Module Exam 1-4

Carbon dioxide deficiency

Hazards that are associated with a structural fire includes all of the following except:

individual EMT

Obtaining continuing medical education is the responsibility of the :

Shamed

Patients who become dependent upon EMS personnel or other healthcare providers often feel:

Offer little or no side protection

Prescription glasses do not provide adequate eye protection because they :

Gives an oral report to the emergency room physician or nurse

The official transfer if patient care does not occur until the EMT:

medical director

The person who is responsible for authorizing EMTs to perform emergency medical care in the field is the:

Careless handling of sharps

The spread of HIV and hepatitis in the healthcare setting can usually be traced to :

Provide competent care that meets current standards

To minimize the risk of litigation, the EMT should:

Behavior consistent with an earlier developmental stage

When a patient is dying, he or she may experience regression, this is MOST accurately defined as

Negligence

When caring for 65 y/o male with respiratory distress, you place him in a comfortable position but do apply oxygen. The patients condition continues to deteriorate and he develops cardiac arrest and dies at the hospital. This scenario is an example of:

Acknowledge the death of their child in private

When caring for the parents of a child who has died of leukemia the EMT should:

family or friends may not understand the stress associated with EMS

When considering his or her personal life, it is important for the EMT to realize that.

Puncture proof leather gloves over your latex gloves

When treating a patient who is trapped in a vehicle and covered with broken glass, it is BEST to wear:

A paramedic transfers a patient care to an EMT

Which if the following scenarios MOST accurately depicts abandonment?

Deviation from the standard care that may result in further injury

Which of the following MOST accurately defines negligence?

Hand-held portable radio

Which of the following has the weakest transmission signal and as a result is LEAST likely to be heard by the party being called?

Syphilis

Which of the following infectious diseases confers no protection from reinfection after exposure?

Maintaining communications equipment on the ambulance

Which of the following is NOT a function of the Federal Communications Commission (FCC)?

Immunity

Which of the following is the MOST significant factor in determining whether a person will become ill from certain germs

A Conscious and alert woman with severe abdominal pain

Which of the following patients has decision making capacity and can legally refuse emergency medical treatment:

Isolation from the rest of the crew

Which of the following signs would indicate that your partner is experiencing significant stress?

Attempted suicide

Which of the following situations requires you to notify the appropriate authorities:

Bleeding control using a tourniquet

Which of the following skills would a layperson MOST likely be trained to perform before arrival of EMS

"Things will get better in time"

Which of the following statements would NOT be appropriate to say to the family of a dying patient.

Scanner

Which type of communications equip functions as a radio receiver and searches across several frequencies?

Off-line

Which type of medical direction do standing orders and protocols describe?

Cumulative stress reaction

Which type of stress reaction occurs when an EMT is exposed to many insignificant stressors over a period of several months or years?

Continue transport your patient and notify the dispatcher of the crash

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:

Contact medical control and notify them of the error

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:

your partner's attempt to diminish their grief

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 member may view this as :

Tell your partner to stop and report the incident to your supervisor

While you are on duty , your partner asks you out on a date and touches you in an inappropriate location without consent, you should:

begin two-rescuer CPR and apply (AED) as soon as possible

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.

'i will be compliant with all my medications if i can just see my grandson graduate"

which of the following statments is most consistant with the bargaining phase of the grieving process?

Proceed with treatment and utilize law enforcement for assistance if necessary

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:

Advise them that their son had severely disfiguring injuries and ask the if there is anyone they would like you to contact first

A 15 y/o 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 parents arrive at the scene they demand to see him you should:

Retreat and notify law enforcement personnel

A 75 y/o 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 to long to get there, you should:

72

A critical incident stress debriefing should be conducted no more than ___ hours following the incident:

Assess whether the patients mental condition is impaired

A patient regains consciousness en route from his office to the emergency room, the patient tells you that he feels fine and does not want to go to the hospital, under these circumstances you should:

You have been exposed to TB

A positive TB skin test indicates that:

Tetanus, Diphtheria, Pertussis booster for 10 years

According to the Centers for Disease Control and Prevention (CDC) recommended immunizations and tests include:

Assist a patient with certain prescribed medications

According to the National EMS Scope of Practice Model, an EMT should be able to:

Insert a peripheral intravenous catheter

According to the National Scope of Practice Model, an EMT would require special permission from the medical director and the state EMS office to :

repeat the order to medical control word for word

After receiving online orders from medical control to perform a patient care intervention, you should:

Paramedic

An EMS provider who has extensive training in various aspects of advanced life support is called an:

Continue to be nonjudgmental, compassionate, and respectful

An appropriate demonstration for professionalism when your patient is frightened, demanding, or unpleasant is to:

another EMT

As an EMT, the performance of your duties will be compared to that of: Select one:

Use the mobile radio in the ambulance to contact dispatch

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?

