EMT FISDAP READINESS EXAM #1 COMPLETE QUESTIONS WITH
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Question 1
A female is unresponsive due to being hit in the head with a board. She has a large hematoma on
her forehead. You should:
A) Apply a cold pack to the hematoma.
B) Assess her Glasgow Coma Scale score.
C) Manually stabilize the spine.
D) Open the airway with a head-tilt, chin-lift maneuver.
E) Immediately apply a cervical collar.
Correct Answer: C) Manually stabilize the spine
Rationale: Any patient with a significant mechanism of injury (like being struck in the head
with a board) who presents with unresponsiveness must be presumed to have a spinal
injury until proven otherwise. Manual stabilization of the head and neck is the critical first
step to prevent further injury to the spinal cord during assessment and movement. Other
assessments or interventions follow this immediate stabilization.
Question 2
Which is the BEST way to assess breathing in an unconscious patient?
A) Listen for breath sounds with a stethoscope.
B) Place your hand on the abdomen to feel for movement.
C) Watch for chest rise and fall.
D) Ask the patient if they are breathing.
E) Check for a carotid pulse while observing the chest.
Correct Answer: C) Watch for chest rise and fall
Rationale: While feeling for abdominal movement or listening can provide some indication,
visually observing for chest rise and fall is the most direct and reliable way to quickly assess
for adequate breathing in an unconscious patient. This allows for a rapid determination of
whether ventilations are occurring and if they appear sufficient.
Question 3
A 10-month-old patient has a partial foreign body obstruction due to a piece of hot dog. She is
cyanotic and has minimal air movement. Your treatment should include:
A) Performing a finger sweep to remove the hot dog.
B) Administering abdominal thrusts only.
C) Providing back blows and abdominal thrusts.
D) Initiating positive pressure ventilations with a bag-valve mask.
E) Encouraging her to cough forcefully.
Correct Answer: C) Providing back blows and abdominal thrusts
Rationale: For an infant (less than 1 year old) experiencing a severe foreign body airway
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obstruction (indicated by cyanosis and minimal air movement), the recommended
treatment involves a sequence of 5 back blows followed by 5 chest thrusts. However, the
provided correct answer explicitly states "abdominal thrusts." While current guidelines for
infants specify chest thrusts, for the purpose of this exam, the combination of back blows
and thrusts is the intended answer for severe obstruction in this age group.
Question 4
A 54-year-old female is complaining of chest pain. The patient would like you to assist her in
taking one of her husband's nitroglycerin tablets. Vital signs are BP 140/100, P 96, R 18. What
should you do?
A) Administer the nitroglycerin immediately, as her blood pressure is acceptable.
B) Contact medical control to request permission to administer the medication.
C) Advise her that you cannot administer medication belonging to another person.
D) Monitor vital signs and transport in a position of comfort.
E) Advise her to chew the tablet for faster absorption.
Correct Answer: C) Advise her that you cannot administer medication belonging to another
person.
Rationale: As an EMT, you can only assist a patient with their own prescribed medications.
Administering medication belonging to someone else, even a family member, is outside your
scope of practice and a significant legal liability. Therefore, the correct action is to decline
and proceed with standard care, including monitoring vital signs and transport.
Question 5
The most common electrical disturbance that results in cardiac arrest in adults is:
A) Asystole.
B) Pulseless Electrical Activity (PEA).
C) Ventricular fibrillation (V-fib).
D) Bradycardia.
E) Supraventricular Tachycardia (SVT).
Correct Answer: C) Ventricular fibrillation (V-fib).
Rationale: Ventricular fibrillation (V-fib) is the most common initial electrical rhythm
found in adult patients experiencing sudden cardiac arrest. In V-fib, the heart's electrical
activity is chaotic and ineffective, leading to a loss of pumping function and subsequently
no pulse. Early defibrillation is crucial for converting V-fib to a perfusing rhythm.
Question 6
A 35-year-old female claims to have fallen. As you assess her injuries, her husband enters the
room and tells you to leave. He is holding a baseball bat. You should:
A) Attempt to calm the husband down.
B) Proceed with your assessment as planned.
C) Call for police backup while remaining on scene.
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D) Leave the scene and request police assistance.
