EMT: Module 1-4
EMS as we know it today had its origins in 1966 with the publication of: Select one: A. Accidental Death and Disability: The Neglected Disease of Modern Society. B. the Department of Transportation's White Paper: Death and Dying. C. Emergency Care and Transportation of the Sick and Injured. D. the Emergency Medical Services Act.
A. Accidental Death & Disability
The continuous quality improvement (CQI) process is designed to: Select one: A. identify areas of improvement and provide remedial training if needed. B. ensure that all EMTs maintain licensure through the state EMS office. C. focus specifically on the quality of emergency care provided to the patient. D. administer punitive actions to EMTs who do not follow local protocols.
A. Identify areas of improvement and provide remedial training if needed
Which of the following is the MOST significant factor in determining whether a person will become ill from certain germs? Select one: A. Immunity B. Age C. Race D. Gender
A. Immunity
While you are on duty, your partner asks you out on a date and touches you in an inappropriate location without your consent. You should: Select one: A. tell your partner to stop and report the incident to your supervisor. B. warn your partner that you will report him or her if it happens again. C. notify law enforcement personnel and have your partner arrested. D. tell your partner to quit kidding around and focus on the job.
A. Tell your partner to stop and report the incident to your supervisor.
While trying to make a family member feel better after a loved one has died, your partner states, "I know how you are feeling." The family members may view this as: Select one: A. your partner's attempt to diminish their grief. B. coaching them through the grieving process. C. your partner's caring and supportive attitude. D. a show of respect for the person who has died.
A. Your partner attempt to diminish their grief
Determination of exposure is an important component of an infection control plan because it: Select one: A. determines the time of day when most exposures are likely to occur. B. defines who is at risk for contact with blood and body fluids and which tasks pose a risk of exposure. C. determines which type of communicable disease might be present in the workplace. D. defines who is most likely to transmit communicable diseases in the workplace.
B. Defines who is at risk for contact with blood and body fluids and which tasks pose a risk of exposure
It is especially important for EMS personnel to develop nonadversarial relationships with their coworkers because they: Select one: A. must work together every third day. B. depend on one another for their safety. C. may have to bunk in the same room. D. are highly prone to stress and burnout.
B. Depend on one another for their safety
Patients who become dependent upon EMS personnel or other health care providers often feel: Select one: A. hopeful. B. shamed. C. relieved. D. superior.
B. Shamed
Physiologic manifestations of stress include: Select one: A. flushed skin, decreased muscle control, and vomiting. B. perspiration, increased blood glucose levels, and dilated pupils. C. increased blood pressure, decreased blood glucose levels, and chest pain. D. slow heart rate, low blood pressure, and severe headaches.
B. perspiration, increased blood glucose levels, and dilated pupils
Which of the following scenarios MOST accurately depicts abandonment? Select one: A. An EMT gives a verbal report to an emergency room nurse. B. An AEMT transfers patient care to a paramedic. C. A paramedic transfers patient care to an EMT. D. A physician assumes patient care from an EMT.
C. A paramedic transfers patient care to an EMT
The spread of HIV and hepatitis in the health care setting can usually be traced to: Select one: A. lack of proper immunizations. B. noncompliance with standard precautions. C. excessive blood splashing or splattering. D. careless handling of sharps.
D. Careless handling of sharps
At the scene of a motor vehicle crash, you determine that there are two critically injured patients and that another ambulance is needed. You attempt to contact the dispatcher with your portable radio but are unsuccessful. You should: Select one: A. ask a police officer to call dispatch with his portable radio. B. place both patients in the ambulance and transport them at once. C. make another attempt to contact dispatch from an area of higher terrain. D. use the mobile radio in the ambulance to contact dispatch.
D. Use the mobile radio in the ambulance to contact dispatch
Which of the following scenarios involves the administration of ALS? Select one: A. A 61-year-old patient who is receiving humidified supplemental oxygen B. A 53-year-old patient who is assisted with his prescribed nitroglycerin C. A 64-year-old patient who is given aspirin for suspected cardiac chest pain D. A 48-year-old patient whose airway is secured with a supraglottic device
D. 48 year old patient whose airway is secured with a supraglottic device
A critical incident stress debriefing should be conducted no more than ________ hours following the incident. Select one: A. 6 B. 24 C. 12 D. 72
D. 72
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. Which stage of the grieving process is this patient's behavior consistent with? Select one: A. Bargaining B. Denial C. Depression D. Anger
D. Anger
As an EMT, the performance of your duties will be compared to that of: Select one: A. the general public. B. the medical director. C. a paramedic supervisor. D. another EMT.
