EMT Ch 1-6 Public Health philip_olcese

If a mask cannot be placed on a coughing patient, the Centers for Disease Control and Prevention (CDC) recommend that you maintain a distance of at least ________ feet if possible. Select one: a. 4 b. 2 c. 5 d. 3

3

Which of the following statements regarding a patient refusal is MOST correct? Select one: a. A patient who consumed a few beers will likely be able to refuse EMS treatment. b. Documentation of proposed care is unnecessary if the patient refuses treatment. c. Advice given to a patient who refuses EMS treatment should not be documented. d. A mentally competent adult has the legal right to refuse EMS care and transport.

A mentally competent adult has the legal right to refuse EMS care and transport.

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? Select one: a. Discreetly report your suspicions to your supervisor. b. Tell your partner that he must seek professional help. c. Remain quiet and simply request another partner. d. Report the incident to your EMS medical director.

Discreetly report your suspicions to your supervisor.

You are transporting a 54-year-old male in cardiac arrest. An EMR is driving the ambulance as you and your partner attempt to resuscitate the patient. What is the MOST logical way of notifying the hospital? Select one: a. Call the receiving hospital with your cellular phone as you attempt resuscitation. b. Request that a police officer respond to the hospital to apprise them of your arrival. c. Have the driver contact dispatch and relay the patient information to the hospital. d. Wait until you arrive at the hospital and then quickly apprise them of the situation.

Have the driver contact dispatch and relay the patient information to the hospital.

When you begin an oral report, you should state the patient's age, sex, and: Select one: a. past medical history. b. the emergency care given. c. any known allergies. d. chief complaint.

chief complaint.

You have two patients who were involved in a motor vehicle crash when their SUV struck a tree—one with neck and back pain, and the other with a deformed left femur. The patient with the deformed femur states that he does not want to be placed on a hard board, nor does he want a collar around his neck. What is the MOST appropriate and practical method of securing these patients and placing them into the ambulance? Select one: a. Immobilize both patients with a cervical collar and long backboard based on the mechanism of injury; place one on the wheeled stretcher and the other on the squad bench. b. Immobilize the patient with neck and back pain on a long backboard and place him on the squad bench; allow the patient with the deformed femur to sit on the wheeled stretcher. c. Apply a traction splint to the patient with the deformed femur and place him on the wheeled stretcher; place the patient with neck and back pain on the squad bench immobilized with a cervical collar and scoop stretcher. d. Immobilize the patient with neck and back pain on a long backboard and place him on the wheeled stretcher; place the patient with the deformed femur on a folding stretcher secured to the squad bench.

Immobilize the patient with neck and back pain on a long backboard and place him on the wheeled stretcher; place the patient with the deformed femur on a folding stretcher secured to the squad bench.

Which of the following statements regarding the Good Samaritan law is correct? Select one: a. It provides the EMT immunity from a lawsuit. b. It guarantees that the EMT will not be held liable if he or she is sued. c. The law does not protect EMTs who are off duty. d. It will not protect the EMT in cases of gross negligence.

It will not protect the EMT in cases of gross negligence.

EMT training in nearly every state meets or exceeds the guidelines recommended by the: Select one: a. National Registry of EMTs. b. individual state's EMS protocols. c. National Highway Traffic Safety Administration (NHTSA). d. National Association of EMTs.

National Highway Traffic Safety Administration (NHTSA).

Which of the following statements regarding the hepatitis B vaccine is correct? Select one: a. Vaccination against hepatitis B provides partial immunity for life. b. The hepatitis B vaccine provides protection against the disease for 2 years. c. OSHA requires that your employer offer you the vaccine free of charge. d. Vaccination with the hepatitis B vaccine confers immunity against hepatitis A.

OSHA requires that your employer offer you the vaccine free of charge.

Which of the following statements regarding standing orders is MOST correct? Select one: a. Standing orders should be followed when physician contact is not possible. b. Standing orders require you to contact medical control first. c. Standing orders only highlight the care that you may provide. d. Standing orders have less legal authority than orders given via radio.

Standing orders should be followed when physician contact is not possible.

