Operations

Question 1

You are unable to immediately place a contaminated needle and syringe in a puncture-proof sharps container while in the back of the ambulance. What should you do?

Answer 1

Place the needle cover on a stationary surface and then slide the needle into the needle cover with one hand

Question 2

After numerous attempts to convince a conscious and alert 50-year-old man with chest pain to consent to EMS assessment, treatment, and transport, he continues to refuse your help. Prior to asking him to sign a refusal of treatment form, what should you do?

Answer 2

Ensure that he is made aware of your proposed treatment and the potential risks of his refusal

Question 3

You are transporting a woman with diabetes who was initially unresponsive but improved after the administration of 50% dextroes. The patient is now repeatedly asking you what happened. How should you respond to her questions?

Answer 3

Tell the patient what happened each time she asks

Question 4

Which of the following victim or bystander reactions would MOST likley escalate the stress associated with a mass-casualty incident?

Answer 4

Blind panic

Question 5

A woman called 9-1-1 when she saw her neighbor, a middle-aged man, pass out in his front yard.

Answer 5

Introduce yourself and ask the patient what happened

Question 6

While responding to a call for a patient who is in cardiac arrest, you approach an intersection in which you have a red light.

Answer 6

Stop to look for oncoming traffic, and then proceed cautiously

Question 7

Which of the following pieces of personal protective equipment will afford you the BEST protection against exposure to highly transmissable respiratory diseases?

Answer 7

N-95 respirator

Question 8

The paramedic fails to administer oxygen to a severely hypoxic patient.

Answer 8

Negligence and abandonment

Question 9

After numerous attempts to convince a conscious and alert 50-year-old man with chest pain to consent to EMS assessment

Answer 9

Ensure that he is made aware of your proposed treatment and the potential risk of his refusal

Question 10

Which of the following is an active intervention that helps prevent injury?

Answer 10

Routine use of seat belts when driving

Question 11

Which of the following requires immediate removal of an ambulance from service?

Answer 11

Brake fade

Question 12

You are transporting a woman with diabetes who was initially unresponsive but improved after the administration of 50% dextrose.

Answer 12

Tell the patient what happened each time she asks

Question 13

Which of the following actions demonstrates a paramedic’s knowledge of crime scene preservation?

Answer 13

Advising a law enforcement officer after moving a coffee table to access a critically injured patient

Question 14

Which of the following reasons would indicate that a medical director’s decision to remove a specific drug

Answer 14

Patient outcomes are worse when the specific drug is administered

Question 15

Which of the following is the MOST effective method for preventing the spread of disease?

Answer 15

Frequent hand-washing, especially in between patients

Question 16

While treating a patient with severe pain, the paramedic accidentally gives the patient 10 mg of morphine when he meant to give 5 mg.

Answer 16

Misfeasance

Question 17

Which of the following would provide the paramedic with the BEST protection from legal liability

Answer 17

Maintain a consistently high standard of care when treating all patients

Question 18

You are sittin in the front passenger seat of a small car assessing the driver after he struck a tree head-on.

Answer 18

Remain at least 20 inches from the passanger’s dashboard if possible

Question 19

You are responding to a call for an unconscious child. As you approach a four-way stop, you see a vehicle

Answer 19

Come to a complete stop, look to the left, and cautiously proceed

Question 20

What is the ultimate goal of any quality assurance program?

Answer 20

Ensure that high-quality care is consistently delivered

Question 21

An off-duty paramedic stops at the scene of a cardiac arrest on the highway.

Answer 21

The paramedic could be held liable for practicing medicine without a license

Question 22

Which of the following patients would benefit the MOST from air-medical transport?

Answer 22

Man who fell 20 feet and cannot feel or move his legs