Binds with hemoglobin in red blood cells

Carbon monoxide blocks the ability to oxygenate the body because it:

Paramedic

Cardiac monitoring, pharmacologic interventions and other advanced treatment skills are functions of the:

Distrust of EMTs

Common factors that influenced how a patient reacts to the stress of an illness or injury include all of the following, EXCEPT

Maintain, update, and expand the EMTs knowledge and skills

Continuing education in EMS serves to:

when patients are actively being assessed or treated

Critical incident stress management (CISM) can occur at an ongoing scene in all of the following circumstances, EXCEPT:

defines who is at risk for contact with blood and body fluids and which tasks pose a risk of exposure

Determination of exposure is an important component of an infection control plan because it :

Accidental Death and Disability: The Neglected Disease of Modern Society

EMS as we know it today had it origins with the 1966 with the publication of

National Highway Traffic Safety Administration (NHTSA)

EMT training is nearly every state meets or exceeds the guidelines recommended by the:

Contact the state EMS office and provide them with the required documentation.

If an EMT candidate has been convicted of a felony or misdemeanor he or she should:

Clean the ambulance at your station in a designed area that is well ventilated

If it is not possible to adequately clean your ambulance at the hospital following a call you should:

Wash your hands with soap and water at the hospital

If you use a waterless hand washing substitute in the field, it is important to:

confirm with dispatch that you received the call information

Immediately after being dispatched to a residence for an elderly with diabetic complications you should:

Is self-supporting and lives by him or herself

In many states, a minor may be treated as an adult for the purpose of consenting to or refusing medical treatment if the minor:

Inadequate patient care was administered

In the eyes of the courts, an incomplete or untidy patient case form indicates

depend on one another for their safety

It is especially important for EMS personnel to develop nonadversarial relationships with their coworkers because they:

A mentally competent adult can withdraw his or her consent to treat at anytimen

Shortly after you load your patient, a 50 y/o 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 the situation is correct?

activate your department's infection control plan as soon as possible

The BEST way to reduce your risk of contracting a work-related disease following exposure is to:

wear at least 3 layers of clothing

The MOST effective way to preserve your own body heat when functioning in cold, wet weather is to:

Ensuring your personal safety

The MOST important consideration at the scene of a hazardous materials incident is :

"Which hospital am i going to"

The common questions asked by patients with a serious illness or injury include all of the following EXCEPT:

Ensure that employees understand what they should do and why it is important

The compliance monitoring component of an infection control plan should:

proof of immunization against certain communicable diseases

The criteria to be licensed and employed as an EMT include:

Acceptance

The final stage of death and dying MOST commonly takes the form of:

Family history of hepatitis

The hepatitis B vaccine program. a component of the infection control plan, addresses all of the following?

Immediately notify the incident commander or safety officer

You and your partner are EMTs who have been dispatched to stand by at 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.

Follow locally established protocols and standing orders

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 to contact medical control, what should you do

Anger

You and your partner respond to the residence of a 66 y/o 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 patients behavior consistent with?

explain the seriousness of the situation to him, but avoid causing undue harm.

You are assessing a middle aged man with chest pain that you suspect is caused by 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:

Crouch down in position so that only your feet are touching the ground

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:

Demonstrate courtesy and speak with a professional tone of voice

You are caring for a 35 y/o female with pregnancy related complications, she is clearly experiencing significant stress and crying uncontrollably, your MOST appropriate action would be to:

Let clergy or hospital staff relay the bad news if possible

You are caring for a 40 y/o 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:

"It is possible that you are experiencing a heart attack, i am going to give you 4 baby aspirins to chew and swallow"

You are caring for a 52 y/o man who complains of chest discomfort, The patients 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?

Quickly move the coffee table so you can access and treat the patient

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:

Document this finding on your patient car report and advise the emergency department staff of what the childs parents told you

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 childs parents explain that these marks represent coining-- a traditional asian healing practice in which hot coins are rubbed in the back, you should:

Maintain a safe distance and try to read the placard with binoculars

You are dispatched to the scene of the crash involving a large tanker truck, while you are en route, dispatch advises you that there are multiple patients and the fire department is en route as well, as you approach the scene you should :

Apply a nonrebreathing mask on the patient and a high-effeciency particulate air (HEPA) respirator on yourself

You are transporting a 40 y/o 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:

Disabled

You are transporting a veteran whose legs were amputated in the war, when calling your radio report to emergency department, which of the following words would be the MOST appropriate to use when describing the patient

Seek a safe place and request law enforcement assistance

You arrive at the scene of a domestic violence situation, as you approach the doorway of the apartment you hear something and the statement "he has a gun" your most appropriate action should be to :

Discouraging the caller from providing care until the EMS unit arrives

during the alert and dispatch phase of EMS communications, the dispatchers responsibilities include all of the following EXCEPT: