1
What does SAMPLE stand for
Signs and symptoms,allergies, medications,past medical history, last oral intake, events leading up ilness
chem/o
chemical
-Chezia
defecation, elimination of waste
Chir/o
hand
Chlor/o
green,chlorophyll
Which of the following concepts is the first and MOST important when providing patient care?
A. Render proper treatment.
B. Maintain your composure.
C. Above all else, do no harm.
D. Provide your care in good faith.
C. Above all else, do no harm.
While functioning at the scene of a patient in cardiac arrest, you do not initiate cardiopulmonary resuscitation (CPR) because the patient is elderly and you think that he is probably dead. Paramedics arrive and determine that the patient has only been in cardiac arrest for 6 minutes. Which of the following statements regarding this scenario is correct?
A. As an EMR, you did not have a legal duty to begin CPR.
B. The patient would most likely not be able to be resuscitated.
C. Your actions are consistent with the responsibilities of an EMR.
D. You may be held liable for failure to follow the standard of care.
D. You may be held liable for failure to follow the standard of care.
You are dispatched to an elementary school for a 7-year-old boy who sustained a minor injury while on the playground. The child is conscious, alert, and does not appear to have any life-threatening injuries. What should you do?
A. Begin treatment of the child and request an EMT unit to transport him to the hospital.
B. Ask a teacher to contact the child’s parents to obtain consent for you to begin treatment.
C. Allow a teacher to sign a patient refusal form because the child does not require treatment.
D. Send the child to the nurse’s office for minor treatment and then return your unit to service.
B. Ask a teacher to contact the child’s parents to obtain consent for you to begin treatment.
You and your partner are performing CPR on a 77-year-old man when his wife states that he has terminal cancer and does not want to be resuscitated. She further tells you that he has a living will; however, she is unable to locate it. You should:
A. honor the wife’s wishes and cease resuscitation efforts.
B. assist the wife in looking for the living will documents.
C. have the wife sign a release form and then cease CPR.
D. continue CPR and contact medical control for guidance.
D. continue CPR and contact medical control for guidance.
All of the following are signs of obvious death, EXCEPT:
A. decapitation.
B. pulselessness.
C. decomposition.
D. dependent lividity.
B. pulselessness.
A citizen who encounters a motor vehicle crash:
A. has a legal duty to act.
B. is not required by law to stop.
C. is required to provide immediate care.
D. must wait until emergency medical service (EMS) personnel arrive.
B. is not required by law to stop.
The scope of care under which the EMR functions is specified by the:
A. National Registry of Emergency Medical Technicians.
B. State Department of Public Safety.
C. National Association of Emergency Medical Technicians.
D. EMS system medical director.
D. EMS system medical director.
If a patient refuses emergency medical care but is not thinking rationally and appears to be a threat to self or others, the EMR’s BEST course of action is to:
A. restrain the patient.
B. obtain a court order.
C. contact medical control.
D. involve law enforcement.
D. involve law enforcement.
The BEST way to avoid being accused of abandonment is to:
A. allow only a physician to assume care of the patient.
B. never leave a patient alone after you have begun care.
C. always transfer care of a patient to a qualified bystander.
D. confirm that anyone assuming care of the patient knows CPR.
B. never leave a patient alone after you have begun care.
Several hours following death, a patient develops red or purple colored areas on the parts of the body that are closest to the ground. This is called:
A. rigor mortis.
B. decomposition.
C. widespread pallor.
D. dependent lividity.
D. dependent lividity.
An emergency medical responder (EMR) has a legal duty to act:
A. even when outside of his or her response jurisdiction.
B. if he or she encounters an emergency scene while not on duty.
C. only if he or she is not paid by a fire department or rescue squad.
D. while employed by an agency as an EMR.
D. while employed by an agency as an EMR.
In most cases, treatment of a minor in an out-of-hospital setting must wait until:
A. the patient’s condition becomes life-threatening.
B. a parent or legal guardian gives consent for treatment.
C. a paramedic unit arrives at the scene and assumes care.
D. medical control orders you to initiate emergency treatment.
B. a parent or legal guardian gives consent for treatment.
If a mentally competent adult refuses medical care, it is important to:
A. advise the patient to call EMS if he or she changes his or her mind.
B. recommend that the patient drive him- or herself to the hospital.
C. ask a family member to witness the patient’s refusal of care.
D. tell the patient that his or her condition will ultimately cause death.
A. advise the patient to call EMS if he or she changes his or her mind.
The MOST common abandonment scenario occurs when:
A. an EMR transfers care of a critically injured patient to a certified EMT or paramedic.
B. a paramedic transfers care of a patient to an emergency department nurse or physician.
C. an EMS provider assesses a patient but fails to transport and later learns the patient died.
D. a competent patient refuses treatment at the scene but later dies of a hidden injury or illness.
C. an EMS provider assesses a patient but fails to transport and later learns the patient died.
Which of the following MOST accurately describes negligence?
A. performance of care that does not meet the accepted standards
B. desertion of a patient who is still in need of emergency treatment
C. failure to respond to the scene of an emergency when dispatched
D. performing skills that are beyond your level of EMS certification
A. performance of care that does not meet the accepted standards
You are a volunteer EMR and have placed your name on the schedule to respond for a 12-hour shift. With 10 minutes left in your shift, you are dispatched for a patient with a possible fractured leg. You should:
A. wait until your relief arrives and let him or her respond.
B. respond only if it is convenient because you are a volunteer.
C. proceed to the scene at once.
D. wait for paramedics to arrive to determine if you are needed.
C. proceed to the scene at once.
You are the first responder to arrive at the scene of a one-vehicle car crash. A paramedic crew is approximately 10 minutes away. The patient is outside of her car, sitting on the curb. As you approach her, she begins telling you what happened and asks you to take her blood pressure. This patient:
A. should be placed in your response vehicle and transported to a hospital.
B. is giving you actual consent to treat her and you should do so promptly.
C. should not be treated until paramedics arrive and thoroughly assess her.
D. is probably not significantly injured and will only require minimal care.
B. is giving you actual consent to treat her and you should do so promptly.
A DNR order is a written request giving permission for medical personnel not to:
A. give oxygen to a patient with severe hypoxemia.
B. begin resuscitation unless the patient is in shock.
C. render treatment to patients with a terminal illness.
D. attempt resuscitation in the event of cardiac arrest.
D. attempt resuscitation in the event of cardiac arrest.
You are assessing a young woman with abdominal pain while awaiting an incoming paramedic crew. The patient is conscious, alert, and in stable condition. The dispatcher advises you that there is another call involving a patient in cardiac arrest. You should:
A. remain with the patient and advise the dispatcher to send another EMR unit to the cardiac arrest call.
B. explain to your patient that the cardiac arrest call clearly has a higher priority and then respond to the call.
C. have the patient sign a refusal of treatment form and then immediately respond to the cardiac arrest call.
D. ask your patient to drive herself to the closest emergency department as you proceed to the cardiac arrest call.
A. remain with the patient and advise the dispatcher to send another EMR unit to the cardiac arrest call.
Which of the following components is NOT required to prove negligence?
A. duty to act
B. breech of duty
C. resulting injuries
D. patient refusal of care
D. patient refusal of care