Random Quiz Questions Chapters 1-2 Flashcards

1
Q

What MOST accurately portrays emergency medical services (EMS)?

A

A team of health care professionals who are responsible for providing emergency care and transportation to the sick and injured.

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2
Q

The Standards for pre-hospital emergency care and the individuals who provide it are typically regulated by the

A

State Office of EMS

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3
Q

An EMS provider who has extensive training in various aspects of of advanced life support (ALS) is called

A

A Paramedic

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4
Q

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

A

National Highway Traffic Safety Administration (NHTSA)

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5
Q

According to the National EMS Scope of Practice Model, an EMT should be able to

A

assist a patient with certain prescribed medications

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6
Q

Cardiac monitoring, pharmacological interventions, and other advanced treatment skills are functions of the

A

paramedic

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7
Q

The criteria to be licensed and employed as an EMT include

A

proof of immunization against certain communicable diseases

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8
Q

If an EMT candidate has been convicted of a felony or misdemeanor, he or she should

A

contact the state EMS office and provide them with the required documentation

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9
Q

Which of the following statements regarding the Americans with Disabilities ACT (ADA of 190 is correct>

A

The ADA prohibits employers from failing to provide full and equal employment to the diabled

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10
Q

According to the National EMS scope of practice Model, an EMT would require special permission from the medical director and the state to
A; use an automatic transport ventilator
B; perform blood glucose monitoring

A

perform blood glucose monitoring

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11
Q

Which of the following statement regarding the NREMT is correct
A Ems training standards are regulated by the NREMT
B The NREMT provides a national standard for EMS testing

A

The NREMT provides a national standard for EMS Training

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12
Q

Which of the following scenarios does Not involve the administration of ALS
A a 48 year old patient whose airways is secured with a multilumen device
B a 64 year old cardiac arrest patient who is defibrillated with an AED

A

a 64 year old cardiac arrest patient who is defibrillated with an AED

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13
Q

Laypeople are often trained to perform all of the following skills, EXCEPT
A insertion of an oropharyngeal airway
B splinting of a possible fracture

A

insertion of an oropharyngeal airway

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14
Q

Which of the following skills or interventions is included at every level of pre-hospital emergency training?
A Intranasal medication Administration
B AED

A

AED

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15
Q

EMRS such as fire fighters, law enforcement officers, and park rangers, are an integral part of the EMS system because

A

The presence of a person trained to initiate basic life support BLs care cannot be ensured

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16
Q

Which of the following is a unique function to the emergency medical dispatcher?
A relaying relevant information to the EMTs
B providing callers with life-saving instructions

A

Providing callers with life saving instructions

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17
Q

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

A

Human resources department

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18
Q

The person who is responsible for authorizing EMTs to perform emergency medical care in the field is the

A

medical director

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19
Q

Which of the following statements regarding the EMS medical director and EMTs scope of practice is correct
A AN EMTS scope of practice may be expanded by the medical director after proper training and state approval
B an EMts scope of practice is exclusively regulated by the states EMS office not the EMS medical director

A

An EMS scope of practice may be expanded by the medical director after proper training and state approval

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20
Q

What type of medical direction is standing orders and protocols

A

off-line

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21
Q

The continuous quality improvement (CQI) process is designed to

A

identify areas of improvement and provide remedial training if needed

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22
Q

If an EMT administer the wrong drug to a patient because she did not know the pertinent information about the drug considered a knowledge based failure

A

Yes

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23
Q

Continuing education in EMS serves to

A

maintain, update, and expand your knowledge and skills

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24
Q

Obtaining continuing medical education is the responsibility of the

A

individual EMT

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25
Q

What is consider a example of a primary prevention strategy?
A protecting a patients spine from further injury after a fall from a significant height
B Community awareness programs that emphasize the dangers of drinking and driving

A

community awareness programs that emphazie the dangers of drinking and driving

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26
Q

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

A

Addition information and evidence indicate that the effectiveness of certain interventions have changed

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27
Q

If a defibrillator manufacturer claims that its device terminate ventricular fibrillation on the first shock 95% of the time you should

A

recognize that this does not mean it will save more lives

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28
Q

An appropriate demonstration of professionals when your patient is frightened, demanding, or unpleasant is to

A

continue to be nonjudgmental, compassionate, and respectful

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29
Q

A 15 year old boy was killed when he was struck by a car while riding his bicycle. He has numerous disfiguring injuries and has been placed in the back of the ambulance to shield him from curious bystanders. When the childs parents arrive at the scene, they demand to see him. You Should?

A

advise them that their son had severely disfiguring inuries and ask them if there is anyone they would like you to contact first.

