EMR – Full Practice Exam

An EMR arrives where a patient was swept downstream and is now clinging to a partially submerged log in a swift-water channel about 30 feet from shore. The patient is conscious and calling for help. What is the correct EMR action?

An EMR is treating a patient on the sidewalk after a reported assault. Which behavior best demonstrates ongoing situational awareness?

An EMR has assessed a non-ambulatory adult who is breathing at 18 breaths per minute, has no radial pulse, and does not follow commands. According to START triage, what tag is assigned?

An EMR responds to a scene involving a patient with a suspected hemorrhagic fever illness who recently returned from an endemic region. Which statement best reflects appropriate PPE selection for this scenario?

You arrive at a scene where an overturned tanker is leaking an unknown liquid. Bystanders are gathering near the vehicle. Your most immediate action should be to:

An EMR arrives at a trench collapse where a worker is buried to the waist. The trench is about 6 feet deep with unsupported walls. What is the EMR’s most important immediate action?

An EMR is caring for a patient with a minor laceration that has stopped bleeding. There is no indication of respiratory illness. Which BSI selection is most appropriate?

An EMR is the first unit at a warehouse fire where a storage area is burning. Employees report the warehouse stores chlorine and ammonia in bulk. Both chemicals are present but have not yet been involved in the fire. Why is the combination of these two chemicals a critical concern for perimeter establishment?

An EMR responds to a mass-casualty incident involving multiple trauma patients. Which statement best describes correct application of standard precautions in this resource-limited environment?

An EMR is called to a home for an unresponsive patient. On arrival, family members report the patient has been ill with a highly contagious respiratory illness. The EMR has a surgical mask but no N95 respirator available. What is the most appropriate action?

You respond to a leak from a transport vehicle carrying chlorine. Chlorine is a toxic gas that is also a strong oxidizer. Based on these chemical properties, which combination of hazards should you anticipate?

You respond to a reported two-car collision and arrive to find four patients, one of whom is in cardiac arrest. You and your partner are the only responders on scene. Which of the following best reflects the correct prioritization of actions?

An EMR realizes mid-call that they did not don gloves before making patient contact with a bleeding wound. The most important immediate action is to:

You arrive at a two-vehicle collision on a highway. Both vehicles have significant damage and multiple doors are open. What is your first priority during scene size-up?

You respond to a reported stabbing and arrive to find bystanders stating the attacker is still in the area. The patient is on the ground with a visible wound. What resource should you request before approaching the patient?

You arrive at the scene of a patient who is coughing forcefully and producing large amounts of bloody sputum. Which BSI selection is most appropriate before approaching this patient?

At a night scene involving a pedestrian struck by a vehicle, which environmental hazard poses the greatest ongoing risk to the EMR and should be continuously reassessed throughout the call?

Under START triage, a patient begins breathing only after you manually open the airway. The patient has a radial pulse and is unresponsive. Which tag is assigned?

A 14-year-old was involved in a low-speed bicycle collision. He fell to the grass from an estimated height of two feet and denies any symptoms. How should the EMR classify and manage this MOI?

An EMR arrives at a scene where a patient is coughing productively and has suspected tuberculosis. Which PPE should the EMR put on before entering the room?

You are dispatched to a hazardous materials scene where a chemical splash has injured several bystanders. Law enforcement has established a perimeter. As the first EMR, which PPE action is appropriate?

You are called to a scene where several workers report burning eyes and difficulty breathing after a chemical release inside a factory. There are no visible placards accessible from the safe perimeter. What is your best initial action?

An EMR arrives at a vehicle collision where the car is resting on a downed power line. A bystander is trying to pull an injured patient from the vehicle. What is the correct action?

Which of the following body fluids is considered potentially infectious under standard precautions even when no visible blood is present?

You are the first EMR on scene at a community park where a bleacher collapse has occurred. You observe roughly 15 to 20 people on the ground with others gathering around them. What is your most appropriate next step?

When approaching the scene of a potential hazardous materials incident, an EMR should approach from which direction relative to the spill?

Dispatch reports a multi-vehicle collision on a highway with at least four patients. While en route, the EMR crew begins developing a plan of action. Which element is most critical to include in that plan?

During scene size-up at an industrial facility, an EMR finds a worker who has fallen into a grain silo and is partially buried. What type of specialized rescue is needed?

An EMR accidentally sustains a needlestick while assisting a nurse at a care facility. According to standard exposure control protocols, what is the first action the EMR should take?

An EMR is treating a patient at a residential scene when the patient’s family member becomes agitated and begins pacing and clenching their fists. What is the most appropriate immediate action?

An EMR has just finished caring for a patient with profuse vomiting. After removing gloves, what is the correct next step before leaving the scene?

An EMR arrives at a scene where a patient is in contact with a downed power line. The EMR has standard EMS gloves and a helmet available. What is the CORRECT PPE and approach decision?

When doffing contaminated gloves after patient care, the EMR should:

At a multiple-casualty incident, a group of walking wounded approach you asking for help. Under START triage principles, how should these patients initially be handled?

Dispatch reports a person down in an alley behind a bar at 1:30 AM with unknown cause. Which pre-arrival consideration should take HIGHEST priority for the responding EMR?

