Prehospital Emergency Care Chapter #26Actual Exam (2025) comprehensive questions and
verified answers ( detailed & elaborated) 2025-2026 TEST
1) You are by the side of a young male patient with a history of behavioral
problems. Friends called 911 after the patient experienced several violent
outbursts this evening. Which finding would cause you to suspect a physical
cause for this behavior, as opposed to a mental one?
A) Dilated pupils that are sluggish to react
B) Difficulty making eye contact with the EMT
C) Hearing his mother's voice in his head
D) Fear that friends are out to steal his money
A) Dilated pupils that are sluggish to react
2) Bystanders called 911 for a female patient who was screaming obscenities
in a store parking lot. On arrival, you find the patient to be sitting in the middle
of the parking lot muttering incomprehensible phrases. After conducting the
primary assessment and finding no immediate life-threatening conditions, you
move her to the ambulance. Additional assessment findings include abrasions
to her arm and urinary and fecal incontinence. She also has a bottle of Prozac
in her pocket. You reference Prozac in your medication book and find it to be
used to treat depression. With this information, what will be a component of
how you should treat and/or transport this patient?
A) Assist her in taking one dose of Prozac
B) Arrange for transport to the halfway home where she lives
C) Transport the patient on her left side
D) Transport the patient to the inpatient psychiatric hospital where she has
previously been treated
C) Transport the patient on her left side
3) According to family members, a 24-year-old female suddenly began to act in
a hostile manner. After assessing her, you determine that the patient cannot
remember her name or present location and is drooling. Based on these
findings, you should suspect a:
,A) Psychological emergency caused by alcohol consumption
B) Behavioral emergency without physical cause
C) Psychological condition related to a traumatic experience
D) Behavioral emergency resulting from a physical condition
D) Behavioral emergency resulting from a physical condition
4) Which patient would the EMT classify as having a psychiatric (behavioral)
emergency?
A) A 44-year-old female with bipolar disorder who has a fever of 102.5°F
B) A 56-year-old male with schizophrenia who has stopped taking his
medications
C) A 29-year-old male with diabetes who is suddenly confused
D) A 36-year-old male with no known history who is hearing voices
D) A 36-year-old male with no known history who is hearing voices
5) You have been called to a residence for a complaint of chest pain. On scene,
you are met by the patient's husband, who informs you that his wife suffers
from anxiety attacks and that she received bad news tonight concerning her
mother. This news increased her anxiety, and now she just needs to calm
down. According to the husband, her doctor said the chest pain the patient
gets is just a temporary response to the anxiety. Assessment of the 46-year-
old woman reveals her to be extremely anxious and complaining of chest pain.
In treating this patient, the EMT should:
A) Attach the AED
B) Administer nitroglycerin
C) Transport the patient to the local cardiac facility
D) Check vital signs
D) Check vital signs
6) What is your first priority in managing a patient with a psychiatric
(behavioral) emergency?
A) Determining whether the patient is a threat to himself
B) Evaluating for a preexisting medical condition
C) Ensuring the safety of you and your partner
D) Assessing and managing the patient's airway
C) Ensuring the safety of you and your partner
, 7) A patient states that she cannot leave the house to go to the hospital
"because I am scared I will do something idiotic and lose it and then everyone
will look at me and laugh." She states she rarely leaves the house and the last
time she did, she began to hyperventilate. This caused her to return home
immediately. Based on this information, the EMT should recognize the patient
as having:
A) Anxiety
B) Agoraphobia
C) Schizophrenia
D) Bipolar disorder
B) Agoraphobia
8) A woman has called you to help her middle-aged friend, who has stopped
eating and talking and has frequent crying spells. Your history reveals that the
woman lost her husband a few months ago, and has been withdrawn and
despondent ever since. Throughout the assessment, the alert and oriented
woman continually states that she wants to be left alone. When you bring the
stretcher into the room, the woman states, "I do not want to go to the hospital.
Let me sign whatever I need to sign." What is your best response to this
situation?
A) Contact medical direction and ask for advice
B) Recheck mental status and orientation, and then have her sign a refusal-of-
care form
C) Allow the patient to sign a refusal-of-care form as long as her friend stays
with her
D) Contact law enforcement to restrain the patient for transport
A) Contact medical direction and ask for advice
9) You are responding to a patient with a psychiatric problem. While you are en
route, dispatch contacts you and states that a mental health provider is
present at the scene and you will be transporting the patient to the local
psychiatric hospital for treatment of her bipolar disorder. At the scene, which
behavior should help confirm that the patient has bipolar disorder?
