LC FINAL EXAM 2024-2025 ACTUAL EXAM 220 REAL
EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A||EXCELLENT TOOL FOR
STUDYING FOR LC AND FINAL
A 68 year old male tells you that his congestive heart failure is back again. You conduct your initial
management and start transport when he asks for one of his nitroglycerin tablets. You should
a) tell him he needs a doctor's orders for you to allow this
b) explain to him why he can't take the medication
c) tell him to wait until hospital arrival
d) ask him why he wants the medication - ANSWER-D) ask him why he wants the medication
A 76 year old male who lives alone is confused and weak. His daughter tells you she came over and
found him this way. She tells you he is typically strong for his age. She also tells you she found dark
colored stools in his toilet. His vital signs are P 98, R 20, BP 108/78, and his SpO2 is 88% on room air. You
should treat him for
a) abdominal pain
b) respiratory failure
c) hypovolemic shock
d) dehydration - ANSWER-c) hypovolemic shock
Transporting a mentally competent patient against his will is
a) negligence
b) battery
c) assault
d) false imprisonment - ANSWER-d) false imprisonment
An 86 year old male who has a history of stroke is bedridden at home. He has a fever and is unable to
answer your questions. There is cloudy urine in his indwelling catheter collection bag. His vital signs are
P 108, R 22, BP 96/84, and SpO2 is 88% on room air. You should suspect
a) septic shock
,b) dehydration
c) a TIA
d) another stroke - ANSWER-a) septic shock
An unresponsive 46 year old male is lying flat and you see no chest wall movement. You are unable to
palpate a radial pulse. You should next
a) attach the AED and analyze his rhythm
b) begin chest compressions
c) check his carotid pulse for up to 10 seconds
d) give two rescue breaths - ANSWER-c) check his carotid pulse for up to 10 seconds
At the scene of a suspected WMD incident, the first patient you encounter has excessive salivation,
nausea, and is incontinent of bowel and bladder. You should immediately
a) flush him with water
b) administer a Mark-1 kit
c) perform an urgent move
d) move to the Cold Zone - ANSWER-d) move to the Cold Zone
You are the second emergency vehicle at a car crash on an interstate. One emergency vehicle is already
parked to block oncoming traffic. You should park your vehicle
a) a safe distance away from the first but also to slow traffic
b) off the roadway but close enough to move patients
c) beyond the crash scene to assure quick transportation
d) beside the car crash to easily load any patients - ANSWER-c) beyond the crash scene to assure quick
transportation
A 16 year old female calls you because she has vaginal bleeding. She tells you it started after she had
severe cramps and passed a clot which she flushed down the toilet. Which of the following questions
would you ask her after developing rapport?
a) "Are you sexually active?"
b) "When was the last time you had sex?"
,c) "How large was the clot?"
d) Did you pass a baby in the clot?" - ANSWER-a) "Are you sexually active?"
A 23 year old male was stabbed in the abdomen one-inch above his umbilicus. His skin is pale, cold, and
clammy. The wound appears to be coagulated. Your partner reports his vital signs are P 98, R 16, BP
102/82, and SpO2 is 96% on room air. You should first
a) rapidly transport him to the hospital
b) administer oxygen by non-rebreather mask
c) assess his femoral pulses and palpate his abdomen
d) cover his wound with sterile gauze and tape on three sides - ANSWER-a) rapidly transport him to the
hospital
An unresponsive 74 year old female suffered an acute stroke. She has Cheyne-Stokes respirations and is
flaccid on her left side. Her vitals are P 84, R 18 and irregular, BP 186/96. Your assessment of her ability
to ventilate should focus on
a) her respiratory rate
b) adequate minute volume
c) her ability to maintain an airway
d) rise and fall of the chest - ANSWER-b) adequate minute volume
A 28 year old female complained of a terrible headache and then collapsed. She is unconscious and does
not respond to pain on her left side. During transport, you should
a) prepare for a seizure
b) elevate her head
c) keep her in the recovery position
d) assist her ventilations with a BVM - ANSWER-c) keep her in the recovery position
An unresponsive 21 year old male has facial injuries. You see blood in his mouth. You should
a) perform a four-person log roll into the recovery position
b) insert a tonsil tip catheter in his mouth, then suction him
c) insert a French catheter, suctioning for up to 30 seconds
, d) insert a French catheter to suction him - ANSWER-b) insert a tonsil tip catheter in his mouth, then
suction him
An 82 year old female complains of weakness, nausea, abdominal pain, and is unable to ambulate. You
auscultate crackles in both lower lobes of her lungs. Her vital signs are P 82, R 18, BP 98/84, and SpO2 is
90% on room air. You should suspect
a) dehydration
b) heart attack
c) gastroenteritis
d) elder neglect - ANSWER-b) heart attack
An 86 year old male who lives in an extended care facility is combative, anxious, and short of breath. He
has a history of Alzheimer's disease. When you attempt to provide oxygen he tries to hit you. You are
able to obtain a SpO2 reading of 84% on room air but the pulse oximeter was attached to his toe. You
should suspect his combative behavior is due to
a) cerebral hypoxia
b) his natural disposition
c) atherosclerosis in his brain
d) polypharmacy - ANSWER-a) cerebral hypoxia
Which of the following has the highest correlation with type II diabetes?