D. Another EMT
Which of the following situations requires you to notify the appropriate authorities? Select one: A. Accidental knife wound B. Cardiac arrest C. Drug overdose D. Attempted suicide
D. Attempted suicide
Carbon monoxide blocks the ability of the blood to oxygenate the body because it: Select one: A. destroys the number of circulating red blood cells. B. fills the alveoli in the lungs with thick secretions. C. causes the body to expel too much carbon dioxide. D. binds with the hemoglobin in red blood cells.
D. Binds with the hemoglobin in red blood cells.
If it is not possible to adequately clean your ambulance at the hospital following a call, you should: Select one: A. thoroughly wash the back of the ambulance at a local car wash or similar facility. B. wait until the end of your shift and then disinfect the entire patient compartment. C. quickly wipe down all high-contact surfaces with an antibacterial solution. D. clean the ambulance at your station in a designated area that is well ventilated.
D. Clean the ambulance at your station in a designated area that is well ventilated
Which of the following patients has decision-making capacity and can legally refuse emergency medical treatment? Select one: A. A man who is staggering and states that he had three beers B. A diabetic woman who has slurred speech and is not aware of the date C. A confused young male who says he is the president D. A conscious and alert woman with severe abdominal pain
D. Conscious and alert woman with severe abdominal pain
The MOST important consideration at the scene of a hazardous materials incident is: Select one: A. evacuating the bystanders. B. calling the hazardous materials team. C. identifying the hazardous material. D. ensuring your personal safety.
D. Ensuring your personal safety
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. Which type of consent is her agreement considered? Select one: A. Implied B. Informed C. Minor's D. Expressed
D. Expressed
You and your partner are attempting to resuscitate a middle-aged female in cardiac arrest. Because of the remote geographic location, you are unable to contact medical control. What should you do? Select one: A. Perform CPR only and initiate immediate transport. B. Ask the husband if he wants to continue resuscitation. C. Make continuous attempts to contact medical control. D. Follow locally established protocols or standing orders.
D. Follow locally established protocols or standing orders
The official transfer of patient care does not occur until the EMT: Select one: A. gives a radio report to the receiving medical facility. B. informs dispatch of the patient's arrival at the emergency department. C. notifies the admitting clerk of the patient's arrival at the hospital. D. gives an oral report to the emergency room physician or nurse.
D. Gives an oral report to the emergency room physician or nurse
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: Select one: A. avoid Ansing her questions and focus on her injuries. B. immediately tell her of his death so that she may grieve. C. tell her that he is being resuscitated by other EMTs. D. let clergy or hospital staff relay the bad news if possible.
D. Let clergy or hospital staff relay the bad news if possible
Continuing education in EMS serves to: Select one: A. enforce mandatory attendance at agency-specific training. B. provide an ongoing review and audit of the EMS system. C. confirm research and statistical findings in prehospital care. D. maintain, update, and expand the EMT's knowledge and skills.
D. Maintain, update, and expand the EMTs knowledge and skills.
EMT training in nearly every state meets or exceeds the guidelines recommended by the: Select one: A. National Association of EMTs. B. National Registry of EMTs. C. individual state's EMS protocols. D. National Highway Traffic Safety Administration (NHTSA).
D. NHTSA
Which type of medical direction do standing orders and protocols describe? Select one: A. Direct B. Online C. Radio D. Off-line
D. Off-line
The criteria to be licensed and employed as an EMT include: Select one: A. demonstration of the ability to lift and carry at least 200 pounds. B. a minimum of 60 college credit hours that focus on health care. C. successful completion of a recognized bystander CPR course. D. proof of immunization against certain communicable diseases.
D. Proof of immunization against certain communicable diseases.
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: Select one: A. continue into the apartment using extreme caution. B. get in your ambulance and leave the scene immediately. C. continue into the apartment and apprehend the gunman. D. seek a safe place and request law enforcement assistance.
