Prehospital Emergent Care 11th, Chapter 19 Actual Exam (2025) comprehensive
questions and verified answers ( detailed & elaborated) 2025-2026 TEST
You have been called for a 57-year-old female patient who has "passed out."
As you enter the patient's apartment, you find her supine on the living room
floor with a cool washcloth on her forehead. She states that she was standing
and talking on the telephone when everything went dark. When she came to,
she was on the floor. What should you do next?
A) Immediately sit the patient upright while gathering the SAMPLE history
B) Insert a nasopharyngeal airway and apply supplemental oxygen
C) Move the patient to the ambulance for immediate transport, and call for an
ALS intercept
D) Complete the primary assessment, and then obtain vital signs while the
patient is supine
D
Which of these statements made by a patient would reinforce your suspicion
of syncope?
A) "I think that I may have had a seizure."
B) "Once I hit the floor, I was out for only a few seconds."
C) "I have had a low-grade fever for the past three days."
D) "I was lying on the bed when I passed out."
B
A man comes into your station and tells you that he was just diagnosed by his
physician as having multiple syncopal episodes the previous week. More
specifically, he asks you to explain why he keeps fainting. Which of these
statements would be your best response?
A) "For some reason, there was a temporary decrease in the flow of blood to
your brain."
B) "A small clot formed in a blood vessel in your brain, but was quickly broken
down by the body."
C) "Your blood sugar most likely dropped very quickly, causing you to faint."
D) "A syncopal episode is a small seizure that runs its course very quickly."
A
,You are dispatched to a local mall, where you are met by bystanders who state
that the patient was talking to a customer representative when she "passed
out." You find an alert and oriented 55-year-old female patient lying supine on
the tile floor. The patient tells you that the back of her head is hurting, her neck
now hurts, and her arms and legs feel very weak. Which action should you
perform first?
A) Open her airway with a jaw-thrust maneuver
B) Obtain a full set of vital signs
C) Take manual cervical spine motion restriction
D) Assess the back of the patient's head for injury
C
Which of these is the best explanation of why a patient who experiences a
syncopal episode often regains consciousness after falling?
A) The act of falling causes the heart rate to decrease
B) The supine position allows better perfusion to the brain
C) The trauma of falling causes the blood glucose level to increase D) The
seizure stops once the patient is supine
B
You are an EMT who finds an adult male patient on his living room floor after
the police department had to force the door open. The scene size-up reveals a
very cluttered home that smells of urine. On an end table, you find a container
of phenytoin (Dilantin) with the patient's name on it. When you pinch his
shoulder, the patient responds by moaning and trying to remove your hand
from his neck. Based on this information, which of these conditions would you
suspect?
A) Syncope
B) Allergic reaction
C) Behavioral emergency
D) Seizure
D
You are summoned to a grocery store for a female patient found having a "fit"
by store employees. Upon arrival, you are escorted to the side of an alert but
mildly confused 41-year-old woman who is diaphoretic and appears
exhausted. After 2-3 more minutes, she becomes more alert and informs you
, that she has a history of seizures and just had a generalized seizure. Despite
your urging, she refuses transport to the hospital. Your safest action would be
to:
A) Transport the patient despite her refusal to consent
B) Advise medical direction of the situation
C) Contact law enforcement so your transport of the patient is legal
D) Recognize a seizure history and have patient sign a refusal form
B
You have been called for a seizure emergency. On scene, you find an adult
female patient actively seizing with bystanders attempting to restrain her. You
would:
A) Place a padded tongue blade into the patient's mouth and then instruct the
bystanders to release her
B) Loosen any restrictive clothing the patient is wearing, and then summon
ALS backup
C) Instruct the bystanders to release the patient while you protect her head
with your hands
D) Have bystanders continue restraining the patient while you complete the
primary assessment
C
While you are providing free blood pressure readings at a community health
fair, you are taking the blood pressure of a mother of two young twin boys.
One of the boys tells you that his twin brother suffers from seizures and asks
what he can do if he sees his brother convulsing. Your response would be:
A) "Move any movable objects and furniture away from him."
B) "Hold him securely to the floor until he stops seizing or the EMTs arrive."
C) "Insert a spoon into his mouth to keep him from swallowing his tongue."
D) "Tell your parents immediately, and then try to hold him as still as possible
until the ambulance arrives."
A
As a general rule, a postictal patient should be placed on the stretcher and
transported in which position?