a) obesity
b) smoking
c) alcoholism
d) atherosclerosis - ANSWER-a) obesity
A 62 year old female who has a history of diabetes complains of flu-like symptoms and stopped taking
her insulin because she couldn't eat. Her skin is hot to touch and dry. You smell a sweet odor on her
breath. Her vital signs are P 96, R 26 and deep, and BP 110/96. You should first
a) administer oxygen by nasal cannula
b) assist her ventilations with a BVM
c) give her large amounts of water to drink
EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A||EXCELLENT TOOL FOR
STUDYING FOR LC AND FINAL
A 68 year old male tells you that his congestive heart failure is back again. You conduct your initial
management and start transport when he asks for one of his nitroglycerin tablets. You should
a) tell him he needs a doctor's orders for you to allow this
b) explain to him why he can't take the medication
c) tell him to wait until hospital arrival
d) ask him why he wants the medication - ANSWER-D) ask him why he wants the medication
A 76 year old male who lives alone is confused and weak. His daughter tells you she came over and
found him this way. She tells you he is typically strong for his age. She also tells you she found dark
colored stools in his toilet. His vital signs are P 98, R 20, BP 108/78, and his SpO2 is 88% on room air. You
should treat him for
a) abdominal pain
b) respiratory failure
c) hypovolemic shock
d) dehydration - ANSWER-c) hypovolemic shock
Transporting a mentally competent patient against his will is
a) negligence
b) battery
c) assault
d) false imprisonment - ANSWER-d) false imprisonment
An 86 year old male who has a history of stroke is bedridden at home. He has a fever and is unable to
answer your questions. There is cloudy urine in his indwelling catheter collection bag. His vital signs are
P 108, R 22, BP 96/84, and SpO2 is 88% on room air. You should suspect
a) septic shock
,b) dehydration
c) a TIA
d) another stroke - ANSWER-a) septic shock
An unresponsive 46 year old male is lying flat and you see no chest wall movement. You are unable to
palpate a radial pulse. You should next
a) attach the AED and analyze his rhythm
b) begin chest compressions
c) check his carotid pulse for up to 10 seconds
d) give two rescue breaths - ANSWER-c) check his carotid pulse for up to 10 seconds
At the scene of a suspected WMD incident, the first patient you encounter has excessive salivation,
nausea, and is incontinent of bowel and bladder. You should immediately
a) flush him with water
b) administer a Mark-1 kit
c) perform an urgent move
d) move to the Cold Zone - ANSWER-d) move to the Cold Zone
You are the second emergency vehicle at a car crash on an interstate. One emergency vehicle is already
parked to block oncoming traffic. You should park your vehicle
a) a safe distance away from the first but also to slow traffic
b) off the roadway but close enough to move patients
c) beyond the crash scene to assure quick transportation
d) beside the car crash to easily load any patients - ANSWER-c) beyond the crash scene to assure quick
transportation
A 16 year old female calls you because she has vaginal bleeding. She tells you it started after she had
severe cramps and passed a clot which she flushed down the toilet. Which of the following questions
would you ask her after developing rapport?
a) "Are you sexually active?"
b) "When was the last time you had sex?"
,c) "How large was the clot?"
d) Did you pass a baby in the clot?" - ANSWER-a) "Are you sexually active?"
A 23 year old male was stabbed in the abdomen one-inch above his umbilicus. His skin is pale, cold, and
clammy. The wound appears to be coagulated. Your partner reports his vital signs are P 98, R 16, BP
102/82, and SpO2 is 96% on room air. You should first
a) rapidly transport him to the hospital
b) administer oxygen by non-rebreather mask
c) assess his femoral pulses and palpate his abdomen
d) cover his wound with sterile gauze and tape on three sides - ANSWER-a) rapidly transport him to the
hospital
An unresponsive 74 year old female suffered an acute stroke. She has Cheyne-Stokes respirations and is
flaccid on her left side. Her vitals are P 84, R 18 and irregular, BP 186/96. Your assessment of her ability
to ventilate should focus on
a) her respiratory rate
b) adequate minute volume
c) her ability to maintain an airway
d) rise and fall of the chest - ANSWER-b) adequate minute volume
A 28 year old female complained of a terrible headache and then collapsed. She is unconscious and does
not respond to pain on her left side. During transport, you should
a) prepare for a seizure
b) elevate her head
c) keep her in the recovery position
d) assist her ventilations with a BVM - ANSWER-c) keep her in the recovery position
An unresponsive 21 year old male has facial injuries. You see blood in his mouth. You should
a) perform a four-person log roll into the recovery position
b) insert a tonsil tip catheter in his mouth, then suction him
c) insert a French catheter, suctioning for up to 30 seconds
, d) insert a French catheter to suction him - ANSWER-b) insert a tonsil tip catheter in his mouth, then
suction him
An 82 year old female complains of weakness, nausea, abdominal pain, and is unable to ambulate. You
auscultate crackles in both lower lobes of her lungs. Her vital signs are P 82, R 18, BP 98/84, and SpO2 is
90% on room air. You should suspect
a) dehydration
b) heart attack
c) gastroenteritis
d) elder neglect - ANSWER-b) heart attack
An 86 year old male who lives in an extended care facility is combative, anxious, and short of breath. He
has a history of Alzheimer's disease. When you attempt to provide oxygen he tries to hit you. You are
able to obtain a SpO2 reading of 84% on room air but the pulse oximeter was attached to his toe. You
should suspect his combative behavior is due to
a) cerebral hypoxia
b) his natural disposition
c) atherosclerosis in his brain
d) polypharmacy - ANSWER-a) cerebral hypoxia
Which of the following has the highest correlation with type II diabetes?
a) obesity
b) smoking
c) alcoholism
d) atherosclerosis - ANSWER-a) obesity
A 62 year old female who has a history of diabetes complains of flu-like symptoms and stopped taking
her insulin because she couldn't eat. Her skin is hot to touch and dry. You smell a sweet odor on her
breath. Her vital signs are P 96, R 26 and deep, and BP 110/96. You should first
a) administer oxygen by nasal cannula
b) assist her ventilations with a BVM
c) give her large amounts of water to drink
