AMLS Pre-Test Exam | Q&A 2026/2027 | Advanced Medical Life Support | 100% Verified Answers | Pass Guaranteed

AMLS Pre-Test Exam | Q&A 2026/2027 | Advanced Medical Life Support | 100% Verified Answers | Pass Guaranteed Q: The determination of a working diagnosis is dependent on the provider's assessment, critical thinking and________skills. Answer pattern recognition Q: Which is a high-risk factor for intracerebral hemorrhage? Answer Cocaine abuse Q: When performing a patient assessment, what information provides the most essential information in determining a working diagnosis? Answer Medical history Q: Which infectious disease must have oxygen present to survive? Answer Tuberculosis Q: During what period of the communicable disease process will antibodies begin to reach detectable levels and the infected blood will test positive for exposure to a pathogen? Answer Incubation Q: Continuous positive airway pressure would be most appropriate in treating which patient? Answer A 22-year-old with severe asthma and not responding to nebulizer treatments. Q: A 28-year-old female is being evaluated for an acute onset of an alteration in mentation. She complained of a stiff neck and persistent headache. Vital signs are P 112, R 22 and regular, BP 144/88, SpO2 95%, and T 102.3°F (39°C). The healthcare provider should observe for which complication? Answer Seizure Q: Patients with a history of chronic bronchitis that present with shortness of breath are likely to have which condition? Answer Pulmonary embolism Q: What is the sign on the ECG that will indicate a patient is experiencing hyperkalemia? Answer Peaked T waves Q: Clinical reasoning requires the healthcare provider to: Answer Process relevant information, filter out irrelevant information. Q: A 24-year-old has completed a triathlon on a hot, humid day. The athlete complains of a severe headache, muscle cramps, and abdominal pain. As the patient history is obtained, the athlete becomes lethargic. What underlying electrolyte disturbance should the healthcare provider most likely suspect? Answer Hypocalcemia Q: A patient with a history of Graves' disease presents with anxiety, perfuse sweating, and a palpable goiter. Vitals are P 151, R 35 and labored, BP 84/42. Which working diagnosis is most likely? Answer Thyrotoxicosis Q: What component of a patient's past medical history is most helpful in considering myocardial infarction as a working diagnosis? Answer Familial heart disease history Q: Which component of the history is most crucial when assessing a potential stroke patient? Answer Time of onset Q: A patient has attempted suicide by ingesting ethylene glycol about 20 hours prior to arriving for treatment. Lung sounds reveal bilateral crackles and respirations of 30 with symptoms of pulmonary edema and cyanosis of the lips. The ECG reveals ventricular tachycardia. Which stage of ethylene glycol poisoning has occurred? Answer 2 Q: Anaphylaxis is most associated with which physiological event? Answer Vasodilation Q: A 45-year-old patient is found supine on the floor of the triage area. Healthcare providers note pinpoint pupils, shallow respirations, and vomitus in and around the mouth. What course of action should be implemented next? Answer Supplemental oxygen and suction Q: Which best practices help to prevent the spread of infectious disease? Answer Handwashing before and after all patient contact and standard precautions. Q: An 82-year-old alcoholic complains of nausea, nonbloody vomiting, and severe epigastric and right upper quadrant pain that radiates to the back. Palpation reveals epigastric tenderness without peritoneal signs. What working diagnosis should be considered most likely? Answer Acute pancreatitis Q: What medication classification should be administered to an uncooperative, agitated patient? Answer Benzodiazepine Q: The patient is alert and oriented, presenting with hypotension, bradycardia, normal capillary refill, and warm, dry pink skin. These are cardinal signs of which type of distributive shock? Answer Neurogenic The patient complains of a deep burning discomfort diffusely throughout the epigastrium. This is an example of which type of pain? Answer Visceral A 23-year-old male complains of a productive cough, fever, chills and pleuritic chest pain that has worsened over 3 days. A physical exam reveals unilateral wheezing with shallow respirations. Vitals are P 128, R 26, BP 144/88, SpO2 90%, and T 102°F (38.8°C). What treatment should be performed? Answer Supplemental oxygen and immediate transport. According to the AMLS Assessment Pathway, determining whether a patient is "Sick or Not Sick" is initially done in which component of the assessment process? Answer First impression Acute Respiratory Distress Syndrome (ARDS) is characterized by what pathologic change? Answer