CERTIFICATION SCRIPT 2026
QUESTIONS WITH SOLUTIONS
GRADED A+
◍ A 55 year old male remains in ventricular fibrillation after three shocks and
an IV epinephrine. What should you do?.
Answer: Epi (1:10,000) every 3-5 minutes
◍ A healthy, athletic male undergoes a routine physical screening. He presents
in no acute distress. His ECG shows the following rhythm:.
Answer: Not do anything, this is likely normal for this patient
◍ 1. Which vessels regulate regional blood flow to the capillary bodies?.
Answer: a. arterioles
◍ What chamber of the heart pumps blood to the peripheral body systems?.
Answer: Left Ventricle
◍ 1. A 36 year old with chest pain is conscious and alert Sp02 93%, you
should?.
Answer: a. nasal cannula 4 lpm
◍ 1. An adult patient is in cardiac arrest with bystander CPR in progress. What
should you do?.
Answer: a. Continue CPR while partner does AED
◍ 1. You observe an older male slumped on the floor. He is pulseless. What
should you do?.
Answer: a. Start compressions
◍ What will stimulation of B1 receptors in the heart do?.
, Answer: Speed up the heart rate and increase contraction strength
◍ A patient was ejected from an automobile. They are apneic and pulseless.
ECG reveals a regular rhythm with an R-R interval of 1.24 seconds and a
QRS width of 110 milliseconds. What should you do?.
Answer: Epinephrine 1 mg IV
◍ 1. A 65 year old male complains of weakness and indigestion that began in
the morning. Vitals are 150/90, P 116, and R 24. You should suspect?.
Answer: a. Myocardial Infarction
◍ A patient presents with pedal edema and abdominal distention. What
chamber of the heart is failing?.
Answer: Right Ventricle
◍ 1. After delivering one shock with an AED your patient now has a pulse and
effective respirations. Which position should you put them in?.
Answer: a. Recovery
◍ One way to increase preload is fluid administration. This affects.
Answer: Frank Starlings Law
◍ 1. A 48 year old male complains of an 8/10 crushing chest pain that radiates
to his neck. Vital signs are 112/78, 60, and 18. Patients daily medications
include metoprolol, Cialis, and aspirin. What should you do?.
Answer: a. transport rapidly in a position of comfort to closest facility
◍ You are dispatched to a residence for a 67 year old female complaining of
chest pain. The patient is pale, diaphoretic and describes are pain as
crushing. Vital signs are BP 120/80, Pulse 100, Respirations are 22 and
oxygen saturation is 90 percent. Select the correct medications in order:.
Answer: Oxygen, Aspirin, Nitro
◍ 1. A buildup of calcium and cholesterol form plaque inside a blood vessel
which would most likely be the cause?.
Answer: a. Atherosclerosis (ACS)
◍ 1. Asthmatic 50 year old female patient is sitting at her desk. She is anxious
, and complaining of tightness in her chest. You should?.
Answer: a. assist with prescribed inhaler
◍ A 76 year old nursing home patient needs weight based medication. The
transfer papers say the patient weighs 154 lbs. How many kilograms does
the patient weigh?.
Answer: 70
◍ You are ordered to give a medication based on weight. The transfer papers
say the patient weighs 155 lbs. How many kilograms does the patient
weigh?.
Answer: 70kg
◍ 1. Aspirin is administered to patients with chest pain because it?.
Answer: a. Decreases ability of platelets to form clots
◍ The spread of an electrical impulse through the ventricles that normally
measures 0.08-0.12 seconds in length is represented on an ECG as the.
Answer: QRS Complex
◍ What should you determine before administer a dose of nitroglycerin?.
Answer: Blood Pressure
◍ What best describes ventricular filling?.
Answer: Diastole
◍ 1. A 73 year old female has chest pain and shortness of breath with bilateral
crackles. Vitals are 80/40, P 112, and R 22. What is the most likely cause?.
Answer: a. Cardiogenic shock
◍ At what rate should single rescuer CPR be performed for a 17 year old
female?.
Answer: 120 per min
◍ 1. EMRs have been performing effective CPR on a patient in cardiac arrest.
Upon arrival the AED indicates "shock advised." What should you do?.
Answer: a. Defibrillate the patient
◍ 1. During CPR why is the upstroke of the compression critical?.