AEMT Comprehensive Final QUESTIONS
AND ANSWERS| GRADED A
Following insertion of a needle into a patient's skin to administer an intramuscular injection, you
pull back on the plunger and note the presence of blood in the syringe. You should:
A. advance the needle 1 cm further and administer the drug.
B. slightly withdraw the needle and administer the drug.
C. remove the needle and apply pressure to the site.
D. administer the medication since this is a normal finding. Correct Answer: C. remove the
needle and apply pressure to the site.
A 70-year-old man presents with generalized weakness and dizziness. His blood pressure is
110/70 mm Hg when he is sitting, 96/56 mm Hg when he is standing. His heart rate is 120
beats/min and his skin is flushed and dry. What is the MOST likely cause of this patient's signs
and symptoms? Correct Answer: Dehydration
How many grams are present in 25 mL of 50% dextrose (D 50)? Correct Answer: 12.5g
During an attempted resuscitation from cardiac arrest, the patient inadvertently receives too
much sodium bicarbonate. This would result in: Correct Answer: metabolic alkalosis
You are dispatched to a residence for a 4-year-old male who is not breathing. When you and
your partner arrive at the scene, you find the child's father is performing mouth-to-mouth rescue
breathing on him. The father tells you that his son stuck a pin in an electrical socket. After
assessing the child and determining that he is pulseless and apneic, you should: Correct Answer:
begin CPR and apply the AED as soon as possible
You receive an order from medical control to start an IV of lactated ringers and administer 150
mL/hr. Using macrodrip (15 gtts/mL) tubing, how many drops per minute will you set the flow
rate at? Correct Answer: 38
You have a prefilled syringe containing 25g of dextrose in 50 mL of volume. How many
milligrams of dextrose are present in each milliliter? Correct Answer: 500mg
If you have an epinephrine concentration of 0.1 mg/mL, how many milligrams would be present
in 5 mL? Correct Answer: 0.5
A 44-year-old man is experiencing a ventricular dysrhythmia. Medical control orders your
paramedic partner to administer 1.5 mg/kg of lidocaine to the patient, who weighs 185 pounds.
Lidocaine is supplied in a concentration of 100 mg/10mL. How many milliliters should your
partner administer to this patient? Correct Answer: 12.6 mL
,A 70-year-old male with a history of esophageal cancer is unresponsive with slow, shallow
respirations. Appropriate airway management for this patient includes: Correct Answer:
inserting an oral airway and ventilating with a bag-mask device.
A 17-year-old female is experiencing a mild asthma attack. You auscultate her lungs and hear
expiratory wheezing. In addition to oxygen, which of the following classifications of medication
would be indicated for this patient? Correct Answer: beta-2 agonist
A 66-year-old male with congestive heart failure presents with pulmonary edema and difficulty
breathing. His blood pressure is 180/90 mm Hg and his pulse rate is 110 beats/min and irregular.
When starting an IV, which of the following, if available, would be MOST appropriate for this
patient?
A. 14-gauge angiocath
B. Intracath
C. Butterfly catheter
D. Saline lock Correct Answer: D. Saline Lock
A microdrip administration set features a small, needle-like orifice inside the drip chamber and
delivers:
A. 100 gtts/mL.
B. 15 gtts/mL.
C. 10 gtts/mL.
D. 60 gtts/mL. Correct Answer: D. 60 gets/ml
When administered to a normally hydrated patient, normal saline will:
A. cause fluid to shift into the cell.
B. engorge the intracellular space.
C. cause fluid to shift out of the cell.
D. stay in the intravascular space. Correct Answer: D. Stay in the intravascular space
Which of the following steps for drawing medication from a vial is NOT necessary when
drawing medication from an ampule?
A. Checking the expiration date and clarity of the drug.
, B. Injecting air into the container before withdrawing the drug.
C. Expelling air bubbles from the syringe prior to giving the drug.
D. Looking at the container to ensure the appropriate concentration. Correct Answer: B.
Injecting air into the container before withdrawing the drug
The narrowest portion of the adult's trachea is the: Correct Answer: glottic opening
An AEMT administers 1,000 ml of IV fluid to a patient with severe pulmonary edema and a
stable B/P. The pt then develops profound respiratory distress and becomes apneic. What is this
situation an example of? Correct Answer: Gross Negligence.
Perfusion is defined as Correct Answer: the circulation of oxygenated blood within an organ or
tissue in adequate amounts to meet the cells current needs.
All of the following can lead to shock (hypoperfusion) Except Correct Answer: Increased
venous return to the atrium
which of the following Most accurately describes the pathophysiology of angina pectoris Correct
Answer: Reversible process in which myocardial oxygen demand exceeds the supply of
available oxygen.
A 50 year old male fell approx. 20 feet and landed on his left side. He is conscious and alert and
denies loss of consciousness. During your assessment you note pain and crepitus when palpating
the iliac crests. In addition to the potential for spinal injury you should be Most concerned about
Correct Answer: Internal hemorrhaging
The two goals to achieve when assessing a patients with behavioral emergency are to Correct
Answer: Identify life-threats and reduce the stress of the situation
A patient experiencing status epilepticus Correct Answer: is having a prolonged generalized
motor seizure.
Which of the following conditions would be LEAST likely to cause an alteration in behavior
Correct Answer: Hypertension
a 22 year old female was involved in a traumatic incident. She is exhibiting signs of shock, but
there are no obvious external signs of trauma. You should suspect bleeding within the Correct
Answer: Abdominal cavity
A 69 year old female is found to be semiconscious, hypertensive, and bradypneic. You should
Correct Answer: Assist ventilations and start an IV to KVO
The middle layer of the heart is called Correct Answer: myocardium
AND ANSWERS| GRADED A
Following insertion of a needle into a patient's skin to administer an intramuscular injection, you
pull back on the plunger and note the presence of blood in the syringe. You should:
A. advance the needle 1 cm further and administer the drug.
B. slightly withdraw the needle and administer the drug.
C. remove the needle and apply pressure to the site.
D. administer the medication since this is a normal finding. Correct Answer: C. remove the
needle and apply pressure to the site.