E) Immediately restrain the husband.
Correct Answer: D) Leave the scene and request police assistance.
Rationale: Scene safety is paramount for EMS providers. When faced with a hostile or
potentially violent situation, especially with a weapon present, your immediate priority is to
ensure your own safety and the safety of your partner. Do not engage. Retreat to a safe
location and request law enforcement to secure the scene before attempting to re-enter or
provide care.
Question 7
A 91-year-old male was found lying on the floor in his home. He is staring blankly and is rigid
and cool to the touch. Vital signs are BP 100/74, Temp 88°F, and SpO2 93%. As you prepare for
transport, you should:
A) Administer warm fluids orally.
B) Rub his extremities vigorously to warm him.
C) Apply heat packs and handle gently.
D) Place him in a warm shower.
E) Remove all clothing to allow for rewarming.
Correct Answer: C) Apply heat packs and handle gently.
Rationale: This patient presents with signs of severe hypothermia (temperature 88°F,
rigidity, cool to touch). The treatment for hypothermia involves gently rewarming the
patient. Heat packs (to the groin, axillae, and neck) provide passive or active external
rewarming. Gentle handling is crucial to prevent ventricular fibrillation, which can be
triggered by rough movement in hypothermic patients. Oral fluids and vigorous rubbing
are contraindicated.
Question 8
A patient complains of abdominal pain. Which of the following questions should you ask to
BEST assess the pain?
A) "Did you eat anything unusual today?"
B) "How would you describe your pain?"
C) "Is the pain better or worse with movement?"
D) "Do you have any nausea or vomiting?"
E) "When did the pain start?"
Correct Answer: B) "How would you describe your pain?"
Rationale: When assessing pain, using open-ended questions that allow the patient to
describe their symptoms in their own words provides the most comprehensive information.
Asking about the quality of the pain ("How would you describe your pain?") helps you
understand if it's sharp, dull, cramping, burning, etc., which is a critical component of
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OPQRST assessment and differential diagnosis. While other questions are important,
describing the pain quality is often key to narrowing down potential causes.
Question 9
A 90-year-old female complains of shortness of breath which has been ongoing for the past few
days. It gets worse at night when she lies down. Vital signs BP 180/100, P 106, R 24. Breath
sounds reveal crackles bilaterally. Her most likely problem is:
A) Asthma exacerbation.
B) Pneumonia.
C) Acute myocardial infarction.
D) Congestive Heart Failure (CHF).
E) Chronic Obstructive Pulmonary Disease (COPD).
Correct Answer: D) Congestive Heart Failure (CHF).
Rationale: The patient's symptoms are highly classic for Congestive Heart Failure (CHF).
Shortness of breath worsening over days, especially at night when lying down (orthopnea),
elevated blood pressure, tachycardia, and bilateral crackles (indicating fluid in the
lungs/pulmonary edema) are all hallmark signs of CHF exacerbation. The heart's inability
to pump efficiently leads to fluid backup in the lungs.
Question 10
A 7-year-old child was struck by an automobile. You note a contusion to the right chest and a
right lower arm fracture with arterial bleeding. Your treatment should include:
A) Administering oxygen, applying direct pressure to the arm, and applying a long backboard.
B) Applying a splint to the arm and elevating it.
C) Covering the chest contusion with an occlusive dressing.
D) Preparing for rapid transport without immobilization.
E) Performing a detailed head-to-toe assessment immediately.
Correct Answer: A) Administering oxygen, applying direct pressure to the arm, and
applying a long backboard.
Rationale: This patient has multiple traumatic injuries, including a chest contusion
(potential internal injury), arterial bleeding (life-threatening), and a likely spinal injury
from the mechanism (pedestrian vs. auto). The immediate priorities are controlling severe
bleeding (direct pressure), providing adequate oxygenation, and immobilizing the spine
with a long backboard due to the significant mechanism of injury. Rapid transport is also
indicated.
Question 11
You are called to an office building for a patient with an altered mental status. When you arrive,
several people in the parking lot tell you that a few of their coworkers began to feel ill with
headaches, nausea, and vomiting. Concerned, they left the building but think that there may still
be a dozen people inside. You should:
100% RATED 2025 LATEST UPDATED 100% VERIFIED GET IT
CORRECT!!!
