NREMT EMR Chapter 1-40
Which of the following statements regarding the NREMT is correct? -
✅ The NREMT provides a national standard for EMS testing
EMT training in nearly every state meets or exceeds the guidelines recommended by the: -
✅ National Highway Traffic Safety Administration (NHTSA)
Which type of medical direction do standing orders and protocols describe? -
✅ Off-line
Obtaining continuing medical education is the responsibility of the -
✅ Individual EMT
Continuing education in EMS serves to -
✅ maintain, update, and expand the EMT's knowledge and skills.
Which of the following statements regarding the EMS medical director and EMT's scope of practice
is correct? -
✅ An EMT's scope of practice may be expanded by the medical director after proper
training and state approval.
The standards for prehospital emergency care and the individuals who provide it are typically
regulated by the: -
✅ state office of EMS
Online medical control requires __________. -
✅ phone or radio contact with the medical director
Cardiac monitoring, pharmacologic interventions, and other advanced treatment skills are functions
of the -
✅ Paramedic
National guidelines for EMS care are intended to __________. -
✅ provide more consistent delivery of EMS care across the United States
Which of the following skills or interventions is included at every level of prehospital emergency
training? -
✅ automated external defibrillation
An appropriate demonstration of professionalism when your patient is frightened, demanding, or
unpleasant is to: -
✅ continue to be nonjudgmental, compassionate, and respectful.
The person who is responsible for authorizing EMT's to perform emergency medical care in the
field is the -
1
, ✅ Medical director
According to the National EMS Scope of Practice Model, an EMT should be able to: -
✅ assist a patient with certain prescribed medications
The continuous quality improvement (CQI) process is designed to: -
✅ identify areas of improvement and provide remedial training if needed
The spread of HIV and hepatitis in the health care setting can usually be traced to: -
✅ careless handling of sharps..
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: -
✅ Seek a safe place and request law enforcement assistance
Which type of stress reaction occurs when an EMT is exposed to many insignificant stressors over a
period of several months or years? -
✅ cumulative stress reaction
When a patient is dying, he or she may experience regression. This is MOST accurately defined as:
-
✅ behavior consistent with an earlier developmental stage.
Hazards that are associated with a structural fire include all of the following, EXCEPT: -
✅ carbon dioxide deficiency.
Carbon monoxide blocks the ability of the blood to oxygenate the body because it: -
✅ binds with the hemoglobin in the red blood cells.
The MOST important consideration at the scene of a hazardous materials incident is: -
✅ Ensuring your personal safety
Which of the following statements would NOT be appropriate to say to the family of a dying
patient? -
✅ " Things will get better in time "
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
When treating a patient who is trapped in a vehicle and covered with broken glass, it is BEST to
wear: -
✅ puncture-proof leather gloves over your latex gloves.
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
2
,Physiologic manifestations of stress include: -
✅ perspiration, increased blood glucose levels, and dilated pupils.
Which of the following scenarios MOST accurately depicts a post traumatic stress disorder (PTSD)
reaction? -
✅ An EMT becomes distracted at the scene of a motor vehicle crash involving the same
type of car in which a child was previously killed.
Quid pro quo, a type of sexual harassment, occurs when the harasser: -
✅ requests sexual favors in exchange for something else.
A 15-year-old was killed when he's 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 science, they demand to see him. You should: -
✅ Advise them that their son has a severely disfiguring injuries and ask them if there is
anyone they would like you to contact first.
While providing care to a patient, blood got onto the ambulance stretcher. Because the stretcher was
not properly cleaned afterward, a virus was transmitted to another emergency medical technician
(EMT) several days later. What route of transmission does this scenario describe? -
✅ indirect contact
Which of the following statements regarding the hepatitis B vaccine is cored the? -
✅ OSHA requires that your employer offer you the vaccine free of charge
If you are exposed to a patient's blood or bodily fluid, your first action should be to: -
✅ Transfer care to the patient to another EMS provider.
Your partner, a veteran EMT who you have worked with regularly for the past 4 years, seems
unusually agitated during a call involving an elderly patient. Upon arrival back at your station, you
note the obvious smell of alcohol on his breath. What should you do? -
✅ Discreetly report your suspicions to your supervisor.
According to the Center for Disease Control and Prevention (CDC) -
✅ Tetanus/diphtheria/pertussis booster every 10 years
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.
You are treating a man who was assaulted and has a closed injury. The patent, who has slurred
speech, becomes verbally abusive and tells you to leave him alone. You should: -
✅ Proceed with treatment and utilize law enforcement for assistance if necessary
3
, While transporting a woman with diabetes, you inadvertently give her 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: -
✅ contact medical control and notify him or her of the error
A patient regains consciousness en route from his office to the emergency department. The patient
tells you that he feels fine and does not want to go to the hospital. Under these circumstances, you
should: -
✅ assess whether the patient's mental condition is impaired
In the eyes of the courts, an incomplete or untidy patient care form indicates -
✅ inadequate patient care was administered
You arrive at the scene of a motor vehicle-versus-pedestrian accident. The patient, a 13-year-old, is
unconscious and has multiple injuries. As you are treating the child, a law enforcement officer
advises you that the child's parent's will be at the scene in approximately 15 minute. What should
you do? -
✅ Transport the child immediately and have the parents meet you at the hospital.
Which of the following components are needed to prove negligence? -
✅ duty to act, breach of duty, injury/damages, and causation
As an EMT, the performance of your duties will be compared to that of: -
✅ Another EMT
Which type of consent is involved when a 39-year-old mentally competent female with a severe
headache asks you to take her to the hospital? -
✅ Expressed
To minimize the risk of litigation, the EMT should: -
✅ provide competent care that meets current standards
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: -
✅ Negligence
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
Your BEST protection against legal liability when a competent patient refuses EMS care and
transport is to: -
✅ Thoroughly document the entire event
Putrefaction is defined as: -
✅ decomposition of the body's tissues.
4
Which of the following statements regarding the NREMT is correct? -
✅ The NREMT provides a national standard for EMS testing
EMT training in nearly every state meets or exceeds the guidelines recommended by the: -
✅ National Highway Traffic Safety Administration (NHTSA)
Which type of medical direction do standing orders and protocols describe? -
✅ Off-line
Obtaining continuing medical education is the responsibility of the -
✅ Individual EMT
Continuing education in EMS serves to -
✅ maintain, update, and expand the EMT's knowledge and skills.
Which of the following statements regarding the EMS medical director and EMT's scope of practice
is correct? -
✅ An EMT's scope of practice may be expanded by the medical director after proper
training and state approval.
The standards for prehospital emergency care and the individuals who provide it are typically
regulated by the: -
✅ state office of EMS
Online medical control requires __________. -
✅ phone or radio contact with the medical director
Cardiac monitoring, pharmacologic interventions, and other advanced treatment skills are functions
of the -
✅ Paramedic
National guidelines for EMS care are intended to __________. -
✅ provide more consistent delivery of EMS care across the United States
Which of the following skills or interventions is included at every level of prehospital emergency
training? -
✅ automated external defibrillation
An appropriate demonstration of professionalism when your patient is frightened, demanding, or
unpleasant is to: -
✅ continue to be nonjudgmental, compassionate, and respectful.
The person who is responsible for authorizing EMT's to perform emergency medical care in the
field is the -
1
, ✅ Medical director
According to the National EMS Scope of Practice Model, an EMT should be able to: -
✅ assist a patient with certain prescribed medications
The continuous quality improvement (CQI) process is designed to: -
✅ identify areas of improvement and provide remedial training if needed
The spread of HIV and hepatitis in the health care setting can usually be traced to: -
✅ careless handling of sharps..
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: -
✅ Seek a safe place and request law enforcement assistance
Which type of stress reaction occurs when an EMT is exposed to many insignificant stressors over a
period of several months or years? -
✅ cumulative stress reaction
When a patient is dying, he or she may experience regression. This is MOST accurately defined as:
-
✅ behavior consistent with an earlier developmental stage.
