EMR First Exam Study Quiz
All of the following are upper airway structures, except the: A) larynx. B) alveoli. C) pharynx. D) epiglottis.
B
The presence of rigor mortis indicates that: A) the patient is dead and cannot be resuscitated. B) the muscles of the body are permanently stiff. C) death has occurred within the last 15 minutes. D) the body's tissues are beginning to decay.
A
In a healthy patient, the oxygen saturation should be at least _____ when breathing room air. A) 90% B) 93% C) 95% D) 99%
C
An important step in managing your own stress is the ability to: A) recognize its signs and symptoms. B) project the stress toward others. C) eliminate all stressors in your life. D) ignore its signs and symptoms.
A
A patient with neurologic trauma has injury to some part of the: A) vasculature. B) nervous system. C) brain or spinal cord. D) cardiovascular system.
B
A 40-year-old woman has an injury to the midshaft humerus following a motor vehicle crash. What major joint is immediately distal to her injury? A) Elbow B) Wrist C) Shoulder D) Xiphoid
A
If you suspect that a patient has suffered a head or spine injury, you should: A) keep the patient's head and spine immobilized to avoid movement. B) allow the patient to move slowly as you stabilize his or her head. C) move the patient quickly so that his or her spine can be immobilized. D) carefully move the patient in a sitting position to avoid further injury.
A
The EMR possess the ability to: A) Treat Patients using limited equipment B) Function at the same level as EMTs C) Sustain a patient's life for several hours D) Avoid improvisation whenever possible
A
To provide the best possible care for the patient: A) all EMS personnel must function effectively as a team B) the patient must receive rapid transport to the closest hospital. C) a paramedic must be present at each and every scene D) a medical director must be notified during every emergency
A
Which of the following interventions would the EMR most likely perform at the scene of a cardiac arrest? A) CPR B) Initiation of an intravenous line C) Insertion of an endotracheal tube D) Administration of certain medications
A
Which of the following sets of vital signs is typical for an otherwise healthy adult? A) Blood pressure, 110/60 mm Hg; pulse, 70 beats/min; respirations, 16 breaths/min B) Blood pressure, 80/50 mm Hg; pulse, 130 beats/min; respirations, 30 breaths/min C) Blood pressure, 90/60 mm Hg; pulse, 110 beats/min; respirations, 26 breaths/min D) Blood pressure, 100/50 mm Hg; pulse, 90 beats/min; respirations, 24 breaths/min
A
You arrive at the scene of a patient who, according to neighbors, is acting strange. Law enforcement personnel and a responding ambulance are en route but have not yet arrived. The patient, a middle-aged man, is sitting in a chair on his front porch. He appears sick and has slurred speech. As you get out of your response vehicle, the man shouts, "I have a gun and will shoot anyone who comes near me!" You should: A) retreat to a safe place and wait for law enforcement personnel to secure the scene. B) quickly proceed to the patient and assess him for any life-threatening conditions. C) tell the patient that you are there to help him and that he does not really want to shoot anyone. D) slowly approach the patient and constantly reassure him that you are there to provide assistance.
A
A car screeches up to your station shortly before you hear a frantic knock at the door. When you answer the door, a young woman tells you that her father is choking. The patient, a 60-year-old man, is clutching his throat. You ask him if he is choking, but he does not respond to your question. You should: A) repeat your question and wait for him to respond. B) stand behind the man and deliver abdominal thrusts. C) look in the man's mouth and try to visualize the object. D) lay the man on the ground and begin chest compressions.
B
In addition to ensuring your own safety, the most important guideline to follow when moving a patient is to: A) move the patient's body as a unit. B) do no further harm to the patient. C) move the patient only when necessary. D) move the patient as little as possible.
B
In most states, personal information regarding a patient cannot be released to someone not directly involved in that patient's care, unless: A) you have reason to believe that inappropriate care was provided. B) the patient signs a release and understands the nature of the release. C) the requesting individual is a law enforcement officer or attorney. D) permission is granted by an immediate member of the patient's family.
B
The purpose of a communications system is to: A) communicate critical patient information face-to-face with another healthcare professional. B) relay information from one location to another when it is impossible to communicate face-to-face. C) transmit data from a remote location to the hospital so that the physician can provide the proper guidance. D) alert the general public in the event of a natural disaster, terrorist attack, or other significant situation.
B
What level of EMS provider is able to perform limited ALS skills A) paramedic B) Advanced EMT C) EMT D) EMR
B
Which of the following conditions would most likely require high-flow (90% or higher) oxygen? A) Slight shortness of breath B) Carbon monoxide poisoning C) Isolated fracture of the ankle D) Panic attack with hyperventilation
B
Which of the following represents the most appropriate order for managing the airway of an unconscious, uninjured patient with adequate breathing? A) Perform the jaw-thrust maneuver, insert a nasal airway, check the airway for secretions, and place the patient in the recovery position. B) Perform the head tilt-chin lift maneuver, check the airway for secretions, insert an oral airway, and place the patient in the recovery position. C) Perform the jaw-thrust maneuver, place the patient in the recovery position, check the airway for secretions, and insert a nasal airway. D) Perform the head tilt-chin lift maneuver, check the airway for secretions, place the patient in the recovery position, and insert an oral airway.
