2026 FULL QUESTIONS AND SOLUTIONS
GRADED A+
• Absolute contraindications for bleeding patient.
Answer: Hemostatic gauze on a hemorrhaging abdominal wound
• Neonate Resuscitation CPR ratio.
Answer: 3:1
• Pediatric heat related illness.
Answer: 1. general pediatric assessment 2. remove from environment;
temperature measurement; remove tight clothing; passive cooling measures
3. symptom severity Heat cramps: PO fluids as tolerated > monitor and
reassess > continue general patient care and transport Heat exhaustion:
active cooling measures > vascular access > NS or LR bolus 20 ml/kg
IV/IO; repeat to effect age appropriate SBP > 70 + 2 x age; max 60 ml/kg
Heat stroke: ventilation management as indicated > altered mental
status/syncope as indicated > active cooling measures > vascular access NS
or LR bolus 20 mL/kg IV/IO; repeat to effect age appropriate SBP > 70 + 2
x age; max 60 mL/kg 4. poor perfusion? yes > exit to appropriate shock or
trauma protocol as indicated No: next step 5. monitor and reassess 6.
continue general patient care and transport
• A trauma patient with a GCS of 14 must be transported to a trauma center?
True or false?.
Answer: False, a patient with a GCS of 13 or less must be transported to a
trauma center.
• Superficial (1st degree) burn.
Answer: red and painful
• Nitroglycerin class.
Answer: vasodilator
,• Excited delirium syndrom.
Answer: medical emergency-combination of delirium, psychomotor
agitation, anxiety, hallucinations speech disturbances, disorientation, violent
behavior, insensitivity to pain, hyperthermia, and increased strength.
Potentially life threatening and associated with the use of physical control
measures including restraints, taser, or similar device. Most common in
male subjects with a history of serious mental illness and/or acute or chronic
drug abuse, particularly stimulants.
• For termination of resuscitation in a medical arrest, contact closest hospital
for telemetry physician order:.
Answer: pt must remain in persistent asystole or agonal rhythm after 20 min
of appropriate resuscitation to include: CPR, effective ventilation with 100%
oxygen, administration of appropriate ACLS meds
• What are burn patients considered.
Answer: Trauma patients
• Pediatric patients shall be transported based on the preference of the parent
or legal guardian to one of the following.
Answer: St Rose Dominican - Siena Campus Summerlin hospital medical
center sunrise hospital and medical center university medical center
• race scoring process.
Answer: 6 categories , scores 0-2 facial palsy arm motor leg motor head
gaze/deviation aphasia agnosia 0absent 1mild 2severe (2nd or aphasia and
agnosia is being unable to perform BOTH tasks on each one)
• Adult altered mental status / syncope.
Answer: 1. General adult assessment 2. Blood glucose testing, vascular
access 3. BG <60 mg/dl: Oral glucose if patient is protecting airway D10, 25
g IV/IO (250 mL of 10% solution) may repeat once in 5 min; glucagon 1 mg
IM for no IV access Improved mental status? no: go to BG > 60 Yes: other
treatment protocols as indicated BG > 60 consider NS or LR 500 mL IV;
may repeat up to 2000 mL 4. Consider the following: Signs of stroke? ->
, Stroke protocol Signs of hypoperfusion? -> Shock protocol Signs of a
seizure of post-ical state? -> Seizure protocol Signs of trauma or head
injury? -> general trauma protocol Cardiac causes/known disease? ->
Appropriate cardiac protocol Unresponsive with respiratory depression and
suspected narcotic overdose -> poisoning/overdose protocol
• Bronchodilator metered dose inhaler Action.
Answer: Bronchodilator
• Cold-related illness signs and symptoms.
Answer: AMS/coma; cold, clammy; shivering; extremity pain; bradycardia;
hypotension or shock
• What is the adult dose of epi for an allergic reaction?.
Answer: 0.5 mg IM, q15 mins with a total admin of 1.5mg
• Cardiogenic shock.
Answer: heart failure, MI, cardiomyopathy, myocardial contusion, toxins
• General Adult Trauma History.
Answer: Time and mechanism of injury damage to structure or vehicle
location in structure or vehicle other injured or dead speed and details of
MVC restraints/protective equipment past medical history medications
• Narcotic OD or Hypoglycemia....
Answer: Treat before advanced airway procedures
• What is the dose of nitroglycerin?.
Answer: 0.4 mg Every 5 mins no more than 3 doses.
• Difficult extraglottic device placement acronym.
Answer: Rods
• An appropriate ventilation rate maintains an ETCO2 of what?.
Answer: 35 - 45
• Pediatric patients (including psychiatric patients) shall be transported, based
on the preference of the parent or legal guardian, to one of the following
facilities:.