D. Seek a safe place and request law enforcement assistance
Continuing education in EMS serves to: Select one: A. enforce mandatory attendance at agency-specific training. B. provide an ongoing review and audit of the EMS system. C. confirm research and statistical findings in prehospital care. D. maintain, update, and expand the EMT's knowledge and skills.
D. maintain, update, and expand the EMT's knowledge and skills.
The compliance-monitoring component of an infection control plan should: Select one: A. address issues such as medical waste collection, storage, and ambulance disinfection. B. identify who to notify after an exposure and where treatment should be provided. C. consist of a list of tasks that pose a risk for contact with blood or other body fluids. D. ensure that employees understand what they should do and why it is important.
Ensure that employees understand what they should do and why it is important
You are caring for 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? Select one: A. "It is possible that you are experiencing a heart attack. I am going to give you four baby aspirin to chew and swallow." B. "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." 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. "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?"
A. "It is possible that you are experiencing a heart attack. I am going to give you four baby aspiring to chew and swallow.'
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. immediately refer them to a counselor. C. refrain from using words such as "died" or "dead." D. tell them that their feelings are understood.
A. Acknowledge the death
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 child's parents arrive at the scene, they demand to see him. You should: Select one: A. advise them that their son had severely disfiguring injuries and ask them if there is anyone they would like you to contact first. B. let them know that because of the circumstances of their child's death, they will not be permitted to see him at this time. C. express your sincere condolences over their loss and have them escorted away from the scene by a law enforcement officer. D. discreetly escort them to the back of the ambulance and allow them to see their child by themselves while you wait outside.
A. Advise them that their son had severely disfiguring injuries and ask them if there is anyone they would like you to contact first.
A patient's refusal of EMS treatment and/or transport must be: Select one: A. an informed refusal. B. witnessed by a notary. C. reported to the police. D. authorized by a judge.
A. An informed refusal
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. apply a nonrebreathing mask on the patient and a high-efficiency particulate air (HEPA) respirator on yourself. B. remain at least 3 feet away from the patient and apply a surgical mask on him. C. apply a sterile surgical mask on yourself and a HEPA respirator on the patient. D. apply a nasal cannula on the patient and a sterile surgical mask on yourself.
A. Apply a nonrebreathing mask on the patient and a high-efficiency particulate air (HEPA) respirator on yourself
Which of the following skills would a layperson MOST likely be trained to perform before arrival of EMS? Select one: A. Bleeding control using a tourniquet B. Obtaining a manual blood pressure C. Insertion of an oropharyngeal airway D. Administration of supplemental oxygen
A. Bleeding control using a tourniquet
Hazards that are associated with a structural fire include all of the following, EXCEPT:
A. Carbon dioxide deficiency
Immediately after being dispatched to a residence for an elderly patient with diabetic complications, you should: Select one: A. confirm with dispatch that you received the call information. B. ask the dispatcher if the patient is conscious or unconscious. C. request that law enforcement secure the scene before you arrive. D. ask the dispatcher to obtain a medical history from the caller.
A. Confirm with dispatch that you received the call information
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. contact medical control and notify them of the error. B. document the error and report it to your supervisor. C. notify law enforcement so they can file an incident report. D. exclude this intervention from the PCR because it did not harm the patient.
A. Contact medical control and notify them of the error
Which type of stress reaction occurs when an EMT is exposed to many insignificant stressors over a period of several months or years? Select one: A. Cumulative stress reaction B. Critical incident stress reaction C. Acute stress reaction D. Posttraumatic stress reaction
A. Cumulative stress reaction
You are transporting a veteran whose legs were amputated in the war. When calling your radio report to the emergency department, which of the following words would be the MOST appropriate to use when describing the patient? Select one: A. Disabled B. Handicapped C. Deformed D. Crippled
A. Disabled
During the alert and dispatch phase of EMS communications, the dispatcher's responsibilities include all of the following, EXCEPT: Select one: A. discouraging the caller from providing care until the EMS unit arrives. B. screening and assigning a priority to each call based on local protocols. C. selecting and notifying the correct EMS response units and personnel. D. coordinating responding EMS units with other public safety personnel.