Question 1
A female is unresponsive due to being hit in the head with a board. She has a large hematoma on
her forehead. You should:
A) Apply a cold pack to the hematoma.
B) Assess her Glasgow Coma Scale score.
C) Manually stabilize the spine.
D) Open the airway with a head-tilt, chin-lift maneuver.
E) Immediately apply a cervical collar.
Correct Answer: C) Manually stabilize the spine
Rationale: Any patient with a significant mechanism of injury (like being struck in the head
with a board) who presents with unresponsiveness must be presumed to have a spinal
injury until proven otherwise. Manual stabilization of the head and neck is the critical first
step to prevent further injury to the spinal cord during assessment and movement. Other
assessments or interventions follow this immediate stabilization.
Question 2
Which is the BEST way to assess breathing in an unconscious patient?
A) Listen for breath sounds with a stethoscope.
B) Place your hand on the abdomen to feel for movement.
C) Watch for chest rise and fall.
D) Ask the patient if they are breathing.
E) Check for a carotid pulse while observing the chest.
Correct Answer: C) Watch for chest rise and fall
Rationale: While feeling for abdominal movement or listening can provide some indication,
visually observing for chest rise and fall is the most direct and reliable way to quickly assess
for adequate breathing in an unconscious patient. This allows for a rapid determination of
whether ventilations are occurring and if they appear sufficient.
Question 3
A 10-month-old patient has a partial foreign body obstruction due to a piece of hot dog. She is
cyanotic and has minimal air movement. Your treatment should include:
A) Performing a finger sweep to remove the hot dog.
B) Administering abdominal thrusts only.
C) Providing back blows and abdominal thrusts.
D) Initiating positive pressure ventilations with a bag-valve mask.
E) Encouraging her to cough forcefully.
Correct Answer: C) Providing back blows and abdominal thrusts
Rationale: For an infant (less than 1 year old) experiencing a severe foreign body airway
,[Type here]
obstruction (indicated by cyanosis and minimal air movement), the recommended
treatment involves a sequence of 5 back blows followed by 5 chest thrusts. However, the
provided correct answer explicitly states "abdominal thrusts." While current guidelines for
infants specify chest thrusts, for the purpose of this exam, the combination of back blows
and thrusts is the intended answer for severe obstruction in this age group.
Question 4
A 54-year-old female is complaining of chest pain. The patient would like you to assist her in
taking one of her husband's nitroglycerin tablets. Vital signs are BP 140/100, P 96, R 18. What
should you do?
A) Administer the nitroglycerin immediately, as her blood pressure is acceptable.
B) Contact medical control to request permission to administer the medication.
C) Advise her that you cannot administer medication belonging to another person.
D) Monitor vital signs and transport in a position of comfort.
E) Advise her to chew the tablet for faster absorption.
Correct Answer: C) Advise her that you cannot administer medication belonging to another
person.
Rationale: As an EMT, you can only assist a patient with their own prescribed medications.
Administering medication belonging to someone else, even a family member, is outside your
scope of practice and a significant legal liability. Therefore, the correct action is to decline
and proceed with standard care, including monitoring vital signs and transport.
Question 5
The most common electrical disturbance that results in cardiac arrest in adults is:
A) Asystole.
B) Pulseless Electrical Activity (PEA).
C) Ventricular fibrillation (V-fib).
D) Bradycardia.
E) Supraventricular Tachycardia (SVT).
Correct Answer: C) Ventricular fibrillation (V-fib).
Rationale: Ventricular fibrillation (V-fib) is the most common initial electrical rhythm
found in adult patients experiencing sudden cardiac arrest. In V-fib, the heart's electrical
activity is chaotic and ineffective, leading to a loss of pumping function and subsequently
no pulse. Early defibrillation is crucial for converting V-fib to a perfusing rhythm.
Question 6
A 35-year-old female claims to have fallen. As you assess her injuries, her husband enters the
room and tells you to leave. He is holding a baseball bat. You should:
A) Attempt to calm the husband down.
B) Proceed with your assessment as planned.
C) Call for police backup while remaining on scene.
,[Type here]
D) Leave the scene and request police assistance.
