EMT Chapter 1 - EMS Systems

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: A. use an automatic transport ventilator. B. insert a peripheral intravenous catheter. C. apply and interpret data from a pulse oximeter. D. give aspirin to a patient with chest pain. Incorrect

B

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

B

Continuing education in EMS serves to: A.) prove research and statistical findings in prehospital care. B.) maintain, update, and expand your knowledge and skills. C.) enforce mandatory attendance to agency-specific training. D.) provide an ongoing review and audit of the EMS system.

B

The EMT is legally obligated to protect a patient's privacy according to _____________. A. DCAP B. HIPAA C. CQI D. APGAR

B

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

B

The criteria to be licensed and employed as an EMT include: A.) demonstration of the ability to lift and carry at least 200 pounds. B.) proof of immunization against certain communicable diseases. C.) a minimum of 60 college credit hours that focus on health care. D.) successful completion of a recognized bystander cardiopulmonary resuscitation (CPR) course.

B

The person who is responsible for authorizing EMTs to perform emergency medical care in the field is the: A.) shift supervisor. B.) medical director. C.) EMS administrator. D.) field training officer.

B

What should an EMT do to limit errors in the field? A. Contact medical direction before initiating any treatments. B. Follow the agency's written protocols. C. Carry an EMT text for reference at all times. D. Deviate from established standards when necessary.

B

Which of the following descriptions MOST accurately portrays emergency medical services (EMS)? 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 health care professionals who are responsible for providing emergency care and transportation to the sick and injured 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

B

American Heart Association protocols are based on __________. A. theories ready for field trial B. trends in the EMS community C. evidence-based research D. opinions from a core group of cardiologists

C

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

C

The major goal of quality improvement is to ensure that: a. quarterly audits of the EMS system are performed b. EMT's have received BLS/CPR training c. the public receives the highest standard of care d. the proper information is received in the billing department

C

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

C

Which of the following skills would a layperson MOST likely be trained to perform before arrival of EMS? A. Insertion of an oropharyngeal airway B. Administration of supplemental oxygen C. Bleeding control using a tourniquet D. Obtaining a manual blood pressure Incorrect

C

You are caring for a driver who struck a light pole. She admits to drinking alcohol but orders you not to tell anyone. You should report the information to __________. a. the state motor vehicle department b. law enforcement personnel c. the receiving nurse or doctor d. your medical director

C

You are encouraging a patient to go to the hospital by ambulance. You know that a transport will keep you on duty several hours after your regular quitting time. This is an example of __________. A. abuse of authority B. undue hardship C. patient advocacy D. scope of practice

C

EMT training in nearly every state meets or exceeds the guidelines recommended by the: A. National Registry of EMTs. B. individual state's EMS protocols. C. National Association of EMTs. D. National Highway Traffic Safety Administration (NHTSA)

D

If an EMT candidate has been convicted of a felony or misdemeanor, he or she should: A.) wait at least 24 months before taking another state-approved EMT class. B.) send an official request to the National Registry of EMT (NREMT) to seek approval to take the EMT exam. C.) recognize that any such conviction will disqualify him or her from EMT licensure. D.) contact the state EMS office and provide them with the required documentation.

D

Online medical control requires __________. A. the presence of an advanced-level provider B. a physician's presence on the scene of the call C. written protocols approved by medical control D. phone or radio contact with the medical director

D

Prehospital patient care decisions should be based on __________. A. the opinions of physicians B. an EMS agency's fiscal resources C. the experiences of EMTs D. EMS research

D

The ability to handle multiple tasks based on their priority is called __________. A. patient advocacy B. patient empathy C. integrity D. time management

D

The ability to take appropriate action with little direction is known as __________. A. time management B. diplomacy C. self-confidence D. self-motivation

D

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. regional trauma guidelines. B. local protocols. C. the lead EMT's decision. D. EMS research.

D

Which of the following interventions is used by all levels of EMS providers? A. Multilumen airways B. Automatic transport ventilators C. Needle decompression D. Automated external defibrillator

D

Which of the following is a specific example of the Mobile Integrated Healthcare (MIH) model? A. EMTs respond to a woman who complains of high fever B. Paramedics pick up a patient from an acute care clinic C. EMTs assess a patient whose lung disease is "acting up" D. The paramedic administers a patient's flu vaccination

D

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

D

According to the National EMS Scope of Practice Model, an EMT should be able to: A. assist a patient with certain prescribed medications. B. insert a peripheral intravenous (IV) line and infuse fluids. C. administer epinephrine via the subcutaneous route. D. interpret a basic electrocardiogram (ECG) rhythm and treat accordingly. 6. Cardiac monitoring, pharmacological interventions, and other advanced treatment skills are functions of the:

A

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

A

As an EMT, you may be authorized to administer aspirin to a patient with chest pain based on: A. medical director approval. B. the transport time to the hospital. C. the patient's condition. D. an order from a paramedic.

A

National guidelines for EMS care are intended to __________. A. provide more consistent delivery of EMS care across the United States B. reduce expenses at the local and state levels C. facilitate a national EMS labor group D. unify EMS providers under a single medical director

A

Obtaining continuing medical education is the responsibility of the: A.) individual EMT. B.) State Bureau of EMS. C.) EMS training officer. D.) EMS medical director.

A

The ability to understand others and have them understand you is known as __________. A. communication B. self-confidence C. scene leadership D. teamwork and diplomacy

A

The standards for prehospital emergency care and the individuals who provide it are typically regulated by the: A.) state office of EMS. B.) regional trauma center. C.) American Heart Association. D.) National Registry of EMTs.

A

What is an EMT's primary service area? A. The main area in which the EMS agency operates B. The area serviced by the EMT's medical director C. The only area the EMT is certified to provide patient care D. The location where the EMT provides essential care during a 9-1-1 call

A

Which of the following courses requires about 150 hours of training? A. EMT B. EMR C. AEMT D. Paramedic

A

Which of the following is NOT true of medical control? A.It is determined by the dispatcher b. It may be written or "standing orders." c. it may require online radio or phone consultation d. it describes the care authorized by the medical director.

A

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

A

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

A