In which of the following situations is an emergency patient move indicated? Select one: a. The EMT has to gain access to lesser-injured patients in a vehicle. b. The EMT is unable to protect the patient from scene hazards. c. A significant mechanism of injury is involved. d. A patient has an altered mental status or is in shock.

The EMT is unable to protect the patient from scene hazards.

Which of the following statements regarding the NREMT is correct? Select one: a. The NREMT provides a national standard for EMS testing. b. EMS training standards are regulated by the NREMT. c. The NREMT is a governmental agency that certifies EMTs. d. The NREMT is the exclusive certifying body for EMTs.

The NREMT provides a national standard for EMS testing.

Which of the following statements regarding patient weight distribution is correct? Select one: a. The majority of a horizontal patient's weight is in the torso. b. A semi-sitting patient's weight is equally distributed on both ends. c. The EMT at the patient's head will bear the least amount of weight. d. Most of the patient's weight rests on the foot end of the stretcher.

The majority of a horizontal patient's weight is in the torso.

You arrive at the scene of a motor vehicle versus pedestrian accident. The patient, a 13-year-old male, is unconscious and has multiple injuries. As you are treating the child, a law enforcement officer advises you that the child's parents will be at the scene in approximately 15 minutes. What should you do? Select one: a. Begin transport at once and have the parents meet you en route to the hospital. b. Withhold treatment until the parents arrive and give you consent for treatment. c. Treat the child at the scene and wait for the parents to arrive and give consent. d. Transport the child immediately and have the parents meet you at the hospital.

Transport the child immediately and have the parents meet you at the hospital.

In which of the following situations would a direct ground lift be the MOST appropriate method of moving a patient? Select one: a. a patient who complains of hip pain following a fall b. an unconscious patient with a possible ischemic stroke c. a conscious patient complaining of abdominal pain d. a pedestrian with back pain after being struck by a car

a conscious patient complaining of abdominal pain

Situations in which you should use the rapid extrication technique include all of the following, EXCEPT: Select one: a. a patient who needs immediate care that requires a supine position. b. a patient who can be properly assessed while still in the vehicle. c. a patient who blocks access to another seriously injured patient. d. a patient whose condition requires immediate transport to the hospital.

a patient who can be properly assessed while still in the vehicle.

A folding or portable stretcher is MOST beneficial when: Select one: a. a second patient must be transported on the squad bench of the ambulance. b. a patient requires full spinal immobilization when spinal injury is suspected. c. a conscious, alert patient must be carried down several flights of steep stairs. d. an injured patient cannot be placed on a long board due to severe back pain.

a second patient must be transported on the squad bench of the ambulance.

Which of the following descriptions MOST accurately portrays emergency medical services (EMS)? Select one: a. a system composed exclusively of emergency medical responders (EMRs) and emergency medical technicians (EMTs) who are responsible for providing care to sick and injured patients b. a team of paramedics and emergency physicians who are responsible for providing emergency care to critically injured patients c. a vast network of advanced life support (ALS) providers who provide definitive emergency care in the prehospital setting d. a team of health care professionals who are responsible for providing emergency care and transportation to the sick and injured

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

When caring for the parents of a child who has died of leukemia, the EMT should: Select one: a. acknowledge the death of their child in private. b. tell them that their feelings are understood. c. immediately refer them to a counselor. d. refrain from using words such as "died" or "dead."

acknowledge the death of their child in private.

The BEST way to reduce your risk of contracting a work-related disease following exposure is to: Select one: a. vigorously wash the affected area with an antimicrobial solution. b. be evaluated by a physician within 72 hours following the exposure. c. activate your department's infection control plan as soon as possible. d. get vaccinated against the disease you think you were exposed to.

activate your department's infection control plan as soon as possible.

Medical control gives you an order that seems inappropriate for the patient's condition. After confirming that you heard the physician correctly, you should: Select one: a. carry out the order and then carefully document it on the run form. b. advise the physician that the order is unclear and ask for clarification. c. obtain consent from the patient and then carry out the order as usual. d. state that you will not carry out the order because it is inappropriate.

advise the physician that the order is unclear and ask for clarification

During your assessment of a 20-year-old man with a severe headache and nausea, you ask him when his headache began, but he does not answer your question immediately. You should: Select one: a. repeat your question because he probably did not hear you. b. tell him that you cannot help him unless he answers your questions. c. ask him if he frequently experiences severe headaches and nausea. d. allow him time to think about the question and respond to it.

allow him time to think about the question and respond to it.

