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WorksheetsEMR Midterm Exam Practice
Total questions: 60
Worksheet time: 30mins
Your assessment reveals that a patient has aspirated. Which of the following does this indicate?
The patient's respiratory rate has increased, most likely due to anxiety.
The patient exhibits high-pitched whistling sounds on inhalation.
The patient has inhaled a foreign substance into his lungs.
The patient's body cells are receiving an insufficient supply of oxygen.
Which of the following should you interpret as indicating that the patient's airway is open?
Chest rises but does not fall.
The patient is unable to speak a full sentence.
You hear air coming out of the mouth and nose.
The voice sounds hoarse when speaking.
You arrive at the scene of an emergency and find an unresponsive patient. You also notice that the patient has a copious (large) amount of blood and saliva in his mouth. Which technique is the most appropriate to clear the upper airway?
Suctioning
Jaw-thrust (without head extension) maneuver
Head-tilt/chin-lift technique
Abdominal thrusts
Which of the following leads you to suspect that a patient has fluid collecting in the lungs?
Wheezing
Paradoxical breathing
Crackles
Stridor
When giving ventilations using a resuscitation mask, you blow slowly, using just enough air to make the patient's chest rise to prevent which of the following?
Rupture of the lungs
Aspiration
Gastric distention
Obstruction from the tongue
Which structure is the uppermost part of the throat?
Bronchus
Hyoid bone
Vocal cords
Nasopharynx
You are preparing to give ventilations to a 5-year-old boy using a resuscitation mask. You plan to give 1 ventilation about every-
2 seconds.
1 second.
5 seconds.
3 seconds.
After giving ventilations to an adult, you determine that the patient is breathing adequately if you find the breathing rate to be-
24 breaths per minute.
14 breaths per minute.
40 breaths per minute.
32 breaths per minute.
Which of the following leads you to suspect that a patient is expending too much energy to breathe?
Dry and pink skin
Deviation of the trachea
Absence of rib muscles pulling in
Tripoding
You are preparing to give ventilations to a child using a resuscitation mask. After positioning the mask, which of the following should you do next?
Place in a face-up (supine) position.
Open the airway.
Seal the mask.
Blow into the mask.
The exchange of oxygen and carbon dioxide between the respiratory and circulatory systems occurs in which of the following?
Alveoli
Trachea
Bronchioles
Bronchi
An open and clear airway is crucial because-
It can lead to cardiac arrest that results from an irregular rhythm.
Artificial ventilations would be necessary to sustain life.
It is necessary to maintain a pulse and circulation.
The person may die from lack of oxygen entering the body.
A sudden blockage of an artery in the lung is called-
Pulmonary embolism.
Pneumonia.
Cyanosis.
Apnea.
Which of the following is the most common cause of an airway obstruction?
Loose dentures
Vomitus
Tongue
A chunk of food
Which of the following should you interpret as differentiating respiratory arrest from respiratory distress?
Absence of breathing
Light-headedness
Pale skin
Wheezing sounds
Which irregular sound is a result of an upper airway obstruction?
Rhonchi
Wheeze
Rales
Stridor
Which of the following is the most important to do first when assisting a patient with an asthma inhaler?
Shake the inhaler.
Check the medication prescription label.
Help the patient to sit up comfortably.
Obtain consent from the patient.
Which of the following should you do first when inserting an oral airway?
Insert the airway itself.
Open the patient's mouth.
Select the proper sized airway.
Ensure the patient is unconscious.
You determine that an OPA is positioned correctly when the flange end is-
Fitting snugly on top of the teeth.
Extending about 1 inch above the mouth.
Resting on the patient's lips.
Lying flat against the patient's gums.
When performing chest thrusts, you should stand-
Behind the patient.
Facing the patient.
With your knees between the patient's feet.
On one side of the patient.
You are attempting to dislodge a foreign body from a conscious patient who is choking. The patient then becomes unconscious. Which of the following should you do next?
Attempt to reopen the airway.
Gently lower the patient to the ground.
Open the mouth.
Perform a finger sweep.
When attempting to dislodge a foreign object that is obstructing the airway, you should perform a series of back blows and abdominal thrust. In the series of back blows and abdominal thrusts, how many should you give of each?
7
3
5
9
When suctioning the mouth of a patient, which of the following is the most appropriate action?
Measure the distance from the patient's earlobe to the tip of the nose.
Apply suction while withdrawing the tip in a sweeping motion.
Insert the suction tip as far back into the throat as possible.
Suction for at least 20 seconds each time.
If an unconscious person begins to vomit you should:
Immediately roll the patient onto their side.
Call for additional help.
Prepare a suction device and start suctioning the patient.
Insert an oral airway.
A mechanical device used to keep the tongue from obstructing the airway is called a(n)-
Foreign body obstruction.
Suction device.
CPR breathing barrier.
Oral airway.
Limit suctioning the mouth of an adult patient to no more than-
20 seconds.
15 seconds.
10 seconds.
5 seconds.
When should you not consider the use of an oropharyngeal airway (OPA)?
Unresponsiveness
No gag reflex
Alert LOC
No oral trauma
You determine the proper size for an OPA by measuring from the earlobe to which location?
Side of the patient's chin
Middle of the patient's lips
Bridge of the patient's nose
Corner of the patient's mouth
Which of the following is a contraindication for the use of a nasopharyngeal airway (NPA)?
Chest trauma
Cardiac arrest
Skull fracture
Respiratory distress
Which of the following is the correct amount of oxygen to administer to a patient using a BVM?
