Loyola EMS System Skills Verification
Exam 50 Verified Q&A ACTUAL
EXAM 2026/2027 | Loyola EMS Skills
Verification | Verified Q&A | Pass
Guaranteed - A+ Graded
Section 1: Airway Management & Oxygen Therapy (Questions 1–10)
Q1. You are managing an adult patient in respiratory arrest with a palpable carotid pulse. After opening
the airway and delivering 2 initial ventilations that do not produce visible chest rise, what is your next
action according to Loyola BVM ventilation skill verification?
A. Immediately insert an oropharyngeal airway and reattempt
B. Switch to a two-person BVM technique with jaw thrust
C. Reposition the head and reattempt ventilations
D. Perform cricoid pressure and increase ventilation force
Correct Answer: C
Rationale: Loyola BVM skill sheet (Region VIII Procedure Manual Section B-2) requires head
repositioning (chin lift or jaw thrust as indicated) before escalating to adjuncts or additional personnel;
failure to achieve chest rise most commonly indicates improper head position. [CORRECT]
Q2. A 68-year-old with severe respiratory distress and rales audible without a stethoscope has SpO2 of
79% on high-flow non-rebreather. Loyola protocol for CPAP application indicates which of the following
as the immediate priority after donning appropriate PPE?
A. Obtain baseline vital signs including blood pressure
B. Select the correct mask size and pressure setting (5–10 cm H2O)
C. Explain the procedure to the patient and obtain verbal consent
D. Attach CPAP to 100% oxygen at >15 LPM flow
,Correct Answer: C
Rationale: Loyola CPAP protocol prioritizes patient explanation and consent before application to
reduce anxiety and improve tolerance, as claustrophobia can lead to patient removal of the device; this
is a critical step in the skills verification process. [CORRECT]
Q3. During King LT insertion on a 45-year-old male in cardiac arrest, you feel resistance at 15 cm.
According to Loyola airway adjunct protocol, what is your next action?
A. Continue gentle advancement until the 25 cm mark
B. Withdraw 1–2 cm, inflate the cuffs, and confirm placement
C. Remove the device and attempt orotracheal intubation
D. Rotate the device 90 degrees and reattempt insertion
Correct Answer: B
Rationale: Loyola King LT protocol specifies that resistance indicates the device has reached the base of
the tongue/hypopharynx; withdraw slightly, inflate cuffs, and confirm with waveform capnography and
bilateral breath sounds. [CORRECT]
Q4. You are ventilating a 6-year-old pediatric patient with a BVM. The Region VIII procedure manual
specifies the correct ventilation rate as:
A. 1 breath every 2–3 seconds
B. 1 breath every 3–5 seconds
C. 1 breath every 5–6 seconds
D. 1 breath every 6–8 seconds
Correct Answer: B
Rationale: Region VIII Procedure Manual Section B-2 specifies pediatric BVM ventilation at 1 breath
every 3–5 seconds (12–20/minute) to avoid hyperventilation while maintaining adequate oxygenation
and ventilation. [CORRECT]
Q5. A paramedic is preparing to perform RSI (rapid sequence intubation) on a trauma patient with a GCS
of 6. Per Loyola System policy, which of the following is a required step before administering paralytic
agents?
A. Obtain 12-lead ECG and transmit to medical control
B. Pre-oxygenate with 100% FiO2 for 3–5 minutes
C. Establish two large-bore IVs in the antecubital veins
D. Perform nasogastric tube decompression
, Correct Answer: B
Rationale: Loyola RSI protocol requires pre-oxygenation with high-flow 100% oxygen for 3–5 minutes to
maximize oxygen reserves and extend safe apnea time, particularly critical in trauma patients who may
have increased metabolic demands. [CORRECT]
Q6. During suctioning of an adult patient with copious oropharyngeal secretions, you note the suction
catheter becomes clogged with thick mucus. Per Loyola suction protocol, what is the appropriate
action?
A. Increase suction pressure to 300 mmHg and continue
B. Withdraw the catheter, clear it, and reinsert with sterile technique
C. Instill 10 mL normal saline into the airway and re-suction
D. Switch to a larger bore suction catheter without changing pressure
Correct Answer: B
Rationale: Loyola suction protocol requires maintaining sterile technique; withdraw, clear or replace the
catheter, and reinsert to prevent introducing contamination and to ensure effective suctioning without
causing airway trauma. [CORRECT]
Q7. A 55-year-old COPD patient presents with respiratory distress and an SpO2 of 88% on room air. Per
Loyola oxygen therapy protocol, what is the initial oxygen delivery device of choice?
A. Non-rebreather mask at 15 LPM
B. Nasal cannula at 2–6 LPM titrated to SpO2 90–94%
C. Simple face mask at 10 LPM
D. CPAP at 5 cm H2O with 100% oxygen
Correct Answer: B
Rationale: Loyola protocol for COPD patients recommends cautious oxygen titration via nasal cannula at
2–6 LPM to achieve SpO2 90–94%, avoiding hyperoxia that can cause CO2 retention and respiratory
depression in chronic CO2 retainers. [CORRECT]
Q8. You are applying a nasopharyngeal airway (NPA) to a 30-year-old male with a suspected basilar skull
fracture. According to Loyola airway management protocol, what is the critical consideration?
