EMT Chapter 1: Test
Which of the following is a component of patient advocacy? A. Building rapport with the patient during transport to the hospital B. Immobilizing the neck of a patient with a possible spinal injury C. Granting patient wishes and not reporting spousal abuse to the authorities D. Providing oxygen to a patient that is short of breath
A. Building rapport with the patient during transport to the hospital
An EMT attends a demonstration of a new technique for providing rapid extrication that supplements the EMT's original training, without replacing that original training. This is an example of what kind of training? A. Continuing education B. EMT training program C. Recertification D. Distance education
A. Continuing education
Which of the following is a personality trait required of EMTs? A. Control of personal habits B. Able to give and receive oral instructions C. Ability to lift and carry 125 pounds D. Awareness of problems with color vision
A. Control of personal habits
What is the minimum level of certification required of ambulance personnel responsible for direct patient care? A. Emergency Medical Technician B. Advanced EMT C. Paramedic D. Emergency Medical Responder
A. Emergency Medical Technician
Which of these is the LEAST common setting that an EMT may work in? A. Nursing home B. Rural/wilderness settings C. Fire departments D. Ambulance services
A. Nursing home
Which of the following refers to a program or process for evaluating and improving the effectiveness of an EMS system? A. Quality improvement B. System effectiveness management C. Total quality system D. Process Improvement Plan (PIP)
A. Quality improvement
The application of oxygen for a patient who is short of breath without having to contact the physician in the emergency department is an example of which of the following? A. Standing orders B. Standards of care C. On-line medical direction D. Breach of duty
A. Standing orders
Which of the following is a role of the EMT in the quality improvement process? A. Writing complete patient care reports B. Taking responsibility for the actions of one's partner C. Critiquing the performance of one's partner D. Assuring personal safety
A. Writing complete patient care reports
An emergency medical responder: A. provides immediate care. B. transfers patients to the care of hospital staff. C. receives transported patients at the emergency department. D. transports patients to hospitals.
A. provides immediate care.
A written authorization for an EMS provider to perform a particular skill in a specific situation is a(n): A. standing order. B. direct medical order. C. standard of care. D. on-line protocol.
A. standing order
To be compassionate and empathetic, to be accurate with interviews, and to inspire confidence are all examples of which of the personal traits of a quality EMT? A. Emotionally stable B. Able to listen to others C. Pleasant D. Nonjudgmental and fair
B. Able to listen to others
What BEST describes the level of EMS training that emphasizes use of advanced airway devices and some prehospital medication administration? A. Paramedic B. Advanced EMT C. EMT D. Emergency Medical Responder
B. Advanced EMT
Who is responsible for on-scene safety of EMS providers? A. The triage officer B. All crew members C. Law enforcement D. The traffic director
B. All crew members
During the new employee orientation, the training officer meets with the new EMTs and explains to them the monthly training schedule and the classes they must attend for EMT recertification. One of the new EMTs asks the training officer why they have to keep taking EMT courses if they already passed the EMT examination. What is the BEST answer? A. The state requires the training. B. EMS is constantly evolving in response to evidence-based research. C. EMTs often forget their training once they pass the EMT exam. D. It contributes to the appearance of professionalism.
B. EMS is constantly evolving in response to evidence-based research.
Which of the following is the most common gateway for hospital services for patients who need emergency medical assistance? A. Surgical services department B. Emergency department C. Emergency medical services system D. Emergency medical dispatch center
B. Emergency department
Which of the following BEST describes a communication system capable of identifying the number and location of the phone from which a caller is calling? A. Advanced 911 B. Enhanced 911 C. Data display 911 D. Priority dispatch 911
B. Enhanced 911
A fellow EMT is talking with the Medical Director at a staff meeting. The EMT states that the neighboring ambulance service is carrying special clotting bandages for serious bleeding wounds. The special bandages cost five times as much as the regular bandages, but the EMT claims they work ten times better. The EMT wants the Medical Director to approve the bandages for use in their ambulances. The Medical Director responds to the EMT by saying he will not approve the bandages until he can prove they are worth the additional cost. How can the EMT best prove the worth of the special bandages? A. Have a member of the other ambulance service call the Medical Director to provide firsthand information on how the special bandages are much better. B. Perform a literature search to see what studies have been done on the special bandages and report the findings to the Medical Director. C. Call the manufacturer of the special bandage and request literature to give to the Medical Director. D. Order a small number of the special bandages and compare them side-by-side to the regular bandages.
