Chapter 1 - EMS Systems

Question 1

American Heart Association protocols are based on __________.

Select one:

A. trends in the EMS community
B. opinions from a core group of cardiologists
C. evidence-based research
D. theories ready for field trial

Answer 1

C. evidence-based research

Question 2

As an EMT, you may be authorized to administer aspirin to a patient with chest pain based on:

Select one:

A. the transport time to the hospital.
B. medical director approval.
C. an order from a paramedic.
D. the patient’s condition.

Answer 2

B. medical director approval.

Question 3

National guidelines for EMS care are intended to __________.

Select one:

A. facilitate a national EMS labor group
B. unify EMS providers under a single medical director
C. reduce expenses at the local and state levels
D. provide more consistent delivery of EMS care across the United States

Answer 3

D. provide more consistent delivery of EMS care across the United States

Question 4

Online medical control requires __________.

Select one:

A. the presence of an advanced-level provider
B. phone or radio contact with the medical director
C. a physician’s presence on the scene of the call
D. written protocols approved by medical control

Answer 4

B. phone or radio contact with the medical director

Question 5

Prehospital patient care decisions should be based on __________.

Select one:

A. an EMS agency’s fiscal resources
B. EMS research
C. the experiences of EMTs
D. the opinions of physicians

Answer 5

B. EMS research

Question 6

The ability to handle multiple tasks based on their priority is called __________.

Select one:

A. time management
B. patient empathy
C. integrity
D. patient advocacy

Answer 6

A. time management

Question 7

The ability to take appropriate action with little direction is known as __________.

Select one:

A. diplomacy
B. self-motivation
C. self-confidence
D. time management

Answer 7

B. self-motivation

Question 8

The ability to understand others and have them understand you is known as __________.

Select one:
A. communication
B. self-confidence
C. scene leadership
D. teamwork and diplomacy

Answer 8

A. communication

Question 9

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:

Select one:

A. EMS research.
B. regional trauma guidelines.
C. the lead EMT’s decision.
D. local protocols.

Answer 9

A. EMS research.

Question 10

The EMT is legally obligated to protect a patient’s privacy according to _____________.

Select one:

A. CQI
B. APGAR
C. HIPAA
D. DCAP

Answer 10

C. HIPAA

Question 11

What is an EMT’s primary service area?

Select one:

A. The area serviced by the EMT’s medical director
B. The main area in which the EMS agency operates
C. The only area the EMT is certified to provide patient care
D. The location where the EMT provides essential care during a 9-1-1 call

Answer 11

B. The main area in which the EMS agency operates

Question 12

What should an EMT do to limit errors in the field?

Select one:

A. Contact medical direction before initiating any treatments.
B. Follow the agency’s written protocols.
C. Deviate from established standards when necessary.
D. Carry an EMT text for reference at all times.

Answer 12

B. Follow the agency’s written protocols.

Question 13

Which of the following courses requires about 150 hours of training?

Select one:

A. EMT
B. AEMT
C. EMR
D. Paramedic

Answer 13

A. EMT

Question 14

Which of the following descriptions MOST accurately portrays emergency medical services (EMS)?

Select one:

A. 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

B. A team of paramedics and emergency physicians who are responsible for providing emergency care to critically injured patients

C. A team of health care professionals who are responsible for providing emergency care and transportation to the sick and injured

D. A vast network of advanced life support (ALS) providers who provide definitive emergency care in the prehospital setting

Answer 14

C. A team of health care professionals who are responsible for providing emergency care and transportation to the sick and injured

Question 15

Which of the following interventions is used by all levels of EMS providers?

Select one:

A. Automatic transport ventilators
B. Multilumen airways
C. Needle decompression
D. Automated external defibrillator

Answer 15

D. Automated external defibrillator

Question 16

Which of the following is a specific example of the Mobile Integrated Healthcare (MIH) model?

Select one:

A. EMTs assess a patient whose lung disease is “acting up”
B. The paramedic administers a patient’s flu vaccination
C. Paramedics pick up a patient from an acute care clinic
D. EMTs respond to a woman who complains of high fever

Answer 16

B. The paramedic administers a patient’s flu vaccination

Question 17

Which of the following statements regarding the Americans With Disabilities Act (ADA) of 1990 is correct?

Select one:

A. The ADA prohibits employers from failing to provide full and equal employment to those who are disabled.

B. The minimum number of hours required to successfully complete an EMT course is less for candidates who are disabled.

C. The ADA applies only to individuals with a diagnosed and well-documented physical disability.

D. According to the ADA, EMT candidates with a documented disability are exempt from taking the NREMT exam.

Answer 17

A. The ADA prohibits employers from failing to provide full and equal employment to those who are disabled.

Question 18

Which of the following statements regarding the NREMT is correct?

Select one:

A. The NREMT provides a national standard for EMS testing.

B. EMS training standards are regulated by the NREMT.

C. The NREMT is a governmental agency that certifies EMTs.

D. The NREMT is the exclusive certifying body for EMTs.

Answer 18

A. The NREMT provides a national standard for EMS testing.

Question 19

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 __________.

Select one:

a. the receiving nurse or doctor
b. the state motor vehicle department
c. your medical director
d. law enforcement personnel Incorrect

Answer 19

a. the receiving nurse or doctor

Question 20

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 __________.

Select one:

A. abuse of authority
B. patient advocacy
C. scope of practice
D. undue hardship

Answer 20

B. patient advocacy