2025-2026 Actual Exam 240 Questions with 100%
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A "hip" fracture is actually a fracture of the: - CORRECT ANSWER: proximal femur
A 19-year-old female was stung multiple times on the legs by fire ants. She states that
she is allergic to fire ants, but does not carry her own epinephrine. The patient is
conscious and alert and complains of pain to the area of the bites. Her blood pressure is
122/70 mm Hg, her pulse is 100 beats/min and strong, and her respirations are 18
breaths/min and unlabored. You should: - CORRECT ANSWER: administer oxygen and
transport her to the hospital.
A 19-year-old male was stung multiple times by fire ants. He is experiencing obvious
signs and symptoms of anaphylactic shock. You administer 100% oxygen and give him
epinephrine via subcutaneous injection. Upon reassessment, you determine that his
condition has not improved. You should: - CORRECT ANSWER: repeat the epinephrine
injection after consulting with medical control.
A 27-year-old male was stabbed in the chest during a disagreement at a poker game.
As you approach him, you see that a knife is impaled in his chest. Before you make
physical contact with the patient, it is MOST important to: - CORRECT ANSWER: follow
standard precautions
A 29-year-old male has an anterior nosebleed after he was accidentally elbowed in the
nose. His is conscious and alert with adequate breathing. The MOST appropriate care
for this patient includes: - CORRECT ANSWER: leaning him forward and pinching his
nostrils together.
A 31-year-old female is experiencing an acute asthma attack. She is conscious and
alert, but in obvious respiratory distress. After assisting her with her prescribed MDI, you
,should: - CORRECT ANSWER: reassess the patient and document her response to the
medication.
A 37-year-old female with a history of diabetes presents with excessive urination and
weakness of 2 days' duration. You apply 100% oxygen and assess her blood glucose
level, which reads 320 mg/dL. If this patient's condition is not promptly treated, she will
MOST likely develop: - CORRECT ANSWER: acidosis and dehydration
A 39-year-old female experienced a severe closed head injury. She is unconscious with
her eyes slightly open; her pupils are bilaterally dilated and slow to react. In addition to
managing problems with airway, breathing, and circulation, you should: - CORRECT
ANSWER: close her eyes and cover them with a moist dressing.
A 40-year-old male was in his woodworking shop when he felt a sudden, sharp pain in
his left eye. Your assessment reveals a small splinter of wood embedded in his cornea.
You should: - CORRECT ANSWER: cover both of his eyes and transport to the hospital.
A 50-year-old male was splashed in the eyes with radiator fluid when he was working on
his car. During your assessment, he tells you that he wears soft contact lenses. You
should: - CORRECT ANSWER: carefully remove the contact lenses and then irrigate his
eyes with saline.
A 50-year-old male was stung by a honeybee approximately 15 minutes ago. He
presents with respiratory distress, facial swelling, and hypotension. After placing him on
oxygen and administering his epinephrine via auto-injector, you note that his breathing
has improved. Additionally, his facial swelling is resolving and his blood pressure is
stable. Your next action should be to: - CORRECT ANSWER: record the time and dose
of the injection, and transport promptly.
A 56-year-old male is found semiconscious by his wife. Your assessment reveals that
his respirations are rapid and shallow, his pulse is rapid and irregular, and his blood
pressure is low. The patient's wife states that he complained of left arm pain and nausea
the day before, but would not allow her to call 9-1-1. The MOST likely cause of this
patient's present condition is: - CORRECT ANSWER: cardiogenic hypoperfusion.
, A 60-year-old male is found to be unresponsive, pulseless, and apneic. You should: -
CORRECT ANSWER: begin CPR until an AED is available.
A 67-year-old female with severe chest pain becomes unresponsive, pulseless, and
apneic during transport. You should: - CORRECT ANSWER: stop the ambulance, begin
CPR, and attach the AED as soon as possible.
A 70-year-old female was recently discharged from the hospital following a total hip
replacement. Today, she presents with restlessness, tachycardia, and a blood pressure
of 100/64 mm Hg. Her skin is warm and moist. You should be MOST suspicious that she
is experiencing: - CORRECT ANSWER: septic shock
A 70-year-old male complains of shortness of breath. During your assessment, you note
that he has bilateral hearing aids. When you ask him questions related to his chief
complaint, he does not answer you. You can hear a whistling sound coming from his
hearing aids. You should: - CORRECT ANSWER: try repositioning the hearing aid or
remove it and turn down the volume
A 71-year-old male is semiconscious following a sudden, severe headache. There is
vomitus on his face and his respirations are slow and shallow. The EMT must
immediately: - CORRECT ANSWER: perform oropharyngeal suctioning
A construction worker fell approximately 30 feet. He is semiconscious with rapid,
shallow respirations. Further assessment reveals deformity to the thoracic region of his
spine. His blood pressure is 70/50 mm Hg, his pulse is 66 beats/min and weak, and his
skin is warm and dry. In addition to spinal immobilization and rapid transport, the MOST
appropriate treatment for this patient includes: - CORRECT ANSWER: assisted
ventilation, thermal management, and elevation of the lower extremities.
A female patient with a suspected spinal injury is breathing with a marked reduction in
tidal volume. The MOST appropriate airway management for her includes: - CORRECT
ANSWER: assisting ventilations at an age-appropriate rate.