EMT-JBL Mid Term Questions
According to the National EMS Scope of Practice Model, an EMT should be able to: a.) adminster epinephrine via the subcutaneous route b.) assist a patient with certain prescribed medications c.) insert a perioheral IV line and infuse fluids. d.) interpret a basic (ECG) rhythm and treat accordingly
b.) assist a patient with certain prescribed medications
While transporting a woman with diabetes, you should inadvertently give 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.) notify law enforcement so they can file an incident report. b.) contact medical control and notify them of the error. c.) document the error and report it to your supervisor exclude this intervention from the PCR because it did not harm the patient.
b.) contact medical control and notify them of the error.
The compliance-monitoring component of an infection control plan should: a.) address issues such as medical waste collection, storage, and ambulance disinfection b.) ensure that employees understand what they should do and why it is important c.) consist of a list of tasks that pose a risk for contact with blood or other body fluids. d.) identify who to notify after an exposure and where treatment should be provided
b.) ensure that employees understand what they should do and why it is important
The official transfer of patient care does not occur until the EMT: a.) notifies the admitting clerk of the patient care does not occur until the EMT: a.) notifies the admitting clerk of the patient's arrival at the hospital b.) gives oral report to the emergency room physician or nurse. c.) gives a radio report to the recieving medical facility d.) informs dispatch of the patient's arrival at the emergency department
b.) gives oral report to the emergency room physician or nurse.
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:
begin two-rescuer CPR and apply the AED as soon as possible
When a patient is dying, he or she may experience regression. This is MOST accuratley described as:
behavior consistent with an earlier developmental stage.
Carbon monoxide blocks the ability of the blood to oxygenate the body because it:
binds with hemoglobin in red blood cells
Which of the following MOST accurately defines negligance?
Deviation from the standard of care that may result in further injury
You are transporting a veteran whose legs were amputated in the war. When calling your radio report to the emergency department, which of the following words would be the MOST appropriate to use when describing a pateint
Disabled
What should you do before attempting to access a patient trapped in a vehicle?
Ensure the vehicle is stable
You suspect that a pregnant 16 year-old girl has a broken leg after she was hit by a car. You explain that you plan to splint her leg, and she agrees to treatment. Which type of consent is her agreement considered?
Expressed
Which of the following has the weakest transmission signal and, as a result, is LEAST likely to be heard by the party being called?
Hand-held portable radio
Which of the following statement is MOST consistent with the bargaining phase of the greiving process?
I will be compliant with all my medications if I can just see my grandson graduate
Which of the following is the MOST significant factor in determining whether a person will become ill from certain germs?
Immunity
Which of the following is NOT a function of the Federal Communications Comission (FCC)
Maintaining communications equipment on the ambulance
EMT training in nearly every state meets or exceeds the guidelines recommended by the:
National Highway Traffic Safety Administration (NHTSA)
Which of the following statements regarfing the hepatitis B vaccine is correct?
OSHA requires that your employer offer you the vaccine free of charge
What type of medical direction do standing orders and protocols describe?
Off-line
You are treating a man who was assulted and has a closed head injury. The patient, who has slurred speech, becomes verbually abuisive and tells you to leave him alone. You should:
Proceed with treatment and utilize law enforcement for assistance if necessary
Which type of communications equipment functions as a radio reciever and searches across several frequencies?
Scanner
Which of the following infectious disease confers no protection from reinfection after exposure
Syphilis
Which of the following signs would indicate that your partner is experiencing significant stress? a.) Acute increase in appetite b.) Increased interest in daily activites c.) Isolation from the rest of the crew d.) Hyperactivity during an EMS call
c.) Isolation from the rest of the crew
Hazards that are associated with a structural fire include all of the following, EXCEPT:
carbon dioxide deficency
The spread of HIV and hepatitis in the health care setting can usually be traced to:
careless handling of sharps
If it is not possible to adequately clean your ambulance at the hospital following a call, you should:
clean the ambulance at your station in a designated area that is well ventilated
Immediately after being dispatched to a residence for an elderly patient with diabetic complications, you should:
confirm with dispatch that you recieved the call information
If an EMT candidate has been convicted of a felony or misdemeanor, he or she should:
contact the state EMS office and provide its staff with the required documentation
An appropriate demonstration of professionalism when your patient is frightened, demanding, or unpleasant is to:
continue to be nonjudgemenetal, compassionate, and respectful.