A) Belief that family members are out to get her
B) Statements by the patient that she is "just fine"
verified answers ( detailed & elaborated) 2025-2026 TEST
1) You are by the side of a young male patient with a history of behavioral
problems. Friends called 911 after the patient experienced several violent
outbursts this evening. Which finding would cause you to suspect a physical
cause for this behavior, as opposed to a mental one?
A) Dilated pupils that are sluggish to react
B) Difficulty making eye contact with the EMT
C) Hearing his mother's voice in his head
D) Fear that friends are out to steal his money
A) Dilated pupils that are sluggish to react
2) Bystanders called 911 for a female patient who was screaming obscenities
in a store parking lot. On arrival, you find the patient to be sitting in the middle
of the parking lot muttering incomprehensible phrases. After conducting the
primary assessment and finding no immediate life-threatening conditions, you
move her to the ambulance. Additional assessment findings include abrasions
to her arm and urinary and fecal incontinence. She also has a bottle of Prozac
in her pocket. You reference Prozac in your medication book and find it to be
used to treat depression. With this information, what will be a component of
how you should treat and/or transport this patient?
A) Assist her in taking one dose of Prozac
B) Arrange for transport to the halfway home where she lives
C) Transport the patient on her left side
D) Transport the patient to the inpatient psychiatric hospital where she has
previously been treated
C) Transport the patient on her left side
3) According to family members, a 24-year-old female suddenly began to act in
a hostile manner. After assessing her, you determine that the patient cannot
remember her name or present location and is drooling. Based on these
findings, you should suspect a:
,A) Psychological emergency caused by alcohol consumption
B) Behavioral emergency without physical cause
C) Psychological condition related to a traumatic experience
D) Behavioral emergency resulting from a physical condition
D) Behavioral emergency resulting from a physical condition
4) Which patient would the EMT classify as having a psychiatric (behavioral)
emergency?
A) A 44-year-old female with bipolar disorder who has a fever of 102.5°F
B) A 56-year-old male with schizophrenia who has stopped taking his
medications
C) A 29-year-old male with diabetes who is suddenly confused
D) A 36-year-old male with no known history who is hearing voices
D) A 36-year-old male with no known history who is hearing voices
5) You have been called to a residence for a complaint of chest pain. On scene,
you are met by the patient's husband, who informs you that his wife suffers
from anxiety attacks and that she received bad news tonight concerning her
mother. This news increased her anxiety, and now she just needs to calm
down. According to the husband, her doctor said the chest pain the patient
gets is just a temporary response to the anxiety. Assessment of the 46-year-
old woman reveals her to be extremely anxious and complaining of chest pain.
In treating this patient, the EMT should:
A) Attach the AED
B) Administer nitroglycerin
C) Transport the patient to the local cardiac facility
D) Check vital signs
D) Check vital signs
6) What is your first priority in managing a patient with a psychiatric
(behavioral) emergency?
A) Determining whether the patient is a threat to himself
B) Evaluating for a preexisting medical condition
C) Ensuring the safety of you and your partner
D) Assessing and managing the patient's airway
C) Ensuring the safety of you and your partner
, 7) A patient states that she cannot leave the house to go to the hospital
"because I am scared I will do something idiotic and lose it and then everyone
will look at me and laugh." She states she rarely leaves the house and the last
time she did, she began to hyperventilate. This caused her to return home
immediately. Based on this information, the EMT should recognize the patient
as having:
A) Anxiety
B) Agoraphobia
C) Schizophrenia
D) Bipolar disorder
B) Agoraphobia
8) A woman has called you to help her middle-aged friend, who has stopped
eating and talking and has frequent crying spells. Your history reveals that the
woman lost her husband a few months ago, and has been withdrawn and
despondent ever since. Throughout the assessment, the alert and oriented
woman continually states that she wants to be left alone. When you bring the
stretcher into the room, the woman states, "I do not want to go to the hospital.
Let me sign whatever I need to sign." What is your best response to this
situation?
A) Contact medical direction and ask for advice
B) Recheck mental status and orientation, and then have her sign a refusal-of-
care form
C) Allow the patient to sign a refusal-of-care form as long as her friend stays
with her
D) Contact law enforcement to restrain the patient for transport
A) Contact medical direction and ask for advice
9) You are responding to a patient with a psychiatric problem. While you are en
route, dispatch contacts you and states that a mental health provider is
present at the scene and you will be transporting the patient to the local
psychiatric hospital for treatment of her bipolar disorder. At the scene, which
behavior should help confirm that the patient has bipolar disorder?
A) Belief that family members are out to get her
B) Statements by the patient that she is "just fine"