B. Perform a literature search to see what studies have been done on the special bandages and report the findings to the Medical Director.
Which of the following groups is credited with developing the earliest documented emergency medical service? A. The Egyptians B. The French C. The Spanish D. The Mayans
B. The French
Upon arrival at the hospital, the EMT advises hospital personnel of the patient's condition, observations from the scene, treatment rendered, and other pertinent data to assure continuity of care. This process is known as which of the following? A. Patient assessment B. Transfer of care C. Patient advocacy D. Patient care
B. Transfer of care
Which of the following is a physical trait necessary for performing the duties of an EMT? A. Ability to remain calm in stressful situations B. Nonjudgmental and fair C. Ability to speak clearly D. Ability to lift and carry 200 pounds
C. Ability to speak clearly
Quality improvement programs are a part of which NHTSA Technical Assistance Program standard? A. Public information and education B. Regulation and policy C. Evaluation D. Human resources and training
C. Evaluation
Which of the following is the first responsibility of the EMT? A. Communicate with other responders on the scene. B. Protect and stabilize the patient. C. Maintain personal health and safety. D. Provide emergency care.
C. Maintain personal health and safety.
Who assumes the ultimate responsibility for patient care rendered by the EMT? A. EMT B. EMS supervisor C. Medical Director D. Director of quality assurance
C. Medical Director
The National Registry of Emergency Medical Technicians (NREMT) was founded to establish which of the following? A. Quality improvement and quality assurance programs for emergency medical services B. An education curriculum for EMT courses C. National standards for emergency medical services personnel D. Quality oversight of emergency medical services practices
C. National standards for emergency medical services personnel
After delivering a patient to the emergency department, you discuss with hospital staff the details of your care and ask for suggestions to improve your care. This is an example of your role in which of the following? A. Patient advocacy B. Transfer of care C. Quality improvement D. Continuing education
C. Quality improvement
Centralized coordination of emergency medical access, transportation, and care most refers to which of the following? A. Emergency preparedness plan B. Central deployment C. Resource management D. Trauma systems
C. Resource management
You and another new EMT are studying your local protocols. The other EMT notices that you may give oral glucose without utilizing on-line medical control, but you must get an on-line order from a physician before assisting a patient in taking his nitroglycerin for chest pain. The EMT asks you why some drugs require on-line medical control while others do not. What is the best answer to give him? A. Glucose is only sugar so it cannot hurt the patient. B. Some drugs are rarely used and so require special permission. C. The physician wants to be sure it is appropriate for the patient. D. The patient's nitroglycerin might be expired.
C. The physician wants to be sure it is appropriate for the patient.
You have just come on duty. The EMT on the previous shift complains to you that the QI manager was giving him grief because he did not document three sets of vital signs on the patient record. The EMT is angry and does not understand why documenting three sets of vital signs is so important. What is the best answer you could give him? A. Vital signs are something you have to fill out because the state requires it. B. The report looks better when all the boxes are filled out. C. The recording of three sets of vital signs demonstrates that you were trending the patient's condition. D. It is important you show the QI manager that you are a team player.
