Paramedic Vol 1 Chapter 1, 2, 3, 4
An occupation in which the practitioners have a competence in a specialized body of knowledge or skills that has been recognized by some organization or agency is called a: A) profession. B) career. C) vocation. D) trade
A) profession. (pg 29)
The stress management technique of controlled breathing works by: A) reducing adrenaline levels. B) increasing blood pressure. C) increasing ACTH levels. D) speeding digestion
A) reducing adrenaline levels. (pg 77)
Entering a person's name and relevant information in a particular record maintained by an organization is best described as: A) registration. B) reciprocity. C) certification. D) licensure
A) registration. (pg 29)
Many traditional EMS treatments and practices have been abandoned or refined because of: A) research. B) patient complaints. C) legislation. D) lawsuits.
A) research. (pg 6)
The minimum recommended PPE for prehospital providers is all of the following, EXCEPT: A) reusable equipment. B) HEPA respirator. C) protective gloves. D) protective eyewear.
A) reusable equipment. (pg 66-67)
An example of a quality improvement activity in EMS is: A) peer review of patient care. B) displaying the "Star of Life" symbol. C) disciplinary action for patient care issues. D) using a Type II or III ambulance.
A) peer review of patient care. (pg 25, 35)
A major advance in the education of out-of-hospital was the: A) formation of the National Association of Emergency Medical Technicians. B) 2009 publication National EMS Services Education Standards. C) passage of the Health Insurance Portability and Accountability Act (HIPAA). D) establishment of the National Registry computer-based certification exam.
B) 2009 publication National EMS Services Education Standards. (pg 5)
When you complete your paramedic course and pass the National Registry examination, you will: A) be certified to practice as a paramedic in your state. B) be certified to practice as a paramedic in any state. C) be licensed to practice as a paramedic in your state. D) still need to complete your state's certification or licensure process
D) still need to complete your state's certification or licensure process (pg 29)
Which of the following is NOT typically a role of the medical director in an EMS system? A) Participating in quality improvement B) Educating and training personnel C) Dispatching EMS personnel D) Participating in personnel and equipment selection
C) Dispatching EMS personnel (pg 25)
To practice, paramedics must be approved by a state or provincial agency and the: A) National Association of EMTs. B) National Registry of EMTs. C) EMS system's medical director. D) state medical director.
C) EMS system's medical director. (pg 4)
Which of the following aspects of the paramedic's work most appropriately falls into the category of public health? A) Administering care to a patient who has suffered a heart attack B) Providing life-saving measures after a traffic accident C) Educating the public on illness prevention D) Taking steps to prevent a terrorist attack
C) Educating the public on illness prevention (pg 5)
What is one of the emerging roles and responsibilities of a paramedic in the 21st century? A) Third-party biller B) Managed health care C) Health promotion D) Internet education
C) Health promotion (pg 4)
The future enhancement of EMS is strongly dependent on: A) the ability to outline the logistics affecting research. B) obtaining approval for patient consent procedures. C) availability of quality research. D) the collection of raw data.
C) availability of quality research. (pg 37)
One way to prevent a potentially hostile situation is to: A) assert your authority. B) move into bystanders' personal space. C) communicate effectively. D) maintain a closed stance
C) communicate effectively. (pg 79)
Defending patients, protecting them, and, in general, acting in their best interests are all examples of: A) leadership. B) empathy. C) patient advocacy. D) integrity
C) patient advocacy. (pg 55)
Paramedics can improve their knowledge and skills through an evaluation by others of equal rank and skills, known as: A) tenure tracking. B) debriefing. C) peer review. D) performance appraisal
C) peer review. (pg 35)
What can be done to minimize the possibility of developing cancer? A) Eating broccoli and high-fiber foods B) Wearing sunblock C) Risk-assessment screening D) All of the above
D) All of the above (pg 63)
Which of the following can increase the risk of back injury? A) Smoking B) Weak abdominal muscles C) Poor nutrition D) All of the above
D) All of the above (pg 64)
Which of the following is an important factor in reducing the risk of infection? A) Stress management B) Adequate rest C) Good nutrition D) All of the above
D) All of the above (pg 65)
At which of the following times should you wash your hands? A) Before meals B) When your hands are visibly soiled C) After every patient contact and/or decontamination procedure D) All of the above
D) All of the above (pg 68)
Which of the following increases the risk of motor vehicle collision? A) Poor weather conditions B) Multiple vehicle responses C) The use of an ambulance escort D) All of the above
D) All of the above (pg 80)
The National EMS Education Instructional Guidelines are divided into three domains of learning. The affective domain refers to which of the following? A) Critical thinking and decision making B) Recall of basic facts and information C) Physical skills used for patient care D) Attitudes, values, and emotions
D) Attitudes, values, and emotions (pg 28)
Close attention to detail during patient care reflects which of the following professional attributes? A) Self-motivation B) Patient advocacy C) Empathy D) Careful delivery of service
D) Careful delivery of service (pg 55)
Which of the following certification levels is currently NOT recognized by the National EMS Scope of Practice model? A) Paramedic B) Emergency Medical Responder C) Emergency Medical Technician D) Critical Care Paramedic
D) Critical Care Paramedic (pg 24)
The long spine board on which you transported a patient directly contacted the patient's unbroken skin. How would you clean the board? A) Wash it with soap and water. B) Discard it. C) Sterilize it with an EPA-approved solution. D) Disinfect it with a solution of 1 part bleach to 10 parts of water.