A patient's refusal for EMS treatment and/or transport must be: Select one: a. an informed refusal. b. authorized by a judge. c. witnessed by a notary. d. reported to the police.

an informed refusal.

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? Select one: a. anger b. depression c. denial d. bargaining

anger

Vector-borne transmission of an infectious organism occurs via: Select one: a. direct contact. b. inanimate objects. c. smoke or dust. d. animals or insects.

animals or insects.

When performing the rapid extrication technique to remove a patient from his or her vehicle, you should: Select one: a. apply a cervical collar and immobilize the patient on a short backboard. b. grasp the patient by the clothing and drag him or her from the car. c. apply a cervical collar and remove the patient on a long backboard. d. apply a vest-style extrication device prior to moving the patient.

apply a cervical collar and remove the patient on a long backboard.

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: Select one: a. remain at least 3 feet away from the patient and apply a surgical mask on him. b. apply a sterile surgical mask on yourself and a HEPA respirator on the patient. c. apply a nonrebreathing mask on the patient and a high-efficiency particulate air (HEPA) respirator on yourself. d. apply a nasal cannula on the patient and a sterile surgical mask on yourself.

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

You are assessing a 75-year-old woman with mild shortness of breath. As you are asking her questions regarding her chief complaint and medical history, you progressively move closer and closer to her. In doing this, it is important to remember that: Select one: a. as you physically get closer to the patient, a greater and greater sense of trust must be established. b. it is necessary to enter an older person's intimate space because the elderly are typically hearing impaired. c. placing yourself in the patient's personal space is relaying to her that you can be trusted. d. a patient's personal space should not be violated, regardless of any barriers that may hamper communication.

as you physically get closer to the patient, a greater and greater sense of trust must be established.

Despite numerous, sincere efforts to convince a 40-year-old man to consent to EMS treatment and transport, he refuses. After explaining the potential consequences of his refusal and determining that he has decision-making capacity, you ask him to sign an EMS refusal form, but he refuses to do that as well. You should: Select one: a. ask a family member, law enforcement officer, or bystander to sign the form verifying that the patient refused to sign. b. sign the refusal form, include the date and time, and have your partner witness it with his or her signature. c. document the patient's refusal, but leave the refusal form blank because only the patient can legally sign it. d. advise the patient that unless he signs the refusal form, he cannot legally refuse EMS treatment or transport.

ask a family member, law enforcement officer, or bystander to sign the form verifying that the patient refused to sign.

Which of the following situations requires you to notify the appropriate authorities? Select one: a. cardiac arrest b. attempted suicide c. drug overdose d. accidental knife wound

attempted suicide

When faced with a situation in which a patient is in cardiac arrest, and a valid living will or DNR order cannot be located, you should: Select one: a. determine the patient's illness. b. notify the coroner immediately. c. begin resuscitation at once. d. contact medical control first.

begin resuscitation at once.

When relaying patient information via radio, communications should be: Select one: a. spoken in a loud voice. b. lengthy and complete. c. brief and easily understood. d. coded and scripted.

brief and easily understood.

Your EMS system uses a computerized PCR in which you fill in the information electronically and then send it to the emergency department via a secure Internet server. The PCR has a comprehensive series of drop-down boxes, which are used to identify your assessment findings and specify the treatment that you provided; it also has a section for your narrative. When completing your PCR after a call, you should: Select one: a. complete a thorough and accurate narrative because drop-down boxes cannot provide all of the information that needs to be documented. b. enter all of the pertinent information of the electronic PCR, but then print it out and provide a copy to the emergency department staff. c. avoid documenting personally identifiable information, such as the patient's name, because the PCR could be intercepted during transmission. d. defer the narrative only if the information in the drop-down boxes accurately reflects the assessment and treatment that you performed.

complete a thorough and accurate narrative because drop-down boxes cannot provide all of the information that needs to be documented.

Immediately after being dispatched to a residence for an elderly patient with diabetic complications, you should: Select one: a. request that law enforcement secure the scene before you arrive. b. ask the dispatcher if the patient is conscious or unconscious. c. ask the dispatcher to obtain a medical history from the caller. d. confirm with dispatch that you received the call information.

confirm with dispatch that you received the call information.

All information recorded on the PCR must be: Select one: a. a matter of public record. b. considered confidential. c. typewritten or printed. d. reflective of your opinion.

considered confidential.

Ethnocentrism is defined as: Select one: a. understanding that people from different cultural backgrounds respond to pain and stress differently. b. considering your own cultural values as more important when interacting with people of a different culture. c. subconsciously forcing your cultural values onto a patient because you feel that yours are more acceptable. d. suspecting that a person has an ulterior motive based on the tone of his or her voice when answering a question.

considering your own cultural values as more important when interacting with people of a different culture.

While transporting a woman with diabetes, you inadvertently give her oral glucose even though her blood glucose level was high. You reassess the patient and note that her condition did not change; she remained stable. You should: Select one: a. document the error and report it to your supervisor. b. contact medical control and notify him or her of the error. c. exclude this from the PCR since it did not harm the patient. d. notify law enforcement so they can file an incident report.

contact medical control and notify him or her of the error.

The patient care report (PCR) ensures: Select one: a. research data. b. legal protection. c. quality assurance. d. continuity of care.

continuity of care.

When communicating with a visually impaired patient, you should: Select one: a. expect him or her to have difficulty understanding. b. recall that most visually impaired patients are blind. c. possess an in-depth knowledge of sign language. d. determine the degree of the patient's impairment.

determine the degree of the patient's impairment.

Which of the following MOST accurately defines negligence? Select one: a. transport of a mentally incompetent patient against his or her will b. deviation from the standard of care that may result in further injury c. providing care that is consistent with care provided by other EMTs d. transferring patient care to a provider with a lower level of training

deviation from the standard of care that may result in further injury

You are dispatched to an office building for a 49-year-old male with chest pain. When you arrive at the scene, you find the patient to be conscious and alert, but in obvious pain. He tells you that he did not call 9-1-1; a coworker did. He further states that he does not want to be treated or transported to the hospital. You should: Select one: a. tell him that he is having a heart attack and needs medical care. b. ensure that he is aware of the risks of refusing medical care. c. have him sign a refusal of care form and then return to service. d. err in the best interest of the patient and transport him at once.

ensure that he is aware of the risks of refusing medical care.

When performing his or her duties, the EMT is generally expected to: Select one: a. function above his or her scope of practice. b. exercise reasonable care and act prudently. c. contact medical control on every EMS call. d. consistently exceed the standard of care.

exercise reasonable care and act prudently.

What type of consent is involved when a 39-year-old mentally competent female with a severe headache asks you to take her to the hospital? Select one: a. expressed b. formal c. implied d. informed

expressed

You suspect that a pregnant 16-year-old girl has a broken leg after she was hit by a car. You explain that you plan to splint her leg, and she agrees to treatment. What type of consent is her agreement considered? Select one: a. minor's b. informed c. implied d. expressed

expressed

The direct carry is used to transfer a patient: Select one: a. who cannot be placed on a backboard. b. with a possible cervical spine injury. c. with multiple long bone injuries. d. from a bed to the ambulance stretcher.

from a bed to the ambulance stretcher.

Which of the following has the weakest transmission signal and, as a result, is LEAST likely to be heard by the party being called? Select one: a. hand-held portable radio b. land-base repeater station c. multiplex base station d. mobile repeater station

hand-held portable radio

You and your partner arrive at the scene of a major motor vehicle crash. The driver, a young male, is severely entrapped in his car. He has an open head injury and massive facial trauma. He is unresponsive, is not breathing, and does not have a palpable carotid pulse. You should: Select one: a. have your partner check for a pulse to confirm that the patient is deceased. b. request the fire department to extricate the patient so you can begin cardiopulmonary resuscitation (CPR). c. stop any active bleeding and advise dispatch to send a paramedic crew. d. ventilate the patient for 5 minutes and then stop if there is no response.

have your partner check for a pulse to confirm that the patient is deceased.

