Chapter 3 Test Questions Flashcards

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1
Q

You arrive at the scene of a 34-year-old woman with abdominal pain. As you begin talking to the patient, she extends her arm to allow your partner to take her blood pressure. What type of consent is this patient’s action consistent with?

A. Implied consent

B. Informed consent

C. Passive consent

D. Expressed consent

A

D. Expressed consent

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2
Q

Which of the following information is not considered confidential?

A. Patient history

B. Treatment provided

C. Assessment findings

D. The time of dispatch

A

D. The time of dispatch

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3
Q

In which of the following situations would the AEMT have a legal duty to act?

A. At all times, whether you are on duty or off duty.

B. Arriving at a motor-vehicle crash outside your jurisdiction.

C. You initiate CPR on a young child outside of your jurisdiction.

D. Encountering a man in cardiac arrest while you are off duty.

A

C. You initiate CPR on a young child outside of your jurisdiction.

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4
Q

The manner in which you are required to act or behave while providing emergency care is called?

A. Duty to act.

B. Standard of care.

C. Scope of practice.

D. Local protocol adherence.

A

B. Standard of care.

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5
Q

A certified AEMT is a prehospital care provider who has:

A. Been granted permission to engage in emergency medical care.

B. Met certain predetermined standards to ensure safe and ethical practice.

C. Successfully completed a state-approved AEMT training program.

D. The authors to practice emergency medicine without physician oversight.

A

B. Met certain predetermined standards to ensure safe and ethical practice.

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6
Q

You and your team attempted to resuscitate a young male who hung himself in his garage. Despite your best efforts, the patient did not survive. When the medical examiner arrives at the scene, you should:

A. Advise the medical examiner that he or she cannot examine the body without your medical director’s permission.

B. Provide information to the medical examiner, such as the position in which the patient was found upon your arrival.

C. Allow the patient’s family to spend some time with the body before the medical examiner begins his or her duties.

D. Remove any airway adjuncts from the patient before the medical examiner begins his or her examination of the patient.

A

B. Provide information to the medical examiner, such as the position in which the patient was found upon your arrival

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7
Q

In most instances, a valid do not resuscitate (DNR) order must meet which of the following requirements?

A. It must be signed by a close relative.

B. It must be signed by at least three physicians.

C. It must be dated within the previous 24 months.

D. It must clearly state the patient’s medical condition.

A

D. It must clearly state the patient’s medical condition.

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8
Q

In most states, a minor can be treated as an adult for the purpose of consenting to emergency care and transport if he or she is:

A. In the armed forces.

B. At least 16 years old.

C. Living with his or her parents.

D. In possession of a valid driver’s license.

A

A. In the armed forces.

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9
Q

During transport of a patient with a possible fractured arm, you come upon a major car accident involving multiple patients. Your patient is responsive, alert, and has stable vital signs. What should you do?

A. Quickly triage the patient’s and wait for other ambulances to arrive at the scene.

B. Radio the dispatcher to send ambulances to the scene and continue transport.

C. Ask a bystander to stay with your patient as you and your partner begin triage.

D. Notify the dispatcher of the major accident once you have arrived at the hospital.

A

B. Radio the dispatcher to send ambulances to the scene and continue transport.

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10
Q

En route to the hospital, a diabetic patient regains consciousness. He tells you that he feels fine and that he does not want to go to the hospital. Under these circumstances, you should:

A. Cease further treatment and have the patient sign a release.

B. Assess whether the patient’s mental condition is impaired.

C. Tell that patient that once care is started it cannot be stopped.

D. Request that the police place the patient under protective custody.

A

B. Assess whether the patient’s mental condition is impaired.

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11
Q

While triaging patients at a multiple-casualty incident, you encounter a 40-year-old female with an obvious fracture of her right forearm and multiple abrasions to her face and arms. She is responsive and alert and does not appear to have any airway or breathing problems. You note that she is wearing an organ donor bracelet. You should:

A. Give her high-flow oxygen in order to keep her vital organs viable.

B. Apply a splint to her arm injury and continue triaging the other patients.

C. Assign her an appropriate triage category and move to the next patient.

D. Place her in a high-priority treatment category because of her donor status.

A

C. Assign her an appropriate triage category and move to the next patient.

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12
Q

In most states, the AEMT has a legal obligation to report:

A. Injury to a minor during a high school sporting event.

B. An older patient who fell in a nursing home bathroom.

C. A man who was shot during an attempt to rob a bank.

D. Inadvertent overdose by a patient with bipolar disorder.

A

C. A man who was shot during an attempt to rob a bank.

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13
Q

While treating a patient with severe hypoxia and inadequate breathing, an AEMT applies low-flow oxygen with a nasal cannula. Upon arrival at the hospital, the patient develops respiratory arrest. What is this situation an example of?

