Prehospital Emergency Care, 11e (Mistovich et al.) Test bank > complete questions/answers (well elaborated)

TESTBANK
n

,Chapter 1 Emergency Care Systems, Research, and Public Health
n n n n n n n n




1) What is a primary purpose of the modern-day EMS system?
n n n n n n n n n




A) Provide a means of transport to and from the hospital
n n n n n n n n n




B) Ensure that all members of society have equal access to hospitals
n n n n n n n n n n




C) Decrease the incidence of death and disability related to injury and illness
n n n n n n n n n n n




D) Provide emergency health care services to medically underserved areas
n n n n n n n n




Answer: C
n n




Diff: 2
n Page Ref: 7 n n




Objective: 1-2 n




2) Most authorities agree that the modern-day EMS system evolved after the release of which
n n n n n n n n n n n n n




document?
n




A) The Emergency Medical Services Act of 1973
n n n n n n




B) The white paper "Accidental Death and Disability: The Neglected Disease of Modern
n n n n n n n n n n n




Society" in 1966
n n n




C) TheAmerican Heart Association's Guidelines for Cardiac Resuscitation
n n n n n n n




D) Emergency Medical Services: Agenda for the Future, in 1996 n n n n n n n n




Answer: B
n n




Diff: 1
n Page Ref: 3 n n




Objective: 1-2 n




3) An Emergency Medical Responder comes to you and states that he would like to work for your
n n n n n n n n n n n n n n n n




emergency ambulance service on a full-time basis. Knowing the National EMS Scope of Practice
n n n n n n n n n n n n n n




Model, you inform him of which element?
n n n n n n n




A) He will be able to take care of only patients with non-life-threatening complaints
n n n n n n n n n n n n




B) He will first need approval from your ambulance service's medical director
n n n n n n n n n n




C) He will be able to work only with an Advanced EMT or paramedic
n n n n n n n n n n n n




D) He will first have to become an Emergency Medical Technician
n n n n n n n n n




Answer: D
n n




Diff: 1
n Page Ref: 6-7 n n




Objective: 1-1 n




4) As defined by the National EMS Scope of Practice Model, the four levels of EMS
n n n n n n n n n n n n n n




practitioners include:
n n




A) Ambulance drivers n




B) EMS medical director n n




C) Paramedics
D) Emergencymedical dispatchers n n




Answer: C
n n




Diff: 1
n Page Ref: 6-7 n n




Objective: 1-3 n

,5) An Emergency Medical Responder (EMR) approaches you and states that he is interested in
n n n n n n n n n n n n n




becoming an EMT. Specifically, he asks what he will be able to do as an EMT that he cannot
n n n n n n n n n n n n n n n n n n n




presently do as an EMR. You respond by saying he will be able to:
n n n n n n n n n n n n n n




A) Administer some medications n n




B) Assist in emergency childbirth n n n




C) Use an automated external defibrillator
n n n n




D) Obtain vitalsigns n n




Answer: A
n n




Diff: 1 Page Ref: 6-7
n n n




Objective: 1-5 n




6) You have been dispatched for a 61-year-old female in cardiac arrest. Emergency Medical
n n n n n n n n n n n n




Responders (EMRs) are on scene. In your community, all EMS practitioners are trained according
n n n n n n n n n n n n n n




to the National EMS Scope of Practice Model. Given this, which type of care do you expect the
n n n n n n n n n n n n n n n n n n




EMRs to be providing?
n n n n




A) Emergency medication administration n n




B) Automated external defibrillation n n




C) Intravenous therapy n




D) Readingan electrocardiogram n n




Answer: B
n n




Diff: 2 Page Ref: 6
n n n




Objective: 1-5 n




7) An EMT with your service states that she desires to become a paramedic because she wants to
n n n n n n n n n n n n n n n n




provide advanced care. Under the National EMS Scope of Practice Model, which one of these types
n n n n n n n n n n n n n n n n




of care will she be able to provide as a paramedic that she cannot provide as an EMT?
n n n n n n n n n n n n n n n n n n




A) Automated blood pressure monitoring n n n




B) Assistance with emergency childbirth n n n




C) Interfacility transports n




D) IVtherapy n




Answer: D
n n




Diff: 1 Page Ref: 7
n n n




Objective: 1-5 n




8) Which statement made by an EMT requires immediate intervention by a superior or the
n n n n n n n n n n n n n




service supervisor?
n n




A) "I always wear my seat belt whenever Iam in the patient compartment of the ambulance,
n n n n n n n n n n n n n n n




unless I have to remove it to care for a patient."
n n n n n n n n n n n




B) "I drive as fast as I can to get to the scene of an emergency, especially if a child is sick or injured
n n n n n n n n n n n n n n n n n n n n n n




according to dispatch information."
n n n n




C) "When I am driving with lights and sirens, I instruct my partner that he will need to handle all radio
n n n n n n n n n n n n n n n n n n n




communications."
n




D) "I put exam gloves on for every patient I contact, even if he or she does not have a known or
n n n n n n n n n n n n n n n n n n n n




suspected infectious disease."
n n n




Answer: B n




Diff: 1 Page Ref: 9
n n n




Objective: 1-7 n

, 9) Which statement shows that the EMT has a good understanding of her role and
n n n n n n n n n n n n n




responsibilities related to being an EMT?
n n n n n n




A) "The patient's needs come before anyone else's needs."
n n n n n n n




B) "At the scene of an emergency, my responsibility is to get to the patient no matter what."
n n n n n n n n n n n n n n n n




C) "My safety comes first, and then the patient's safety."
n n n n n n n n




D) "As an EMT, I recognize that the public's safety comes before the safety of me or my
n n n n n n n n n n n n n n n n




partner."
n




Answer: C n




Diff: 2 n Page Ref: 8-9 n n




Objective: 1-7 n




10) An ambulance with two EMTs arrives in front of a house for an unknown medical emergency.
n n n n n n n n n n n n n n n




On scene, bystanders report that a female patient was beaten by her husband in the driveway and then
n n n n n n n n n n n n n n n n n n




dragged back into the house. They state that the patient appeared unconscious and was bleeding from
n n n n n n n n n n n n n n n n




the head. Which action would the EMTs perform next?
n n n n n n n n n




A) Do not enter the scene until it has been controlled by law enforcement
n n n n n n n n n n n n




B) Quietly enter the home and quickly move the patient to the ambulance
n n n n n n n n n n n




C) Remove the husband from the house, then provide emergency care to the wife
n n n n n n n n n n n n




D) Enter the home to protect the patient while waiting for the police to arrive
n n n n n n n n n n n n n




Answer: A
n n




Diff: 2 n Page Ref: 9 n n




Objective: 1-7 n




11) Why is EMS in a unique position to contribute significantly to mobile integrated health care?
n n n n n n n n n n n n n n




A) EMS providers are familiar with and capable of functioning in the out-of-hospital
n n n n n n n n n n n




environment
n




B) Ambulances are easily identified n n n




C) The community trusts uniformed health care providers
n n n n n n




D) EMS providers are familiar with the many routes of medication administration
n n n n n n n n n n




Answer: A
n n




Diff: 1 n Page Ref: 17 n n




Objective: 1-15 n