EMR FINAL EXAM QUESTIONS AND CORRECT ANSWERS 2024-2025 LATEST UPDATE//ALREADY GRADED A+ Yo, Exams of Nursing

Download EMR FINAL EXAM QUESTIONS AND CORRECT ANSWERS 2024-2025 LATEST UPDATE//ALREADY GRADED A+ Yo and more Exams Nursing in PDF only on Docsity! EMR FINAL EXAM QUESTIONS AND CORRECT ANSWERS 2024-2025 LATEST UPDATE//ALREADY GRADED A+ You have received an order over the phone from the Medical Director to administer oxygen to the patient. This would be called: A)hospital direction B)off-line medical direction C)on-line medical direction D)EMS coordinator direction - answer-C)on-line medical direction While working as an Emergency Medical Responder you have a legal responsibility to provide care. This is called: A)Good Samaritan law B)scope of practice C)ethics D)duty to act - answer-D)duty to act Which of the following situations presents the highest risk of exposure to an infectious disease? A)wearing gloves when you care for a patient B)driving code 3 to an emergency C)assisting with extricating a patient from a wrecked vehicle D)handling equipment that has blood on it - answer-D)handling equipment that has blood on it SCENARIO A 47-year-old male was walking across the street when he was struck by an oncoming car. You find him conscious and alert. Your partner has taken spinal restrictions, and you ensure that he has no compromise to the airway or circulation. He complains of abdominal pain,back pain, and pain in his left leg. You explain that the ambulance is on the way, and you begin a more detailed exam. Pain to the abdomen in this area is of concern because the _____ could be injured and cause considerable bleeding within the abdomen. A)liver B)spleen C)gallbladder D)stomach - answer-B)spleen What effect does bradycardia have on cardiac output? A)a slow heart rate causes cardiac output to decrease B)bradycardia does not ever affect cardiac output C)a slow heart rate causes cardiac output to increase D)a fast heart rate causes cardiac output to decrease - answer-A)a slow heart rate causes cardiac output to decrease The most common type of emergency move is the: A)carrier B)emergency move C)drag D)rescuer move - answer-C)drag A fixed antenna that is used to boost a radio signal is called the: A)transfer radio B)repeater C)receiver D)base station - answer-B)repeater You read a patient care report that states that the "patient was attempting to perform a dangerous trick on her skateboard." What is wrong with writing this in a patient care report? A)the information is not true B)the information is true C)the information is objective D)the information is subjective - answer-D)the information is subjective B)the report is a legal document C)the report provides information to the family D)the report documents continuity of care - answer-C)the report provides information to the family You are interviewing a 98-year-old female with chest pain. All of the following are strategies for communicating with a geriatric patient EXCEPT: A)speaking slowly and clearly B)asking a family member for information if the patient seems confused C)being patient and allowing ample time for questions to be answered D)calling the patients physician for information - answer-D)calling the patients physician for information Strategies for effective communication include all of the following EXCEPT: A)being aware of body language B)responding defensively C)speaking quickly D)using active listening skills - answer-B)responding defensively A thorough transfer of care report contains all of the following elements EXCEPT the: A)patients religious orientation B)patients name and age C)vital signs D)chief complaint - answer-A)patients religious orientation SCENARIO You have been called to attend to a chest pain patient at the local apartment complex. This patient is found on the third floor of the 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. A)prone B)recovery C)semi-sitting D)supine - answer-C)semi-sitting 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)using your legs, not your back to do the lifting B)never twisting or making moves other than the lift C)positioning your feet shoulder width apart D)carrying the weight away from your body - answer-D)carrying the weight away from your body All of the following are indications for a nonemergency move EXCEPT: A)the patient is unconscious B)there is no evidence of a spinal injury C)the vital signs are stable D)there are no signs of uncontrolled bleeding - answer-A)the patient is unconscious When the body has an adequate supply of oxygen and converts glucose into energy it is called: A)aerobic metabolism B)metabolic acidosis C)metabolic compromise D)anaerobic metabolism - answer-A)aerobic metabolism Ambient air contains what percentage of oxygen? A)10 percent B)50 percent C)100 percent D)21 percent - answer-D)21 percent A 74-year-old woman feels weak and dizzy, has pale and sweaty skin, and has a fast and weak pulse. The fast and weak pulse of this patient causes you to suspect that her cardiac output has: A)not been affected