Paramedic Care Principles and Practice Exam 1 (ch 1-10)
A means to promote and enhance the status of EMS within the health care community and to help create a unified voice for EMS providers are two of the services provided by:
A. advertising. B. conferences. C. EMS services. D. professional organizations. Ans: D.
The responsibilities of the paramedic must include:
A. annual conference attendance. B. public safety. C. political activeness. D. teaching EMS courses. Ans: B.
The primary focus of the advanced emergency medical technician (AEMT) is to provide:
A. basic and limited advanced emergency medical care and transportation for critical and emergent patients who access the EMS system. B. advanced emergency medical care for critical and emergent patients who access the EMS system. C. immediate advanced life support to noncritical patients who access the emergency medical system. D. basic emergency medical care and transportation for noncritical patients who access the emergency medical system. Answer: A.
If there is a weakness in one component of an EMS system, it will:
A. be less critical in tiered response systems. B. be supported by other components in a properly functioning system. C. create an opportunity for the paramedic to intervene. D. diminish the overall quality of patient care. Ans: D.
The trend in EMS as it relates to medical direction is to:
A. eliminate medical direction. B. transition to entirely on-line medical direction. C. increase on-line medical direction and decrease off-line medical direction. D. increase off-line medical direction and decrease on-line medical direction. ans:D.
The KKK-A-1822 federal standards for ambulances include:
A. elimination of handheld spotlights. B. video communication system. C. occupant protection standards. D. GPS navigation system. Ans: C.
Successfully completing a course that follows the most recent National EMS Education Instructional Guidelines would fulfill the requirements of:
A. field training. B. initial education. C. continuing education. D. subsequent education. Ans: B
For quality assurance and improvement programs to be effective, they must:
A. fully attain total excellence. B. set the community's expectations. C. be designed with the needs of cost effective care as their chief concern. D. be dynamic and comprehensive. Ans: A. fully attain total excellence. B. set the community's expectations. C. be designed with the needs of cost effective care as their chief concern. D. be dynamic and comprehensive. Ans: D.
The paramedic is always expected to:
A. improve the patient's condition. B. serve as the patient's advocate. C. obtain online medical direction. D. supervise other care providers. Ans: B.
The earliest medical records:
A. included instructions on physical examination. B. didn't include medications. C. were inscribed on clay tablets. D. had no regard for patient symptoms. Ans: C.
Auditing encounter forms and peer review are examples of:
A. intervener medical direction. B. anticipatory medical oversight. C. on-line medical direction. D. retrospective medical oversight. Ans: D.
For improved efficiency, EMS operations among multiple agencies should be:
A. isolated. B. infrequent. C. integrated. D. independent. Ans: C.
The primary task of the paramedic is to:
A. minimize on-scene time. B. reduce unnecessary transports. C. diagnose the patient's primary medical issue. D. provide care in an out-of-hospital setting. Ans: D.
Health care providers such as ED physicians and ED nurses, and the availability of services such as emergency radiology and respiratory care, are:
A. not part of an Emergency Medical Services system. B. accessory patient care systems for rural communities. C. in-hospital components of an EMS system. D. alternate pathways of educating EMS providers for an online EMS training system. Ans: C.
Quality, accredited continuing education programs and much of the didactic portion of initial EMS education are now available:
A. only through university based programs. B. on the Internet. C. from the library. D. through nursing programs. Ans: B.
Standing orders are:
Standing orders are: A. protocols the paramedic may follow at will. B. preauthorized protocols. C. increase liability for paramedics. D. used when the paramedic must speak with the medical director. Ans: B.
Which one of the following elements does not pertain to the medical director as it relates to the Statewide EMS Technical Assessment Program?
Which one of the following elements does not pertain to the medical director as it relates to the Statewide EMS Technical Assessment Program? A. The medical director delegates medical practice to nonphysician caregivers. B. The medical director oversees all aspects of patient care. C. The medical director responds to all requests for on-line medical care. This is the correct answer.D. Each EMS system must have a physician as its medical director. Ans: C.
Which of the following is the best way to avoid legal issues as a paramedic?
A. Always establish online medical direction. B. Have the patient sign a medical liability waiver. C. Document patient care as it should have occurred. D. Place the patient's welfare above all other tasks. ans:D.
Your EMS system sends multiple levels of emergency care personnel to the same incident. This is an example of a(n):
A. BLS response. B. ALS response. C. unbalanced response. D. tiered response. ans: D.
Which of the following is the fifth and final step in the American Heart Association chain of survival?
A. CPR B. Post cardiac arrest care C. Rapid defibrillation D. Activation of EMS Ans: B.
Which of the following is an environment that today's paramedics often work in?
A. Commercial aircraft B. Industrial environments C. The operating room D. Dental offices Ans: B.
The Statewide EMS Technical Assessment Program defines elements necessary to all EMS systems; the transportation element covers which of the following?
A. Defensive driving class requirements B. Safe patient transport by ground or air ambulance C. Minimum standards for equipping air ambulances D. Standards for street marking and placement of house numbers Ans: A.
Which of the following is used to continuously evaluate and improve the EMS system?