A. Abandonment.

B. Gross negligence.

C. Exceeding the scope of practice.

D. Following the current standard of care.

A

B. Gross negligence.

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14
Q

The absence of a pulse and breath sounds are not adequate in declaring death in patients who:

A. Also have rigor mortis.

B. Have terminal cancer.

C. Were acutely poisoned.

D. Have massive trauma.

A

C. Were acutely poisoned.

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15
Q

When establishing negligence, which of the following factors is not a consideration?

A. The patient’s injury was life threatening.

B. The AEMT deviated from the standard of care.

C. An injury occurred due to the AEMT’s actions.

D. The AEMT had a legal duty to act.

A

A. The patient’s injury was life threatening.

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16
Q

You arrive at the scene of a shooting. The patient, a young man, was shot in the head and has exposed brain matter. He is pulseless and apneic. What should you do?

A. Provide immediate treatment and transport.

B. Take necessary precautions not to disturb the scene.

C. Perform a thorough hands-on assessment of the patient.

D. Look for the weapon and turn it over to law enforcement.

A

B. Take necessary precautions not to disturb the scene.

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17
Q

Which of the following is your best protection against being accused of defamation of character?

A. Documenting objective findings only.

B. Not speaking with anyone regarding a call.

C. Reporting patient information only to a physician.

D. Documenting personal opinions in quotation marks.

A

A. Documenting objective findings only.

18
Q

When you arrive at an accident scene where a child has been seriously injured, you are unable to locate the child’s parents. What type of consent is involved in treating and transporting this child?

A. Actual

B. Implied

C. Expressed

D. Informed

A

B. Implied

19
Q

A male patient is reporting crushing chest pain. Prior to performing an invasive procedure on him, you must:

A. Ensure that he is responsive and alert.

B. Ask him if he has ever had such a procedure.

C. Carefully explain the procedure to the patient’s family.

D. Explain the risks and benefits of the procedure to the patient.

A

D. Explain the risks and benefits of the procedure to the patient.

20
Q

The Good Samaritan law is designed to afford legal protection for providers who:

A. Accept payment in exchange for providing care.

B. Provide good faith care while not on duty.

C. Exceed their respective scope of practice.

D. Act inconsistently with the standard of care.

A

B. Provide good faith care while not on duty.

21
Q

While treating a responsive patient with a serious illness, your partner starts an IV, but does not explain the procedure to the patient. Your partner’s inaction most accurately constitutes:

A. Assault.

B. Battery.

C. An unethical act.

D. Gross negligence.

A

B. Battery.

22
Q

You respond to the home of a 75-year-old man who is in cardiac arrest. The family states that the patient is terminally ill and has an advanced directive; however, they are unable to locate it. How should you manage this situation?

A. Begin CPR and contact medical control.

B. Honor the family’s wishes and call the coroner.

C. Initiate full resuscitative measures and transport promptly.

D. Allow the family to locate the document and then decide on further action.

A

A. Begin CPR and contact medical control.

23
Q

While treating a man with severe chest pain and difficulty breathing, you are presented with a valid do not resuscitate (DNR) order by the patient’s wife. She tells you that her husband does not want any “heroics.” How should you manage this situation?

A. Provide supportive care and transport the patient.

B. Obtain a signed refusal from the wife and return to service.

C. Provide no treatment and transport the patient to the hospital.

D. Be prepared to start CPR if the patient develops cardiac arrest.

A

A. Provide supportive care and transport the patient.

24
Q

You respond to a call for a 56-year-old man with a severe headache and nausea. He asks you to take him to a local community hospital. What type of consent has this patient given to you?

A. Expressed consent

B. Implied consent

C. Informed consent

D. Passive consent

A

A. Expressed consent

25
Q

An AEMT administers 1,000 mL of IV fluid to a patient with severe pulmonary edema and a stable blood pressure. The patient then develops profound respiratory distress and becomes apneic. What is this situation an example of?

A. Abandonment.

B. Gross negligence.

C. Exceeding the scope of practice.

D. Following the current standard of care.

A

B. Gross negligence.

26
Q

You respond to a call for a 16-year-old boy who injured his arm. As you are assessing the child, he tells you that he does not want you to touch him. His mother tells you to begin treatment and transport the child to the hospital if necessary. What should you do?