D) Disinfect it with a solution of 1 part bleach to 10 parts of water. (pg 70)
Which of the following statements about a paramedic's skill competency is TRUE? A) High-frequency, low-criticality skills should be reviewed often. B) Low-frequency, high-criticality skills should be rarely reviewed. C) All skills should be reviewed equally, regardless of criticality. D) Frequent review of infrequently used skills is critical to ensure competency.
D) Frequent review of infrequently used skills is critical to ensure competency. (pg 5)
Components of a paramedic's education include all of the following, EXCEPT: A) refresher courses. B) continuing education. C) initial education. D) disciplinary action.
D) disciplinary action. (pg 28-29)
Which of the following is NOT a common approach to managing addiction? A) aversion therapy B) behavior modification C) hypnotism D) enhancement therapy
D) enhancement therapy (pg 63)
The rules or standards that govern the conduct of members of a particular group or profession are called: A) licensure. B) norms. C) protocols. D) ethics
D) ethics (pg 35)
One area of EMS that will rely especially heavily on research is: A) communications. B) transportation. C) human resources. D) funding.
D) funding. (pg 37)
In 1980, the revision "KKK-A-1822A" involved: A) primarily addressing electrical systems, signage, and safety. B) guidelines to improve occupant protection in the patient compartment. C) changes based on the National Institute for Occupational Safety and Health standards. D) improving ambulance electrical systems by designing a low-amp lighting system to replace antiquated light bars and beacons.
D) improving ambulance electrical systems by designing a low-amp lighting system to replace antiquated light bars and beacons. (pg 32)
Direct access to medical consultation is a feature of: A) a tiered response system. B) off-line medical oversight. C) the incident command system. D) on-line medical direction
D) on-line medical direction (pg 25)
The process by which an agency in one state grants automatic certification or licensing to a paramedic who is certified or licensed by an agency in another state is called: A) professional courtesy. B) immunity. C) recertification. D) reciprocity.
D) reciprocity. (pg 29)
When you are in a stressful situation and find yourself thinking, "I can't do this," one effective strategy is to: A) withdraw. B) deny. C) project. D) reframe
D) reframe (pg 77)
The Institute of Medicine published Emergency Medical Services for Children in: A) 1993. B) 1984. C) 1969. D) 1977.
