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EMR Mid-Term Exam

Total questions: 55

Worksheet time: 28mins

Name
Class
Date
1.

You are attempting to transport a 57-year-old man to the hospital for observation. He is combative and must be restrained. What is the most serious complication that you must be sure to avoid when restraining this patient?

a)

Neurologic complaint

b)

Shock position

c)

Positional asphyxia

d)

Blunt trauma from intoxication

2.

Which level is considered the minimum level of education and certification for ambulance personnel in most areas of the United States?

a)

AEMT

b)

EMR

c)

Paramedic

d)

EMT

3.

______ are specialized teams consisting of highly experienced, trained EMS personnel that can be deployed at a moment's notice to emergencies anywhere in the United States.

a)

Emergency Medical Systems

b)

Emergency Response Teams

c)

First Responders

d)

Disaster Medical Assistance Teams

4.

Understanding ______ is important for an EMR because knowing how the body's responses as well as the signs and symptoms that indicate something is wrong will help you identify issues promptly and provide better care.

a)

electrolyte imbalance

b)

perfusion

c)

pathophysiology

d)

medicine

5.

How many nationally recognized levels of EMS training are covered by the National EMS Education Standards?

a)

2

b)

8

c)

5

d)

4

6.

Which potentially fatal disease can be transmitted by needle sticks or blood contact, and for which no vaccine is available?

a)

Tuberculosis

b)

HIV/AIDS

c)

Meningitis

d)

Hepatitis B

7.

The public health system administered by counties, regions, and states promote ______ for the communities they serve.

a)

emergency medical response services

b)

medical direction

c)

optimal health and quality of life

d)

continuous quality improvement

8.

This patient's back pain makes you suspicious of injury to the kidneys. The kidneys are contained:

a)

behind the thoracic cavity.

b)

behind the abdominal cavity.

c)

within the pelvic cavity.

d)

within the abdominal cavity.

9.

In an EMS system, CQI means continuous improvement in the quality of:

a)

health care products.

b)

hospital systems.

c)

protocols and standards.

d)

patient care.

10.

Your patient is unresponsive. To assess his breathing, you listen and feel for signs of breathing to assess whether he has adequate:

a)

agonal respirations

b)

dyspnea

c)

cyanosis

d)

tidal volume

11.

What is the difference between a DNR order and an Advance Directive?

a)

An advance directive relates to future treatment, while a DNR order relates to current treatment.

b)

An advance directive is decided by the patient and a DNR order is decided by the physician.

c)

An advance directive is decided by the physician and a DNR order is decided by the patient.

d)

An advance directive relates to current treatment, while a DNR order relates to future treatment.

12.

Your patient is making a high-pitched sound as she breathes in. You recognize ______ as the sign of a partial airway obstruction caused by a swelling in the larynx.

a)

laryngectomy

b)

wheezing

c)

stridor

d)

tinnitus

13.

You are asked to give testimony in court about the care you gave to a patient. The attorney may ask you about items in your run report because the report:

a)

shows continuity of care.

b)

provides statistical data.

c)

is a legal document.

d)

is educational.

14.

The Medical Director is a physician who assumes the ultimate responsibility for:

a)

A) standards, protocols, and evaluation of patient care.

b)

B) certification and licensure of EMRs.

c)

C) answering and dispatching 911 calls.

d)

D) staffing decisions and hiring.

15.

Which vaccine is required by OSHA for any employee who has a reasonable risk of being exposed to blood or other infectious materials?

a)

Tuberculosis

b)

HIV

c)

Hepatitis B

d)

Pneumonia

16.

The purpose of humidifying oxygen is:

a)

to increase the pressure in the oxygen cylinder.

b)

to prevent damage to thin and fragile skin on the face of geriatric patients.

c)

to avoid drying out the patient's mucous membranes and upper airway passages.

d)

to lubricate the oxygen so it flows better through the cannula tubes.

17.

The term "medial" is defined as:

a)

laboratory results that are close to average.

b)

toward the midline of the body.

c)

toward the head.

d)

an imaginary vertical line dividing the body into right and left.

18.

The patient was found lying face down. This is the ______ position.

a)

semi-Fowler's

b)

prone

c)

supine

d)

lateral

19.

Which of the following represents the most traditional documentation tool used by Emergency Medical Responders?

a)

Laptop/tablet computer

b)

Computer-scan forms

c)

Smartphone app

d)

Paper forms

20.

Standard precautions are specific steps taken to prevent exposure to:

a)

heat or chemical burns.

b)

broken glass and metal shards.

c)

potentially infectious patients.

d)

bodily fluids.

