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WorksheetsEMS Worksheet Extraction
Total questions: 100
Worksheet time: 50mins
You arrive at a scene with a patient in respiratory distress. Shortly into your assessment the patient becomes unconscious and stops breathing. You begin to ventilate with a BVM and an OPA in place. Your ventilations do not produce chest rise. Your partner removes the patient’s shirt and you see the patient has a stoma. You begin ventilating through the stoma with the BVM. Because the ventilations are through a stoma, which of the following will most likely occur?
Forceful ventilations will cause gastric distension.
Adequate minute ventilation will be difficult to achieve.
Unless the seal is adequate, air will escape around the stoma.
Air will likely be forced under the skin with this type of ventilation.
When a patient is experiencing trouble breathing, our first concern is to rule out the presence of:
Hypoxia.
Hypocarbia.
Hyperventilation.
Peripheral ischemia.
At the hospital an EMS provider is ignored during report to the hospital staff. Why should this be considered a serious problem?
It violates federal HIPAA standards.
It potentially offends the rescuer and patient.
It may subject the patient to unnecessary questioning.
It exposes the patient to unnecessary tests and procedures.
You are treating a patient who is complaining of difficulty breathing. The patient weighs 180 pounds and will need to go down several stairs to the ambulance. Which device would work BEST?
Orthopedic cot.
Flexible stretcher.
Portable stretcher.
Stair chair.
Which of the following applies to the suffix term "itis"?
Redness.
Pain.
Inflammation.
Irritation.
EMS providers are treating a 48-year-old with chest pain and dizziness who appears to have been drinking heavily. Choose the MOST appropriate technique for moving the patient from a bedroom to the living room downstairs.
Have the patient walk downstairs with assistance from the rescuers.
Make the patient walk on without assistance to assess the condition.
Carry the patient downstairs on a backboard or portable stretcher.
Transfer the patient to a stair chair and carry the patient downstairs.
Select the BEST reason to properly lift and move patients during an emergency move.
To improve your efficiency.
To reduce the risk of injuries.
To reduce patient discomfort during the move.
To promote a "TEAM" approach to patient care.
The coronary arteries fill with blood to deliver to the heart during:
Diastole.
Systole.
Right atrial contraction.
Right ventricular contraction.
Which of the following is the LEAST useful examination component of an abdominal assessment in the pre-hospital setting?
Auscultation.
Inspection.
Palpation.
Percussion.
During your treatment of a patient, you perform a treatment incorrectly. For which of the four parts of a negligence case are you potentially guilty?
Duty to act.
The patient received an injury.
Your actions led to an injury.
Failure to meet the standard of care.
Which of the following organs in the body plays a significant role in breaking down fats?
Spleen.
Pancreas.
Stomach.
Gall bladder.
Which of the following landmarks are used to size an oropharyngeal airway properly?
Tip of the nose to the far portion of the ear.
Corner of the mouth to the tip of the ear lobe.
Corner of the mouth to the top of the ear.
Center of the jaw to edge of the ear.
Which of the following is true regarding organ donation?
Electing to be an organ donor will guarantee transport to the hospital.
Electing to be an organ donor means the person’s organs will be used.
Organ donation intentions may be found on cards or medic alert tags.
If the patient does not have an organ donor card, he cannot be an organ donor.
What letters are used regarding the assessment of a patient’s mental status?
ABC.
AVPU.
OPQRST.
DCAP-BTLS.
You and your partner are at the scene of an unresponsive patient when your partner suddenly collapses and becomes unresponsive. Which of the following should you do NEXT?
Continue treating the patient and begin treating your partner.
Begin treating your partner and call for additional assistance.
Call for additional assistance and continue treating the patient.
Ask bystanders to treat your partner while you treat the patient.
Which of the following would be an appropriate approach to a family confronted with death and dying?
Be honest and empathetic.
Attempt to bring the family to acceptance.
Maintain a professional attitude and show no emotion.
Make sure the family cries to help them deal with the grief.
Which of the following factors would be unique to the pre-hospital environment and impede the provider’s ability to assess a patient?