A) 1993. (pg 20)
Your patient is a 24-year-old man with a severe closed head injury. He is unresponsive, and his vital signs are unstable. Which of the following is the appropriate receiving facility for this patient? A) A Level I trauma center B) A Level III trauma center C) A Level IV trauma center D) A Level II trauma center
A) A Level I trauma center (pg 47)
You are providing end-of-life care to a patient in the last stages of a terminal illness. She appears to be at peace and speaks animatedly about her upcoming funeral. She is in which stage of loss? A) Acceptance B) Denial C) Bargaining D) Depression
A) Acceptance (pg 72)
Which of the following best describes the paramedic's professional obligation? A) Acceptance and adherence to a code of professional ethics and etiquette B) Placing the system's well-being above that of the patient C) Absolute adherence to medical protocols D) Following long-standing traditions in practic
A) Acceptance and adherence to a code of professional ethics and etiquette (pg 6)
Which of the following best describes the paramedic's expected level of functioning in the dynamic prehospital setting? A) Acts independently B) Under direct supervision of the medical director C) Under telephone or radio supervision by nursing personnel D) Under direct supervision of fire command
A) Acts independently (pg 5)
Which of the following best describes those in an ambulance who should use seat belts? A) All persons on board (care providers, patients, and family) B) Only the patient, because the requirements of medical care take priority C) Only those riding in the back D) Only those seated in the front
A) All persons on board (care providers, patients, and family) (pg 80)
Which of the following is NOT a benefit of physical fitness? A) Back safety B) Improved self-image C) Enhanced quality of life D) Maintenance of motor skills
A) Back safety (pg 60)
In which of the following ways can paramedics play a significant part in EMS research? A) Collecting data accurately and completely B) Changing patient care practices based on unique research outcomes C) Volunteering their patients for drug trials D) Experimenting with different ways of managing patients
A) Collecting data accurately and completely (pg 37)
Which of the following Standard Precautions should paramedics use with every patient? A) Disposable gloves B) Surgical gown and mask C) Mask and protective eyewear D) HEPA mask
A) Disposable gloves (pg 66)
With regard to medical authorization, which of the following best describes the role of a paramedic in providing prehospital care? A) He relies on the delegated practice of a licensed physician medical director. B) He relies on the delegated practice of any licensed health care practitioners, such as physician assistants, nurse practitioners, nurses, and dentists. C) He relies on the delegated practice of a licensed nurse. D) He relies on the autonomous medical practitioner.
A) He relies on the delegated practice of a licensed physician medical director. (pg 25)
Which of the following is a bloodborne disease? A) Hepatitis B B) Rubella C) Tuberculosis D) Influenza
A) Hepatitis B (pg 65)
Which of the following best characterizes the professional development of a paramedic? A) It is a career-long pursuit. B) It is focused on public education efforts. C) It is regulated by the system medical director and state agency. D) It is focused on illness and injury prevention.
A) It is a career-long pursuit. (pg 5)
Which of the following causes the greatest hazard for EMS personnel? A) Motor vehicle collisions B) Violence C) Suicide D) Communicable diseases
A) Motor vehicle collisions (pg 79)
The EMT Code of Ethics was established by which of the following groups? A) National Association of EMTs (NAEMT) B) American College of Emergency Physicians (ACEP) C) National Registry of EMTs (NREMT) D) National Association of EMS Educators (NAEMSE)
A) National Association of EMTs (NAEMT) (pg 51)
Which of the following is NOT considered an allied health profession? A) Nursing B) Paramedicine C) Respiratory therapy D) Physical therapy
A) Nursing (pg 51)
Which of the following is NOT one of the paramedic's primary responsibilities? A) Patient follow-up B) Response C) Returning to service after a call D) Medical treatment
A) Patient follow-up (pg 43-44)
Which of the following normally occurs as part of the "fight-or-flight" response? A) Pupils dilate. B) Heart rate decreases. C) Blood pressure decreases. D) Digestion speeds up.
A) Pupils dilate. (pg 75)
The paramedic is responsible for determining the mechanism of injury or nature of the illness when carrying out which of the primary responsibilities? A) Scene size-up B) Patient management C) Patient assessment D) Response
A) Scene size-up (pg 44-45)
As a rule, which of the following services should be present in trauma systems within an EMS system? A) Trauma center B) Burn center C) Pediatrics D) Orthopedics
A) Trauma center (pg 20)
Which of the following is NOT a recommended vaccination for EMS providers? A) Tuberculosis B) Hepatitis B C) Measles/mumps/rubella D) Influenza
A) Tuberculosis (pg 70)
To minimize the stress of shift work, on their days off paramedics should sleep: A) at the times they sleep on workdays. B) after a heavy meal or strenuous exercise. C) at least 12 hours to catch up on lost sleep. D) at night, regardless of when they sleep on workdays.
A) at the times they sleep on workdays. (pg 76)
During the return to service, one of the paramedic's chief responsibilities is: A) decontaminating the ambulance. B) correcting the patient care report. C) giving a verbal report to the receiving facility personnel. D) taking care of personal matters before the next call.
A) decontaminating the ambulance. (pg 49)
As part of a healthy diet to control weight, you should: A) eat low-calorie snacks. B) cut back on fluids. C) eat quickly. D) eat less than the serving size on the food label.
A) eat low-calorie snacks. (pg 62)
When physically preparing yourself to work safely as a paramedic, you should: A) exercise your cardiovascular system at least three times a week. B) read as much as you can about physical fitness. C) perform as many traditional sit-ups as you can to promote abdominal strength. D) do as little as possible to preserve your strength for emergency duty.
