DCSAR EMR CH 1 and 2 Test
A 13-year-old female requests that an Emergency Medical Responder treat her broken arm. The parents were called, but they have not arrived on the scene yet. The Emergency Medical Responder:
implied consent
You and your partner are on the way back to work when you see a child who has been struck by a vehicle and is unresponsive in the road. You begin care for her and call for advanced care to transport her to a nearby emergency department. You know she can be legally transported based on:
implied consent
You are called to the scene of a 57-year-old that had "passed out" in the hallway of his home. On arrival the scene is safe, and the patient remains unresponsive. You begin treatment under the concept of:
implied consent
Your patient is a 26-year-old known diabetic who was found unconscious by a coworker. You may treat this patient on the basis of:
implied consent
Continuous quality improvement programs are specifically designed to:
make regular improvements to all parts of the EMS system
If a patient is under the influence of drugs or alcohol, an Emergency Medical Responder should recognize that he is:
not competent to make medical decisions
What is the most basic level of EMS certification?
Emergency Medical Responder
The four levels of nationally recognized EMS training are:
Emergency Medical Responder, Emergency Medical Technician, Advanced Emergency Medical Technician, and Paramedic
A bystander who provides aid in an emergency in good faith is protected by the:
Good Samaritan Act
You are driving in your car and see a crash. You stop to provide care. You are protected by:
Good Samaritan law
Calling medical control and obtaining permission to administer a medication is an example of:
on-line medical direction
Medical direction obtained by speaking directly with Medical Control is called:
on-line medical direction
Rarely, a situation may require an Emergency Medical Responder to contact the Medical Director for guidance during patient care. This is an example of:
on-line medical direction
You have received an order over the phone from the Medical Director to administer oxygen to the patient. This would be called:
on-line medical direction
Which of the following is NOT an attribute of an EMS system?
Law enforcement agencies
The Medical Director is a physician who assumes the ultimate responsibility for:
patient care and protocols
Emergency Medical Dispatchers are trained to:
provide patient care instructions to 911 callers
Patient confidentiality applies to all of the following situations EXCEPT:
relaying concerns of abuse to appropriate authorities
The Emergency Medical Responder acts as a designated agent of the:
Medical Director
After an incident, the Emergency Medical Responder may legally discuss patient information for all of the following reasons EXCEPT:
relaying events to the patient's friends and family
The first concern at the scene of an emergency is:
scene safety
The first priority of an Emergency Medical Responder should be:
scene safety
The procedures that an Emergency Medical Responder can legally provide as care for a patient are called:
scope of practice
Written protocols that have been authorized by the Medical Director as guidelines for patient care are an example of:
standing orders
You respond to a residence where an elderly woman was found pulseless and apneic. As you begin CPR, a family member hands you a DNR that is signed and dated. You should:
stop CPR.
Public health systems help ensure:
the quality of life and health of the population
Emergency Medical Responders are trained in the care and management of ill and injured patients. An Emergency Medical Responder should not be involved in the process of:
traffic control
You respond to a home to care for a 6-year-old male. The child is withdrawn and has bruises on his upper arms. The caregiver gives you several slightly different explanations for the bruises, none of which seem to make sense. You should:
transport the child to the ER and notify the proper authorities that you suspect abuse
You have a patient that stops breathing and has no signs of circulation. You notice a medical alert bracelet indicating the patient is a registered organ donor. You should:
treat the patient as you would any other.
An Emergency Medical Responder provides emergency care:
until EMTs or paramedics take over care
When moving or lifting a patient, you should:
use good body mechanics
As an Emergency Medical Responder, you are legally required to provide care for patients:
whenever you are on duty as an EMR
Your patient has been shot during a domestic dispute. To fully assess the patient, you remove her shirt. What should you do with this patient's clothing?
Place the clothing in an evidence bag, and give it to law enforcement
Which of the following is the responsibility of every Emergency Medical Responder?
Staying current with new research
You are on your way home when you see a child fall off her bicycle. You stop to help and find that the child has a deformed right wrist. You call 911 from your cellular phone. Which of the following information might you need to provide to the 911 dispatcher?