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30
Q

A 75 year old male with a terminal illness has died at home. As you and your partner enter the residence, a family member becomes verbally abusive, pushes you, and states that you took too long to get there. You should?

A

retreat and notify law enforcement peronell

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31
Q

A critical incident stress debriefing should be conducted no longer than ____ hours following the incident.

A

72

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32
Q

A positive TB skin test indicates that:

A

you have been exposed to the disease

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33
Q

According to the CDC, recommended immunizations and tests include a

A

Tetanus-diphtheria booster every 10 years

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34
Q

As an EMT, it is important to remember that the signs and symptoms of cumulative stress

A

may not be obvious or present all the time

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35
Q

At the scene of an automobile crash, a utility pole has been broken, and power lines are lying across the car. The patients inside the car are conscious. You Should?

A

mark off a danger zone around the downed lines

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36
Q

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

A

binds with the hemoglobin in the red blood cells

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37
Q

Common factors that influence how a patient reacts to the stress of an illness or injury include all of the following Except

A

distrust of the EMT

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38
Q

Common questions asked by patients with a serious illness or injury include all of the following, EXCEPT

A

What Hospital am I going to?

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39
Q

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

A

when patients are being assessed or treated

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40
Q

Determination of exposure is an important component of an infection control plan because it:

A

defines who is at risk for contact with blood and body fluids and which tasks pose a risk of exposure

41
Q

Gloves, a mask, eye protection, and a face shield should be used:

A

when preforming endotracheal intubation

42
Q

Hazards that are associated with a structural fire include all of the following, EXCEPT:

A

carbon dioxide deficiency

43
Q

If a mask cannot be placed on coughing patient, the Centers for disease Control and Prevention CDC recommend that you maintain a distance of at least ____ feet if possible

A

3

44
Q

If a person is partially immune to a particular disease, he or she:

A

may develop illness from germs that lie dormant from the initial infection

45
Q

If it is not possible t adequately clean you ambulance at the hospital following a call, you should

A

clean the ambulance at your station in designate area that is well ventilated.

46
Q

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

A

Transfer care of you patient to another EMS provider.

47
Q

If you use a waterless handwashing substitute in the field, it is important to

A

Wash your hands with soap and water at the hospital

48
Q

It is especially important for EMS personnel to develop nonadversarial relationships with their coworkers because they

A

depend on each other for there safety.

49
Q

Patients who become dependent upon EMS personnel or other health care providers often feel:

A

shamed

50
Q

Physiologic manifestations of stress include:

A

perspiration, increased blood glucose levels, and dilated pupils

51
Q

Prescription glasses do not provide adequate eye protection because they

A

offer little or no side protection

52
Q

Quid pro quo, a type of sexual harassment, occurs when the harasser

A

requests sexual favors in exchange for something else

53
Q

The BEST way to reduce your risk of contracting a work-related disease following exposure is to:

A

activate your departments infectious control plan as soon as possible.

54
Q

The compliance monitoring component of an infection control plan should:

A

ensure that employess know what they should do and why

55
Q

The final stage of death and dying is MOST commonly displayed as:

A

acceptence

56
Q

The general adaptation syndrome is characterized by which of the following phases?

A

alarm response reaction and resistance, and recovery

57
Q

The hepatitis B vaccine program, a component of the infection control plan, addresses all of the following issues, EXCEPT:

A

family history of hepatitis

58
Q

The MOST effective way to preserve your own body heat when functioning in cold, wet weather is to:

A

wear at least 3 layers of clothing

59
Q

The MOST important consideration at the scene of a hazardous material incident is:

A

ensuring your personnel safety

60
Q

The MOST serious consequence of drug or alcohol abuse among EMS personnel is:

A

substandard or inappropriate care

61
Q

The simplest yet most effective method of preventing the spread of an infectious disease is to:

A

wash your hands between patient contact

62
Q

The spread of HIV and hepatitis in the health care setting can usually be traced to:

A

careless handling of sharps

63
Q

Upon arriving at the scene of a motor vehicle crash, you note that two small cars collided head-on; the occupants are still in their vehicles. The fire department is in the process of stabilizing the vehicles and law enforcement personnel are directing traffic. After parking the ambulance at a safe distance, you and your partner should:

A

put on high visibility safety vests

64
Q

Vaccination against the hepatitis A virus is unnecessary if you:

A

If you have been infected in the past

65
Q

Vector-borne transmission of an infectious organism occurs via

A

animal or insects

66
Q

What should you do before attempting to access a patient trapped in a vehicle?

A

Insure the vehicle is stable

67
Q

What type of stress reaction occurs when an EMT is exposed to many insignificant stressors over a period of several months or years?

