emr certification test |122 Complete Q’s and A’s
You are the first to arrive at the scene of an unresponsive patient and you observe a large
sum of
cash near the patient. No one is in the room with you. The professional quality that
prevents you
from taking the cash, even though no one would know, is:
A ) confidence. B) integrity. C ) motivation. D ) patient advocacy. - -D) patient advocacy.
-Once an EMR has provided initial emergency care for a critically injured patient, which of
the
following factors will give the patient the best chance of survival?
A ) Air medical transportation B) Finding all of the injuries before incoming EMS units
arrive C ) Prompt transport to a trauma center D ) Having a physician on the scene - -C)
Prompt transport to a trauma center
-Your partner seems to have lost interest in work and recreational activities. He occupies
his time
watching television, rather than talking with you as usual. You have tried to talk to him
about it,
but he is irritable. You've also noticed he is unusually abrupt with patients. Which of the
following
would be most beneficial to your partner?
A ) Having as little contact with patients as possible B) Realizing that being an EMR is not
for everyone, and once someone reaches this point, it is
time to quit C ) Engaging in regular exercise to reduce stress D ) Unwinding with a few
beers or cocktails after work - -C ) Engaging in regular exercise to reduce stress
-You have arrived at a private residence for a patient in cardiac arrest. The patient's
husband states
she has a DNR, he just wants you to confirm that she is deceased, and he does not want her
to be
resuscitated. The best choice would be to: A ) let the husband know that you can honor a
living will, but not a DNR. B) begin and continue resuscitation until a higher-level EMS
provider arrives. C ) let the husband know that you will need to see the DNR. D ) get the
physician's telephone number so you can confirm the DNR status. - -C ) let the husband
know that you will need to see the DNR.
-Which term best describes structures that are found inside the body? A ) Prone B)
Internal C ) External D ) Superficial - -B) Internal
-A structure belonging to the endocrine system is the: A ) gallbladder. B) pancreas. C )
uterus. D ) tonsil. - -B) pancreas.
,-A normal respiratory rate for a toddler would be ________ per minute. A ) 16 B) 24 C ) 12
D ) 36 - -D ) 36
-A patient in cardiac arrest begins to vomit undigested food particles that are too large to
be cleared
away using a suction catheter. You should: A ) perform abdominal thrusts to clear the
airway. B) turn the patient on his side and sweep the material out of the airway. C ) suction
what you can and then ventilate the patient. D ) perform CPR but do not ventilate, to avoid
forcing the material into the airway. - -B) turn the patient on his side and sweep the
material out of the airway.
-During a response to a nursing home for a cardiac arrest, you hear and feel a "crunching"
sensation
during chest compressions. The best thing to do is: A ) stop CPR and notify the incoming
EMS crew. B) discontinue chest compressions, but continue ventilations. C ) perform chest
compressions with one hand only, and at a depth of 1/2 to 3/4 inches. D ) continue chest
compressions and ventilations normally. - -D ) continue chest compressions and
ventilations normally.
-A 16-year-old female who was found "passed out" after a party with her friends does not
answer you when you speak. After raising your voice, she still does not respond. Your next
step should be
to: A ) apply pressure to her thumbnail with the side of your pen. B) gently shake the
patient's shoulder. C ) slap the patient's cheeks. D ) document that the patient is
unresponsive. - -B) gently shake the patient's shoulder.
-As you approach your patient you can see that she is obviously having difficulty breathing.
Which
of the following have you just accomplished? A ) Completed the primary assessment B)
Formed a general impression C ) Sized up the scene D ) Assessed for disability - -B)
Formed a general impression
-Your 60-year-old female patient is alert and has respirations of 16 and a pulse of 92. The
pulse oximeter reads 78% and gives a pulse rate of 30. What should you do first? A )
Discontinue use of the pulse oximeter since it is obviously not working. B) Use a bag-valve-
mask device to ventilate the patient. C ) Assume the oximetry reading of 78% is correct and
increase the flow rate of oxygen to the
patient. D ) Check to see if the patient is wearing nail polish or has cold hands. - -D ) Check
to see if the patient is wearing nail polish or has cold hands.
-A 19-year-old male suspected of drinking a large quantity of alcohol is unresponsive and
vomiting. Which of the following actions has the highest priority in the care of this patient?
A ) Apply oxygen by nonrebreather mask. B) Perform a head-to-toe assessment to search
for injuries. C ) Obtain a SAMPLE history. D ) Turn him on his side and suction the airway. -
-D ) Turn him on his side and suction the airway.