A. Discouraging the caller from providing care until the EMS unit arrives
You are dispatched to the residence of an Asian family for a child with a high fever. When you assess the child, you note that he has numerous red marks on his back. The child's parents explain that these marks represent coining—a traditional Asian healing practice in which hot coins are rubbed on the back. You should: Select one: A. document this finding on your patient care report and advise the emergency department staff of what the child's parents told you. B. advise the child's parents that this is a harmful practice and is considered a form of child abuse in the United States. C. advise the emergency department physician that you feel as though the child was intentionally abused by his parents. D. acknowledge and respect this practice as a cultural belief, but advise the child's parents that it has no healing power.
A. Document this finding on your patient care report and advise the emergency department staff of what the child's parents told you.
What should you do before attempting to access a patient trapped in a vehicle? Select one: A. Ensure the vehicle is stable. B. Request another ambulance. C. Check for other patients. D. Contact medical control.
A. Ensure the vehicle is stable
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. Mobile repeater station D. Multiplex base station
A. Hand-held portable radio
You and your partner are EMTs who have been dispatched to stand by at the scene of a residential fire. While standing next to the ambulance observing the firefighters, you see a woman frantically moving around in her burning house. You should: Select one: A. immediately notify the incident commander or safety officer. B. stay where you are until firefighters remove her from the house. C. request permission from the fire chief to enter the structure. D. don a self-contained breathing apparatus (SCBA) and rescue the woman.
A. Immediately notify the incident commander or safety officer
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: Select one: A. maintain a safe distance and try to read the placard with binoculars. B. cordon off the area and quickly remove all of the injured patients. C. don personal protective equipment and quickly triage all patients. D. immediately begin evacuating residents who live near the crash site.
A. Maintain a safe distance and try to read the placard with binoculars
The person who is responsible for authorizing EMTs to perform emergency medical care in the field is the: Select one: A. medical director. B. field training officer. C. EMS administrator. D. shift supervisor.
A. Medical Director
When caring for a 65-year-old male with respiratory distress, you place him in a comfortable position but do not apply oxygen. The patient's condition continues to deteriorate and he develops cardiac arrest and dies at the hospital. This scenario is an example of: Select one: A. negligence. B. assault. C. battery. D. abandonment.
A. Negligence
Which of the following statements regarding the hepatitis B vaccine is correct? Select one: A. OSHA requires that your employer offer you the vaccine free of charge. B. The hepatitis B vaccine provides protection against the disease for 2 years. C. Vaccination against hepatitis B provides partial immunity for life. D. Vaccination with the hepatitis B vaccine confers immunity against hepatitis A.
A. OSHA requires that your employer offer you the vaccine free of charge.
Prescription glasses do not provide adequate eye protection because they: Select one: A. offer little or no side protection. B. are not secured with a strap. C. have large, rounded lenses. D. do not have shatterproof lenses.
A. Offer little or no side protection
To minimize the risk of litigation, the EMT should: Select one: A. provide competent care that meets current standards. B. use universal precautions with every patient encounter. C. utilize at least four personnel when moving a patient. D. always transport patients to the hospital of their choice.
A. Provide competent care that meets current standards
You are dispatched to an apartment complex for a shooting. Law enforcement personnel are present and have the suspect in custody. You find the patient lying in a narrow space between the couch and coffee table of his small apartment. He is semiconscious and has a large gunshot wound to his chest. You should: Select one: A. quickly move the coffee table so you can access and treat the patient. B. drag the patient into a larger area so that you can begin treatment. C. treat the patient where he is so that you do not destroy any evidence. D. obtain permission from law enforcement before moving anything.
A. Quickly move the coffee table so you can access and treat the patient.
According to the Centers for Disease Control and Prevention (CDC), recommended immunizations and tests include a: Select one: A. tetanus/diphtheria/pertussis booster every 10 years. B. TB skin test every 6 months. C. smallpox vaccine every 5 years. D. two-shot hepatitis A vaccination series.
A. TDAP every 10 years
General guidelines for effective radio communications include all of the following, EXCEPT: Select one: A. using 10 codes to ensure radio traffic confidentiality. B. speaking in a clear, calm, monotone voice. C. holding the microphone about 2 to 3 inches from your mouth. D. acknowledging a transmission as soon as possible.
A. Using 10 codes to ensure radio traffic confidentiality
If you use a waterless handwashing substitute in the field, it is important to: Select one: A. wash your hands with soap and water at the hospital. B. wait at least 5 minutes before touching another patient. C. avoid donning another pair of gloves for at least 10 minutes. D. immediately dry your hands with a paper towel.
