NREMT Practice Test Bank - Multiple Choice
Study online at https://quizlet.com/_dfaql0
1. The ultimate goal of any EMS You selected C; This is correct!
quality improvement program is
to: Reason: Providing continuing education to all personnel,
• A:recognize all EMTs who recognizing those who consistently provide competent
demonstrate consistency in pro- patient care, and holding all personnel accountable for
viding competent patient care. adhering to the EMS protocols are all components of any
• B:provide protocols to all EMTs EMS quality improvement program. The ultimate goal,
and hold them accountable if pro- however, is to provide, as a system, a consistently high
tocols are not followed. standard of care to all patients who are encountered.
• C:deliver a consistently high
standard of care to all patients
who are encountered.
• D:ensure that all personnel re-
ceive an adequate number of
continuing education hours.
2. A set of regulations and ethical You selected D; This is correct!
considerations that define the ex-
tent or limits of an EMT's job is Reason:The set of legal regulations and ethical consider-
called: ations that define the job of the EMT is called the scope
• A:the Medical Practices Act. of practice. The scope of practice provides a clear delin-
• B:confidentiality. eation of the EMT's roles and responsibilities. Duty to act
• C:a duty to act. is defined as a legal obligation to respond to every call for
• D:scope of practice. help while on duty and in your jurisdiction, whether you
are paid for your services or not. Confidentiality entails
not releasing any patient information to those not directly
involved in the care of the patient. The Medical Practices
Act describes the minimum qualifications of those who
may engage in emergency medical care and establishes
a means of certification.
3.
, NREMT Practice Test Bank - Multiple Choice
Study online at https://quizlet.com/_dfaql0
The scene size-up includes all of You selected A; The correct answer is D;
the following components, EX-
CEPT: Reason: The components of the scene size-up include
• A:evaluating the mechanism of determining scene safety, assessing the mechanism of
injury. injury (MOI) or nature of illness (NOI), determining the
• B:determining if the scene is number of patients, and requesting additional help if
safe. needed. Personal protective equipment (PPE) should be
• C:assessing the need for assis- donned prior to beginning the scene size-up.
tance.
• D:donning personal protective
gea
4. You are called to transport a pa- You selected B; This is correct!
tient with terminal lung cancer
from a skilled nursing facility to Reason:A valid do not attempt resuscitation (DNAR) order
the emergency department for gives you the legal authority not to initiate resuscitative
evaluation of possible pneumo- efforts if the patient develops cardiac arrest. Because laws
nia. As you are reviewing the vary from state to state, you must be familiar with the
transfer paperwork, you see that DNAR laws inherent to the state in which you work as an
the patient has a valid "do not EMT. Many states have adopted out-of-hospital DNAR or-
attempt resuscitation" order. Dur- ders; these are legal documents and should be adhered
ing transport, you should: to if they are valid. Generally speaking, a valid DNAR order
• A:monitor the patient because must clearly state the patient's medical problem(s), be
a DNAR order prohibits you from signed by the patient or legal guardian, and be signed
providing care. by one or more physicians. In some states, DNAR orders
• B:provide supportive care, such have an expiration date, while in others, no expiration
as oxygen, and keep the patient date is included. Contact medical control for guidance if
comfortable. the validity of a DNAR order is questionable. Even in the
• C:perform CPR for only 2 min- presence of a valid DNAR order, you are still obligated to
utes if the patient develops car- provide supportive measures, such as oxygen, pain relief,
diac arrest. and comfort. DNAR does not mean do not treat.
• D:disregard the DNAR order be-
, NREMT Practice Test Bank - Multiple Choice
Study online at https://quizlet.com/_dfaql0
cause it is only valid in the hospi-
tal setting.
5. Which of the following state- You selected A; This is correct!
ments BEST describes a mass-ca-
sualty incident? Reason:A mass-casualty incident (MCI) occurs any time
• A:The number of patients over- the number of injured patients overwhelms your available
whelms your resources. resources. It is not necessarily defined by the number
• B:More than three vehicles are of patients, but rather your ability to effectively manage
involved in the incident. them. For example, if you and your partner arrive at a
• C:More than five patients are in- scene and find two critically injured patients, you have an
volved. MCI (albeit a small-scale MCI) because two EMTs and one
• D:At least half of the patients are ambulance can only care for one critically ill or injured
critically injured. patient effectively.
