Prehospital Emergency Care, Chapter 36Actual Exam (2025) comprehensive
questions and verified answers ( detailed & elaborated) 2025-2026 TEST
1) A 78-year-old male pedestrian was struck by a car at a convenience store.
The patient is conscious but confused, and has sustained multisystem trauma.
What would represent the best sequence of care for this patient?
A) Primary assessment, oxygen, secondary assessment, spine motion
restriction precautions, and all other care en route to the hospital
B) Primary assessment, spine motion restriction, and all other care en route to
the hospital
C) Primary assessment, oxygen, secondary assessment, and all other care en
route to the hospital
D) Primary assessment, oxygen, secondary assessment, cervical collar, and
all other care en route to the hospital
A) Primary assessment, oxygen, secondary assessment, spine motion restriction
precautions, and all other care en route to the hospital
2) A 62-year-old female with severe kyphosis fell and hit the back of her head,
which is now oozing blood from a small laceration. Family members state that
she suddenly complained of a "very bad headache" before collapsing to the
kitchen floor. She has snoring respirations and cyanosis in the extremities.
Which intervention should you perform first?
A) Apply a cervical collar
B) Use a jaw-thrust maneuver
C) Start positive pressure ventilation
D) Cover the laceration
B) Use a jaw-thrust maneuver
3) You are transporting an elderly female who fell in a nursing home and
displays outward rotation of her left leg. She has a lengthy medical history,
including dementia. Currently, she is very quiet and receiving oxygen through
a nasal cannula at 6 liters per minute. She also is secured to a long spine
board. During your reassessment, you note her to be alert but confused, with
slightly accelerated respirations and a strong radial pulse. You also note that
her SpO2 has dropped from 97% on scene to 91%. You should:
, A) Perform a head-tilt, chin-lift maneuver
B) Request ALS assistance
C) Apply supplemental oxygen
D) Start positive pressure ventilation
C) Apply supplemental oxygen
4) You are by the side of an 88-year-old male who fell. He has a hematoma to
his forehead as well as deformity to his left forearm. His daughter informs you
that her father has severe dementia and she cares for him at home. As you
assess him, he continually screams out, "Mary, help me. I need help!" At this
time, which question is most appropriate to ask the daughter?
A) "Was Mary his wife?"
B) "Is this how he normally is?"
C) "Do you know what he means by this?"
D) "My mother suffers from dementia; it is a terrible disease, isn't it?"
B) "Is this how he normally is?"
5) An 83-year-old female fell down the basement stairs. Once at her side, she
tells you that her left hip hurts and rates it as 10/10. Since the patient is
downstairs, you recognize the need for assistance in extricating her from the
residence. As you start the primary assessment, you note a dog at the top of
the stairs starts growling at you. At this time, what is your primary concern?
A) Airway
B) Pain
C) Need for additional help
D) Dog
C) Need for additional help
6) A car swerved to miss a deer in the road and hit a utility pole at a low rate of
speed. Damage to the car is minimal, but the 82-year-old male passenger was
not wearing a seat belt and hit his head on the dashboard. He presents as
confused and diaphoretic. His daughter, the driver, states that he has a history
of dementia, high blood pressure, and diabetes, as well as coronary artery
disease. She adds that he took his insulin about 2 hours ago. Which question
to the daughter would be most important at this time?
A) "How far along is the dementia?"
B) "He seems sweaty. Was he feeling okay this morning?"
questions and verified answers ( detailed & elaborated) 2025-2026 TEST
1) A 78-year-old male pedestrian was struck by a car at a convenience store.
The patient is conscious but confused, and has sustained multisystem trauma.
What would represent the best sequence of care for this patient?
A) Primary assessment, oxygen, secondary assessment, spine motion
restriction precautions, and all other care en route to the hospital
B) Primary assessment, spine motion restriction, and all other care en route to
the hospital
C) Primary assessment, oxygen, secondary assessment, and all other care en
route to the hospital
D) Primary assessment, oxygen, secondary assessment, cervical collar, and
all other care en route to the hospital
A) Primary assessment, oxygen, secondary assessment, spine motion restriction
precautions, and all other care en route to the hospital
2) A 62-year-old female with severe kyphosis fell and hit the back of her head,
which is now oozing blood from a small laceration. Family members state that
she suddenly complained of a "very bad headache" before collapsing to the
kitchen floor. She has snoring respirations and cyanosis in the extremities.
Which intervention should you perform first?
A) Apply a cervical collar
B) Use a jaw-thrust maneuver
C) Start positive pressure ventilation
D) Cover the laceration
B) Use a jaw-thrust maneuver
3) You are transporting an elderly female who fell in a nursing home and
displays outward rotation of her left leg. She has a lengthy medical history,
including dementia. Currently, she is very quiet and receiving oxygen through
a nasal cannula at 6 liters per minute. She also is secured to a long spine
board. During your reassessment, you note her to be alert but confused, with
slightly accelerated respirations and a strong radial pulse. You also note that
her SpO2 has dropped from 97% on scene to 91%. You should:
, A) Perform a head-tilt, chin-lift maneuver
B) Request ALS assistance
C) Apply supplemental oxygen
D) Start positive pressure ventilation
C) Apply supplemental oxygen
4) You are by the side of an 88-year-old male who fell. He has a hematoma to
his forehead as well as deformity to his left forearm. His daughter informs you
that her father has severe dementia and she cares for him at home. As you
assess him, he continually screams out, "Mary, help me. I need help!" At this
time, which question is most appropriate to ask the daughter?
A) "Was Mary his wife?"
B) "Is this how he normally is?"
C) "Do you know what he means by this?"
D) "My mother suffers from dementia; it is a terrible disease, isn't it?"
B) "Is this how he normally is?"
5) An 83-year-old female fell down the basement stairs. Once at her side, she
tells you that her left hip hurts and rates it as 10/10. Since the patient is
downstairs, you recognize the need for assistance in extricating her from the
residence. As you start the primary assessment, you note a dog at the top of
the stairs starts growling at you. At this time, what is your primary concern?
A) Airway
B) Pain
C) Need for additional help
D) Dog
C) Need for additional help
6) A car swerved to miss a deer in the road and hit a utility pole at a low rate of
speed. Damage to the car is minimal, but the 82-year-old male passenger was
not wearing a seat belt and hit his head on the dashboard. He presents as
confused and diaphoretic. His daughter, the driver, states that he has a history
of dementia, high blood pressure, and diabetes, as well as coronary artery
disease. She adds that he took his insulin about 2 hours ago. Which question
to the daughter would be most important at this time?
A) "How far along is the dementia?"
B) "He seems sweaty. Was he feeling okay this morning?"
