Chapter 6 Revised

Question 1

Question and Answer Choices

Answer 1

Correct Answer

Question 2

An obese patient cannot ambulate and must be carried down several flights of stairs. Carrying the patient alone exceeds your physical​capabilities; however, your partner is very strong and physically fit. Which​statement, made by​you, indicates the best means to safely lift and move the patient as well as minimize the likelihood of either of you suffering an​injury?

A: ​”As long as I lean backward when moving​him, we will be​okay.”

B: ​”When we move​him, let’s go slowly down the​stairs.”

C: ​”We must call for assistance to get the patient from this​location.”

D: “​ When we go down the​steps, you take the​’head’ end and​I’ll carry the legs and go down the steps​first.” “

Question 3

When you must push an​object, it is important​to:

A: Push with your hands spread as far apart as you can

B: Keep your elbows straight and locked

C: Push from an overhead position

D: Push using muscles between your waist and your shoulders

Question 4

Which observation demonstrates that the Emergency Medical Technicians and Emergency Medical Responders are correctly using the stair​chair?

A: The wheels of the stair chair touch each and every step.

B: The stair chair is carried down the stairs with the chair tilted forward.

C: The patient is carried down the stairs feet first.

D: The stair chair slides down the stairs while tilted forward.

Question 5

When reaching forward to perform a log roll​procedure, the Emergency Medical Technician​should:

A: Reach no more than 30 inches

B: Keep the back flexed

C: Use the shoulder muscles

D: Lean from the waist YOU​

Question 6

One advantage of using the wheeled stretcher is given​below:

A: It can be adjusted to different positions or heights.

B: It rolls smoothly over rough terrain.

C: It cannot become unbalanced on a slope or rough terrain.

D: It can be safely moved by one Emergency Medical Technician with a patient on it.

Question 7

Which set of instructions would you give to a new Emergency Medical Technician who is preparing to use a squat lift to raise a patient secured to a​stretcher?

A: ​”Support yourself with your stronger leg and push up with your weaker ​one”

B: ​”Make sure that you push yourself up with your stronger​leg”

C: ​”Make sure to place your weaker leg slightly​back”

D: ​”Try not to use a power grip when performing the squat​lift”

Question 8

Under what type of transport situation is it very important for the Emergency Medical Services providers to ensure all blankets and equipment are either strapped or taped down securely prior to​transport?

A: When it is cold and windy outside

B: When transporting a patient to the hospital with lights and sirens

C: When transporting a patient by helicopter

D: When transporting a patient on a golf cart at a sports game from the playing field

Question 9

To improve your physical fitness and decrease the risk of injury when lifting and moving​patients, you should combine proper body mechanics​with:

A: Protein drinks

B: Proper nutrition

C: Vitamin supplements

D: Caffeine substitutes

Question 10

While teaching a continuing education class on the lifting and moving of​patients, which points would you constantly​emphasize?

A: Maintaining a normal inward curve in the lower back while moving patients or equipment

B: Lifting a patient or equipment should always occur with the wrists hyperextended

C: Keeping the legs straight while lifting any heavy object to the cot or into the ambulance

D: Do not rely on equipment to help you​lift, as the equipment often fails and results in patient injury

Question 11

A patient has fallen in their upstairs bathroom and is lying on the floor. Assessment indicates no life threats to the​airway, breathing, or​circulation; however, the patient does have​pain, deformity, and bruising to their right hip. In this​situation, the Emergency Medical Technician should recognize the need for which type of​move?

A: Passive

B: Urgent

C: Emergency

D: Nonurgent

Question 12

Which statement accurately describes the concept of body​mechanics?

A: Body mechanics refers to methods that promote using your body in the safest and most efficient way when moving objects or patients.

B: Body mechanics describes the personal maintenance of a proper weight and posture so that​on-the-job injuries are minimized.

C: Body mechanics refers to an exercise program designed to increase strength and prevent injuries when lifting or moving patients.

D: Body mechanics describes a process by which the EMT can gauge or estimate the type of injuries sustained in a traumatic incident.

Question 13

When lifting or moving any​patient, the Emergency Medical Technician must remember to primarily use the muscles of his or her:

A: Abdomen

B: Arms

C: Back

D: Legs

Question 14

When lifting the stretcher with a patient secured to it using the squat​lift, the Emergency Medical Technician must avoid which​action?

