TEST BANK FOR
n n
PrehospitalnEmergencynCare,n12thnEditionnbynJosephnJ.nMistovichnKeithnJnKarrennBrentnQ.nHafen
Chaptern1-44
Chaptern1 EmergencynMedicalnServicenSystems,nResearch,nandnPublicnHealth
1) nWhatnisnanprimarynpurposenofnthenmodern-daynEMSnsystem?
A) Providenanmeansnofntransportntonandnfromnthenhospital
B) Ensurenthatnallnmembersnofnsocietynhavenequalnaccessntonhospitals
C) Decreasenthenincidencenofndeathnandndisabilitynrelatedntoninjurynandnillness
D) Providenemergencynhealthncarenservicesntonmedicallynunderservednareasn
Answer:n C
Diff:n2 PagenRef:n2
Objective:n n 1-2
2) Mostnauthoritiesnagreenthatnthenmodern-
daynEMSnsystemnevolvednafternthenreleasenofnwhichndocument?
A) ThenEmergencynMedicalnServicesnActnofn1973
B) Thenwhitenpapern"AccidentalnDeathnandnDisability:nThenNeglectednDiseasenofnModernnSociety,"ni
nn1966
C) ThenAmericannHeartnAssociation'snGuidelinesnfornCardiacnResuscitation
D) EmergencynMedicalnServices:nAgendanfornthenFuture,ninn1996n
Answer:n B
Diff:n1 PagenRef:n2
Objective:n n 1-2
3) AnnEmergencynMedicalnResponderncomesntonyounandnstatesnthatntheynwouldnlikentonworknforny
ournemergencynambulancenservicenonnanfull-
timenbasis.nKnowingnthenNationalnEMSnScopenofnPracticenModel,nyouninformnthemnofnwhichnele
mentntheynneedntonattainnfirst?
A) Theynwillnbenablentontakencarenofnonlynpatientsnwithnnon-life-threateningncomplaints.
B) Theynwillnfirstnneednapprovalnfromnyournambulancenservice'snmedicalndirector.
C) TheynwillnbenablentonworknonlynwithnannAdvancednEmergencynMedicalnTechniciann(AEMT)nornP
aramedic.
D) TheynwillnfirstnhaventonbecomenannEmergencynMedicalnTechniciann(EMT).n
Answer:n D
Diff:n1 PagenRef:n3
Objective:n n 1-1
4) AsndefinednbynthenNationalnEMSnScopenofnPracticenModel,nthenfournlevelsnofnEMSnpractitionersni
nclude:
A) Ambulancendrivers.
B) EMSnmedicalndirector.
C) Paramedics.
D) Emergencynmedicalndispatchers.n
Answer:n C
Diff:n1 PagenRef:n6
1
Copyrightn©n2024nPearsonnEducation,nInc.
,Objective:n n 1-3
5) AnnEmergencynMedicalnRespondern(EMR)napproachesnyounandnstatesnthatntheynareninterestedninnb
ecomingnannEMT.nSpecifically,ntheynasknwhatntheynwillnbenablentondonasnannEMTnthatntheyncannotnpr
esentlyndonasnannEMR.nYounrespondnbynsayingntheynwillnbenablento:
A) Administernsomenmedications.
B) Assistninnemergencynchildbirth.
C) Usenannautomatednexternalndefibrillator.
D) Obtainnvitalnsigns.
Answer:n n A
Diff:n1 PagenRef:n5-6
Objective:n n 1-5
6) Younhavenbeenndispatchednfornan61-year-
oldnfemaleninncardiacnarrest.nEmergencynMedicalnRespondersn(EMRs)narenonnthenscene.nInnyournc
ommunity,nallnEMSnpractitionersnarentrainednaccordingntonthenNationalnEMSnScopenofnPracticenM
odel.nGivennthis,nwhichntypenofncarendonyounexpectnthenEMRsntonbenproviding?