, -Your patient is a 42-year-old man whose coworkers called 911 because the patient, who is
normally healthy, became ill at work. Which of the following findings should increase your
suspicion that the patient has a serious condition?A ) There is no known history of recent
illness. B) His pulse oximetry reading is 97%. C ) He is confused and agitated. D ) His blood
pressure is 152/90. - -C ) He is confused and agitated.
-An example of a direct question is: A ) How would you describe the pain in your
abdomen? B) How can we help you today, ma'am? C ) How are you feeling? D ) What is your
name? - -B) How can we help you today, ma'am?
-Your patient is a 30-year-old male with Down syndrome who appears to be moderately
cognitively disabled. The patient has a cut on his hand and is fearful of having you examine
it. The
best approach is to: A ) speak to the patient's father, rather than directly to him. B) promise
the patient it won't hurt when you clean up his cut. C ) introduce yourself and ask the
patient his name. D ) establish rapport by asking what kind of cartoons he likes to watch. -
-C ) introduce yourself and ask the patient his name.
-More common signs associated with myocardial infarction may include: A ) pain that
radiates to the upper leg. B) headache. C ) constipation. D ) sudden death. - -D ) sudden
death.
-) When oxygenated blood leaves the lungs, it returns to the ________ of the heart. A ) right
atrium B) left ventricle C ) left atrium D ) right ventricle - -C ) left atrium
-Which of the following is associated with hyperglycemic emergencies? A ) Loss of appetite
B) Taking too much insulin C ) A recent history of excessive urination D ) Low blood sugar
level - -C ) A recent history of excessive urination
-Which pair of disorders listed has the most similarity in the way they cause damage to the
body? A ) Diabetes and heart attack B) Stroke and heart attack C ) Diabetes and seizure D )
Seizure and stroke - -B) Stroke and heart attack
-A 35-year-old woman is complaining of right upper quadrant abdominal pain, pain in her
right shoulder, nausea, and vomiting. She says the symptoms began about half an hour after
she had
some pizza. She is awake and alert, but seems uncomfortable and is still vomiting. The most
important aspect of your assessment and management is to: A ) ask if she has an
epinephrine auto-injector. B) find out what the pizza had on it. C ) palpate the abdomen. D )
place her on her left side - -D ) place her on her left side
-Which of the following is part of the primary assessment for a trauma patient? A ) Put on
gloves. B) Look for fractures. C ) Look for downed power lines and fluids leaking from
vehicles. D ) Clear the airway of blood and debris. - -D ) Clear the airway of blood and
debris.
You are the first to arrive at the scene of an unresponsive patient and you observe a large
sum of
cash near the patient. No one is in the room with you. The professional quality that
prevents you
from taking the cash, even though no one would know, is:
A ) confidence. B) integrity. C ) motivation. D ) patient advocacy. - -D) patient advocacy.
-Once an EMR has provided initial emergency care for a critically injured patient, which of
the
following factors will give the patient the best chance of survival?
A ) Air medical transportation B) Finding all of the injuries before incoming EMS units
arrive C ) Prompt transport to a trauma center D ) Having a physician on the scene - -C)
Prompt transport to a trauma center
-Your partner seems to have lost interest in work and recreational activities. He occupies
his time
watching television, rather than talking with you as usual. You have tried to talk to him
about it,
but he is irritable. You've also noticed he is unusually abrupt with patients. Which of the
following
would be most beneficial to your partner?
A ) Having as little contact with patients as possible B) Realizing that being an EMR is not
for everyone, and once someone reaches this point, it is
time to quit C ) Engaging in regular exercise to reduce stress D ) Unwinding with a few
beers or cocktails after work - -C ) Engaging in regular exercise to reduce stress
-You have arrived at a private residence for a patient in cardiac arrest. The patient's
husband states
she has a DNR, he just wants you to confirm that she is deceased, and he does not want her
to be
resuscitated. The best choice would be to: A ) let the husband know that you can honor a
living will, but not a DNR. B) begin and continue resuscitation until a higher-level EMS
provider arrives. C ) let the husband know that you will need to see the DNR. D ) get the
physician's telephone number so you can confirm the DNR status. - -C ) let the husband
know that you will need to see the DNR.
-Which term best describes structures that are found inside the body? A ) Prone B)
Internal C ) External D ) Superficial - -B) Internal
-A structure belonging to the endocrine system is the: A ) gallbladder. B) pancreas. C )
uterus. D ) tonsil. - -B) pancreas.
,-A normal respiratory rate for a toddler would be ________ per minute. A ) 16 B) 24 C ) 12
D ) 36 - -D ) 36
-A patient in cardiac arrest begins to vomit undigested food particles that are too large to
be cleared
away using a suction catheter. You should: A ) perform abdominal thrusts to clear the
airway. B) turn the patient on his side and sweep the material out of the airway. C ) suction
what you can and then ventilate the patient. D ) perform CPR but do not ventilate, to avoid
forcing the material into the airway. - -B) turn the patient on his side and sweep the
material out of the airway.