A: Bending over at the waist

B: Lifting with the thigh muscles

C: Maintaining a straight back

D: Contracting the abdominal muscles

Question 15

When carrying equipment in the right​hand, the Emergency Medical Technician​should:

A: Keep his or her back straight as best possible

B: Bend backward for counterbalance

C: Tilt his body to the right side

D: Lean to the left side for compensation

Question 16

When transferring a patient from a bed to a wheeled​stretcher, an Emergency Medical Technician uses proper body mechanics when he or​she:

A: Aligns his or her​shoulder, hips, and feet when moving the patient

B: Transfers the patient to the stretcher all at​once, not in stages

C: Primarily uses the muscles of his back to move the patient

D: Keeps his or her arms locked and the patient away from his or her body during the transfer

Question 17

In preparing the​schedule, you have been instructed to pair Emergency Medical Technicians​(EMTs) in a way that decreases the chance of injury when lifting and moving patients. Given this​directive, who would make the best partner for a tall and very strong​EMT?

A: A short and very strong EMT

B: A short and weaker EMT

C: A tall and weaker EMT

D: A tall and very strong EMT

Question 18

You and two other Emergency Medical Technicians​(EMTs) are preparing to move a patient down several flights of stairs using a stair chair. After assigning one rescuer to hold the chair at the head and another to hold the chair at the foot facing the​patient, you​should:

A: Assist the EMT at the​patient’s head

B: Direct movement from behind the EMT at the head

C: ​”Spot” by standing behind the EMT at the feet

D: Assist the EMT at the​ patient’s feet

Question 19

You have been asked to present a continuing education session on body mechanics and posture in order to prevent injuries to Emergency Medical Services providers. In your​presentation, you would advise the participants that proper posture is achieved when​your:

A: Body weight is evenly distributed over the thoracic spine when sitting

B: ​Ears, shoulders, and hips are vertically aligned when standing

C: Abdomen and buttocks are positioned slightly to the posterior when standing

D: ​Ears, shoulders, and feet are vertically aligned when sitting

Question 20

Your coworkers would like to purchase a scoop​(orthopedic) stretcher with some grant money. Before the purchase can be​authorized, you have been asked to inform the purchasing committee of how this piece of equipment will benefit the service as well as enhance patient care. Your response would​be:

A: ​”The scoop stretcher is considered the best device for patients with a possible spinal​injury.”

B: ​”The scoop stretcher is good for moving patients from confined​areas.”

C: ​”The scoop stretcher is much more comfortable than a wheeled​stretcher.”

D: ​”The scoop stretcher does not require straps to secure the​patient.”

Question 21

A patient has developed chest pain while working in his basement wood shop. After Emergency Medical Technicians​(EMTs) have assessed and provided care to the​patient, the chest pain​remains, although their vital signs are normal. To get them to the​ambulance, the EMTs must first go up a short flight of stairs from the basement to the first​floor, where the front door is located. Which action would be the safest for both the patient and​crew?

A: The two EMTs grasp the sides of the portable stretcher and move the patient up the stairs.

B: The patient is carried up the stairs on the stair chair feet​first, with the stronger EMT carrying the back of the device.

C: The patient carefully walks up the stairs under the watchful assistance of the EMTs.

D: The stronger of the EMTs takes the head of the portable​stretcher, and the EMTs carry the patient up the stairs head first.

Question 22

A small car and a tanker truck loaded with gasoline have collided. The car is lodged under the​tanker, the car engine is​smoking, and the threat of fire is significant. After being waved in by the fire​department, assessment reveals the patient to be unresponsive with a patent airway but breathing with difficulty at 8 times per minute. You have elected to perform a rapid extrication procedure. In caring for this​patient, your immediate action should be​to:

A: Immediately start positive pressure ventilation and place a vest immobilization device for extrication

B: Quickly obtain vital signs and then extricate the patient from the car

C: Rapidly extricate the patient and provide care away from the wreckage

D: Promptly open the airway and suction prior to moving the patient

Question 23

Kyphosis is best described as:

A: An exaggerated forward curvature of the thoracic spine

B: The exaggerated curvature of the lumbar spine

C: A distinct lateral curvature of the cervical spine

D: A pronounced lateral curvature of the thoracic spine

Question 24

You have been charged with writing a policy regarding reaching for equipment. In that​policy, you indicate that the maximum distance an Emergency Medical Technician should reach is no more​than:

A: One​arm’s length in front of her body

B: 30 inches in front of her body

C: 15 to 20 inches in front of her body

D: 10 to 12 inches in front of her body

Question 25

You are at the scene of a motorcycle accident on a rural road. The Emergency Medical Services​(EMS) captain has set up a landing zone and the local helicopter EMS agency has just​landed; the aircraft is still running with the main and tail rotors turning. Which observation would cause you to take immediate​action? A: The flight crew has exited the aircraft and is walking toward you while the main and tail rotor blades of the aircraft are still rotating. B: You see a new Emergency Medical Technician​(EMT) start walking toward the aircraft as if he or she is going to open a door. C: The patient was removed from the ambulance on the wheeled cot in anticipation of the flight crew arrival. D: The EMTs who will be helping to transfer the patient to the aircraft are removing their hats and sunglasses.

Question 26

You are trying to convince the equipment committee to purchase a hydraulic power cot. When discussing advantages of this device over a more traditional​stretcher, which point would you​emphasize? A: It will be easier to lift and lower when it is loaded with a patient. B: It is much​lighter, more​durable, and easier to maneuver. C: It enables one Emergency Medical Technician to safely move the​stretcher, freeing another for patient care. D: It is considered much safer for transporting a child car seat.

Question 27

What type of patient packaging and preparing for transport is likely the most dangerous for an Emergency Medical Technician involved in the​process? A: When preparing a patient for transport in an ambulance B: When helping a patient from the wheeled cot to the ED bed after arriving at the hospital C: When preparing to transport a motorcycle crash victim to the hospital D: When helping to package and transfer a patient to the helicopter with the flight crew

Question 28

An elderly patient is being cared for at home by family members and lies in a​hospital-type bed in the living room. After providing necessary​care, you prepare to move her from the bed to the stretcher. There is no mechanism that suggests a​head, neck, or spinal injury. Which method would be most appropriate in this​situation? A: Draw sheet method B: Direct lift C: Extremity lift D: Direct carry method

Question 29

You are caring for a young male patient who has overdosed on an unknown medication and has a decreased level of consciousness. When positioning the patient on the​stretcher, which instructions will you give to the Emergency Medical Responders assisting​you? A: ​"When you move him to the​stretcher, put him on his left​side." B: ​"When you put him on the​stretcher, elevate his head and​chest." C: ​"Place him in a supine position and then carefully elevate his​feet." D: ​"He will need to be positioned flat on his back when on the​stretcher."

Question 30

A patient must be removed immediately from a structure that is on the verge of collapse following an explosion. He is lying on the ground and dressed in shorts and a​T-shirt. You are by yourself and have no other supplies or equipment. Which type of move would be most appropriate in this​situation? A: The​armpit-forearm drag B: The extremity lift C: The pants drag D: The blanket drag

Question 31

After providing spinal motion restriction to an elderly female patient who fell in her​bathroom, you prepare to carry her down a flight of stairs on a backboard. Which verbal instructions would be most appropriate to give to your​partner? A: ​"Make sure to hold the board 6 inches from your body so that you get maximum​stabilization." B: ​"Let's have the patient hold onto the stair railing to prevent the board from getting off​balance." C: "​ I can take the head if you want the foot​end, and then we will carry her down the stairs feet​first." D: ​"It is best if we do not talk so that we can concentrate on safely moving her down the​stairs."

Question 32

You are correctly using the blanket drag to move a patient when​you: A: Place the patient in the blanket in a prone position and drag him toward you B: Secure the patient in a supine position and drag him feet first along the ground C: Place the patient in a blanket and drag him by grasping his forearms D: Secure the patient in a blanket and drag him head first toward you

Question 33

The safest and most efficient way of using your body to gain mechanical advantage​is: A: To call for backup B: The power lift C: Body mechanics D: To reduce the distance an object must be used

Question 34

You and your partner are preparing to move a trauma patient down a flight of stairs using a portable stretcher. As you begin the​move, a third Emergency Medical Technician​(EMT) shows up and asks to help. Which instructions would be most appropriate to ensure a safe move for both the patient and​crew? A: ​"Stand behind us at the top of the stairs and let us know if you see any​obstacles." B: ​"Please stand behind the EMT at the foot end and count steps for​her." C: ​"You can help by grasping the right side of the stretcher to keep it​balanced." D: ​"Come up and help me with the head​end, since most of the weight is​here."

