QUESTIONS AND WELL REVISED ANSWERS -
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COMPREHENSIVE ASSESSMENT
1. Which of the following best describes the primary role of an EMT-Basic?
A. Performing advanced cardiac procedures in the field
B. Providing immediate prehospital care and transportation for sick or
injured patients
C. Diagnosing and prescribing medications for patients
D. Performing surgical interventions in emergency situations
The EMT-B’s scope focuses on providing basic life support, patient
assessment, and transport, not advanced procedures or prescribing.
2. During the initial assessment, a patient is unresponsive, has no pulse, and is
not breathing. The EMT should:
A. Apply oxygen via nasal cannula
B. Begin CPR immediately
C. Wait for advanced life support personnel
D. Check for a medical alert bracelet
Immediate CPR is indicated for a patient in cardiac arrest to maintain
circulation and oxygenation.
3. A patient reports chest pain radiating to the left arm. Which action is most
appropriate?
A. Administer oxygen if indicated, monitor vitals, and prepare for rapid
transport
B. Advise the patient to rest and call a doctor later
, C. Apply a splint to the arm
D. Begin abdominal thrusts
This presentation suggests a possible myocardial infarction; rapid
assessment, oxygen, and transport are critical.
4. Which of the following is a critical component of infection control in the
prehospital setting?
A. Avoiding patient contact entirely
B. Proper hand hygiene and use of personal protective equipment (PPE)
C. Only using gloves when treating wounds
D. Relying solely on alcohol-based hand rubs
Hand hygiene and PPE reduce transmission of infectious agents for both
patient and provider safety.
5. A patient with a history of asthma presents with wheezing and shortness of
breath. Which medication can EMT-B administer under most protocols?
A. Epinephrine
B. Oral steroids
C. Inhaled bronchodilator via a nebulizer or MDI if authorized
D. IV magnesium sulfate
EMT-B protocols often include administering bronchodilators under
medical direction for respiratory distress.
6. Which pulse is typically used to assess circulation in an unresponsive adult
patient?
A. Radial
B. Carotid
C. Femoral
D. Brachial
, The carotid pulse is preferred in adults because it is most accessible and
reliable in emergencies.
(Correction: Actually, the carotid pulse is correct; I mis-wrote femoral.)
Correct answer: B. Carotid
The carotid pulse is central and strong, suitable for rapid assessment in
unresponsive adults.
7. During scene size-up, which factor indicates a high-risk environment?
A. Clear weather
B. Downed power lines
C. Open, accessible roads
D. Adequate lighting
Hazards such as downed power lines pose immediate danger and must be
addressed before patient care.
8. Which of the following represents the proper sequence for airway
management in a patient with an obstructed airway?
A. Suction, head tilt-chin lift, abdominal thrusts
B. Manual airway opening, suctioning, adjunct placement if needed
C. Heimlich maneuver, ventilation, oxygen
D. Intubation, suction, oxygen
EMT-B should first open the airway manually, clear obstructions, and use
adjuncts as needed; intubation is beyond EMT-B scope.
9. A patient presents with pale, clammy skin, tachycardia, and hypotension
after a motor vehicle crash. The EMT should suspect:
A. Stroke
B. Shock (likely hypovolemic)
C. Asthma attack
, D. Hyperglycemia
These are classic signs of hypoperfusion, commonly due to blood loss in
trauma.
10.Which of the following best reflects EMT ethical responsibility?
A. Acting only in self-interest
B. Providing care impartially, respecting patient rights and dignity
C. Disregarding protocols to save time
D. Administering medications for personal gain
Ethical practice requires prioritizing patient welfare, respecting autonomy,
and adhering to professional standards.
11.In treating a burn patient with partial-thickness burns over 15% of their
body, which is appropriate?
A. Apply ice directly to the burn
B. Cover the burn with a dry, sterile dressing and transport
C. Apply butter or ointment
D. Immerse the patient in cold water for 30 minutes
Sterile dressings prevent infection; prolonged cold exposure or substances
like butter worsen tissue injury.
12.Which of the following is the best indicator of effective ventilations in an
adult patient?
A. Color of fingernails only
B. Chest rise and fall with each ventilation
C. Pulse rate only
D. Pupillary reaction
Chest rise indicates air is entering the lungs and ventilations are effective.
13.A patient fell from a height and complains of neck pain. How should the
EMT proceed?