West Coast EMT Block 1 Exam
Questions with Accurate Answers
According to the National EMS Scope of Practice Model, an EMT should be able to:
A. assist a patient with certain prescribed medications.
B. insert a peripheral IV line and infuse fluids.
C. administer epinephrine via the subcutaneous route.
D. interpret a basic (ECG) rhythm and treat accordingly. - ANSWERSA. assist a patient
with certain prescribed medications.
An appropriate demonstration of professionalism when your patient is frightened,
demanding, or unpleasant is to:
Select one:
A. reassure the patient that everything will be all right, even if it will not be.
B. demand that the patient remain quiet and cooperative during transport.
C. continue to be nonjudgmental, compassionate, and respectful.
D. ignore the patient's feelings and focus on his or her medical complaint. -
ANSWERSC. continue to be nonjudgmental, compassionate, and respectful.
An EMS provider who has extensive training in various aspects of advanced life support
(ALS) is called a(n):
Select one:
A. advanced EMT (AEMT).
B. paramedic.
C. EMR.
D. EMT. - ANSWERSB. paramedic
Cardiac monitoring, pharmacologic interventions, and other advanced treatment skills
are functions of the:
Select one:
A. АЕМТ.
B. EMR.
C. paramedic.
D. EMT. - ANSWERSC. paramedic.
Continuing education in EMS serves to:
Select one:
A. maintain, update, and expand the EMT's knowledge and skills.
B. provide an ongoing review and audit of the EMS system.
C. confirm research and statistical findings in prehospital care.
D. enforce mandatory attendance at agency-specific training. - ANSWERSA. maintain,
update, and expand the EMT's knowledge and skills.
,EMS as we know it today had its origins in 1966 with the publication of:
Select one:
A. the Emergency Medical Services Act.
B. Emergency Care and Transportation of the Sick and Injured.
C. the Department of Transportation's White Paper: Death and Dying.
D. Accidental Death and Disability: The Neglected Disease of Modern Society. -
ANSWERSD. Accidental Death and Disability: The Neglected Disease of Modern
Society.
If a defibrillator manufacturer claims that its device terminates ventricular fibrillation on
the first shock 95% of the time, you should:
Select one:
A. avoid purchasing the device because this claim is unrealistic.
B. purchase the device based solely on the manufacturer's claim.
C. determine which device the American Heart Association recommends.
D. recognize that this does not mean the device will save more lives. - ANSWERSD.
recognize that this does not mean the device will save more lives.
Obtaining continuing medical education is the responsibility of the:
Select one:
A. EMS medical director.
B. individual EMT.
C. EMS training officer.
D. State Bureau of EMS. - ANSWERSB. individual EMT.
The continuous quality improvement (CQl) process is designed to:
Select one:
A. ensure that all EMTs maintain licensure through the state EMS office.
B. focus specifically on the quality of emergency care provided to the patient.
C. identify areas of improvement and provide remedial training if needed.
D. administer punitive actions to EMTs who do not follow local protocols. - ANSWERSC.
identify areas of improvement and provide remedial training if needed.
The determination that prompt surgical care in the hospital is more important than
performing time-consuming procedures in the field on a major trauma patient is based
mostly on:
Select one:
A. regional trauma guidelines.
B. the lead EMT's decision.
C. EMS research.
D. local protocols. - ANSWERSC. EMS research.
The EMT certification exam is designed to:
Select one:
A. rank EMTs based on performance on the certification exam.
B. provide EMTs with the best possible wage once certification is achieved.
,C. ensure that EMTs are competent and have the same level of knowledge and skills.
D. identify those EMTs who are prepared for advanced levels of training. - ANSWERSC.
ensure that EMTs are competent and have the same level of knowledge and skills.
The standards for prehospital emergency care and the individuals who provide it are
typically regulated by the:
Select one:
A. regional trauma center.
B. National Registry of EMTs.
C. state office of EMS.
D. American Heart Association. - ANSWERSC. state office of EMS.
Which of the following criteria is required to become licensed and employed as an
EMT?
Select one:
A. Demonstration of the ability to lift and carry at least 200 pounds
B. Proof of immunization against certain communicable diseases
C. Successful completion of a recognized bystander CPR course
D. A minimum of 60 college credit hours that focus on health care - ANSWERSB. Proof
of immunization against certain communicable diseases
Which of the following descriptions most accurately portrays emergency medical
services (EMS)?
Select one:
• A. A team of paramedics and emergency physicians who are responsible for providing
emergency care to critically injured patients
•B. A vast network of advanced life support (ALS) providers who provide definitive
emergency care in the prehospital setting
• C. A system composed exclusively of emergency medical responders (EMRs) and
emergency medical technicians (EMTs) who are responsible for providing care to sick
and injured patients
• D. A team of health care professionals who are responsible for providing emergency
care and transportation to v the sick and injured - ANSWERSD. A team of health care
professionals who are responsible for providing emergency care and transportation to v
the sick and injured
Which of the following errors is an example of a knowledge-based failure?
