WEST COAST EMT BLOCK FINAL EXAM |150 COMPLETE QUESTIONS WITH
EXPERT SOLUTIONS| 2026 LATEST UPDATED| A+
1. You have an AMA patient who is refusing transport. What should you be
doing?: When a patient is AMA, they first must be A/O 4x to show that they are alert and oriented and able
to make their own decisions. You must inform them of all the possible risks that come with not being
transported (such as death).
During documentation, make sure the patient signs the AMA to prove they do not need transport
(and to not get sued). DOCUMENT EVERYTHING
2. All information in a PCR needs to be confidential. Why?: Patient confidentiality due to
HIPAA (Health Insurance Portability and Accountability)
3. What is supra ventricular tachycardia (SVT)?: irregularly fast or erratic heartbeat (arrhythmia) that affects the
upper heart chambers
4. The physical act of moving air into and out of the lungs is called:: ventilation 5. Which of the following is the
MOST common cause of airway obstruction in the unresponsive patient?: the tongue
6. What should a normal patient's capillary refill be?: less than 2 seconds
7. After you determine a patient is unconscious, what is the next step?: Begin CPR and begin respiratory support (ie
maintain their ABCs)
After compressions, ventilate and repeat cycle until ALS arrives
8. When a patient has signs of poor perfusion, what do you do next?: Provide high-flow O2 via BVM
Keep patient warm
Rapid transport
,9. A 67-year-old female with severe chest pain becomes unresponsive, pulseless, and apneic during transport. You
should:: stop the ambulance, begin CPR, and attach the AED as soon as possible.
10. What is an aneurysm?: Defined as a swelling within a brain artery due to weakening of the artery wall
11. What is HYPERglycemia? What are the signs and symptoms and the treatment of it?: High blood sugar S/S:
Altered mental status (intoxicated like behavior)
Lowered level of consciousness
Polyuria, dark urine, excessive thirst
Kussmaul respirations (smells fruity)
Rapid, weak pulse
Symptoms will prevent themselves gradually
12. You just administered an EpiPen to your patient. The patient is improved but is now complaining of chest pain.
should:: Notify medical control
13. It is most important to determine the patients weight when asking ques-
tions pertaining to a toxic ingestion because?: Activated Charcoal is given based on a patients weight.
14. Keep in mind scene safety and know when to call law enforcement: Remember
to always do BSI, PPE scene safety as well as doing scene size up to determine best course of action for you
Only call law enforcement when you know that patient is dangerous or is in danger and must be restrained to be treated
If you arrive on scene and law enforcement is there, then wait until you are able to gain entry or talk to whoever in charge
to determine where to station
15. Which of the following is an example of a functional behavioral disorder?: schizophrenia
16. When documenting a call in which a female was sexually assaulted, you should:: keep the report concise and
record only what the patient stated in her own words.
, 17. An unrestrained driver of a car that has struck a tree at 45 mph has suffered a contusion (bruise) to his heart. The
EMT would recognize that this injury occurred during which impact of the collision?: Organ collision
18. External bleeding from a vein is relatively easy to control because:: veins are under a lower pressure.
19. According to the rule of palm method for estimating the extent of a patient's burns, the palm of the patient's hand
is equal to _____ of his or her total BSA.: 1%
20. In which of the following patients should you remove an impaled object?: a pulseless and apneic patient with a
knife impaled in the back
21. A 30-year-old female was robbed and assaulted by a gang as she was leaving a nightclub. She has massive facial
trauma and slow, gurgling respirations. As your partner assumes manual stabilization of her head, you should::
suction her oropharynx for 15 seconds
22. Treat injury to the eye.: make a doughnut gauze and place around the object in the eye, stabilize the object with
a gauze around the head covering both eyes
23. know S/S of a skull fracture: Retroauricular ecchymosis (Battle signs, behind the ears); Bilateral periorbitar
ecchymosis (raccoon eyes)
24. S/S of subcutaneous emphysema: palpate crackling sensation
25. What is hemoptysis? Causes?: Coughing up blood-tinged sputum
Causes: chronic bronchitis, pneumonia, bronchogenic carcinoma, TB, bronchiectasis, aspergilloma
26. what is treatment for bilateral femur fractures: Sager traction splint
27. You have been put in charge of creating a protocol that will direct care provided by EMS. In regard to an ice-
water drowning patient who is severely hypothermic and in cardiac arrest, what treatment would you propose?: Apply
the AED and give one shock if indicated. Contact medical direction if additional shocks are indicated by the AED
28. After a baby is born, it is important to:: ensure that it is thoroughly dried and warmed
EXPERT SOLUTIONS| 2026 LATEST UPDATED| A+
1. You have an AMA patient who is refusing transport. What should you be
doing?: When a patient is AMA, they first must be A/O 4x to show that they are alert and oriented and able
to make their own decisions. You must inform them of all the possible risks that come with not being
transported (such as death).
