Quiz 1, 3, 4 Flashcards
Which type of consent must be used by the EMT when seeking to treat a mentally competent adult?
Expressed consent
The administration of oxygen and the application of spinal immobilization are part of which of the following for the EMT?
Scope of practice
Your patient is a 40-year-old known diabetic who was found unconscious at work by a coworker. What type of consent allows you to treat this patient?
implied consent
You respond to a middle school for a 12-year-old male patient who has been hit by a car. You get consent to treat the patient from the school principal. What concept allows the principal to speak for the parents?
in loco parentis
You arrive on the scene of a 55- year old male patient. The patient’s wife called 911 because he is having chest pains. The patient is very angry with his wife for calling 911 because he states he only has heartburn and adamantly refuses any treatment or transport. After signing the patient refusal form, the patient collapses and goes into sudden cardiac arrest. The wife is crying uncontrollably and begging you to do something. What should you do?
Provide emergency care under implied consent.
Your patient is a 45-year-old man who is suffering from chest pain. Upon arrival, the patient is pale, sweaty, and seems short of breath. The patient is angry with his daughter for calling 911. He says that he had some spicy sausage for breakfast and has indigestion. what is your first response?
Try to find out why the patient does not want to go to the hospital.
Which of the following is a personality trait rquired of EMTs?
controls of personal habits.
Which of the following refers to a program or process for evaluating and improving the effectiveness of an EMS system?
quality improvement
Which of the following groups is credited with developing the earliest documented emergency medical serivce
The French
22) Which of the following is a personality trait required of EMTs?
A) Ability to lift and carry 125 pounds
B) Awareness of problems with color vision
C) Ability to dominate the patient
D) Control of personal habits
D) Control of personal habits
What is not one the common setting that an EMT may work in
a) ambulance services
b) hospitals
c) rural/ wilderness settings
d) fire departments
b) hospitals
28) You have just come on duty. The EMT on the previous shift complains to you that the QI manager was giving him grief because he did not document three sets of vital signs on the patient record. The EMT is angry and does not understand why documenting three sets of vital signs is so important. What is the best answer you could give him?
A) Vital signs are something you have to fill out because the state requires it.
B) The recording of three sets of vital signs demonstrates that you were trending the patient’s condition.
C) It is important you show the QI manager that you are a team player.
D) The report looks better when all the boxes are filled out.
B) The recording of three sets of vital signs demonstrates that you were trending the patient’s condition.
Centralized coordination of emergency medical access, transportation, and care most refers to which of the following
a)emergency preparedness plan
b) trauma system
c) resource management
d) central deployment
Resource management
If the EMT is in doubt as to whether a patient in cardiac arrest should be resuscitated, what is the best decision?
begin resuscitative measures
You respond to a bus accident with multiple patients. As you arrive at the scene, you are approached by a local politician who states that his wife has been involved. He tells you that if you will take care of her first, he will ensure that you get the promotion you are up for. This becomes what type of decision for you as an EMT?
ethical
While treating a patient involved in a shooting at the patient’s vacation home, what action may interfere with the investigation of a crime scene?
using the patients phone, using the bathroom, moving the patient
what information may be important to law enforcement officers investigating a crime scene
how you gained access to the scene
After delivering a patient to the emergency, you discuss with hospital staff the details of your care and ask for suggestions to improve your care. This is an example of you role in which of the following.
Quality improvement
34) The application of oxygen for a patient who is short of breath without having to contact the physician in the emergency department is an example of which of the following?
A) On-line medical direction
B) Standards of care
C) Standing orders
D) Breach of duty
C) Standing orders
5) Which of the following BEST describes a list of steps the EMT should perform while assessing and managing emergency medical situations?
A) Standing orders
B) On-line medical direction
C) Protocols
D) Standard operating procedures
C) Protocols
37) You and another new EMT are studying your local protocols. The other EMT notices that you may give oral glucose without utilizing on-line medical control, but you must get an on-line order from a physician before assisting a patient in taking his nitroglycerin for chest pain. The EMT asks you why some drugs require on-line medical control while others do not. What is the best answer to give him?
A) Glucose is only sugar so it cannot hurt the patient.
B) The physician does not trust EMTs.
C) The patient’s nitroglycerin might be expired.
D) The physician wants to be sure it is appropriate for the patient.
D) The physician wants to be sure it is appropriate for the patient.
38) You respond to a 35-year-old male patient who fell 50 feet from a bluff. Your authority to provide emergency care is an extension of the Medical Director’s license to practice medicine. You are acting as a(n) ________ of the Medical Director.
A) subordinate
B) employee
C) designated agent
D) extension
C) designated agent
You are treating an elderly male patient in the back of your ambulance. En route, the patient becomes unresponsive. Upon arrival, the ED nurse ask you several questions about his condition what should you do?
you should answer her questions because you may legally share the patient’s medical condition with other pertinent health care providers
What best describes the evel of EMS training that emphasizes activation of the EMS systems and provides immediate care for life-threatening problems?
a)cardiac care responder
b) emergency medical responder
c)emergency medical dispatcher
d) EMT
b) emergency medical responder
What best describes the level of EMS training that emphasizes use of advanced airway devices and some prehospital medication administration
a) paramedic
b) advanced EMT
c)Emergency medical responder
d) EMT
b) advanced EMT
Upon arrival at the hospital, the EMT advises hospital personnel of the patient’s condition, observations from the scene, treatment rendered, and other patient data to assure continuity of care. This process is known as which of the following
a) breach of duty
b) definitive care
c) patient advocacy
d) transfer of care
d) transfer of care
which of the following best describes a person who speaks up on behalf of the patient and supports his cause?
advocate
To be compassionate and empathetic, to be accurate with interviews, and to inspire confidence are all examples of which of the personal traits a quality EMT?
a) pleasant
b) judgmental but fair
c) able to listen to others
d) emotionally stable
c) able to listen to others
which of the following is a personality trait required of EMTs?
a) ability to dominate the patient
b) control of personal habits
c)awareness of problems with color vision
d) ability to lift and carry 125 pounds
b) control of personal habits
Which of the following best describes a list of steps the EMT should perform while assessing and managing emergency medical situations?
a) protocols
b) on-line medical direction
c)standard operating procedures
d)standing orders
A) protocols
37) You and another new EMT are studying your local protocols. The other EMT notices that you may give oral glucose without utilizing on-line medical control, but you must get an on-line order from a physician before assisting a patient in taking his nitroglycerin for chest pain. The EMT asks you why some drugs require on-line medical control while others do not. What is the best answer to give him?
A) Glucose is only sugar so it cannot hurt the patient.
B) The physician does not trust EMTs.
C) The patient’s nitroglycerin might be expired.
D) The physician wants to be sure it is appropriate for the patient.
D) The physician wants to be sure it is appropriate for the patient.
39) A fellow EMT is talking with the Medical Director at a staff meeting. The EMT states that the neighboring ambulance service is carrying special clotting bandages for serious bleeding wounds. The special bandages cost five times as much as the regular bandages, but the EMT claims they work ten times better. The EMT wants the Medical Director to approve the bandages for use in their ambulances. The Medical Director responds to the EMT by saying he will not approve the bandages until he can prove they are worth the additional cost. How can the EMT best prove the worth of the special bandages?
A) Have a member of the other ambulance service call the Medical Director to provide firsthand information on how the special bandages are much better.
B) Call the manufacturer of the special bandage and request literature to give to the Medical Director.
C) Perform a literature search to see what studies have been done on the special bandages and report the findings to the Medical Director.
D) Order a small number of the special bandages and compare them side-by-side to the regular bandages.
C) Perform a literature search to see what studies have been done on the special bandages and report the findings to the Medical Director.
When placing all fingers and the palm in contact with the object being lifted, you are using which of the following
a) power grip
b) lock grip
c) vise grip
d) power lift
a) power grip
The term body mechanics describes the proper use of you body to lift without injury. What are the three considerations to review before any lift?
The object, your limitations, and communication
Which of the following statements regarding body mechanics is true?
a) use your back to lift
b)twist your torso while lifting
c) use your legs to lift
d) position your feet close together
c) use your legs to lift
If the weight being pulled is below the level of the EMT’s waist, he should be in a ____ position
kneeling
If the weight is being pulled or pushed below the EMT’s waist, he should be in a ____ position
a)kneeling
b)feet-together
c) overhead
d)squatting
A) kneeling
You respond to a call at a park where you find a 550- pound patient who has fallen down a slope near a creek. As you and your partner discuss the situation, you decide to call a second unit for lifting assistance. Once the patient is on a stretcher, how would the additional two personnel help in this lift?
You place one person on each corner of the stretcher to balance the weight and share in the lifting
What should you NOT do when using a stair chair
Lean forward from the waist
What is the preferred number of rescuers when using a stair chair?
Three: two lifting and one spotting
You respond to a multiple casulty incident involving an overturned bus. Patients have been thrown around the interior of the bus, and several are piled on top of each other. What type of move would you preform to gain access to the most critically injured patients?
A)Extremity lift
B) Non urgent move
C) emergency move
D) Urgent Move
C) Emergency move
What is the likely impact of power stretchers on EMS?