-During a response to a nursing home for a cardiac arrest, you hear and feel a "crunching"
sensation
during chest compressions. The best thing to do is: A ) stop CPR and notify the incoming
EMS crew. B) discontinue chest compressions, but continue ventilations. C ) perform chest
compressions with one hand only, and at a depth of 1/2 to 3/4 inches. D ) continue chest
compressions and ventilations normally. - -D ) continue chest compressions and
ventilations normally.
-A 16-year-old female who was found "passed out" after a party with her friends does not
answer you when you speak. After raising your voice, she still does not respond. Your next
step should be
to: A ) apply pressure to her thumbnail with the side of your pen. B) gently shake the
patient's shoulder. C ) slap the patient's cheeks. D ) document that the patient is
unresponsive. - -B) gently shake the patient's shoulder.
-As you approach your patient you can see that she is obviously having difficulty breathing.
Which
of the following have you just accomplished? A ) Completed the primary assessment B)
Formed a general impression C ) Sized up the scene D ) Assessed for disability - -B)
Formed a general impression
-Your 60-year-old female patient is alert and has respirations of 16 and a pulse of 92. The
pulse oximeter reads 78% and gives a pulse rate of 30. What should you do first? A )
Discontinue use of the pulse oximeter since it is obviously not working. B) Use a bag-valve-
mask device to ventilate the patient. C ) Assume the oximetry reading of 78% is correct and
increase the flow rate of oxygen to the
patient. D ) Check to see if the patient is wearing nail polish or has cold hands. - -D ) Check
to see if the patient is wearing nail polish or has cold hands.
-A 19-year-old male suspected of drinking a large quantity of alcohol is unresponsive and
vomiting. Which of the following actions has the highest priority in the care of this patient?
A ) Apply oxygen by nonrebreather mask. B) Perform a head-to-toe assessment to search
for injuries. C ) Obtain a SAMPLE history. D ) Turn him on his side and suction the airway. -
-D ) Turn him on his side and suction the airway.
, -Your patient is a 42-year-old man whose coworkers called 911 because the patient, who is
normally healthy, became ill at work. Which of the following findings should increase your
suspicion that the patient has a serious condition?A ) There is no known history of recent
illness. B) His pulse oximetry reading is 97%. C ) He is confused and agitated. D ) His blood
pressure is 152/90. - -C ) He is confused and agitated.
-An example of a direct question is: A ) How would you describe the pain in your
abdomen? B) How can we help you today, ma'am? C ) How are you feeling? D ) What is your
name? - -B) How can we help you today, ma'am?
-Your patient is a 30-year-old male with Down syndrome who appears to be moderately
cognitively disabled. The patient has a cut on his hand and is fearful of having you examine
it. The
best approach is to: A ) speak to the patient's father, rather than directly to him. B) promise
the patient it won't hurt when you clean up his cut. C ) introduce yourself and ask the
patient his name. D ) establish rapport by asking what kind of cartoons he likes to watch. -
-C ) introduce yourself and ask the patient his name.
-More common signs associated with myocardial infarction may include: A ) pain that
radiates to the upper leg. B) headache. C ) constipation. D ) sudden death. - -D ) sudden
death.
-) When oxygenated blood leaves the lungs, it returns to the ________ of the heart. A ) right
atrium B) left ventricle C ) left atrium D ) right ventricle - -C ) left atrium
-Which of the following is associated with hyperglycemic emergencies? A ) Loss of appetite
B) Taking too much insulin C ) A recent history of excessive urination D ) Low blood sugar
level - -C ) A recent history of excessive urination
-Which pair of disorders listed has the most similarity in the way they cause damage to the
body? A ) Diabetes and heart attack B) Stroke and heart attack C ) Diabetes and seizure D )
Seizure and stroke - -B) Stroke and heart attack
-A 35-year-old woman is complaining of right upper quadrant abdominal pain, pain in her
right shoulder, nausea, and vomiting. She says the symptoms began about half an hour after
she had
some pizza. She is awake and alert, but seems uncomfortable and is still vomiting. The most
important aspect of your assessment and management is to: A ) ask if she has an
epinephrine auto-injector. B) find out what the pizza had on it. C ) palpate the abdomen. D )
place her on her left side - -D ) place her on her left side
-Which of the following is part of the primary assessment for a trauma patient? A ) Put on
gloves. B) Look for fractures. C ) Look for downed power lines and fluids leaking from
vehicles. D ) Clear the airway of blood and debris. - -D ) Clear the airway of blood and
debris.