A. Determine if the child is mentally competent.

B. Ask the mother why she wants her son treated and transported.

C. Advise the mother that you cannot legally treat her child.

D. Continue your assessment and transport if necessary.

A

D. Continue your assessment and transport if necessary.

27
Q

Which of the following components is not required to establish negligence?

A. Breach of duty

B. Damages occurred

C. Abandonment

D. Duty to act

A

C. Abandonment

28
Q

Which of the following patients has the legal right to refuse treatment?

A. Confused 17-year-old male with hypoglycemia.

B. Disoriented 60-year-old male with a possible stroke.

C. Responsive and alert 45-year-old male with chest pressure.

D. Responsive and alert 15-year-old male with abdominal pain.

A

C. Responsive and alert 45-year-old male with chest pressure.

29
Q

When writing your patient care form involving an acutely intoxicated patient, you document that the patient was “drunk.” What does this statement constitute?

A. Libel

B. Slander

C. Negligence

D. Breach of confidentiality

A

A. Libel

30
Q

Under which of the following situations would the AEMT not have a legal duty to act?

A. Your ambulance responds to the scene of a drowning.

B. You initiate bleeding control of a man who was shot.

C. You are off duty and encounter a man in cardiac arrest.

D. You are dispatched to a call within your jurisdiction.

A

C. You are off duty and encounter a man in cardiac arrest.

31
Q

You respond to a call for an older woman who has fallen. Upon arrival at the scene, you assess the patient, who is responsive and alert to person, place, time, and event. She states that she does not want to go to the hospital; however, her son requests that you take her. What should you do?

A. Honor the son’s request and transport the patient to the hospital.

B. Treat the patient under the law of implied consent since she is older.

C. Contact law enforcement to determine if the patient is mentally competent.

D. Ensure the patient is fully aware of the consequences of refusing treatment.

A

D. Ensure the patient is fully aware of the consequences of refusing treatment.

32
Q

When treating an anxious and uncooperative patient with chest pain, you state “if you don’t settle down, I am going to put a large IV in your arm.” What is this an example of?

A. Libel

B. Slander

C. Assault

D. Battery

A

C. Assault

33
Q

You are not covered under the Good Samaritan law if you:

A. Perform an act beyond your scope of care.

B. Do not accept payment for providing care.

C. Avoid acts of willful and gross negligence.

D. Provide good faith care without causing harm.

A

A. Perform an act beyond your scope of care.

34
Q

For consent to be informed, the AEMT must:

A. Tell the patient where they are being transported.

B. Explain the risks and benefits of treatment.

C. Ensure the patient understands the potential costs.

D. Explain local EMS protocols to the patient.

A

B. Explain the risks and benefits of treatment.

35
Q

Which of the following scenarios most accurately depicts assault?

A. Starting an IV without the patient’s consent.

B. Telling a patient to calm down or you will start an IV.

C. Taking a patient’s blood pressure when they are refusing care.

D. Telling a violent patient what you may have to restrain him if necessary.

A

B. Telling a patient to calm down or you will start an IV.

36
Q

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

A. Preserve potential evidence.

B. Wait for a crime scene investigation team.

C. Contact medical control for guidance.

D. Provide emergency care to the patient.

A

D. Provide emergency care to the patient.

37
Q

You arrive at the scene where an older man inadvertently overdosed on his blood pressure medication. He is unresponsive with shallow respirations. The patient’s wife is unavailable. You should:

A. Attempt to contact the wife prior to initiating care.

B. Begin treatment and transport the patient to the hospital.

C. Treat the patient under the law of expressed consent.

D. Contact medical control and obtain permission to treat.

A

B. Begin treatment and transport the patient to the hospital.

38
Q

Which of the following defines your scope of practice within your local response area?

A. Local protocols and standing orders.

B. The US Department of Transportation.

C. The National Registry of EMT’s.

C. American Heart Association guidelines.

A

A. Local protocols and standing orders.

39
Q

Which of the following circumstances would require a written release of confidential information from the patient?

A. Communication with medical control about patient care issues.

B. Legally mandated reporting of incidents such as abuse and rape.

C. Family members wanting information about an adult patient.

D. Information required so that an insurance company can process a claim.

A

C. Family members wanting information about an adult patient

40
Q

An AEMT witnessed a call in which his partner gave adequate physical care; however, he was deliberately rude because the patient was thought to be infected with HIV. The AEMT ignored his partner’s treatment of this patient and took no steps to prevent this behavior from happening again. This lack of action on the part of the AEMT is considered:

A. Legal and ethical.

B. Legal but unethical.

C. Illegal but ethical.

D. Illegal and unethical.

A

B. Legal but unethical.