A) exercise your cardiovascular system at least three times a week. (pg 61)
Your ambulance arrives at a scene where a car has run into a ditch alongside a two-lane country highway. You should park the ambulance: A) in front of the car on the same side of the street. B) behind the car on the same side of the street. C) behind the car on the opposite side of the street. D) in front of the car on the opposite side of the street
A) in front of the car on the same side of the street. (pg 80)
Safety inspections, accident prevention, and medical screening of employees are some of the responsibilities for paramedics working in: A) industrial medicine. B) community clinics. C) correctional institutions. D) sports medicine.
A) industrial medicine. (pg 8)
The paramedic's right to care for patients, administer medications, and perform other related tasks falls on the license of: A) the EMS system medical director. B) the state secretary of health. C) the receiving hospital personnel. D) the state medical director.
A) the EMS system medical director. (pg 4)
Standard Precautions are used on the assumption that: A) the blood and body fluids of all patients are potentially infectious. B) hemorrhage is likely in most patients who call EMS. C) paramedics are threatened mainly by airborne pathogens. D) patients who look healthy are not contagious.
A) the blood and body fluids of all patients are potentially infectious. (pg 65)
Knowing ________ is NOT part of the paramedic's responsibility prior to an EMS call. A) the nature of illness B) what resources are available C) medical protocols D) how to use communication technology
A) the nature of illness (pg 43-44)
Categorization of EMS-receiving hospitals was initially developed to identify which of the following? A) trauma care capability B) stroke care capability C) burn care capability D) chest pain care capability
A) trauma care capability (pg 33)
Which of the following best describes the practice of evidence-based medicine? A) Basing all treatments on the patient's signs and symptoms B) Combining clinical expertise with the best available clinical evidence C) Using clinical judgment to know when you should deviate from protocols D) Using published reports of research to change practice
B) Combining clinical expertise with the best available clinical evidence (pg 37)
Which of the following is an example of how paramedics support primary care when carrying out their out-of-hospital functions? A) Transporting all patients to the emergency department B) Determining the appropriateness of treating on the scene and releasing the patient C) Refusing to transport patients who do not have potentially life-threatening conditions D) Transporting to the patient's physician's office, rather than the emergency department
B) Determining the appropriateness of treating on the scene and releasing the patient (pg 48)
Respecting the opinions offered by peers on a call is an example of which professional characteristic? A) Advocacy B) Diplomacy C) Communication D) Leadership
B) Diplomacy (pg 54)
Which of the following statements about Kübler-Ross's five stages of grief is most accurate? A) These stages are only experienced by patients actually undergoing the dying process. B) Dying patients experience these stages in their own unique ways. C) Although people have unique experiences along the way, they do experience all five stages. D) Health care providers typically experience one to three of the stages when grieving the death of a patient
B) Dying patients experience these stages in their own unique ways. (pg 72)
Which of the following best describes a comprehensive network of personnel, equipment, and resources established to deliver aid and emergency medical care to the community? A) Trauma system B) EMS system C) Medical direction D) ALS system
B) EMS system (pg 14)
Which of the following situations is NOT typically addressed by EMS system protocols? A) Triage B) EMS system financing C) Transfer to appropriate facilities D) Mode of patient transportation
B) EMS system financing (pg 26)
Paramedics carry out their tasks in the prehospital setting as designated agents of the: A) EMS system director. B) EMS system medical director. C) EMS program director. D) hospital nursing director.
B) EMS system medical director. (pg 25)
Eating habits that contribute to good nutrition include which of the following? A) Consuming no more than 10 percent of calories from carbohydrates B) Eating a variety of foods from the major food groups daily C) Eating primarily high-protein foods D) Consuming 8 to 10 glasses of fruit juice per day
B) Eating a variety of foods from the major food groups daily (pg 62)
Which of the following is a physiological benefit of achieving and maintaining physical fitness? A) Increased resting blood pressure B) Increased metabolic rate C) Decreased oxygen-carrying capacity D) Increased resting heart rate
B) Increased metabolic rate (pg 60)
Which of the following professional characteristics is required for patients to trust paramedics to be in their homes and have access to their property and personal information? A) Patient advocacy B) Integrity C) Empathy D) Leadership
B) Integrity (pg 53)
Which of the following practices, when done regularly, can help reduce back injuries during lifting? A) Gaining body weight to "anchor" the lift B) Keeping the palms up when possible while lifting the cot C) Using traditional sit-ups to strengthen lower back muscles during exercise routines D) Counterbalance the lift by moving your center of gravity away from the load
B) Keeping the palms up when possible while lifting the cot (pg 64)
In addition to gloves, what personal protective equipment should you wear when assisting with childbirth? A) Protective eyewear and gown B) Mask, gown, and protective eyewear C) Mask D) Protective eyewear and N-95 respirator
B) Mask, gown, and protective eyewear (pg 67)
Which of the following is NOT one of the three basic elements of citizen involvement in EMS? A) Recognizing an emergency B) Providing financial support for EMS agencies C) Initiating basic life support procedures D) Accessing the EMS system
B) Providing financial support for EMS agencies (pg 26)
The paramedic who routinely fails to complete duties and paperwork in a timely manner is most likely lacking which of the following professional attributes? A) Self-confidence B) Self-motivation C) Leadership D) Integrity
B) Self-motivation (pg 53)
Which of the following is NOT one of the core elements of physical fitness? A) Muscular strength B) Speed C) Cardiovascular endurance D) Flexibility
B) Speed (pg 60-61)
Which of these documents recommended that EMS of the future should have the ability to identify and modify illness and injury risks, provide acute illness and injury care and follow-up, and contribute to treatment of chronic conditions and community health monitoring? A) Injury in America: A Continuing Public Health Problem B) The EMS Agenda for the Future C) Emergency Medical Services: At the Crossroads D) The Ontario Prehospital Advanced Life Support (OPALS) study
B) The EMS Agenda for the Future (pg 20)
Which of the following is NOT a common warning sign of cancer? A) Change in mole size or appearance B) Weight gain C) Unexplained chronic fatigue D) Abnormal lumps
B) Weight gain (pg 63)
Shift work, down time between calls, and inadequate pay are all examples of ________ stressors. A) emotional B) administrative C) environmental D) physical
B) administrative (pg 74)
When coping mechanisms can no longer buffer job stressors, the likely result is: A) withdrawal. B) burnout. C) eustress. D) fugue state.
B) burnout. (pg 76)
The established policies and procedures of an EMS system that provide a standardized approach to common patient problems and a consistent level of medical care are known as: A) codes of action and response. B) clinical protocols. C) standard operating procedures. D) standing orders.
B) clinical protocols. (pg 25)
The paramedic's role has expanded to include ________ because of the need to move ill/injured patients from one health care facility to another for specialized care. A) hospital emergency departments B) critical care transport C) corrections medicine D) helicopter EMS
B) critical care transport (pg
Any occurrence in which blood or body fluids contact non-intact skin or mucous membranes is considered a(n): A) contamination. B) exposure. C) incident. D) infection.
B) exposure. (pg 70)
Guidelines developed by the National Highway Traffic Safety Administration (NHTSA) for quality improvement in EMS systems include all of the following, EXCEPT: A) regulation and policy. B) financial auditing. C) communications. D) human resources training.
B) financial auditing. (pg 19-20)
To legally function as a paramedic, one must: A) have successfully completed an accredited EMT education program. B) have fulfilled the specific requirements of an appropriate credentialing body. C) strive to maintain quality health care, regardless of cost or impact on one's EMS system. D) be able to function independently in a nonstructured, constantly changing environment.
B) have fulfilled the specific requirements of an appropriate credentialing body. (pg 4)
A way for paramedics to determine appropriate injury prevention programs for their community is by using: A) community self-reports. B) injury risk surveys. C) National Science Foundation guidelines. D) Centers for Disease Control and Prevention guidelines.
B) injury risk surveys. (pg 49-50)
A type of exercise in which muscles are worked through their full ranges of motion to develop muscular strength is called: A) iatrogenic. B) isotonic. C) isolateral. D) isometric.
B) isotonic. (pg 61)
Although termed certification by many states, the governmental agency's permission to engage in a profession actually constitutes: A) registration. B) licensure. C) authorization. D) reciprocity.
B) licensure. (pg 29)
The process by which a governmental agency grants permission to engage in a given occupation to an applicant who has attained the degree of competency required to ensure the public's protection is called: A) reciprocity. B) licensure. C) registration. D) certification
B) licensure. (pg 29)
The person who is legally responsible for all clinical and patient care aspects of an EMS system is the: A) quality improvement coordinator. B) medical director. C) system administrator. D) battalion chief.
B) medical director. (pg 25)
Many professional sports teams have found paramedics to be effective complements to their: A) team physicians. B) physical therapists. C) athletic trainers. D) rehabilitation programs
C) athletic trainers. (pg 8)
Medical policies, procedures, and practices that a system medical director has established in advance of a call are called: A) automated medical direction. B) off-line medical oversight. C) remote medical direction. D) on-line medical direction.