Our experience in assessing patients is less.
Our patients are typically more ill or injured.
Our lighting is not as adequate as in a hospital.
Our environment is uncontrolled and unpredictable.
You are providing care to a 30-year-old patient who presents with an acute altered mental status, confusion, and slurred speech. You suspect the patient is having some type of diabetic reaction. What would be the FIRST step in treating this patient properly?
Repeat vital signs every 15 minutes.
Administer instant glucose orally.
Insert an oropharyngeal airway.
Place in the recovery position.
Which of the following is the best method for a person to access the EMS system?
Calling 911 from a cell phone or land line.
Calling the dispatcher or center directly.
Calling the ambulance company directly.
Calling the 7-digit number for the police.
You are dispatched to a 55-year-old male with a complaint of lower abdominal pain. When you arrive on the scene you find the man to be in the end stages of shock. He is wet, pale, and unresponsive with a barely palpable carotid pulse. His breathing is agonal and you quickly load for transport. The wife reports that the man had severe lower abdominal pain that came on quickly. He was rolling around on the floor before he became unresponsive. As you try to put all of this together, you believe that most likely this man has suffered a/an:
Stroke.
Heart attack.
Aortic aneurysm.
Brain hemorrhage.
A patient that is vomiting blood most likely has:
Ingested a toxin.
A kidney or liver problem.
Ingested too much alcohol.
An ulceration in the upper GI tract.
You have responded to a patient with a suspected heroin overdose. Which of the following signs and symptoms would you MOST likely expect?
Excitement, dilated pupils, and rapid heart rate.
Tachypnea, dilated pupils, and excessive salivation.
Depressed respirations, constricted pupils, and excited speech pattern.
Depressed respirations, lowered level of consciousness, and constricted pupils.
When should you obtain a baseline set of vital signs on a responsive medical patient?
Prior to gathering the patient's history.
Immediately after introducing yourself.
After obtaining a history and a primary assessment.
Immediately after conducting a secondary assessment.
Which of the following is correct regarding a patient care report?
It is a legal document that can be subpoenaed.
The entire report is available to the service for education.
You should not document any mistakes in patient care here.
Under the "Freedom of Information Act" it is available to the public.
You are called to the scene of a 57-year-old male with anxiety and difficulty breathing. He is breathing 22 times per minute with wheezing and rhonchi heard in all lobes. His heart rate is 100 bpm, and his blood pressure is 140/90. Which of the following would be included in your treatment options? Select all that apply.
Nitroglycerin
Pulse oximetry
Position of comfort
Supplemental oxygen
You are assessing breathing. Which of these signs is just as important as the respiratory rate?
Depth of breathing.
Shortness of breath.
Peak expiratory flow.
Amount of residual air.
A good way to explain what sickle-cell anemia is, would be to state it is an abnormal:
Shaped white blood cells.
Number of red blood cells.
Amount of white blood cells.
Hemoglobin in red blood cells.
RUN FORM NARRATIVE: EMS is dispatched to an adult foster care home for a 25-year-old male whom witnesses state overdosed on an unknown medication. The patient is found unresponsive and barely breathing. There are no obvious signs of trauma to the patient or visible indicators of a fight prior to arrival. It appears the patient vomited food-type emesis just before EMS entered the room. Which of the following components of the written patient care report is considered confidential and can only be shared amongst those associated with direct patient care?
No signs of trauma or a fight.
Name, age, and chief complaint.
Any details of the written report.
What care should you provide to an unresponsive patient with suspected hypoxia who is breathing adequately?
Provide supplemental oxygen via a non-rebreather mask.
Assist ventilations with a bag-valve-mask and supplemental oxygen.
Insert a nasopharyngeal airway and provide supplemental oxygen via a nasal cannula.
Position the patient in the recovery position and provide supplemental oxygen via a nasal cannula.
Which of these would BEST describe the normal respiratory rate and tidal volume for an adult?
8 to 12 breaths per minute and 500 ml.
12 to 20 breaths per minute and 500 ml.