C. The recording of three sets of vital signs demonstrates that you were trending the patient's condition
Which of the following BEST describes the overall purpose of the modern emergency medical services (EMS) system? A. To have trained personnel knowledgeable in all aspects of prehospital care B. To have trained personnel understand the limitations of their training and "do no harm," while providing prompt transport to the hospital C. To have trained personnel respond quickly and provide emergency care on the scene, during transport, and at the hospital D. To have trained personnel capable of assessing and caring for injured and ill patients on the scene
C. To have trained personnel respond quickly and provide emergency care on the scene, during transport, and at the hospital
Why is it important for EMTs to participate in quality improvement programs? A. To identify problem employees and create a corrective action plan B. To ensure adequate personnel are available for emergencies C. To identify problems and develop a plan to prevent their recurrence D. To ensure that individuals making false calls for EMS are prosecuted
C. To identify problems and develop a plan to prevent their recurrence
Which is the BEST reason for an EMT to be pleasant? A. To befriend patients and their families B. To improve camaraderie with other EMTs C. To inspire confidence and help calm the sick or injured D. To be likeable to people in general
C. To inspire confidence and help calm the sick or injured
You respond to a 35-year-old male patient who fell 50 feet from a bluff. Your authority to provide emergency care is an extension of the Medical Director's license to practice medicine. You are acting as a(n) ________ of the Medical Director. A. subordinate B. substitute C. designated agent D. employee
C. designated agent
What BEST describes the level of EMS training that emphasizes activation of the EMS system and provides immediate care for life-threatening problems? A. EMT B. Emergency Medical Dispatcher C. Cardiac care responder D. Emergency Medical Responder
D. Emergency Medical Responder
You and your EMT partner are assigned to spend a day at the senior center where you are to inspect the rooms and common areas for fall hazards. Your partner is upset that he is not in the ambulance where the "action is." He complains that "looking for loose rugs" is a waste of his time. What would be the best response to his complaints? A. It improves public relations with the community. B. It minimizes the number of 911 calls late at night. C. It is good practice for the next emergency call. D. Injury prevention in the community is an important component of EMS.
D. Injury prevention in the community is an important component of EMS.
The EMT's role in the quality improvement process includes becoming involved in the quality process, keeping carefully written documentation, obtaining feedback from patients and the hospital staff, continuing his education, and which of the following? A. Being a member of the QI committee B. Writing protocols and standing orders C. Providing quality care D. Maintaining equipment
D. Maintaining equipment
What level of emergency medical training provides the most advanced pre-hospital care? A. Emergency Medical Responder B. Emergency Medical Technician C. Advanced EMT D. Paramedic
D. Paramedic
What BEST defines the evaluation of the patient's condition in order to provide emergency care? A. Injury prevention B. Patient advocacy C. Medical intervention D. Patient assessment
D. Patient assessment
Which of the following BEST describes a list of steps the EMT should perform while assessing and managing emergency medical situations? A. On-line medical direction B. Standing orders C. Standard operating procedures D. Protocols
D. Protocols
You and your new EMT partner arrive first on the scene of a single car rollover on the shoulder of a busy highway. You pull off in a safe location and just as you stop the ambulance, your partner throws the passenger door open, steps out of the truck, and begins jogging through the scattered debris toward the overturned car. You shout for him to stop and he looks back at you, but then continues to the vehicle and begins assessing the driver. Later, as you are restocking in the ambulance bay of the local trauma center, your partner tells you that he thinks you acted unprofessionally by shouting at him. What is the best way to respond? A. New EMTs should expect partners to yell at them occasionally. B. An EMT should never hurry to assist a patient. C. The On-Duty Supervisor should be called. D. Shouting was an attempt to protect the EMT from a potentially unsafe scene
D. Shouting was an attempt to protect the EMT from a potentially unsafe scene
Which of the following statements about the NHTSA Technical Assistance Program transportation standard is FALSE? A. Some patients may require rapid transportation or transportation by helicopter or airplane. B. Most patients can be effectively transported by ground ambulances. C. Safe, reliable ambulance transportation is a critical component. D. Transportation from remote areas falls under the facilities standard instead of transportation
D. Transportation from remote areas falls under the facilities standard instead of transportation
Which of the following is a personal trait an EMT should demonstrate? A. Good eyesight B. Strong student C. Strong communication D. Self-starter
D. Self-starter