B
You are dispatched to an elementary school for a 7-year-old boy who sustained a minor injury while on the playground. The child is conscious, alert, and does not appear to have any life-threatening injuries. What should you do? A) Begin treatment of the child and request an EMT unit to transport him to the hospital. B) Ask a teacher to contact the child's parents to obtain consent for you to begin treatment. C) Allow a teacher to sign a patient refusal form because the child does not require treatment. D) Send the child to the nurse's office for minor treatment and then return your unit to service.
B
You are obtaining the vital signs of a 50-year-old man who is complaining of severe chest pain when he asks you if he is going to die. You should tell him that: A) his condition is probably not critical and that he will not die. B) you don't know, but you are providing the best care that you can. C) he is having a heart attack and there is a chance that he could die. D) the responding EMS unit will probably be able to answer his question.
B
If a patient is lying on the floor or ground in an unsafe environment, you should: A) grab the patient by the pants and quickly drag him or her to a safe area. B) disregard the possibility of spinal injury and move the patient quickly. C) drag the patient away from the scene instead of trying to lift or carry him or her. D) push the patient to safety using the long axis of his or her body.
C
When EMTs or paramedics arrive at the scene of an emergency, the EMR should: A) accompany the patient to the receiving medical facility B) Assume that his or her assistance will no longer be required C) Assist the EMTs in continuing the care that he or she initiated D) Obtain a signature from the EMT who is assuming patient care
C
Which of the following concepts is the first and most important when providing patient care? A) Render proper treatment. B) Maintain your composure. C) Do no harm. D) Provide your care in good faith.
C
You are asked to accompany a paramedic in the back of the ambulance to assist in the care of a critically injured patient. The patient, who is semiconscious, is fully immobilized on a long backboard. What is the MOST important thing that you should be doing? A) Performing a head-to-toe assessment B) Taking the patient's vital signs C) Monitoring the patient for airway problems D) Manually stabilizing the patient's head
C
You are dispatched to assist EMTs with an injured person. You are the first responder to arrive at the scene. As you are getting out of your vehicle, you hear someone screaming. What should you do? A) Access the patient quickly to determine if prompt care is needed. B) Get back in your vehicle and leave the scene immediately. C) Retreat to a safe distance until law enforcement personnel arrive. D) Carefully proceed to the patient while remaining alert.
C
After blood picks up oxygen in the lungs, it: A) is eliminated from the body. B) is received by the right atrium. C) is combined with carbon dioxide. D) returns to the left side of the heart.
D
All of the following are part of the normal grieving process, except: A) anger. B) depression. C) acceptance. D) violence.
D
As an EMR, your most important consideration is: A) assisting paramedics at the scene. B) accessing the patient. C) providing competent patient care. D) ensuring your own safety.
D
The disease-causing agents that are spread through contact with blood or other secretions are called: A) antigens. B) bacteria. C) viruses. D) pathogens.
D
When communicating with a non-English-speaking patient, you should first: A) use hand gestures only when communicating. B) write down your questions on a piece of paper. C) ask a family member to function as an interpreter. D) determine how much English the patient can speak.
D
When ventilating an unconscious nonbreathing adult with a bag-valve mask device, you should: A) suction the airway first. B) deliver 24 breaths/min. C) slightly flex the patient's neck. D) insert an oral or nasal airway.
D
You are the first medically trained person to arrive at the scene of an ill person. You find the patient, a 350-pound man, sitting in a small bathroom. The patient tells you that he is extremely weak and is unable to walk. You should: A) apply a cervical collar and position the patient on his left side. B) use the one-person walking assist technique to move the patient. C) carefully lift the patient and move him to a more open area. D) wait for additional rescuers to arrive before trying to move him.
D
You are working in your yard when you see your neighbor, a middle-aged woman, collapse in her front yard. You should: A) place the patient in the recovery position and then EMS. B) immediately call 9-1-1 and then return to the patient to assess her. C) perform about 2 minutes of CPR if needed and then activate EMS. D) activate EMS after assessing the patient's level of responsiveness.
D
Your response unit and a police officer simultaneously arrive at the scene of a shooting. After the police officer ensures that the scene is safe, you enter the residence and find the patient, a 22-year-old man, with several gunshot wounds to the chest. He is positioned in between the sofa and a coffee table. What should you do? A) Provide immediate care without moving the sofa, coffee table, or any other items at the scene. B) Move the patient to a more open area after the police officer takes photographs of the scene. C) Carefully document the original position of the patient prior to moving him to a more open area. D) Move the coffee table and provide immediate emergency medical treatment to the patient.
D
