Prehospital Emergency Care Chapter #21Actual Exam (2025) comprehensive
questions and verified answers ( detailed & elaborated) 2025-2026 TEST
1) A patient is covered with hives. He is responsive to painful stimuli but has
labored respirations with an inspiratory stridor sound, bilateral wheezing, and
a weak and rapid pulse. His vital signs are pulse, 128; respirations, 24
breaths/min; and blood pressure, 80/50 mmHg. Given this presentation, the
EMT should suspect that the patient has:
A) Sensitization
B) Anaphylaxis
C) Hypersensitivity
D) Localized allergic reaction
B) Anaphylaxis
2) During the primary assessment, which of these findings would most lead
the EMT to suspect an allergic reaction?
A) Hives to the face and neck
B) Blood pressure of 100/60 mmHg
C) Heart rate of 112 beats/min
D) Complaint of dizziness
A) Hives to the face and neck
3) A patient who is severely short of breath and covered with hives states that
she is allergic to crab. Despite her allergy, she tried some crab dip 10 minutes
ago, since it had been "years and years" since she had her last allergic
reaction. Which question should the EMT ask first?
A) "How many allergic reactions have you had?"
B) "Why did you eat the dip if you are allergic to crab?"
C) "Which medications are you currently taking?"
D) "Do you have an epinephrine auto-injector?"
D) "Do you have an epinephrine auto-injector?"
4) When reassessing a patient whom you are treating for an anaphylactic
reaction, which of these findings would be of the greatest concern?
,A) Respiratory rate change from 28 to 10 breaths/min with increasing patient
lethargy
B) Red, warm, and dry skin, with the patient becoming increasingly agitated
C) Pulse oximetry reading of 95% via high-concentration oxygen
D) New hives appearing on the chest that were not there upon your arrival
5) A panicked and anxious patient tells you that he is allergic to peanuts and
thinks he may have accidentally eaten some. He states that the last time he ate
peanuts he almost died and needed to have a "tube put in his throat." When
assessing this patient, which of these signs or symptoms would provide the
best evidence that the patient is having an allergic, and possibly an early
anaphylactic, reaction?
A) Hives on his chest
B) Panic and anxiety
C) Elevated blood pressure
D) Cool and dry skin
A) Hives on his chest
6) A patient states that he is allergic to poison ivy and was burning it yesterday
while clearing brush off his farm when he accidentally inhaled some of the
smoke. Today, he awoke and found a red rash to the back of his left hand and
called 911. Assessment reveals him to be alert and oriented, with easy
respirations and a blood pressure of 128/70 mmHg. Your next action would be
to:
A) Provide immediate and rapid transport
B) Assist the patient with his epinephrine auto-injector
C) Obtain a full SAMPLE and OPQRST history
D) Call for advanced life support (ALS) assistance
C) Obtain a full SAMPLE and OPQRST history
7) A 39-year-old female patient, who is allergic to shellfish, thinks that she may
have accidentally ingested some that was mixed into her food at a restaurant.
When assessing her, which of these statements made by the patient would be
suggestive that she is in the early stages of an anaphylactic reaction?
A) "I feel as though I am getting a fever."
B) "My heart suddenly feels as though it is skipping some beats."
, C) "I feel dizzy and weak."
D) "I suddenly feel like a have a lump in my throat."
D) "I suddenly feel like a have a lump in my throat."
A) Respiratory rate change from 28 to 10 breaths/min with increasing patient
lethargy
8) A 23-year-old male patient has called EMS for swollen lips and hives. Upon
entering the scene, which of these observations would make the EMT
suspicious that the patient is having an allergic reaction?
A) A glucometer on a table in the living room
B) A new container of penicillin on a table with two pills missing
C) Other family members complaining of similar symptoms
D) A bottle of expired nitroglycerin on the kitchen counter
B) A new container of penicillin on a table with two pills missing
9) When assessing a patient with a suspected anaphylactic reaction, which of
these findings would you expect?
A) Weak, rapid radial pulse
B) Rapid and strong carotid pulse
C) Normal to slightly increased blood pressure
D) Slow and bounding radial pulse
A) Weak, rapid radial pulse
10) What is the most severe form of an allergic reaction called?