A. Wash your hands with soap and water at the hospital
According to the National EMS Scope of Practice Model, an EMT should be able to: Select one: A. assist a patient with certain prescribed medications. B. administer epinephrine via the subcutaneous route. C. insert a peripheral IV line and infuse fluids. D. interpret a basic (ECG) rhythm and treat accordingly.
A. assist a patient with certain prescribed medications.
According to the National EMS Scope of Practice Model, an EMT would require special permission from the medical director and the state EMS office to: Select one: A. insert a peripheral intravenous catheter. B. give aspirin to a patient with chest pain. C. apply and interpret data from a pulse oximeter. D. use an automatic transport ventilator.
A. insert a peripheral intravenous catheter.
Which of the following statements is MOST consistent with the bargaining phase of the grieving process? Select one: A. "The doctors must be wrong in their diagnosis because I have always been healthy." B. "I will be compliant with all my medications if I can just see my grandson graduate." C. "I understand that my death is inevitable and I am ready to die when the time comes." D. "It is because of our lousy health care system that I developed this brain tumor."
B. "I will be complaint with all my medications if i can just see my grandson graduate."
Which of the following statements would NOT be appropriate to say to the family of a dying patient? Select one: A. "It is okay to be angry and sad." B. "Things will get better in time." C. "Tell me how you are feeling." D. "This must be painful for you."
B. "Things will get better in time."
Common questions asked by patients with a serious illness or injury include all of the following, EXCEPT: Select one: A. "Am I going to die?" B. "Which hospital am I going to?" C. "Will I be permanently disabled?" D. "What are you doing to me?"
B. "Which hospital am I going to?"
Shortly after you load your patient, a 50-year-old man with abdominal pain, into the ambulance, he tells you that he changed his mind and does not want to go to the hospital. The patient is conscious and alert and has no signs of mental incapacitation. You are suspicious that the man has a significant underlying condition and feel strongly that he should go to the hospital. Which of the following statements regarding this situation is correct? Select one: A. Any patient who refuses EMS treatment must legally sign a patient refusal form. B. A mentally competent adult can withdraw his or her consent to treat at any time. C. Because of your suspicions, the best approach is to transport him to the hospital. D. Once the patient is in the ambulance, he cannot legally refuse EMS treatment.
B. A Mentally competent adult can withdraw his or her consent to treat at any time
The BEST way to reduce your risk of contracting a work-related disease following exposure is to: Select one: A. get vaccinated against the disease you think you were exposed to. B. activate your department's infection control plan as soon as possible. C. be evaluated by a physician within 72 hours following the exposure. D. vigorously wash the affected area with an antimicrobial solution.
B. Activate your department's control plan as soon as possible
A patient regains consciousness en route from his office to the emergency department. The patient tells you that he feels fine and does not want to go to the hospital. Under these circumstances, you should: Select one: A. have the patient sign a refusal form and return him to his office. B. assess whether the patient's mental condition is impaired. C. document the patient's request but continue to transport him. D. request that the police place the patient under protective custody.
B. Assess whether the patient's mental condition is impaired
When you and your partner arrive at the residence of a man in cardiac arrest, you immediately recognize the patient as the drunk driver who killed your brother several years earlier. A backup ambulance is en route to the scene. You should: Select one: A. wait for the backup ambulance while your partner performs CPR. B. begin two-rescuer CPR and apply the AED as soon as possible. C. advise your partner that you cannot provide care to this patient. D. obtain permission from medical control to not attempt resuscitation.
B. Begin two-rescuer CPR and apply the AED as soon as possible
If an EMT candidate has been convicted of a felony or misdemeanor, he or she should: Select one: A. recognize that any such conviction will disqualify him or her from EMT licensure. B. contact the state EMS office and provide its staff with the required documentation. C. D. wait at least 24 months before taking another state-approved EMT class. B send an official request to the National Registry of EMTs (NREMT) to seek approval to take the EMT exam.
B. Contact the state EMS office and provide its staff with the required documentation.
You are assessing a woman who was thrown from a 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: Select one: A. immediately lie down on your side and draw your knees into your abdomen. B. crouch down in a position so that only your feet are touching the ground. C. sit down, bend your knees, and hold your crossed arms close to your body. D. quickly cover the patient with a blanket and then lie down flat on the ground.