There will be a decrease in the number of injuries among EMTs
You and your partner arrive on the scene of a 400-pound patient lying in bed. He complains of nausea and vomiting for the past 3 days. When he tries to sit up, he gets very dizzy and has a syncopal episode. Realizing that he cannot assist you in getting on the stretcher, you decide to do what
A) use the power lift technique to carefully and safely lift the patient to the stretcher
B) Use the patient’s sheets to slide him over to the stretcher
C) Call for additional manpower to move the patient
D) Place the patient on a backboard to provide better gripping points to move the patient.
Call for additional manpower to move the patient
What type of lift do you use when you want to move a patient from a stair chair to a stretcher?
Extremity lift
For a patient without a possibility of a spinal injury, which of the following carries should be used to move him from a bed to a stretcher
Draw-sheet method
You are treating an unconsious patient who does not have a possibility of spinal injury and who is breathing adequately. which of the following is the best position for transporting the patient
recovery position
You are moving an elderly patient down the stairs using a stair chair. The patient is alert and very anxious. What should you do prior to moving the patient to prevent her from grabbing the railing and causing you to fall?
Explain to the patient what you are doing and advise her to hold her hands together and not let go until you are finished moving her.
Which type of blood vessel allows the exchange of substances directly between the blood and the cells of the body
capillaries
Which is useful for narrow hallways but is not used for immobilization of a patient?
Flexible Stretcher
During a cradle carry, one arm is across the patient’s back and the other:
under the patient’s knees.
You and your partner feel that your physical limitations will not allow you to safely lift and carry a patient, and additional help is still minutes away from the scene. If lifting the patient right away is necessary, which of the following devices uses a battery-powered hydraulic system that could lift the patient?
A power stretcher
The proper technique for using the power grip is to
lift with your palms up
The direct carry is used to transfer a patient:
from a bed to the ambulance stretcher
Prior to applying medical restraints to a combative patient, you should:
evaluate the patient for potentially correctible cause of combativeness, such as head injury, hypoxia, or hypoglycemia
Which of the following statements regarding an emergency patient move is correct?
An emergency move is performed before the primary assessment and treatment.
A 56-year-old female is found supine in a narrow hallway of her mobile home. She complains of severe weakness and dizziness, and states that she is unable to walk. There is no evidence of trauma and the patient states that she did not fall. How should you and your partner move this patient to a more spacious area?
extremity lift
You should not attempt to lift a patient who weighs more than 250 lb with fewer than _______ rescuers, regardless of individual strength
four
A critical aspect of the rapid extrication technique is to
maintain stabilization of the spine at all times
6) Which of the following BEST describes the purpose of the modern emergency medical services (EMS) system?
A) To have trained personnel respond quickly and provide emergency care on the scene, during transport, and at the hospital
B) To have trained personnel capable of assessing and caring for injured and ill patients on the scene
C) To have trained personnel understand the limitations of their training and “do no harm,” while providing prompt transport to the hospital
D) To have trained personnel knowledgeable in all aspects of prehospital care
A) To have trained personnel respond quickly and provide emergency care on the scene, during transport, and at the hospital
7) What has the modern emergency medical services (EMS) system been developed to provide?
A) Prehospital care
B) Prompt emergency response
C) Safe emergency transportation
D) Trained medical personnel
A) Prehospital care
8) Which of the following is the most common gateway for hospital services for patients who need emergency medical assistance?
A) Emergency department
B) Emergency medical services system
C) Surgical services department
D) Emergency medical dispatch center
A) Emergency department
9) Which of the following BEST describes a communication system capable of identifying the number and location of the phone from which a caller is calling?
A) Data display 911
B) Priority dispatch 911
C) Enhanced 911
D) Advanced 911
C) Enhanced 911
11) What BEST describes the level of EMS training that emphasizes activation of the EMS system and provides immediate care for life-threatening problems?
A) Emergency Medical Dispatcher
B) Cardiac care responder
C) EMT
D) Emergency Medical Responder
D) Emergency Medical Responder
13) What level of emergency medical training provides the most advanced pre-hospital care?
A) Advanced EMT
B) Emergency Medical Responder
C) Emergency Medical Technician
D) Paramedic
D) Paramedic
4) Which of the following is the primary responsibility of the EMT?
A) Protect and stabilize the patient
B) Communicate with other responders on the scene
C) Maintain personal health and safety
D) Provide emergency care
C) Maintain personal health and safety
17) Which of the following is a component of patient advocacy?
A) Immobilizing the neck of a patient with a possible spinal injury
B) Granting patient wishes and not reporting spousal abuse to the authorities
C) Building rapport with the patient during transport to the hospital
D) Providing oxygen to a patient that is short of breath
C) Building rapport with the patient during transport to the hospital
18) Who is responsible for on-scene safety of EMS providers?
A) Traffic director
B) Law enforcement
C) All crew members
D) Triage officer
C) All crew members
21) Which of the following is a physical trait necessary for performing the duties of an EMT?
