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Prehospital Emergency Care, 12th Edition by Joseph J. Mistovich Keith J Karren Brent Q. Hafen
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Chapter 1-44 fd
Chapter 1 fd Emergency Medical Service Systems, Research, and Public Health fd fd fd fd fd fd fd
1) What is a primary purpose of the modern-day EMS system?
fd fd fd fd fd fd fd fd fd
A) Provide a means of transport to and from the hospital
fd fd fd fd fd fd fd fd fd
B) Ensure that all members of society have equal access to hospitals
fd fd fd fd fd fd fd fd fd fd
C) Decrease the incidence of death and disability related to injury and illness
fd fd fd fd fd fd fd fd fd fd fd
D) Provide emergency health care services to medically underserved areas
fd fd fd fd fd fd fd fd fd
Answer: C f d
Diff: 2 fdPage Ref: 2 fd fd
Objective: 1-2 f d f d
2) Most authorities agree that the modern-
fd fd fd fd fd
day EMS system evolved after the release of which document?
fd fd fd fd fd fd fd fd fd
A) The Emergency Medical Services Act of 1973
fd fd fd fd fd fd
B) The white paper "Accidental Death and Disability: The Neglected Disease of Modern Society," in
fd fd fd fd fd fd fd fd fd fd fd fd fd fd
1966
C) The American Heart Association's Guidelines for Cardiac Resuscitation
fd fd fd fd fd fd fd
D) Emergency Medical Services: Agenda for the Future, in 1996 fd fd fd fd fd fd fd fd fd
Answer: B f d
Diff: 1 Page Ref: 2
fd fd fd
Objective: 1-2 f d f d
3) An Emergency Medical Responder comes to you and states that they would like to work for y
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
our emergency ambulance service on a full-
fd fd fd fd fd fd
time basis. Knowing the National EMS Scope of Practice Model, you inform them of which ele
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
ment they need to attain first?
fd fd fd fd fd
A) They will be able to take care of only patients with non-life-threatening complaints.
fd fd fd fd fd fd fd fd fd fd fd fd
B) They will first need approval from your ambulance service's medical director.
fd fd fd fd fd fd fd fd fd fd
C) They will be able to work only with an Advanced Emergency Medical Technician (AEMT) or P
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
aramedic.
D) They will first have to become an Emergency Medical Technician (EMT).
fd fd fd fd fd fd fd fd fd fd fd
Answer: D f d
Diff: 1 fdPage Ref: 3 fd fd
Objective: 1-1 f d f d
4) As defined by the National EMS Scope of Practice Model, the four levels of EMS practitioners in
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
clude:
A) Ambulance drivers. fd
B) EMS medical director. fd fd
1
Copyright © 2024 Pearson Education, Inc. fd fd fd fd fd
,C) Paramedics.
D) Emergency medical dispatchers.
fd fd fd
Answer: Cf d
Diff: 1
fd Page Ref: 6 fd fd
2
Copyright © 2024 Pearson Education, Inc.
fd fd fd fd fd
,Objective: 1-3 f d f d
5) An Emergency Medical Responder (EMR) approaches you and states that they are interested in b
fd fd fd fd fd fd fd fd fd fd fd fd fd fd
ecoming an EMT. Specifically, they ask what they will be able to do as an EMT that they cannot pre
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
sently do as an EMR. You respond by saying they will be able to:
fd fd fd fd fd fd fd fd fd fd fd fd fd
A) Administer some medications. fd fd
B) Assist in emergency childbirth. fd fd fd
C) Use an automated external defibrillator.
fd fd fd fd
D) Obtain vital signs. fd fd
Answer: A f d f d
Diff: 1 Page Ref: 5-6
fd fd fd
Objective: 1-5 f d f d
6) You have been dispatched for a 61-year-
fd fd fd fd fd fd
old female in cardiac arrest. Emergency Medical Responders (EMRs) are on the scene. In your c
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
ommunity, all EMS practitioners are trained according to the National EMS Scope of Practice M
fd fd fd fd fd fd fd fd fd fd fd fd fd fd
odel. Given this, which type of care do you expect the EMRs to be providing?
fd fd fd fd fd fd fd fd fd fd fd fd fd fd
A) Emergency medication administration fd fd
B) Automated external defibrillation fd fd
C) Intravenous therapy fd
D) Reading an electrocardiogram fd fd fd
Answer: B f d
Diff: 2 Page Ref: 5-6
fd fd fd
Objective: 1-5 f d f d
7) An EMT with your service states that they desire to become a Paramedic because they want to p
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
rovide advanced care. Under the National EMS Scope of Practice Model, which one of these types
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
of care will they be able to provide as a Paramedic that they cannot provide as an EMT?