15 LPM
6 LPM
2 LPM
12 LPM
Which of the following is the correct amount of oxygen to administer to a patient using a nasal cannula?
15 LPM
25 LPM
4 LPM
10 LPM
Administer emergency oxygen to an adult who is breathing at which rate?
20 breaths per minute
24 breaths per minute
12 breaths per minute
16 breaths per minute
When using a bag-valve-mask resuscitator (BVM) without emergency oxygen, you are delivering oxygen at what percent?
21
16
90
44
The pressure gauge on an oxygen cylinder reads 200 pounds per square inch (psi). Which action is most appropriate?
Attach the flowmeter.
Lubricate the connection sites.
Replace the cylinder with a new one.
Change the O-ring gasket.
What color is used to label oxygen tanks in the United States?
Red
Orange
Green
Blue
You are preparing to administer emergency oxygen to a patient. Your assessment reveals that the patient has a nasal injury. Which delivery device is least appropriate to use for this patient?
Non-rebreather mask
BVM
Resuscitation mask
Nasal cannula
Which of the following would violate HIPPA?
Securing medical files in a locked filing cabinet.
Closing open patient records on a computer screen.
Taking pictures at an incident then posting them on Facebook.
Talking about a patient’s injuries and condition with fellow EMRs who assisted at the incident.
Which statement by a co-worker might lead you to suspect that he is exhibiting a warning sign of stress?
A) "I've noticed that I've really been enjoying my meals lately."
B) "I've been so focused lately that I'm caught up with all my work."
C) "I can't seem to make up my mind about anything anymore."
D) "I've been sleeping fairly well at night since it's gotten cooler."
The following are steps to remove disposable gloves safely. Which action should you do first?
A) Pinch the palm side of one glove near the wrist.
B) Slip two fingers under the glove at the wrist.
C) Hold the glove in the palm of the remaining gloved hand.
D) Pull the glove off so that it is inside out.
E) Pull the glove off, inside out.
Which of the following considers all body fluids, secretions and excretions as being potentially infective?
A) Exposure control plan
B) Universal precautions
C) Body substance isolation precautions
D) Standard precautions
Which statement best describes stress?
The motivation for promoting increased productivity
The body's normal response to a situation that upsets a person's balance
The universal response when exposed to any difficult situation
The negative effects associated with a serious injury or illness
You are providing care to a patient at the scene of a motor-vehicle collision. The patient has a cut on his arm that is bleeding. You observe the bleeding as a steady stream oozing from the wound. Which PPE is the most important to use?
Safety goggles
Mask
Gown
Disposable gloves
You are called to a scene in which a woman is about to give birth. Which personal protective equipment (PPE) would you be least likely to use?
Safety glasses
Disposable gloves
Gown
CPR breathing barrier
Which of the following is an example of an engineering control?
Using a sharps container for used needles.
Teaching CPR skills
Disinfecting equipment
Avoiding splashing of infectious materials
Which of the following diseases may be transmitted through blood contact?
Tuberculosis
MRSA
HIV
Meningitis
While interviewing a patient, which question would be least appropriate?
Do you have pain in your abdomen?
Describe the pain you are feeling.
On a scale of 1-10, how would you rate your pain?
What medications are you currently taking?
Which oxygen saturation level leads you to suspect that a patient is experiencing moderate hypoxia?
95 percent
98 percent
92 percent
89 percent
A patient's diastolic blood pressure reflects-
The force against venous walls with heart contraction.
Occlusion of the pulse with compression of the brachial artery.
The force against arterial walls between contractions.
The appearance of the sound with release of air from the bulb.
You are performing an assessment of a patient with a medical condition who is unresponsive. Which of the following should you do first?
Perform a rapid medical assessment.
Consider the need for advanced life support.
Assess baseline vital signs.
Obtain a SAMPLE history from family.
Which of the following breathing rates should you identify as abnormal for an adult?
16 breaths per minute
12 breaths per minute
8 breaths per minute
20 breaths per minute
When assessing the LOC in a young child, which of the following is the most appropriate?
Assume that the child will have difficulty answering your questions.
Approach the child from the back to avoid frightening him or her.
Ask the child to name the day of the week.
Have the parent hold the child, if possible.
Which pulse rate is a cause for concern in a patient who is 13 years old?
100 bpm
84 bpm
48 bpm
96 bpm
You are checking the pulse rate of a baby who is alert and responsive. Which artery should you most likely use to assess the pulse?
Carotid
Brachial
Radial
Femoral
You are providing care to a patient who suddenly becomes hostile and begins to threaten you. Which of the following is most appropriate to do first?
Continue providing care with additional force.
Tell the patient that you must provide care.
Attempt to restrain the patient.
Immediately withdraw from the situation.
You arrive at a scene and your patient is unconscious, breathing, and you see heavy bleeding from their leg. The scene is safe, and you have called for additional help. What do you do next?
Provide spinal immobilization.
Immediately apply pressure to the bleeding wound.
Quickly take a set of vitals then call 911.
Ask the patient what happened.
How often should you recheck a patient's vital signs if they are unstable?
Every 5 minutes
Every 15 minutes
Every 2 minutes
Every 20 minutes
When taking a history, we typically use the SAMPLE mnemonic. Your patient tells you that they have a very severe headache. Which part of the SAMPLE mnemonic did they just explain to you?
M
A
L
S
P
You were assigned to take vital signs on an 80-year-old male nursing home resident who was recently admitted after having a stroke. Vital signs were BP 130/90, T 99.2 F, P 92, R 32. Which vital sign would give you the most concern for this patient?