B) off-line medical oversight. (pg 25)
The highest level of prehospital care provider in the United States is a(n): A) emergency medical responder. B) paramedic. C) advanced EMT. D) emergency medical technician.
B) paramedic. (pg 3)
Maintaining paramedic certification through seeking and reporting continuing education is the responsibility of the: A) state EMS office. B) paramedic. C) EMS system. D) training officer.
B) paramedic. (pg 50)
One of the principles of proper lifting is to: A) hold your breath while lifting. B) position the load close to your body. C) pull rather than push when possible. D) bend at the waist to use the strong muscles of the back
B) position the load close to your body. (pg 64-65)
Key events in the historical development of EMS include all of the following, EXCEPT the: A) 1973 EMS Systems Act. B) 1988 Statewide EMS Technical Assistance Program. C) 1975 Cater-Benson Reform Act. D) 1981 COBRA Act.
C) 1975 Cater-Benson Reform Act. (pg 16)
What is the minimum number of times you should exercise weekly to build cardiovascular endurance? A) 2 B) 5 C) 3 D) 10
C) 3 (pg 61)
Which of the following is a knowledge-based failure of patient safety? A) A stressed EMS provider applies the wrong rule, resulting in patient injury. B) A distracted paramedic fails to perform a routine skill correctly. C) A tired EMS provider fails to follow a relevant rule, resulting in patient injury. D) A narcissistic paramedic makes a bad decision based on insufficient information
C) A tired EMS provider fails to follow a relevant rule, resulting in patient injury. (pg 35)
Which of the following is the publication that first focused attention on the deficiencies in prehospital emergency care? A) KKK-A-1822 B) Injury in America: A Continuing Public Health Problem C) Accidental Death and Disability: The Neglected Disease of Modern Society D) A Leadership Guide to Quality Improvement for Emergency Medical Services Systems
C) Accidental Death and Disability: The Neglected Disease of Modern Society (pg 18)
Which of the following is NOT an example of the paramedic's responsibility for community involvement? A) Teaching the public BLS classes B) Conducting illness and injury risk surveys C) Allowing citizens to vote on EMS protocols D) Helping the public learn how to recognize an emergency
C) Allowing citizens to vote on EMS protocols (pg 49-50)
Which of the following elements of an EMS system is NOT needed to ensure the best possible patient care? A) Resources management B) Medical direction C) Ambulance billing D) Public information
C) Ambulance billing (pg 19-20)
Which of the Kübler-Ross stages of grief would be suspected if a cancer patient said to you, "This frustrates me so much. I never saw it coming, and now my family will have to go on without me"? A) Bargaining B) Hopelessness C) Anger D) Denial
C) Anger (pg 72)
What is the process by which an agency or association grants recognition to an individual who has the proper qualifications? A) Registration B) Qualification C) Certification D) Authorization
C) Certification (pg 29)
You are on a scene at which you have requested and received orders for field termination of resuscitative measures. Which of the following terms should you use when informing the family of the patient's status? A) Gone B) Expired C) Dead D) Passed
C) Dead (pg 73)
Which of the following procedures would you use for dealing with a backboard contaminated with blood? A) Sterilization B) Cleaning C) Disinfection D) Disposal
C) Disinfection (pg 70)
Which of the following best describes the initial education program of the paramedic? A) It addresses everything one needs to know to practice paramedicine. B) It is a rite of passage, but information is inconsistent with how things really should be done. C) It is the base and beginning of one's professional education, not the end. D) Lectures prepare students, but all learning occurs on the job during the internship phase
C) It is the base and beginning of one's professional education, not the end. (pg 5)
Where do many of the practices and techniques of tactical EMS come from? A) Police B) Firefighters C) Military D) Critical care medics
C) Military (pg 7)
Which of the following is one of the paramedic's primary responsibilities? A) Accident reconstruction B) Crowd control C) Patient disposition D) Public relation
C) Patient disposition (pg 43-44)
