Operations
EMT training in nearly every state meets or exceeds the guidelines recommended by the:
A) National Registry of EMTs.
B) individual state's EMS protocols.
C) National Association of EMTs.
D) National Highway Traffic Safety Administration (NHTSA).
D) National Highway Traffic Safety Administration (NHTSA).
Prescription glasses do not provide adequate eye protection because they:
A) have large, rounded lenses.
B) are not secured with a strap.
C) offer little or no side protection.
D) do not have shatterproof lenses.
C) offer little or no side protection.
The process by which an individual, an institution, or a program is evaluated and recognized as meeting certain standards is called:
A) the standard of care.
B) competency.
C) the scope of practice.
D) certification.
D) certification.
Chapter 3, page 97, Standards of Care
________ are helpful when you are away from the ambulance and need to communicate with dispatch, another unit, or medical control.
A) Base stations
B) Portable radios
C) Mobile radios
D) Cellular phones
B) Portable radios
You are caring for a 56-year-old male patient complaining of abdominal pain. Your service has recently switched to an electronic PCR system (ePCR). When completing the ePCR, it is important to be aware that:
A) the ePCR is relatively unsecured and should not contain patient-specific information.
B) the ePCR does not contain the same level of information as the written version and your verbal report should be expanded.
C) the ePCR allows patient information to be transmitted directly to the receiving hospital's computers.
D) a written patient care record will need to be completed on arrival at the hospital.
C) the ePCR allows patient information to be transmitted directly to the receiving hospital's computers.
The person who is responsible for authorizing EMTs to perform emergency medical care in the field is the:
A) shift supervisor.
B) medical director.
C) EMS administrator.
D) field training officer.
B) medical director.
You are transporting a 40-year-old male with respiratory distress. The patient tells you that he recently had a positive tuberculosis (TB) skin test and is currently being evaluated for possible TB. You should:
A) apply a nonrebreathing mask on the patient and a high-efficiency particulate air (HEPA) respirator on yourself.
B) remain at least 3 feet away from the patient and apply a surgical mask on him.
C) apply a sterile surgical mask on yourself and a HEPA respirator on the patient.
D) apply a nasal cannula on the patient and a sterile surgical mask on yourself.
A) apply a nonrebreathing mask on the patient and a high-efficiency particulate air (HEPA) respirator on yourself.
Good Samaritan laws generally are designed to offer protection to persons who render care in good faith. They do not offer protection from:
A) properly performed CPR.
B) acts of negligence.
C) improvising splinting materials.
D) providing supportive BLS to a DNR patient.
B) acts of negligence.
Chapter 3, page 100, Good Samaritan Laws and Immunity
The patient report commonly includes all of the following, EXCEPT:
A) a list of the patient's medications.
B) the patient's age and gender.
C) a brief history of the patient's current problem.
D) your estimated time of arrival.
A) a list of the patient's medications.
Chapter 4, pages 142–143
You are transporting a 54-year-old male in respiratory arrest. An EMR is driving the ambulance as you and your partner are caring for the patient. Which of the following is the MOST logical way of notifying the hospital?
A) Call the receiving hospital with your cell phone while providing patient care.
B) Have the driver contact dispatch and relay the patient information to the hospital.
C) Request that a police officer respond to the hospital to apprise the staff of your arrival.
D) Wait until you arrive at the hospital and then quickly apprise the staff of the situation.
B) Have the driver contact dispatch and relay the patient information to the hospital.
Chapter 4, page 142
EMS as we know it today had its origins in 1966 with the publication of:
A) the Emergency Medical Services Act.
B) the Department of Transportation's White Paper: Death and Dying.
C) Emergency Care and Transportation of the Sick and Injured.
D) Accidental Death and Disability: The Neglected Disease of Modern Society.
D) Accidental Death and Disability: The Neglected Disease of Modern Society.
Which type of stress reaction occurs when an EMT is exposed to many insignificant stressors over a period of several months or years?
A) Acute stress reaction
B) Cumulative stress reaction
C) Posttraumatic stress reaction
D) Critical incident stress reaction
B) Cumulative stress reaction
Definitive or conclusive signs of death that are obvious and clear to even nonmedical persons include all of the following, EXCEPT:
A) profound cyanosis.
B) dependent lividity.
C) rigor mortis.
D) putrefaction.
A) profound cyanosis.
Chapter 3, page 93, Physical Signs of Death
The __________ officially occurs during your oral report at the hospital, not as a result of your radio report en route.
A) patient report
B) transfer of care
C) termination of services
D) All of these answers are correct.
