WEST COAST EMT BLOCK 4 EXAM
NEWEST ACTUAL EXAM 2025 NEWEST
QUESTIONS AND DETAILED CORRECT
ANSWERS | ALREADY GRADED A+
While en route to a major motor vehicle crash, an on-
scene police officer advises you that a 6-year-old male
who was riding in the front seat is involved. He further
states that the child was only wearing a lap belt and that
the air bag deployed. On the basis of this information, you
should be MOST suspicious that the child has
experienced:
Select one:
A. lower extremity fractures.
B. neck and facial injuries.
C. blunt trauma to the head.
D. open abdominal trauma. Correct Answer B. neck and
facial injuries.
Your patient has a Glasgow Coma Scale (GCS) score of
13, a systolic blood pressure of 80 mm Hg, and a
respiratory rate of 8 breaths/min. His Revised Trauma
Score (RTS) is:
Select one:
A. 10.
B. 11.
C. 9.
D. 8. Correct Answer C. 9.
,A 43-year-old man is experiencing a severe nosebleed.
His blood pressure is 190/110 mm Hg and his heart rate is
90 beats/min and bounding. Preferred treatment for this
patient includes:
Select one:
A. packing both nostrils with gauze pads until the bleeding
stops.
B. placing a rolled 4² × 4² dressing between his lower lip
and gum.
C. pinching the patient's nostrils and having him lean
forward.
D. having the patient pinch his own nostrils and then lie
supine. Correct Answer C. pinching the patient's nostrils
and having him lean forward.
A 67-year-old male presents with weakness, dizziness,
and melena that began approximately 2 days ago. He
denies a history of trauma. His blood pressure is 90/50
mm Hg and his pulse is 120 beats/min and thready. You
should be MOST suspicious that this patient is
experiencing:
Select one:
A. an aortic aneurysm.
B. acute appendicitis.
C. gastrointestinal bleeding.
D. intrathoracic hemorrhaging. Correct Answer C.
gastrointestinal bleeding.
A young male was shot in the abdomen by an unknown
type of gun. He is semiconscious, has shallow breathing,
,and is bleeding externally from the wound. As you control
the external bleeding, your partner should:
Select one:
A. perform a secondary assessment.
B. apply a nonrebreathing mask.
C. obtain baseline vital signs.
D. assist the patient's ventilations. Correct Answer D.
assist the patient's ventilations.
Circulation of blood within an organ or tissue in adequate
amounts to meet the cells' oxygen, nutritional, and waste-
removal needs is termed _______.
Select one:
A. perfusion
B. hypoperfusion
C. coagulation
D. hemorrhage Correct Answer A. perfusion
Following blunt trauma to the abdomen, a 21-year-old
female complains of diffuse abdominal pain and pain to
the left shoulder. Your assessment reveals that her
abdomen is distended and tender to palpation. On the
basis of these findings, you should be MOST suspicious of
injury to the:
Select one:
A. spleen.
B. gallbladder.
C. pancreas.
D. liver. Correct Answer A. spleen.
Hypovolemic shock occurs when:
, Select one:
A. the patient's systolic blood pressure is less than 100
mm Hg.
B. the clotting ability of the blood is enhanced.
C. the body cannot compensate for rapid blood loss.
D. at least 10% of the patient's blood volume is lost.
Correct Answer C. the body cannot compensate for rapid
blood loss.
If applying a dressing to control the bleeding of a patient's
arm, the EMT should ________.
Select one:
A. apply direct pressure first
B. use large or small gauze pads or dressings depending
upon the size of the wound
C. cover the entire wound, above and below, with the
dressing
D. All of these answers are correct. Correct Answer D. All
of these answers are correct.
If direct pressure fails to immediately stop severe bleeding
from an extremity, you should apply:
Select one:
A. a splint and elevate the extremity.
B. a tourniquet proximal to the injury.
C. digital pressure to a proximal artery.
D. additional sterile dressings. Correct Answer B. a
tourniquet proximal to the injury.
In older patients, the first indicator of nontraumatic internal
bleeding may be:
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