Chapter 1-4

Question 1

Which of the following is the correct position of an EMT’s feet when lifting?

A. As wide apart as possible
B. Two feet apart
C. As close together as possible
D. Shoulder width apart

Answer 1

D. Shoulder width apart

Question 2

The National Registry of Emergency Medical Technicians (NREMT) was founded to establish which of the following?

A. Quality improvement and quality assurance programs for emergency medical services
B. National standards for emergency medical services personnel
C. An education curriculum for EMT course
D. Quality oversight of emergency medical services practices

Answer 2

B. National standards for emergency medical services personnel

Question 3

How far apart should your hands be when using a power grip?

A. 10 inches
B. 6 inches
C. 15 inches
D. 24 inches

Answer 3

A. 10 Inches

Question 4

Who assumes the ultimate responsibility for patient care rendered by the EMT?

A. Medical director
B. EMT
C. EMS supervisor
D. Director of quality assurance

Answer 4

A. Medical director

Question 5

You respond to a call at a park where you find a 550 pound patient who has fallen down a slope near a creek. As you and your partner discuss the situation, you decide to call a second unit of lifting assistance. Once the patient is on a stretcher, how would the additional two personnel help in this lift?

A. They would position themselves halfway up the slope to take over when you and your partner get fatigued
B. You place one person on each corner of the stretcher to balance the weight and share in the lifting.
C. You will place two persons at the head of the stretcher, one at the foot and to act as a spotter.
D. You will place two persons at the foot, one at the head, and the other to act as a safety anchor with a rope.

Answer 5

B. You place one person on each corner of the stretcher to balance the weight and share in the lifting.

Question 6

What level of emergency medical training provides the most advanced pre-hospital care?

A. Emergency Medical Technician
B. Emergency Medical responder
C. Advanced EMT
D. Paramedic

Answer 6

D. Paramedic

Question 7

The EMT’s obligation to provide care to a patient either as a formal or ethical responsibility is known as which of the following?

A. Legal responsibility
B. Duty to act
C. Scope of practice
D. Standard of care

Answer 7

B. Duty to act

Question 8

Which of the following is another name for an ambulance cot?

A. Scoop stretcher
B. Reeve’s stretcher
C. Wheeled ambulance stretcher
D. Stair chair

Answer 8

C. Wheeled ambulance stretcher

Question 9

Sharing information about a patient’s medical history with your neighbor after you hear a call on a radio scanner would constitute which of the following?

A. Violation of patient privacy
B. Breach of confidentiality
C. Libel
D. Slander

Answer 9

B. Breach of confidentiality

Question 10

You arrive on the scene of a 55 year old male patient. The patient’s wife called 911 because he is having chest pains. The patient is very angry with his wife for calling 911 because he states he only has heartburn and adamantly refuses any treatment or transport. After signing the patient refusal form, the patient collapses and goes into sudden cardiac arrest. The wife is crying uncontrollably and begging you to do something. What should you do?

A. Provide emergency care for the patient only if his wife signs a document stating they will not sue the EMS service.
B. Respect his legal right to not have nay treatment, regardless of how much the wife begs you to help.
C. Explain to the wife that her husband signed a legal document refusing care, and if you intervened to help him now, you would be breaking the law.
D. Provide emergency care under implied consent

Answer 10

D. Provide emergency care under implied consent.

Question 11

All of the following are ways that an EMT can increase both physical and mental well being except:

A. Drinking caffeine instead of alcohol
B. Following a regular walking regimen
C. Spending more time relaxing with friends and family
D. Eating more carbohydrates

Answer 11

A. Drinking caffeine instead of alcohol

Question 12

You respond to the report of an unconscious female patient. you can acquire important medical information about the patient through which of the following?

A. Medical history identifier
B. On call Medical Director
C. Driver’s license
D. Medical identification device

Answer 12

D. Medical identification device

Question 13

An EMT should consider wearing protective eyewear when caring for which of these patient’s?

A. A trauma patient who is covered in dirt, rocks, and other foreign debris
B. A patient who is actively coughing
C. A patient with a difficult to visualize scalp laceration
D. A patient who was sprayed with mace by police during arrest

Answer 13

B. A patient who is actively coughing.

Question 14

You respond to a laceration call. When you arrive on scene, you walk into the house and find a person suffering from a sever wrist laceration from a broken window. without thinking, you immediately grab the wrist and apply direct pressure to the wound. You then realize that, in your hurry to save a life, you forgot to put on your gloves. you look down to see your hand is covered in blood. When practical, you immediately wash your hand thoroughly. What is your next best action?