Your exact location
The minimum personal protective equipment that must be worn when caring for a patient is:
a pair of gloves
Using spinal restriction on a patient who does not give his/her consent for treatment could be classified as any of these EXCEPT:
abandonment
A competent adult may refuse treatment:
for any reason
A minor is considered legally emancipated in all of the following situations EXCEPT:
foster care
Enhanced 911 provides which of the following to the dispatcher?
Address or approximate location of the call
An Emergency Medical Responder may choose to alter her care of a patient based on which of the following:
Age
An Emergency Medical Responder could be charged with abandonment in which of the following situations?
Allowing a Paramedic to take over care and leaving the scene without giving a report
You respond to a motor vehicle crash with your crew and begin providing care to a patient from a different culture. Which of the following can you legally consider when making decisions about the care you provide?
Any unique medical needs of the patient
Your crew responds to a distress call and finds a man in cardiac arrest. Several family members are demanding you begin CPR, but one family member hands you a piece of paper that proves to be a legal Do Not Resuscitate order. What should you do?
Begin CPR, and call for medical direction
You and your partner are called to a one-vehicle collision. A car has collided with a telephone pole. You arrive on the scene and notice that the police are controlling the traffic and that the power company has turned the power off. You and your partner find a 65-year-old male unconscious in the driver's seat. He is breathing and has a pulse. You notice a starburst to the windshield, and the patient is unrestrained. As your crew is securing spinal immobilization, the local Advanced Life Support Crew arrives on scene. You assist the Paramedic and Emergency Medical Technician with securing the patient to the long backboard and into their unit for transport. You give the crew a report, and they transport the patient to the hospital while you return to the fire department for resupply. During your assistance in the above event, which of the following personnel are NOT recognized levels of EMS-trained individuals?
Bystanders
Which of the following skills is within the scope of practice of an Emergency Medical Responder?
Controlling severe bleeding
You respond to a 67-year-old female who has fallen at home. On arrival the patient is conscious and alert, with no respiratory or cardiac compromise. She states she tripped and fell and now has pain in her left hip. She thinks she might have heard a "pop" as she hit the floor. She has her neighbor at her side and says it is all right if you leave, and the neighbor can get her up and to her favorite chair. She's afraid she can't afford the ambulance and the hospital, and she is sure she is just feeling her age. You know that the ambulance is on its way and should arrive soon. The patient requests that you leave, and she tells you that she will get help from her neighbor. You know the ambulance will be there soon, and you consider leaving. If you leave without a signed Release of Care form, it could be considered that you have committed:
abandonment
You are attending an Emergency Medical Responder course, and your friend asks you, "What are the duties of an Emergency Medical Responder?" You know that your patient-related duties include all of the following EXCEPT:
administering medication to ill and injured persons
During your assessment of an unresponsive patient, the patient becomes responsive. He claims that he does not want any care and asks you to leave him alone. You should do all of the following EXCEPT:
advise additional resources to return to their station
The personal protective equipment that minimizes contact with infectious bodily fluids includes:
all of the above
You have an ethical responsibility to:
all of the above
Unlawful physical contact with a patient is called:
battery
You respond to a 67-year-old female who has fallen at home. On arrival the patient is conscious and alert, with no respiratory or cardiac compromise. She states she tripped and fell and now has pain in her left hip. She thinks she might have heard a "pop" as she hit the floor. She has her neighbor at her side and says it is all right if you leave, and the neighbor can get her up and to her favorite chair. She's afraid she can't afford the ambulance and the hospital, and she is sure she is just feeling her age. You know that the ambulance is on its way and should arrive soon. For you to care for this patient, you must get her consent for treatment and transport. If you treat this patient against her will, you have committed:
battery
Engine 111 is called to a motor vehicle crash. As you arrive, you see two cars and two victims walking around. As you approach the two victims, they state that they are not injured and do not need your help. You should:
carefully document the refusal of care
As an Emergency Medical Responder, when you are helping a person you should:
communicate honestly and directly
It is the responsibility of an Emergency Medical Responder to:
communicate honestly with every patient