Breakdown of the alveolar-capillary membrane. What may cause primary respiratory alkalosis Answer Fever Quadriplegic male is experiencing difficulty breathing and restlessness. His skin is warm and his urine is dark yellow and cloudy. Vital signs are BP 86/68, P 128, R 24, temperature 101.2 F. What type of shock should you suspect? Answer Septic 20 year old male college student complains of acute onset of fever, headache, vomiting, and malaise. He appears ill and has a petechial rash on his extremities. What do you suspect? Meningitis A 20 year old male complains of sever pain after a jellyfish sting. He has a red, swollen ankle and foot. What should you do? Wash the area and administer an analgesic The renin-angiotensin-aldosterone system is activated during shock in order to cause which of the following? Increase in preload, afterload, and reabsorption of sodium An elderly COPD patient complains of difficulty in breathing upon exertion. She has a 1-week history of productive cough. She has pursed lip breathing. She is prescribed a bronchodilator as needed. Vital signs are BP 132/70, P 88, R 20 with rhochi. What should you suspect? Chronic bronchitis An anxious 32 year old female complains of chest pain with palpitations. She has a history of Graves' disease. She reports she was seen in the ED earlier that day and had a CT scan of her abdomen with IV contrast. She is diaphoretic and has a temperature of 101.5 F. Vital signs are BP 100/62, P 156, R 30, BLG 133. What should you administer? Normal Saline What statement is correct regarding responding to a suspected nerve agent exposure? Patients should be treated in a well-ventilated area. What reference is the MOST beneficial to obtain for a suspected stroke? Last known well Which of the following statements is correct regarding radioactive material? Simple clothing can stop beta particles from entering the body What finding is unique in pericarditis? Diffuse ST segment elevation A 21 year old male complains of sharp pain and shortness of breath. The symptoms started when he lifted a heavy object. Vital signs are BP 152/96, P 108, R 24 and diminished on the left. What should you suspect? Spontaneous pneumothorax A 72 year old female complains of a sudden onset of burning sensation to the left side of her forehead and blurred vision. She wants to follow up with her primary care physician tomorrow. Vital signs are BP 150/70, P 80, R 16. What should you do? Encourage her to be transported by ambulance to the hospital. An anxious 61 year old male complains of severe shortness of breath and localized chest pain with blood-tinged sputum. His dyspnea started when he stood up from watching television all day and increased in severity as he moved around. Vital signs are BP 104/60, P 98 and irregular, R 26 and labored. What should you suspect? Pulmonary Embolism Anaphylaxis is most commonly associated with which physiological event? Vasodilation A confused 67 year old male has vomited multiple times prior to EMS arrival. He was involved in a car crash 48 hours prior. Bystanders state he became increasingly confused and lost coordination since the crash. Vitals signs are BP 150/88, P 72, R 18 BGL 92 Subdural Hematoma What condition causes paroxysmal nocturnal dyspnea Left-sided heart failure What is the initial treatment for a patient experiencing hyperosmolar hyperglycemic state (HHS)? Normal Saline An 18 year old male nearly drowned at a local lake after treading water for 25 minutes. He is shivering uncontrollably and complains of nausea and weakness. Vital signs are BP 122/62, R 28, P 136, and his temperature is 93.2 F. What should you suspect? Mild Hypothermia A 45 year old male complains of shortness of breath. He has a history of alcohol abuse and presents with severe ascites. Vital signs are BP 142/78, P 104, R 24 with crackles. What should you suspect? Liver Failure A 22 year old male has recently undergone a surgical procedure to repair an injury to thoracic vertebrae T1-T2. Assessment indicates the patient is alert and oriented, bradycardic, hypotensive, and has warm, dry skin. Which type of shock is most likely occuring? Neurogenic It is 0600 hours and you are treating a 63 year old female with slurred speech, facial droop, and altered mental status. At 0400 hours, her husband her go to the bathroom. At 2300 hours they went to bed and everything was fine. 2300 Continuous positive airway pressure would be most beneficial in treating what kind of patient A 22 year old with sever asthma that is unresponsive to albuterol treatments A 27 year old male is breathing fast and deep. He works at a preschool and believes that the children plan to harm him. Which of the following statements is most helpful when treating this patient? I understand that you are concerned. Please tell me more about why you