DSC Emt

When faced with a situation in which a patient is in cardiac arrest, and a valid living will or DNR order cannot be located you should: A) Begin resuscitation at once B) contact medical control first C) Determine the patient's illness D) notify the coroner immediately

A) begin resuscitation at once

You are dispatched to a middle school for a 16 year old female experiencing an asthma attack, She is conscious and alert, but in severe respiratory distress. The school nurse informs you that she ahs tried several times to contact the patient's parents but has not been successful. you should: A)Provide treatment up to your level of training and transport the child at once B)Recognize that you cant begin treatment without expressed parental consent C) Transport the child to the closet hospital and let the staff there provide any treatment D)Administer oxygen only until you receive parental consent for further treatment.

A) provide treatment up to your level of training and transport the child at once

Which of the following is an example of a primary prevention strategy? A)Community awareness programs that emphasize the dangers of drinking and driving B) The construction of a guardrail on a dangerous curve following a fatal motor vehicle crash C) Protecting a patient's spine from further injury after a fall from a significant height

A)Community awareness programs that emphasize the dangers of drinking and driving

Which of the following skills or interventions is included at every level of prehospital emergency training? a)Oral glucose for hypoglycemia b)automated external defibrillation c)Intranasal medication administration d) Use of a manual triggered ventilator

Automated external defibrillation

Which of the following descriptions MOST accurately portrays emergency medical services (EMS)? A) Vast network of advanced life support (ALS) providers who provide definitive emergency care in the prehospital setting. B) A Team of health care professionals who are responsible for providing emergency care and transportation to the sick and injured C) 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 D) A team of paramedics and emergency physicians who are responsible for providing emergency care to critically injured patients

B) A Team of health care professionals who are responsible for providing emergency care and transportation to the sick and injured

Acting in such a way as to make another person fear immediate bodily harm is called: A)Libel B) Assault C)Battery D) Negligence

B) Assault

You have been tasked by your medical director with assisting in the development of your EMS agency's institutional standards. When developing these standards, it is important to: A) Require personnel to transport all patients to the closest hospital B) Be reasonable and realistic to avoid overburdening EMS personnel. C) Demand that all personnel consistently exceed the standard of care D) expect personnel to function beyond their scope of practice if needed

B) Be reasonable and realistic to avoid overburdening EMS personnel

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

B) Identify areas of improvement and provide remedial training if needed

EMRs such as fire fighters, law enforcement officers, and park rangers, are an integral part of the EMS system because: A) they are usually trained to assist paramedics with certain procedures B) they often arrive at the scene before the ambulance and EMTs C) the average response time for the EMT crew is approximately 15 minutes D) They can initiate certain ALS procedures before EMS arrival

B) they often arrive at the scene before the ambulance and EMTs

Why are prehospital emergency care guidelines updated on a regular basis? A) Statistical data indicate that an increasing number of people are being diagnosed with a particular illness B)EMS providers should be encouraged to actively participate in research and become familiar with data analysis C) Additional information and evidence indicate that the effectiveness of certain interventions has changed D) The federal government requires that changes be made to existing emergency care protocols at least every 5 years.

C) Additional information and evidence indicate that effectiveness of certain interventions has changed

During your monthly internal quality improvement (QI) meeting, you review several patient care reports (PCRs) with the staff of your EMS system. You identify the patient's name, age, and sex, and then discuss the treatment that was provided by the EMTs in the field. By taking this approach to the QI process, you: A) Acted appropriately but must have each EMT sign a waiver stating that he or she will not discuss the cases with others B) Adequately safeguarded the patient's PHI because the cases were discussed internally C)Are in violation of HIPAA because you did not remove the PHI from the PCR beforehand D) Violated the patient's privacy because you should have discussed the information only with the EMTs involved

C) Are in violation of HIPAA because you did not remove the PHI from the PCR beforehand

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: A) Document the error and report it to your supervisor B) notify law enforcement so they can file an incident report C) contact medical control and notify them of the error D) Exclude this intervention from the PCR because it didn't harm the patient

C) Contact medical control and notify them of the error

You arrive at the scene of an apparent death. When evaluating the patient, which of the following is a definitive sign of death? A)Absence of a pulse B) Profound cyanosis C) Dependent lividity D) Absent breath sounds

C) Dependent lividity

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

C) Off-line

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

C) The ADA prohibits employers from failing to provide full and equal employment to those who are disabled

You and your partner are dispatched to a residence for an "Ill person" When you arrive you find that the patient, a 44 year old man, doesn't speak English. There is no relatives or bystanders present who can act as an interpreter, you should: A)Give the patient oxygen, assess his vital signs, and transport him to the hospital in a position of comfort. B)Speak to the patient with a moderately louder voice to facilitate his ability to understand what you are saying. C) Use short, simple questions and point to specific parts of your body to try to determine the source of the patient's complaint.

