Chapter 1 Quiz 1

Question 1

According to the National EMS Scope of Practice Model, an EMT should be able to:
Correct!

Answer 1

assist a patient with certain prescribed medications

Question 2

An EMS provider who has extensive training in various aspects of advanced life support (ALS) is called a(n):

Answer 2

paramedic.

Question 3

Cardiac monitoring, pharmacologic interventions, and other advanced treatment skills are functions of the:

Answer 3

paramedic

Question 4

EMS as we know it today had its origins in 1966 with the publication of:

Answer 4

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

Question 5

If an EMT candidate has been convicted of a felony or misdemeanor, he or she should:

Answer 5

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

Question 6

Obtaining and tracking continuing medical education is the responsibility of the:

Answer 6

individual EMT.

Question 7

The person who is responsible for authorizing EMTs to perform emergency medical care in the field is the:

Answer 7

medical director

Question 8

Which of the following skills would a layperson most likely be trained to perform before the arrival of EMS?

Answer 8

Bleeding control using a tourniquet

Question 9

Which of the following statements regarding the EMS medical director and an EMT’s scope of practice is correct?

Answer 9

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

Question 10

Which type of medical direction do standing orders and protocols describe?

Answer 10

Off-line

Question 11

Why are prehospital emergency care guidelines updated on a regular basis?

Answer 11

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

Question 12

After assessing a patient’s blood glucose level, you accidentally stick yourself with the contaminated lancet. You should:

Answer 12

report the incident to your supervisor after the call.

Question 13

A positive TB skin test indicates that:

Answer 13

you have been exposed to TB.

Question 14

As an EMT, it is important to remember that the signs and symptoms of cumulative stress:

Answer 14

might not be obvious or present all the time.

Question 15

Characteristics of eustress following dispatch to a high-speed motor vehicle collision may include:

Answer 15

increased self-image from performing well under a challenging situation.

Question 16

Critical incident stress management (CISM) can occur at an ongoing scene in all of the following circumstances, except:

Answer 16

when patients are actively being assessed or treated.

Question 17

Gloves, a mask, eye protection, and a face shield should be used:

Answer 17

when performing endotracheal intubation

Question 18

Physiologic manifestations of stress include:

Answer 18

perspiration, increased blood glucose levels, and dilated pupils.

Question 19

Prescription glasses do not provide adequate eye protection because they:

Answer 19

offer little or no side protection.

Question 20

The simplest, yet most effective method of preventing the spread of an infectious disease is to:

Answer 20

wash your hands in between patient contacts.

Question 21

Vector-borne transmission of an infectious organism occurs via:

Answer 21

animals or insects

Question 22

Acting in such a way as to make another person fear immediate bodily harm is called:

Answer 22

assault

Question 23

All of the following are considered to be protected health information (PHI), except:

Answer 23

patient history

Question 24

An EMT would most likely be held liable for abandonment if he or she:

Answer 24

did not make provisions for continued care of an injured patient.

Question 25

A patient regains consciousness en route from his office to the emergency department. The patient tells you that he feels fine and does not want to go to the hospital. Under these circumstances, you should

Answer 25

assess whether the patient’s mental condition is impaired

Question 26

As an EMT, the performance of your duties will be compared to that of:
Correct!

Answer 26

another EMT.

Question 27

For a do not resuscitate (DNR) order to be valid, it must:

Answer 27

clearly state the patient’s medical problem

Question 28

If an action or procedure that was performed on a patient is not recorded on the written report:
Correct!

Answer 28

it was not performed, according to the eyes of the law.

Question 29

In many states, a minor may be treated as an adult for the purpose of consenting to or refusing medical treatment if the minor:

Answer 29

is self-supporting and lives by him- or herself.

Question 30

In the eyes of the courts, an incomplete or untidy patient care form indicates:

Answer 30

inadequate patient care was administered.

Question 31

When faced with a situation in which a patient is in cardiac arrest and a valid living will or DNR order cannot be located, you should:

Answer 31

begin resuscitation at once.

Question 32

When you and your partner arrive at the residence of a man in cardiac arrest, you immediately recognize the patient as the drunk driver who killed your brother several years earlier. A backup ambulance is en route to the scene. You should:

Answer 32

begin two-rescuer CPR and apply the AED as soon as possible.

Question 33

Which of the following most accurately defines negligence?

Answer 33

Deviation from the standard of care that might result in further injury

Question 34

Which of the following patients has decision-making capacity and can legally refuse emergency medical treatment?

Answer 34

A conscious and alert woman with severe abdominal pain

Question 35

Which of the following scenarios most accurately depicts abandonment?

Answer 35

A paramedic transfers patient care to an EMT.

Question 36

While transporting a stable patient with chest pain to the hospital, you come across a major motor vehicle crash involving several critically injured patients. You should:

Answer 36

continue transporting your patient and notify the dispatcher of the crash.

Question 37

While transporting a woman with diabetes, you inadvertently give her oral glucose even though her blood glucose level was high. You reassess the patient and note that her condition did not change; she remained stable. You should:

Answer 37

contact medical control and notify them of the error.