During documentation, make sure the patient signs the AMA to prove they do not need transport
(and to not get sued). DOCUMENT EVERYTHING
2. All information in a PCR needs to be confidential. Why?: Patient confidentiality due to
HIPAA (Health Insurance Portability and Accountability)
3. What is supra ventricular tachycardia (SVT)?: irregularly fast or erratic heartbeat (arrhythmia) that affects the
upper heart chambers
4. The physical act of moving air into and out of the lungs is called:: ventilation 5. Which of the following is the
MOST common cause of airway obstruction in the unresponsive patient?: the tongue
6. What should a normal patient's capillary refill be?: less than 2 seconds
7. After you determine a patient is unconscious, what is the next step?: Begin CPR and begin respiratory support (ie
maintain their ABCs)
After compressions, ventilate and repeat cycle until ALS arrives
8. When a patient has signs of poor perfusion, what do you do next?: Provide high-flow O2 via BVM
Keep patient warm
Rapid transport
,9. A 67-year-old female with severe chest pain becomes unresponsive, pulseless, and apneic during transport. You
should:: stop the ambulance, begin CPR, and attach the AED as soon as possible.
10. What is an aneurysm?: Defined as a swelling within a brain artery due to weakening of the artery wall
11. What is HYPERglycemia? What are the signs and symptoms and the treatment of it?: High blood sugar S/S:
Altered mental status (intoxicated like behavior)
Lowered level of consciousness
Polyuria, dark urine, excessive thirst
Kussmaul respirations (smells fruity)
Rapid, weak pulse
Symptoms will prevent themselves gradually
12. You just administered an EpiPen to your patient. The patient is improved but is now complaining of chest pain.
should:: Notify medical control
13. It is most important to determine the patients weight when asking ques-
tions pertaining to a toxic ingestion because?: Activated Charcoal is given based on a patients weight.
14. Keep in mind scene safety and know when to call law enforcement: Remember
to always do BSI, PPE scene safety as well as doing scene size up to determine best course of action for you
Only call law enforcement when you know that patient is dangerous or is in danger and must be restrained to be treated
If you arrive on scene and law enforcement is there, then wait until you are able to gain entry or talk to whoever in charge
to determine where to station
15. Which of the following is an example of a functional behavioral disorder?: schizophrenia
16. When documenting a call in which a female was sexually assaulted, you should:: keep the report concise and
record only what the patient stated in her own words.
, 17. An unrestrained driver of a car that has struck a tree at 45 mph has suffered a contusion (bruise) to his heart. The
EMT would recognize that this injury occurred during which impact of the collision?: Organ collision
18. External bleeding from a vein is relatively easy to control because:: veins are under a lower pressure.
19. According to the rule of palm method for estimating the extent of a patient's burns, the palm of the patient's hand
is equal to _____ of his or her total BSA.: 1%
20. In which of the following patients should you remove an impaled object?: a pulseless and apneic patient with a
knife impaled in the back
21. A 30-year-old female was robbed and assaulted by a gang as she was leaving a nightclub. She has massive facial
trauma and slow, gurgling respirations. As your partner assumes manual stabilization of her head, you should::
suction her oropharynx for 15 seconds
22. Treat injury to the eye.: make a doughnut gauze and place around the object in the eye, stabilize the object with
a gauze around the head covering both eyes
23. know S/S of a skull fracture: Retroauricular ecchymosis (Battle signs, behind the ears); Bilateral periorbitar
ecchymosis (raccoon eyes)
24. S/S of subcutaneous emphysema: palpate crackling sensation
25. What is hemoptysis? Causes?: Coughing up blood-tinged sputum
Causes: chronic bronchitis, pneumonia, bronchogenic carcinoma, TB, bronchiectasis, aspergilloma
26. what is treatment for bilateral femur fractures: Sager traction splint
27. You have been put in charge of creating a protocol that will direct care provided by EMS. In regard to an ice-
water drowning patient who is severely hypothermic and in cardiac arrest, what treatment would you propose?: Apply
the AED and give one shock if indicated. Contact medical direction if additional shocks are indicated by the AED
28. After a baby is born, it is important to:: ensure that it is thoroughly dried and warmed
