post test 1

Question 2

According to the National EMS Scope of Practice Model, an EMT would require special permission from the medical director and the state EMS office to:

Answer 2

a peripheral intravenous catheter

Question 3

EMR’s such as firefighters , law enforcement officer’s, and park rangers are an integral part of the EMS system because:

Answer 3

they often arrive at the scene before the ambulance and EMT’s

Question 4

EMT training in nearly every state meets or exceeds the guidelines recommended by the:

Answer 4

National Highway Traffic Safety Administration (NHTSA)

Question 5

The ___ deals with the well-being of the EMT, career progression, and EMT compensation.

Answer 5

human resources department

Question 6

The person who is responsible for authorizing EMT’s to perform emergency care in the field is the:

Answer 6

medical director

Question 7

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

Answer 7

The paramedic administers a patient’s flu vaccination

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

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

Answer 10

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

Question 11

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

Answer 11

Accidental Death and Disability: The Neglected Disease of Modern Society

Question 12

The determination that prompt surgical care in the hospital is more important than preforming time-consuming procedures in the field on a major trauma patient is based mostly on:

Answer 12

EMS research

Question 13

The standards for prehospital emergency care and the individual who provide it are typically regulated by the:

Answer 13

state office of EMS

Question 14

Which of the following skills or interventions is included at every level of prehospital emergency training?

Answer 14

automated external defibrillation

Question 15

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

Answer 15

off-line

Question 16

Which of the following statements regarding the different stages of the grieving process is correct?

Answer 16

The stages of the grieving process might occur simultaneously

Question 17

Which type of stress reaction occur when an EMT is exposed to many insignificant stressors order a period of several months or years?

Answer 17

Cumulative stress reaction

Question 18

While trying to make a family member feel better after a loved one has died, your partner states, “ I know how you are feeling.” The family members might view this as:

Answer 18

your partners attempt to diminish their grief

Question 19

You and your partner respond to the residence of a 66 yr old male with shortness of breath. As you are assessing the patient, his wife tells you that he was recently diagnosed with lung cancer. The patient is verbally abusive and tells you that failure of the healthcare system caused his disease. which stage of the grieving process is this patient’s behavior consistent with?

Answer 19

Anger

Question 20

You are transporting an elderly woman who has possibly experienced a stroke. She is obviously scared but is unable to talk and cannot move the entire right side of her body. In addition to providing the medical care that she needs, you should:

Answer 20

acknowledge that she is scared and tell her that you will take good care of her

Question 21

You arrive at the scene of a domestic violence situation. As you approach the doorway of the apartment, you hear screaming and the statement, “ He has a gun!”. Your most appropriate action should be:

Answer 21

seek a safe place and request law enforcement assistance

Question 22

Your partner , a veteran EMT with whom you have worked regularly for the past four years, seems unusually agitated during a call involving an elderly patient. Upon arrival back at your station, you note the obvious smell of alcohol on his breath. What should you do?

Answer 22

discreetly report your suspicions to your supervisor

Question 23

Carbon monoxide blocks the ability of the blood to oxygenate the body because it:

Answer 23

binds with the hemoglobin in red blood cells

Question 24

If you are exposed to a patient’s blood or other bodily fluid, your first action should be to:

Answer 24

transfer care of the patient to another EMS provider

Question 25

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

Answer 25

when patient’s are actively being assessed or treated

Question 26

Which of the following signs would indicate that your partner is experiencing significant stress?

Answer 26

isolation from the rest of the crew

Question 27

While providing care to a patient, blood got onto the ambulance stretcher. Because the stretcher was not properly cleaned afterwards, a virus was transmitted to another emergency medical technician (EMT) several days later. Which route of transmission does this scenario describe?

Answer 27

indirect contact

Question 28

You are transporting a veteran whose legs were amputated in the war. When calling your radio report to the emergency department, which of the following words be the most appropriate to use when describing the patient?

Answer 28

disabled

Question 29

Common question asked by patients with a serious illness or injury include all of the following, except:

Answer 29

“Which hospital am I going to?”

Question 30

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

Answer 30

location of the call

Question 31

During your monthly internal quality improvement (QI) meeting, you receive several patient care reports (PCRs) with the staff of your EMS system. You identify the patient’s name, age, and sex, and then discuss the treatment that was provided by the EMTs in the field. By taking this approach to the QI process, you:

Answer 31

are in violation of HIPPA because you did not remove the PHI from the PCR beforehand

Question 32

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

Answer 32

it was not preformed, according to the eyes of the law

Question 33

In which of the following circumstances can the EMT legally release confidential patient information?

Answer 33

the patient is competent and signs a release form

Question 34

In which of the following situations does a legal duty to act clearly exist?

Answer 34

a call received 15min prior to shift change

Question 35

Shortly after you load your patient, a 50 yr old man with abdominal pain, into the ambulance, he tells you that he changed his mind and does not want to go to the hospital. The patient is conscious and alert and has no signs of mental incapacitation. You are suspicious that the man has a significant underlying condition and feel strongly that he should go to the hospital. Which of the following statements regarding the situation is correct?