A) Nonjudgmental and fair
B) Ability to lift and carry 200 pounds
C) Ability to speak clearly
D) Ability to remain calm in stressful situations
C) Ability to speak clearly
25) Which of the following is a personal trait an EMT should demonstrate?
A) Self-starter
B) Strong student
C) Strong communication
D) Good eyesight
A) Self-starter
27) The National Registry of Emergency Medical Technicians (NREMT) was founded to establish which of the following?
A) An education curriculum for EMT courses
B) Quality oversight of emergency medical services practices
C) National standards for emergency medical services personnel
D) Quality improvement and quality assurance programs for emergency medical services
C) National standards for emergency medical services personnel
31) The EMT’s role in the quality improvement process includes becoming involved in the quality process, keeping carefully written documentation, obtaining feedback from patients and the hospital staff, continuing your education, and which of the following?
A) Writing protocols and standing orders
B) Maintaining your equipment
C) Providing quality care
D) Being a member of the QI committee
B) Maintaining your equipment
32) Which of the following is a role of the EMT in the quality improvement process?
A) Taking responsibility for the actions of one’s partner
B) Writing complete patient care reports
C) Critiquing performance of one’s partner
D) Assuring personal safety
B) Writing complete patient care reports
33) Who assumes the ultimate responsibility for patient care rendered by the EMT?
A) EMS supervisor
B) EMT
C) Director of quality assurance
D) Medical Director
D) Medical Director
34) The application of oxygen for a patient who is short of breath without having to contact the physician in the emergency department is an example of which of the following?
A) On-line medical direction
B) Standards of care
C) Standing orders
D) Breach of duty
C) Standing orders
36) A written authorization for an EMS provider to perform a particular skill in a specific situation is a(n):
A) on-line protocol.
B) standard of care.
C) direct medical order.
D) standing order.
D) standing order.
38) You respond to a 35-year-old male patient who fell 50 feet from a bluff. Your authority to provide emergency care is an extension of the Medical Director’s license to practice medicine. You are acting as a(n) ________ of the Medical Director.
A) subordinate
B) employee
C) designated agent
D) extension
C) designated agent
40) You and your EMT partner are assigned to spend a day at the senior center where you are to inspect the rooms and common areas for fall hazards. Your partner is upset that he is not in the ambulance where the “action is.” He complains that “looking for loose rugs” is a waste of his time. What would be the best response to his complaints?
A) It is good practice for the next emergency call.
B) It makes the taxpayers happy.
C) Injury prevention in the community is an important component of EMS.
D) It minimizes the number of 911 calls late at night.
C) Injury prevention in the community is an important component of EMS.
41) You and your new EMT partner arrive first on the scene of a single car rollover on the shoulder of a busy highway. You pull off in a safe location and just as you stop the ambulance, your partner throws the passenger door open, steps out of the truck, and begins jogging through the scattered debris toward the overturned car. You shout for him to stop and he looks back at you, but then continues to the vehicle and begins assessing the driver. Later, as you are restocking in the ambulance bay of the local trauma center your partner tells you that he thinks you acted unprofessionally by shouting at him. What is the best way to respond?
A) Shouting was an attempt to protect the EMT from a potentially unsafe scene.
B) New EMTs should expect partners to yell at them occasionally.
C) The On-Duty Supervisor should be called.
D) An EMT should never hurry to assist a patient.
A) Shouting was an attempt to protect the EMT from a potentially unsafe scene.
Which of the following statements about the NHTSA Technical Assistance Program transportation standard is FALSE?
a. some patients may require rapid transportation or transportation by helicopter/airplane
b. transportation from remote areas falls under the facilities standard instead of transportation
c. safe, reliable ambulance transportation is critical component
d. most patients can be effectively transported by ground ambulances
b. transportation from remote areas falls under the facilities standard instead of transportation
Quality improvement programs are a part of which NHTSA Technical Assistance Program standard?
a. human resources and training
b. regulation and policy
c. public information and education
d. evaluation
d. evaluation
An emergency medical responder:
a. transfers patients to the care of the hospital staff
b. transports patients to hospitals
c. receives transported patients at the emergency department
d. provides immediate care
d. provides immediate care
Which of the following BEST describes the overall purpose of the modern emergency medical services (EMS) system?
a. to have trained personnel knowledgeable in all aspects of prehospital care
b. to have trained personnel understand the limitations of their training and “do no harm” while providing prompt transport to the hospital
c. to have trained personnel respond quickly and provide emergency care on the scene, during transport, and at the hospital
d. to have trained personnel capable of assessing and caring for injured and ill patients on the scene
c. to have trained personnel respond quickly and provide emergency care on the scene, during transport, and at the hospital
