NC EMT-Basic Exam CORRECT
QUESTIONS & ANSWERS|| LATEST
UPDATE 2025|| VERIFIED A+
After administering 0.3 mg of epinephrine via auto-injector to a 22-year-old female with
an allergic reaction, you note improvement in her breathing and dissipation of her hives.
However, she is still anxious and tachycardic. You should:
A. contact medical control and obtain authorization to administer another 0.3 mg of
epinephrine.
B. transport her rapidly, as it is obvious that she is having a severe reaction to the
epinephrine.
C. monitor her closely but recall that anxiety and tachycardia are side effects of
epinephrine.
D. consider administering 0.15 mg of epinephrine to completely resolve her allergic
reaction. - ANSWER C. monitor her closely but recall that anxiety and tachycardia are
side effects of epinephrine
While auscultating breath sounds of a patient who was stung multiple times by a yellow
jacket, you hear bilateral wheezing over all lung fields. This indicates:
A. rapid swelling of the upper airway tissues.
B. a significant amount of fluid in the alveoli.
C. narrowing of the bronchioles in the lungs.
D. enlargement of the bronchioles in the lungs. - ANSWER C. narrowing of the
bronchioles in the lungs.
You are assessing a young male who was stung on the leg by a scorpion. He is
conscious and alert, his breathing is regular and unlabored, and his blood pressure is
122/64 mm Hg. Assessment of his leg reveals a wheal surrounded by an area of
redness. He states that he had a "bad reaction" the last time he was stung by a
scorpion, and carries his own epinephrine auto-injector. You should:
A. apply high-flow oxygen, apply a chemical cold pack directly to the injection site, and
transport at once.
B. apply high-flow oxygen, obtain approval from medical control to assist him with his
epinephrine, and transport.
C. assess his ABCs and vital signs in 15 minutes and allow him to drive himself to the
hospital if he remains stable.
D. apply oxygen as needed, clean the area with soap and water or a mild antiseptic,
and transport him to the hospital. - ANSWER D. apply oxygen as needed, clean the
area with soap and water or a mild antiseptic, and transport him to the hospital.
Chemicals that are responsible for the signs and symptoms of an allergic reaction to a
bee sting include:
A. the bee venom itself.
, B. adrenaline and histamines.
C. leukocytes and epinephrine.
D. histamines and leukotrienes. - ANSWER D. histamines and leukotrienes.
A 48-year-old male is found unconscious in the garden by his wife. When you arrive at
the scene and assess the man, you find that he is unresponsive, has severely labored
breathing, and has hives over his entire trunk. You should:
A.
perform a detailed secondary assessment.
B.
maintain his airway and assist his ventilations.
C.
ask his wife if he has any known allergies.
D.
apply the automated external defibrillator (AED) in the event that cardiac arrest occurs. -
ANSWER B. maintain his airway and assist his ventilations.
You have administered one dose of epinephrine to a 40-year-old female to treat an
allergic reaction that she developed after being stung by a scorpion. Your reassessment
reveals that she is still having difficulty breathing, has a decreasing mental status, and
has a blood pressure of 80/50 mm Hg. You should:
A. monitor her en route to the hospital and call medical control if she worsens.
B. crush up an antihistamine tablet and place it in between her cheek and gum.
C. request permission from medical control to give another dose of epinephrine.
D. administer a nebulized bronchodilator to improve the status of her breathing. -
ANSWER C. request permission from medical control to give another dose of
epinephrine
A 67-year-old female with severe chest pain becomes unresponsive, pulseless, and
apneic during transport. You should:
A. defibrillate with the AED while continuing transport to the hospital.
B. stop the ambulance, begin CPR, and attach the AED as soon as possible.
C. perform CPR for 1 to 2 minutes and then analyze her rhythm with an AED.
D. alert the receiving hospital and perform CPR for the duration of the transport. -
ANSWER B. stop the ambulance, begin CPR, and attach the AED as soon as possible.
A 67-year-old female presents with difficulty breathing and chest discomfort that
awakened her from her sleep. She states that she has congestive heart failure, has had
two previous heart attacks, and has prescribed nitroglycerin. She is conscious and alert
with adequate breathing. Her blood pressure is 94/64 mm Hg and her heart rate is 120
beats/min. Treatment for this patient includes:
A. nitroglycerin for her chest pain.
B. ventilations with a bag-mask device.
C. oxygen at 4 L/min via nasal cannula.
D. placing her in an upright position. - ANSWER D. placing her in an upright position.
QUESTIONS & ANSWERS|| LATEST
UPDATE 2025|| VERIFIED A+
After administering 0.3 mg of epinephrine via auto-injector to a 22-year-old female with
an allergic reaction, you note improvement in her breathing and dissipation of her hives.
