Random Quiz Questions Chapters 1-2 Flashcards
What MOST accurately portrays emergency medical services (EMS)?
A team of health care professionals who are responsible for providing emergency care and transportation to the sick and injured.
The Standards for pre-hospital emergency care and the individuals who provide it are typically regulated by the
State Office of EMS
An EMS provider who has extensive training in various aspects of of advanced life support (ALS) is called
A Paramedic
EMT Training in nearly every state meets or exceeds the guidelines recommended by the
National Highway Traffic Safety Administration (NHTSA)
According to the National EMS Scope of Practice Model, an EMT should be able to
assist a patient with certain prescribed medications
Cardiac monitoring, pharmacological interventions, and other advanced treatment skills are functions of the
paramedic
The criteria to be licensed and employed as an EMT include
proof of immunization against certain communicable diseases
If an EMT candidate has been convicted of a felony or misdemeanor, he or she should
contact the state EMS office and provide them with the required documentation
Which of the following statements regarding the Americans with Disabilities ACT (ADA of 190 is correct>
The ADA prohibits employers from failing to provide full and equal employment to the diabled
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
perform blood glucose monitoring
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
The NREMT provides a national standard for EMS Training
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 64 year old cardiac arrest patient who is defibrillated with an AED
Laypeople are often trained to perform all of the following skills, EXCEPT
A insertion of an oropharyngeal airway
B splinting of a possible fracture
insertion of an oropharyngeal airway
Which of the following skills or interventions is included at every level of pre-hospital emergency training?
A Intranasal medication Administration
B AED
AED
EMRS such as fire fighters, law enforcement officers, and park rangers, are an integral part of the EMS system because
The presence of a person trained to initiate basic life support BLs care cannot be ensured
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
Providing callers with life saving instructions
The ______ deals with the well-being of the EMT, career progression, and EMT compensation
Human resources department
The person who is responsible for authorizing EMTs to perform emergency medical care in the field is the
medical director
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
An EMS scope of practice may be expanded by the medical director after proper training and state approval
What type of medical direction is standing orders and protocols
off-line
The continuous quality improvement (CQI) process is designed to
identify areas of improvement and provide remedial training if needed
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
Yes
Continuing education in EMS serves to
maintain, update, and expand your knowledge and skills
Obtaining continuing medical education is the responsibility of the
individual EMT
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
community awareness programs that emphazie the dangers of drinking and driving
Why are prehospital emergency care guidelines update on a regular basis?
Addition information and evidence indicate that the effectiveness of certain interventions have changed
If a defibrillator manufacturer claims that its device terminate ventricular fibrillation on the first shock 95% of the time you should
recognize that this does not mean it will save more lives
An appropriate demonstration of professionals when your patient is frightened, demanding, or unpleasant is to
continue to be nonjudgmental, compassionate, and respectful
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?
advise them that their son had severely disfiguring inuries and ask them if there is anyone they would like you to contact first.
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?
retreat and notify law enforcement peronell
A critical incident stress debriefing should be conducted no longer than ____ hours following the incident.
72
A positive TB skin test indicates that:
you have been exposed to the disease
According to the CDC, recommended immunizations and tests include a
Tetanus-diphtheria booster every 10 years
As an EMT, it is important to remember that the signs and symptoms of cumulative stress
may not be obvious or present all the time
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?
mark off a danger zone around the downed lines
Carbon monoxide blocks the ability of the blood to oxygenate the body because it
binds with the hemoglobin in the red blood cells
Common factors that influence how a patient reacts to the stress of an illness or injury include all of the following Except
distrust of the EMT
Common questions asked by patients with a serious illness or injury include all of the following, EXCEPT
What Hospital am I going to?
Critical incident stress management (CISM) can occur at an ongoing scene in all of the following circumstances, EXCEPT:
when patients are being assessed or treated
Determination of exposure is an important component of an infection control plan because it:
defines who is at risk for contact with blood and body fluids and which tasks pose a risk of exposure
Gloves, a mask, eye protection, and a face shield should be used:
when preforming endotracheal intubation
Hazards that are associated with a structural fire include all of the following, EXCEPT:
carbon dioxide deficiency
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
3
If a person is partially immune to a particular disease, he or she:
may develop illness from germs that lie dormant from the initial infection
If it is not possible t adequately clean you ambulance at the hospital following a call, you should
clean the ambulance at your station in designate area that is well ventilated.