A) Emergencynmedicationnadministration
B) Automatednexternalndefibrillation
C) Intravenousntherapy
D) Readingnannelectrocardiogram
nAnswer:n B
Diff:n2 PagenRef:n5-6
Objective:n n 1-5
7) AnnEMTnwithnyournservicenstatesnthatntheyndesirentonbecomenanParamedicnbecausentheynwantntonp
rovidenadvancedncare.nUndernthenNationalnEMSnScopenofnPracticenModel,nwhichnonenofnthesentypes
nofncarenwillntheynbenablentonprovidenasnanParamedicnthatntheyncannotnprovidenasnannEMT?
A) Usenofnannautomatednbloodnpressurenmonitoring
B) Assistancenwithnemergencynchildbirth
C) Providingninterfacilityntransports
D) Initiatingnintravenousn(IV)ntherapyn
Answer:n D
Diff:n1 PagenRef:n6
Objective:n n 1-5
8) WhichnstatementnmadenbynannEMTnrequiresnimmediateninterventionnbynansuperiornornthenservicens
upervisor?
A) "InalwaysnwearnmynseatnbeltnwhenevernInamninnthenpatientncompartmentnofnthenambulance,nunlessnIn
haventonremovenitntoncarenfornanpatient."
B) "IndrivenasnfastnasnIncanntongetntonthenscenenofnannemergency,nespeciallynifnanchildnisnsicknorninjurednac
cordingntondispatchninformation."
C) "WhennInamndrivingnwithnlightsnandnsirens,nIninstructnmynpartnernthatnhenwillnneedntonhandlenallnr
adioncommunications."
D) "InputnexamnglovesnonnforneverynpatientnIncontact,nevennifnhenornshendoesnnotnhavenanknownnorns
uspectedninfectiousndisease."
Answer:n n B
Diff:n1 PagenRef:n7
2
Copyrightn©n2024nPearsonnEducation,nInc.
,Objective:n n 1-7
9) WhichnstatementnshowsnthatnthenEMTnhasnangoodnunderstandingnofntheirnrolenandnresponsibilitiesnr
elatedntonbeingnannEMT?
A) "Thenpatient'snneedsncomenbeforenanyonenelse'snneeds."
B) "Atnthenscenenofnannemergency,nmynresponsibilitynisntongetntonthenpatientnnonmatternwhat."
C) "Mynsafetyncomesnfirst,nandnthennthenpatient'snsafety."
D) "AsnannEMT,nInrecognizenthatnthenpublic'snsafetyncomesnbeforenthensafetynofnmenornmynpartner."n
Answer:n C
Diff:n2 PagenRef:n7
Objective:n n 1-7
10) AnnambulancenwithntwonEMTsnarrivesninnfrontnofnanhousenfornannunknownnmedicalnemergency.n
Onnscene,nbystandersnreportnthatnanfemalenpatientnwasnbeatennbynhernhusbandninnthendrivewaynandnth
enndraggednbacknintonthenhouse.nTheynstatenthatnthenpatientnappearednunconsciousnandnwasnbleeding
nfromnthenhead.nWhichnactionnwouldnthenEMTsnperformnnext?
A) Donnotnenternthenscenenuntilnitnhasnbeenncontrollednbynlawnenforcement.
B) Quietlynenternthenhomenandnquicklynmoventhenpatientntonthenambulance.
C) Removenthenhusbandnfromnthenhouse,nthennprovidenemergencyncarentonthenwife.
D) Enternthenhomentonprotectnthenpatientnwhilenwaitingnfornthenpolicentonarrive.n
Answer:n A
Diff:n2 PagenRef:n7-8
Objective:n n 1-7
11) WhynisnEMSninnanuniquenpositionntoncontributensignificantlyntonmobilenintegratednhealthncare?
A) EMSnprovidersnarenfamiliarnwithnandncapablenofnfunctioningninnthenout-of-hospitalnenvironment.
B) Ambulancesnareneasilynidentified.
C) Thencommunityntrustsnuniformednhealthncarenproviders.
D) EMSnprovidersnarenfamiliarnwithnthenmanynroutesnofnmedicationnadministration.n
Answer:n A
Diff:n1 PagenRef:n15
Objective:n n 1-14
12) Younhavenarrivednonnthenscenenofnanmotornvehiclencollision.nAncarnhasngonenoffnthenroadnandnintonan
utilitynpole.nThenpolenisnbrokennandnwiresnarenhangingnjustnaboventhencar.nYoundonnotnseenanynsparki
ngnornarcingnofnthenwires.nThendrivernofnthencarnisnslumpednovernthensteeringnwheelnandnnotnmoving.n
Severalnbystandersnaroundnthencarnarenyellingnfornyountonhelp.nWhichnstepsnrepresentnthencorrectnord
ernofnyournresponse?
A) Clearnthenbystanders,nallownthenfirendepartmentntonsecurenthenwires,naccessnthenpatient,nextricatent
henpatient,ntransport
B) Accessnthenpatient,nclearnthenbystanders,nallownthenfirendepartmentntonsecurenthenwires,nextricatent
henpatient,ntransport
C) Clearnthenbystanders,naccessnthenpatient,nextricatenthenpatient,ntransport,nallownthenfirend
epartmentntonsecurenthenwires
D) Accessnthenpatient,nallownthenfirendepartmentntonsecurenthenwires,nclearnthenbystanders,nextricatent
henpatient,ntransport
Answer:n n A
Diff:n2 PagenRef:n7-8
Objective:n n 1-7
3
Copyrightn©n2024nPearsonnEducation,nInc.
, 13) Oncenanscenenisnfreenofnsafetynhazards,nthenEMTnmustnrecognizenandnfocusnonnthenneedsnofnthe:
A) Rescuers.
B) Patient.
C) Family.
D) Bystanders.
Answer:n n B
Diff:n1 PagenRef:n8
Objective:n n 1-7
14) Younhavenbeennaskedntonsitnonnyournservice'snqualitynimprovementn(QI)ncommittee.nAsnank
nowledgeablenEMT,nyounrecognizenthatninnthisnrolenyounwillnbeninvolvedninnprojectsnthatnarenpr
imarilyndesignednto:
A) Communicatenwithninsurancencompaniesnfornincreasednreimbursement.
B) RecruitnandneducatenEMTsnaboutnthenEmergencynMedicalnServicesnprofession.
C) Developnwaysninnwhichnthendeliverynofnemergencyncarencannbenimproved.
D) IdentifynandnreeducatenEMTsnwhonroutinelyndonnotnprovidenproperncare.n
Answer:n C
Diff:n2 PagenRef:n12-13
Objective:n n 1-10
15) Whatnwouldnbenanlogicalnprojectntonbenundertakennandndevelopednbynanqualitynimprovementn(
QI)ncommittee?
A) TerminationnofnEMTsnwhonarenchronicallynlatentonwork
B) Anprogramnbynwhichnpaynraisesnarenbasednonnperformancenandnattitude
C) CommunitynfundraiserntonraisenmoneynfornnewnEMSnequipment
D) Monthlyncontinuingneducationnprogramsninnwhichnseldom-
usednskillsnarenpracticednAnswer:n D
Diff:n2 PagenRef:n12-13
Objective:n n 1-10
16) YounareninterviewingnfornthenpositionnofnEMTnwithnanbusynurbannservice.nThisnmorningnyounarent
onmeetnwithnthenservice'snmedicalndirector.nYounhavenbeenntoldnthatnshenlikesnitnwhennapplicantsnasknq
uestionsnaboutnhernrolenasnthenmedicalndirector.nRelatedntonhernresponsibilitiesnasnmedicalndirector,nw
hichnquestionnisnmostnappropriate?
A) "HowndonyoundeterminenthenwagesnthatnthenEMTsnarenpaid?"
B) "Howndon youndeterminenthennumbernandnlocationnofnambulancesnwithinnthensystem?"
C) "Hownoftennarenthenemergencyncarenprotocolsnupdated?"
D) "Donyounassignnthendailynchoresnthatnmustnbencompletednaroundnthenstations?"n
Answer:n C
Diff:n2 PagenRef:n11
Objective:n n 1-9
17) Tonbenanmedicalndirectornofnannambulancenservice,nwhichnrequirementnmustntheninterestedni
ndividualnsatisfy?
