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1. Which of the following MOST accurately describes an emergency medical responder (EMR)?
A. an individual who responds to the scene in an ambulance
B. the first medically trained person to arrive at the scene
C. an individual who provides initial advanced life support (ALS)
D. a fire fighter or police officer who assists the paramedics
B. the first medically trained person to arrive at the scene
A basic life support (BLS) ambulance is MOST accurately defined as:
A. any transport vehicle that is staffed by at least two EMTs.
B. an emergency response vehicle equipped with a defibrillator.
C. a properly equipped vehicle that is staffed by EMT personnel.
D. any transport vehicle staffed by EMTs with additional training.
C. a properly equipped vehicle that is staffed by EMT personnel.
Fire units are often a crucial part of the EMS system because they:
A. provide protection and control of the scene.
B. are better trained than EMTs to assist paramedics.
C. always arrive at the scene before EMTs or paramedics.
D. provide specialized rescue such as patient extrication.
D. provide specialized rescue such as patient extrication.
Which of the following is NOT a criterion used by the National Highway Traffic Safety
Administration (NHTSA) to evaluate an EMS system?
A. billing and collections
B. resource management
C. regulation and policy
D. education of the public
A. billing and collections
Skills commonly performed by the EMR include all of the following, EXCEPT:
A. treating shock.
B. splinting fractures.
C. bleeding control.
D. intravenous therapy.
D. intravenous therapy
Problems that occur in the prehospital phase of the emergency medical services (EMS) operation are
MOST often related to:
A. EMRs functioning above their skill level.
B. delayed response times to the scene by emergency medical technicians (EMTs).
C. a lack of control and coordination of resources and personnel.
D. failure of the dispatcher to obtain adequate information.
C. a lack of control and coordination of resources and personnel.
A cardiac arrest patient’s MOST crucial contact with the EMS system occurs when:
A. trained EMRs arrive at the patient’s side.
B. medical control is made aware of the situation.
C. paramedics arrive and administer advanced care.
D. the receiving hospital is made aware of the situation.
trained EMRs arrive at the patient’s side.
Which of the following statements regarding transport of a patient to the hospital is correct?
A. Any sick or injured patient should be transported to the closest hospital, regardless of the patient’s
condition.
B. Patients may require immediate stabilization at the closest hospital and then transfer to another
facility.
C. EMRs are legally obligated to accompany the patient in the back of the ambulance to the hospital.
D. In most states and EMS systems, EMRs are not authorized to assist the EMT in the back of the
ambulance.
B. Patients may require immediate stabilization at the closest hospital and then transfer to another
A patient requires rapid transport to the hospital when:
A. he or she requires care that can be provided only by a physician at the hospital.
B. the patient’s condition may deteriorate if he or she is not transported fairly quickly.
C. EMS personnel are unable to give the patient adequate life-saving care in the field.
D. traffic is extremely heavy and the patient’s condition requires treatment by a physician.
C. EMS personnel are unable to give the patient adequate life-saving care in the field.
The EMR must possess the ability to:
A. treat patients using limited equipment.
B. sustain a patient’s life for several hours.
C. avoid improvisation whenever possible.
D. function at the same level as a paramedic.
A. treat patients using limited equipment.
Enhanced 9-1-1 centers have the capability to:
A. provide ALS instructions to the caller.
B. determine the physical location of the caller via the computer.
C. function as medical control in the absence of a licensed physician.
D. automatically dispatch aeromedical support when a call is received.
B. determine the physical location of the caller via the computer.
When EMTs or paramedics arrive at the scene of an emergency, the EMR should:
A. accompany the patient to the receiving medical facility.
B. assume that his or her assistance will no longer be required.
C. assist the EMTs in continuing the care that he or she initiated.
D. obtain a signature from the EMT who is assuming patient care.
C. assist the EMTs in continuing the care that he or she initiated.
The EMS system can be considered a component of public health because:
A. EMS provides transportation directly to an emergency department.
B. the services it provides are available to all people in a community.
C. its primary role is to provide illness and injury prevention programs.
D. the health department mandates that EMS responders carry certain equipment.
B. the services it provides are available to all people in a community.
A 33-year-old woman has a possible broken left ankle. She is in significant pain but is conscious and
otherwise stable. This patient:
A. does not require transport to the hospital.
B. requires transport but without lights and siren.
C. may deteriorate and requires prompt transport.
D. should be rapidly transported to the closest hospital.
B. requires transport but without lights and siren.
A crucial piece of equipment that the EMR should have available includes a:
A. bag-mask device.
B. portable hydraulic jack.
C. mechanical suction device.
D. mouth-to-mask resuscitation device.
D. mouth-to-mask resuscitation device
Fire fighters and law enforcement personnel are likely to be the EMRs in most emergencies because:
A. of their location or speed in responding to the call.
B. they are typically paid and are on call 24 hours a day.
C. most communities do not have EMTs or paramedics.
D. they are trained in all aspects of an emergency call.
A. of their location or speed in responding to the call.
Which of the following interventions would the EMR MOST likely perform at the scene of a cardiac
arrest?
A. cardiopulmonary resuscitation (CPR) and defibrillation
B. insertion of an endotracheal tube
C. administration of certain medications
D. initiation of an intravenous line
A. cardiopulmonary resuscitation (CPR) and defibrillation
All of the following are examples of illness or injury programs, EXCEPT:
A. one-rescuer CPR.
B. alcohol awareness.
C. diabetes screenings.
D. car seat installation.
A. one-rescuer CPR.
You are at the scene of a shooting. The patient, who is being cared for by paramedics, is unconscious
and has severe uncontrollable bleeding from his injury. As an EMR, your MOST important function is to:
A. keep bystanders away from the patient.
B. help the paramedics prepare for rapid transport.
C. factually document the care that you provided.
D. report your observations to law enforcement personnel.
B. help the paramedics prepare for rapid transport.
Roles and responsibilities of the EMR include all of the following, EXCEPT:
A. prompt and safe response to the scene.
B. ensuring the safety of self and others.
C. transporting the patient to the hospital.
D. adequately assessing every patient.
C. transporting the patient to the hospital.
A cardiac arrest patient’s MOST crucial contact with the EMS system occurs when:
A. trained EMRs arrive at the patient’s side.
B. medical control is made aware of the situation.
C. paramedics arrive and administer advanced care.
D. the receiving hospital is made aware of the situation.
A. trained EMRs arrive at the patient’s side.
9. What level of EMS provider is able to perform limited ALS skills?
A. EMR
B. EMT
C. advanced EMT (AEMT)
D. paramedic
C. advanced EMT (AEMT)
The US Department of Transportation’s responsibility is to:
A. determine each EMR’s scope of practice.
B. credential the EMR through a system of testing.
C. develop the national education standards for the EMR.
D. maintain a registry of all certified EMRs in the country.
C. develop the national education standards for the EMR.
To provide the best possible care for the patient:
A. all EMS personnel must function effectively as a team.
B. a paramedic must be present at each and every emergency.
C. the patient must receive rapid transport to the closest hospital.
D. the medical director must be notified during every emergency.
A. all EMS personnel must function effectively as a team.
Upon arriving at the scene of a multiple-patient incident, the EMR’s primary responsibility is to:
A. advise the dispatcher that additional resources will be needed.
B. quickly gain access to all patients and begin immediate treatment.
C. protect bystanders from any hazards that may exist at the scene.
D. assess the environment to detect possible threats to his or her safety.
D. assess the environment to detect possible threats to his or her safety.