Chapter 17: EMT 101-B Pre-Test
When communicating with an elderly patient: A. always speak loudly and slowly, as elderly people are hearing-impaired. B. remember that elderly people are all at some stage of Alzheimer's disease. C. remember that many elderly people are well-oriented and physically able. D. use terms of endearment such as "Dear" and "Honey" to make them feel better.
C. remember that many elderly people are well-oriented and physically able.
Which of the following resides at a fixed site, such as a dispatch center? A. Portable radio B. Base station C. Cell phone D. Mobile radio
B. Base station
When correcting an error on a report, you should do what in addition to initialing it and writing the correct information beside it? A. Circle it B. Draw a horizontal line through it C. Underline it twice D. Highlight it in yellow
B. Draw a horizontal line through it
The EMT accurately documents that she gave a medication without appropriate medical direction. This is an example of: A. falsification of the PCR. B. an error of commission. C. gross negligence. D. an error of omission.
B. an error of commission.
Which type of radio is typically used in a vehicle? A. Portable B. Base C. Repeater D. Mobile
D. Mobile
What does "PTT" mean on a portable or mobile radio? A. Press to talk B. Patient telemetry transmit C. Pre-transmit toggle D. Press to terminate
A. Press to talk
When you press the button on the radio to talk, you should wait at least how many seconds before speaking to avoid cutting off the first words of your transmission? A.1 seconds B.7 seconds C.5 seonds D.3. seconds
A.1 second
When the EMT calls to receive an order from medical direction to assist the patient with the patient's bronchodilator treatment, it is important to: A. tell the physician what the EMT's diagnosis is. B. "echo" or immediately repeat the order back for verification. C. be sure to say "please" and "thank you" for the order. D. use as many codes as possible, because people may be listening.
B. "echo" or immediately repeat the order back for verification.
Your prehospital care report (PCR) is: A. of use only in assessing the call itself. B. primarily of interest to the receiving emergency department. C. kept on file for liability reasons only. D. important long after the call.
D. important long after the call.
Which of the following is true of communicating with patients from a culture different than yours? A. Cultural differences can make effective communication more challenging. B. Cultural differences have no impact on communication. C. Patients from other cultures generally cannot understand therapeutic communication. D. The patient's culture is irrelevant to the EMT.
A. Cultural differences can make effective communication more challenging.
Which of the following is the term for a device that picks up signals from lower-power radio units and retransmits them at a higher power? A. Repeater B. Base station C. Cell phone D. Mobile radio
A. Repeater
When you are attempting to make contact with another ambulance unit using the radio, it is necessary to declare the name of which entity first? A. The unit you are calling B. The repeater location C. Your unit number D. The base station
A. The unit you are calling
Which of the following can lead to medical error on a patient care report? A. Using medical abbreviations B. Using anatomical language C. Using quotations to document the language of the patient D. Stating only facts as you found them
A. Using medical abbreviations
Which of the following statements regarding patient refusal is most accurate? A. You must document all actions you took to persuade the patient to go to the hospital. B. You must provide convincing evidence that the patient was mentally incompetent to justify leaving the scene. C. You must note that a secondary assessment was not possible, given the patient's refusal. D. You must note simply that you left the scene at the patient's request.
A. You must document all actions you took to persuade the patient to go to the hospital.
The NHTSA's (Department of Transport)minimum data set for patient information gathered by the EMT includes: A. the patient's respiratory rate and effort. B. systolic blood pressure for patients older than 1 year old. C. capillary refill for patients younger than 3 years old. D. the patient's medical insurance information.
A. the patient's respiratory rate and effort.
Which of the following is a routine radio transmission for an EMT? A. Notifying dispatch of your arrival at the hospital B. Notifying dispatch when you are 5 minutes from the scene C. Contacting the patient's personal physician while you are en route to the hospital D. Contacting law enforcement with medical information about the patient
A. Notifying dispatch of your arrival at the hospital
Which of the following is information that is not generally included in the oral report at the receiving hospital? A. Patient name B. Insurance information C. Most recent vital signs D. Additional treatment given en route
B. Insurance information
Guidelines for communicating with your patient include which of the following? A. Be informal with older patients and call them by their first name. B. Listen carefully and allow time for the patient to answer. C. Refrain from explaining what you are doing, as it takes too much time. D. Never touch a patient in a comforting manner, as the patient may perceive it as encroachment.
B. Listen carefully and allow time for the patient to answer.
After telling the hospital the age and sex of your patient, what is the next thing you need to report? A. The estimated time of arrival (ETA) B. The patient's chief complaint C. The patient's vital signs D. The patient's name
B. The patient's chief complaint -the primary problem of the patient that led the patient to seek medical attention
You are speaking to a patient and notice that the patient has folded her arms and is clasping her elbows with her hands. She is not looking at you directly. This indicates to you that most likely: A. you need to tell this patient to sit down. B. your communication efforts may not be working. C. the patient is accepting you as a medical authority. D. the patient has understood your message.
