EMT Section 1 Exam with Accurate
Solutions
Which of the following is an example of care that is provided using standing orders?
A. Medical control is contacted by the EMT after a patient with chest pain refuses EMS
care.
B. The EMT defibrillates a cardiac arrest patient,begins CPR, and then contacts medical
control.
C. A physician gives the EMT an order via radio to administer oral glucose to a diabetic
patient.
D. Following an overdose, the EMT contacts the medical director for permission to give
activated charcoal. - ANS-B
Rationale: Standing orders—a form of off-line (indirect) medical control—involve
performing certain life-saving interventions(ie, CPR, defibrillation, bleeding
control)before contacting a physician for further instructions.
Quality control in an EMS system is the ultimate responsibility of the:
A. paramedic.
B. lead EMT.
C. medical director.
D. EMS administrator. - ANS-C
Rationale: The medical director is responsible for maintaining quality control,which
ensures that all staff members who are involved in caring for patients meet the standard
of care on every call.
Upon arriving at the scene of a domestic dispute,you hear yelling and the sound of
breaking glass from inside the residence. You should:
A. immediately gain access to the patient.
B. carefully enter the house and then call the police.
C. retreat to a safe place until the police arrive.
D. tell the patient to exit the residence so you can provide care. - ANS-C
Rationale: Never enter a scene in which signs of violence are present, including yelling,
screaming, or the sound of breaking glass. Law enforcement must secure the scene
prior to the EMT's entry.
Which of the following is NOT a component of continuous quality improvement (CQI)?
A. Periodic review of run reports
B. Discussion of needs for improvement
C. Negative feedback to those who make mistakes whileon a call
D. Remedial training as deemed necessary by themedical director - ANS-C
, Rationale: The purpose of CQI is to ensure that the standard of care is provided on all
calls. This involves periodic run report reviews, discussing needs for improvement,and
providing remedial training as deemed necessary by the medical director. Positive
feedback should be provided during this process.
All of the following are responsibilities of the EMS medical director, EXCEPT:
A. evaluating patient insurance information.
B. serving as liaison with the medical community.
C. ensuring that the appropriate standards are met by EMTs.
D. ensuring appropriate EMT education and continuing training. - ANS-A
Rationale: Responsibilities of the medical director include serving as liaison with the
medical community, ensuring that appropriate standards are met by EMS personnel,
and ensuring appropriate EMT education and continuing training.Insurance matters are
handled by the EMS billing department.
Which of the following situations would MOST likely disqualify a person for EMS
certification?
A. A misdemeanor at the age of 17
B. Driving under the influence of alcohol
C. Possessing a valid driver's license from another state
D. A mild hearing impairment that is corrected with hearing aids - ANS-B
Rationale: In most states, a person may be denied EMS certification for being convicted
of a felony, such as driving under the influence of alcohol or other drugs.
Which of the following should be the EMT's highest priority?
A. Controlling severe bleeding
B. Maintaining a patient's airway
C. Ensuring patient safety
D. Ensuring personal safety - ANS-D
Rationale: Personal safety is of utmost concern for the EMT. This involves sizing up a
scene to determine whether the scene is safe to enter. This will ensure the safety of all
personnel.
A patient who requires cardiac monitoring in the field would require, at a minimum,
which level of EMS provider?
A. EMR
B. EMT
C. Paramedic
D. AEMT - ANS-C
Rationale: Of all levels of EMS provider, the paramedic is trained in advanced medical
care, including cardiac monitoring, IV therapy, and the administration of a variety of
emergency drugs.
An 8-year-old boy was struck by a car, is unconscious, and is bleeding from the mouth.
A police officer tells you that he is unable to contact the child's parents. You should:
Solutions
Which of the following is an example of care that is provided using standing orders?
A. Medical control is contacted by the EMT after a patient with chest pain refuses EMS
care.
B. The EMT defibrillates a cardiac arrest patient,begins CPR, and then contacts medical
control.
C. A physician gives the EMT an order via radio to administer oral glucose to a diabetic
patient.
D. Following an overdose, the EMT contacts the medical director for permission to give
activated charcoal. - ANS-B
Rationale: Standing orders—a form of off-line (indirect) medical control—involve
performing certain life-saving interventions(ie, CPR, defibrillation, bleeding
control)before contacting a physician for further instructions.
Quality control in an EMS system is the ultimate responsibility of the:
A. paramedic.
B. lead EMT.
C. medical director.
D. EMS administrator. - ANS-C
Rationale: The medical director is responsible for maintaining quality control,which
ensures that all staff members who are involved in caring for patients meet the standard
of care on every call.
Upon arriving at the scene of a domestic dispute,you hear yelling and the sound of
breaking glass from inside the residence. You should:
A. immediately gain access to the patient.
B. carefully enter the house and then call the police.
C. retreat to a safe place until the police arrive.
D. tell the patient to exit the residence so you can provide care. - ANS-C
Rationale: Never enter a scene in which signs of violence are present, including yelling,
screaming, or the sound of breaking glass. Law enforcement must secure the scene
prior to the EMT's entry.
Which of the following is NOT a component of continuous quality improvement (CQI)?
A. Periodic review of run reports
B. Discussion of needs for improvement
C. Negative feedback to those who make mistakes whileon a call
D. Remedial training as deemed necessary by themedical director - ANS-C
, Rationale: The purpose of CQI is to ensure that the standard of care is provided on all
calls. This involves periodic run report reviews, discussing needs for improvement,and
providing remedial training as deemed necessary by the medical director. Positive
feedback should be provided during this process.
All of the following are responsibilities of the EMS medical director, EXCEPT:
A. evaluating patient insurance information.
B. serving as liaison with the medical community.
C. ensuring that the appropriate standards are met by EMTs.
D. ensuring appropriate EMT education and continuing training. - ANS-A
Rationale: Responsibilities of the medical director include serving as liaison with the
medical community, ensuring that appropriate standards are met by EMS personnel,
and ensuring appropriate EMT education and continuing training.Insurance matters are
handled by the EMS billing department.
Which of the following situations would MOST likely disqualify a person for EMS
certification?
A. A misdemeanor at the age of 17
B. Driving under the influence of alcohol
C. Possessing a valid driver's license from another state
D. A mild hearing impairment that is corrected with hearing aids - ANS-B
Rationale: In most states, a person may be denied EMS certification for being convicted
of a felony, such as driving under the influence of alcohol or other drugs.
Which of the following should be the EMT's highest priority?
A. Controlling severe bleeding
B. Maintaining a patient's airway
C. Ensuring patient safety
D. Ensuring personal safety - ANS-D
Rationale: Personal safety is of utmost concern for the EMT. This involves sizing up a
scene to determine whether the scene is safe to enter. This will ensure the safety of all
personnel.
A patient who requires cardiac monitoring in the field would require, at a minimum,
which level of EMS provider?
A. EMR
B. EMT
C. Paramedic
D. AEMT - ANS-C
Rationale: Of all levels of EMS provider, the paramedic is trained in advanced medical
care, including cardiac monitoring, IV therapy, and the administration of a variety of
emergency drugs.
An 8-year-old boy was struck by a car, is unconscious, and is bleeding from the mouth.
A police officer tells you that he is unable to contact the child's parents. You should:
