Graded Latest Actual Exam – Complete
Questions and Answers with Detailed Rationales
– Pass Guaranteed – A+ Graded
Q1: You arrive on scene to find a patient slumped over the steering wheel of a parked
car with the engine off. As you approach the vehicle, you notice a powdery substance
on the center console and a syringe on the driver's lap. What is your very first action?
A. Reach through the open window to check for a pulse
B. Don appropriate PPE and ensure the scene is safe for entry [CORRECT]
C. Open the door and begin shaking the patient to wake them up
D. Request law enforcement to secure the scene while you wait in the ambulance
Correct Answer: B
Rationale: Remember, before you do anything else, you have to make sure the scene is
safe and you are protected. The best answer is to glove up and make sure there are no
other hazards before you even touch the patient, because patient contact without BSI in
a potentially hazardous scene is a critical pretest pitfall.
Q2: According to the AMLS assessment pathway, what is the very first step you take
after ensuring scene safety and BSI?
A. Obtain a focused history from the patient
B. Perform a rapid secondary survey
C. Form a field diagnosis
D. Determine the patient's chief complaint and assess mental status [CORRECT]
Correct Answer: D
Rationale: The best answer is determining the chief complaint and getting an initial
impression of mental status, which kicks off your primary survey. Remember, you can't
figure out what's wrong with a focused history or secondary survey until you know why
you were called and whether the patient is even awake enough to talk to you.
Q3: During the primary survey of a medical patient complaining of abdominal pain, you
notice massive bright red blood soaking through their shirt. What is the most appropriate
next action?
A. Continue with your primary survey to check breathing and circulation completely
before acting
B. Ask the patient about their medical history to see if they are on blood thinners
, C. Immediately apply direct, firm pressure to the bleeding site [CORRECT]
D. Skip straight to the secondary survey to find the source of the bleeding
Correct Answer: C
Rationale: The best answer is to stop the bleeding right then and there. This matches
the AMLS pretest expectation that you must intervene immediately when you find a
life-threatening issue during your primary survey, rather than stubbornly sticking to the
ABC sequence while the patient bleeds out.
Q4: Which of the following best describes the "B" component of the primary survey in a
medical patient?
A. Checking for bilateral breath sounds and assessing respiratory effort [CORRECT]
B. Looking at the skin color and checking the capillary refill time
C. Assessing the patient's level of consciousness using the AVPU scale
D. Palpating the abdomen for rigidity or distension
Correct Answer: A
Rationale: The best answer is checking breath sounds and respiratory effort, because in
any patient, "B" stands for breathing. While skin color and capillary refill are parts of
circulation, and AVPU is part of mental status, those belong to different steps in the
survey.
Q5: You are assessing a 45-year-old patient with dizziness. Your partner starts listening
to the patient's lung sounds and palpating their abdomen before checking their radial
pulse or blood pressure. What fundamental AMLS principle is being violated?
A. Failing to form a differential diagnosis early enough
B. Performing a secondary survey before completing the primary survey [CORRECT]
C. Using the wrong oxygen delivery device for the patient's condition
D. Intervening too early before gathering enough history
Correct Answer: B
Rationale: The best answer is performing the secondary survey before completing the
primary survey. Remember, lung sounds and abdominal palpation are secondary survey
details, and you absolutely must finish checking pulses, mental status, and life threats in
the primary survey first.
Q6: Once your primary survey is complete and life threats are managed, what is the
main purpose of the focused history and physical exam (secondary survey)?
A. To establish a field diagnosis and dictate a specific hospital destination
B. To identify non-life-threatening problems and gather details to support your
differential diagnosis [CORRECT]
C. To replace the primary survey findings with more accurate secondary vital signs
D. To determine if the patient requires ALS versus BLS level care
Correct Answer: B