B. your communication efforts may not be working.
Which of the following should be avoided in completing the vital signs division of the PCR? A. Documenting the time the patient's vital signs were taken B. Documenting the position the patient was in when vitals were taken C. If you take only one set of vital signs, estimating a second set D. Taking and recording at least two complete sets of vital signs
C. If you take only one set of vital signs, estimating a second set
Which of the following best explains why all patient care reports done in the United States are supposed to have the minimum data set included? A. It allows the tracking of information to ensure the elderly population is managed correctly. B. It shortens the overall length of the PCR. C. It allows better research and standardization of EMS care. D. It is required for Medicaid and Medicare to provide reimbursement.
C. It allows better research and standardization of EMS care.
For calls for assistance during scene size-up, carry: A. a cell phone. B. a mobile radio. C. a portable radio. D. a repeater.
C. a portable radio.
When communicating with medical direction, you must: A. match your emotion to the severity of the patient's condition. B. give as much detail as possible. C. be clear and concise. D. speak as quickly as possible.
C. be clear and concise.
When speaking to a patient who is a child, try to: A. avoid crouching down. B. avoid eye contact until the child knows you better. C. get down to the child's level. D. speak from a position of authority above the patient.
C. get down to the child's level.
Once you arrive at the hospital with your patient, it is important to give the ED staff an oral report. This report should include: A. only new information. It is not necessary to repeat your broadcasted report. B. the patient's billing and insurance information. C. treatment that was given to the patient en route and the patient's response to that treatment. D. personal information about the patient that is not pertinent to medical care.
C. treatment that was given to the patient en route and the patient's response to that treatment.
The oral report is: A. a part of the patient's permanent hospital record. B. a valuable source for research on trends in emergency care. C. your chance to convey important information about your patient directly to hospital staff. D. a guide for continuing education and quality improvement.
C. your chance to convey important information about your patient directly to hospital staff.
Which of the following is typically included in the patient information section of a prehospital care report? A. Patient's physician's name B. Description of patient's physical appearance and clothing C. Patient's name, address, and phone number D. Patient's primary and secondary contacts
C. Patient's name, address, and phone number
What power output do most portable radios have? A. 0.5-3watts B. 25-35watts C. 5-10watts D. 1-5watts
D. 1-5watts
What type of report is usually left with the receiving facility if the EMS system is using electronic charting? A. A temporary report B. A full written PCR C. A PCR with only the patient demographics and administrative sections completed D. A drop report
D. A drop report
Jurisdiction over all EMS radio operations in the United States is held by the: A. Department of Transportation. B. Federal Emergency Management Agency. C. Department of Health and Human Services. D. Federal Communications Commission.
D. Federal Communications Commission.
Which of the following statements about receiving orders over the radio is true? A. If an order appears to be inappropriate, write down every word so that you may defend yourself later, if necessary. B. If an order appears to be inappropriate, call another hospital to confirm. C. If an order appears to be inappropriate, contact your dispatcher to report. D. If an order appears to be inappropriate, repeat the order to the physician and ask pertinent questions about the order.
D. If an order appears to be inappropriate, repeat the order to the physician and ask pertinent questions about the order.0
Which of the following is true of use of a patient's name over the radio? A. Refer to all patients as "Jane Doe" or "John Doe." B. Spell the patient's last name to avoid confusion. C. Most hospitals require you to provide the patient's name. D. It may violate confidentiality rules.
D. It may violate confidentiality rules. esp HIPPA use "patient" or "female, male"
Which of the following is true of the prehospital care report? A. It is not part of the patient's permanent medical record. B. It serves only a legal purpose, in providing proof of proper care. C. It is only for the eyes of other EMS providers. D. It serves administrative functions.
D. It serves administrative functions.
Typically, you should do which of the following when interviewing your patient? A. Position yourself at a distance of several feet from the patient. B. Change positions frequently. C. Stand above the patient. D. Position yourself at or below the patient's eye level.
D. Position yourself at or below the patient's eye level.
When interviewing a patient, which of the following is recommended? A. Assign the patient a friendly nickname. B. Start important statements with "Now listen". C. Direct the patient to keep statements brief. D. Use the patient's proper name.
D. Use the patient's proper name.
To maintain order on the airwaves, the FCC (Federal communication commission) A. prohibits commercial uses of radio frequencies. B. allows EMS personnel to use any convenient radio frequency. C. decrees the use of a single, universal radio frequency. D. assigns and licenses radio frequencies.
D. assigns and licenses radio frequencies.
Two types of errors might be committed on a call: A. medical and trauma. B. on the scene and during transport. C. mental and physical. D. omission and commission.
D. omission and commission.
Which of the following is appropriate when communicating with medical direction over the phone or radio? A. "Patient with symptoms of heart attack." B. "Patient presents with myocardial infarction." C. "Patient likely experiencing non-cardiac chest pain." D. "Patient is complaining of chest pain."
D. "Patient is complaining of chest pain."