You are called to care for an adolescent, who the mother describes as "a perfectly normal teen-ager." You discover the patient's wrists have been cut. What is a priority assessment in this patient?
Identifying if drug use is involved.
Ask her what she used to cut her wrists.
Which of these is the most influential for maintaining good blood glucose levels for the diabetic patient?
Exercising daily.
Eating a balanced meal on time.
Which of the following would also refer to the recovery position?
Lateral recumbent.
High-Fowler’s.
Supine.
Prone.
Which of these indicates an adult patient most likely has adequate circulation?
A strong radial pulse at a rate of 50.
A strong radial pulse at a rate of 80.
A weak radial pulse at a rate of 100.
A weak carotid pulse at a rate of 120.
You are on the scene of a patient with difficulty breathing. Your partner suddenly begins sweating profusely and speaking incoherently at someone who is not there. Your prior call involved an infant death. Which of the following would be the most appropriate action in this case?
Attempt to defuse your partner’s stress reaction.
Have your partner step outside to regain his composure.
Call dispatch and request a supervisor and an additional unit.
Indicate to the patient that your partner often acts in this manner.
Which of the following is a true statement regarding Type I diabetes mellitus?
Obesity plays a role in development of the disease.
It can usually be treated with a modification in diet.
It is more common than Type II diabetes.
It typically has a juvenile onset.
Which of the following would be the appropriate care for a patient with inadequate breathing?
Ventilate with room air.
Place him on a nasal cannula.
Apply high-concentration oxygen.
Ventilate with supplemental oxygen.
A nurse is reviewing an EMS run report at the hospital. Which description is the BEST example of an effective written communication technique to use when relaying information to other healthcare professionals?
The patient was found shaking and twitching upon arrival by the crew.
Upon arrival, the patient was found lying prone on a concrete church floor.
There is little evidence the patient was in pain during the convulsion activity.
The victim presented to EMS foaming at the mouth while they seized continuously.
When a person is standing upright in the anatomical position, what medical term is used to describe any part of the body that is farthest from the ground?
Anterior.
Inferior.
Posterior.
Superior.
Which of the following would suggest to you that a patient is at an increased risk of suicide?
Sudden improvement from depression.
Thought about death after seeing an autopsy.
An 8-year-old who is being held back in school.
Just received a job promotion he was expecting.
Which of the following is an abnormal lower-airway sound associated with breathing?
Gurgling.
Snoring.
Stridor.
Wheezing.
A 16-year-old contacted 911 to report finding their parents unconscious in the home after arriving home from school. While on the phone, the caller indicated feeling sick and then quit speaking, but the dispatcher could still hear the television in the background. What is your primary concern as you report to this scene?
Cyanide fumes.
Substance abuse.
Just another prank call.
Carbon monoxide poisoning.
Of the following organs, which would be responsible for detoxifying the blood?
Liver.
Gall bladder.
Small intestine.
Urinary bladder.
Which of the following would take a dominant role immediately after eating?
The somatic, sympathetic nervous system.
The autonomic, sympathetic nervous system.
The somatic, parasympathetic nervous system.
The autonomic, parasympathetic nervous system.
You are called to a private residence to evaluate a child. The mother is quite embarrassed about calling EMS, but claims her 3-year-old son is talking very strangely. The family was eating supper and the child started talking with a high-pitched voice and acting very frustrated and irritable. He keeps trying to stick his hand into his mouth. He does cough once in a while, but then he goes back to playing or running through the house. The boy was eating roasted chicken, corn, and French fries for supper. You are concerned about the high-pitched voice without any other symptoms because it could indicate:
Croup.
Epiglottitis.
The onset of a virus.
An airway obstruction.
Which of the following would be the MOST important impact of quality research to the future of pre-hospital emergency medical services?
Improve patient outcome.
Raise our image as a profession.
Increase insurance reimbursement.
Provide for personal advancement opportunities.
What is the name of the bone that forms the depression felt at the top end of the breastbone?
Mandible.
Manubrium.
Maxilla.
Xiphoid.