While you are transporting a stable pateint with chest pain to the hospital, you come across a major motor vehicle crash involving several critically injured patients. You should:
continue transporting your patient and notify the dispatcher of the crash
You are assessing a woman who was thrown from a horse. She is located in a large field and you can see that a thunderstorm is rapidly approaching. Suddenly, you feel your skin begin to tingle and the hair on your arms stands on end. The ambulance is located about 30 yards away. You should:
crouch down in a position so that only your feet are touching the ground
Which of the following situations requires you to notify the appropriate authorities? a.) Drug overdose b.) Accidental knife wound c.) Cardiac arrest d.) Attemted Suicide
d.) Attemted Suicide
You are transporting a 40-year old male with respiratory distress. The patient tells you that he recently had a positive tuberculosis (TB) skin test and is currently being evaluated for possible TB. You should: a.) apply a nasal cannula on the patient and a sterile surgical mask on yourself. b.) apply a sterile surgical mask on yourself and a HEPA respirator on a patient c.) remain at least 3 feet away from the patient and apply a surgical mask on him. d.) apply a nonrebreathing mask on the patient and a high-effciency particulate air (HEPA) respirator on yourself.
d.) apply a nonrebreathing mask on the patient and a high-effciency particulate air (HEPA) respirator on yourself.
When considering his or her personal life, it is important for the EMT to realize that: a.) he or she should not discuss stressful issues with family members b.) it is more difficult to effectively relax at home than it is while on duty c.) shift work is the least stressful type of an EMS-related work schedule d.) family or friends may not understand the stress associated with EMS
d.) family or friends may not understand the stress associated with EMS
Determination of exposure is an important component of an infection control plan because it:
defines who is at risk for contact with blood and body fluids and which tasks pose a risk of exposure
You are caring for a 35-year-old female with pregnancy-related complications. She is clearly experencing significant stress and is crying uncontrollably. Your MOST apprpriate action would be to:
demostrate courtesy with a professional tone
It is especially important for EMS personnel to develop nonadversarial relationships with their coworkers because they
depend on one another for their safety
During the alert and dispatch phase of EMS communications, the dispatcher's responsibilities include all of the following, EXCEPT:
discourging the caller from providing care until EMS unit arrives
Common factors that influence how a patient reacts to the stress of an illness or injury include all of the following, EXCEPT:
distrust of EMTs
You are dispatched to the residence of an Asian family for a child with a high fever. When you assess the child, you note that he has numerous red marks on his back. The child's parents explain that these marks represent coining-a traditional Asian healing practice in which hot coins are rubbed on the back. You should:
document this finding on your patient care report and advise the emergency department staff of what the child's parents told
The MOST important consideration at the scene of a hazardous material incident is:
ensuring your personal safety
You are assessing a middle-aged man with chest pain that you suspect is caused by a cardiac problem. The patient tells you that he does not want to go to the hospital and insists that you leave him alone. You should:
explain the seriousness of the situation to him, but aviod causing undue alarm
The hepatitis B vaccine program, a component of the infection control pan, addresses all of the following issues, EXCEPT:
family history of hepatitis
The continuous quality improvement (CQI) process is designated to:
identify areas of improvement and provide remedial training if needed
You and your partner are EMTs who have been dispatched to stand by at the scene of a residential fire. While standing next to the ambulance observing the firefighters, you see a woman frantically moving around in her burning house. You should:
immediately notify the incident commander or safety officer
In the eyes of the courts, an incomplete or untidy pateint care form indicates:
inadequate pateint care was administered
Obtaining continuing medical education is the responsibility of the:
individual EMT
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:
insert a peripheral intravenous catheter
In many states, a minor may be treated as an adult for the purpose of consenting to or refusing medical treatment if the minor:
is self-supporting and lives by him-or herself
You are caring for a 40-year-old female who was involved in a motor vehicle crash. Her husband, who was driving the vehicle, was killed. When the pateint asks you if her husband is all right, you should:
let clergy or hospital staff relay the bad news if possible.