A. If your hands had no open wounds, it is not required to report the exposure as there is no risk of infection, and you could get in trouble at work for failure to follow policy.
B. Report the exposure incident because it is the law and you could be fined a large sum of money for failing to report the exposure.
C. Report the exposure so you can protect yourself from accidental infection
D. Report the exposure. Failure to report the exposure may result in you not receiving financial compensation for a potential line of duty injury.

Answer 14

C. Report the exposure so you can protect yourself from accidental infection.

Question 15

You and your new EMT partner arrive first on the scene of a single car rollover on the shoulder of a busy highway. You pull off in a safe location and just as you stop the ambulance, your partner throws the passenger door open, steps out of the truck, and begins jogging through the scattered debris toward the overturned car. You shout for him to stop and he looks back at you, but then continues to the vehicle and begins assessing the driver. Later, as you are restocking in the ambulance bay of the trauma center, your partner tells you that he thinks you acted unprofessionally by shouting at him. What is the best way to respond?

A. Shouting was an attempt to protect the EMT from a potentially unsafe scene
B. New EMT’s should expect partners to yell at them occasionally
C. The on-duty supervisor should be called.
D. An EMT should never hurry to assist a patient.

Answer 15

A. Shouting was an attempt to protect the EMT from a potentially unsafe scene.

Question 16

During which of these situations would the EMT be least likely to experience a body substance exposure?

A. Obtaining blood samples
B. Bandaging a laceration
C. Childbirth
D. Splinting a sprained ankle

Answer 16

D. Splinting a sprained ankle

Question 17

In which of the following situations is it legal to share information about treatment you provided to a patient?

A. The patient gives verbal consent to release information to a friend
B. The triage nurse at the emergency department asks about the care you provided to the patient
C. You are asked by a coworker who knows the patient
D. The patient’s lawyer requests the information over the phone

Answer 17

B. The triage nurse at the emergency department asks about the care you provided to a patient.

Question 18

Which of the following is the EMT’s primary responsibility at a secured crime scene?

A. Taking notes that may be needed during court testimony
B. Providing patient care
C. Preserving evidence
D. Identifying any potential suspects encountered at the scene

Answer 18

B. Providing patient care

Question 19

Which of the following has specific requirements for storing, accessing, and sharing patient information?

A. POLST
B. DNR
C. HIAPA
D. HIPAA

Answer 19

D. HIPAA

Question 20

What is not one of the common settings that an EMT may work in?

A. Rural/wilderness settings
B. Hospitals
C. Fire departments
D. Ambulance services

Answer 20

B. Hospitals

Question 21

A(n) _________ is a situation that may lead to an acute stress reaction.

A. Ongoing night shift
B. Abuse of alcohol
C. Injury of a coworker
D. routine call

Answer 21

C. Injury of a coworker

Question 22

Which of the following terms refers to a positive form of stress that helps people work when under pressure and respond effectively?

A. Eustress
B. Prostress
C. Distress
D. Unstress

Answer 22

A. Eustress

Question 23

When responding to the scene of a patient who was discovered to be unresponsive, not breathing, and without a pulse, family members state that the patient has been suffering from cancer for several years. One of his sons is cursing at you and your partner, saying that you are not moving fast enough. Which stage of grief is the patient’s son experiencing in response to his father’s death?

A. Anger
B. Acceptance
C. Depression
D. Denial

Answer 23

A. Anger

Question 24

Which of the following should you NOT do when reaching for something?

A. Avoid twisting
B. Avoid reaching more than 20 inches in front of your body.
C. Keep your back in a locked-in position
D. Prolong the reach for as long as necessary.

Answer 24

D. Prolong the reach for as long as necessary

Question 25

You are dispatched to a “man down” with no further information. As your unit arrives on scene, you see a crowd of bystanders looking at a man lying in an alleyway. The bystanders begin screaming to you, “Help him, he’s been shot! He’s bleeding real bad!” What would be the best course of action?

A. Dispatch law enforcement and wait until the scene is secure.
B. Load and go, because you’re already on scene.
C. Move bystanders aside because the patient will die without treatment
D. Tell law enforcement investigators to meet your unit at the ER.

Answer 25

A. Dispatch law enforcement and wait until the scene is safe

Question 26

You and another EMT are studying your local protocols. The other EMT notices that you may give oral glucose without utilizing on-line medical control, but you must get an on-line order from a physician before assisting a patient in taking his nitroglycerin for chest pain. The EMT asks you why some drugs require on-line medical control while others do not. What is the best answer to give him?

A. The physician does not trust EMT’s
B. Glucose in only sugar so it cannot hurt the patient
C. The physician wants to be sure it is appropriate for the patient.
D. The patient’s nitroglycerin might be expired.

Answer 26

C. The physician wants to be sure it is appropriate for the patient.

Question 27

Which of the following information may be important to law enforcement officers investigating a crime scene?