A. The NPA is contraindicated; use an oropharyngeal airway instead
B. Select a size equal to the distance from the tip of the nose to the earlobe
C. Lubricate generously and insert with the bevel facing the septum
D. Measure from the corner of the mouth to the angle of the jaw
Exam 50 Verified Q&A ACTUAL
EXAM 2026/2027 | Loyola EMS Skills
Verification | Verified Q&A | Pass
Guaranteed - A+ Graded
Section 1: Airway Management & Oxygen Therapy (Questions 1–10)
Q1. You are managing an adult patient in respiratory arrest with a palpable carotid pulse. After opening
the airway and delivering 2 initial ventilations that do not produce visible chest rise, what is your next
action according to Loyola BVM ventilation skill verification?
A. Immediately insert an oropharyngeal airway and reattempt
B. Switch to a two-person BVM technique with jaw thrust
C. Reposition the head and reattempt ventilations
D. Perform cricoid pressure and increase ventilation force
Correct Answer: C
Rationale: Loyola BVM skill sheet (Region VIII Procedure Manual Section B-2) requires head
repositioning (chin lift or jaw thrust as indicated) before escalating to adjuncts or additional personnel;
failure to achieve chest rise most commonly indicates improper head position. [CORRECT]
Q2. A 68-year-old with severe respiratory distress and rales audible without a stethoscope has SpO2 of
79% on high-flow non-rebreather. Loyola protocol for CPAP application indicates which of the following
as the immediate priority after donning appropriate PPE?
A. Obtain baseline vital signs including blood pressure
B. Select the correct mask size and pressure setting (5–10 cm H2O)
C. Explain the procedure to the patient and obtain verbal consent
D. Attach CPAP to 100% oxygen at >15 LPM flow
,Correct Answer: C
Rationale: Loyola CPAP protocol prioritizes patient explanation and consent before application to
reduce anxiety and improve tolerance, as claustrophobia can lead to patient removal of the device; this
is a critical step in the skills verification process. [CORRECT]
Q3. During King LT insertion on a 45-year-old male in cardiac arrest, you feel resistance at 15 cm.
According to Loyola airway adjunct protocol, what is your next action?
A. Continue gentle advancement until the 25 cm mark
B. Withdraw 1–2 cm, inflate the cuffs, and confirm placement
C. Remove the device and attempt orotracheal intubation
D. Rotate the device 90 degrees and reattempt insertion
Correct Answer: B
Rationale: Loyola King LT protocol specifies that resistance indicates the device has reached the base of
the tongue/hypopharynx; withdraw slightly, inflate cuffs, and confirm with waveform capnography and
bilateral breath sounds. [CORRECT]
Q4. You are ventilating a 6-year-old pediatric patient with a BVM. The Region VIII procedure manual
specifies the correct ventilation rate as:
A. 1 breath every 2–3 seconds
B. 1 breath every 3–5 seconds
C. 1 breath every 5–6 seconds
D. 1 breath every 6–8 seconds
Correct Answer: B
Rationale: Region VIII Procedure Manual Section B-2 specifies pediatric BVM ventilation at 1 breath
every 3–5 seconds (12–20/minute) to avoid hyperventilation while maintaining adequate oxygenation
and ventilation. [CORRECT]
Q5. A paramedic is preparing to perform RSI (rapid sequence intubation) on a trauma patient with a GCS
of 6. Per Loyola System policy, which of the following is a required step before administering paralytic
agents?
A. Obtain 12-lead ECG and transmit to medical control
B. Pre-oxygenate with 100% FiO2 for 3–5 minutes
C. Establish two large-bore IVs in the antecubital veins
D. Perform nasogastric tube decompression
, Correct Answer: B
Rationale: Loyola RSI protocol requires pre-oxygenation with high-flow 100% oxygen for 3–5 minutes to
maximize oxygen reserves and extend safe apnea time, particularly critical in trauma patients who may
have increased metabolic demands. [CORRECT]
Q6. During suctioning of an adult patient with copious oropharyngeal secretions, you note the suction
catheter becomes clogged with thick mucus. Per Loyola suction protocol, what is the appropriate
action?
A. Increase suction pressure to 300 mmHg and continue
B. Withdraw the catheter, clear it, and reinsert with sterile technique
C. Instill 10 mL normal saline into the airway and re-suction
D. Switch to a larger bore suction catheter without changing pressure
Correct Answer: B
Rationale: Loyola suction protocol requires maintaining sterile technique; withdraw, clear or replace the
catheter, and reinsert to prevent introducing contamination and to ensure effective suctioning without
causing airway trauma. [CORRECT]
Q7. A 55-year-old COPD patient presents with respiratory distress and an SpO2 of 88% on room air. Per
Loyola oxygen therapy protocol, what is the initial oxygen delivery device of choice?
A. Non-rebreather mask at 15 LPM
B. Nasal cannula at 2–6 LPM titrated to SpO2 90–94%
C. Simple face mask at 10 LPM
D. CPAP at 5 cm H2O with 100% oxygen
Correct Answer: B
Rationale: Loyola protocol for COPD patients recommends cautious oxygen titration via nasal cannula at
2–6 LPM to achieve SpO2 90–94%, avoiding hyperoxia that can cause CO2 retention and respiratory
depression in chronic CO2 retainers. [CORRECT]
Q8. You are applying a nasopharyngeal airway (NPA) to a 30-year-old male with a suspected basilar skull
fracture. According to Loyola airway management protocol, what is the critical consideration?
A. The NPA is contraindicated; use an oropharyngeal airway instead
B. Select a size equal to the distance from the tip of the nose to the earlobe
C. Lubricate generously and insert with the bevel facing the septum
D. Measure from the corner of the mouth to the angle of the jaw