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
A) Use of an automated blood pressure monitoring
fd fd fd fd fd fd
B) Assistance with emergency childbirth fd fd fd
C) Providing interfacility transports fd fd
D) Initiating intravenous (IV) therapy fd fd fd fd
Answer: D f d
Diff: 1 Page Ref: 6
fd fd fd
Objective: 1-5 f d f d
8) Which statement made by an EMT requires immediate intervention by a superior or the service su
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
pervisor?
A) "I always wear my seat belt whenever I am in the patient compartment of the ambulance, unless I h
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
ave to remove it to care for a patient."
fd fd fd fd fd fd fd fd
B) "I drive as fast as I can to get to the scene of an emergency, especially if a child is sick or injured acco
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
rding to dispatch information."
fd fd fd
C) "When I am driving with lights and sirens, I instruct my partner that he will need to handle all ra
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
dio communications."
fd
D) "I put exam gloves on for every patient I contact, even if he or she does not have a known or su
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
spected infectious disease." fd fd
Answer: B f d f d
Diff: 1 Page Ref: 7
fd fd fd
3
Copyright © 2024 Pearson Education, Inc. fd fd fd fd fd
, Objective: 1-7 f d f d
9) Which statement shows that the EMT has a good understanding of their role and responsibilities rel
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
ated to being an EMT?
fd fd fd fd
A) "The patient's needs come before anyone else's needs."
fd fd fd fd fd fd fd
B) "At the scene of an emergency, my responsibility is to get to the patient no matter what."
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
C) "My safety comes first, and then the patient's safety."
fd fd fd fd fd fd fd fd
D) "As an EMT, I recognize that the public's safety comes before the safety of me or my partner." A
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
nswer: C f d
Diff: 2 Page Ref: 7
fd fd fd
Objective: 1-7 f d f d
10) An ambulance with two EMTs arrives in front of a house for an unknown medical emergency. O
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
n scene, bystanders report that a female patient was beaten by her husband in the driveway and the
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
n dragged back into the house. They state that the patient appeared unconscious and was bleeding f
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
rom the head. Which action would the EMTs perform next?
fd fd fd fd fd fd fd fd fd
A) Do not enter the scene until it has been controlled by law enforcement.
fd fd fd fd fd fd fd fd fd fd fd fd
B) Quietly enter the home and quickly move the patient to the ambulance.
fd fd fd fd fd fd fd fd fd fd fd
C) Remove the husband from the house, then provide emergency care to the wife.
fd fd fd fd fd fd fd fd fd fd fd fd
D) Enter the home to protect the patient while waiting for the police to arrive. A
fd fd fd fd fd fd fd fd fd fd fd fd fd fd
nswer: A f d
Diff: 2 Page Ref: 7-8
fd fd fd
Objective: 1-7 f d f d
11) Why is EMS in a unique position to contribute significantly to mobile integrated health care?
fd fd fd fd fd fd fd fd fd fd fd fd fd fd
A) EMS providers are familiar with and capable of functioning in the out-of-hospital environment.
fd fd fd fd fd fd fd fd fd fd fd fd
B) Ambulances are easily identified. fd fd fd
C) The community trusts uniformed health care providers.
fd fd fd fd fd fd
D) EMS providers are familiar with the many routes of medication administration.
fd fd fd fd fd fd fd fd fd fd fd
Answer: A f d
Diff: 1 Page Ref: 15
fd fd fd
Objective: 1-14 f d f d
12) You have arrived on the scene of a motor vehicle collision. A car has gone off the road and into a uti
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
lity pole. The pole is broken and wires are hanging just above the car. You do not see any sparking
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
or arcing of the wires. The driver of the car is slumped over the steering wheel and not moving. Se
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
veral bystanders around the car are yelling for you to help. Which steps represent the correct order
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
of your response?
fd fd
A) Clear the bystanders, allow the fire department to secure the wires, access the patient, extricate th
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
e patient, transport
fd fd
B) Access the patient, clear the bystanders, allow the fire department to secure the wires, extricate th
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
e patient, transport
fd fd
C) Clear the bystanders, access the patient, extricate the patient, transport, allow the fire d
fd fd fd fd fd fd fd fd fd fd fd fd fd
epartment to secure the wires fd fd fd fd
D) Access the patient, allow the fire department to secure the wires, clear the bystanders, extricate th
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
e patient, transport
fd fd
Answer: A f d f d
Diff: 2 Page Ref: 7-8
fd fd fd
Objective: 1-7 f d f d
4
Copyright © 2024 Pearson Education, Inc. fd fd fd fd fd
Prehospital Emergency Care, 12th Edition by Joseph J. Mistovich Keith J Karren Brent Q. Hafen
fd fd fd fd fd fd fd fd fd fd fd fd fd fd
Chapter 1-44 fd
Chapter 1 fd Emergency Medical Service Systems, Research, and Public Health fd fd fd fd fd fd fd
1) What is a primary purpose of the modern-day EMS system?