An EMR responds to a report of a single-car crash. On arrival, the vehicle has rolled over and there are five patients scattered across a 30-meter area. The EMR has basic life support supplies for two patients. Which action is the priority?

You are triaging patients at a bus crash using JumpSTART. You reach a child who appears to be about 4 years old. She is not breathing. You check for a peripheral pulse and find none. What is the correct JumpSTART classification?

You arrive at a home where a 68-year-old patient is found on the floor next to the bathtub. There is no witness and the patient is confused. Which statement best describes how the EMR should approach the scene size-up?

During a prolonged extrication at a vehicle rollover, an EMR notices the patient’s skin color, initially pink, has changed to pale and mottled. What does this finding most likely indicate, and what is the immediate priority?

A placarded vehicle is involved in a collision. The placard background is red with a white flame symbol. Which hazard class does this indicate?

An EMR responds to a scene involving a patient who bit another person and has unknown bloodborne status. The EMR’s glove tears during treatment and skin contact occurs with the patient’s blood. After scene clearance, what is the correct sequence of actions?

An EMR arrives first at a multi-patient shooting scene. Law enforcement has not yet arrived. Four patients are visible. Which action BEST reflects correct scene safety management?

You respond to a reported stabbing and find a conscious patient with a stab wound. Law enforcement has not yet arrived but the scene is otherwise safe. What should you do regarding evidence at the scene?

Upon arrival at a motor vehicle collision, the EMR notes a strong smell of gasoline and sees fluid pooling beneath one of the vehicles. What is the most appropriate immediate action?

Dispatch reports a 45-year-old male with chest pain at a residence. While en route, which action best supports an effective pre-arrival plan?

You are applying pediatric triage logic at an incident involving school-aged children. You find a child who is not breathing. After repositioning the airway, breathing does not resume but you palpate a pulse. What is the appropriate next step before assigning a triage category?

You arrive at a motor vehicle crash where a vehicle has gone off the road and come to rest on its side in a drainage ditch. The patient is entrapped and cannot be moved without specialized equipment. Which resource should be requested?

At a multi-vehicle collision, an adult patient has respirations of 34 per minute, a palpable radial pulse, and cannot follow simple commands. What is the correct START triage category?

You arrive at a motor vehicle collision involving a minivan and a sedan. The minivan has visible damage to all doors and both vehicles sustained significant intrusion. Before approaching any patients, you should:

An EMR arrives at a motor vehicle collision. After confirming the scene is initially safe, the responder begins patient care. A few minutes later, a second vehicle strikes debris near the scene. What should the EMR do first?

You arrive at a trench collapse where one construction worker is trapped from the waist down under soil. He is conscious, alert, and reporting leg pain. The trench walls appear unstable. Which combination of resources should be requested?

At a structure fire with two victims already outside, a crowd of about 30 bystanders has gathered within 15 meters of the burning building. Fire units are three minutes away. The EMR is alone. Which action takes priority?

An EMR is dispatched to a report of a laceration with heavy bleeding. Which combination of personal protective equipment is most appropriate for initial patient contact?

An EMR arrives at a vehicle collision where a patient is pinned by deformed door panels and cannot self-extricate. Which resource should the EMR request?

An EMR is dispatched to a report of a person who fell and is bleeding from the arm. Which PPE is the minimum standard before making patient contact?

When arriving at a motor vehicle collision on a busy highway, the FIRST priority for the EMR’s unit positioning should be to:

A teenager is found at the base of a staircase. Family members state the patient had a seizure and fell down the stairs. The patient is now postictal and moving all extremities. Which statement BEST reflects the correct scene size-up interpretation?

An EMR is the first to arrive at a structure fire where bystanders are gathered roughly 20 feet from the burning building. What is the most appropriate action regarding bystander positioning?

An EMR is about to enter a scene where a patient was found unresponsive next to several unlabeled chemical containers with a strong odor. Which PPE decision is MOST appropriate?

An EMR arrives at a crash where a pickup truck has skidded into a utility pole. The pole is leaning and the driver is unconscious and entrapped. No wires are visible on the ground. Which resources should be requested?

An EMR arrives at a gym where a 45-year-old male collapsed while lifting weights. Bystanders confirm he suddenly grabbed his chest and collapsed without any impact or fall. He is unresponsive and not breathing normally. What is the primary classification and the most critical immediate intervention?

You are the first responder at a school where approximately 30 students report symptoms after a suspected gas leak. What is your immediate priority regarding resources?

At a motor vehicle crash, the windshield has a starburst pattern and the airbag has deployed. The driver is unresponsive. Which potential injuries should the EMR anticipate based on this MOI?

You arrive at an overturned tanker truck. A placard on the tank reads 1203, and a liquid is pooling beneath the vehicle. The driver is lying about 10 meters from the truck and is not moving. The wind is blowing from the north toward your current position to the south. What is the correct initial action?

You arrive at a two-car crash on a busy highway. What is the first priority before exiting your vehicle?

A natural gas leak has been reported inside a commercial building. You arrive and can smell gas outside the structure. Several employees are still inside. Which action best protects life safety during the initial scene size-up?