You are dispatched to the scene of a crash involving a large tanker truck. While you are en route, dispatch advises you that there are multiple patients and that the fire department is en route as well. As you approach the scene, you should:
maintain a safe distance and try to read the placard with binoculars
Continuing education in EMS serves to:
maintain, update, and expand your knowledge and skills.
You are summoned to a convalescent center for an 88-year-old female with an altered mental status. A staff nurse advises you that the patient has terminal cancer and her physician stated that she would probably die within the next few hours; a valid do not resuscitate (DNR) order is presented to you. When caring for this patient, you should:
make her feel comfortable and provide emotional support
The person who is responsible for authorizing EMTs to perform emergency medical care in the field is the:
medical director
When caring for a 65 year-old male with respiratory distress, you place him in a comfortable position but do not apply oxygen. The patient's condition continues to deteriorate and he develops cardiac arrest and dies at the hospital. This scenario is an example of:
negligance
According to Occupational Safety and Health Administration (OSHA) regulations, an employer must:
offer a workplace enviroment that reduces the risk of exposure
Prescription glasses do not provide adequate eye protection because they:
offer little or no side protection
An EMS provider who has extensive training in various aspects of advanced life support (ALS) is called a(n):
paramedic
Cardiac monitoring, pharmacologic interventions, and other advanced treatment skills are functions of the:
paramedic
Physiologic manifestations of stress include:
perspiration, increased blood glucose levels, and dilated pupils.
The criteria to be licensed and employed as an EMT include:
proof of immunization against certain communicable diseases
To minimize the risk of litigation, the EMT should:
provide competent care that meets current standards
In relation to the wrist, the elbow is:
proximal
You are dispatched to an apartment complex for a shooting. Law enforcement personnel are present and have the suspected in custody. You find the patient lying in a narrow space between the couch and coffee table of his small apartment. He is semiconscious and has a large gunshot wound to his chest. You should:
quickly move the coffee table so you can access and treat the patient
After receiving online orders from medical control to perform a patient care intervention, you should:
report the order to medical control word for word
A 75-year old male with a terminal illness has died at home. As you and your partner wnter the residence, a family member becomes verbally abusive, pushes you, and states that you took too long to get there. You should:
retreat and notify law enforcemnet personnel
You arrive at the scene of a domestic violence situation. As you approach the doorway of the apartment, you hear screaming and the statement " He has a gun!" Your MOST appropriate action should be to:
seek a safe place and request law enforcement assistance.
Patients who become dependent upon EMS personnel or other health care providers often feel:
shamed.
The standards for the prehospital emergency care and the individuals who provide it are typically regulated by the:
state office of EMS
While you are on duty, your partner asks you out on a date and touches you in an inappropriate location without your consent: You should:
tell your partner to stop and report the incident to your supervisor
According to the Centers for Disease Control and Prevention (CDC), recommended immuizations and tests include a:
tetanus/diphtheria/pertussis booster every 10 years
General guidelines for effective radio communications include all the following, EXCEPT:
using 10 codes to ensure radio traffic confidentiality
If you use a waterless handwahsing subsitute in the field, it is important to:
wash your hands with soap and water at the hospital
The MOST effective way to preserve your own body heat when functioning in cold, wet weather is to:
wear at least three layers of clothing
Critical incident stress management (CISM) can occur at an ongoing scence in all of the floowing circumstances, EXCEPT:
when patients are actively being assessed or treated
A positive TB skin test indicates that:
you have been exposed to TB
While trying to make a family member feel better after a loved one has died, your partner uses trite statements. The family members may view this as:
your partner's attempt to dimish their grief
You are caring for a 52-year-old man who complains of chest discomfort. The patient is a retired paramedic and is very anxious because he thinks he is having a heart attack. Which of the following statements would be appropriate?
"It is possible that you are experencing a heart attack. I am going to give you four baby asprin to chew and swallow."
Which of the following statements would NOT be appropriate to say to the family of a dying patient?
"Things will get better in time"
Common questions asked by patients with a serious illness or injury include all of the following, EXCEPT:
"Which hospital am I going to?"
