LOYOLA EMS SYSTEM ENTRY STUDY
GUIDE EXAM 2026 QUESTIONS WITH
CORRECT ANSWERS GRADED A+
1. Clinical Assessment & Priorities
Question: During a primary assessment, which finding requires immediate
intervention?
A) Stable vital signs
B) Airway obstruction
C) Complaint of pain
D) Minor bleeding
Correct Answer: B) Airway obstruction
Rationale: Airway is the first priority in the ABC (Airway, Breathing, Circulation)
algorithm. An obstructed airway leads to hypoxia and cardiac arrest within
minutes, making it a greater immediate threat than pain or minor bleeding.
2. Airway Management
Question: When suctioning an adult patient’s airway, the suction time should not
exceed how many seconds?
A) 5 seconds
,B) 10 seconds
C) 15 seconds
D) 30 seconds
Correct Answer: C) 15 seconds
Rationale: Prolonged suctioning removes oxygen from the lungs, causing hypoxia.
The maximum recommended suction time for an adult is 15 seconds, followed by
re-oxygenation.
3. CPR & Resuscitation
Question: What is the correct compression-to-ventilation ratio for adult CPR with
a single rescuer?
A) 15:2
B) 20:2
C) 30:2
D) 5:1
Correct Answer: C) 30:2
Rationale: The AHA guidelines recommend 30 chest compressions followed by 2
ventilations for adult CPR (one or two rescuers) to maximize coronary perfusion
pressure.
4. Oxygen Therapy
Question: The target oxygen saturation (SpO2) for a general medical patient in the
Loyola System is:
,A) 100%
B) 90-92%
C) 94-98%
D) 88-90%
Correct Answer: C) 94-98%
Rationale: Titrate oxygen to achieve normoxia. 94-98% is optimal for tissue
delivery without causing hyperoxia. For COPD patients, the target is often lower
(92%).
5. Respiratory Distress
Question: Which finding is most consistent with early hypoxia?
A) Bradycardia
B) Restlessness and anxiety
C) Clear speech
D) Warm, dry skin
Correct Answer: B) Restlessness and anxiety
Rationale: The brain is highly sensitive to oxygen levels. Early hypoxia presents
as agitation, confusion, or anxiety before cyanosis or bradycardia sets in.
6. Airway Adjuncts
Question: Which airway adjunct is appropriate for an unconscious
patient without a gag reflex?
A) Nasal cannula
, B) Oropharyngeal airway (OPA)
C) Nasopharyngeal airway (NPA)
D) Simple face mask
Correct Answer: B) Oropharyngeal airway (OPA)
Rationale: OPA is used specifically for unresponsive patients without a gag reflex
to keep the tongue off the posterior pharynx. NPAs are for semi-conscious
patients.
7. Bleeding Control
Question: The first step in controlling severe, life-threatening bleeding is:
A) Apply a tourniquet
B) Elevate the extremity
C) Apply direct pressure
D) Apply a cold pack
Correct Answer: C) Apply direct pressure
Rationale: Direct pressure is the initial, most effective method to stop bleeding.
Tourniquets are used only if direct pressure fails or is impossible (e.g., traumatic
amputation).
8. Trauma & Spine
Question: Which mechanism of injury requires a high index of suspicion for
spinal motion restriction?
A) Isolated ankle injury
GUIDE EXAM 2026 QUESTIONS WITH
CORRECT ANSWERS GRADED A+
1. Clinical Assessment & Priorities
Question: During a primary assessment, which finding requires immediate
intervention?
A) Stable vital signs
B) Airway obstruction
C) Complaint of pain
D) Minor bleeding
Correct Answer: B) Airway obstruction
Rationale: Airway is the first priority in the ABC (Airway, Breathing, Circulation)
algorithm. An obstructed airway leads to hypoxia and cardiac arrest within
minutes, making it a greater immediate threat than pain or minor bleeding.
2. Airway Management
Question: When suctioning an adult patient’s airway, the suction time should not
exceed how many seconds?
A) 5 seconds
,B) 10 seconds
C) 15 seconds
D) 30 seconds
Correct Answer: C) 15 seconds
Rationale: Prolonged suctioning removes oxygen from the lungs, causing hypoxia.
The maximum recommended suction time for an adult is 15 seconds, followed by
re-oxygenation.
3. CPR & Resuscitation
Question: What is the correct compression-to-ventilation ratio for adult CPR with
a single rescuer?
A) 15:2
B) 20:2
C) 30:2
D) 5:1
Correct Answer: C) 30:2
Rationale: The AHA guidelines recommend 30 chest compressions followed by 2
ventilations for adult CPR (one or two rescuers) to maximize coronary perfusion
pressure.
4. Oxygen Therapy
Question: The target oxygen saturation (SpO2) for a general medical patient in the
Loyola System is:
,A) 100%
B) 90-92%
C) 94-98%
D) 88-90%
Correct Answer: C) 94-98%
Rationale: Titrate oxygen to achieve normoxia. 94-98% is optimal for tissue
delivery without causing hyperoxia. For COPD patients, the target is often lower
(92%).
5. Respiratory Distress
Question: Which finding is most consistent with early hypoxia?
A) Bradycardia
B) Restlessness and anxiety
C) Clear speech
D) Warm, dry skin
Correct Answer: B) Restlessness and anxiety
Rationale: The brain is highly sensitive to oxygen levels. Early hypoxia presents
as agitation, confusion, or anxiety before cyanosis or bradycardia sets in.
6. Airway Adjuncts
Question: Which airway adjunct is appropriate for an unconscious
patient without a gag reflex?
A) Nasal cannula
, B) Oropharyngeal airway (OPA)
C) Nasopharyngeal airway (NPA)
D) Simple face mask
Correct Answer: B) Oropharyngeal airway (OPA)
Rationale: OPA is used specifically for unresponsive patients without a gag reflex
to keep the tongue off the posterior pharynx. NPAs are for semi-conscious
patients.
7. Bleeding Control
Question: The first step in controlling severe, life-threatening bleeding is:
A) Apply a tourniquet
B) Elevate the extremity
C) Apply direct pressure
D) Apply a cold pack
Correct Answer: C) Apply direct pressure
Rationale: Direct pressure is the initial, most effective method to stop bleeding.
Tourniquets are used only if direct pressure fails or is impossible (e.g., traumatic
amputation).
8. Trauma & Spine
Question: Which mechanism of injury requires a high index of suspicion for
spinal motion restriction?
A) Isolated ankle injury