21.

An 85-year-old man complains of chest pain. He has a fast heart rate and a low blood pressure. His skin is pale, cool, and sweaty, and he feels anxious. This patient is showing signs and symptoms of:

a)

meningitis.

b)

bradycardia.

c)

shock.

d)

hyperglycemia.

22.

You and your partner are on the way back to work when you see a child who has been struck by a vehicle and is unresponsive in the road. You begin care for her and call for advanced care to transport her to a nearby emergency department. You know she can be legally transported based on:

a)

implied consent.

b)

informed consent.

c)

Good Samaritan laws.

d)

actual consent.

23.

You have been called to attend to a patient complaining of chest pain on the third floor of a local apartment complex. The patient has a history of angina and wants to be transported to the hospital. After assessment and beginning treatment, you and your partner formulate a plan for taking the patient down to the unit. To lift and carry the patient, you and your partner want to use appropriate body mechanics and lifting techniques to prevent any injury to yourselves. All of the following are appropriate techniques for safe moving and lifting EXCEPT:

a)

positioning your feet shoulder width apart.

b)

using your legs, not your back to do the lifting.

c)

carrying the weight away from your body.

d)

never twisting or making moves other than the lift.

24.

Pain to the abdomen in the upper left outer side of the abdomen is of concern because the ______ could be injured and cause considerable internal bleeding.

a)

spleen

b)

stomach

c)

liver

d)

gallbladder

25.

The term ______ means the care that should be provided for any level of training based on local laws, administrative orders, and guidelines and protocols established by the local EMS system.

a)

emergency response

b)

scope of practice

c)

ethical response

d)

standard of care

26.

To document the details of the call, the patient, and the care you provided, you will need to:

a)

follow the ambulance to the hospital for continuity of care.

b)

provide no more than the minimum data set.

c)

fill out a "run report."

d)

radio your prehospital care report to dispatch.

27.

______ is defined as technology such as laptop computers, electronic tablets, and cell phones and their use to document patient condition and care.

a)

Traditional PDR

b)

Online reporting

c)

Technology response

d)

Electronic documentation

28.

To prevent oxygen bottles from being filled with a gas other than oxygen, the bottles are:

a)

filled using the PIN index safety system.

b)

humidified.

c)

painted forest green.

d)

a standard 5 1/2 inches in diameter.

29.

A patient in shock has pale, cool, and sweaty skin. These skin signs are likely caused by:

a)

low blood sugar.

b)

the sympathetic nervous system response.

c)

the patient's low blood pressure.

d)

a rainy environment.

30.

Which of the following is the gasket used to seal a regulator to the oxygen cylinder?

a)

D ring

b)

C ring

c)

B ring

d)

O ring

31.

A ______ occurs when bleeding inside the chest that causes the lung to collapse away from the chest wall.

a)

hemothorax

b)

pneumothorax

c)

pleural decompression

d)

pulmonary edema

32.

The written documentation of a patient encounter is called a(n):

a)

responder report.

b)

insurance report.

c)

patient care report.

d)

health care report.

33.

Certain states have ______ laws that protect care providers from civil liability for delivering care, as

a)

responder

b)

insurance

c)

patient care

d)

Good Samaritan

34.

You and your partner will use a nonemergency move to get the patient from the third floor to the first floor because:

a)

the patient has a life-threatening condition.

b)

there is no immediate threat to the patient's life.

c)

your patient may be in immediate danger.

d)

lifesaving care cannot be provided otherwise.

35.

For a lawsuit alleging negligence to be successful, the following four elements must be established EXCEPT:

a)

A) Breach of duty

b)

B) Duty to act

c)

C) HIPAA violation

d)

D) Causation

36.

After placing an airway down the throat of a young adult male patient who has passed out in a store.

a)

Begin rescue breathing/ventilation.

b)

Check for a pulse.

c)

Remove the airway immediately.

d)

Wait for the patient to regain consciousness.

37.

While suctioning the patient you notice he has a gag reflex after all. Which of the following is the best choice for an airway adjunct?

a)

Soft airway

b)

Bag-valve mask

c)

Nasopharyngeal airway

d)

Oropharyngeal airway

38.

Which of the following is the definition of "protocols"?

a)

Indirect medical direction communicated by radio or telephone

b)

Specialized equipment to minimize contact with infectious substances

c)

Personal traits that indicate professionalism in an EMR

d)

Written guidelines that direct the care EMS personnel provide for patients

39.