You are responding to a call for a "person slumped behind the wheel of a car" on a quiet side street at 1 AM. How should you approach this car? A) Pull up in front of the car, turn on all lights and the siren, and move quickly toward the vehicle. B) Pull up in front of the car, turn on all lights, and stay in the ambulance to determine scene safety. C) Pull up behind the car, use spotlights to "blind" the occupant, and approach cautiously until you perceive that there is no hostile intent. D) Park behind the car at a safe distance, remain in the ambulance, and wait for law enforcement to arrive and ensure scene safety
C) Pull up behind the car, use spotlights to "blind" the occupant, and approach cautiously until you perceive that there is no hostile intent. (pg 80)
Which of the following National Highway Traffic Safety Administration (NHTSA) elements of EMS systems deals with issues of equal access to acceptable emergency care for all patients? A) Human resources and training B) Public information and education C) Resources management D) Trauma systems
C) Resources management (pg 19)
Which of the following pieces of legislation had a significant NEGATIVE impact on EMS funding? A) The Emergency Medical Services Systems Act B) The National Highway Safety Act C) The Consolidated Omnibus Budget Reconciliation Act (COBRA) D) The Emergency Medical Treatment and Active Labor Act (EMTALA)
C) The Consolidated Omnibus Budget Reconciliation Act (COBRA) (pg 19)
Which of the following is a desirable paramedic characteristic? A) The ability to give medical advice B) A commanding presence on the scene C) The ability to establish rapport with a wide variety of patients D) The ability to exactly follow protocols on each and every call
C) The ability to establish rapport with a wide variety of patients (pg 5)
Which of the following is part of good handwashing technique? A) Use the hottest water that can be tolerated. B) Use only antibacterial bar soap, avoiding liquid soaps when possible. C) Thoroughly lather your hands with soap, front and back, for at least 15 seconds. D) Use an ethanol-based, waterless hand sanitizer instead of soap when possible.
C) Thoroughly lather your hands with soap, front and back, for at least 15 seconds. (pg 68)
Your EMS partner has been through some hard times lately. He broke up with his wife a few months ago, and his father died last month. After not smoking for years, he's taken it up again and now chain-smokes. He's sometimes rude to patients, and when you try to talk with him about this, he cuts you off. Your partner is using stress management techniques best described as: A) normal. B) defensive. C) detrimental. D) neutral
C) detrimental. (pg 77)
The first use of a prehospital system of triage and transport took place: A) in large cities in the 19th-century United States. B) during the U.S. Civil War. C) during the Napoleonic Wars. D) in ancient Mesopotamia
C) during the Napoleonic Wars. (pg 17)
Consoling and offering emotional support to a person who has just seen a loved one die is an example of the professional attribute of: A) patient advocacy. B) leadership. C) empathy. D) integrity.
C) empathy. (pg 53)
A physician not affiliated with the responding EMS system who takes part in patient care with system paramedics at an emergency scene is called a(n): A) surrogate medical director. B) volunteer physician. C) intervener physician. D) interloper physician
C) intervener physician. (pg 25)
Few areas of the United States provided adequate prehospital care until: A) after World War II. B) after the Gulf War. C) the late 1960s. D) the mid-1950s
C) the late 1960s. (pg 18-19)
Sending multiple levels of emergency care personnel to the same incident is called a: A) mass casualty incident. B) helicopter EMS. C) tiered response. D) chain of survival.
C) tiered response. (pg 14)
The most important Standard Precaution the EMS provider can employ as an infection control practice is to: A) avoid direct patient contact. B) sterilize all contaminated equipment. C) wash hands frequently. D) receive all recommended vaccinations
C) wash hands frequently. (pg 68)
You just sustained an accidental needle stick with a contaminated intravenous needle. You should immediately: A) request a tetanus shot. B) contact your supervisor. C) wash the affected area with soap and water. D) ask the patient about lifestyle risk factors for HIV.
C) wash the affected area with soap and water. (pg 71-72)
When evaluating a patient with tuberculosis, paramedics should protect themselves by: A) placing a HEPA respirator on the patient. B) wearing surgical masks. C) wearing HEPA respirators. D) placing nonrebreather masks on their patients.
C) wearing HEPA respirators. (pg 67)
Paramedics should always provide care: A) with the intent of transporting all patients. B) only when there is a legitimate patient complaint. C) without regard to a patient's ability to pay. D) with the goal of minimizing on-scene time.