Question 38

You and your partner are the first to arrive at a potential crime scene with a critically injured patient involved. The scene is safe. Your first priority is to:

Answer 38

provide immediate patient care.

Question 39

You are dispatched to an apartment complex to respond to a shooting. Law enforcement personnel are present and have the suspect in custody. You find the patient lying in a narrow space between the couch and coffee table of his small apartment. He is semiconscious and has a large gunshot wound to his chest. You should:

Answer 39

quickly move the coffee table so you can access and treat the patient.

Question 40

You arrive at the scene of an apparent death. When evaluating the patient, which of the following is a definitive sign of death?

Answer 40

Dependent lividity

Question 41

After being dispatched on an emergency call, you should expect the dispatcher to provide you with all of the following information, except:

Answer 41

the general geographic location of the incident.

Question 42

After receiving online orders from medical control to perform a patient care intervention, you should:

Answer 42

repeat the order to medical control word for word.

Question 43

Any radio hardware containing a transmitter and a receiver that is located in a fixed location is called a:

Answer 43

base station.

Question 44

A patient’s refusal of EMS treatment and/or transport must be:
Correct!

Answer 44

an informed refusal.

Question 45

A ___________ receives messages and signals on one frequency and then automatically retransmits them on a second frequency.

Answer 45

repeater

Question 46

At the scene of a motor vehicle crash, you determine that there are two critically injured patients and that another ambulance is needed. You attempt to contact the dispatcher with your portable radio but are unsuccessful. You should:

Answer 46

use the mobile radio in the ambulance to contact dispatch.

Question 47

Despite your numerous, sincere efforts to convince a 40-year-old man to consent to EMS treatment and transport, he refuses. After explaining the potential consequences of his refusal and determining that the patient has decision-making capacity, you ask him to sign an EMS refusal form, but he refuses to do that as well. You should:

Answer 47

ask a family member, law enforcement officer, or bystander to sign the form verifying that the patient refused to sign.

Question 48

Ethnocentrism is defined as:

Answer 48

considering your own cultural values as more important when interacting with people of a different culture

Question 49

General guidelines for effective radio communications include all of the following, except:

Answer 49

using 10 codes to ensure radio traffic confidentiality.

Question 50

Medical control gives you an order that seems inappropriate for the patient’s condition. After confirming that you heard the physician correctly, you should:

Answer 50

advise the physician that the order is unclear and ask for clarification.

Question 51

The official transfer of patient care does not occur until the EMT:

Answer 51

gives an oral report to the emergency room physician or nurse.

Question 52

Which of the following is not a function of the Federal Communications Commission (FCC)?

Answer 52

Maintaining communications equipment on the ambulance

Question 53

Which of the following statements regarding a patient refusal is correct?

Answer 53

A mentally competent adult has the legal right to refuse EMS care and transport.

Question 54

Which of the following statements regarding standing orders is correct?

Answer 54

Standing orders should be followed when physician contact is not possible.

Question 55

Which type of communications equipment functions as a radio receiver and searches across several frequencies?

Answer 55

Scanner

Question 56

You and your partner are attempting to resuscitate a middle-aged female in cardiac arrest. Because of the remote geographic location, you are unable to contact medical control. What should you do?

Answer 56

Follow locally established protocols or standing orders.

Question 57

A 5-year-old boy has fallen and has a severe deformity of the forearm near the wrist. He has possibly sustained a fracture of the ____________ forearm.

Answer 57

distal

Question 58

A diabetic patient has polydipsia. This means that she:

Answer 58

is excessively thirsty.

Question 59

A patient has fractured both femurs. Anatomically, these injuries would be described as being:

Answer 59

bilateral

Question 60

Enlargement of the liver is called:

Answer 60

hepatomegaly

Question 61

The term “pericardiocentesis” means:

Answer 61

The term “pericardiocentesis” means:

Question 62

The topographic term used to describe the location of body parts that are closer toward the midline of the body is:

Answer 62

medial

Question 63

The topographic term used to describe the parts of the body that are nearer to the feet is:

Answer 63

inferior

Question 64

After applying a tourniquet, the injury from a patient’s leg stops bleeding. This is called:

Answer 64

hemostasis

Question 65

An intoxicated 40-year-old male is found lying face down. How would you document his body’s position?

Answer 65

Prone

Question 66

A patient in a semi-reclined position with the head elevated to facilitate breathing is in the ___________ position.

Answer 66

Fowler

Question 67

A patient with a pneumothorax has unilateral chest expansion. This means that:

Answer 67

only one side of his chest rises when he inhales.

Question 68

In relation to the chest, the back is:

Answer 68

posterior

Question 69

Hazards that are associated with a structural fire include all of the following, except:

Answer 69

carbon dioxide deficiency.

Question 70

you use a waterless handwashing substitute in the field, it is important to:
Correct!

Answer 70

wash your hands with soap and water at the hospital if they have visible blood or body fluid on them