A

cumulative stress

68
Q

When a patient is dying, he or she may experience regression. This is MOST accurately defined as:

A

behavior consistent with an earlier development stage

69
Q

When caring for the parents of a child who has died of leukemia, the EMT should:

A

acknowledge the death of their child in private

70
Q

When considering his or her personal life, it is important for the EMT to realize that:

A

family or friends may not understand the stress associated with EMS

71
Q

When decontaminating the back of your ambulance after a call, you should:

A

allow surfaces to air-dry unless indicated other wise by the product details

72
Q

When treating a patient who is trapped in a vehicle and covered with broken glass, it is BEST to wear:

A

puncture-proof leather gloves over your latex gloves

73
Q

Which of the following factors is NOT taken into consideration when assessing a person’s potential for violence?

A

large physical size

74
Q

Which of the following infectious diseases confers no protection from reinfection after exposure?

A

syphilis

75
Q

Which of the following is the MOST effective strategy for managing stress?

A

focus on high quality patient care

76
Q

Which of the following is the MOST significant factor in determining if a person will become ill from certain germs?

A

immunity

77
Q

Which of the following scenarios MOST accurately depicts a posttraumatic stress disorder (PTSD) reaction?

A

An EMt becomes distracted at the scene of a motor vehicle crash involving the same type of car in which a child was previously killed

78
Q

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

A

isolation from the rest of the crew

79
Q

what stage of the grieving process does this statement most likely express:
I will be compliant with all my medications if I can just see my grandson graduate

A

Bargining

80
Q

A quiet patient is not as likely to attack you as one who is screaming.. Is this statement correct concerning a patient with behavioral crisis

A

yes

81
Q

Is there a vaccine against HIV

A

No

82
Q

Can the stages of the grieving process occur simultaneously

A

YES

83
Q

Who requires that your employer offer the hepatitis B virus vaccine for free

A

OSHA

84
Q

Is it appropriate to say to a patient that things will get better in time?

A

No

85
Q

While assisting an advanced life support (ALS) ambulance crew, you are accidentally stuck with an IV needle you Should?

A

report the incident to your supervisor after the call

86
Q

While trying to make a family member feel better after a loved one has died, your partner uses trite statements. The family members may view this as:

A

your partners attempt to diminish their grief

87
Q

You and your partner are EMTs and have been dispatched to standby at the scene of a residential fire. While standing next to the ambulance observing the fire fighters, you see a woman frantically moving around in her burning house. You should:

A

Immediatley notify your supervisor or safety officer

88
Q

You and your partner respond to the residence of a 66-year-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 health care system caused his disease. What stage of the grieving process is this patient’s behavior consistent with?

A

anger

89
Q

You are assessing a middle-aged man with chest pain that you suspect is caused by a cardiac problem. The patient tells you that he does not want to go to the hospital and insists that you leave him alone. You should:

A

explain the seriousness of the situation without causing alarm

90
Q

You are assessing a woman who was thrown from her horse. She is located in a large field and you can see that a thunderstorm is rapidly approaching. Suddenly, you feel your skin begin to tingle and the hair on your arms stands on end. The ambulance is located about 30 yards away. You should:

A

crouch down in a position so that only your feet are touching the ground.

91
Q

You are caring for a 40-year-old female who was involved in a motor vehicle crash. Her husband, who was driving the vehicle, was killed. When the patient asks you if her husband is all right, you should:

A

let clergy or hospital staff relay the bad news if possible

92
Q

You are dispatched to the scene of a crash involving a large tanker truck. While you are en route, dispatch advises you that there are multiple patients and that the fire department is en route as well. As you approach the scene, you should:

A

maintain a safe distance and try and use binoculars to read the placard

93
Q

You are summoned to a convalescent center for an 88-year-old female with an altered mental status. A staff nurse advises you that the patient has terminal cancer and her physician stated that she would probably die within the next few hours; a valid do not resuscitate (DNR) order is presented to you. When caring for this patient, you should:

A

Make her comfortable and provide emotional support

94
Q

You are transporting a 40-year-old male with respiratory distress. The patient tells you that he recently had a positive tuberculosis (TB) skin test and is currently being evaluated for possible TB. You should:

A

apply a non-rebreathing mask on the patient and a high-efficiency particulate air (HEPA) respirator on yourself

95
Q

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:

A

acknowledge that she is scared and let her know that you are going to take good care of her

96
Q

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 to:

A

seek a safe place and request law enforcement

97
Q

You have been working at the scene of a major building collapse for 8 hours. Many injured people are still being removed, and everyone is becoming frustrated and losing focus. This situation is MOST effectively managed by:

A

request a CISM team to provide on-scene peer support

98
Q

Your partner, a veteran EMT who you have worked with regularly for the past 4 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?

A

Discreetly report your suspicions to your supervisor.