Question 35

When an Emergency Medical Technician places their palm and all fingers in contact with the object being​lifted, they are using​the: A: Lock grip B: Power grip C: Squat grip D: Power lift

Question 36

Which patient is appropriately positioned for​transport? A: A​23-year-old pregnant woman in a supine position B: A hypotensive​48-year-old man in​Fowler's position C: An alert​67-year-old woman with nausea in a sitting position D: A critically injured​18-month-old child in a car seat

Question 37

You are moving a critically injured patient to a helicopter for rapid transport to a trauma center. The rotors are spinning so that the aircraft can immediately take off. As team​leader, which instruction would you​provide? A: "​ Let's get many people around the backboard so we can safely load the patient into the​aircraft." B: "​ Will someone please securely cover the​patient's eyes so that they are not struck with flying​dirt?" C: "​ I need someone to hold the IV bag in the air while we load so the patient continues to get IV​fluids." D: ​"Will someone please lay the O2 tank on the​patient's legs so he continues to get oxygen as we​load?"

Question 38

An Emergency Medical Technician​(EMT) would perform an urgent move​when: A: The patient is stable but has pain B: The scene contains an immediate threat to the patient and EMT C: The patient has a​life-threatening injury D: The patient exhibits no problems with the​airway, breathing, or circulation

Question 39

You have been called to assist a pediatric​physician, a pediatric​nurse, and a respiratory therapist in the transfer of a​2-week-old baby who is very sick. The baby is to be transferred in an isolette to a large metropolitan teaching hospital in a nearby​city, where specialized care can be provided. The isolette is secured to the​stretcher, and the stretcher is loaded into the ambulance. The​physician, nurse, and respiratory therapist will provide all patient care. Prior to departing the​hospital, it is essential that​you: A: Advise the family of the​baby's critical condition B: Disinfect the outside of the isolette C: Make sure the stretcher is secured in the ambulance D: Mix and prepare the medications needed for transport

Question 40

A large female patient has fallen in a parking lot between two cars. She must be moved on the backboard to the waiting​stretcher, which is located approximately 200 feet from your location. Four rescuers are present. How would they best be used to promote the safest movement of the​patient? A: Two at the​head, two at the​feet, with all rescuers using their right hand to carry the backboard B: One at the​head, two at the​feet, and the fourth to act as a spotter during the move C: The strongest person at the​head, and the other three at the foot end D: One at the​head, one at the​feet, and the other two on opposite sides on the backboard

Question 41

A large patient has been placed on the​stretcher, and you and your partner are preparing to raise the stretcher using the power lift. Which observation of your partner would cause you to pause the lift to correct his​technique? A: His hands are approximately 10 inches apart. B: Both feet are positioned closely together. C: Both feet are flat on the ground. D: Both feet are turned slightly outward.

Question 42

You and your partner have just been dispatched to the local​children's hospital to pick up the neonatal transport team and the neonatal isolette so that you can transport them to a small community hospital 2 hours away and retrieve a neonate who is in distress. While driving to the​children's hospital, which statement from your partner demonstrates he understands how to transport a patient with in an​isolette? A: ​"I realize that if​I'm driving to the community​hospital, I will not use the lights and​sirens." B: "​ I hate taking these types of transports because it is so boring having to sit in the front of the​ambulance." C: "​ If you are the one in the back with the transport team on our way back to the​children's hospital with the​patient, make sure you turn the heat up to the highest level so the neonate stays​warm." D: "​ Once we get to the​children's hospital, I will remove the wheeled cot so we can load the neonatal​isolette."

Question 43

Which position would be most appropriate for an alert and oriented patient complaining of shortness of​breath? A: Supine with the head elevated B: Prone C: Supine with the feet elevated D: Left lateral recumbent position