C) Use short simple questions and point to specific parts of your body to try to determine the source of the patient's complaint

Which of the following statements regarding communications with a child is correct? A) Most children are intrigued by strangers wearing uniforms B) The EMT should give the child minimal information to avoid scaring him or her C)Standing over a child often increases his or her level of anxiety D)Unlike adults, children cannot see through lies or deceptions

C)Standing over a child often increases his or her level of anxiety

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: A) advise your partner that you cant provide care to this patient B) Wait for the backup ambulance while your partner performs CPR C) Obtain permission from medical control to not attempt resuscitation D) Begin two rescuer CPR and apply the AED as soon as possible

D) Begin two rescuer CPR and apply the AED as soon as possible

While transporting a stable patient with chest pain to the hospital, you come across a major motor vehicle crash involving several critically injured patients. Your most appropriate action should be to: A) Ask a bystander to remain with your patient as you treat the crash victims B) Remain at the scene until law enforcement and another ambulance arrive C)Stop and triage the patients while your partner remains in the ambulance D) Continue transporting your patient and notify the dispatcher of the crash

D) Continue transporting your patient and notify the dispatcher of the crash

The patient care report (PCR) ensures: A) availability of research date B)Legal protection C) quality assurance D) continuity care

D) Continuity of care

The EMT certification exam is designed to: A) Rank EMTs based on performance on the certification exam B) Identify those EMTs who are prepared for advance levels of training C) Provide EMTs with the best possible wage once certification is achieved D) Ensure that EMTs are competent and have the same level of knowledge and skills.

D) Ensure that EMTs are competent and have the same level of knowledge and skills.

Which type of consent is involved when a 39-year-old mentally competent female with a severe headache asks you to take her to the hospital? A) Formal B)Implied C) Informed D) Expressed

D) Expressed

The official transfer of patient care does not occur until the EMT: A) Gives a radio report to the receiving medical facility B)Notifies the admitting clerk of the patient's arrival at the hospital C) Informs dispatch of the patient's arrival at the emergency department D) Gives an oral report to the emergency room physician or nurse

D) Gives an oral report to the emergency room physician or nurse

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

D) National Highway traffic Safety Administration (NHTSA)

Maintaining the chain of evidence at the scene of a crime should include: A) quickly moving any weapons out of the patient's sight B) placing the patient in a private area until the police arrive C) making brief notes at the scene and then completing them later D) Not cutting through holes in clothing that were cause by weapons

D) Not cutting through holes in clothing that were cause by weapons

In which of the following circumstances can the EMT legally release confidential patient information? A) A police officer requests a copy to place on file B) The family requests a copy for insurance purposes C) A media representative inquires about the patient D) The patient is competent and signs a release form

D) The patient is competent and signs a release form

After being dispatched on an emergency call, you should expect the dispatcher to provide you with all of the following information, EXCEPT: A) the nature of the injury, illness, or incident B) the number of patients involved in the incident C) other agencies that are responding to the scene D) The general geographic location of the incident

D) the general geographic location of the incident

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

D)The NREMT provides a national standard for EMS testing

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

a) A 48 year old patient whose airway is secured with a supraglottic device

As an EMT, you may be authorized to administer aspirin to a patient with chest pain based on: A) The patient's condition b) medical director approval c) an order from a paramedic d) the transport time to the hospital

b) medical director approval

Continuing education in EMS serves to: a) confirm research and statistical findings in prehospital care b)Maintain, update, and expand the EMT's knowledge and skills c)Enforce mandatory attendance at agency specific training d)provide an ongoing review and audit of the EMS system

b)Maintain, update, and expand the EMT's knowledge and skills

If a defibrillator manufacturer claims that its device terminates ventricular fibrillation on the first shock 95% of the time, you should: a)Avoid purchasing the device because this claim is unrealistic b)Recognize that this doesn't mean the device will save more lives c)Purchase the device based solely on the manufacturer's claim d)Determine which device the American Heart Association suggests