While caring for a trauma patient, blood splashes into an
EMT's eyes. This is an example of:
• A:infection.
• B:indirect contact.
• C:transmission.
• D:exposure.
6. While caring for a trauma patient, You selected D; This is correct!
blood splashes into an EMT's
eyes. This is an example of: Reason: Exposure occurs when an individual comes in
• A:infection. direct contact with blood or other bodily fluids. Examples
• B:indirect contact. of direct exposure include blood splashing into the eyes
• C:transmission. or mouth and an accidental stick with a contaminated
• D:exposure. needle or other sharp object. Exposure does not always
result in disease transmission and subsequent infection;
that depends on whether the patient has an infectious
disease. Routine use of standard precautions will afford
, NREMT Practice Test Bank - Multiple Choice
Study online at https://quizlet.com/_dfaql0
the EMT the best protection from exposure to an infec-
tious disease.
7. Failure of the EMT to obtain con- You selected D; This is correct!
sent from a responsive patient
before taking his or her blood Reason:Battery is defined as unlawfully touching another
pressure may constitute: person without his or her consent. Obtaining consent
• A:assault. from every responsive patient prior to rendering care is
• B:negligence. of paramount importance. Assault is defined as instilling
• C:abandonment. fear into another person, but does not involve actually
• D:battery. touching him or her. Negligence occurs when the EMT
fails to act as another prudent EMT would have acted in
the same or similar situation. Abandonment occurs when
the EMT terminates patient care without the patient's
consent or transfers care of a patient to a provider of
lesser training.
8. The EMT should avoid focusing all You selected D; This is correct!
of his or her attention on a single
critical patient during the triage Reason: Triage is the process of rapidly assessing patients
process because: in order to determine their treatment priority. Focusing
• A:the patient will most likely die your attention on one patient during the triage process
before he or she can be trans- not only defeats the purpose of triage (to do the greatest
ported. good for the greatest number of people), but it neglects
• B:all of his or her supplies will other patients who may die from injuries or conditions
likely be depleted on that one pa- that may have been corrected if detected earlier.
tient.
• C:three EMTs are required to
effectively manage a critical pa-
tient.
• D:other patients may die of
Study online at https://quizlet.com/_dfaql0
1. The ultimate goal of any EMS You selected C; This is correct!
quality improvement program is
to: Reason: Providing continuing education to all personnel,
• A:recognize all EMTs who recognizing those who consistently provide competent
demonstrate consistency in pro- patient care, and holding all personnel accountable for
viding competent patient care. adhering to the EMS protocols are all components of any
• B:provide protocols to all EMTs EMS quality improvement program. The ultimate goal,
and hold them accountable if pro- however, is to provide, as a system, a consistently high
tocols are not followed. standard of care to all patients who are encountered.
• C:deliver a consistently high
standard of care to all patients
who are encountered.
• D:ensure that all personnel re-
ceive an adequate number of
continuing education hours.
2. A set of regulations and ethical You selected D; This is correct!
considerations that define the ex-
tent or limits of an EMT's job is Reason:The set of legal regulations and ethical consider-
called: ations that define the job of the EMT is called the scope
• A:the Medical Practices Act. of practice. The scope of practice provides a clear delin-
• B:confidentiality. eation of the EMT's roles and responsibilities. Duty to act
• C:a duty to act. is defined as a legal obligation to respond to every call for
• D:scope of practice. help while on duty and in your jurisdiction, whether you
are paid for your services or not. Confidentiality entails
not releasing any patient information to those not directly
involved in the care of the patient. The Medical Practices
Act describes the minimum qualifications of those who
may engage in emergency medical care and establishes
a means of certification.
3.
, NREMT Practice Test Bank - Multiple Choice
Study online at https://quizlet.com/_dfaql0
The scene size-up includes all of You selected A; The correct answer is D;
the following components, EX-
CEPT: Reason: The components of the scene size-up include
• A:evaluating the mechanism of determining scene safety, assessing the mechanism of
injury. injury (MOI) or nature of illness (NOI), determining the
• B:determining if the scene is number of patients, and requesting additional help if
safe. needed. Personal protective equipment (PPE) should be
• C:assessing the need for assis- donned prior to beginning the scene size-up.
tance.
