Prehospital Emergency Care (12th Ed.) Q&A Study
Guide 2026-2027
Section 1: Preparatory & Operations
Q1: You arrive at a scene where a patient has been
stabbed. The patient is conscious and bleeding heavily.
The police are on scene and have the suspect in custody.
What is your first priority?
A) Immediately control the bleeding with direct pressure.
B) Ensure scene safety and wait for police to clear you to
enter.
C) Rapidly extricate the patient to the ambulance.
D) Apply a tourniquet immediately and assess airway.
CORRECT ANSWER>: B) Ensure scene safety and wait for
police to clear you to enter.
Rationale: Scene safety is always the first priority for EMS
providers. Even if the suspect is in custody, you must
ensure the scene is completely safe and secure before
approaching the patient to prevent becoming a victim
yourself.
,Q2: A 45-year-old patient is complaining of severe chest
pain. You advise the patient that they need to be
transported to the hospital immediately, but the patient
refuses and states, "I just need to rest." What is the most
appropriate action?
A) Transport the patient against their will under implied
consent.
B) Have the patient's spouse sign the refusal form.
C) Ensure the patient has the capacity to make an
informed decision, explain the risks of refusal, and obtain
a signed refusal.
D) Call medical control and have them speak to the
patient before leaving.
CORRECT ANSWER>: C) Ensure the patient has the
capacity to make an informed decision, explain the risks
of refusal, and obtain a signed refusal.
Rationale: A competent adult has the right to refuse care.
The EMT must ensure the patient is oriented and capable
of understanding the risks (informed refusal), explain
,those risks, and obtain a signed refusal (often with a
witness present).
Q3: While lifting the stretcher with a heavy patient, you
feel a sudden pop in your lower back. What is the most
appropriate immediate action?
A) Continue lifting to prevent dropping the patient.
B) Stop lifting, secure the stretcher, and notify your
partner that you are injured.
C) Report the injury to your supervisor at the end of the
shift.
D) Ask a bystander to take over the lift.
CORRECT ANSWER>: B) Stop lifting, secure the stretcher,
and notify your partner that you are injured.
Rationale: Continuing to lift with a back injury will cause
further damage. The patient's safety is handled by
securing the stretcher, but the EMT must stop and
communicate the injury to avoid exacerbating the
condition.
, Q4: Which of the following is an objective finding during
a patient assessment?
A) The patient states, "I feel nauseous."
B) The patient rates their pain as 8/10.
C) The patient's skin is pale, cool, and diaphoretic.
D) The patient says they have a history of diabetes.
CORRECT ANSWER>: C) The patient's skin is pale, cool,
and diaphoretic.
Rationale: Objective findings are signs that can be
observed or measured by the examiner (e.g., vital signs,
skin condition). Subjective findings are symptoms
reported by the patient (e.g., nausea, pain rating,
history).
Q5: You are documenting a patient encounter on the
prehospital care report (PCR). You make an error in
writing the patient's vital signs. How should you correct
the error?
A) Use heavy black marker to completely cover the error.
B) Erase the error completely so the chart looks clean.