b)Recognize that this doesn't mean the device will save more lives

Which of the following statements regarding the EMS medical director and an EMT's scope of practice is correct? a) The EMS medical director can expand the EMT's scope of practice but cannot limit it without state approval b)The EMS medical director can expand or limit an individual EMT's scope of practice without state approval c)An EMT's scope of practice is exclusively regulated by the state EMS office, not the EMS medical director d) An EMT's scope of practice may be expanded by the medical director after proper training and state approval

d) An EMT's scope of practice may be expanded by the medical director after proper training and state approval

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 EMTs (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 its staff with the required documentation.

d)Contact the state EMS office and provide its staff with the required documentation.

Which of the following scenarios MOST accurately depicts abandonment? A) A paramedic transfers patient care to an EMT B) An AEMT transfers patient care to a paramedic C) A physician assumes patient care from and EMT D) An EMT gives a verbal report to an emergency room nurse

A) A paramedic transfers patient care to an EMT

As an EMT, the performance of your duties will be compared to that of: A) Another EMT B) the general public C)The medical director D) a paramedic supervisor

A) Another EMT

You respond to the home of a 59-year-old man who is unconscious; has slow, shallow breathing; and has a weak pulse. The family states that the patient has terminal brain cancer and does not wish to be resuscitated. They further state that there is a DNR order for this patient, but they are unable to locate it. You should: A) Begin treatment and contact medical control as needed B) Honor the patient's wishes and withhold all treatment C) Transport the patient without providing any treatment D) Decide on further action once the DNR order is produced

A) Begin treatment and contact medical control as needed

When relaying patient information via radio, communications should be: A) Brief and easily understood B) Coded and scripted C) spoken in a loud voice D) Lengthy and complete

A) Brief and easily understoon

Immediately after being dispatched to a residence for an elderly patient with diabetic complications, you should: A)Confirm with dispatch that you received the call information B)Ask the dispatcher to obtain a medical history from the caller C)Ask the dispatcher if the patient is conscious or unconscious D) Request that law enforcement secure the scene before you arrive

A) Confirm with dispatch that you received the call information

Where would you MOST likely find information regarding a patient's wishes to be an organ donor? A) Driver's license B)Insurance card C) Social Security Card D) Voter registration card

A) Driver's license

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) Individual EMT

Calming and reassuring an anxious patient can be facilitated by: A) Maintaining eye contact with the patient whenever possible B) Using medical terminology to ensure the patient understands C) Positioning yourself at a level that is higher than the patient D) Withholding unpleasant information until arrival at the hospital

A) Maintaining eye contact with the patient whenever possible

When obtaining patient care orders from a physician via a two way radio, it is important to remember that: A)The physician's instructions are based on the information you provide B)The use of 10 codes is an effective method of communication C)All orders should be carried out immediately and without question D)The physician may or may not be located within your service area

A) The physician's instructions are based on the information you provide

Two EMT's witnessed a call in which a coworker gave adequate medical care but ignored the patient's emotional needs. The coworker was deliberately rude solely because the patient was thought to be infected with the human immunodeficiency virus(HIV). The EMT's ignored the coworker's treatment of this patient and took no steps to prevent this behavior from happening again. This lack of action on the part of the two EMT's is considered A) Legal and ethical B)Legal but Unethical C) Illegal but ethical D) Illegal and unethical

B) Legal but unethical

When you are communicating with an older patient, it is important to remember that: A) Your questions should focus exclusively on the patient's obvious problem B)Most older people think clearly and are capable of answering questions C)Hostility and confusion should be presumed to be due to the patient's age D)Speaking loudly and distinctly will ensure that the patient can hear you.

B) Most older people think clearly and are capable of answering questions

Cardiac monitoring, pharmacologic interventions, and other advanced treatment skills are functions of the A)EMT B) Paramedic C) AEMT D) EMER

B) Paramedic

To minimize the risk of litigation, the EMT should: A) Always transport patients to the hospital of their choice B)Provide competent care that meets current standards C) Use universal precautions with every patients encounter D) Utilize at least four personnel when moving a patient

B) Provide competent care that meets current standards

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

B) bleeding control using a tourniquet