However, she is still anxious and tachycardic. You should:
A. contact medical control and obtain authorization to administer another 0.3 mg of
epinephrine.
B. transport her rapidly, as it is obvious that she is having a severe reaction to the
epinephrine.
C. monitor her closely but recall that anxiety and tachycardia are side effects of
epinephrine.
D. consider administering 0.15 mg of epinephrine to completely resolve her allergic
reaction. - ANSWER C. monitor her closely but recall that anxiety and tachycardia are
side effects of epinephrine
While auscultating breath sounds of a patient who was stung multiple times by a yellow
jacket, you hear bilateral wheezing over all lung fields. This indicates:
A. rapid swelling of the upper airway tissues.
B. a significant amount of fluid in the alveoli.
C. narrowing of the bronchioles in the lungs.
D. enlargement of the bronchioles in the lungs. - ANSWER C. narrowing of the
bronchioles in the lungs.
You are assessing a young male who was stung on the leg by a scorpion. He is
conscious and alert, his breathing is regular and unlabored, and his blood pressure is
122/64 mm Hg. Assessment of his leg reveals a wheal surrounded by an area of
redness. He states that he had a "bad reaction" the last time he was stung by a
scorpion, and carries his own epinephrine auto-injector. You should:
A. apply high-flow oxygen, apply a chemical cold pack directly to the injection site, and
transport at once.
B. apply high-flow oxygen, obtain approval from medical control to assist him with his
epinephrine, and transport.
C. assess his ABCs and vital signs in 15 minutes and allow him to drive himself to the
hospital if he remains stable.
D. apply oxygen as needed, clean the area with soap and water or a mild antiseptic,
and transport him to the hospital. - ANSWER D. apply oxygen as needed, clean the
area with soap and water or a mild antiseptic, and transport him to the hospital.
Chemicals that are responsible for the signs and symptoms of an allergic reaction to a
bee sting include:
A. the bee venom itself.
, B. adrenaline and histamines.
C. leukocytes and epinephrine.
D. histamines and leukotrienes. - ANSWER D. histamines and leukotrienes.
A 48-year-old male is found unconscious in the garden by his wife. When you arrive at
the scene and assess the man, you find that he is unresponsive, has severely labored
breathing, and has hives over his entire trunk. You should:
A.
perform a detailed secondary assessment.
B.
maintain his airway and assist his ventilations.
C.
ask his wife if he has any known allergies.
D.
apply the automated external defibrillator (AED) in the event that cardiac arrest occurs. -
ANSWER B. maintain his airway and assist his ventilations.
You have administered one dose of epinephrine to a 40-year-old female to treat an
allergic reaction that she developed after being stung by a scorpion. Your reassessment
reveals that she is still having difficulty breathing, has a decreasing mental status, and
has a blood pressure of 80/50 mm Hg. You should:
A. monitor her en route to the hospital and call medical control if she worsens.
B. crush up an antihistamine tablet and place it in between her cheek and gum.
C. request permission from medical control to give another dose of epinephrine.
D. administer a nebulized bronchodilator to improve the status of her breathing. -
ANSWER C. request permission from medical control to give another dose of
epinephrine
A 67-year-old female with severe chest pain becomes unresponsive, pulseless, and
apneic during transport. You should:
A. defibrillate with the AED while continuing transport to the hospital.
B. stop the ambulance, begin CPR, and attach the AED as soon as possible.
C. perform CPR for 1 to 2 minutes and then analyze her rhythm with an AED.
D. alert the receiving hospital and perform CPR for the duration of the transport. -
ANSWER B. stop the ambulance, begin CPR, and attach the AED as soon as possible.
A 67-year-old female presents with difficulty breathing and chest discomfort that
awakened her from her sleep. She states that she has congestive heart failure, has had
two previous heart attacks, and has prescribed nitroglycerin. She is conscious and alert
with adequate breathing. Her blood pressure is 94/64 mm Hg and her heart rate is 120
beats/min. Treatment for this patient includes:
A. nitroglycerin for her chest pain.
B. ventilations with a bag-mask device.
C. oxygen at 4 L/min via nasal cannula.
D. placing her in an upright position. - ANSWER D. placing her in an upright position.