• D:donning personal protective
gea
4. You are called to transport a pa- You selected B; This is correct!
tient with terminal lung cancer
from a skilled nursing facility to Reason:A valid do not attempt resuscitation (DNAR) order
the emergency department for gives you the legal authority not to initiate resuscitative
evaluation of possible pneumo- efforts if the patient develops cardiac arrest. Because laws
nia. As you are reviewing the vary from state to state, you must be familiar with the
transfer paperwork, you see that DNAR laws inherent to the state in which you work as an
the patient has a valid "do not EMT. Many states have adopted out-of-hospital DNAR or-
attempt resuscitation" order. Dur- ders; these are legal documents and should be adhered
ing transport, you should: to if they are valid. Generally speaking, a valid DNAR order
• A:monitor the patient because must clearly state the patient's medical problem(s), be
a DNAR order prohibits you from signed by the patient or legal guardian, and be signed
providing care. by one or more physicians. In some states, DNAR orders
• B:provide supportive care, such have an expiration date, while in others, no expiration
as oxygen, and keep the patient date is included. Contact medical control for guidance if
comfortable. the validity of a DNAR order is questionable. Even in the
• C:perform CPR for only 2 min- presence of a valid DNAR order, you are still obligated to
utes if the patient develops car- provide supportive measures, such as oxygen, pain relief,
diac arrest. and comfort. DNAR does not mean do not treat.
• D:disregard the DNAR order be-
, NREMT Practice Test Bank - Multiple Choice
Study online at https://quizlet.com/_dfaql0
cause it is only valid in the hospi-
tal setting.
5. Which of the following state- You selected A; This is correct!
ments BEST describes a mass-ca-
sualty incident? Reason:A mass-casualty incident (MCI) occurs any time
• A:The number of patients over- the number of injured patients overwhelms your available
whelms your resources. resources. It is not necessarily defined by the number
• B:More than three vehicles are of patients, but rather your ability to effectively manage
involved in the incident. them. For example, if you and your partner arrive at a
• C:More than five patients are in- scene and find two critically injured patients, you have an
volved. MCI (albeit a small-scale MCI) because two EMTs and one
• D:At least half of the patients are ambulance can only care for one critically ill or injured
critically injured. patient effectively.
While caring for a trauma patient, blood splashes into an
EMT's eyes. This is an example of:
• A:infection.
• B:indirect contact.
• C:transmission.
• D:exposure.
6. While caring for a trauma patient, You selected D; This is correct!
blood splashes into an EMT's
eyes. This is an example of: Reason: Exposure occurs when an individual comes in
• A:infection. direct contact with blood or other bodily fluids. Examples
• B:indirect contact. of direct exposure include blood splashing into the eyes
• C:transmission. or mouth and an accidental stick with a contaminated
• D:exposure. needle or other sharp object. Exposure does not always
result in disease transmission and subsequent infection;
that depends on whether the patient has an infectious
disease. Routine use of standard precautions will afford
, NREMT Practice Test Bank - Multiple Choice
Study online at https://quizlet.com/_dfaql0
the EMT the best protection from exposure to an infec-
tious disease.
7. Failure of the EMT to obtain con- You selected D; This is correct!
sent from a responsive patient
before taking his or her blood Reason:Battery is defined as unlawfully touching another
pressure may constitute: person without his or her consent. Obtaining consent
• A:assault. from every responsive patient prior to rendering care is
• B:negligence. of paramount importance. Assault is defined as instilling
• C:abandonment. fear into another person, but does not involve actually
• D:battery. touching him or her. Negligence occurs when the EMT
fails to act as another prudent EMT would have acted in
the same or similar situation. Abandonment occurs when
the EMT terminates patient care without the patient's
consent or transfers care of a patient to a provider of
lesser training.
8. The EMT should avoid focusing all You selected D; This is correct!
of his or her attention on a single
critical patient during the triage Reason: Triage is the process of rapidly assessing patients
process because: in order to determine their treatment priority. Focusing
• A:the patient will most likely die your attention on one patient during the triage process
before he or she can be trans- not only defeats the purpose of triage (to do the greatest
ported. good for the greatest number of people), but it neglects
• B:all of his or her supplies will other patients who may die from injuries or conditions
likely be depleted on that one pa- that may have been corrected if detected earlier.
tient.
• C:three EMTs are required to
effectively manage a critical pa-
tient.
• D:other patients may die of