Hazards that are associated with a structural fire include all of the following, EXCEPT: -
✅ carbon dioxide deficiency.
Carbon monoxide blocks the ability of the blood to oxygenate the body because it: -
✅ binds with the hemoglobin in the red blood cells.
The MOST important consideration at the scene of a hazardous materials incident is: -
✅ Ensuring your personal safety
Which of the following statements would NOT be appropriate to say to the family of a dying
patient? -
✅ " Things will get better in time "
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
When treating a patient who is trapped in a vehicle and covered with broken glass, it is BEST to
wear: -
✅ puncture-proof leather gloves over your latex gloves.
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
2
,Physiologic manifestations of stress include: -
✅ perspiration, increased blood glucose levels, and dilated pupils.
Which of the following scenarios MOST accurately depicts a post traumatic stress disorder (PTSD)
reaction? -
✅ An EMT becomes distracted at the scene of a motor vehicle crash involving the same
type of car in which a child was previously killed.
Quid pro quo, a type of sexual harassment, occurs when the harasser: -
✅ requests sexual favors in exchange for something else.
A 15-year-old was killed when he's 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 science, they demand to see him. You should: -
✅ Advise them that their son has a severely disfiguring injuries and ask them if there is
anyone they would like you to contact first.
While providing care to a patient, blood got onto the ambulance stretcher. Because the stretcher was
not properly cleaned afterward, a virus was transmitted to another emergency medical technician
(EMT) several days later. What route of transmission does this scenario describe? -
✅ indirect contact
Which of the following statements regarding the hepatitis B vaccine is cored the? -
✅ OSHA requires that your employer offer you the vaccine free of charge
If you are exposed to a patient's blood or bodily fluid, your first action should be to: -
✅ Transfer care to the patient to another EMS provider.
Your partner, a veteran EMT who you have worked with regularly for the past 4 years, seems
unusually agitated during a call involving an elderly patient. Upon arrival back at your station, you
note the obvious smell of alcohol on his breath. What should you do? -
✅ Discreetly report your suspicions to your supervisor.
According to the Center for Disease Control and Prevention (CDC) -
✅ Tetanus/diphtheria/pertussis booster every 10 years
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.
You are treating a man who was assaulted and has a closed injury. The patent, who has slurred
speech, becomes verbally abusive and tells you to leave him alone. You should: -
✅ Proceed with treatment and utilize law enforcement for assistance if necessary
3
, While transporting a woman with diabetes, you inadvertently give her 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: -
✅ contact medical control and notify him or her of the error
A patient regains consciousness en route from his office to the emergency department. The patient
tells you that he feels fine and does not want to go to the hospital. Under these circumstances, you
should: -
✅ assess whether the patient's mental condition is impaired
In the eyes of the courts, an incomplete or untidy patient care form indicates -
✅ inadequate patient care was administered
You arrive at the scene of a motor vehicle-versus-pedestrian accident. The patient, a 13-year-old, is
unconscious and has multiple injuries. As you are treating the child, a law enforcement officer
advises you that the child's parent's will be at the scene in approximately 15 minute. What should
you do? -
✅ Transport the child immediately and have the parents meet you at the hospital.
Which of the following components are needed to prove negligence? -
✅ duty to act, breach of duty, injury/damages, and causation
As an EMT, the performance of your duties will be compared to that of: -
✅ Another EMT
Which type of consent is involved when a 39-year-old mentally competent female with a severe
headache asks you to take her to the hospital? -
✅ Expressed
To minimize the risk of litigation, the EMT should: -
✅ provide competent care that meets current standards
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: -
✅ Negligence
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
Your BEST protection against legal liability when a competent patient refuses EMS care and
transport is to: -
✅ Thoroughly document the entire event
Putrefaction is defined as: -
✅ decomposition of the body's tissues.
4