B)decreased C)stopped D)increased - answer-B)decreased SCENARIO A 47-year-old male was walking across the street when he was struck by an oncoming car. You find him conscious and alert. Your partner has taken spinal restriction, and you ensure that he has no compromise to the airway or circulation. He complains of abdominal pain, back pain, and pain in his left leg. You explain that the ambulance is on the way, and you begin a more detailed exam. This patients back pain makes you suspicious of injury to the kidneys. The kidneys are contained: A)within the pelvic cavity B)within the abdominal cavity C)behind the abdominal cavity D)behind the thoracic cavity - answer-C)behind the abdominal cavity The body system important in regulation of blood sugar through hormone response is the________. A)nervous B)circulatory C)endocrine D)digestive - answer-C)endocrine SCENARIO A 47-year-old male walking across the street when he was struck by an oncoming car. You find him conscious and alert. Your partner has taken spinal restriction, and you ensure that he has no compromise to the airway or circulation. He complains of abdominal pain, back pain, and pain in his left leg. You explain that the ambulance is on the way, and you begin a more detailed exam. When assessing the patients injured leg, you find a small cut on the inside of the leg, just below the knee. This injury can be described as ______ and ______ to the knee. A)proximal/lateral B)distal/medial C)distal/lateral D)proximal/medial - answer-B)distal/medial You receive a call from a patient with the complaint of shortness of breath, fever, and coughing. The first priority for you in managing this situation should be to: A)confirm that the patient has a pulse and signs of circulation B)determine the patients level of responsiveness C)ensure the patient has a patent airway and is breathing D)confirm personal safety and personal protective equipment - answer-D)confirm personal safety and personal protective equipment The single most effective means of preventing the spread of disease is: A)sterilize all equipment after use B)effective hand washing C)wearing gloves on every call D)avoid touching patients with infectious diseases - answer-B)effective hand washing SCENARIO You are caring for a 6-year-old female who the family says has been very sick since last night. She had a fever, but they felt it was just the flu. Today the child became worse and complained of her neck hurting and being stiff. The child is now unresponsive and is not breathing. You have been ventilating her with a bag-valve device attached to oxygen until ALS arrives and takes over care and transports. According to the Centers for Disease Control, ______ is the number one killer among adults in the United States A)cancer B)diabetes C)heart disease D)trauma - answer-C)heart disease Your patient presents lethargic and confused. She is breathing 6 times per minute with shallow and labored respirations. This patient is experiencing: A)respiratory distress B)asthma C)respiratory failure D)normal respirations - answer-A)respiratory distress You should assist in administering oral glucose to a hypoglycemic patient only if: A)the patient is able to answer questions B)the patient can assist in the process and swallow C)you are told to do so by medical direction D)the patients blood glucose level is known - answer-B)the patient can assist in the process and swallow The Emergency Medical Responder recognizes that anaphylaxis is: A) mild allergic reaction B)only a danger if it doesn't resolve within 25 minutes C)never life threatening, as long as care is provided D)a life-threatening allergic reaction - answer-D)a life-threatening allergic reaction A 10-year-old male has a pencil impaled in his cheek. The wound is bleeding heavily, and the pencil appears to be blocking the airway. You should: A)stabilize the pencil with bulky dressings B)rinse the inside of the mouth with water C)gently push the pencil back through the cheek wall D)attempt to cut the pencil into a smaller section - answer-C)gently push the pencil back through the cheek wall You suspect that a 23-year-old female had a blood clot in her lungs, which is causing a drop in blood pressure and signs of shock. This category of shock would be best described as: A)vascular shock B)arterial shock C)hemorrhagic shock D)obstructive shock - answer-D)obstructive shock The ulna and tibia are bones found in the: A)legs B)spinal column C)extremities D)arms - answer-C)extremities Young children are more prone to head injuries because: A)the bones of their head are not fused B)they are often unstable on their feet C)their heads are very large compared to their body size D)they are more likely to be victims of abuse - answer-C)their heads are very large compared to their body size Paradoxical movement indicates a: A)oneumothorax B)hemothorax C)fail chest D)cardiac tamponade - answer-C)fail chest Which of the following is the appropriate of steps to take in the emergency medical care of the mothers postdelivery? A)deliver