C) without regard to a patient's ability to pay. (pg 4)
No EMS system should be without which of the following items? A) An independent communication system B) One reserve ambulance for every active ambulance in the fleet C) A large network of volunteers D) A disaster plan
D) A disaster plan (pg 33)
As defined by the National Highway Transportation Safety Agency (NHTSA), which of the following is NOT a component of an EMS system? A) System of quality improvement B) Public information and education C) Human resources and training D) A public advisory council
D) A public advisory council (pg 33-34)
Which of the following are likely subjects of standing orders or protocols? A) How to handle DNR orders B) Procedures that can be done only with a direct order C) When to use air transport versus ground transport D) All of the above
D) All of the above (pg 26)
Which of the following is an example of professional development? A) Participating in mentoring activities B) Reading professional publications C) Attending refresher and continuing education classes D) All of the above
D) All of the above (pg 50)
Which of the following is a benefit of good nutritional habits? A) Proper body weight B) Reduced risk of cardiovascular disease C) Reduced cancer risk D) All of the above
D) All of the above (pg 62-63)
A supervisor senses that an EMS crew that has just conducted a very dramatic, but unsuccessful, rescue of a drowned child may be experiencing very intense emotions about the incident. Which of the following is an appropriate supervisory action? A) Do nothing unless the providers become obviously distressed. B) Refer all crew members to psychiatric help at the end of the shift. C) Minimize any effects by keeping a low-key attitude about the incident. D) Initiate a "resiliency based care" program to care for the mental health of the crew.
D) Initiate a "resiliency based care" program to care for the mental health of the crew. (pg 78-79)
Which of the following professional characteristics is displayed in a paramedic's self- confidence, inner strength, ability to communicate, and willingness to make a decision? A) Integrity B) Respect C) Empathy D) Leadership
D) Leadership (pg 52)
Which of these is NOT an issue facing EMS providers, according to Emergency Medical Services: At the Crossroads? A) Insufficient coordination B) Disparities in response times C) Limited evidence base D) Medical malpractice
D) Medical malpractice (pg 21)
Which of the following is NOT part of a paramedic's administrative duties? A) Recordkeeping B) Station duties C) Developing interagency relationships D) Promoting community health
D) Promoting community health (pg 49)
Which of the following choices best explains the difference between an EMT-Intermediate and an EMT-Paramedic? A) Licensure versus certification B) Scope of knowledge C) The legal requirement for medical direction D) Scope of practice
D) Scope of practice (pg 24)
Of the following, which is NOT generally used on scene to minimize hazards? A) Helmets B) Body armor C) Reflective tape D) Surgical scrubs
D) Surgical scrubs (pg 79)
Which of the following agencies developed and published the 2009 EMS Instructional Guidelines? A) The National Registry of Emergency Medical Technicians B) The National Association of State EMS Training Coordinators C) The National Association of Emergency Medical Technicians D) The United States Department of Transportation
D) The United States Department of Transportation (pg 5)
Which of the following best describes the purpose of the KKK specifications? A) To standardize EMS dispatching terminology B) To specify quality improvement procedures C) To state the physical standards required of paramedics D) To standardize the design of ambulances
D) To standardize the design of ambulances (pg 32)
The stage of the stress response in which the pituitary gland releases a flood of adrenocorticotropic hormones is: A) exhaustion. B) resistance. C) withdrawal. D) alarm
D) alarm (pg 75)
When operating an emergency vehicle, the paramedic should show due regard for the safety of: A) the patient. B) the EMS crew members. C) the general public. D) all of the above
D) all of the above (pg 80)
When en route to a call, one of the paramedic's chief responsibilities is: A) assessing the patient's responsiveness. B) preparing the ambulance to accept the patient. C) identifying the mechanism of injury or nature of illness. D) anticipating scene risks and needs based on dispatch information
D) anticipating scene risks and needs based on dispatch information (pg 44)
Good nutrition habits include: A) drinking 2-3 cups of coffee a day. B) eating 1-2 servings of grains or breads daily. C) enjoying charcoal-cooked foods. D) bringing low-calorie snacks to work
D) bringing low-calorie snacks to work (pg 62)
Which of these terms is a synonym of "mobile integrated health care?" A) industrial medicine B) illness prevention C) corrections medicine D) community paramedicine
D) community paramedicine (pg 4)
Reasons to be involved with a professional membership organization include all of the following, EXCEPT to: A) stay abreast of changes within the profession. B) share ideas with other providers. C) interact with members from other parts of the country. D) conform to National Institute for Occupational Safety and Health (NIOSH) standards.
D) conform to National Institute for Occupational Safety and Health (NIOSH) standards. (pg 30)
A patient with suspected or known ________ makes it necessary for the care provider to don a HEPA or an N-95 respirator. A) pneumonia B) HIV C) viral meningitis D) tuberculosis
D) tuberculosis (pg 67)