B) transfer of care
A type _____ ambulance features a conventional, truck cab-chassis with a modular ambulance body that can be transferred to a newer chassis as needed.
A) I
B) II
C) III
D) IV
A) I
You are encouraging a patient to go to the hospital by ambulance. You know that a transport will keep you on duty several hours after your regular quitting time. This is an example of __________.
A) undue hardship
B) patient advocacy
C) scope of practice
D) abuse of authority
B) patient advocacy
Which of the following statements regarding the different stages of the grieving process is correct?
A) The grieving process typically begins with severe depression.
B) It is rare that people will jump back and forth between stages.
C) The stages of the grieving process may occur simultaneously.
D) Bargaining is the most unpleasant stage of the grieving process.
Ans: C
Chapter 2, page 66, Death and Dying
At 2:00 AM, a 17-year-old boy, accompanied by his 19-year-old girlfriend, had driven to the bar to give his father (who had been drinking large amounts of alcohol) a ride home. On the way back, they were involved in a motor vehicle collision. The boy has a large laceration with profuse bleeding on his forehead. His girlfriend is unconscious in the front passenger floor. The father is standing outside the vehicle, appearing heavily intoxicated, and is refusing care. What is the best way to gain consent to begin care for the driver, considering that he is a minor and his father has an altered mental status?
A) Call his mother for consent.
B) Call his grandparents for consent.
C) It is a true emergency, so consent is implied.
D) You are covered under the Good Samaritan laws.
C) It is a true emergency, so consent is implied.
Chapter 3, pages 86–87, Consent
You have responded to a scene at which a 45-year-old man has run his SUV into a utility pole. On arrival, the driver was found slumped over the steering wheel, unconscious. A large electrical wire was lying across the hood of the vehicle. After securing scene safety, you were able to approach the patient and complete a primary assessment, in which you found a 6” (15.4-cm) laceration across his forehead. The patient regained responsiveness, was alert and oriented, and refused care. If the patient refuses to sign the refusal form:
A) sign it yourself and state: “Patient refused to sign.”
B) you cannot let the man leave the scene until he either goes with you or signs the form.
C) have a credible witness sign the form testifying that he or she witnessed the patient's refusal of care.
D) nothing more needs done. If the patient refuses care, you don't have to document it.
C) have a credible witness sign the form testifying that he or she witnessed the patient's refusal of care.
Immediately upon arriving at the scene of an emergency call involving a traumatic injury, you should notify the dispatcher of your arrival and then:
A) quickly gain access to the patient.
B) observe the scene for safety hazards.
C) determine if additional units are needed.
D) carefully assess the mechanism of injury.
B) observe the scene for safety hazards.
You are caring for a driver who struck a light pole. She admits to drinking alcohol but orders you not to tell anyone. You should report the information to __________.
A) the receiving nurse or doctor
B) law enforcement personnel
C) the state motor vehicle department
D) your medical director
A) the receiving nurse or doctor
While providing care to a patient, blood got onto the ambulance stretcher. Because the stretcher was not properly cleaned afterward, a virus was transmitted to another emergency medical technician (EMT) several days later. Which route of transmission does this scenario describe?
A) Direct contact
B) Indirect contact
C) Airborne transmission
D) Vector-borne transmission
B) Indirect contact
You respond to a single-vehicle crash on the highway west of town. Upon arrival you find a 33-year-old man with an open forearm fracture who has self-extricated from his pickup, which is down the roadside embankment. He does not appear to have suffered any other injuries, is fully coherent, and refuses all medical care. In an effort to obtain consent to treat this patient, you should:
A) summon law enforcement and request that the patient be placed into protective custody.
B) clearly explain the consequences of not accepting medical treatment.
C) proceed with treatment; consent is not required because the patient is not being rational.
D) properly document the refusal of care.
B) clearly explain the consequences of not accepting medical treatment.
Chapter 3, pages 88–89, The Right to Refuse Treatment
Medical control gives you an order that seems inappropriate for the patient's condition. After confirming that you heard the physician correctly, you should:
A) carry out the order and then carefully document it on the run form.
B) advise the physician that the order is unclear and ask for clarification.
C) state that you will not carry out the order because it is inappropriate.
D) obtain consent from the patient and then carry out the order as usual.
B) advise the physician that the order is unclear and ask for clarification.
Chapter 4, page 145
While en route to a call for a patient in cardiac arrest, you approach a stopped school bus with its red warning lights flashing. You should:
A) pass the bus only after all the children have exited.
B) back up and take an alternate route to the scene.
C) slowly and carefully pass the bus on the left side.
D) stop and wait until the warning lights stop flashing.
D) stop and wait until the warning lights stop flashing.