EMTKC - 3
As an EMT, the performance of your duties will be compared to that of: A) another EMT. B) the general public. C) the medical director. D) a paramedic supervisor.
A
Definitive or conclusive signs of death that are obvious and clear to even nonmedical persons include all of the following, EXCEPT: A) profound cyanosis. B) dependent lividity. C) rigor mortis. D) putrefaction.
A
In the eyes of the courts, an incomplete or untidy patient care form indicates: A) inadequate patient care was administered. B) potential falsification of the patient care form. C) thorough documentation was not required. D) the EMT was too busy providing patient care to fill out the form.
A
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? A) A mentally competent adult can withdraw his or her consent to treat at any time. B) Any patient who refuses EMS treatment must legally sign a patient refusal form. 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.
A
Which of the following scenarios MOST accurately depicts abandonment? A) A paramedic transfers patient care to an EMT. B) An AEMT transfers patient care to a paramedic. C) A physician assumes patient care from an EMT. D) An EMT gives a verbal report to an emergency room nurse.
A
At 2:00 AM, a 17-year-old boy, accompanied by his 19-year-old girlfriend, had driven to the bar to give his father (who had been drinking large amounts of alcohol) a ride home. On the way back, they were involved in a motor vehicle collision. The boy has a large laceration with profuse bleeding on his forehead. His girlfriend is unconscious in the front passenger floor. The father is standing outside the vehicle, appearing heavily intoxicated, and is refusing care. What is the best way to gain consent to begin care for the driver, considering that he is a minor and his father has an altered mental status? A) Call his mother for consent. B) Call his grandparents for consent. C) It is a true emergency, so consent is implied. D) You are covered under the Good Samaritan laws.
C
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: A) assault. B) battery. C) negligence. D) abandonment.
C
Which of the following patients has decision-making capacity and can legally refuse emergency medical treatment? A) A confused young male who says he is the president B) A man who is staggering and states that he had three beers C) A conscious and alert woman with severe abdominal pain D) A diabetic woman who has slurred speech and is not aware of the date
C
Which of the following situations requires you to notify the appropriate authorities? A) Cardiac arrest B) Drug overdose C) Attempted suicide D) Accidental knife wound
C
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: A) document the error and report it to your supervisor. B) notify law enforcement so they can file an incident report. C) contact medical control and notify them of the error. D) exclude this intervention from the PCR because it did not harm the patient.
C
Good Samaritan laws generally are designed to offer protection to persons who render care in good faith. They do not offer protection from: A) properly performed CPR. B) acts of negligence. C) improvising splinting materials. D) providing supportive BLS to a DNR patient.
B
To minimize the risk of litigation, the EMT should: A) always transport patients to the hospital of their choice. B) provide competent care that meets current standards. C) use universal precautions with every patient encounter. D) utilize at least four personnel when moving a patient.
B
Which of the following MOST accurately defines negligence? 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) Transferring patient care to a provider with a lower level of training D) Providing care that is consistent with care provided by other EMTs
B
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: A) obtain permission from law enforcement before moving anything. B) quickly move the coffee table so you can access and treat the patient. C) treat the patient where he is so that you do not destroy any evidence. D) drag the patient into a larger area so that you can begin treatment.
B
You respond to a single-vehicle crash on the highway west of town. Upon arrival you find a 33-year-old man with an open forearm fracture who has self-extricated from his pickup, which is down the roadside embankment. He does not appear to have suffered any other injuries, is fully coherent, and refuses all medical care. In an effort to obtain consent to treat this patient, you should: A) summon law enforcement and request that the patient be placed into protective custody. B) clearly explain the consequences of not accepting medical treatment. C) proceed with treatment; consent is not required because the patient is not being rational. D) properly document the refusal of care.
B
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: A) ask a police officer to transport the patient to the hospital. B) allow the patient to refuse treatment because the injury was not his fault. C) proceed with treatment and utilize law enforcement for assistance if necessary. D) have the police arrest the patient so that you can legally begin treatment.
C
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? A) Implied B) Informed C) Expressed D) Minor's
C
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: A) document the patient's request but continue to transport him. B) have the patient sign a refusal form and return him to his office. C) request that the police place the patient under protective custody. D) assess whether the patient's mental condition is impaired.
D
An important safeguard against legal implication is: A) responding to every call with lights and siren. B) checking ambulance equipment once a month. C) transporting every patient to an emergency department. D) writing a complete and accurate run report.
D
Negligence is based on the EMT's duty to act, cause, breach of duty, and: A) expressed consent. B) termination of care. C) mode of transport. D) real or perceived damages.
D
The process by which an individual, an institution, or a program is evaluated and recognized as meeting certain standards is called: A) the standard of care. B) competency. C) the scope of practice. D) certification.
D
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: A) advise your partner that you cannot provide care to this patient. B) wait for the backup ambulance while your partner performs CPR. C) obtain permission from medical control to not attempt resuscitation. D) begin two-rescuer CPR and apply the AED as soon as possible.
D
Which of the following is generally NOT considered confidential? A) Assessment findings B) A patient's mental condition C) A patient's medical history D) The location of the emergency
D
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: A) ask a bystander to remain with your patient as you treat the crash victims. B) remain at the scene until law enforcement and another ambulance arrive. C) stop and triage the patients while your partner remains in the ambulance. D) continue transporting your patient and notify the dispatcher of the crash.
D