A. Depositions B. Quality improvement C. Progressive discipline D. Civil litigation Ans: B.
Which of the following reported in 2006 that there are no standardized measures of EMS quality?
A. Emergency Medical Services: At the Crossroads B. Emergency Medical Services for Children C. EMS Agenda for the Future D. Accidental Death and Disability: The Neglected Disease of Modern Society Answer: A.
You are obligated to ensure the patient receives the best care possible:
A. according to the patient's insurance provider. B. within the patient's financial means. C. regardless of the patient's ability to pay. D. within a 10-20 minute transport time. Answer: C.
In 2006, the National Academies Institute of Medicine published an evaluation of the status of emergency services which found that, despite the advances made in EMS, sizable challenges remained. This evaluation was entitled:
A. Emergency Medical Services: At the Crossroads. B. The EMS Agenda for the Future. C. Statewide EMS Technical Assessment Program. D. The National Report Card on the State of Emergency Medicine: Evaluating the Environment of Emergency Care Systems State by State. Ans: A.
Standardized curriculum, adequate training, and qualified instructors are covered in which element of the Statewide EMS Technical Assessment Program?
A. Human resources and training B. Minimum educational standards C. EMS program preparation D. Uniform training code Ans: A.
Which of the following is true about the COBRA Act of 1981?
A. It wiped out federal funding for EMS. B. It significantly increased federal funding for EMS. C. It introduced federal funding for EMS. D. It prevented EMS agencies from applying for grants. Ans: A
Which of the following publications is specifically for EMS professionals?
A. JEMS Your answer is correct.B. AJN C. AAFP D. JAMA Ans: A.
Paramedics are an essential component in:
A. Medicare fraud prevention. B. the clinic referral system. C. the continuum of patient care. D. the hospital emergency room. Ans: C.
What nongovernmental organization develops and administers standardized tests for various EMS provider levels?
A. NAEMSE B. NREMT C. CoAEMSP D. NEMSES Ans: B.
Which of the following called for improved electrical standards and reduced interior siren noise for ambulances?
A. NEMSES EVOC Regulation B. The Ambulance Provision of the COBRA act C. 8675-309-JENY D. KKK-A-1822 Ans: D.
A significant advance in paramedic education was contained in the 2009 publication of the National EMS Education Instructional Guidelines, developed by the:
A. NTSB. B. President's Council on Safety. C. NHTSA. D. USDOT. Ans: D.
The concept of ambulance volante, pioneered by Larrey during the Napoleonic Wars, was initiated during the Civil War by:
A. President Abraham Lincoln. B. Clara Barton. C. Commercial Hospital. D. Jonathan Letterman. Answer: D.
In most EMS systems, which of the following is the most overlooked component of the EMS system?
A. Public education B. Dispatch education C. Medical director education D. EMS education Ans: A.
Which of the following is true regarding response times to EMS calls?
A. Response times are not tracked in the United States. B. Response times are not impacted by dispatch resources. C. Response times vary greatly across the United States. D. Response times are very consistent throughout the United States. Ans: c.
Which of the following provides most of the capabilities of the hospital intensive care unit?
A. Special event crews B. Tactical EMS gear bag C. Critical care transport vehicle D. All standard ambulances Answer: C.
Which document provided funding to states for trauma system planning, development, implementation, and evaluation?
A. Statewide EMS Technical Assessment Program B. Ontario Prehospital Advanced Life Support study C. Trauma Care Systems and Development Act D. EMS Agenda for the Future ans: C.
What was the effect of the publication of Accidental Death and Disability: The Neglected Disease of Modern Society on modern-day EMS?
A. The American Heart Association began training the public in CPR. B. Many people died from preventable causes due to the report. C. It was the "white paper" that acted as a catalyst for improving ambulance systems and emergency responder training. D. The states each took a leadership role in improving their EMS systems. Ans: C
Accidental Death and Disability: The Neglected Disease of Modern Society was first published by:
A. The National Academy of Sciences. B. The National Registry of Emergency Medical Technicians. C. National Institute of Occupational Safety and Health. D. The Journal of Emergency Medical Services. Ans: A.
Accidental Death and Disability: The Neglected Disease of Modern Society was released in:
A. The National EMS Curriculum Act of 1963 B. The Health Insurance Portability and Accountability Act of 1972 C. The Highway Safety Act of 1966 D. The Los Angeles County EMS Planning Conference (1961) Ans: C.
What were the lessons learned from the Korean and Vietnam conflicts that have impacted modern-day EMS?
A. The lifesaving care needs to occur in the hospital setting. B. Speed of evacuation is the most important element in an EMS system. C. Injured soldiers benefited from emergency care provided as soon as possible. D. There was a need for a common scope of practice for all prehospital personnel. Answer: C.
Which of the following is true regarding KKK-A-1822 standards?
A. This standard is only for fire department ambulances. B. This standard is only for air ambulances. C. Not all ambulances meet this federal standard. D. All ambulances meet this standard. Ans: C.
In the publication Emergency Medical Services: At the Crossroads, published by the National Academies Institute of Medicine, which of the following was not a weakness identified in current EMS delivery systems?
A. Uncertain quality of care B. Poor patient rapport C. Insufficient coordination D. Disparities in response time Ans: B.
EMS is just part of the patient's continuum of care. When does the continuum of care begin?
A. When the patient is admitted to the hospital B. When the patient arrives at the hospital C. When EMS is first activated D. When the patient is first injured or becomes ill Ans: D.
Based on current trends, paramedic graduates of today will continue to enter into nontraditional roles such as helicopter air ambulance, tactical EMS, and industrial medicine because of their:
A. ability to follow standing orders. B. unique education and ability to think and work independently. C. rapport with hospital-based emergency systems. D. ability to follow direction from medical direction. Ans: B.
The National Report Card on the State of Emergency Medicine: Evaluating the Environment of Emergency Care Systems State by State pointed out the significant problems that existed in all aspects of emergency care, including:
A. overstressing of emergency services so severe that the quality of care has been compromised. B. patient disappointment in service. C. a lack of competent providers. D. a significant need for helicopter transport services. Ans: A
An abundant source of continuing education material and an excellent opportunity for EMS professionals to write and publish articles are two benefits of:
A. professional organizations. B. manual publishers. C. professional magazines. D. educators. Ans: C.
In 1988, the Statewide EMS Technical Assessment Program was established by NHTSA to:
A. provide acute illness and injury care and follow-up, and contribute to the treatment of chronic conditions and to community health monitoring. B. provide funding to states for trauma system planning, development, implementation, and evaluation. C. help establish helicopter EMS (HEMS) programs. D. define elements necessary to all EMS systems. Ans: D.
The out-of-hospital components of an EMS system include:
A. regional poison control centers. B. social workers. C. emergency nurses. D. rehabilitation services. ans: A.
In the near future, paramedics may find themselves taking on a variety of additional roles including:
A. replacing the nurse in the emergency department. B. providing suturing of lacerations to children. C. determining if a patient should go to the hospital based upon the likelihood they will be admitted. D. injury prevention within their service area. Ans: D
EMS providers are the medical director's designated agents. This defines the concept of:
A. standardized protocols. B. medical oversight. C. on-line medical direction. D. patient care algorithms. Ans: B.
KKK-A-1822 is a federal specification intended to improve:
A. standards for ambulances. B. training standards. C. documentation standards. D. reimbursement rates. Ans: A.
You have accepted a part-time job as a paramedic working in an outpatient clinic. This will likely increase your knowledge of:
A. tactical EMS. B. primary care. C. hospice care. D. critical care. Ans: B.
Which one of the following guidelines does not appear in the NHTSA released manual called A Leadership Guide to Quality Improvement for Emergency Medical Services Systems?
A. Cost-effective administration B. EMS process management C. Strategic quality planning D. Leadership Ans: A.
Which organization recommended sweeping improvements for the helicopter air ambulance industry?
A. President's Council on Safety. B. National Registry of Emergency Medical Technicians. C. National Highway Traffic Safety Administration. D. National Transportation Safety Board. Ans: D.
As a paramedic working in EMS today, which of the following could you attribute to the Accidental Death and Disability: The Neglected Disease of Modern Society study?
A. Well-equipped and maintained ambulances B. Standardized training requirements for EMS personnel C. Improved communication between the ambulance and physicians D. All of the answers are correct ans: D.
First used by the Salt Lake City Fire Department and using a set of medically approved protocols, EMDs are trained to medically interrogate a distressed caller, prioritize symptoms, select an appropriate response, and give lifesaving pre-arrival instructions. This management method is called:
A. pre-arrival instruction. B. priority dispatching. C. emergency medical technician dispatching. D. triage. Answer: B.
Clinical protocols are designed around the four "Ts" of emergency care. These are:
A. triage, treatment, telemetry, and transport. B. triage, treatment, transport, and transfer. C. triage, treatment, training, and testing. D. training, triage, treatment, and transport. Ans: B.
The combined roles and responsibilities of paramedic practice is known as:
A. paramedicine. B.primary care. C.integrated care. D.community medicine. Ans: A.
Which level of EMS provider is certified to provide only basic emergency medical care and transportation?
A.AEMT B.EMT C.EMR D.Paramedic Ans: D.
Paramedics typically function outside their customary emergency response and transport roles in what type of medicine?
A.Community paramedicine B.Flight paramedicine C.Critical care medicine D.Telemedicine Ans: A.
Which type of emergency service provider has the skills and knowledge to use both basic and advanced equipment found on an ambulance?
A.EMR B.AEMT C.EMT D.EMS Ans:B.
Of the nationally recognized levels of EMS certifications in the United States, who performs the highest level of prehospital care?
A.Paramedic B.Advanced EMT C.Emergency medical responder (EMR) D.Emergency medical technician (EMT) Ans: A.
Critical care transport vehicles are:
A.reserved for ventilator or balloon pump patients. B.specially equipped and staffed for moving extremely ill patients. Your answer is correct. C.all ambulances with at least one ALS provider. D. required to have two RNs on board during transport. Ans: B.
