Ch.1 Pretest

Question 1

Which one of the following is a service that may be provided by community​ paramedics?

A.Emergency Response
B.Rural MCI response
C.Management of chronic conditions
D.Transportation of critical patients

Answer 1

C) Management of chronic conditions

Question 2

What is the name of the program that EMS services should establish in order to better assess the ongoing efficiency of care they are rendering to​ patients?

A.Enhanced 911
B.Trauma registry
C.Quality improvement
D.Continuing education

Answer 2

C) Quality improvement

Question 3

Which step in the​ evidence-based medicine process deals with the concept of deciding what aspect of emergency medicine to​ investigate?

A.Change of protocol based on the research outcome.
B.Search medical literature.
C.Formulate a question.
D.Appraise evidence for validity and reliability.

Answer 3

C. Formulate a question

Question 4

What is the first public health responsibility?

A.Designing a prevention strategy
B.Evaluating the local EMS capabilities
C.Identifying a problem that affects a specific population
D.Educating the target population that is at risk

Answer 4

C.Identifying a problem that affects a specific population

Question 5

One of the EMTs at the station has been cited by the medical director for​ sloppy, incomplete, and sometimes inaccurate patient care documentation practices. Why does this pose a risk to patient​ safety?

A.The EMS service cannot bill for sloppy report​ forms, which lowers the reimbursement rate and jeopardizes future equipment purchases.
B.The service is worried about justifying the cost of equipment it currently uses.
C.Poor communication can lead to misunderstanding and medical errors.
D.Failure to document properly can make it easier for the EMS system to be successfully sued.

Answer 5

C.Poor communication can lead to misunderstanding and medical errors.

Question 6

The EMT gains the authority to render care from​ the:

A.base hospital.
B.supervisor.
C.medical director.
D.NHTSA.

Answer 6

C.medical director.

Question 7

What was the effect of the publication of Accidental Death and​ Disability: The Neglected Disease of Modern Society on​ modern-day EMS?

A.The American Heart Association began training the public in CPR.
B.The federal government created the Department of Health and Public Safety.
C.It served as a catalyst for improving ambulance systems.
D.It identified that many people were dying due to crashes while traveling by airplane.

Answer 7

C.It served as a catalyst for improving ambulance systems.

Question 8

The National Highway Traffic Safety Administration provides a set of recommended standards for EMS systems called the Technical Assistance Program Assessment Standards. These ten standards include which one of the​ following?

A.Personnel scheduling
B.Medical direction
C.Vehicle maintenance
D.Required system access through a 911 emergency phone number

Answer 8

B.Medical direction

Question 9

​Integrity, empathy, and effective time management are examples of an​ EMT’s:

A.knowledge and skills.
B.physical demands.
C.patient care advocacy.
D.professional behaviors.

Answer 9

D.professional behaviors.

Question 10

The​ EMT’s FIRST and MOST important priority​ is:

A.personal safety.
B.patient welfare.
C.proper vehicle maintenance.
D.the safety of other rescuers.

Answer 10

A.personal safety.

Question 11

According to the National EMS Scope of Practice Model, an Advanced EMT should be trained​ to:

A.administer medications intravenously.
B.decompress a chest cavity.
C.initiate cardiac pacing.
D.perform a needle jet insufflation.

Answer 11

A.administer medications intravenously.

Question 12

If a bystander summons EMS using a mobile​ phone, and the EMS dispatcher is able to view the​ caller’s latitude and longitude​ coordinates, what FCC rules has this wireless provider​ utilized?

A.Phase I enhanced 911
B.Phase II enhanced 911
C.Basic 911
D.Enhanced 911

Answer 12

B.Phase II enhanced 911

Question 13

​Evidence-based medicine tends to emphasize which component of the traditional approach to the practice of emergency​ medicine?

A.Good judgment
B.Science
C.Quality improvement
D.Intuition

Answer 13

B.Science

Question 14

What does an enhanced 911 system allow the emergency dispatcher to​ perform?

A.Respond to the scene of a medical incident much quicker.
B.Provide​ step-by-step CPR instructions to the caller.
C.Contact​ police, fire, and EMS personnel simultaneously.
D.Immediately access the phone number and address from which the call is being made.

Answer 14

D.Immediately access the phone number and address from which the call is being made.

Question 15

Emergency medical care has developed from the days when the local funeral home provided ambulance service to the​ current, modern EMS system. Major improvements in emergency medical care over the years include all of the following​ EXCEPT:

A.prompt response from educated prehospital professionals.
B.patient care beginning at the scene of the illness or injury.
C.use of faster driving speeds during an emergency response to the calls.
D.EMS becoming part of the continuum of patient care.

Answer 15

C.use of faster driving speeds during an emergency response to the calls.

Question 16

Which step in the​ evidence-based medicine process focuses on the concept of determining what is already known about a particular intervention or​ situation?

A.Appraise evidence for validity and reliability.
B.Formulate a question.
C.Change of protocol based on the research outcome.
D.Search medical literature.