You arrive to find a 61-year-old female complaining of chest pain. Choose the sign(s) that would match a situation indicating breathing is most likely adequate.
Diminished lung sounds.
Skin that is warm and dry.
Groping type respirations.
Cyanosis around the lips.
The MOST practical way to prevent cross contamination of patients would be to:
Use disposable equipment whenever possible.
Never transport patients you suspect are contagious.
Assure that linen is thrown away when soiled with blood.
Wear gloves whenever you make any patient contact.
You are treating a patient with an abrasion to the right leg after falling off of a bicycle. Which of the following would be the MOST appropriate body substance isolation procedures to follow?
Gloves only.
Gloves and gown.
Gloves and face protection.
Gloves, gown, and face protection.
Which of these is MOST likely to positively address the emotional feelings a medical patient might have while you perform your assessment?
Obtaining accurate vital signs.
Using appropriate communication skills.
Performing a thorough physical assessment.
Obtaining a complete history of the patient.
The presence of jugular venous distention (JVD) is found by easily observed jugular veins when the patient is:
In a supine position.
Sitting straight upright.
Sitting at a 45-degree angle.
In a slight head-down, legs-elevated position.
While treating a homeless person at a park for chest pain and dizziness, he tells you the chest pain is the worst pain he has ever had. After checking his vital signs which are: Pulse-88, Respirations-16, and Blood Pressure-120/80, you should:
Test his blood glucose.
Check for medical alert tags.
Treat him with his own nitroglycerin.
Apply the automated external defibrillator to his chest.
You are preparing to suction the mouth of an adult patient who is apneic. Which of the following is TRUE regarding what you should do when suctioning this patient?
Have a container of sterile water on hand.
Apply suction while inserting the catheter.
Ventilate the patient 60 times per minute.
Select the soft flexible style catheter.
During reassessment, you find the patient's radial pulse to be absent. The carotid pulse is still present. Both were present during initial assessment. This change most likely indicates a/an:
Onset of hypovolemia.
Drop in the blood pressure.
Increased bleeding into the brain.
Undiscovered injury to the forearm.
You are called to a local assisted living center for an elderly patient with diabetes and an altered level of consciousness. You are unable to assess a blood glucose level. Select the MOST appropriate reason for giving instant glucose:
Medical control will order you to do so.
It will improve the patient's outcome either way.
There are no known consequences to administering glucose.
The benefits of giving sugar outweigh the consequences of it.
What is the name of the type of radio that you will MOST likely have installed in your vehicle?
Base.
Mobile.
Portable.
Repeater.
You have just positioned a patient complaining of chest pain on the stretcher. The patient will MOST likely prefer which position for transport?
Tri-pod.
Semi-fowler's.
Lying supine.
Trendelenburg.
Which of the following BEST describes the quality improvement process?
Increasing the level of care provided to patients.
Assessing performance and improving the system.
Assessing individual performance and remediation.
Punishing for poor care and/or poor documentation.
While assessing a patient complaining of stomach pain, they question why you need to expose their stomach for the assessment. How should you respond?
Explain the exam process and have them perform the abdominal examination.
Explain the exam process and assure them that you will protect their modesty.
Attempt to make the situation more comfortable by engaging in light conversation.
Let her know you are well trained in this type of emergency and must evaluate them.
Which of the following is usually considered the minimum level of certification for ambulance personnel?
Emergency Medical Technician (EMT/EMT-B).
Emergency Medical Responder (EMR/MFR).
Paramedic (EMT-P).
Advanced EMT (AEMT).
Which of the following is the name of the pulse point located behind the ankle on the medial aspect?
Dorsalis pedis.
Posterior fibula.
Posterior tibial.
Posterior popliteal.
Why is body substance isolation important?
It is a requirement of OSHA.
It demonstrates a professional attitude.
It prevents the patient from obtaining an infection.
It reduces the risk of you obtaining a communicable disease.
Which of the following populations has a normal heart-rate range of 70 to 110?
Adolescents.
School age.
Toddlers.
Infants.
