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NATIONAL REGISTRY EMR EXAM
PRACTICE EXAM – 40 QUESTIONS WITH
VERIFIED ANSWERS & COMPLETE
RATIONALES
## SECTION 1: PREPARATORY & EMS OPERATIONS
**1. An EMR arrives at a home where blood is pooled beside an
injured patient. What should the responder do before making
patient contact?**
A. Wait until active bleeding is confirmed before using PPE
B. Cover the blood with a towel and enter without gloves
C. Apply appropriate gloves and other task-specific PPE before
entering the blood-contaminated area
D. Ask a family member whether the patient has an infection
**Correct answer:** Apply appropriate gloves and other task-
specific PPE before entering the blood-contaminated area
**Rationale:** Blood is treated as potentially infectious under
universal precautions. PPE must be selected and applied
before anticipated exposure whenever the scene permits. A
towel is not an exposure-control barrier, and universal
precautions do not depend on a known diagnosis .
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---
**2. Which PPE combination is most appropriate when
controlling spurting arterial bleeding with a risk of splash to the
face?**
A. Gloves only because bloodborne pathogens cannot enter
through the eyes
B. Gloves plus eye and face protection, with protective clothing
as exposure risk warrants
C. A surgical mask only because hand contact is harmless
D. No PPE if the patient is a close relative
**Correct answer:** Gloves plus eye and face protection, with
protective clothing as exposure risk warrants
**Rationale:** Task-specific PPE should protect the hands,
eyes, nose, mouth, and clothing when splashing or spraying
blood is reasonably anticipated. Mucous membranes of the
eyes, nose, and mouth are recognized exposure routes .
---
**3. After using a disposable needle found at a scene, which
action best follows bloodborne-pathogen safety practice?**
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A. Recap it using both hands before disposal
B. Break the needle so it will fit in a trash bag
C. Leave it on a counter for the transport crew
D. Place it immediately into an approved sharps container
without bending or recapping it
**Correct answer:** Place it immediately into an approved
sharps container without bending or recapping it
**Rationale:** Needles must never be recapped, bent, or
broken. They should be placed immediately into an approved
sharps container to prevent needlestick injuries and exposure
to bloodborne pathogens .
---
**4. As an Emergency Medical Responder, which of the
following should you set as your top priority at the scene of an
emergency?**
A. CPR
B. Patient care
C. Safety
D. Traffic control
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**Correct answer:** Safety
**Rationale:** Scene safety is always the first priority. An EMR
must ensure the scene is safe for themselves, their partner, the
patient, and bystanders before providing any care .
---
**5. You arrive at a scene where a patient has a small knife
impaled in their thigh. The blade is still in place. What should
you do?**
A. Remove the knife to assess the depth of the wound
B. Stabilize the knife with bulky dressings and control bleeding
around it
C. Irrigate the wound vigorously with saline
D. Apply a tourniquet directly over the knife
**Correct answer:** Stabilize the knife with bulky dressings and
control bleeding around it
**Rationale:** Removing an impaled object can worsen
bleeding or cause further internal damage. Stabilize it in place
and apply pressure around it .
---
NATIONAL REGISTRY EMR EXAM
PRACTICE EXAM – 40 QUESTIONS WITH
VERIFIED ANSWERS & COMPLETE
RATIONALES
## SECTION 1: PREPARATORY & EMS OPERATIONS
**1. An EMR arrives at a home where blood is pooled beside an
injured patient. What should the responder do before making
patient contact?**
A. Wait until active bleeding is confirmed before using PPE
B. Cover the blood with a towel and enter without gloves
C. Apply appropriate gloves and other task-specific PPE before
entering the blood-contaminated area
D. Ask a family member whether the patient has an infection
**Correct answer:** Apply appropriate gloves and other task-
specific PPE before entering the blood-contaminated area
**Rationale:** Blood is treated as potentially infectious under
universal precautions. PPE must be selected and applied
before anticipated exposure whenever the scene permits. A
towel is not an exposure-control barrier, and universal
precautions do not depend on a known diagnosis .
,2 | Page
---
**2. Which PPE combination is most appropriate when
controlling spurting arterial bleeding with a risk of splash to the
face?**
A. Gloves only because bloodborne pathogens cannot enter
through the eyes
B. Gloves plus eye and face protection, with protective clothing
as exposure risk warrants
C. A surgical mask only because hand contact is harmless
D. No PPE if the patient is a close relative
**Correct answer:** Gloves plus eye and face protection, with
protective clothing as exposure risk warrants
**Rationale:** Task-specific PPE should protect the hands,
eyes, nose, mouth, and clothing when splashing or spraying
blood is reasonably anticipated. Mucous membranes of the
eyes, nose, and mouth are recognized exposure routes .
---
**3. After using a disposable needle found at a scene, which
action best follows bloodborne-pathogen safety practice?**
,3 | Page
A. Recap it using both hands before disposal
B. Break the needle so it will fit in a trash bag
C. Leave it on a counter for the transport crew
D. Place it immediately into an approved sharps container
without bending or recapping it
**Correct answer:** Place it immediately into an approved
sharps container without bending or recapping it
**Rationale:** Needles must never be recapped, bent, or
broken. They should be placed immediately into an approved
sharps container to prevent needlestick injuries and exposure
to bloodborne pathogens .
---
**4. As an Emergency Medical Responder, which of the
following should you set as your top priority at the scene of an
emergency?**
A. CPR
B. Patient care
C. Safety
D. Traffic control
, 4 | Page
**Correct answer:** Safety
**Rationale:** Scene safety is always the first priority. An EMR
must ensure the scene is safe for themselves, their partner, the
patient, and bystanders before providing any care .
---
**5. You arrive at a scene where a patient has a small knife
impaled in their thigh. The blade is still in place. What should
you do?**
A. Remove the knife to assess the depth of the wound
B. Stabilize the knife with bulky dressings and control bleeding
around it
C. Irrigate the wound vigorously with saline
D. Apply a tourniquet directly over the knife
**Correct answer:** Stabilize the knife with bulky dressings and
control bleeding around it
**Rationale:** Removing an impaled object can worsen
bleeding or cause further internal damage. Stabilize it in place
and apply pressure around it .
---