A) Hypersensitivity
B) Anaphylaxis
C) Antigen response
D) Rhinorrhea
B) Anaphylaxis
11) If signs and symptoms of anaphylaxis occur rapidly in a patient, the EMT
must realize that:
A) The reaction will likely be severe
B) The reaction will likely be localized
C) An increased amount of antigens is present in the patient's body
D) Epinephrine will not be effective
A) The reaction will likely be severe
questions and verified answers ( detailed & elaborated) 2025-2026 TEST
1) A patient is covered with hives. He is responsive to painful stimuli but has
labored respirations with an inspiratory stridor sound, bilateral wheezing, and
a weak and rapid pulse. His vital signs are pulse, 128; respirations, 24
breaths/min; and blood pressure, 80/50 mmHg. Given this presentation, the
EMT should suspect that the patient has:
A) Sensitization
B) Anaphylaxis
C) Hypersensitivity
D) Localized allergic reaction
B) Anaphylaxis
2) During the primary assessment, which of these findings would most lead
the EMT to suspect an allergic reaction?
A) Hives to the face and neck
B) Blood pressure of 100/60 mmHg
C) Heart rate of 112 beats/min
D) Complaint of dizziness
A) Hives to the face and neck
3) A patient who is severely short of breath and covered with hives states that
she is allergic to crab. Despite her allergy, she tried some crab dip 10 minutes
ago, since it had been "years and years" since she had her last allergic
reaction. Which question should the EMT ask first?
A) "How many allergic reactions have you had?"
B) "Why did you eat the dip if you are allergic to crab?"
C) "Which medications are you currently taking?"
D) "Do you have an epinephrine auto-injector?"
D) "Do you have an epinephrine auto-injector?"
4) When reassessing a patient whom you are treating for an anaphylactic
reaction, which of these findings would be of the greatest concern?
,A) Respiratory rate change from 28 to 10 breaths/min with increasing patient
lethargy
B) Red, warm, and dry skin, with the patient becoming increasingly agitated
C) Pulse oximetry reading of 95% via high-concentration oxygen
D) New hives appearing on the chest that were not there upon your arrival
5) A panicked and anxious patient tells you that he is allergic to peanuts and
thinks he may have accidentally eaten some. He states that the last time he ate
peanuts he almost died and needed to have a "tube put in his throat." When
assessing this patient, which of these signs or symptoms would provide the
best evidence that the patient is having an allergic, and possibly an early
anaphylactic, reaction?
A) Hives on his chest
B) Panic and anxiety
C) Elevated blood pressure
D) Cool and dry skin
A) Hives on his chest
6) A patient states that he is allergic to poison ivy and was burning it yesterday
while clearing brush off his farm when he accidentally inhaled some of the
smoke. Today, he awoke and found a red rash to the back of his left hand and
called 911. Assessment reveals him to be alert and oriented, with easy
respirations and a blood pressure of 128/70 mmHg. Your next action would be
to:
A) Provide immediate and rapid transport
B) Assist the patient with his epinephrine auto-injector
C) Obtain a full SAMPLE and OPQRST history
D) Call for advanced life support (ALS) assistance
C) Obtain a full SAMPLE and OPQRST history
7) A 39-year-old female patient, who is allergic to shellfish, thinks that she may
have accidentally ingested some that was mixed into her food at a restaurant.
When assessing her, which of these statements made by the patient would be
suggestive that she is in the early stages of an anaphylactic reaction?
A) "I feel as though I am getting a fever."
B) "My heart suddenly feels as though it is skipping some beats."
, C) "I feel dizzy and weak."
D) "I suddenly feel like a have a lump in my throat."
D) "I suddenly feel like a have a lump in my throat."
A) Respiratory rate change from 28 to 10 breaths/min with increasing patient
lethargy
8) A 23-year-old male patient has called EMS for swollen lips and hives. Upon
entering the scene, which of these observations would make the EMT
suspicious that the patient is having an allergic reaction?
A) A glucometer on a table in the living room
B) A new container of penicillin on a table with two pills missing
C) Other family members complaining of similar symptoms
D) A bottle of expired nitroglycerin on the kitchen counter
B) A new container of penicillin on a table with two pills missing
9) When assessing a patient with a suspected anaphylactic reaction, which of
these findings would you expect?
A) Weak, rapid radial pulse
B) Rapid and strong carotid pulse
C) Normal to slightly increased blood pressure
D) Slow and bounding radial pulse
A) Weak, rapid radial pulse
10) What is the most severe form of an allergic reaction called?
A) Hypersensitivity
B) Anaphylaxis
C) Antigen response
D) Rhinorrhea
B) Anaphylaxis
11) If signs and symptoms of anaphylaxis occur rapidly in a patient, the EMT
must realize that:
A) The reaction will likely be severe
B) The reaction will likely be localized
C) An increased amount of antigens is present in the patient's body
D) Epinephrine will not be effective
A) The reaction will likely be severe