A critical incident stress debriefing should be conducted no more than _________ hours following the incident
72
Which of following scenarios involves the administration of ALS?
A 48-year old patient whose airway is secured with a supraglottic device
Which of the following patients has decison-making capacity and can legally refuse emergency medical treatment?
A conscious and alert woman with severe abdominal pain
Shortly after you load your patient, a 50-year-old man with abdominal pain, into the ambulance, he tells you that he changed his mind and does not want to go to the hospital. The patient is conscious and alert and has no signs of mental incapacitation. You are suspicious that the man has a significant underlying condition and feel strongly that he should go to the hospital. Which of the following statements regarding this situation is correct?
A mentally competent adult can withdraw his or her consent to treat at any time
Which of the following scenarios MOST accurately depicts abandonment?
A paramedic transfers patient care to an EMT.
EMS as we know it today had its origins in 1966 with the publication of: a.) the Emergency Medical Services Act b.) Emergency Care and Transportation of the Sick and Injured. c.) Accidental Death and Disability: The neglected Disease of Modern Society d.) the Department of Transportation's White Paper: Death and Dying.
Accidental Death and Disability: The neglected Disease of Modern Society
Which of the following skills would a layperson MOST likely be trained to perform before arrival of EMS?
Bleeding control using a tourniquet
Which type of stress reaction occurs when an EMT is exposed to many insignificant stressors over a persiod of several months or years?
Cumluative stress reaction
At the scene of a motor vehicle crash, you determine that there are two critically injured patients and that another ambulance is needed. You attempt to contact the dispatcher with your portable radio but are unsuccessful. You Should:
Use the mobile radio in the ambulance to contact dispatch
Information included in a radio report to the receiving hospital should include all of the following, EXCEPT:
a preliminary diagnosis of the pateint's problem.
You and your partner respond to a residence of a 66-year old male with shortness of breath. As you are assessing the patient, his wife tells you that he was recently diagnosed with lung cancer. The patient is verbally abusive and tells you that failure of the health care system caused his disease. Which stage of the greiving process is the patient's behavior consistent with? a.) Anger b.) Depression c.) Denial d.) Bargaining
a.) Anger
You and your partner are attempting to resuscitate a middle-aged female in cardiac arrest. Because of the remote geographic location, you are unable to contact medical control. What should you do? a.) Follow locally established protocols or standing orders b.) Make continous attempts to contact medical control. c.) Ask the husband if he wants to continue resuscitation. d.) Perform CPR only and intiate immediate ransport.
a.) Follow locally established protocols or standing orders
When treating a patient who is trapped in a vehicle and covered with broken glass, it is best to wear: a.) Puncture-proof leather gloves over your latex gloves b.)latex gloves with thick leather gloves underneath c.)Firefighter gloves only, to perseve manual dexterity. d.)Thick firefighter gloves over two pairs of latex gloves
a.) Puncture-proof leather gloves over your latex gloves
As an EMT, it is important to remember that the signs and symptoms of cumulative stress: a.) may not be obvious or present all the time. b.) usually manifest suddenly and without warning. c.) cannot be identified and can cause health problems. d.) are most effectively treated with medications
a.) may not be obvious or present all the time.
The final stage of death and dying MOST commonly takes the form of:
acceptance
When caring for the parents of a child who has died of leukemia, the EMT should:
acknowledge the death of their child in private.
The BEST way to reduce the risk of contracting a work-related disease following exposure is to:
activate your department's infection control plan as soon as possible
A 15-year-old boy was killed when he was struck by a car while riding his bicycle. He has numerous disfiguring injuries and has been placed in the back of the ambulance to shield him from curious bystanders. When the child's parents arrive at the scene, they demand to see him. You should:
advise the that their son had severly disfiguring injuries and ask them if there is anyone they would like you to contact first.
A pateint's refusal of EMS treatment and/or transport must be:
an informed refusal
As an EMT, the performance of your duties will be compared to that of:
another EMT.
A patient regains consciousness en route from his office to the emergency department. The pateint tells you that he feels fine but does not want to go to the hospital. Under these circumstances, you should:
assess whether the patient's mental condition is impaired