Which of the following is the principal purpose of performing a physical exam in the out-of-hospital setting?
To gain confidence from the patient.
To investigate areas you suspect are involved.
To perform a complete and thorough assessment.
To be able to document for reporting requirements.
How does a court view the written EMS run report?
It relays the rescuer's impressions of the call.
The report is only valuable for billing purposes.
It documents exactly what happened during a call.
It must serve as notes for the provider during testimony.
A diabetic young adult is involved in a motor vehicle collision where the patient was at fault. After you learn of the diabetic history, your primary concern now is the:
Possibility of low blood glucose.
Possibility of high blood glucose.
Influence of mind-altering drugs.
Assessment for the signs of a stroke.
What is the term used to describe the relation of the wrist to the elbow?
Distal.
Inferior.
Proximal.
Superior.
What is the name of the first portion of the small bowel where it connects to the stomach?
Cecum.
Duodenum.
Ileum.
Jejunum.
A patient has severe abdominal pain. What is typically the most comfortable position for this patient?
Prone.
Supine.
Fetal position.
Semi Fowler’s with legs extended.
During the winter months, you are visiting the home of an elderly patient that obviously does not have sufficient income and appears to lack for all types of support. You must evaluate the patient closely and be suspicious of:
Elder abuse.
Hypothermia.
Hyperthermia.
Rodent infestation.
Driving an emergency vehicle at speeds over the posted speed limit will:
Save the patient’s life.
Save only a few minutes of travel time.
Outweigh any risks associated with doing so.
Get you to the scene at least 10–15 minutes faster.
Which of the following is one of the EARLIEST sign and/or symptom a patient has inadequate ventilations?
Poor skin color.
Anxiety or decreased LOC.
Increased respiratory rate.
Increased capillary refill time.
You are called to the scene of an unresponsive patient found in a closed garage. Which of the following would present the greatest immediate potential threat to the rescuer’s safety?
A curious onlooker.
Unseen hazards in the garage.
A dog in the fenced-in backyard.
The anxious family member who called 911.
You are treating a patient who "almost passed out and felt the room spinning". Which of the following BEST describes the condition the patient described?
Aphagia.
Aphasia.
Syncope.
Near-syncope.
During the normal operation of an emergency vehicle on icy or snowy roadways, what changes must be made in driving habits?
Increase distance between the vehicles and have your hands on wheel at 10 and 2 o’clock.
Increase distance between the vehicles and have your hands on wheel at 9 and 3 o’clock.
Decrease distance between the vehicles and have your hands on wheel at 10 and 2 o’clock.
Decrease distance between the vehicles and have your hands on wheel at 9 and 3 o’clock.
Dispatch is relaying information about a call to a large office building in the center of town. They first received one call about a person with a headache and violent vomiting. Now they tell you they have received at least ten calls to this same address with victims having the same symptoms. What is the best information for you to relay back to dispatch regarding this call? Have dispatch tell:
Police to respond first.
Callers to meet the ambulance outside.
The fire department to enter the scene first.
A medical control physician to respond to the scene.
You have a 26-year-old male who has a chief complaint of pain in the lower posterior lateral back that radiates to his genitals. He indicates he has had this pain before. Which of the following would be the BEST way to assess his current condition?
Performing a rapid medical assessment.
Doing a DCAP-BTLS assessment of the affected area.
Asking him about his current medications and allergies.
Asking him to compare this pain to the last time he had it.
During assessment of a patient’s pulse, which of the following terms is used to describe the rhythm of the pulse?
Intense.
Regular.
Bounding.
Equal.
The outermost layer of the skin is defined as the:
Adipose layer.
Dermis.
Subcutaneous.
Epidermis.
Which patient, statistically speaking, is most likely to successfully commit suicide in the US?
78-year-old male.
50-year-old female.
30-year-old male.
18-year-old female.
Which of the following descriptions BEST defines an EMS system?
It is an integrated system designed to respond to environmental disasters within the community.
It is the organization responsible for improving the health and safety of its citizens.
The government body set up by federal mandate to transport all sick and injured patients.
