2026 ACTUAL EXAM PAPER QUESTIONS
AND SOLUTIONS GRADED A PLUS
◉ Patients with a history of COPD that present with an acute onset
of shortness of breath are likely to have which condition?
Answer: Pulmonary embolism
◉ During compensatory shock, the renin-angiotensine-aldosterone
system is activated to cause a/an:
Answer: Increase in preload, afterload, and re-absorption of sodium
◉ What clinical findings are most commonly associated with a
pulmonary embolus?
Answer: Clear breath sounds with tachypnea
◉ What condition is most likely to cause respiratory acidosis?
Answer: Narcotic overdose
◉ A 55-year-old complains of an "aching" chest discomfort that
persists over several days. The patient has a temperature of 101*F
, (38.3*C). Which finding will help narrow the diagnosis to
pericarditis?
Answer: ST-segment elevation in all leads
◉ Anaphylaxis is most associated with which physiological event?
Answer: Vasodilation
◉ Acute Respiratory Distress Syndrome (ARDS) is characterized by
what pathologic change?
Answer: Breakdown of the alveolar-capillary membrane
◉ Continuous positive airway pressure would be most beneficial in
treating which patient?
Answer: A 22-year-old with severe asthma who is not responding to
nebulizer treatments
◉ What is the initial treatment for a patient experiencing
hyperosmolar hyperglycemic nonketotic coma (HHNC)?
Answer: Crystalloid IV fluid administration
◉ Your patient has had a seizure secondary to a nerve agent
exposure. What medication would be best to diminish the seizure?
Answer: Midazolam