B. Crouch down in a position so that only your feet are touching the ground.
Common factors that influence how a patient reacts to the stress of an illness or injury include all of the following, EXCEPT: Select one: A. history of chronic disease. B. distrust of EMTs. C. fear of medical personnel. D. mental disorders.
B. Distrust of EMTs
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: Select one: A. proceed to treat him because the stress of the situation has impaired his thinking. B. explain the seriousness of the situation to him, but avoid causing undue alarm. C. reassure him that he will not receive a bill for the EMS call if he cannot pay. D. tell him that he is having a heart attack and that he needs to go to the hospital.
B. Explain the seriousness of the situation to him, but avoid causing undue alarm.
When considering his or her personal life, it is important for the EMT to realize that: Select one: A. shift work is the least stressful type of an EMS-related work schedule. B. family or friends may not understand the stress associated with EMS. C. he or she should not discuss stressful issues with family members. D. it is more difficult to effectively relax at home than it is while on duty.
B. Family or friends may not understand the stress associated with EMS
Obtaining continuing medical education is the responsibility of the: Select one: A. State Bureau of EMS. B. individual EMT. C. EMS training officer. D. EMS medical director.
B. Individual EMT
Which of the following signs would indicate that your partner is experiencing significant stress? Select one: A. Acute increase in appetite B. Isolation from the rest of the crew C. Increased interest in daily activities D. Hyperactivity during an EMS call
B. Isolation from the rest of the crew
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: Select one: A. provide no interventions and transport to the hospital. B. make her comfortable and provide emotional support. C. begin chest compressions if she experiences cardiac arrest. D. depart the scene and allow her to die with dignity.
B. Make her comfortable and provide emotional support
As an EMT, it is important to remember that the signs and symptoms of cumulative stress: Select one: A. cannot be identified and can cause health problems. B. may not be obvious or present all the time. C. are most effectively treated with medications. D. usually manifest suddenly and without warning.
B. May not be obvious or present all the time
According to Occupational Safety and Health Administration (OSHA) regulations, an employer must: Select one: A. provide gloves and other personal protective equipment to full-time paid employees only. B. offer a workplace environment that reduces the risk of exposure. C. guarantee a 100% risk-free environment prior to employment. D. screen all prospective employees for blood-borne pathogens.
B. Offer a workplace environment that reduces the risk of exposure
You are treating a man who was assaulted and has a closed head injury. 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. proceed with treatment and utilize law enforcement for assistance if necessary. C. have the police arrest the patient so that you can legally begin treatment. D. allow the patient to refuse treatment because the injury was not his fault.
B. Proceed wit treatment and utilize law enforcement for assistance 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. thick firefighter gloves over two pairs of latex gloves. B. puncture-proof leather gloves over your latex gloves. C. latex gloves with thick leather gloves underneath. D. firefighter gloves only, to preserve manual dexterity.
B. Puncture-proof leather gloves over your latex gloves
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. repeat the order to medical control word for word. C. ask the physician to repeat the order. D. perform the intervention as ordered.
B. Repeat the order to medical control word for word
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. subdue the family member until the police arrive. B. retreat and notify law enforcement personnel. C. ignore the family member and assess the patient. D. tell the family member that it is not your fault.
B. Retreat and notify law enforcement personnel
Which type of communications equipment functions as a radio receiver and searches across several frequencies? Select one: A. Mobile repeater B. Scanner C. Duplex station D. Simplex station
B. Scanner
Critical incident stress management (CISM) can occur at an ongoing scene in all of the following circumstances, EXCEPT: Select one: A. before personnel are preparing to reenter the scene. B. when patients are actively being assessed or treated. C. before leaving the scene after the incident is resolved. D. when personnel are assessed during periods of rest.
B. When patients are being assessed or treated
A positive TB skin test indicates that: Select one: A. the TB disease is currently dormant but may later become active. B. you have been exposed to TB. C. you have never been exposed to TB. D. you are actively infected with TB.
B. You have been exposed to TB
Information included in a radio report to the receiving hospital should include all of the following, EXCEPT: Select one: A. a brief history of the patient's current problem. B. your perception of the severity of the problem. C. a preliminary diagnosis of the patient's problem. D. a brief summary of the care you provided.
C. A preliminary diagnosis of the patient's problem
The final stage of death and dying MOST commonly takes the form of: Select one: A. depression. B. anger. C. acceptance. D. denial.
C. Acceptance
When a patient is dying, he or she may experience regression. This is MOST accurately defined as: Select one: A. fear of being completely dependent upon other people. B. anger projected toward the EMT or other providers. C. behavior consistent with an earlier developmental stage. D. a decreased ability to exercise age-appropriate judgment.
C. Behavior consistent with an earlier developmental stage.
An appropriate demonstration of professionalism when your patient is frightened, demanding, or unpleasant is to: Select one: A. ignore the patient's feelings and focus on his or her medical complaint. B. demand that the patient to be quiet and cooperative during transport. C. continue to be nonjudgmental, compassionate, and respectful. D. reassure the patient that everything will be all right, even if it will not be.
C. Continue to be nonjudgemental, 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. You should: Select one: A. remain at the scene until law enforcement and another ambulance arrive. B. ask a bystander to remain with your patient as you treat the crash victims. C. continue transporting your patient and notify the dispatcher of the crash. D. stop and triage the patients while your partner remains in the ambulance.
C. Continue transporting your patient and notify the dispatcher of the crash
You are caring for a 35-year-old female with pregnancy-related complications. She is clearly experiencing significant stress and is crying uncontrollably. Your MOST appropriate action would be to: Select one: A. discourage her from expressing fears until a counselor is available. B. tell her that "everything will be all right" to calm her down. C. demonstrate courtesy and speak with a professional tone of voice. D. restrain her if she is extremely emotional and will not calm down.
C. Demonstrate courtesy and speak with a professional tone of voice.
Which of the following MOST accurately defines negligence? Select one: A. Transport of a mentally incompetent patient against his or her will B. Transferring patient care to a provider with a lower level of training C. Deviation from the standard of care that may result in further injury D. Providing care that is consistent with care provided by other EMTs
C. Deviation from the standard of care that may result in further injury
The hepatitis B vaccine program, a component of the infection control plan, addresses all of the following issues, EXCEPT: Select one: A. vaccine safety and efficacy. B. record keeping and tracking. C. family history of hepatitis. D. postvaccine antibody titers.
C. Family history of hepatitis
In the eyes of the courts, an incomplete or untidy patient care form indicates: Select one: A. thorough documentation was not required. B. potential falsification of the patient care form. C. inadequate patient care was administered. D. the EMT was too busy providing patient care to fill out the form.
C. Inadequate patient care was administered
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. has a poor relationship with his or her parents. B. is mentally competent and able to refuse. C. is self-supporting and lives by him- or herself. D. possesses a valid driver's license.
C. Is self-supporting and lives by him- or herself
Which of the following is NOT a function of the Federal Communications Commission (FCC)? Select one: A. Licensing base stations and assigning appropriate radio call signs B. Allocating specific radio frequencies for use by EMS providers C. Maintaining communications equipment on the ambulance D. Monitoring all radio traffic and conducting field spot checks
C. Maintaining communications equipment on the ambulance
An EMS provider who has extensive training in various aspects of advanced life support (ALS) is called a(n): Select one: A. EMR. B. advanced EMT (AEMT). C. paramedic. D. EMT.
C. Paramedic
Cardiac monitoring, pharmacologic interventions, and other advanced treatment skills are functions of the: Select one: A. EMR. B. EMT. C. paramedic. D. AEMT.
C. Paramedic
The standards for prehospital emergency care and the individuals who provide it are typically regulated by the: Select one: A. regional trauma center. B. American Heart Association. C. state office of EMS. D. National Registry of EMTs.
C. State office of EMS
Which of the following infectious diseases confers no protection from reinfection after exposure? Select one: A. Chickenpox B. Mumps C. Syphilis D. Rubella
C. Syphilis
The MOST effective way to preserve your own body heat when functioning in cold, wet weather is to: Select one: A. wear socks made of heavy-duty cotton. B. avoid outer clothing with zippers. C. wear at least three layers of clothing. D. wear a heavy, thick jacket or coat.
C. wear at least three layers of clothing
