AMLS Pretest Questions and Answers
(A+Level)
A 28 year old female is being evaluated for an acute onset of an alteration in
mentation. She complained of a stiff neck and persistent headache. Vital signs
are P112, R22 and regular, BP 144/88, SpO2 95% and T 102.3°F (39°C). The
healthcare provider should observe for which complication?
A. Sepsis
B. Seizure
C. Cardiac arrest
D. Internal bleeding - ANS-B.
A 45 year old patient is found supine on the floor of the Triage area. Healthcare
providers note pinpoint pupils, shallow respirations and vomitus in and around the
mouth. What course of action should be implemented next?
A. Initiate an IV and administer naloxone
B. Supplemental oxygen and suction
C. Obtain a blood glucose level
D. Begin bag-mask ventilation - ANS-B.
Patients with a history of chronic bronchitis that present with shortness of breath are
likely to have which condition?
A. Pulmonary embolism
B. Angina pectoris
C. Angioedema
D. Hypertensive crisis - ANS-A.
Acute Respiratory Distress Syndrome (ARDS) us characterized by what pathological
change?
A. Excessive mucus production
B. Inflammation of the visceral pleura
C. Breakdown of the alveolar-capillary membrane
D. Accumulation of fluid between the pleural layers - ANS-C.
An anxious male complains of a sore throat, fever, chills, dental pain and dyspnea. the
, patient has a firm, red pronounced swelling in the sublingual anterior throat area and
tongue. What diagnosis is most likely?
A. Croup
B. Tonsillitis
C. Angioedema
D. Ludwig's angina - ANS-D.
Patients on mechanical ventilation may have hypoxemia due to alveolar collapse from
mucous plugging. The best treatment for this is:
A. Increase oxygen concentration to 100%
B. Increase tidal volume
C. Increase respiratory rate
D. Administer PEEP - ANS-D.
Anaphylaxis is most associated with which physiological event?
A. Hemorrhage
B. Vasodilation
C. Bradycardia
D. Hypertension - ANS-B.
An elderly patient in an assisted living facility presents with a diminished level of
consciousness and elevated white blood count. Assessment reveals pale, clammy skin
and a urinary catherter with dark colored urine. Vital signs are P132, R 38 and shallow,
BP 78/46, SpO2 91% and T 100.8°F (32.8°C). What classification of shock is the patient
most likely experiencing?
A. Hypovolemic
B. Cardiogenic
C. Distributive
D. Obstuctive - ANS-C.
Healthcare providers are assessing a patient with pronounced jugular vein distention
and muffled heart tones. Vitals are P 128, R 26, BP 74/52. What classification of shock
should be suspected?
A. Hypovolemic
B. Cardiogenic
C. Distributive
D. Obstuctive - ANS-D.
During compensatory shock, the renin-angiotensin-aldosterone system is activated to
(A+Level)
A 28 year old female is being evaluated for an acute onset of an alteration in
mentation. She complained of a stiff neck and persistent headache. Vital signs
are P112, R22 and regular, BP 144/88, SpO2 95% and T 102.3°F (39°C). The
healthcare provider should observe for which complication?
A. Sepsis
B. Seizure
C. Cardiac arrest
D. Internal bleeding - ANS-B.
A 45 year old patient is found supine on the floor of the Triage area. Healthcare
providers note pinpoint pupils, shallow respirations and vomitus in and around the
mouth. What course of action should be implemented next?
A. Initiate an IV and administer naloxone
B. Supplemental oxygen and suction
C. Obtain a blood glucose level
D. Begin bag-mask ventilation - ANS-B.
Patients with a history of chronic bronchitis that present with shortness of breath are
likely to have which condition?
A. Pulmonary embolism
B. Angina pectoris
C. Angioedema
D. Hypertensive crisis - ANS-A.
Acute Respiratory Distress Syndrome (ARDS) us characterized by what pathological
change?
A. Excessive mucus production
B. Inflammation of the visceral pleura
C. Breakdown of the alveolar-capillary membrane
D. Accumulation of fluid between the pleural layers - ANS-C.
An anxious male complains of a sore throat, fever, chills, dental pain and dyspnea. the
, patient has a firm, red pronounced swelling in the sublingual anterior throat area and
tongue. What diagnosis is most likely?
A. Croup
B. Tonsillitis
C. Angioedema
D. Ludwig's angina - ANS-D.
Patients on mechanical ventilation may have hypoxemia due to alveolar collapse from
mucous plugging. The best treatment for this is:
A. Increase oxygen concentration to 100%
B. Increase tidal volume
C. Increase respiratory rate
D. Administer PEEP - ANS-D.
Anaphylaxis is most associated with which physiological event?
A. Hemorrhage
B. Vasodilation
C. Bradycardia
D. Hypertension - ANS-B.
An elderly patient in an assisted living facility presents with a diminished level of
consciousness and elevated white blood count. Assessment reveals pale, clammy skin
and a urinary catherter with dark colored urine. Vital signs are P132, R 38 and shallow,
BP 78/46, SpO2 91% and T 100.8°F (32.8°C). What classification of shock is the patient
most likely experiencing?
A. Hypovolemic
B. Cardiogenic
C. Distributive
D. Obstuctive - ANS-C.
Healthcare providers are assessing a patient with pronounced jugular vein distention
and muffled heart tones. Vitals are P 128, R 26, BP 74/52. What classification of shock
should be suspected?
A. Hypovolemic
B. Cardiogenic
C. Distributive
D. Obstuctive - ANS-D.
During compensatory shock, the renin-angiotensin-aldosterone system is activated to