A) Licensednphysician
B) Emergencynphysiciannwithnsurgicalnexperience
C) Physiciannwhonwasnanparamedic
4
Copyrightn©n2024nPearsonnEducation,nInc.
n n
PrehospitalnEmergencynCare,n12thnEditionnbynJosephnJ.nMistovichnKeithnJnKarrennBrentnQ.nHafen
Chaptern1-44
Chaptern1 EmergencynMedicalnServicenSystems,nResearch,nandnPublicnHealth
1) nWhatnisnanprimarynpurposenofnthenmodern-daynEMSnsystem?
A) Providenanmeansnofntransportntonandnfromnthenhospital
B) Ensurenthatnallnmembersnofnsocietynhavenequalnaccessntonhospitals
C) Decreasenthenincidencenofndeathnandndisabilitynrelatedntoninjurynandnillness
D) Providenemergencynhealthncarenservicesntonmedicallynunderservednareasn
Answer:n C
Diff:n2 PagenRef:n2
Objective:n n 1-2
2) Mostnauthoritiesnagreenthatnthenmodern-
daynEMSnsystemnevolvednafternthenreleasenofnwhichndocument?
A) ThenEmergencynMedicalnServicesnActnofn1973
B) Thenwhitenpapern"AccidentalnDeathnandnDisability:nThenNeglectednDiseasenofnModernnSociety,"ni
nn1966
C) ThenAmericannHeartnAssociation'snGuidelinesnfornCardiacnResuscitation
D) EmergencynMedicalnServices:nAgendanfornthenFuture,ninn1996n
Answer:n B
Diff:n1 PagenRef:n2
Objective:n n 1-2
3) AnnEmergencynMedicalnResponderncomesntonyounandnstatesnthatntheynwouldnlikentonworknforny
ournemergencynambulancenservicenonnanfull-
timenbasis.nKnowingnthenNationalnEMSnScopenofnPracticenModel,nyouninformnthemnofnwhichnele
mentntheynneedntonattainnfirst?
A) Theynwillnbenablentontakencarenofnonlynpatientsnwithnnon-life-threateningncomplaints.
B) Theynwillnfirstnneednapprovalnfromnyournambulancenservice'snmedicalndirector.
C) TheynwillnbenablentonworknonlynwithnannAdvancednEmergencynMedicalnTechniciann(AEMT)nornP
aramedic.
D) TheynwillnfirstnhaventonbecomenannEmergencynMedicalnTechniciann(EMT).n
Answer:n D
Diff:n1 PagenRef:n3
Objective:n n 1-1
4) AsndefinednbynthenNationalnEMSnScopenofnPracticenModel,nthenfournlevelsnofnEMSnpractitionersni
nclude:
A) Ambulancendrivers.
B) EMSnmedicalndirector.
C) Paramedics.
D) Emergencynmedicalndispatchers.n
Answer:n C
Diff:n1 PagenRef:n6
1
Copyrightn©n2024nPearsonnEducation,nInc.
,Objective:n n 1-3
5) AnnEmergencynMedicalnRespondern(EMR)napproachesnyounandnstatesnthatntheynareninterestedninnb
ecomingnannEMT.nSpecifically,ntheynasknwhatntheynwillnbenablentondonasnannEMTnthatntheyncannotnpr
esentlyndonasnannEMR.nYounrespondnbynsayingntheynwillnbenablento:
A) Administernsomenmedications.
B) Assistninnemergencynchildbirth.
C) Usenannautomatednexternalndefibrillator.
D) Obtainnvitalnsigns.
Answer:n n A
Diff:n1 PagenRef:n5-6
Objective:n n 1-5
6) Younhavenbeenndispatchednfornan61-year-
oldnfemaleninncardiacnarrest.nEmergencynMedicalnRespondersn(EMRs)narenonnthenscene.nInnyournc
ommunity,nallnEMSnpractitionersnarentrainednaccordingntonthenNationalnEMSnScopenofnPracticenM
odel.nGivennthis,nwhichntypenofncarendonyounexpectnthenEMRsntonbenproviding?
A) Emergencynmedicationnadministration
B) Automatednexternalndefibrillation
C) Intravenousntherapy
D) Readingnannelectrocardiogram
nAnswer:n B
Diff:n2 PagenRef:n5-6
Objective:n n 1-5
7) AnnEMTnwithnyournservicenstatesnthatntheyndesirentonbecomenanParamedicnbecausentheynwantntonp
rovidenadvancedncare.nUndernthenNationalnEMSnScopenofnPracticenModel,nwhichnonenofnthesentypes
nofncarenwillntheynbenablentonprovidenasnanParamedicnthatntheyncannotnprovidenasnannEMT?
A) Usenofnannautomatednbloodnpressurenmonitoring
B) Assistancenwithnemergencynchildbirth
C) Providingninterfacilityntransports
D) Initiatingnintravenousn(IV)ntherapyn
Answer:n D
Diff:n1 PagenRef:n6
Objective:n n 1-5
8) WhichnstatementnmadenbynannEMTnrequiresnimmediateninterventionnbynansuperiornornthenservicens
upervisor?
A) "InalwaysnwearnmynseatnbeltnwhenevernInamninnthenpatientncompartmentnofnthenambulance,nunlessnIn
haventonremovenitntoncarenfornanpatient."
B) "IndrivenasnfastnasnIncanntongetntonthenscenenofnannemergency,nespeciallynifnanchildnisnsicknorninjurednac
cordingntondispatchninformation."
C) "WhennInamndrivingnwithnlightsnandnsirens,nIninstructnmynpartnernthatnhenwillnneedntonhandlenallnr
adioncommunications."
D) "InputnexamnglovesnonnforneverynpatientnIncontact,nevennifnhenornshendoesnnotnhavenanknownnorns
uspectedninfectiousndisease."
Answer:n n B
Diff:n1 PagenRef:n7
2
Copyrightn©n2024nPearsonnEducation,nInc.
,Objective:n n 1-7
9) WhichnstatementnshowsnthatnthenEMTnhasnangoodnunderstandingnofntheirnrolenandnresponsibilitiesnr
elatedntonbeingnannEMT?
A) "Thenpatient'snneedsncomenbeforenanyonenelse'snneeds."
B) "Atnthenscenenofnannemergency,nmynresponsibilitynisntongetntonthenpatientnnonmatternwhat."
C) "Mynsafetyncomesnfirst,nandnthennthenpatient'snsafety."
D) "AsnannEMT,nInrecognizenthatnthenpublic'snsafetyncomesnbeforenthensafetynofnmenornmynpartner."n
Answer:n C
Diff:n2 PagenRef:n7
Objective:n n 1-7
10) AnnambulancenwithntwonEMTsnarrivesninnfrontnofnanhousenfornannunknownnmedicalnemergency.n
Onnscene,nbystandersnreportnthatnanfemalenpatientnwasnbeatennbynhernhusbandninnthendrivewaynandnth
enndraggednbacknintonthenhouse.nTheynstatenthatnthenpatientnappearednunconsciousnandnwasnbleeding
nfromnthenhead.nWhichnactionnwouldnthenEMTsnperformnnext?
A) Donnotnenternthenscenenuntilnitnhasnbeenncontrollednbynlawnenforcement.
B) Quietlynenternthenhomenandnquicklynmoventhenpatientntonthenambulance.
C) Removenthenhusbandnfromnthenhouse,nthennprovidenemergencyncarentonthenwife.
D) Enternthenhomentonprotectnthenpatientnwhilenwaitingnfornthenpolicentonarrive.n
Answer:n A
Diff:n2 PagenRef:n7-8
Objective:n n 1-7
11) WhynisnEMSninnanuniquenpositionntoncontributensignificantlyntonmobilenintegratednhealthncare?
A) EMSnprovidersnarenfamiliarnwithnandncapablenofnfunctioningninnthenout-of-hospitalnenvironment.
B) Ambulancesnareneasilynidentified.
C) Thencommunityntrustsnuniformednhealthncarenproviders.
D) EMSnprovidersnarenfamiliarnwithnthenmanynroutesnofnmedicationnadministration.n
Answer:n A
Diff:n1 PagenRef:n15
Objective:n n 1-14
12) Younhavenarrivednonnthenscenenofnanmotornvehiclencollision.nAncarnhasngonenoffnthenroadnandnintonan
utilitynpole.nThenpolenisnbrokennandnwiresnarenhangingnjustnaboventhencar.nYoundonnotnseenanynsparki
ngnornarcingnofnthenwires.nThendrivernofnthencarnisnslumpednovernthensteeringnwheelnandnnotnmoving.n
Severalnbystandersnaroundnthencarnarenyellingnfornyountonhelp.nWhichnstepsnrepresentnthencorrectnord
ernofnyournresponse?
A) Clearnthenbystanders,nallownthenfirendepartmentntonsecurenthenwires,naccessnthenpatient,nextricatent
henpatient,ntransport
B) Accessnthenpatient,nclearnthenbystanders,nallownthenfirendepartmentntonsecurenthenwires,nextricatent
henpatient,ntransport
C) Clearnthenbystanders,naccessnthenpatient,nextricatenthenpatient,ntransport,nallownthenfirend
epartmentntonsecurenthenwires
D) Accessnthenpatient,nallownthenfirendepartmentntonsecurenthenwires,nclearnthenbystanders,nextricatent
henpatient,ntransport
Answer:n n A
Diff:n2 PagenRef:n7-8
Objective:n n 1-7
3
Copyrightn©n2024nPearsonnEducation,nInc.
, 13) Oncenanscenenisnfreenofnsafetynhazards,nthenEMTnmustnrecognizenandnfocusnonnthenneedsnofnthe:
A) Rescuers.
B) Patient.
C) Family.
D) Bystanders.
Answer:n n B
Diff:n1 PagenRef:n8
Objective:n n 1-7
14) Younhavenbeennaskedntonsitnonnyournservice'snqualitynimprovementn(QI)ncommittee.nAsnank
nowledgeablenEMT,nyounrecognizenthatninnthisnrolenyounwillnbeninvolvedninnprojectsnthatnarenpr
imarilyndesignednto:
A) Communicatenwithninsurancencompaniesnfornincreasednreimbursement.
B) RecruitnandneducatenEMTsnaboutnthenEmergencynMedicalnServicesnprofession.
C) Developnwaysninnwhichnthendeliverynofnemergencyncarencannbenimproved.
D) IdentifynandnreeducatenEMTsnwhonroutinelyndonnotnprovidenproperncare.n
Answer:n C
Diff:n2 PagenRef:n12-13
Objective:n n 1-10
15) Whatnwouldnbenanlogicalnprojectntonbenundertakennandndevelopednbynanqualitynimprovementn(
QI)ncommittee?
A) TerminationnofnEMTsnwhonarenchronicallynlatentonwork
B) Anprogramnbynwhichnpaynraisesnarenbasednonnperformancenandnattitude
C) CommunitynfundraiserntonraisenmoneynfornnewnEMSnequipment
D) Monthlyncontinuingneducationnprogramsninnwhichnseldom-
usednskillsnarenpracticednAnswer:n D
Diff:n2 PagenRef:n12-13
Objective:n n 1-10
16) YounareninterviewingnfornthenpositionnofnEMTnwithnanbusynurbannservice.nThisnmorningnyounarent
onmeetnwithnthenservice'snmedicalndirector.nYounhavenbeenntoldnthatnshenlikesnitnwhennapplicantsnasknq
uestionsnaboutnhernrolenasnthenmedicalndirector.nRelatedntonhernresponsibilitiesnasnmedicalndirector,nw
hichnquestionnisnmostnappropriate?
A) "HowndonyoundeterminenthenwagesnthatnthenEMTsnarenpaid?"
B) "Howndon youndeterminenthennumbernandnlocationnofnambulancesnwithinnthensystem?"
C) "Hownoftennarenthenemergencyncarenprotocolsnupdated?"
D) "Donyounassignnthendailynchoresnthatnmustnbencompletednaroundnthenstations?"n
Answer:n C
Diff:n2 PagenRef:n11
Objective:n n 1-9
17) Tonbenanmedicalndirectornofnannambulancenservice,nwhichnrequirementnmustntheninterestedni
ndividualnsatisfy?
A) Licensednphysician
B) Emergencynphysiciannwithnsurgicalnexperience
C) Physiciannwhonwasnanparamedic
4
Copyrightn©n2024nPearsonnEducation,nInc.