Select one:
• A. An EMT gives the correct drug to a patient, although his protocols clearly state that
he is not authorized to do so.
• B. A patient is given nitroglycerin by an EMT who did not obtain proper authorization
from medical control first.
• C. An EMT administers the wrong drug to a patient because she did not know the
pertinent information about the drug.
, • D. Due to an improperly applied cervical collar, a patient's spinal injury is aggravated
and he is permanently disabled. - ANSWERSC. An EMT administers the wrong drug to
a patient because she did not know the pertinent information about the drug.
Which of the following is an example of a primary prevention strategy?
Select one:
A. Teaching a group of new parents how to perform one- and two-rescuer infant CPR
B. The construction of a guardrail on a dangerous curve following a fatal motor vehicle
crash
C. Protecting a patient's spine from further injury after a fall from a significant height
D. Community awareness programs that emphasize the dangers of drinking and driving
- ANSWERSD. Community awareness programs that emphasize the dangers of
drinking and driving
Which of the following scenarios involves the administration of ALS?
Select one:
A. A 61-year-old patient who is receiving humidified supplemental oxygen
B. A 64-year-old patient who is given aspirin for suspected cardiac chest pain
C. A 53-year-old patient who is assisted with his prescribed nitroglycerin
D. A 48-year-old patient whose airway is secured with a supraglottic device -
ANSWERSD. A 48-year-old patient whose airway is secured with a supraglottic device
Which of the following skills or interventions is included at every level of prehospital
emergency training?
Select one:
A. Use of a manually triggered ventilator
B. Automated external defibrillation
C. Oral glucose for hypoglycemia
D. Intranasal medication administration - ANSWERSB. Automated external defibrillation
Which of the following statements regarding the NREMT is correct?
Select one:
A. The NREMT is a governmental agency that certifies EMTs.
B. The NREMT regulates EMS training standards.
C. The NREMT provides a national standard for EMS testing.
D. The NREMT is the exclusive certifying body for EMTs. - ANSWERSC. The NREMT
provides a national standard for EMS testing.
Which type of medical direction do standing orders and protocols describe?
Select one:
A. Radio
B. Online
C. Off-line
D. Direct - ANSWERSC. Off-line
Questions with Accurate Answers
According to the National EMS Scope of Practice Model, an EMT should be able to:
A. assist a patient with certain prescribed medications.
B. insert a peripheral IV line and infuse fluids.
C. administer epinephrine via the subcutaneous route.
D. interpret a basic (ECG) rhythm and treat accordingly. - ANSWERSA. assist a patient
with certain prescribed medications.
An appropriate demonstration of professionalism when your patient is frightened,
demanding, or unpleasant is to:
Select one:
A. reassure the patient that everything will be all right, even if it will not be.
B. demand that the patient remain quiet and cooperative during transport.
C. continue to be nonjudgmental, compassionate, and respectful.
D. ignore the patient's feelings and focus on his or her medical complaint. -
ANSWERSC. continue to be nonjudgmental, compassionate, and respectful.
An EMS provider who has extensive training in various aspects of advanced life support
(ALS) is called a(n):
Select one:
A. advanced EMT (AEMT).
B. paramedic.
C. EMR.
D. EMT. - ANSWERSB. paramedic
Cardiac monitoring, pharmacologic interventions, and other advanced treatment skills
are functions of the:
Select one:
A. АЕМТ.
B. EMR.
C. paramedic.
D. EMT. - ANSWERSC. paramedic.
Continuing education in EMS serves to:
Select one:
A. maintain, update, and expand the EMT's knowledge and skills.
B. provide an ongoing review and audit of the EMS system.
C. confirm research and statistical findings in prehospital care.
D. enforce mandatory attendance at agency-specific training. - ANSWERSA. maintain,
update, and expand the EMT's knowledge and skills.
,EMS as we know it today had its origins in 1966 with the publication of:
Select one:
A. the Emergency Medical Services Act.
B. Emergency Care and Transportation of the Sick and Injured.
C. the Department of Transportation's White Paper: Death and Dying.
D. Accidental Death and Disability: The Neglected Disease of Modern Society. -
ANSWERSD. Accidental Death and Disability: The Neglected Disease of Modern
Society.
If a defibrillator manufacturer claims that its device terminates ventricular fibrillation on
the first shock 95% of the time, you should:
Select one:
A. avoid purchasing the device because this claim is unrealistic.
B. purchase the device based solely on the manufacturer's claim.
C. determine which device the American Heart Association recommends.
D. recognize that this does not mean the device will save more lives. - ANSWERSD.
recognize that this does not mean the device will save more lives.
Obtaining continuing medical education is the responsibility of the:
Select one:
A. EMS medical director.
B. individual EMT.
C. EMS training officer.
D. State Bureau of EMS. - ANSWERSB. individual EMT.
The continuous quality improvement (CQl) process is designed to:
Select one:
A. ensure that all EMTs maintain licensure through the state EMS office.
B. focus specifically on the quality of emergency care provided to the patient.
C. identify areas of improvement and provide remedial training if needed.
D. administer punitive actions to EMTs who do not follow local protocols. - ANSWERSC.
identify areas of improvement and provide remedial training if needed.
The determination that prompt surgical care in the hospital is more important than
performing time-consuming procedures in the field on a major trauma patient is based
mostly on:
Select one:
A. regional trauma guidelines.
B. the lead EMT's decision.
C. EMS research.
D. local protocols. - ANSWERSC. EMS research.
The EMT certification exam is designed to:
Select one:
A. rank EMTs based on performance on the certification exam.
B. provide EMTs with the best possible wage once certification is achieved.
,C. ensure that EMTs are competent and have the same level of knowledge and skills.
D. identify those EMTs who are prepared for advanced levels of training. - ANSWERSC.
ensure that EMTs are competent and have the same level of knowledge and skills.
The standards for prehospital emergency care and the individuals who provide it are
typically regulated by the:
Select one:
A. regional trauma center.
B. National Registry of EMTs.
C. state office of EMS.
D. American Heart Association. - ANSWERSC. state office of EMS.
Which of the following criteria is required to become licensed and employed as an
EMT?
Select one:
A. Demonstration of the ability to lift and carry at least 200 pounds
B. Proof of immunization against certain communicable diseases
C. Successful completion of a recognized bystander CPR course
D. A minimum of 60 college credit hours that focus on health care - ANSWERSB. Proof
of immunization against certain communicable diseases
Which of the following descriptions most accurately portrays emergency medical
services (EMS)?
Select one:
• A. A team of paramedics and emergency physicians who are responsible for providing
emergency care to critically injured patients
•B. A vast network of advanced life support (ALS) providers who provide definitive
emergency care in the prehospital setting
• C. A system composed exclusively of emergency medical responders (EMRs) and
emergency medical technicians (EMTs) who are responsible for providing care to sick
and injured patients
• D. A team of health care professionals who are responsible for providing emergency
care and transportation to v the sick and injured - ANSWERSD. A team of health care
professionals who are responsible for providing emergency care and transportation to v
the sick and injured
Which of the following errors is an example of a knowledge-based failure?
Select one:
• A. An EMT gives the correct drug to a patient, although his protocols clearly state that
he is not authorized to do so.
• B. A patient is given nitroglycerin by an EMT who did not obtain proper authorization
from medical control first.
• C. An EMT administers the wrong drug to a patient because she did not know the
pertinent information about the drug.
, • D. Due to an improperly applied cervical collar, a patient's spinal injury is aggravated
and he is permanently disabled. - ANSWERSC. An EMT administers the wrong drug to
a patient because she did not know the pertinent information about the drug.
Which of the following is an example of a primary prevention strategy?
Select one:
A. Teaching a group of new parents how to perform one- and two-rescuer infant CPR
B. The construction of a guardrail on a dangerous curve following a fatal motor vehicle
crash
C. Protecting a patient's spine from further injury after a fall from a significant height
D. Community awareness programs that emphasize the dangers of drinking and driving
- ANSWERSD. Community awareness programs that emphasize the dangers of
drinking and driving
Which of the following scenarios involves the administration of ALS?
Select one:
A. A 61-year-old patient who is receiving humidified supplemental oxygen
B. A 64-year-old patient who is given aspirin for suspected cardiac chest pain
C. A 53-year-old patient who is assisted with his prescribed nitroglycerin
D. A 48-year-old patient whose airway is secured with a supraglottic device -
ANSWERSD. A 48-year-old patient whose airway is secured with a supraglottic device
Which of the following skills or interventions is included at every level of prehospital
emergency training?
Select one:
A. Use of a manually triggered ventilator
B. Automated external defibrillation
C. Oral glucose for hypoglycemia
D. Intranasal medication administration - ANSWERSB. Automated external defibrillation
Which of the following statements regarding the NREMT is correct?
Select one:
A. The NREMT is a governmental agency that certifies EMTs.
B. The NREMT regulates EMS training standards.
C. The NREMT provides a national standard for EMS testing.
D. The NREMT is the exclusive certifying body for EMTs. - ANSWERSC. The NREMT
provides a national standard for EMS testing.
Which type of medical direction do standing orders and protocols describe?
Select one:
A. Radio
B. Online
C. Off-line
D. Direct - ANSWERSC. Off-line