If you are exposed to a patient’s blood or other bodily fluid, your first action should be to:
Transfer care of you patient to another EMS provider.
If you use a waterless handwashing substitute in the field, it is important to
Wash your hands with soap and water at the hospital
It is especially important for EMS personnel to develop nonadversarial relationships with their coworkers because they
depend on each other for there safety.
Patients who become dependent upon EMS personnel or other health care providers often feel:
shamed
Physiologic manifestations of stress include:
perspiration, increased blood glucose levels, and dilated pupils
Prescription glasses do not provide adequate eye protection because they
offer little or no side protection
Quid pro quo, a type of sexual harassment, occurs when the harasser
requests sexual favors in exchange for something else
The BEST way to reduce your risk of contracting a work-related disease following exposure is to:
activate your departments infectious control plan as soon as possible.
The compliance monitoring component of an infection control plan should:
ensure that employess know what they should do and why
The final stage of death and dying is MOST commonly displayed as:
acceptence
The general adaptation syndrome is characterized by which of the following phases?
alarm response reaction and resistance, and recovery
The hepatitis B vaccine program, a component of the infection control plan, addresses all of the following issues, EXCEPT:
family history of hepatitis
The MOST effective way to preserve your own body heat when functioning in cold, wet weather is to:
wear at least 3 layers of clothing
The MOST important consideration at the scene of a hazardous material incident is:
ensuring your personnel safety
The MOST serious consequence of drug or alcohol abuse among EMS personnel is:
substandard or inappropriate care
The simplest yet most effective method of preventing the spread of an infectious disease is to:
wash your hands between patient contact
The spread of HIV and hepatitis in the health care setting can usually be traced to:
careless handling of sharps
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:
put on high visibility safety vests
Vaccination against the hepatitis A virus is unnecessary if you:
If you have been infected in the past
Vector-borne transmission of an infectious organism occurs via
animal or insects
What should you do before attempting to access a patient trapped in a vehicle?
Insure the vehicle is stable
What type of stress reaction occurs when an EMT is exposed to many insignificant stressors over a period of several months or years?
cumulative stress
When a patient is dying, he or she may experience regression. This is MOST accurately defined as:
behavior consistent with an earlier development stage
When caring for the parents of a child who has died of leukemia, the EMT should:
acknowledge the death of their child in private
When considering his or her personal life, it is important for the EMT to realize that:
family or friends may not understand the stress associated with EMS
When decontaminating the back of your ambulance after a call, you should:
allow surfaces to air-dry unless indicated other wise by the product details
When treating a patient who is trapped in a vehicle and covered with broken glass, it is BEST to wear:
puncture-proof leather gloves over your latex gloves
Which of the following factors is NOT taken into consideration when assessing a person’s potential for violence?
large physical size
Which of the following infectious diseases confers no protection from reinfection after exposure?
syphilis
Which of the following is the MOST effective strategy for managing stress?
focus on high quality patient care
Which of the following is the MOST significant factor in determining if a person will become ill from certain germs?
immunity
Which of the following scenarios MOST accurately depicts a posttraumatic stress disorder (PTSD) reaction?
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
Which of the following signs would indicate that your partner is experiencing significant stress?
isolation from the rest of the crew
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
Bargining
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
yes
Is there a vaccine against HIV
No
Can the stages of the grieving process occur simultaneously
YES
Who requires that your employer offer the hepatitis B virus vaccine for free
OSHA
Is it appropriate to say to a patient that things will get better in time?
No
While assisting an advanced life support (ALS) ambulance crew, you are accidentally stuck with an IV needle you Should?
report the incident to your supervisor after the call
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:
your partners attempt to diminish their grief
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:
Immediatley notify your supervisor or safety officer
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?
anger
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:
explain the seriousness of the situation without causing alarm
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:
crouch down in a position so that only your feet are touching the ground.
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:
let clergy or hospital staff relay the bad news if possible
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:
maintain a safe distance and try and use binoculars to read the placard
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:
Make her comfortable and provide emotional support
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:
apply a non-rebreathing mask on the patient and a high-efficiency particulate air (HEPA) respirator on yourself
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:
acknowledge that she is scared and let her know that you are going to take good care of her
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:
seek a safe place and request law enforcement
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:
request a CISM team to provide on-scene peer support
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?
Discreetly report your suspicions to your supervisor.