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: Select one: a. don a self-contained breathing apparatus (SCBA) and rescue the woman. b. immediately notify the incident commander or safety officer. c. request permission from the fire chief to enter the structure. d. stay where you are until fire fighters remove her from the house.

immediately notify the incident commander or safety officer.

Which of the following is the MOST significant factor in determining if a person will become ill from certain germs? Select one: a. gender b. age c. immunity d. race

immunity

If an action or procedure that was performed on a patient is not recorded on the written report: Select one: a. it was performed haphazardly by the EMT. b. it can be qualified by the EMT in charge. c. it was not performed in the eyes of the law. d. it cannot be used in establishing negligence.

it was not performed in the eyes of the law.

Which of the following is NOT a function of the Federal Communications Commission (FCC)? Select one: a. allocating specific radio frequencies for use by EMS providers b. maintaining communications equipment on the ambulance c. monitoring all radio traffic and conducting field spot checks d. licensing base stations and assigning appropriate radio call signs

maintaining communications equipment on the ambulance

Calming and reassuring an anxious patient can be facilitated by: Select one: a. using medical terminology to ensure the patient understands. b. withholding unpleasant information until arrival at the hospital. c. maintaining eye contact with the patient whenever possible. d. positioning yourself at a level that is higher than the patient.

maintaining eye contact with the patient whenever possible.

What type of medical direction do standing orders and protocols describe? Select one: a. online b. direct c. radio d. off-line

off-line

Prescription glasses do not provide adequate eye protection because they: Select one: a. offer little or no side protection. b. have large rounded lenses. c. do not have shatterproof lenses. d. are not secured with a strap.

offer little or no side protection.

Which of the following MOST accurately describes the correct position of the EMTs who are executing the diamond carry technique? Select one: a. one at the head, one at the feet, and one on each side of the patient's torso b. one at the head, two at the feet, and a fourth EMT balancing the torso c. two at the head, two at the feet, and a fifth EMT balancing the torso d. two at the head, one at the feet, and one on the left side of the patient's torso

one at the head, one at the feet, and one on each side of the patient's torso

An EMS provider who has extensive training in various aspects of advanced life support (ALS) is called a(n): Select one: a. EMR. b. EMT. c. paramedic. d. advanced EMT (AEMT).

paramedic.

Physiologic manifestations of stress include: Select one: a. increased blood pressure, decreased blood glucose levels, and chest pain. b. flushed skin, decreased muscle control, and vomiting. c. slow heart rate, low blood pressure, and severe headaches. d. perspiration, increased blood glucose levels, and dilated pupils.

perspiration, increased blood glucose levels, and dilated pupils.

You are treating a man with a closed head injury following an assault by a burglar. The patient, who has slurred speech, becomes verbally abusive and tells you to leave him alone. You should: Select one: a. ask a police officer to transport the patient to the hospital. b. allow him to refuse treatment since the injury was not his fault. c. have the police arrest him so that you can legally begin treatment. d. proceed with treatment and utilize law enforcement if necessary.

proceed with treatment and utilize law enforcement if necessary.

When treating a patient who is trapped in a vehicle and covered with broken glass, it is BEST to wear: Select one: a. fire fighter gloves only, to preserve manual dexterity. b. latex gloves with thick leather gloves underneath. c. puncture-proof leather gloves over your latex gloves. d. thick fire fighter gloves over two pairs of latex gloves.

puncture-proof leather gloves over your latex gloves.

In most instances, you should move a patient on a wheeled ambulance stretcher by: Select one: a. pushing the head of the stretcher while your partner guides the foot. b. slightly lifting the stretcher to prevent unnecessary patient movement. c. retracting the undercarriage and carrying the stretcher to the ambulance. d. pushing the foot of the stretcher while your partner guides the head.

pushing the head of the stretcher while your partner guides the foot.

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: Select one: a. assist with vehicle stabilization. b. report to the incident commander. c. quickly begin the triage process. d. put on high-visibility safety vests.

put on high-visibility safety vests.

