WEST COAST EMT BLOCK 4 PRACTICE
TEST 2026 CORE QUESTIONS AND
ACCURATE ANSWERS PARAMEDIC
FOUNDATIONS
◉ Which types of motor vehicle collisions present the greatest
potential for multiple impacts?
Select one:
A. Lateral and rollover
B. Frontal and rotational
C. Rotational and rollover
D. Rear-end and rotational
Answer: C. Rotational and rollover
◉ While en route to a major motor vehicle crash, an on-scene police
officer advises you that a 6-year-old male who was riding in the
front seat is involved. He further states that the child was only
wearing a lap belt and that the air bag deployed. On the basis of this
information, you should be MOST suspicious that the child has
experienced:
Select one:
A. lower extremity fractures.
,B. neck and facial injuries.
C. blunt trauma to the head.
D. open abdominal trauma.
Answer: B. neck and facial injuries.
◉ Your patient has a Glasgow Coma Scale (GCS) score of 13, a
systolic blood pressure of 80 mm Hg, and a respiratory rate of 8
breaths/min. His Revised Trauma Score (RTS) is:
Select one:
A. 10.
B. 11.
C. 9.
D. 8.
Answer: C. 9.
◉ A 43-year-old man is experiencing a severe nosebleed. His blood
pressure is 190/110 mm Hg and his heart rate is 90 beats/min and
bounding. Preferred treatment for this patient includes:
Select one:
A. packing both nostrils with gauze pads until the bleeding stops.
B. placing a rolled 4² × 4² dressing between his lower lip and gum.
C. pinching the patient's nostrils and having him lean forward.
D. having the patient pinch his own nostrils and then lie supine.
,Answer: C. pinching the patient's nostrils and having him lean
forward.
◉ A 67-year-old male presents with weakness, dizziness, and
melena that began approximately 2 days ago. He denies a history of
trauma. His blood pressure is 90/50 mm Hg and his pulse is 120
beats/min and thready. You should be MOST suspicious that this
patient is experiencing:
Select one:
A. an aortic aneurysm.
B. acute appendicitis.
C. gastrointestinal bleeding.
D. intrathoracic hemorrhaging.
Answer: C. gastrointestinal bleeding.
◉ A young male was shot in the abdomen by an unknown type of
gun. He is semiconscious, has shallow breathing, and is bleeding
externally from the wound. As you control the external bleeding,
your partner should:
Select one:
A. perform a secondary assessment.
B. apply a nonrebreathing mask.
C. obtain baseline vital signs.
D. assist the patient's ventilations.
, Answer: D. assist the patient's ventilations.
◉ Circulation of blood within an organ or tissue in adequate
amounts to meet the cells' oxygen, nutritional, and waste-removal
needs is termed _______.
Select one:
A. perfusion
B. hypoperfusion
C. coagulation
D. hemorrhage
Answer: A. perfusion
◉ Following blunt trauma to the abdomen, a 21-year-old female
complains of diffuse abdominal pain and pain to the left shoulder.
Your assessment reveals that her abdomen is distended and tender
to palpation. On the basis of these findings, you should be MOST
suspicious of injury to the:
Select one:
A. spleen.
B. gallbladder.
C. pancreas.
D. liver.
Answer: A. spleen.
TEST 2026 CORE QUESTIONS AND
ACCURATE ANSWERS PARAMEDIC
FOUNDATIONS
◉ Which types of motor vehicle collisions present the greatest
potential for multiple impacts?
Select one:
A. Lateral and rollover
B. Frontal and rotational
C. Rotational and rollover
D. Rear-end and rotational
Answer: C. Rotational and rollover
◉ While en route to a major motor vehicle crash, an on-scene police
officer advises you that a 6-year-old male who was riding in the
front seat is involved. He further states that the child was only
wearing a lap belt and that the air bag deployed. On the basis of this
information, you should be MOST suspicious that the child has
experienced:
Select one:
A. lower extremity fractures.
,B. neck and facial injuries.
C. blunt trauma to the head.
D. open abdominal trauma.
Answer: B. neck and facial injuries.
◉ Your patient has a Glasgow Coma Scale (GCS) score of 13, a
systolic blood pressure of 80 mm Hg, and a respiratory rate of 8
breaths/min. His Revised Trauma Score (RTS) is:
Select one:
A. 10.
B. 11.
C. 9.
D. 8.
Answer: C. 9.
◉ A 43-year-old man is experiencing a severe nosebleed. His blood
pressure is 190/110 mm Hg and his heart rate is 90 beats/min and
bounding. Preferred treatment for this patient includes:
Select one:
A. packing both nostrils with gauze pads until the bleeding stops.
B. placing a rolled 4² × 4² dressing between his lower lip and gum.
C. pinching the patient's nostrils and having him lean forward.
D. having the patient pinch his own nostrils and then lie supine.
,Answer: C. pinching the patient's nostrils and having him lean
forward.
◉ A 67-year-old male presents with weakness, dizziness, and
melena that began approximately 2 days ago. He denies a history of
trauma. His blood pressure is 90/50 mm Hg and his pulse is 120
beats/min and thready. You should be MOST suspicious that this
patient is experiencing:
Select one:
A. an aortic aneurysm.
B. acute appendicitis.
C. gastrointestinal bleeding.
D. intrathoracic hemorrhaging.
Answer: C. gastrointestinal bleeding.
◉ A young male was shot in the abdomen by an unknown type of
gun. He is semiconscious, has shallow breathing, and is bleeding
externally from the wound. As you control the external bleeding,
your partner should:
Select one:
A. perform a secondary assessment.
B. apply a nonrebreathing mask.
C. obtain baseline vital signs.
D. assist the patient's ventilations.
, Answer: D. assist the patient's ventilations.
◉ Circulation of blood within an organ or tissue in adequate
amounts to meet the cells' oxygen, nutritional, and waste-removal
needs is termed _______.
Select one:
A. perfusion
B. hypoperfusion
C. coagulation
D. hemorrhage
Answer: A. perfusion
◉ Following blunt trauma to the abdomen, a 21-year-old female
complains of diffuse abdominal pain and pain to the left shoulder.
Your assessment reveals that her abdomen is distended and tender
to palpation. On the basis of these findings, you should be MOST
suspicious of injury to the:
Select one:
A. spleen.
B. gallbladder.
C. pancreas.
D. liver.
Answer: A. spleen.
