Chapter 1

Question 1

Question 1
According to the National EMS Scope of Practice Model, an EMT should be able to:
insert a peripheral IV line and infuse fluids.
interpret a basic (ECG) rhythm and treat accordingly.
administer epinephrine via the subcutaneous route.
assist a patient with certain prescribed medications.

Answer 1

“assist a patient with certain prescribed medications.”

Question 2

Question 2
An EMS provider who has extensive training in various aspects of advanced life support (ALS) is called a(n):
EMT.
EMR.
advanced EMT (AEMT).
paramedic.

Answer 2

“paramedic.”

Question 3

Question 3
As an EMT, you may be authorized to administer aspirin to a patient with chest pain based on:
the patient’s condition.
the transport time to the hospital.
an order from a paramedic.
medical director approval.

Answer 3

“medical director approval.”

Question 4

Question 4
Continuing education in EMS serves to:
confirm research and statistical findings in prehospital care.
maintain, update, and expand the EMT’s knowledge and skills.
enforce mandatory attendance at agency-specific training.
provide an ongoing review and audit of the EMS system.

Answer 4

“maintain

Question 5

Question 5
EMS as we know it today had its origins in 1966 with the publication of:
the Department of Transportation’s White Paper: Death and Dying.
Accidental Death and Disability: The Neglected Disease of Modern Society.
the Emergency Medical Services Act.
Emergency Care and Transportation of the Sick and Injured.

Answer 5

“Accidental Death and Disability: The Neglected Disease of Modern Society.”

Question 6

Question 6
EMT training in nearly every state meets or exceeds the guidelines recommended by the:
individual state’s EMS protocols.
National Association of EMTs.
National Registry of EMTs.
National Highway Traffic Safety Administration (NHTSA).

Answer 6

“National Highway Traffic Safety Administration (NHTSA).”

Question 7

Question 7
If an EMT candidate has been convicted of a felony or misdemeanor, he or she should:
send an official request to the National Registry of EMTs (NREMT) to seek approval to take the EMT exam.
wait at least 24 months before taking another state-approved EMT class.
contact the state EMS office and provide its staff with the required documentation.
recognize that any such conviction will disqualify him or her from EMT licensure.

Answer 7

“contact the state EMS office and provide its staff with the required documentation.”

Question 8

Question 8
Obtaining continuing medical education is the responsibility of the:
EMS training officer.
individual EMT.
EMS medical director.
State Bureau of EMS.

Answer 8

“individual EMT.”

Question 9

Question 9
The continuous quality improvement (CQI) process is designed to:
focus specifically on the quality of emergency care provided to the patient.
administer punitive actions to EMTs who do not follow local protocols.
ensure that all EMTs maintain licensure through the state EMS office.
identify areas of improvement and provide remedial training if needed.

Answer 9

“identify areas of improvement and provide remedial training if needed.”

Question 10

Question 10
The EMT certification exam is designed to:
provide EMTs with the best possible wage once certification is achieved.
ensure that EMTs are competent and have the same level of knowledge and skills.
identify those EMTs who are prepared for advanced levels of training.
rank EMTs based on performance on the certification exam.

Answer 10

“ensure that EMTs are competent and have the same level of knowledge and skills.”

Question 11

Question 11
The person who is responsible for authorizing EMTs to perform emergency medical care in the field is the:
shift supervisor.
field training officer.
EMS administrator.
medical director.

Answer 11

“medical director.”

Question 12

Question 12
The standards for prehospital emergency care and the individuals who provide it are typically regulated by the:
National Registry of EMTs.
regional trauma center.
American Heart Association.
state office of EMS.

Answer 12

“state office of EMS.”

Question 13

Question 13
Which of the following is an example of a primary prevention strategy?
The construction of a guardrail on a dangerous curve following a fatal motor vehicle crash
Teaching a group of new parents how to perform one- and two-rescuer infant CPR
Protecting a patient’s spine from further injury after a fall from a significant height
Community awareness programs that emphasize the dangers of drinking and driving

Answer 13

“Community awareness programs that emphasize the dangers of drinking and driving”

Question 14

Question 14
Which of the following scenarios involves the administration of ALS?
A 64-year-old patient who is given aspirin for suspected cardiac chest pain
A 61-year-old patient who is receiving humidified supplemental oxygen
A 48-year-old patient whose airway is secured with a supraglottic device
A 53-year-old patient who is assisted with his prescribed nitroglycerin

Answer 14

“A 48-year-old patient whose airway is secured with a supraglottic device”

Question 15

Question 15
Which of the following skills or interventions is included at every level of prehospital emergency training?
Intranasal medication administration
Automated external defibrillation
Oral glucose for hypoglycemia
Use of a manually triggered ventilator

Answer 15

“Automated external defibrillation”

Question 16

Question 16
Which of the following skills would a layperson most likely be trained to perform before the arrival of EMS?
Bleeding control using a tourniquet
Insertion of an oropharyngeal airway
Administration of supplemental oxygen
Obtaining a manual blood pressure

Answer 16

“Bleeding control using a tourniquet”

Question 17

Question 17
Which of the following statements regarding the EMS medical director and an EMT’s scope of practice is correct?
The EMS medical director can expand or limit an individual EMT’s scope of practice without state approval.
An EMT’s scope of practice may be expanded by the medical director after proper training and state approval.
An EMT’s scope of practice is exclusively regulated by the state EMS office, not the EMS medical director.
The EMS medical director can expand the EMT’s scope of practice but cannot limit it without state approval.

Answer 17

“An EMT’s scope of practice may be expanded by the medical director after proper training and state approval.”

Question 18

Question 18
Which of the following statements regarding the NREMT is correct?
The NREMT regulates EMS training standards.
The NREMT is a governmental agency that certifies EMTs.
The NREMT is the exclusive certifying body for EMTs.
The NREMT provides a national standard for EMS testing.

Answer 18

“The NREMT provides a national standard for EMS testing.”

Question 19

Question 19
Which type of medical direction do standing orders and protocols describe?
Online
Off-line
Radio
Direct

Answer 19

“Off-line”

Question 20

Question 20
Why are prehospital emergency care guidelines updated on a regular basis?
The federal government requires the implementation of changes to existing emergency care protocols at least every five years.
EMS providers should be encouraged to actively participate in research and become familiar with data analysis.
Statistical data indicate that an increasing number of people are being diagnosed with a particular illness.
Additional information and evidence indicate that the effectiveness of certain interventions has changed.

Answer 20

“Additional information and evidence indicate that the effectiveness of certain interventions has changed.”