feel this way? A 15 year old male complains of lower abdominal pain with nausea. He is in the fetal position and states, "It hurts to walk." What should you suspect? Appendicitis A 26 year old male has abdominal pain. He is able to pinpoint exactly where it hurts, experiences rebound tenderness on physical exam, and guards the affected area. Which type of pain should you suspect? Somatic A 52 year old male is suffering from acute chest pain after physical exercises. He is pale, cool, and clammy Acquire a 12 lead ECG An elderly patient has COPD. What clinical finding should concern you the most? Respiratory rate of 36/min Metabolic acidosis is best described by which arterial blood gas results? pH decreased, Pco2 decreased, H2CO3 low What type of shock is caused by a cardiac tamponade Obstructive A 41 year old female has returned from missionary work in South Africa. She reports nights sweats, chest discomfort, and a persistent cough for the past several weeks. What should you suspect? Tuberculosis What respiratory changes are common in obese patients? Decreased tidal volue A 30 year old female complains of acute chest tightness, shortness of breath, and a nonproductive cough. She states that this happens frequently and usually resolves after using her "inhaler." What should you suspect? Asthma A 44 year old female complains of a sudden onset of sharp pain in her right flank that radiates to her groin area. Intermittently the pain becomes very severe. She also reports nausea. Vital signs are BP 152/94, P 104, R 16, SpO2 98%. What is the most likely cause? Kidney Stones A 13 year old male has been skateboarding in temperatures of 100 F and has been drinking caffeinated soft drinks. He complains of palpitations. The cardiac monitor displays a narrow QRS tachycardia at a rate of 150 BPM. Vital signs are BP 108/62, R24. What should you do? Transport the patient by ambulance, monitor closely, and administer fluids enroute. An 82 year old female complains of foul smelling diarrhea, abdominal cramping, and loss of appetite. She developed an infection following knee surgery 2 weeks ago. She is prescribed antibiotics. What should you suspect? Clostridium difficile (C-Diff) A 62 year old female presents with severe nausea and blurred vision that began while watching TV. She describes the headache as the worst headache she has ever had in her life. Vital signs are BP 194/110, P 98, R 20. What should you suspect Subarachnoid Hemorrhage A 33 year old female is threatening suicide because her partner left her. Which of the following would be an appropriate response? What was your plan to kill yourself? A 71 year old female complains of shortness of breath. She has a productive cough that has increased in severity over the last week. She speaks in 1 to 2 word broken sentences with pursed lips. What should you suspect? COPD What is an age-related change that increases the risk of respiratory compromise? Decrease in lung compliance A 45 year old female is supine on the floor. Her pupils are pinpoint, and she has vomitus in and around her mouth. Vital signs are P 448, R 8 with gurgling. What should you do? Suction the airway. A 68 year old female who has a history of COPD may rely on what breathing mechanics? A decrease in the oxygen level in the blood as the stimulus to breathe What is a hallmark sign of tricyclic antidepressant toxicity? Dysrhythmias An alert 22 year old male complains of a "lump in his throat" and a hoarse voice after a failed suicide attempt. He unsuccessfully attempted to hang himself with a bed sheet. Vital signs are BP 150/80, P 120, R 16, SpO2 88%. ETCO2 40 mmHg. What should you do? Administer oxygen and transport to a trauma center A 45 year old female reports a headache, vertigo, and leg cramps after exercising. Vital signs are BP 108/62, P 124, R 18, Temp 100.6 F and SpO2 98%. What should you do? Provide oral fluid replacement A 60 year old female complains of indigestion and mild upper abdominal discomfort. What should you do? Acquire a 12 lead ECG and transport to a cardiac center. A 49 year old male presents in a tripod position with audible stridor and marked respiratory distress. His skin is flushed, and he complains of dysphagia. What should you suspect? Epiglottitis A patient complains of nausea and is passing black, tarry stools. What should you suspect? Upper GI bleeding An alert 49 year old male complains of a headache. He has tremors in his hands and has been in the detoxification unit for 38 hours. He has a history of alcoholism. Vital signs are BP 168/96, P 104, R 22. What is he most at risk for? Seizure A 27 year old male is agitated and talks continuously. His pupils are dilated. He admits to being awake for 36 hours straight. Vital signs are BP 188/98, P 140, R 30. What type of overdose should you suspect? Bath Salts