You respond to a 67-year-old female who has fallen at home. On arrival the patient is conscious and alert, with no respiratory or cardiac compromise. She states she tripped and fell and now has pain in her left hip. She thinks she might have heard a "pop" as she hit the floor. She has her neighbor at her side and says it is all right if you leave, and the neighbor can get her up and to her favorite chair. She's afraid she can't afford the ambulance and the hospital, and she is sure she is just feeling her age. You know that the ambulance is on its way and should arrive soon. You explain to the woman that you feel she may have injured her hip and ask her questions regarding the day, date, and time. You are doing this to decide if the patient is able to make an informed decision or if she is:
competent
You are caring for a patient who has been involved in a motor vehicle collision. Appropriate personal protective equipment for this patient should include:
gloves and eye protection
You respond to a 67-year-old female who has fallen at home. On arrival the patient is conscious and alert, with no respiratory or cardiac compromise. She states she tripped and fell and now has pain in her left hip. She thinks she might have heard a "pop" as she hit the floor. She has her neighbor at her side and says it is all right if you leave, and the neighbor can get her up and to her favorite chair. She's afraid she can't afford the ambulance and the hospital, and she is sure she is just feeling her age. You know that the ambulance is on its way and should arrive soon. Following the call, one of the neighbors stops you and asks what happened over at that house. You know you cannot speak with the neighbor concerning the patient's condition because it would breach:
confidentiality
The process of using facts and information to change protocols, policies, and procedures for the better is called:
continuous quality improvement
Enhanced 911 systems allow the caller's information to be received electronically by the:
dispatch center
As a paid Emergency Medical Responder, while on duty you are expected to provide care according to the standard operating procedures outlined by your department. This is called:
duty to act
While working as an Emergency Medical Responder you have a legal responsibility to provide care. This is called:
duty to act
To be convicted of negligence an Emergency Medical Responder must be guilty of:
duty to act, breach of duty, damages, and cause.
As a member of the EMS team, you have an ethical responsibility to:
educate yourself about current standards of care
You and your partner are called to a one-vehicle collision. A car has collided with a telephone pole. You arrive on the scene and notice that the police are controlling the traffic and that the power company has turned the power off. You and your partner find a 65-year-old male unconscious in the driver's seat. He is breathing and has a pulse. You notice a starburst to the windshield, and the patient is unrestrained. As your crew is securing spinal immobilization, the local Advanced Life Support Crew arrives on scene. You assist the Paramedic and Emergency Medical Technician with securing the patient to the long backboard and into their unit for transport. You give the crew a report, and they transport the patient to the hospital while you return to the fire department for resupply. As an Emergency Medical Responder on this call, the first responsibility for you and your crew would be to:
ensure that it is safe for you and your crew to enter the area
As an Emergency Medical Responder, you have to behave in a way that puts your patient's needs before your own. This is called:
ethical responsibilities
You and your partner are called to a one-vehicle collision. A car has collided with a telephone pole. You arrive on the scene and notice that the police are controlling the traffic and that the power company has turned the power off. You and your partner find a 65-year-old male unconscious in the driver's seat. He is breathing and has a pulse. You notice a starburst to the windshield, and the patient is unrestrained. As your crew is securing spinal immobilization, the local Advanced Life Support Crew arrives on scene. You assist the Paramedic and Emergency Medical Technician with securing the patient to the long backboard and into their unit for transport. You give the crew a report, and they transport the patient to the hospital while you return to the fire department for resupply. Spinal immobilization protocols in your area recently changed because of new research regarding cervical spine injuries. This change in protocol is an example of:
evidence-based practices
Your adult patient is adamantly refusing to go to the hospital. You believe she should be transported. You should:
explain the risks of refusal, then have the patient sign a refusal of care form
You respond to a 67-year-old female who has fallen at home. On arrival the patient is conscious and alert, with no respiratory or cardiac compromise. She states she tripped and fell and now has pain in her left hip. She thinks she might have heard a "pop" as she hit the floor. She has her neighbor at her side and says it is all right if you leave, and the neighbor can get her up and to her favorite chair. She's afraid she can't afford the ambulance and the hospital, and she is sure she is just feeling her age. You know that the ambulance is on its way and should arrive soon. After you talk with the patient, she decides to allow you to treat her injury and says that she will go in the ambulance to the hospital. This form of consent is known as:
expressed consent