A
According to the _National EMS Scope of Practice Model_, an EMT should be able to:
A) assist a patient with certain prescribed medications.
B) insert a peripheral IV line and infuse fluids.
C) administer epinephrine via the subcutaneous route.
D) interpret a basic (ECG) rhythm and treat accordingly.
A) assist a patient with certain prescribed medications.
An EMS provider who has extensive training in various aspects of advanced life support (ALS) is called a(n):
A) EMT.
B) paramedic.
C) advanced EMT (AEMT).
D) EMR.
B) Paramedic.
Obtaining continuing medical education is the responsibility of the:
A) individual EMT.
B) State Bureau of EMS.
C) EMS training officer.
D) EMS medical director.
A) individual EMT.
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_.
If a defibrillator manufacturer claims that its device terminates ventricular fibrillation on the first shock 95% of the time, you should:
A) avoid purchasing the device because this claim is unrealistic.
B) recognize that this does not mean the device will save more lives.
C) purchase the device based solely on the manufacturer’s claim.
D) determine which device the American Heart Association recommends.
B) recognize that this does not mean the device will save more lives.
An appropriate demonstration of professionalism when your patient is frightened, demanding, or unpleasant is to:
A) continue to be nonjudgmental, compassionate, and respectful.
B) demand that the patient remain quiet and cooperative during transport.
C) ignore the patient’s feelings and focus on his or her medical complaint.
D) reassure the patient that everything will be all right, even if it will not be.
A) continue to be nonjudgmental, compassionate, and respectful.
Cardiac monitoring, pharmacologic interventions, and other advanced treatment skills are functions of the:
A) EMT.
B) paramedic.
C) AEMT.
D) EMR.
B) Paramedic.
Continuing education in EMS serves to:
A) confirm research and statistical findings in prehospital care.
B) maintain, update, and expand the EMT’s knowledge and skills.
C) enforce mandatory attendance at agency-specific training.
D) provide an ongoing review and audit of the EMS system.
B) maintain, update, and expand the EMT’s knowledge and skills.
The continuous quality improvement (CQI) process is designed to:
A) administer punitive actions to EMTs who do not follow local protocols.
B) identify areas of improvement and provide remedial training if needed.
C) ensure that all EMTs maintain licensure through the state EMS office.
D) focus specifically on the quality of emergency care provided to the patient.
B) identify areas of improvement and provide remedial training if needed.
The determination that prompt surgical care in the hospital is more important than performing time-consuming procedures in the field on a major trauma patient is based mostly on:
A) EMS research.
B) local protocols.
C) the lead EMT’s decision.
D) regional trauma guidelines.
A) EMS research.
The EMT certification exam is designed to:
A) rank EMTs based on performance on the certification exam.
B) identify those EMTs who are prepared for advanced levels of training.
C) provide EMTs with the best possible wage once certification is achieved.
D) ensure that EMTs are competent and have the same level of knowledge and skills.
D) ensure that EMTs are competent and have the same level of knowledge and skills.
The standards for prehospital emergency care and the individuals who provide it are typically regulated by the:
A) state office of EMS.
B) regional trauma center.
C) American Heart Association.
D) National Registry of EMTs.
A) state office of EMS.
Which of the following criteria is required to become licensed and employed as an EMT?
A) Demonstration of the ability to lift and carry at least 200 pounds
B) Proof of immunization against certain communicable diseases
C) A minimum of 60 college credit hours that focus on health care
D) Successful completion of a recognized bystander CPR course
B) Proof of immunization against certain communicable diseases
Which of the following descriptions most accurately portrays emergency medical services (EMS)?
A) A vast network of advanced life support (ALS) providers who provide definitive emergency care in the prehospital setting
B) A team of health care professionals who are responsible for providing emergency care and transportation to the sick and injured
C) A system composed exclusively of emergency medical responders (EMRs) and emergency medical technicians (EMTs) who are responsible for providing care to sick and injured patients
D) A team of paramedics and emergency physicians who are responsible for providing emergency care to critically injured patients
B) A team of health care professionals who are responsible for providing emergency care and transportation to the sick and injured
Which of the following errors is an example of a knowledge-based failure?
A) An EMT gives the correct drug to a patient, although his protocols clearly state that he is not authorized to do so.
B) Due to an improperly applied cervical collar, a patient’s spinal injury is aggravated and he is permanently disabled.
C) A patient is given nitroglycerin by an EMT who did not obtain proper authorization from medical control first.
D) An EMT administers the wrong drug to a patient because she did not know the pertinent information about the drug.
D) An EMT administers the wrong drug to a patient because she did not know the pertinent information about the drug.
Which of the following is an example of a primary prevention strategy?
A) Community awareness programs that emphasize the dangers of drinking and driving
B) The construction of a guardrail on a dangerous curve following a fatal motor vehicle crash
C) Protecting a patient’s spine from further injury after a fall from a significant height
D) Teaching a group of new parents how to perform one- and two-rescuer infant CPR
A) Community awareness programs that emphasize the dangers of drinking and driving
Which of the following scenarios involves the administration of ALS?
A) A 48-year-old patient whose airway is secured with a supraglottic device
B) A 53-year-old patient who is assisted with his prescribed nitroglycerin
C) A 61-year-old patient who is receiving humidified supplemental oxygen
D) A 64-year-old patient who is given aspirin for suspected cardiac chest pain
A) A 48-year-old patient whose airway is secured with a supraglottic device
Which of the following skills or interventions is included at every level of prehospital emergency training?
A) Oral glucose for hypoglycemia
B) Automated external defibrillation
C) Intranasal medication administration
D) Use of a manually triggered ventilator
B) Automated external defibrillation
Which of the following statements regarding the NREMT is correct?
A) The NREMT is a governmental agency that certifies EMTs.
B) The NREMT regulates EMS training standards.
C) The NREMT is the exclusive certifying body for EMTs.
D) The NREMT provides a national standard for EMS testing.
D) The NREMT provides a national standard for EMS testing.
Which type of medical direction do standing orders and protocols describe?
A) Radio
B) Online
C) Off-line
D) Direct
C) Off-line