fd fd fd fd fd fd fd fd fd
A) Provide a means of transport to and from the hospital
fd fd fd fd fd fd fd fd fd
B) Ensure that all members of society have equal access to hospitals
fd fd fd fd fd fd fd fd fd fd
C) Decrease the incidence of death and disability related to injury and illness
fd fd fd fd fd fd fd fd fd fd fd
D) Provide emergency health care services to medically underserved areas
fd fd fd fd fd fd fd fd fd
Answer: C f d
Diff: 2 fdPage Ref: 2 fd fd
Objective: 1-2 f d f d
2) Most authorities agree that the modern-
fd fd fd fd fd
day EMS system evolved after the release of which document?
fd fd fd fd fd fd fd fd fd
A) The Emergency Medical Services Act of 1973
fd fd fd fd fd fd
B) The white paper "Accidental Death and Disability: The Neglected Disease of Modern Society," in
fd fd fd fd fd fd fd fd fd fd fd fd fd fd
1966
C) The American Heart Association's Guidelines for Cardiac Resuscitation
fd fd fd fd fd fd fd
D) Emergency Medical Services: Agenda for the Future, in 1996 fd fd fd fd fd fd fd fd fd
Answer: B f d
Diff: 1 Page Ref: 2
fd fd fd
Objective: 1-2 f d f d
3) An Emergency Medical Responder comes to you and states that they would like to work for y
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
our emergency ambulance service on a full-
fd fd fd fd fd fd
time basis. Knowing the National EMS Scope of Practice Model, you inform them of which ele
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
ment they need to attain first?
fd fd fd fd fd
A) They will be able to take care of only patients with non-life-threatening complaints.
fd fd fd fd fd fd fd fd fd fd fd fd
B) They will first need approval from your ambulance service's medical director.
fd fd fd fd fd fd fd fd fd fd
C) They will be able to work only with an Advanced Emergency Medical Technician (AEMT) or P
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
aramedic.
D) They will first have to become an Emergency Medical Technician (EMT).
fd fd fd fd fd fd fd fd fd fd fd
Answer: D f d
Diff: 1 fdPage Ref: 3 fd fd
Objective: 1-1 f d f d
4) As defined by the National EMS Scope of Practice Model, the four levels of EMS practitioners in
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
clude:
A) Ambulance drivers. fd
B) EMS medical director. fd fd
1
Copyright © 2024 Pearson Education, Inc. fd fd fd fd fd
,C) Paramedics.
D) Emergency medical dispatchers.
fd fd fd
Answer: Cf d
Diff: 1
fd Page Ref: 6 fd fd
2
Copyright © 2024 Pearson Education, Inc.
fd fd fd fd fd
,Objective: 1-3 f d f d
5) An Emergency Medical Responder (EMR) approaches you and states that they are interested in b
fd fd fd fd fd fd fd fd fd fd fd fd fd fd
ecoming an EMT. Specifically, they ask what they will be able to do as an EMT that they cannot pre
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
sently do as an EMR. You respond by saying they will be able to:
fd fd fd fd fd fd fd fd fd fd fd fd fd
A) Administer some medications. fd fd
B) Assist in emergency childbirth. fd fd fd
C) Use an automated external defibrillator.
fd fd fd fd
D) Obtain vital signs. fd fd
Answer: A f d f d
Diff: 1 Page Ref: 5-6
fd fd fd
Objective: 1-5 f d f d
6) You have been dispatched for a 61-year-
fd fd fd fd fd fd
old female in cardiac arrest. Emergency Medical Responders (EMRs) are on the scene. In your c
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
ommunity, all EMS practitioners are trained according to the National EMS Scope of Practice M
fd fd fd fd fd fd fd fd fd fd fd fd fd fd
odel. Given this, which type of care do you expect the EMRs to be providing?
fd fd fd fd fd fd fd fd fd fd fd fd fd fd
A) Emergency medication administration fd fd
B) Automated external defibrillation fd fd
C) Intravenous therapy fd
D) Reading an electrocardiogram fd fd fd
Answer: B f d
Diff: 2 Page Ref: 5-6
fd fd fd
Objective: 1-5 f d f d
7) An EMT with your service states that they desire to become a Paramedic because they want to p
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
rovide advanced care. Under the National EMS Scope of Practice Model, which one of these types
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
of care will they be able to provide as a Paramedic that they cannot provide as an EMT?