the afterbirth, control vaginal bleeding, and provide emotional support B)control vaginal bleeding, deliver the afterbirth, and provide physical support C)deliver the afterbirth, provide physical support, and control vaginal bleeding D)control the afterbirth, control vaginal bleeding, and control emotional support - answer-A)deliver the afterbirth, control vaginal bleeding, and provide emotional support Which of the following is the MOST appropriate to ask the parent of a child who has had a seizure? A)when did the child eat breakfast? B)when was the last time the child went to the doctor? C)does the child have any allergies? D)had the child had a fever? - answer-D)has the child had a fever? You are called for an elderly man who was found lying on the sidewalk early on the on a cold winter morning. He has a light jacket on, but it appears he has been outside overnight. There is a pile of mail scattered nearby. Your assessment shows that his extremities are very cold and he seems disoriented. He groans when you palpate his pelvis. You should suspect he is suffering from: A) A closed head injury B) A medication overdose C) hypothermia D) Alzheimer's disease - answer-C)hypothermia Which of the following is NOT a method of gaining access to a patient who is in a vehicle? A) opening doors B) going through a window C) prying a door open D) cutting a hole in the floor of the car - answer-D) cutting a hole in the floor of the car Which of the following is NOT included in the START triage assessment? A) check ability to walk B) check breathing C) check mental status D) check for fractures - answer-D) check for fractures The model used for the command, control, and coordination of resources at a large-scale emergency is called: A) incident control structure B) emergency response system C) emergency command structure D) incident command system - answer-C) emergency command structure C) immediate D) delayed - answer-C) immediate Which of the following is NOT an item typically found in a field OB kit? A) sheets and blankets B) personal protective equipment C) infant AED pads D) bulb syringe - answer-C) infant AED pads When a fertilized egg implants outside the uterus it is considered: A)a miscarriage B)preeclampsia C)an ectopic pregnancy D)supine hypotension syndrome - answer-C)an ectopic pregnancy Which of the following set of personal protective equipment is MOST appropriate when assisting with a field delivery? A) gloves, gown, face shield, and mask B) gloves and goggles only C) gloves and a closed air respirator D) gloves, gown, and N95mask - answer-A) gloves, gown, face shield, and mask Appropriate assessment and care of a patient with abdominal pain includes: A)palpating the femoral pulses B) Palpating in the abdomen in all four quadrants C) applying ice packets to the abdomen D) applying heat packets to the abdomen - answer-B)Palpating the abdomen in all four quadrants Injuries to the chest can be life-threatening because: A) damage to the stomach and kidneys cause significant blood loss B) chest injury is cause a lot of pain C) chest injury patients are at great risk for infection sepsis D) damage to the lungs and chest wall can greatly affect perfusion - answer-D) damage to the lungs and chest wall can greatly affect perfusion It is important for that emergency medical responder to assume any women of childbearing age with abdominal pain is pregnant until proven otherwise because: A) some women are likely to lie about being pregnant B) pregnant women have an increased risk of pneumothorax C) pregnancy causes an increased likelihood of septic infection D) early pregnancy complications can be life threatening - answer-D)early pregnancy complications can be life threatening All of the following mechanisms would cause a high suspicion for spinal injury EXCEPT: A) A ground-level fall on a grassy surface B) A fall from 20 feet C) A rollover motor vehicle collision D) significant blunt force trauma - answer-A) ground level fall on a grassy surface A 36-year-old female is unresponsive after a motorcycle accident. Your physical exam reveals no crepitus, bleeding, or deformity to her skull. Your suspect she has sustained: A) A skull laceration B) A closed head injury C) an open head injury D) A fractured skull - answer-B) A closed head injury Which of the following would cause an emergency medical responder to suspected injury to the face? A) unstable chest wall B) difficulty breathing C) penetrating trauma to the back D) inability to move the jaw - answer-D) inability to move the jaw Emergency care procedures for injured lower extremities include: A) placing dislocated joint back into place B) applying a rigid or soft splint C) consulting a physician D) using a sling or swathe - answer-B) applying a rigid or soft split Open head injuries involve fractures of the: A)skull B)shoulder C)ears D)all the above - answer-A)skull Care for a patient with a painful, swollen, and deformed extremity includes all the following EXCEPT: A) calming and reassuring the patient