A 70-year-old man presents with generalized weakness and dizziness. His blood pressure is
110/70 mm Hg when he is sitting, 96/56 mm Hg when he is standing. His heart rate is 120
beats/min and his skin is flushed and dry. What is the MOST likely cause of this patient's signs
and symptoms? Correct Answer: Dehydration
How many grams are present in 25 mL of 50% dextrose (D 50)? Correct Answer: 12.5g
During an attempted resuscitation from cardiac arrest, the patient inadvertently receives too
much sodium bicarbonate. This would result in: Correct Answer: metabolic alkalosis
You are dispatched to a residence for a 4-year-old male who is not breathing. When you and
your partner arrive at the scene, you find the child's father is performing mouth-to-mouth rescue
breathing on him. The father tells you that his son stuck a pin in an electrical socket. After
assessing the child and determining that he is pulseless and apneic, you should: Correct Answer:
begin CPR and apply the AED as soon as possible
You receive an order from medical control to start an IV of lactated ringers and administer 150
mL/hr. Using macrodrip (15 gtts/mL) tubing, how many drops per minute will you set the flow
rate at? Correct Answer: 38
You have a prefilled syringe containing 25g of dextrose in 50 mL of volume. How many
milligrams of dextrose are present in each milliliter? Correct Answer: 500mg
If you have an epinephrine concentration of 0.1 mg/mL, how many milligrams would be present
in 5 mL? Correct Answer: 0.5
A 44-year-old man is experiencing a ventricular dysrhythmia. Medical control orders your
paramedic partner to administer 1.5 mg/kg of lidocaine to the patient, who weighs 185 pounds.
Lidocaine is supplied in a concentration of 100 mg/10mL. How many milliliters should your
partner administer to this patient? Correct Answer: 12.6 mL
,A 70-year-old male with a history of esophageal cancer is unresponsive with slow, shallow
respirations. Appropriate airway management for this patient includes: Correct Answer:
inserting an oral airway and ventilating with a bag-mask device.
A 17-year-old female is experiencing a mild asthma attack. You auscultate her lungs and hear
expiratory wheezing. In addition to oxygen, which of the following classifications of medication
would be indicated for this patient? Correct Answer: beta-2 agonist
A 66-year-old male with congestive heart failure presents with pulmonary edema and difficulty
breathing. His blood pressure is 180/90 mm Hg and his pulse rate is 110 beats/min and irregular.
When starting an IV, which of the following, if available, would be MOST appropriate for this
patient?
A. 14-gauge angiocath
B. Intracath
C. Butterfly catheter
D. Saline lock Correct Answer: D. Saline Lock
A microdrip administration set features a small, needle-like orifice inside the drip chamber and
delivers:
A. 100 gtts/mL.
B. 15 gtts/mL.
C. 10 gtts/mL.
D. 60 gtts/mL. Correct Answer: D. 60 gets/ml
When administered to a normally hydrated patient, normal saline will:
A. cause fluid to shift into the cell.
B. engorge the intracellular space.
C. cause fluid to shift out of the cell.
D. stay in the intravascular space. Correct Answer: D. Stay in the intravascular space
Which of the following steps for drawing medication from a vial is NOT necessary when
drawing medication from an ampule?
A. Checking the expiration date and clarity of the drug.
, B. Injecting air into the container before withdrawing the drug.
C. Expelling air bubbles from the syringe prior to giving the drug.
D. Looking at the container to ensure the appropriate concentration. Correct Answer: B.
Injecting air into the container before withdrawing the drug
The narrowest portion of the adult's trachea is the: Correct Answer: glottic opening
An AEMT administers 1,000 ml of IV fluid to a patient with severe pulmonary edema and a
stable B/P. The pt then develops profound respiratory distress and becomes apneic. What is this
situation an example of? Correct Answer: Gross Negligence.
Perfusion is defined as Correct Answer: the circulation of oxygenated blood within an organ or
tissue in adequate amounts to meet the cells current needs.
All of the following can lead to shock (hypoperfusion) Except Correct Answer: Increased
venous return to the atrium
which of the following Most accurately describes the pathophysiology of angina pectoris Correct
Answer: Reversible process in which myocardial oxygen demand exceeds the supply of
available oxygen.
A 50 year old male fell approx. 20 feet and landed on his left side. He is conscious and alert and
denies loss of consciousness. During your assessment you note pain and crepitus when palpating
the iliac crests. In addition to the potential for spinal injury you should be Most concerned about
Correct Answer: Internal hemorrhaging
The two goals to achieve when assessing a patients with behavioral emergency are to Correct
Answer: Identify life-threats and reduce the stress of the situation
A patient experiencing status epilepticus Correct Answer: is having a prolonged generalized
motor seizure.
Which of the following conditions would be LEAST likely to cause an alteration in behavior
Correct Answer: Hypertension
a 22 year old female was involved in a traumatic incident. She is exhibiting signs of shock, but
there are no obvious external signs of trauma. You should suspect bleeding within the Correct
Answer: Abdominal cavity
A 69 year old female is found to be semiconscious, hypertensive, and bradypneic. You should
Correct Answer: Assist ventilations and start an IV to KVO
The middle layer of the heart is called Correct Answer: myocardium