You respond to a 67-year-old female who has fallen at home. On arrival the patient is conscious and alert, with no respiratory or cardiac compromise. She states she tripped and fell and now has pain in her left hip. She thinks she might have heard a "pop" as she hit the floor. She has her neighbor at her side and says it is all right if you leave—the neighbor can get her up and to her favorite chair. She's afraid she can't afford the ambulance and the hospital, and she is sure she is just feeling her age. You know that the ambulance is on its way and should arrive soon. For you to care for this patient, you must get her consent for treatment and transport. If you treat this patient against her will, you have committed:

a)

a standard of care breach.

b)

negligence.

c)

battery.

d)

a confidentiality violation.

40.

The regular delivery of oxygen and nutrients to the cell is called:

a)

homeostasis

b)

hypotension

c)

sepsis

d)

perfusion.

41.

You are called to a scene where a young man has been shot while trying to rob a convenience store. When you arrive, the young man is lying on the floor and appears to be bleeding from his leg. The police are trying to calm down the store owner, who is in a rage and is waving his shotgun around. What should you do next?

a)

Tell the store owner to step outside so that you can treat the patient. If the store owner refuses to cooperate, take him immediately into custody.

b)

Treat the patient and remove him from the scene, while staying out of the way of police officers.

c)

Do not enter the scene until it is safe to do so or law enforcement tells you that you may enter.

d)

Preserve the patient's clothing and avoid cutting through any holes from the gunshot.

42.

Which statement about emergent moves is correct?

a)

Emergent moves are used only for victims of cardiac arrest.

b)

Emergent moves should occur after assessing the ABCs.

c)

Emergent moves are only used when the patient is in immediate danger.

d)

Emergent moves should be directed by law enforcement.

43.

Your patient may have a contagious disease that will require you to follow up with further treatment if exposed. You consider that the patient's symptoms are consistent with:

a)

meningitis.

b)

hepatitis C.

c)

HIV/AIDS.

d)

tuberculosis.

44.

A 74-year-old woman feels weak and dizzy, has pale and sweaty skin, and has a fast and weak pulse. The patient's pale skin and sweating are the result of a constriction and narrowing of blood vessels known as:

a)

hyperglycemia.

b)

compensation.

c)

bradycardia.

d)

hypoperfusion.

45.

You have a call for a 47-year-old patient with pain in the lower right side of her abdomen. Because of the location of her pain, you suspect the problem is in her:

a)

pancreas.

b)

stomach.

c)

spleen.

d)

appendix.

46.

Before starting to lift the patient, you and your partner should be sure to communicate by:

a)

staying outside the patient's range of motion.

b)

talking to the patient calmly.

c)

lifting with your knees.

d)

establishing eye contact.

47.

You recognize that this call has the potential to cause you stress. Signs of stress include all of the following EXCEPT:

a)

A) bargaining.

b)

B) headaches.

c)

C) nausea.

d)

D) indecisiveness.

48.

Your patient is an elderly woman who reports she is having trouble breathing. You notice that her breathing pattern is slow, shallow, and gasping. Recognizing these signs of ________, you suspect she may have had a heart attack.

a)

tidal volume

b)

cyanosis

c)

agonal respirations

d)

accessory musculature

49.

Your first responsibility on this call should be to:

a)

provide an airway for the child.

b)

notify advanced care.

c)

protect yourself and your partner.

d)

provide support to the family.

50.

As a paid Emergency Medical Responder, while on duty you are expected to provide care according to the standard operating procedures outlined by your department. This is called:

a)

delegation of authority.

b)

duty to act.

c)

standard of care.

d)

scope of practice.

51.

You are about to start a new job and are told that you must have a medical exam prior to employment to determine your:

a)

health qualifications.

b)

drug use.

c)

baseline health status.

d)

fitness to work.

52.

An individual's attitudes and beliefs or like and dislike for the sender or receiver can interfere with the message being communicated, creating a(n) ______ barrier to communication.

a)

emotional

b)

interpersonal

c)

physical

d)

perceptual

53.

A body that is standing upright, facing forward, with arms down at the side and palms turned forward is in the ______ position.

a)

supine

b)

anterior

c)

recovery

d)

anatomical

54.

The term ______ refers to communication using the movements and attitudes of the body.

a)

visual communication

b)

body language

c)

sign language

d)

verbal communication

55.

An 11-month-old boy is conscious and not making any noises. His eyes are wide open, and his skin is turning blue around the lips. You suspect the child has:

a)

experienced a seizure.

b)

a complete airway obstruction.

c)

cardiac arrest.

d)

a mild airway obstruction.