection causes fluid accumulation in the pleural space
D. Chronic lung disease with hyperinflation
Rationale: Tension pneumothorax leads to life-threatening
pressure buildup, mediastinal shift, and compromised