A) Supine
B) Semi-Fowler's
questions and verified answers ( detailed & elaborated) 2025-2026 TEST
You have been called for a 57-year-old female patient who has "passed out."
As you enter the patient's apartment, you find her supine on the living room
floor with a cool washcloth on her forehead. She states that she was standing
and talking on the telephone when everything went dark. When she came to,
she was on the floor. What should you do next?
A) Immediately sit the patient upright while gathering the SAMPLE history
B) Insert a nasopharyngeal airway and apply supplemental oxygen
C) Move the patient to the ambulance for immediate transport, and call for an
ALS intercept
D) Complete the primary assessment, and then obtain vital signs while the
patient is supine
D
Which of these statements made by a patient would reinforce your suspicion
of syncope?
A) "I think that I may have had a seizure."
B) "Once I hit the floor, I was out for only a few seconds."
C) "I have had a low-grade fever for the past three days."
D) "I was lying on the bed when I passed out."
B
A man comes into your station and tells you that he was just diagnosed by his
physician as having multiple syncopal episodes the previous week. More
specifically, he asks you to explain why he keeps fainting. Which of these
statements would be your best response?
A) "For some reason, there was a temporary decrease in the flow of blood to
your brain."
B) "A small clot formed in a blood vessel in your brain, but was quickly broken
down by the body."
C) "Your blood sugar most likely dropped very quickly, causing you to faint."
D) "A syncopal episode is a small seizure that runs its course very quickly."
A
,You are dispatched to a local mall, where you are met by bystanders who state
that the patient was talking to a customer representative when she "passed
out." You find an alert and oriented 55-year-old female patient lying supine on
the tile floor. The patient tells you that the back of her head is hurting, her neck
now hurts, and her arms and legs feel very weak. Which action should you
perform first?
A) Open her airway with a jaw-thrust maneuver
B) Obtain a full set of vital signs
C) Take manual cervical spine motion restriction
D) Assess the back of the patient's head for injury
C
Which of these is the best explanation of why a patient who experiences a
syncopal episode often regains consciousness after falling?
A) The act of falling causes the heart rate to decrease
B) The supine position allows better perfusion to the brain
C) The trauma of falling causes the blood glucose level to increase D) The
seizure stops once the patient is supine
B
You are an EMT who finds an adult male patient on his living room floor after
the police department had to force the door open. The scene size-up reveals a
very cluttered home that smells of urine. On an end table, you find a container
of phenytoin (Dilantin) with the patient's name on it. When you pinch his
shoulder, the patient responds by moaning and trying to remove your hand
from his neck. Based on this information, which of these conditions would you
suspect?
A) Syncope
B) Allergic reaction
C) Behavioral emergency
D) Seizure
D
You are summoned to a grocery store for a female patient found having a "fit"
by store employees. Upon arrival, you are escorted to the side of an alert but
mildly confused 41-year-old woman who is diaphoretic and appears
exhausted. After 2-3 more minutes, she becomes more alert and informs you
, that she has a history of seizures and just had a generalized seizure. Despite
your urging, she refuses transport to the hospital. Your safest action would be
to:
A) Transport the patient despite her refusal to consent
B) Advise medical direction of the situation
C) Contact law enforcement so your transport of the patient is legal
D) Recognize a seizure history and have patient sign a refusal form
B
You have been called for a seizure emergency. On scene, you find an adult
female patient actively seizing with bystanders attempting to restrain her. You
would:
A) Place a padded tongue blade into the patient's mouth and then instruct the
bystanders to release her
B) Loosen any restrictive clothing the patient is wearing, and then summon
ALS backup
C) Instruct the bystanders to release the patient while you protect her head
with your hands
D) Have bystanders continue restraining the patient while you complete the
primary assessment
C
While you are providing free blood pressure readings at a community health
fair, you are taking the blood pressure of a mother of two young twin boys.
One of the boys tells you that his twin brother suffers from seizures and asks
what he can do if he sees his brother convulsing. Your response would be:
A) "Move any movable objects and furniture away from him."
B) "Hold him securely to the floor until he stops seizing or the EMTs arrive."
C) "Insert a spoon into his mouth to keep him from swallowing his tongue."
D) "Tell your parents immediately, and then try to hold him as still as possible
until the ambulance arrives."
A
As a general rule, a postictal patient should be placed on the stretcher and
transported in which position?
A) Supine
B) Semi-Fowler's
