Chapter 1 review EMR

4. Fire fighters and law enforcement personnel are likely to be the first EMRs to arrive at a scene because: A. of their location or speed in responding to the call. B. they are typically paid and are on call 24 hours a day. C. most communities do not have EMTs or paramedics. D. they are trained in all aspects of an emergency call

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

5. A cardiac arrest patient's most crucial contact with the EMS system occurs when: A. trained EMRs arrive at the patient's side. B. medical control is made aware of the situation. C. paramedics arrive and administer advanced care. D. the receiving hospital is made aware of the situation.

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

21. The EMR must possess the ability to: A. treat patients using limited equipment. B. sustain a patient's life for several hours. C. avoid improvisation whenever possible. D. function at the same level as an EMT.

A. treat patients using limited equipment.

11. Which of the following statements regarding transport of a patient to the hospital is correct? A. Any sick or injured patient should be transported to the closest hospital, regardless of the patient's condition. B. Patients may require immediate stabilization at the closest hospital and then transfer to another facility. 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.

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

1. Which of the following MOST accurately describes an emergency medical responder (EMR)? A. An individual who responds to the scene in an ambulance B. The first medically trained person to arrive at the scene C. An individual who provides initial advanced life support D. A fire fighter or police officer who assists the paramedics

B. The first medically trained person to arrive at the scene

31. In order to keep his or her certification current, the EMR must: A. meet with the medical director. B. attend continuing education classes. C. be evaluated by a senior paramedic. B. respond to at least five calls per month

B. attend continuing education classes.

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

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

18. You are at the scene of a shooting. The patient, who is being cared for by paramedics, is unresponsive and has severe bleeding from his injury. In this case, the EMR's most important function is to: A. help keep bystanders away from the patient. B. help the paramedics prepare for rapid transport. C. factually document the care provided to the patient. D. report observations to law enforcement personnel

B. help the paramedics prepare for rapid transport.

29. Communication with a physician via two-way radio or wireless telephone is an example of: A. indirect medical control. B. online medical control. C. off-line medical control. D. standard operating protocol

B. online medical control.

17. 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. does not require transport to the hospital. B. requires transport but without lights and siren. C. may deteriorate and requires prompt transport. D. should be rapidly transported to the closest hospital.

B. requires transport but without lights and siren.

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

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

16. A patient requires rapid transport to the hospital when: A. he or she requires care that can be provided only by a physician at the hospital. 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. traffic is extremely heavy and the patient's condition requires treatment by a physician.

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

6. A basic life support (BLS) ambulance is most accurately defined as: A. any transport vehicle that is staffed by at least two EMRs. B. an emergency response vehicle equipped with a defibrillator. C. a properly equipped vehicle that is staffed by EMT personnel. D. any transport vehicle staffed by EMTs with additional training.

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

25. 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 a wound on his 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.

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

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

30. Components of the quality improvement process, as identified by the Institute of Medicine, include all of the following, except: A. safety. B. timeliness. C. teamwork. D. efficiency

C. teamwork.

23. Roles and responsibilities of the EMR include all of the following, except: A. prompt and safe response to the scene. B. ensuring the safety of self and others. C. transporting the patient to the hospital. D. adequately assessing every patient.

C. transporting the patient to the hospital.

22. Which of the following pieces of equipment should be included in the EMR's life support kit? A. Manual defibrillator B. Endotracheal tubes C. Mechanical suction device D. Mouth-to-mask ventilation device

D. Mouth-to-mask ventilation device

2. Problems that occur in the prehospital phase of the EMS operation are most often related to: A. EMRs functioning above their skill level. B. delayed response times to the scene by EMTs. C. failure of the dispatcher to obtain accurate information. D. a lack of control and coordination of resources and personnel.

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

20. Skills commonly performed by the EMR include all of the following, except: A. treating shock. B. splinting fractures. C. hemorrhage control. D. intravenous therapy.

D. intravenous therapy.

10. 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. always arrive at the scene before EMTs or paramedics. D. provide specialized rescue such as patient extrication.

D. provide specialized rescue such as patient extrication.

26. When documenting the events of an emergency call, the EMR should include the: A. names of all personnel at the scene. B. treatment provided by the paramedics. C. diagnosis provided by the paramedics. D. treatment provided before EMS arrival.

D. treatment provided before EMS arrival.

15. Which of the following is not a criterion used by the National Highway Traffic Safety Administration (NHTSA) to evaluate an EMS system? A. Billing and collections B. Resource management C. Regulation and policy D. Education of the public

A. Billing and collections

8. Which of the following interventions would the EMR most likely perform at the scene of a cardiac arrest? A. CPR and defibrillation B. Insertion of an endotracheal tube C. Administration of certain medications D. Initiation of an intravenous line

A. CPR and defibrillation

28. Which of the following functions would the EMS medical director be the least likely to perform? A. Responding to the scene of an emergency B. Providing medical direction via two-way radio C. Establishing medical policies and procedures D. Providing direction during an EMR's initial training

A. Responding to the scene of an emergency

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

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

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

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

13. Which of the following is an example of an injury or illness prevention program? A. One-rescuer CPR B. Alcohol awareness C. Bleeding control D. Field triage training

B. Alcohol awareness

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

C. develop the national education standards for the EMR.

9. What level of EMS provider is able to perform limited ALS skills? A. EMR B. EMT C. Paramedic D. Advanced EMT

D. Advanced EMT

24. Which of the following would be the EMR's most important initial responsibility when arriving at the scene of a multiple-patient incident? A. Advising the dispatcher that additional resources will be needed B. Protecting bystanders from any hazards that may exist at the scene C. Quickly gaining access to all patients and begin immediate treatment D. Assessing the environment to detect possible threats to his or her safety

D. Assessing the environment to detect possible threats to his or her safety