B) administering aspirin C) immobilizing at the extremity D) applying a rigid or soft split - answer-B)administering aspirin Which of the following best describes the pathophysiology of hypovolemic shock? A) The heart is unable to pump blood effectively through the body B) The body retains fluid and causes high blood pressure C) blood vessels relax and cause a drop in blood pressure D) A lack of total blood volume causes poor perfusion - answer-D) A lack of total blood volume causes poor perfusion The four main categories of shock are: A) hypovolemic, distributive, cardiogenic, obstructive B) respiratory, geriatric, pediatric, febrile A three-year-old boy at presence within alerted mental status. His parents state he wandered into the garage unattended. He presents with a lethargic , with a green sentence around his mouth. You should first: A)take a set of vital signs B)call for additional resources C)administer oxygen D)attempt to identify the substance around his mouth - answer-B)call for additional resources You arrived to find a 17-year-old female patient he was unresponsive and breathing four times per minute with shallow respirations. You should: A) provide positive pressure ventilation B) suction the airway C) question bystanders about the patient's history D) placed a patient in the recovery position - answer-A)provide positive pressure ventilation The disease that affects millions of people in the United States and is characterized by a narrowing of the lower areas, wheezing, and sensitivity to irritants is called: A)epiglottitis B)emphysema C)chronic bronchitis D)asthma - answer-D)asthma The lower airways refers to: A) The space from the nose and mouth to the larynx B) The space from the bronchioles to the alveoli C)the structures and passages above the larynx D)the structures and passages below the larynx - answer-D)the structures and passages below the larynx Which of the following questions would the emergency medical responder ask to evaluate the "Q" in the OPQRST pneumatic? A)"exactly when did your pain start?" B)"tell me in your own words what your pain feels like?" C)"does anything make your pain better or worse?" D)"can you point to where the pain is?" - answer-B)"tell me in your own words what your pain feels like?" You are treating a 54-year-old male complaining of crushing trust pressure. He states that the pain started about 45 minutes ago and has gotten worse in the last 20 minutes. He also complains of nausea and is pale and sweaty. These signs and symptoms are consistent with: A)myocardial infarction B)congestive heart failure C)angina pectoris D)heartburn - answer-A)myocardial infarction Which of the following patent populations is likely to experience "classic" signs of cardiac compromise, such as chest pain radiating to the left arm? A)women B)diabetic patients C)middled aged Caucasian males D)elderly patients - answer-C)middled aged Caucasian males The purpose of the primary assessment is to: A)identify any allergies to medications B)identify and treat life-threatening conditions C)determine the need for additional resources D)determine the chances of survival - answer-B)identify and treat life-threatening conditions Which of the following acronyms would be most useful in gathering a medical history from your patient? A)SAMPLE B)AVPU C)DCAP-BTLS D)BP-DOC - answer-A)SAMPLE You arrive at the scene of an assault. Police are on scene and have secured the scene. Another responder is holding manual stabilization of the patients cervical spine. You would NEXT: A)form your general impression B)obtain a SAMPLE history C)perform a rapid trauma survey D)conduct a detailed physical assessment - answer-A)form your general impression The most appropriate location to assess a pulse in an unresponsive patient is the: A)radial artery B)distal artery C)femoral artery D)carotid artery - answer-D)carotid artery Blood pressure is a measurement of: A)the total blood volume in the body B)the pressure against the walls of the arteries C)the amount of fluid in the body D)the mount of blood ejected from the heart during each beat - answer-B)the pressure against the walls of the arteries Checking skin signs is a way of evaluating a patients perfusion. Perfusion is best described as: A)the movement of fluids in the body B)the removal of waste from cells and tissues C)the delivery of oxygenated blood to the cells and tissues D)the exchange of gas and carbon dioxide in the alveoli - answer-C)the delivery of oxygenated blood to the cells and tissues You have placed the AED on the patient and turned it on. The AED delivers a message that is analyzing the heart rhythm. You should next: A)quickly check a carotid pulse B)start CPR C)ensure that no one is touching the patient D)deliver two rescue breaths - answer-C)ensure that no one is touching the patient You are caring for a patient who was pulled from a lake and is now pulseless and apneic. As you apply the AED, you notice that the patient is lying in a pool of water. you should: A)drag the person out of the pool of water