Ch. 1 Test Bank

A basic life support (BLS) ambulance is MOST accurately defined as: a. an emergency response vehicle equipped with a defibrillator. b. any transport vehicle staffed by EMTs with additional training. c. any transport vehicle that is staffed by at least two EMTs. d. a properly equipped vehicle that is staffed by EMT personnel.

d. a properly equipped vehicle that is staffed by EMT personnel.

When EMTs or paramedics arrive at the scene of an emergency, the EMR should: a. obtain a signature from the EMT who is assuming patient care. b. assume that his or her assistance will no longer be required. c. accompany the patient to the receiving medical facility. d. assist the EMTs in continuing the care that he or she initiated.

d. assist the EMTs in continuing the care that he or she initiated.

Enhanced 9-1-1 centers have the capability to: a. provide ALS instructions to the caller. b. function as medical control in the absence of a licensed physician. c. automatically dispatch aeromedical support when a call is received. d. determine the physical location of the caller via the computer.

d. determine the physical location of the caller via the computer.

Skills commonly performed by the EMR include all of the following, EXCEPT: a. splinting fractures. b. treating shock. c. bleeding control. d. intravenous therapy.

d. intravenous therapy.

Roles and responsibilities of the EMR include all of the following, EXCEPT: a. adequately assessing every patient. b. ensuring the safety of self and others. c. prompt and safe response to the scene. d. transporting the patient to the hospital.

d. transporting the patient to the hospital.

The EMR must possess the ability to: a. function at the same level as a paramedic. b. avoid improvisation whenever possible. c. sustain a patient's life for several hours. d. treat patients using limited equipment.

d. treat patients using limited equipment.

When documenting the events of an emergency call, the EMR should include the: a. treatment provided by the paramedics. b. patient's presumptive diagnosis. c. names of all personnel at the scene. d. treatment provided before EMS arrival.

d. treatment provided before EMS arrival.

Which of the following statements regarding an EMR's attitude and conduct is NOT correct? a. A stern tone of voice will ensure that you gain your patient's confidence. b. As an EMR, you will be judged by your attitude and conduct. c. Maintaining a neat and professional appearance provides reassurance. d. Information regarding the patient should not be shared with your family.

a. A stern tone of voice will ensure that you gain your patient's confidence.

Which of the following statements regarding transport of a patient to the hospital is correct? a. Patients may require immediate stabilization at the closest hospital and then transfer to another facility. b. Any sick or injured patient should be transported to the closest hospital, regardless of the patient's condition. c. EMRs are legally obligated to accompany the patient in the back of the ambulance to the hospital. d. In most states and EMS systems, EMRs are not authorized to assist the EMT in the back of the ambulance.

a. Patients may require immediate stabilization at the closest hospital and then transfer to another facility.

What level of EMS provider is able to perform limited ALS skills? a. advanced EMT (AEMT) b. paramedic c. EMT d. EMR

a. advanced EMT (AEMT)

To provide the best possible care for the patient: a. all EMS personnel must function effectively as a team. b. the patient must receive rapid transport to the closest hospital. c. a paramedic must be present at each and every emergency. d. the medical director must be notified during every emergency.

a. all EMS personnel must function effectively as a team.

Which of the following interventions would the EMR MOST likely perform at the scene of a cardiac arrest? a. cardiopulmonary resuscitation (CPR) and defibrillation b. initiation of an intravenous line c. insertion of an endotracheal tube d. administration of certain medications

a. cardiopulmonary resuscitation (CPR) and defibrillation

A 33-year-old woman has a possible broken left ankle. She is in significant pain but is conscious and otherwise stable. This patient: a. requires transport but without lights and siren. b. may deteriorate and requires prompt transport. c. does not require transport to the hospital. d. should be rapidly transported to the closest hospital.

a. requires transport but without lights and siren.

Components of the quality improvement process, as identified by the Institute of Medicine, include all of the following, EXCEPT: a. teamwork. b. timeliness. c. safety. d. efficiency.

a. teamwork.

A crucial piece of equipment that the EMR should have available includes a: a. bag-mask device. b. mouth-to-mask resuscitation device. c. mechanical suction device. d. portable hydraulic jack.

b. mouth-to-mask resuscitation device.

