Ch 1 EMS Systems

8. EMS as we know it today had its origins in 1966 with the publication of: A. Emergency Care and Transport of the Sick and Injured. B. Accidental Death and Disability: the Neglected Disease of Modern Society. C. The Department of Transportation White Paper: Death and Dying. D. The Emergency Medical Services Act.

B. Accidental Death and Disability: the Neglected Disease of Modern Society.

17. Which of the following errors is an example of a knowledge based failure? A. A patient is given nitroglycerin by an EMT who did not attend proper authorization for medical control first. B. An EMT administers the wrong drug to a patient because she did not know the pertinent information about the drug. C. An EMT gives the correct drug to a patient, although his protocols clearly said that he is not authorized to do so. D. Due to an improper applied cervical collar, a patient's spinal injury is aggravated and he is permanently disabled.

B. An EMT administers the wrong drug to a patient because she did not know the pertinent information about the drug.

10. Obtaining continuing medical education is the responsibility of the: A. State bureau of EMS. B. Individual EMT. C. EMS medical doctor. D. EMS training officer.

B. Individual EMT.

22. Which type of medical directions to standing orders and protocols describe? A. Radio. B. Off-line. C. Direct. D. Online.

B. Off-line.

6. Cardiac monitoring, pharmacological interventions, and other advanced treatment skills are functions of the: A. AEMT. B. Paramedic. C. EMT. D. EMR.

B. Paramedic.

15. Which of the following criteria is required to become licensed and employed as an EMT? A. A minimum of 60 college credit hours that focus on healthcare. B. Successful completion of a recognized bystander CPR course. C. Proof of immunization against certain communicable diseases. D. Demonstration of the ability to lift and carry at least 200 pounds.

C. Proof of immunization against certain communicable diseases.

9. If a defibrillator manufacturer claims that its device terminates ventricular fibrillation on the first shock, 95% of the time, you should: A. Determine which device the American heart association recommends. B. Purchase the device based solely on the manufacturer's claim. C. Recognize that this does not mean the device will save more lives. D. Avoid purchasing the device because this claim is unrealistic.

C. Recognize that this does not mean the device will save more lives.

14. The standards for prehospital emergency care, and the individuals who provide it are typically regulated by the: A. American Heart Association. B. Regional trauma center. C. State office of EMS. D. National registry of EMTs.

C. State office of EMS.

2. Which of the following statements regarding the Americans with disabilities act ADA of 1990 is correct? A. According to the ADA, EMT candidates with documented disability are exempt from taking the NRENT exam. B. The minimum number of hours required to successfully complete an EMT course is less for candidates who are disabled. C. The ADA prohibits employers from failing to provide full and equal employment to those who are disabled. D. The ADA applies only to individuals with a diagnosis and well documented physical disability.

C. The ADA prohibits employers from failing to provide full and equal employment to those who are disabled.

20. Which of the following skills or interventions is included at every level of prehospital emergency training? A. Use of a manually triggered ventilator. B. Oral glucose for hypoglycemia. C. Intranasal medication administration. D. Automated external defibrillation.

D. Automated external defibrillation.

18. Which of the following is an example of primary prevention strategy? A. Protecting a patient spine from further injury after fall from a significant height. B. Teaching a group of parents how to perform one and two rescuer infant CPR. C. The construction of a guard rail on a dangerous curves following a fatal motor vehicle crash. D. Community awareness programs emphasize the dangers of drinking and driving.

D. Community awareness programs emphasize the dangers of drinking and driving.

12. The determination that prompt surgical care in the hospital is more important than performing time-consuming procedures in the field on a major trauma patient is based mostly on: A. Local protocols. B. The lead EMTs decision. C. Regional trauma guidelines. D. EMS research.

D. EMS research.

5. An EMS provider who has extensive training in various aspects of advanced life support (ALS) is called a(n): A. EMT. B. EMR. C. Advanced EMT (AEMT). D. Paramedic.

D. Paramedic.

19. Which of the following scenarios involves the administration of ALS? A. A 48-year-old patient who's airway is secured with a supraglottic device. B. A 53 year old patient who is assisted with his prescribed nitroglycerin. C. A 61-year-old patient who is receiving humidified supplemental oxygen. D. A 64 year old patient who is given aspirin for suspected cardiac chest pain.

A. A 48-year-old patient who's airway is secured with a supraglottic device.

16. Which of the following descriptions most accurately portrays emergency medical services (EMS)? A. A team of healthcare professionals who are responsible for providing emergency care and transportation to the sick and injured. B. System composed exclusively of emergency medical responders (EMRs) and emergency medical technicians (EMTs) who are responsible for providing care to sick and injured patients.\ C. A team of paramedics and emergency physicians who are responsible for providing emergency care to critically injured patients. D. A vast network of advanced life support (ALS) providers who provide definitive emergency care in the prehospital setting.

A. A team of healthcare professionals who are responsible for providing emergency care and transportation to the sick and injured.

3. According to the National EMS Scope of Practice Model, an EMT should be able to: A. Assist a patient with certain prescribe medications. B. Interpret a basic ECG rhythm and treat accordingly. C. Insert a peripheral IV line and infuse fluids. D. Administer epinephrine via the subcutaneous route.

A. Assist a patient with certain prescribe medications.

1. If an EMT candidate has been convicted of a felony or misdemeanor, he or she should: A. Contact the state EMS office and provide its staff with the required documentation. B. Wait at least 24 months before taking another state approved EMT class. C. Recognize that any such conviction will disqualify him or her from EMT licensure. D. Send an official request to the national registry of EMTs (NREMT) to seek approval to take the EMT exam.

A. Contact the state EMS office and provide its staff with the required documentation.

4. An appropriate demonstration of professionalism when your patient is frightened, demanding, or unpleasant is to: A. Continue to be nonjudgmental, compassionate, and respectful. B. Ignore the patient's feelings and focus on his or her medical complaint. C. Demand that the patient remain quiet and cooperative during transport. D. Reassure the patient that everything will be alright, even if it will not be.

A. Continue to be nonjudgmental, compassionate, and respectful.

13. The EMT certification exam is designed to: A. Ensure that EMTs are competent and have the same level of knowledge and skills. B. Rank EMTs based on performance on the certification exam. C. Provide EMTs with the best possible wage once certification is achieved. D. Identify those EMTs who are prepared for advanced training.

A. Ensure that EMTs are competent and have the same level of knowledge and skills.

11. The continuous quality improvement (CQI) process is designed to: A. Identify areas of improvement and provide remedial training if needed. B. Ensure that all EMTs maintain licensure to the state EMS office. C. Administer punitive actions to EMTs, who do not follow local protocols. D. Focus specifically on the quality of emergency care provided to the patient.

A. Identify areas of improvement and provide remedial training if needed.

7. Continuing education and EMS serves to: A. Maintain, update, and expand the EMTs knowledge and skills. B. Confirm research and statistical findings and prehospital care. C. Enforce mandatory attendance at agency specific training. D. Provide an ongoing review and audit of the EMS system.

A. Maintain, update, and expand the EMTs knowledge and skills.

21. Which of the following statements regarding the NREMT is correct? A. The NREMT provides a national standard for EMS testing. B. The NREMT is a governmental agency that certifies EMTs. C. The NREMT regulates EMS training standards. D. The NREMT is the exclusive certifying body for EMTs.

A. The NREMT provides a national standard for EMS testing.