A. Your opinion of what happened before you arrived on scene
B. Your experience as an EMT
C. What route you took when responding to the scene
D. How you gained access to the scene

Answer 27

D. How you gained access to the scene

Question 28

Which of the following is another name for the squat lift position?

A. Power grip
B. Power lift
C. Direct carry
D. Weight lifter technique

Answer 28

B. Power lift

Question 29

The term body mechanics describes the proper use of your body to lift without injury. What are the three consideration to review before any lift?

A. The object, your limitations, and communication
B. Environment, physical limitations, and communication
C. The object patient injury, and communication
D. Equipment, patient injury, and communication

Answer 29

A. The object, your limitations, and communications

Question 30

Which of the methods listed below is best described as moving a patient from the floor to a stretcher by having two or more rescuers kneel, curl the patient to their chests, stand, and then reverse the process to place the patient on the stretcher?

A. Draw-sheet method
B. Direct carry
C. Power lift
D. Direct ground lift

Answer 30

D. Direct ground lift

Question 31

A fellow EMT is talking with the Medical Director at a staff meeting. The EMT states that the neighboring ambulance service is carrying special clotting bandages for serious bleeding wounds. The special bandages cost five times as much as the regular bandages, but the EMT claims they work ten times better. The EMT wants to eh Medical Director to approve the bandages for use in their ambulances. The Medical Director responds to the EMT by saying he will not approve the bandages until he can prove they are worth the additional cost. How can the EMT best prove the worth of the special bandages?

A. Call the manufacturer of the special bandage and request literature to give to the medical Director.
B. Perform a literature search to see what studies have been done on the special bandages and report the findings to the Medical Director
C. Order a small number of the special bandages and compare them side by side to the regular bandages.
D. Have a member of the other ambulance service call the Medical Director to provide firsthand information on how the special bandages are much better.

Answer 31

B. Perform a literature search to see what studies have been done on the special bandages and report the findings to the Medical Director.

Question 32

Which of the following is the form of stress that can cause immediate and long term problems with an EMT’s health and well being?

A. Megastress
B. Distress
C. Hypertropy
D. Eustress

Answer 32

B. Distress

Question 33

While treating a patient involved in a shooting at the patient’s vacation home, Which of the following actions will NOT interfere with the investigation of a crime scene?

A. Using the bathroom
B. Wearing gloves at the scene
C. Moving the patient
D. Using the patient’s phone

Answer 33

B. Wearing gloves at the scene

Question 34

Which of the following is a component of patient advocacy?

A. Granting patient wishes and not reporting spousal abuse to the authorities
B. Immobilizing the neck of a patient with a possible spinal injury
C. Building rapport with the patient during transport to the hospital
D. Providing oxygen to a patient that is short of breath.

Answer 34

C. Building rapport with the patient during transport to the hospital

Question 35

What is the minimum level of certification required of ambulance personnel responsible for direct patient care?

A. Emergency Medical Responder
B. Emergency Medical Technician
C. Emergency Ambulance Driver
D. Advanced EMT

Answer 35

B. Emergency Medical Technician

Question 36

You are on the scene of an “unknown medical” call. The patient is a 26 year old, 250 pound male patient who suddenly becomes violently angry. Everything you say to the patient only makes him angrier. Offended by your questions, he screams that he is going to “cut your tongue out” and hurries into the kitchen. What should you do?

A. tackle the patient before he can get a kitchen knife to stab you
B. Radio for police and then calmly walk out of the house, being sure to take all of your medical equipment.
C. Leave immediately to a safe area and then call for police assistance
D. Radio for police and relay to dispatch important scene information until they arrive.

Answer 36

C. Leave immediately to a safe area and then call for police

Question 37

Which of the following is a personal trait an EMT should demonstrate?

A. Strong student
B. Good eyesight
C. Self starter
D. Strong commnication

Answer 37

C. Self starter

Question 38

If the EMT is in doubt as to whether a patient in cardiac arrest should be resuscitated, which of the following is the best decision?

A. Have the patient’s family put their wishes in writing.
B. Consult with the patient’s physician.
C. Begin resuscitative measures
D. Withhold resuscitative measures.

Answer 38

C. Being resuscitative measure

Question 39

Which of the following is used to immobilize a patient with suspected spinal injury?

A. Long backboard
B. Basket stretcher
C. Portable stretcher
D. scoop stretcher

Answer 39

C. Portable stretcher

Question 40

Stretchers that are designed to carry obese patients weighing up to 800 pounds (or more) are called:

A. Hydraulic stretchers
B. Bariatric stretchers
C. Battery powered stretchers
D. Wheeled stretchers

Answer 40

B. Bariatric stretchers