Fire fighters and law enforcement personnel are likely to be the EMRs in most emergencies because: a. they are trained in all aspects of an emergency call. b. of their location or speed in responding to the call. c. they are typically paid and are on call 24 hours a day. d. most communities do not have EMTs or paramedics.

b. of their location or speed in responding to the call.

Communication with a physician via two-way radio or wireless telephone is an example of: a. standard operating protocol. b. online medical control. c. indirect medical control. d. off-line medical control.

b. online medical control.

A patient requires rapid transport to the hospital when: a. traffic is extremely heavy and the patient's condition requires treatment by a physician. b. the patient's condition may deteriorate if he or she is not transported fairly quickly. c. EMS personnel are unable to give the patient adequate life-saving care in the field. d. he or she requires care that can be provided only by a physician at the hospital.

c. EMS personnel are unable to give the patient adequate life-saving care in the field

Problems that occur in the prehospital phase of the emergency medical services (EMS) operation are MOST often related to: a. delayed response times to the scene by emergency medical technicians (EMTs). b. failure of the dispatcher to obtain adequate information. c. a lack of control and coordination of resources and personnel. d. EMRs functioning above their skill level.

c. a lack of control and coordination of resources and personnel.

You are the first medically trained person to arrive at the scene of a motor vehicle crash. The patient is conscious and is bleeding heavily from the head. He is still in the vehicle, which has power lines draped across the hood. You should: a. carefully remove the patient from the vehicle without touching any metal. b. ask the patient to crawl out of the vehicle carefully without touching metal. c. advise the patient to remain still and immediately contact the power company d. put on rubber gloves and carefully move the power lines away from the car.

c. advise the patient to remain still and immediately contact the power company

Upon arriving at the scene of a multiple-patient incident, the EMR's primary responsibility is to: a. advise the dispatcher that additional resources will be needed. b. protect bystanders from any hazards that may exist at the scene. c. assess the environment to detect possible threats to his or her safety. d. quickly gain access to all patients and begin immediate treatment .

c. assess the environment to detect possible threats to his or her safety.

Which of the following is NOT a criterion used by the National Highway Traffic Safety Administration (NHTSA) to evaluate an EMS system? a. regulation and policy b. resource management c. billing and collections d. education of the public

c. billing and collections

You are at the scene of a shooting. The patient, who is being cared for by paramedics, is unconscious and has severe uncontrollable bleeding from his injury. As an EMR, your MOST important function is to: a. keep bystanders away from the patient. b. report your observations to law enforcement personnel. c. help the paramedics prepare for rapid transport. d. factually document the care that you provided.

c. help the paramedics prepare for rapid transport.

Fire units are often a crucial part of the EMS system because they: a. provide protection and control of the scene. b. are better trained than EMTs to assist paramedics. c. provide specialized rescue such as patient extrication. d. always arrive at the scene before EMTs or paramedics.

c. provide specialized rescue such as patient extrication.

The EMS system can be considered a component of public health because: a. EMS provides transportation directly to an emergency department. b. the health department mandates that EMS responders carry certain equipment. c. the services it provides are available to all people in a community. d. its primary role is to provide illness and injury prevention programs.

c. the services it provides are available to all people in a community.

The US Department of Transportation's responsibility is to: a. credential the EMR through a system of testing. b. maintain a registry of all certified EMRs in the country. c. determine each EMR's scope of practice. d. develop the national education standards for the EMR.

d. develop the national education standards for the EMR.

All of the following are examples of illness or injury programs, EXCEPT: a. alcohol awareness. b. diabetes screenings. c. car seat installation. d. one-rescuer CPR.

d. one-rescuer CPR.

Common functions of the EMS medical director include all of the following, EXCEPT: a. ensuring that quality patient care is provided. b. providing direction during an EMR's initial training. c. establishing medical policies and procedures. d. responding to the scene of an emergency.

d. responding to the scene of an emergency.

Question 4 Which of the following MOST accurately describes an emergency medical responder (EMR)? a. a fire fighter or police officer who assists the paramedics b. an individual who responds to the scene in an ambulance c. an individual who provides initial advanced life support (ALS) d. the first medically trained person to arrive at the scene

d. the first medically trained person to arrive at the scene

A cardiac arrest patient's MOST crucial contact with the EMS system occurs when: a. the receiving hospital is made aware of the situation. b. paramedics arrive and administer advanced care. c. medical control is made aware of the situation. d. trained EMRs arrive at the patient's side.

d. trained EMRs arrive at the patient's side.