Answer 16

D.Search medical literature.

Question 17

What is the official name for the physician who assumes responsibility for all patient care aspects within a specific EMS​ system?

A.Chief of staff
B.Medical administrator
C.Medical director
D.Physician on call

Answer 17

C.Medical director

Question 18

What is the MOST common destination facility to which an EMT will be transporting​ patients?

A.Freestanding immediate care facility
B.Hospital​ cardiac, medical, or trauma intensive care units
C.Hospital emergency department
D.Private​ physician’s office

Answer 18

C.Hospital emergency department

Question 19

An example of a population or group at greatest risk for injuries from falls would​ be:

A.American Indians.
B.infants.
C.the elderly.
D.people who live on farms.

Answer 19

C.the elderly.

Question 20

When documenting the​ patient’s history, the EMT mixed up the​ patient’s medications with medications to which she is allergic. What type of patient safety error is​ this?

A.Failure to follow through error
B.Communication error
C.Handoff error
D.Inappropriate care error

Answer 20

B.Communication error

Question 21

The NHTSA Technical Assistance Program Assessment Standards for EMS systems address the resource management component by stating that each state​ must:

A.have central control of EMS resources so that each locality and all patients have equal access to acceptable emergency care.
B.identify a physician as a medical director to provide medical oversight.
C.develop a system of specialized care for trauma patients.
D.have​ laws, regulations,​ policies, and procedures that govern its EMS system.

Answer 21

A.have central control of EMS resources so that each locality and all patients have equal access to acceptable emergency care.

Question 22

To receive the highest quality of​ care, some patients need to be transported to special​ facilities, such as patients who​ have:

A.been exposed to extremes of cold or heat.
B.been critically burned or had a stroke.
C.a diabetic emergency.
D.broken a long bone.

Answer 22

B.been critically burned or had a stroke.

Question 23

Which one of the following is considered a limitation of​ evidence-based medicine?

A.Minimal availability of research data
B.Support for change
C.Lack of questions that need to be answered
D.​Reliable, valid evidence

Answer 23

A.Minimal availability of research data

Question 24

The person who is legally responsible for the clinical and patient care aspects of the EMS system is​ the:

A.medical director.
B.state EMS official.
C.EMT.
D.EMS supervisor.

Answer 24

A.medical director.

Question 25

Which of the following statements about an EMS​ system’s CQI program is​ FALSE?

A.Feedback for the CQI process should only be gathered from the EMTs and the receiving facility.
B.Quality documentation will strengthen the CQI program.
C.Continuing education will better prepare the​ EMTs, which in turn will improve how well they perform during CQI audits.
D.Periodic reviews of each EMT in the system should be performed.

Answer 25

A.Feedback for the CQI process should only be gathered from the EMTs and the receiving facility.

Question 26

Which of the following types of medicine focus on research to provide proof that medical treatments rendered improves patient​ outcomes?

A.​Peer-reviewed studies
B.Anecdotal evidence
C.​Evidence-based medicine
D.Clinical observation

Answer 26

C.​Evidence-based medicine

Question 27

During the transport of a patient to the​ hospital, you​ should:

A.use lights and siren to minimize transport time.
B.obtain the​ patient’s insurance information.
C.allow family members to ride in the patient compartment.
D.notify the receiving facility of the nature and extent of injuries.

Answer 27

D.notify the receiving facility of the nature and extent of injuries.

Question 28

When applying for a new job as an EMT with a local EMS​ provider, you had to take a quick test that involved watching a videotaped scenario and then completing a prehospital care report and giving an oral patient​ hand-off report. This interview activity was designed to​ assess:

A.your ability to be polite and considerate in a stressful situation.
B.your tolerance for an order from management.
C.your empathy for the patient in the mock scenario.
D.the expected ability to maintain good verbal and written communication skills.

Answer 28

D.the expected ability to maintain good verbal and written communication skills.

Question 29

An EMS service has decided to staff a clinic at the county fair. This is an example of

A.public education.
B.community paramedicine.
C.a public health initiative.
D.​evidence-based guidelines.

Answer 29

B.community paramedicine.

Question 30

Of the four levels of prehospital emergency medical​ training, the level of training that allows for forming a field impression and providing invasive and drug interventions is​ the:

A.Paramedic level.
B.Advanced EMT level.
C.Emergency Medical Technician level.D.
Emergency Medical Responder level.

Answer 30

A.Paramedic level.

Question 31

Which of the following tasks could​ you, the​ EMT, formally perform that would increase the efficiency of the CQI process in gathering data about the system​ performance?

A.Distribute CQI​ system-generated surveys to patients you transport to the hospital.
B.
Only provide feedback to the CQI officer about patients you have transported.
C.
Focus on the care you render rather than the care rendered by your partner.
D.
Speak to the CQI officer about a particular situation only after asking your medical director about it.

Answer 31

A.Distribute CQI​ system-generated surveys to patients you transport to the hospital.