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
A) Use of an automated blood pressure monitoring
fd fd fd fd fd fd
B) Assistance with emergency childbirth fd fd fd
C) Providing interfacility transports fd fd
D) Initiating intravenous (IV) therapy fd fd fd fd
Answer: D f d
Diff: 1 Page Ref: 6
fd fd fd
Objective: 1-5 f d f d
8) Which statement made by an EMT requires immediate intervention by a superior or the service su
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
pervisor?
A) "I always wear my seat belt whenever I am in the patient compartment of the ambulance, unless I h
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
ave to remove it to care for a patient."
fd fd fd fd fd fd fd fd
B) "I drive as fast as I can to get to the scene of an emergency, especially if a child is sick or injured acco
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
rding to dispatch information."
fd fd fd
C) "When I am driving with lights and sirens, I instruct my partner that he will need to handle all ra
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
dio communications."
fd
D) "I put exam gloves on for every patient I contact, even if he or she does not have a known or su
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
spected infectious disease." fd fd
Answer: B f d f d
Diff: 1 Page Ref: 7
fd fd fd
3
Copyright © 2024 Pearson Education, Inc. fd fd fd fd fd
, Objective: 1-7 f d f d
9) Which statement shows that the EMT has a good understanding of their role and responsibilities rel
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
ated to being an EMT?
fd fd fd fd
A) "The patient's needs come before anyone else's needs."
fd fd fd fd fd fd fd
B) "At the scene of an emergency, my responsibility is to get to the patient no matter what."
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
C) "My safety comes first, and then the patient's safety."
fd fd fd fd fd fd fd fd
D) "As an EMT, I recognize that the public's safety comes before the safety of me or my partner." A
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
nswer: C f d
Diff: 2 Page Ref: 7
fd fd fd
Objective: 1-7 f d f d
10) An ambulance with two EMTs arrives in front of a house for an unknown medical emergency. O
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
n scene, bystanders report that a female patient was beaten by her husband in the driveway and the
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
n dragged back into the house. They state that the patient appeared unconscious and was bleeding f
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
rom the head. Which action would the EMTs perform next?
fd fd fd fd fd fd fd fd fd
A) Do not enter the scene until it has been controlled by law enforcement.
fd fd fd fd fd fd fd fd fd fd fd fd
B) Quietly enter the home and quickly move the patient to the ambulance.
fd fd fd fd fd fd fd fd fd fd fd
C) Remove the husband from the house, then provide emergency care to the wife.
fd fd fd fd fd fd fd fd fd fd fd fd
D) Enter the home to protect the patient while waiting for the police to arrive. A
fd fd fd fd fd fd fd fd fd fd fd fd fd fd
nswer: A f d
Diff: 2 Page Ref: 7-8
fd fd fd
Objective: 1-7 f d f d
11) Why is EMS in a unique position to contribute significantly to mobile integrated health care?
fd fd fd fd fd fd fd fd fd fd fd fd fd fd
A) EMS providers are familiar with and capable of functioning in the out-of-hospital environment.
fd fd fd fd fd fd fd fd fd fd fd fd
B) Ambulances are easily identified. fd fd fd
C) The community trusts uniformed health care providers.
fd fd fd fd fd fd
D) EMS providers are familiar with the many routes of medication administration.
fd fd fd fd fd fd fd fd fd fd fd
Answer: A f d
Diff: 1 Page Ref: 15
fd fd fd
Objective: 1-14 f d f d
12) You have arrived on the scene of a motor vehicle collision. A car has gone off the road and into a uti
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
lity pole. The pole is broken and wires are hanging just above the car. You do not see any sparking
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
or arcing of the wires. The driver of the car is slumped over the steering wheel and not moving. Se
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
veral bystanders around the car are yelling for you to help. Which steps represent the correct order
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
of your response?
fd fd
A) Clear the bystanders, allow the fire department to secure the wires, access the patient, extricate th
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
e patient, transport
fd fd
B) Access the patient, clear the bystanders, allow the fire department to secure the wires, extricate th
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
e patient, transport
fd fd
C) Clear the bystanders, access the patient, extricate the patient, transport, allow the fire d
fd fd fd fd fd fd fd fd fd fd fd fd fd
epartment to secure the wires fd fd fd fd
D) Access the patient, allow the fire department to secure the wires, clear the bystanders, extricate th
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
e patient, transport
fd fd
Answer: A f d f d
Diff: 2 Page Ref: 7-8
fd fd fd
Objective: 1-7 f d f d
4
Copyright © 2024 Pearson Education, Inc. fd fd fd fd fd
