EMR Test 02: Patient Assessment & Professional Care

EMR Test 02: Critical Priorities

This exam focuses on Advanced Airway Skills, Provider Wellness, and Legal Duties.

Scene Safety: Your first job is always to protect yourself and your crew. You cannot help a patient if you become a victim too.
BVM Technique: When using a bag-mask, do not squeeze the bag too hard. Give a gentle breath over one second until the chest rises.
BSI Precautions: Treat all blood and body fluids as if they have germs. Wash your hands every time you take off your gloves.
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Q:1Which of the following is NOT true about agonal gasps?
Agonal gasps are weak and do not move the head. They are a sign of cardiac arrest and do not count as normal or effective breathing.
Q:2What is the right way to handle an AED when moving a patient on a stretcher?
Keep the AED on and attached during the move. This lets the machine keep checking the heart and give a shock fast if needed.
Q:3You check a patient and they let out an agonal gasp. What does this mean?
Agonal gasps happen when the heart stops. You must start CPR immediately. Waiting because of these gasps will cause the patient to die.
Q:4Which of these is an early sign that a patient is not getting enough oxygen?
Confusion is one of the first signs of low oxygen. Other early signs include acting restless or having a very fast heart rate.
Q:5Your partner gives very fast and hard breaths during CPR. What is true about this?
Breathing too hard pushes air into the stomach. This makes the patient throw up. You should give a gentle breath over only one second.
Q:6You are alone and find a patient who is not breathing. You already called for help. What is your next step?
Current rules say you must start chest pushes first. Pushing moves blood to the brain and is the most important step for survival.
Q:7What is the most important part of using a bag-mask or BVM on an adult?
A tight seal is the only way air gets in. Give a breath for one second until you see the chest move up.
Q:8What is the count for pushes and breaths for two rescuers working on a child?
Two rescuers use a 15 to 2 count for kids. Children usually have breathing problems. This count helps get them more oxygen more often.
Q:9How do you use a bag-mask tool the right way?
One second is the right time for a breath. This keeps air out of the stomach and protects the patient from throwing up.
Q:10You are helping a choking person and they pass out. What is the very first thing you do?
When a choking person passes out, they need 911 and chest pushes. Pushing on the chest helps pop the object out of the throat.
Q:11What is the best way to describe the EMS system?
The EMS system is everyone from the 911 caller to the doctors. It is a big team that moves patients to safe care.
Q:12The EMR is one part of a larger team called the:
EMRs are usually the first trained people to arrive. They are the first link in the big chain that makes the EMS system work.
Q:13What is one of the most important jobs for an EMR?
Safety comes first. If you get hurt, you cannot help the patient. You must check the area for danger before you start work.
Q:14Why is it important for an EMR to look professional?
Looking clean and ready helps patients feel safe. Trust is very important when you are trying to help someone who is hurt.
Q:15Your partner feels sick and angry after a bad call with a child. What do you think?
Bad calls are hard on the mind. Feeling sick or upset is a normal way for the body to react to high stress.
Q:16A patient dies and your partner cannot focus the next day. What is the most likely cause?
Stress from a death can make it hard to think. This is called critical incident stress and it is common in rescue work.
Q:17How can an EMR catch a disease from a patient?
Germs spread through blood, spit, and touching dirty tools. EMRs must use gloves and masks to block all of these paths.
Q:18What does body substance isolation or BSI mean?
BSI means you act safe with every patient. You do not wait to find out if they are sick before you put on gloves.
Q:19Which fact about washing your hands is true?
Soap and water kill more germs than anything else. You must wash your hands even if you wore gloves during the call.
Q:20Who defines what an EMR is allowed to do at work?
The law tells you your scope of practice. You can only perform the tasks that the state and local rules say you can.

Test 02 Study Summary

1. Agonal Gasps These gasps are not real breathing. If a patient is gasping or snorting, they are in cardiac arrest and need CPR right away.
2. Child CPR Ratio When two rescuers work on a child, use a 15 to 2 ratio. This helps get more oxygen to the child during the rescue.
3. Provider Stress Feeling sick or having trouble thinking after a bad call is a normal reaction to stress. Talking to peers helps you recover.
4. Scope of Practice The law and local rules tell you what you are allowed to do. You must never perform skills that are outside of your legal level.

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