After receiving online orders from medical control to perform a patient care intervention, you should: Select one: a. confirm the order in your own words. b. ask the physician to repeat the order. c. repeat the order to medical control word for word. d. perform the intervention as ordered.

repeat the order to medical control word for word.

While assisting an advanced life support (ALS) ambulance crew, you are accidentally stuck with an IV needle. You should: Select one: a. report the incident to your supervisor after the call. b. get immunized against hepatitis as soon as possible. c. immerse your wound in an alcohol-based solution. d. discontinue patient care and seek medical attention.

report the incident to your supervisor after the call.

You and your partner respond to the scene of a 49-year-old male with acute abdominal pain. As you enter his residence, you find him lying on the floor in severe pain. He is conscious and alert. The patient appears to weigh in excess of 350 lb. Your FIRST action should be to: Select one: a. request additional personnel before making any attempts to lift him. b. assess him and then move him to the stretcher with a direct carry. c. request the fire department if one attempt to move him fails. d. encourage the patient to walk himself to the awaiting ambulance.

request additional personnel before making any attempts to lift him.

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: Select one: a. providing large amounts of caffeine to the rescue workers. b. allowing each worker to sleep in 15- to 30-minute increments. c. conducting a critical incident stress debriefing the next day. d. requesting a CISM team to provide on-scene peer support.

requesting a CISM team to provide on-scene peer support.

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: Select one: a. retreat and notify law enforcement personnel. b. ignore the family member and assess the patient. c. subdue the family member until the police arrive. d. tell the family member that it is not your fault.

retreat and notify law enforcement personnel.

Which of the following situations would require an urgent patient move? Select one: a. conscious patient with abrasions and a possibly fractured humerus b. stable patient who is blocking access to a critically injured patient c. semiconscious patient with shallow respirations and signs of shock d. imminent risk of a fire or explosion in or near the patient's vehicle

semiconscious patient with shallow respirations and signs of shock

When a person is standing upright, the weight of anything being lifted and carried in the hands is FIRST reflected onto the: Select one: a. thigh muscles. b. shoulder girdle. c. spinal column. d. pelvic girdle.

shoulder girdle.

As you and your partner are carrying a stable patient down a flight of stairs in a stair chair, you feel a sudden, sharp pain in your lower back. You should: Select one: a. stop the move and have the patient walk down the stairs. b. stop the move and request additional lifting assistance. c. guide your partner while moving the chair backwards. d. reposition your hands and continue to move the patient.

stop the move and request additional lifting assistance.

In which of the following circumstances can the EMT legally release confidential patient information? Select one: a. a police officer requests a copy to place on file b. the patient is competent and signs a release form c. the family requests a copy for insurance purposes d. a media representative inquires about the patient

the patient is competent and signs a release form

EMRs such as fire fighters, law enforcement officers, and park rangers, are an integral part of the EMS system because: Select one: a. the presence of a person trained to initiate basic life support (BLS) care cannot be ensured. b. the average response time for the EMT crew is approximately 15 minutes. c. they are usually trained to assist paramedics with certain procedures. d. they can initiate certain ALS procedures before EMS arrival.

the presence of a person trained to initiate basic life support (BLS) care cannot be ensured.

Your BEST protection against legal liability when a competent patient refuses EMS care and transport is to: Select one: a. thoroughly document the entire event. b. ensure that the family is aware of the risks. c. err on the side of caution and transport. d. advise medical control of the situation.

thoroughly document the entire event.

If you use a waterless handwashing substitute in the field, it is important to: Select one: a. immediately dry your hands with a paper towel. b. wait at least 5 minutes before touching another patient. c. wash your hands with soap and water at the hospital. d. avoid donning another pair of gloves for at least 10 minutes.

wash your hands with soap and water at the hospital.

Critical incident stress management (CISM) can occur at an ongoing scene in all of the following circumstances, EXCEPT: Select one: a. when patients are actively being assessed or treated. b. when personnel are assessed during periods of rest. c. before personnel are preparing to reenter the scene. d. before leaving the scene after the incident is resolved.

when patients are actively being assessed or treated.