Answer 35

A mentally competent adult can withdraw his or her consent to tret at any time

Question 36

When caring for a 65 yr old male with respiratory distress, you place him in a comfortable position but do not apply oxygen. The patient’s condition continues to deteriorate: He develops cardiac arrest and dies at the hospital. This scenario is an example of:

Answer 36

negligence

Question 37

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 37

begin resuscitation at once

Question 38

When is forcible restraint permitted?

Answer 38

When the patient poses a significant threat to self or others

Question 39

When preforming his or her duties, the EMT is generally expected to:

Answer 39

exercise reasonable care and act prudently

Question 40

Where would you most likely find information regarding a patient’s wishes to be an organ donor?

Answer 40

driver’s license

Question 41

Which of the following components are needed to prove negligence?

Answer 41

Duty to act, breach of duty, injury/damages, and causation

Question 42

Which type of consent is involved when a 39 yr old, mentally competent female with a severe headache asks you to take her to the hospital?

Answer 42

expressed

Question 43

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

Answer 43

continue transporting your patient and notify the dispatcher of the crash

Question 44

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 44

contact medical control and notify them of the error

Question 45

You and your partner arrive at the scene of a major vehicle crash. The driver, a young male, is severally entrapped in his car. He has an open head injury and massive facial trauma. He is unresponsive, not breathing, and does not have a palpable carotid pulse. You should:

Answer 45

have your partner check for a pulse to confirm that the patient is deceased

Question 46

You are dispatched to a middle school for a 16 yr old female experiencing an asthma attack. She is conscious and alert but in severe respiratory distress. The school nurse informs you that she has tried several times to contact the patient’s parents but has not been successful. You should:

Answer 46

provide treatment up to your level of training and transport the child at once

Question 47

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 47

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

Question 48

You are dispatched to an office building for a 49 yr old male with chest pain. When you arrive at the scene, you find the patient to be conscious and alert but in obvious pain. He tells you that he did not call 911; a coworker did. He further states that he does not want to be treated or transported to the hospital. You should:

Answer 48

ensure that he is aware of the risks of refusing medical care

Question 49

You are dispatched to the residence of a person who frequently calls 911 for nonemergency care. You should:

Answer 49

ask the dispatcher to send law enforcement before you respond

Question 50

Despite your numerous, sincere efforts to convince a 40 yr 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 50

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

Question 51

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

Answer 51

using 10 codes to ensure radio traffic confidentially

Question 52

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

Answer 52

gives an oral report to the emergency room physician or nurse

Question 53

When obtaining patient orders from a physician via a two-way radio, it is important to remember that:

Answer 53

the physician’s instructions are based on the information you provide

Question 54

When you are communicating with an older patient, it is important to remember that:

Answer 54

most older people think clearly and are capable of answering questions

Question 55

Which of the following has the weakest transmission signal and, as a result, is least likely to be heard by the party being called?

Answer 55

handheld portable radio

Question 56

Which of the following statements is not appropriate to document in the narrative section of a PCR?

Answer 56

“general impression revealed that the patient was intoxicated.”

Question 57

Which of the following statements regarding standing orders is correct?

Answer 57

standing orders should be followed when physician contact is not possible

Question 58

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 58

follow locally established protocols or standing orders

Question 59

You are assessing a 75 yr old woman with mild shortness of breath. As you are asking her questions about her chief complaint and medical history, you progressively move closer to her. In doing this, it is important to remember that.

Answer 59

as you physically get closer to the patient, a greater and greater sense of trust must be established

Question 60

A 4 yr old boy had an apparent seizure. He is conscious and calm and is sitting on his mother’s lap. His father is sitting in a nearby chair. The child’s mother suddenly begins crying uncontrollably, which causes the child to start crying. You should:

Answer 60

ask the father to hold the child so you can assess him while your partner tries to calm the mother

Question 61

After delivering your patient to the hospital, you sit down to complete the handwritten PCR. When documenting the patients last blood pressure reading, you inadvertently write 120/60 instead of 130/70. To correct this mistake, you should:

Answer 61

Draw a single horizontal line through the error, initial it, and write the correct data next to it

Question 62

During your assessment of a w0 yr old man with a severe headache and nausea, you ask him when his headache began, but he does not answer your question immediately. You should:

Answer 62

Allow him time to think about the question and respond to it

Question 63

Information included in a radio report to the receiving hospital should include all of the following, except:

Answer 63

A preliminary diagnosis of the patients problem

Question 64

Medical control gives you an order that seems inappropriate for thr patients condition. After confirming that your heart the physician correctly, you should:

Answer 64

Advise the physician that the order is unclear and ask for clarification

Question 65

A newborn has four anatomic abnormalities of the heart. What prefix is used to describe this?

Answer 65

Tetra-3

Question 66

A patient has bilateral femur fractures. This means that:

Answer 66

Both femurs are fractured

Question 67

A patient has kidney disease that is causing him severe pain. What condition does he have and what would be administered for his pain?

Answer 67

Nephropathy; analgesic

Question 68

A patient lacerated the dorsal aspect of his hand. This means that the injury is:

Answer 68

On the back of the hand

Question 69

A proximal humeral fracture is one that is located:

Answer 69

At the upper part of the humerus

Question 70

A trauma patient has a gunshot wound to the left side of the chest, away from the nipple line. How should the injury location be described?

Answer 70

Anterolateral

Question 71

A woman amputated the tip of her finger. Which directional term should br used to describe her injury location?

Answer 71

Distal