Ch 1 EMS Systems
Which of the following descriptions most accurately portrays emergency medical services (EMS)? A. A team of health care professionals who are responsible for providing emergency care and transportation to the sick and injured B. A vast network of advanced life support (ALS) providers who provide definitive emergency care in the prehospital setting 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
A
Which of the following skills or interventions is included at every level of prehospital emergency training? A. Automated external defibrillation B. Use of a manually triggered ventilator C. Oral glucose for hypoglycemia D. Intranasal medication administration
A
Which of the following statements regarding the NREMT is correct? A. The NREMT is a governmental agency that certifies EMTs. B. The NREMT is the exclusive certifying body for EMTs. C. The NREMT provides a national standard for EMS testing. D. The NREMT regulates EMS training standards.
C
Why are prehospital emergency care guidelines updated on a regular basis? A. The federal government requires the implementation of changes to existing emergency care protocols at least every five years. B. Statistical data indicate that an increasing number of people are being diagnosed with a particular illness. C. EMS providers should be encouraged to actively participate in research and become familiar with data analysis. D. Additional information and evidence indicate that the effectiveness of certain interventions has changed.
D
According to the National EMS Scope of Practice Model, an EMT should be able to: A. insert a peripheral IV line and infuse fluids. B. assist a patient with certain prescribed medications. C. interpret a basic (ECG) rhythm and treat accordingly. D. administer epinephrine via the subcutaneous route.
B
Which of the following is a specific example of the Mobile Integrated Healthcare (MIH) model? A. EMTs assess a patient whose lung disease is "acting up" B. The paramedic administers a patient's flu vaccination C. EMTs respond to a woman who complains of high fever D. Paramedics pick up a patient from an acute care clinic
B
An EMS provider who has extensive training in various aspects of advanced life support (ALS) is called a(n): A. EMR. B. advanced EMT (AEMT). C. paramedic. D. EMT.
C
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 advanced levels of training. C. ensure that EMTs are competent and have the same level of knowledge and skills. D. provide EMTs with the best possible wage once certification is achieved.
C
If an EMT candidate has been convicted of a felony or misdemeanor, he or she should: A. recognize that any such conviction will disqualify him or her from EMT licensure. B. contact the state EMS office and provide its staff with the required documentation. C. wait at least 24 months before taking another state-approved EMT class. D. send an official request to the National Registry of EMTs (NREMT) to seek approval to take the EMT exam.
B
The standards for prehospital emergency care and the individuals who provide it are typically regulated by the: A. National Registry of EMTs. B. state office of EMS. C. American Heart Association. D. regional trauma center.
B
Continuing education in EMS serves to: A. enforce mandatory attendance at agency-specific training. B. confirm research and statistical findings in prehospital care. C. maintain, update, and expand the EMT's knowledge and skills. D. provide an ongoing review and audit of the EMS system.
C
EMS as we know it today had its origins in 1966 with the publication of: A. the Department of Transportation's White Paper: Death and Dying. B. Emergency Care and Transportation of the Sick and Injured. C. Accidental Death and Disability: The Neglected Disease of Modern Society. D. the Emergency Medical Services Act.
C
The ____________ deals with the well-being of the EMT, career progression, and EMT compensation. A. local public health department B. EMS administrator or chief C. human resources department D. office of the medical director
C
Which of the following scenarios involves the administration of ALS? A. A 61-year-old patient who is receiving humidified supplemental oxygen B. A 64-year-old patient who is given aspirin for suspected cardiac chest pain C. A 48-year-old patient whose airway is secured with a supraglottic device D. A 53-year-old patient who is assisted with his prescribed nitroglycerin
C
Which type of medical direction do standing orders and protocols describe? A. Online B. Radio C. Off-line D. Direct
C
An appropriate demonstration of professionalism when your patient is frightened, demanding, or unpleasant is to: A. demand that the patient remain quiet and cooperative during transport. B. ignore the patient's feelings and focus on his or her medical complaint. C. reassure the patient that everything will be all right, even if it will not be. D. continue to be nonjudgmental, compassionate, and respectful.
D
As an EMT, you may be authorized to administer aspirin to a patient with chest pain based on: A. the patient's condition. B. the transport time to the hospital. C. an order from a paramedic. D. medical director approval
D
EMRs such as firefighters, 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. the average response time for the EMT crew is approximately 15 minutes. C. they can initiate certain ALS procedures before EMS arrival. D. they often arrive at the scene before the ambulance and EMTs.
D
The ____________ deals with the well-being of the EMT, career progression, and EMT compensation. A. office of the medical director B. EMS administrator or chief C. local public health department D. human resources department
D
Which of the following errors is an example of a knowledge-based failure? A. Due to an improperly applied cervical collar, a patient's spinal injury is aggravated and he is permanently disabled. B. An EMT gives the correct drug to a patient, although his protocols clearly state that he is not authorized to do so. C. A patient is given nitroglycerin by an EMT who did not obtain proper authorization from medical control first. D. An EMT administers the wrong drug to a patient because she did not know the pertinent information about the drug.
D
Which of the following is an example of a primary prevention strategy? A. The construction of a guardrail on a dangerous curve following a fatal motor vehicle crash B. Protecting a patient's spine from further injury after a fall from a significant height C. Teaching a group of new parents how to perform one- and two-rescuer infant CPR D. Community awareness programs that emphasize the dangers of drinking and driving
D
Which of the following scenarios involves the administration of ALS? A. A 61-year-old patient who is receiving humidified supplemental oxygen B. A 53-year-old patient who is assisted with his prescribed nitroglycerin C. A 64-year-old patient who is given aspirin for suspected cardiac chest pain D. A 48-year-old patient whose airway is secured with a supraglottic device
D
According to the National EMS Scope of Practice Model, an EMT would require special permission from the medical director and the state EMS office to: A. insert a peripheral intravenous catheter. B. apply and interpret data from a pulse oximeter. C. give aspirin to a patient with chest pain. D. use an automatic transport ventilator.
A
If a defibrillator manufacturer claims that its device terminates ventricular fibrillation on the first shock 95% of the time, you should: A. recognize that this does not mean the device will save more lives. B. purchase the device based solely on the manufacturer's claim. C. avoid purchasing the device because this claim is unrealistic. D. determine which device the American Heart Association recommends.
A
Which of the following criteria is required to become licensed and employed as an EMT? A. Proof of immunization against certain communicable diseases B. A minimum of 60 college credit hours that focus on health care C. Successful completion of a recognized bystander CPR course D. Demonstration of the ability to lift and carry at least 200 pounds
A
Which of the following criteria is required to become licensed and employed as an EMT? A. Proof of immunization against certain communicable diseases B. Demonstration of the ability to lift and carry at least 200 pounds C. Successful completion of a recognized bystander CPR course D. A minimum of 60 college credit hours that focus on health care
A