Gloves, a mask, eye protection, and a face shield should be used: Select one: a. while handling needles or other sharps. b. during routine cleaning of the ambulance. c. any time you touch non-intact skin. d. when performing endotracheal intubation.

when performing endotracheal intubation.

As an EMT, you may be authorized to administer aspirin to a patient with chest pain based on: Select one: a. your local EMS protocols. b. the patient's condition. c. an order from a paramedic. d. the transport time to the hospital.

your local EMS protocols.

An appropriate demonstration of professionalism when your patient is frightened, demanding, or unpleasant is to: Select one: a. demand the patient to be quiet and cooperative during transport. b. continue to be nonjudgmental, compassionate, and respectful. c. reassure him or her that everything will be all right, even if it will not be. d. ignore the patient's feelings and focus on his or her medical complaint.

continue to be nonjudgmental, compassionate, and respectful.

While transporting a stable patient with chest pain to the hospital, you come across a major motor vehicle crash involving several critically injured patients. Your MOST appropriate action should be to: Select one: a. continue transporting your patient and notify the dispatcher of the crash. b. ask a bystander to remain with your patient as you treat the crash victims. c. stop and triage the patients while your partner remains in the ambulance. d. remain at the scene until law enforcement and another ambulance arrive.

continue transporting your patient and notify the dispatcher of the crash.

You should not attempt to lift a patient who weighs more than 250 lb with fewer than _______ rescuers, regardless of individual strength. Select one: a. five b. four c. three d. six

four

The continuous quality improvement (CQI) process is designed to: Select one: a. ensure that all EMTs maintain licensure through the state EMS office. b. focus specifically on the quality of emergency care provided to the patient. c. identify areas of improvement and provide remedial training if needed. d. provide punitive action to EMTs who do not follow local protocols.

identify areas of improvement and provide remedial training if needed.

Obtaining continuing medical education is the responsibility of the: Select one: a. State Bureau of EMS. b. individual EMT. c. EMS medical director. d. EMS training officer.

individual EMT.

Laypeople are often trained to perform all of the following skills, EXCEPT: Select one: a. one- or two-rescuer CPR. b. control of life-threatening bleeding. c. splinting of a possible fracture. d. insertion of an oropharyngeal airway.

insertion of an oropharyngeal airway.

In many states, a minor may be treated as an adult for the purpose of consenting to or refusing medical treatment if the minor: Select one: a. possesses a valid driver's license. b. is self-supporting and lives by him- or herself. c. has a poor relationship with his or her parents. d. is mentally competent and able to refuse.

is self-supporting and lives by him- or herself.

The proper technique for using the power grip is to: Select one: a. hold the handle with your fingers. b. rotate your palms down. c. lift with your palms up. d. position your hands about 6″ apart.

lift with your palms up.

Which of the following steps is NOT proper procedure when performing an emergency move? Select one: a. lifting the patient by the belt to move him or her b. using a long-axis body drag during the move c. pulling the patient's clothing in the shoulder area d. pulling the patient on a blanket or similar object

lifting the patient by the belt to move him or her

A critical aspect of the rapid extrication technique is to: Select one: a. extricate the patient with one coordinated move. b. apply a vest-style device before moving the patient. c. maintain stabilization of the spine at all times. d. move the patient as quickly as you possibly can.

maintain stabilization of the spine at all times.

Continuing education in EMS serves to: Select one: a. prove research and statistical findings in prehospital care. b. provide an ongoing review and audit of the EMS system. c. enforce mandatory attendance to agency-specific training. d. maintain, update, and expand your knowledge and skills.

maintain, update, and expand your knowledge and skills.

The person who is responsible for authorizing EMTs to perform emergency medical care in the field is the: Select one: a. medical director. b. EMS administrator. c. shift supervisor. d. field training officer.

medical director.

When communicating with an older patient, it is important to remember that: Select one: a. hostility and confusion should be presumed to be due to the patient's age. b. speaking loudly and distinctly will ensure that the patient can hear you. c. most older people think clearly and are capable of answering questions. d. your questions should focus exclusively on the patient's obvious problem.

most older people think clearly and are capable of answering questions.

You and your partner are the first to arrive at a potential crime scene with a critically injured patient involved. The scene is safe. Your first priority is to: Select one: a. determine why the patient was injured. b. notify medical control for advice. c. wait for law enforcement to arrive. d. provide immediate patient care.

provide immediate patient care.

After being dispatched on an emergency call, you should expect the dispatcher to provide you with all of the following information, EXCEPT: Select one: a. other agencies that are responding to the scene. b. the time at which your unit was dispatched. c. the number of patients involved in the incident. d. the general geographic location of the incident.

the general geographic location of the incident.

A 60-year-old man complains of chest pain. He is conscious and alert and denies shortness of breath. Which of the following questions would be the MOST appropriate to ask him? Select one: a. "Were you exerting yourself when the chest pain began?" b. "Does the pain in your chest feel like a stabbing sensation?" c. "Do you have any heart problems or take any medications?" d. "Does the pain in your chest move to either of your arms?"

"Do you have any heart problems or take any medications?"

Which of the following statements is NOT appropriate to document in the narrative section of a PCR? Select one: a. "General impression revealed that the patient was intoxicated." b. "After oxygen was administered, the patient's breathing improved." c. "Significant damage was noted to the front end of the vehicle." d. "The patient admits to smoking marijuana earlier in the day."

"General impression revealed that the patient was intoxicated."

You are interviewing a 52-year-old man who complains of chest discomfort. The patient is a retired paramedic and is very anxious because he thinks he is having a heart attack. Which of the following statements would be appropriate to say? Select one: a. "This is nothing to worry about. Please try to stay calm. The physician at the hospital will probably not find any signs of a heart problem." b. "We need to take you to the ED stat. We will give you ASA and NTG en route and then reassess your vitals. Do you have any questions?" c. "I notice that you are a retired paramedic, so I'm sure you will understand all of the things that we will be doing to you." d. "It is possible that you are experiencing a heart attack. I am going to give you four baby aspirin to chew and swallow."

"It is possible that you are experiencing a heart attack. I am going to give you four baby aspirin to chew and swallow."

Which of the following scenarios MOST accurately depicts abandonment? Select one: a. A physician assumes patient care from an EMT. b. A paramedic transfers patient care to an EMT. c. An EMT gives a verbal report to an emergency room nurse. d. An AEMT transfers patient care to a paramedic.

A paramedic transfers patient care to an EMT.

Which of the following general statements regarding consent is MOST correct? Select one: a. A patient can consent to transport but can legally refuse to be treated. b. All patients older than 18 years can legally refuse treatment or transport. c. Expressed consent is valid only if given in writing by a family member. d. Patients who are intoxicated are generally allowed to refuse treatment.

A patient can consent to transport but can legally refuse to be treated.

Which of the following statements regarding the scoop stretcher is NOT correct? Select one: a. You must fully secure the patient to the scoop stretcher before moving him or her. b. Both sides of the patient must be accessible in order for a scoop stretcher to be used. c. The construction of the scoop stretcher prohibits x-rays while the patient is on it. d. A scoop stretcher will provide adequate immobilization of a patient's spinal column.

A scoop stretcher will provide adequate immobilization of a patient's spinal column.

Which of the following skills or interventions is included at every level of prehospital emergency training? Select one: a. oral glucose for hypoglycemia b. use of a manually triggered ventilator c. AED d. intranasal medication administration

AED

Which of the following statements regarding the EMS medical director and an EMT's scope of practice is correct? Select one: a. The EMS medical director can expand the EMT's scope of practice but cannot limit it without state approval. b. The EMS medical director can expand or limit an individual EMT's scope of practice without state approval. c. An EMT's scope of practice may be expanded by the medical director after proper training and state approval. d. An EMT's scope of practice is exclusively regulated by the state EMS office, not the EMS medical director.

An EMT's scope of practice may be expanded by the medical director after proper training and state approval.

Which of the following statements regarding an emergency patient move is correct? Select one: a. It is not possible to perform an emergency move without injuring the patient. b. The spine must be fully immobilized prior to performing an emergency move. c. An emergency move is performed before the primary assessment and treatment. d. The patient is dragged against the body's long axis during an emergency move.

An emergency move is performed before the primary assessment and treatment.