A team of health care professionals responsible for providing medical treatment outside the hospital.
In most EMS systems, what drug is the EMT allowed to give to the patient who is hypoglycemic and symptomatic?
Aspirin.
Oral glucose.
Epinephrine.
Nitroglycerin.
Identify the TRUE statement regarding the anatomy of a pediatric patient versus an adult.
An adult's airway occludes easier than a child's does.
The ribs of a child are considered more rigid.
Children's windpipes are more soft and flexible.
An adult's pupils react faster to light and darkness.
During a reassessment, your patient asks why you need to check her blood pressure again. Which of the following would be the best explanation to share with the patient?
It will help you decide if a different treatment is necessary.
Vital signs help establish how stable a patient is and predict how he will be later.
Every provider must complete a reassessment every 10 minutes during transport.
The reassessment may help you discover any errors or omissions that may have occurred.
Which of the following statements is TRUE regarding the cardiovascular system?
The right side of the heart pumps at high pressure to the lungs.
The largest muscle mass is found within the walls of the left ventricle.
Capillaries are responsible for returning blood to the heart for oxygenation.
The pulmonary vein is responsible for delivering oxygen-rich blood to the lungs.
A 53-year-old male is experiencing a suspected heart attack. Which piece of equipment is LEAST likely to be used with this patient during care?
Nasal cannula.
EMS stretcher.
Suction device.
Automated external defibrillator.
In the pancreas, glucagon is secreted for the purpose of:
Releasing insulin.
Lowering blood sugar.
Stimulates glucose absorption.
Stimulates the breakdown of glycogen.
You are assessing a 27-year-old female who has labored breathing. Choose the BEST description consistent with this finding.
Average chest wall movement.
Slight chest-abdominal wall expansion.
Increased wheezing or grunting.
Increased use of accessory muscles.
Which of the following is prohibited by the FCC when using the radio?
Using the patient's name.
Using offensive language.
Using 10-codes improperly.
Asking dispatch for a dinner break.
Which of the following would be the BEST method of preventing hypothermia?
Avoid eating carbohydrates prior to going out in the cold.
Keep your feet warm and the rest of the body will be warm.
Drink something warm like coffee before going out in the cold.
Dress in layers with the closest layer resistant to moisture retention.
If you were to find someone lying on her back, which of the following terms would you use to describe her position?
Dorsal.
Prone.
Recumbent.
Supine.
Rescuers are preparing a radio report to the receiving hospital of a 65-year-old complaining of difficulty breathing. After the hospital has acknowledged their presence and given permission to begin the report, the NEXT sentence should be:
Repeating unit and provider identification.
A brief history of the event prior to the call for help.
Estimated time of arrival and patient's chief complaint.
Patient's past medical history and response to care.
What part of the brain is responsible for the control of the body's vital functions?
Brain stem.
Cerebellum.
Cerebrum.
Thalamus.
What is the name given for a relatively rapid onset of widespread disorganized thought?
Delirium.
Delusion.
Dementia.
Hallucination.
Which of these would be appropriate for providing emotional support for a patient and family? Select all that apply.
Showing empathy
Being sympathetic
Reassure the patient
Speaking and acting calmly
Rapidly removing the patient
For which of the following patients would you recommend a non-emergency move if there were no other complications or injuries?
Unconscious overdose patient who is face down.
Cardiac arrest victim.
Severe heat stroke patient.
Patient experiencing chest pain.
During assessment of a patient with an altered mental status, which treatment or assessment must be your HIGHEST priority?
Administering instant glucose.
Maintaining an open, patent airway.
Assessing for any traumatic injuries.
Contacting medical control authority.
You are responding to a call where a 55-year-old has the chief complaint of "severe heartburn". You know that this symptom is misleading and quite often it is related to:
Stroke.
Heart attack.
Cardiac arrest.
Internal bleeding.
A 27-year-old female approaches your ambulance. Which finding would indicate ineffective breathing might be the issue?
A dry face.
Blue lips and fingers.
Yellow skin.
Sweaty palms/hands.