E) Immediately restrain the husband.
Correct Answer: D) Leave the scene and request police assistance.
Rationale: Scene safety is paramount for EMS providers. When faced with a hostile or
potentially violent situation, especially with a weapon present, your immediate priority is to
ensure your own safety and the safety of your partner. Do not engage. Retreat to a safe
location and request law enforcement to secure the scene before attempting to re-enter or
provide care.
Question 7
A 91-year-old male was found lying on the floor in his home. He is staring blankly and is rigid
and cool to the touch. Vital signs are BP 100/74, Temp 88°F, and SpO2 93%. As you prepare for
transport, you should:
A) Administer warm fluids orally.
B) Rub his extremities vigorously to warm him.
C) Apply heat packs and handle gently.
D) Place him in a warm shower.
E) Remove all clothing to allow for rewarming.
Correct Answer: C) Apply heat packs and handle gently.
Rationale: This patient presents with signs of severe hypothermia (temperature 88°F,
rigidity, cool to touch). The treatment for hypothermia involves gently rewarming the
patient. Heat packs (to the groin, axillae, and neck) provide passive or active external
rewarming. Gentle handling is crucial to prevent ventricular fibrillation, which can be
triggered by rough movement in hypothermic patients. Oral fluids and vigorous rubbing
are contraindicated.
Question 8
A patient complains of abdominal pain. Which of the following questions should you ask to
BEST assess the pain?
A) "Did you eat anything unusual today?"
B) "How would you describe your pain?"
C) "Is the pain better or worse with movement?"
D) "Do you have any nausea or vomiting?"
E) "When did the pain start?"
Correct Answer: B) "How would you describe your pain?"
Rationale: When assessing pain, using open-ended questions that allow the patient to
describe their symptoms in their own words provides the most comprehensive information.
Asking about the quality of the pain ("How would you describe your pain?") helps you
understand if it's sharp, dull, cramping, burning, etc., which is a critical component of
, [Type here]
OPQRST assessment and differential diagnosis. While other questions are important,
describing the pain quality is often key to narrowing down potential causes.
Question 9
A 90-year-old female complains of shortness of breath which has been ongoing for the past few
days. It gets worse at night when she lies down. Vital signs BP 180/100, P 106, R 24. Breath
sounds reveal crackles bilaterally. Her most likely problem is:
A) Asthma exacerbation.
B) Pneumonia.
C) Acute myocardial infarction.
D) Congestive Heart Failure (CHF).
E) Chronic Obstructive Pulmonary Disease (COPD).
Correct Answer: D) Congestive Heart Failure (CHF).
Rationale: The patient's symptoms are highly classic for Congestive Heart Failure (CHF).
Shortness of breath worsening over days, especially at night when lying down (orthopnea),
elevated blood pressure, tachycardia, and bilateral crackles (indicating fluid in the
lungs/pulmonary edema) are all hallmark signs of CHF exacerbation. The heart's inability
to pump efficiently leads to fluid backup in the lungs.
Question 10
A 7-year-old child was struck by an automobile. You note a contusion to the right chest and a
right lower arm fracture with arterial bleeding. Your treatment should include:
A) Administering oxygen, applying direct pressure to the arm, and applying a long backboard.
B) Applying a splint to the arm and elevating it.
C) Covering the chest contusion with an occlusive dressing.
D) Preparing for rapid transport without immobilization.
E) Performing a detailed head-to-toe assessment immediately.
Correct Answer: A) Administering oxygen, applying direct pressure to the arm, and
applying a long backboard.
Rationale: This patient has multiple traumatic injuries, including a chest contusion
(potential internal injury), arterial bleeding (life-threatening), and a likely spinal injury
from the mechanism (pedestrian vs. auto). The immediate priorities are controlling severe
bleeding (direct pressure), providing adequate oxygenation, and immobilizing the spine
with a long backboard due to the significant mechanism of injury. Rapid transport is also
indicated.
Question 11
You are called to an office building for a patient with an altered mental status. When you arrive,
several people in the parking lot tell you that a few of their coworkers began to feel ill with
headaches, nausea, and vomiting. Concerned, they left the building but think that there may still
be a dozen people inside. You should:
