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Emergency Medical Procedures: Airway Management and CPR, Exams of Nursing

Instructions for various emergency medical procedures, focusing on airway management and cardiopulmonary resuscitation (cpr). Topics include identifying signs of airway obstruction, performing head tilts and jaw thrusts, using airway devices, and providing ventilations. Additionally, the document covers cpr techniques, such as compressions depth and rate, and the use of automated external defibrillators (aeds).

Typology: Exams

2023/2024

Available from 04/08/2024

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EMR WRITTEN EXAM PRACTICE EXAM

2024 | 350 QUESTIONS AND CORRECT

ANSWERS | ALREADY GRADED A+ |

(ALL WHAT YOU NEED IN ONE

DOCUMENT) | LATEST RELEASE

While interviewing a patient, you observe the patient grimace and hold her abdomen as she attempts to change her position. Which of the following questions is least appropriate? A. "Are you feeling uncomfortable?" B. "Does your abdomen feel strange?" C. "Why did you make that face?" D. "Are you having pain in your belly?" ------CORRECT ANSWER------------- --C. "why did you make that face?" Which of the following is least likely to cause a mechanical airway obstruction? A. tongue B. vomitus C. a chunk of food D. loose dentures ------CORRECT ANSWER---------------A. tongue Which of the following should you interpret as indicating that the patient's airway is open? A. you hear air coming out of the mouth and nose B. the patient is unable to speak a full sentence C. chest rises but does not fall

D. the voice sounds hoarse when speaking ------CORRECT ANSWER------- --------A. you hear air coming out of the mouth and nose Which of the following is most important to keep in mind when performing a finger sweep? A. making sure that the appropriate device is available B. ensuring that the patient is unconscious C. checking for foreign matter in the throat D. ensuring that the patient is conscious ------CORRECT ANSWER----------- ----B. ensuring that the patient is unconscious Which of the following is most appropriate when performing the jaw-thrust (without head extension) maneuver to open the airway? A. maintaining pressure on the forehead B. lifting the chin in an upward motion C. tilting the head back D. sliding the fingers under the angles of the jawbone ------CORRECT ANSWER---------------D. sliding the fingers under the angles of the jawbone Which of the following should you do first when inserting an oral airway? A. ensure the patient is unconscious B. open the patient's mouth C. insert the airway itself D. select the proper sized airway ------CORRECT ANSWER---------------A. ensure the patient is unconscious Limit suctioning the mouth of an adult patient to no more than A. 5 seconds

The pressure gauge on an oxygen cylinder reads 200 pounds per square inch (psi). Which action is most appropriate? A. attach the flowmeter B. change the O-ring gasket C. lubricate the connection sites D. replace the cylinder with a new one ------CORRECT ANSWER------------- --D. replace the cylinder with a new one Which statement most accurately reflects a variable-flow-rate oxygen system? A. the flow rate has a high or low setting B. it is less practical than other types of systems C. the system is already pre-assembled D. the flow rate can be adjusted for use with different delivery devices ------ CORRECT ANSWER---------------D. the flow rate can be adjusted for use with different delivery devices 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? A. BVM B. nasal cannula C. resuscitation D. non-rebreather mask ------CORRECT ANSWER---------------B. nasal cannula Which of the following statements about bag-valve-mask resuscitators (BVMs) is most accurate? A. BVMs are readily available at most emergency scenes B. monitoring the patient for full exhalation rarely is required

C. two rescuers should be present to operate the BVM D. BVMs allow easy coordination with chest comressions ------CORRECT ANSWER---------------C. two rescuers should be present to operate the BVM You are preparing to give ventilations to a 5-year-old boy using a resuscitation mask. You plan to give 1 ventilation about every A. 1 second B. 2 seconds C. 3 seconds D. 5 seconds ------CORRECT ANSWER---------------C. 3 seconds You are positioned above the child's head and are using a resuscitation mask to give ventilations. After you position the mask, which of the following should you do next? A. blow into the mask B. lower the mask over the mouth C. open the airway D. seal the mask ------CORRECT ANSWER---------------D. seal the mask Another term used to denote a heart attack is A. ventricular fibrillation (V-fib) B. hypertension C. acute coronary syndrome D. myocardial infarction (MI) ------CORRECT ANSWER---------------D. myocardial infarction (MI) Cardiac arrest in children most commonly results from which of the following?

You are performing CPR on a patient when a second responder arrives. Which of the following would be the most appropriate for the second rescuer to do when they first arrive? A. call for a change in position to assist with CPR B. begin giving ventilations to the patient C. check to see if more advanced medical personnel have been called D. have the first rescuer stop CPR to allow for patient assessment ------ CORRECT ANSWER---------------B. begin giving ventilations to the patient As the only rescuer on the scene, you are performing CPR on an adult. When performing chest compressions, how deeply should you compress the chest? A. about 1/2 an inch B. about 1 1/2 inches C. about 1 inch D. about 2 inches ------CORRECT ANSWER---------------D. about 2 inches As an EMR, you should be able to A. perform advanced airway procedures B. provide basic emergency care C. assess electrocardiograms D. insert intraveneous (IV) devises ------CORRECT ANSWER---------------B. provide basic emergency care Upon arriving at the scene of an emergency, which of the following is your first responsibility as an EMR? A. gaining access to the patients to provide care

B. making sure that the scene is safe C. keeping bystanders away from the area D. directing traffic away from the scene ------CORRECT ANSWER------------ ---B. making sure that the scene is safe Which type of emergency medical system (EMS) provider has the most in- depth amount of training? A. advanced emergency medical technician (AEMT) B. emergency medical responder (EMR) C. emergency medical technician (EMT) D. paramedic ------CORRECT ANSWER---------------D. paramedic Malaria is a disease that is primarily transmitted by which of the following? A. contaminated blood B. respiratory droplets C. vector-borne transmission D. contaminated food ------CORRECT ANSWER---------------C. vector-borne transmission Which of the following is an example of an engineering control? A. avoiding splashing of infectious materials B. using biohazard containers C. disinfecting equipment D. placing needles in puncture-resistant containers ------CORRECT ANSWER---------------B. using biohazard containers 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

C. obtain verbal consent from the patient D. offer help in the hopes of being reimbursed for services ------CORRECT ANSWER---------------B. act in good faith within the scope of their training You determine that a patient is competent when he demonstrates which of the following? A. an understanding that information shared will remain private B. a verbal or nonverbal acceptance of the treatment to be provided C. the capability to identify an appropriate health care proxy D. the ability to understand questions and the implications of decisions ------ CORRECT ANSWER---------------D. the ability to understand questions and the implications of decisions Any body part that is toward the midline of the body is called A. inferior B. lateral C. medial D. proximal ------CORRECT ANSWER---------------C. medial The plane that divides the body horizontally is called which plane? A. frontal B. sagittal C. axial D. coronal ------CORRECT ANSWER---------------C. axial Which of the following is least likely considered a vital organ? A. heart B. brain

C. lungs D. kidneys ------CORRECT ANSWER---------------D. kidneys Which structure separates the thoracic cavity from the abdominal cavity? A. rib cage B. diaphragm C. lungs D. bladder ------CORRECT ANSWER---------------B. diaphragm Which organ is considered to be the largest body organ? A. skeleton B. alimentary tract C. skin D. liver ------CORRECT ANSWER---------------C. skin Which situation is least likely to warrant moving a patient? A. a patient who has collapsed inside the doorway of a burning building. B. an unconscious patient who is blocking your access to another severely injured patient C. a patient involved in a motor-vehicle collision lying next to the vehicle that is smoking D. a patient who was painting a house and has fallen off a ladder onto the grass ------CORRECT ANSWER---------------D. a patient who was painting a house and has fallen off a ladder onto the grass Which of the following statements best reflects the principles of moving patients? A. the squat lift is preferred over the power lift when moving a patient

You are approaching the scene of an emergency and notice a strange odor and a large cloud of gas in the area of the emergency, You would suspect which of the following? A. explosion B. chocking C. penetrating trauma D. hazardous materials ------CORRECT ANSWER---------------D. hazardous materials You are providing care to a patient and your assessment reveals that the patient is unstable. As a general rule, you should continue to reassess the patient at which frequency? A. every 10 minutes B. every 20 minutes C. every 15 minutes D. every 5 minutes ------CORRECT ANSWER---------------D. every 5 minutes When providing care during an emergency, which of the following should you do first? A. check for responsiveness B. perform a primary assessment C. size-up the scene D. summon more advanced medical personnel ------CORRECT ANSWER-- -------------C. size-up the scene You are providing care to a victim who has fallen from a 6-foot ladder. The victim is conscious. Which of the following should you do first? A. ask the victim what happened when he or she fell B. check the victim's pulse

C. obtain consent from the victim to provide care D. question the victim about any complaint of pain ------CORRECT ANSWER---------------C. obtain consent from the victim to provide care For which of the following should you summon more advanced medical personnel? A. a victim with a minor cut B. a victim with an airway obstruction who is forcefully coughing C. a victim with intermittent abdominal pressure D. a victim with an open leg wound with a bone protruding ------CORRECT ANSWER---------------D. a victim with an open leg wound with the bone protruding You notice an unconscious adult who was pulled from the water is taking infrequent gasps when you are checking for breathing and a pulse. Which of the following should you do next? A. begin CPR B. check for severe bleeding C. continue to monitor the victim's breathing closely D. give 2 initial ventilations ------CORRECT ANSWER---------------D. give 2 initial ventilations When performing a primary assessment, you size-up the scene. Which of the following would you do next? A. Check for responsiveness B. summon more advanced medical personnel C. open the victim's airway D. check for breathing and a pulse ------CORRECT ANSWER---------------A. check for responsiveness

CPR should be performed on which of the following victims? A. one who is conscious and has an airway obstruction B. one who is experiencing difficulty breathing C. one who is in cardiac arrest D. one who responds to painful stimuli ------CORRECT ANSWER------------- --C. one who is in cardiac arrest You are providing care to a patient having a seizure. Which of the following is a priority? ------CORRECT ANSWER---------------maintaining an open airway Which of the following statements best describes stroke? ------CORRECT ANSWER---------------a disruption of blood flow to a part of the brain, which may cause permanent damage to brain tissue You are assessing an older adult for signs and symptoms associated with a stroke using the FAST mnemonic. Which finding reflects the "T" in the mnemonic? ------CORRECT ANSWER---------------The onset of symptoms occurred about 1 hour ago Which of the following alerts you to the possibility that a patient is experiencing an overdose of a stimulant? ------CORRECT ANSWER--------- ------Rapid pulse

Upon arrival at an emergency scene, you suspect substance abuse. Which of the following is a priority? ------CORRECT ANSWER--------------- summoning more advanced medical personnel You arrive at an emergency scene and notice a strong smell of sulfur. You notice a patient lying unconscious inside the building. Which of the following should you do first? ------CORRECT ANSWER---------------Call for specialized services for assistance Water rescue personnel summon you to an emergency scene. A child was stung by a jellyfish while swimming at the beach. Which of the following is the most appropriate for you to do? ------CORRECT ANSWER--------------- Flush the injured part in vinegar When dealing with a patient who is experiencing a behavioural emergency, which of the following is the most appropriate to establish rapport? ------ CORRECT ANSWER---------------Speak directly to the patient Which of the following is the priority when caring for a child who may have been abused? ------CORRECT ANSWER---------------Caring for the child's injuries Which of the following should you not do for a patient experiencing shock? ------CORRECT ANSWER---------------Give the patient a drink A patient has an open and sucking chest wound. You should apply which type of dressing? ------CORRECT ANSWER---------------Occlusive dressing

A patient has an open wound with several organs protruding through the wound. Which of the following should you do first? ------CORRECT ANSWER---------------Summon more advanced medical personnel You are preparing to apply a splint to an open fracture of an extremity. The wound is oozing blood. Which of the following should you do first? ------ CORRECT ANSWER---------------Dress the wound You need to stabilize a patient's head and neck. The patient's head is turned sharply to the right. Which of the following should you do? ------ CORRECT ANSWER---------------Maintain the head in the position found You suspect that a patient has a head and neck injury. The patient is lying on his back, and you determine that you need to perform manual stabilization. Which of the following should you do first? ------CORRECT ANSWER---------------Place your hands on both sides of the patient's head. You suspect that a pregnant woman is experiencing Braxton-Hicks contractions when the contractions are... ------CORRECT ANSWER---------- -----Sporadic in nature You are providing care to a pregnant woman in labor. As you inspect the area, you notice that the baby's head is crowning but there is a small loop of rope-like tissue coming out of the vaginal opening. Which of the following should you do immediately? ------CORRECT ANSWER---------------Have the woman assume a knee-chest position

Which of the following is the most appropriate to do to help cool a child with a high fever? ------CORRECT ANSWER---------------Remove any excess clothing or blankets Which of the following is the most appropriate to remember when assessing and providing emergency care to an older adult? ------CORRECT ANSWER---------------Clear, slow, calm explanations are important When providing care to a child with autism, which of the following is the most appropriate? ------CORRECT ANSWER---------------Use verbal explanations of emotions Which emergency situation is least likely to require air medical transport? -- ----CORRECT ANSWER---------------A patient experiencing chest pain The safe and appropriate removal of a patient trapped in a motor-vehicle or dangerous situation is called... ------CORRECT ANSWER--------------- Extrication The term "Hazardous material (HAZMAT)" refers to which of the following? ------CORRECT ANSWER---------------The possible risk to health, safety or property if the substance is not contained Which of the following is used to manage an emergency situation and provide appropriate care? ------CORRECT ANSWER---------------An incident command system (ICS)