Ultimate Test Bank: Prehospital Emergency
Care 12th Edition | All Chapters 1-44
1. What is the primary purpose of the modern-day EMS system?
A) Provide a means of transport to and from the hospital
B) Ensure that all members of society have equal access to hospitals
C) Decrease the incidence of death and disability related to injury and illness
D) Provide emergency health care services to medically underserved areas
Correct Answer: C
Rationale: The fundamental purpose of the modern EMS system is to reduce death and
disability from injury and illness through rapid emergency care and transport. While transport
and access are components, they are means to this primary end goal .
2. Most authorities agree that the modern-day EMS system evolved after the release of which
document?
A) The Emergency Medical Services Act of 1973
B) The white paper “Accidental Death and Disability: The Neglected Disease of Modern
Society” in 1966
C) The American Heart Association’s Guidelines for Cardiac Resuscitation
D) Emergency Medical Services: Agenda for the Future, in 1996
Correct Answer: B
Rationale: The 1966 white paper published by the National Academy of Sciences/National
Research Council is widely recognized as the catalyst for the development of organized EMS
systems in the United States .
3. An Emergency Medical Responder states they would like to work for your emergency
ambulance service full-time. Knowing the National EMS Scope of Practice Model, what
element do you inform them they need to attain?
,A) They can only care for patients with non-life-threatening complaints
B) They need approval from your service’s medical director
C) They can work only with an Advanced EMT or paramedic
D) They must first become an Emergency Medical Technician
Correct Answer: D
Rationale: Under the National EMS Scope of Practice Model, the four levels are EMR, EMT,
AEMT, and Paramedic. An EMR must achieve EMT certification to work on an ambulance
providing emergency care .
4. As defined by the National EMS Scope of Practice Model, the four levels of EMS
practitioners include:
A) Ambulance drivers
B) EMS medical director
C) Paramedics
D) Emergency medical dispatchers
Correct Answer: C
Rationale: The four recognized levels are Emergency Medical Responder (EMR), Emergency
Medical Technician (EMT), Advanced EMT (AEMT), and Paramedic .
5. You are dispatched for a 61-year-old female in cardiac arrest. EMRs are on scene. Based on
the National EMS Scope of Practice Model, what care do you expect the EMRs to be
providing?
A) Emergency medication administration
B) Automated external defibrillation
C) Intravenous therapy
D) Reading an electrocardiogram
Correct Answer: B
, Rationale: EMRs are trained in basic life support skills including CPR and AED application.
Medication administration, IV therapy, and ECG interpretation are beyond their scope .
6. Which statement shows that the EMT has a good understanding of her role and
responsibilities related to being an EMT?
A) “The patient’s needs come before anyone else’s needs.”
B) “At the scene of an emergency, my responsibility is to get to the patient no matter what.”
C) “My safety comes first, and then the patient’s safety.”
D) “As an EMT, I recognize that the public’s safety comes before the safety of me or my partner.”
Correct Answer: C
Rationale: Scene safety is the first priority. An injured EMT cannot help anyone. The EMT
must ensure personal safety before patient care .
7. An ambulance with two EMTs arrives in front of a house for an unknown medical
emergency. On scene, bystanders report that a female patient was beaten by her husband in
the driveway and then dragged back into the house. They state that the patient appeared
unconscious and was bleeding from the head. What should the EMTs do?
A) Do not enter the scene until it has been controlled by law enforcement
B) Quietly enter the home and quickly move the patient to the ambulance
C) Remove the husband from the house, then provide emergency care to the wife
D) Enter the home to protect the patient while waiting for the police to arrive
Correct Answer: A
Rationale: This is a violent crime scene. The EMTs must stage away from the scene until law
enforcement secures it. Entering an unsecured violent scene places providers at risk .
8. You have arrived on the scene of a motor vehicle collision. A car has gone off the road and
into a utility pole. The pole is broken and wires are hanging just above the car. You do not see
any sparking or arcing of the wires. The driver of the car is slumped over the steering wheel
, and not moving. Several bystanders around the car are yelling for you to help. What should
you do?
A) Clear the bystanders, allow the fire department to secure the wires, access the patient,
extricate the patient, transport
B) Access the patient, clear the bystanders, allow the fire department to secure the wires,
extricate the patient, transport
C) Clear the bystanders, access the patient, extricate the patient, transport, allow the fire
department to secure the wires
D) Access the patient, extricate the patient, transport, clear the bystanders, allow the fire
department to secure the wires
Correct Answer: A
Rationale: Downed power lines present an electrocution hazard. The scene must be secured
by the fire department before patient access. Bystanders must be moved to a safe distance first
.
9. Once a scene is free of safety hazards, the EMT must recognize and focus on the needs of
the:
A) Rescuers
B) Bystanders
C) Patient
D) Family members
Correct Answer: C
Rationale: After scene safety is ensured, the EMT’s focus shifts entirely to the patient .
10. You have been asked to sit on your service’s quality improvement (QI) committee. As a
knowledgeable EMT, you recognize that in this role you will be involved in projects that are
primarily designed to:
A) Communicate with insurance companies for increased reimbursement
B) Recruit and educate EMTs about the emergency medical services profession
Care 12th Edition | All Chapters 1-44
1. What is the primary purpose of the modern-day EMS system?
A) Provide a means of transport to and from the hospital
B) Ensure that all members of society have equal access to hospitals
C) Decrease the incidence of death and disability related to injury and illness
D) Provide emergency health care services to medically underserved areas
Correct Answer: C
Rationale: The fundamental purpose of the modern EMS system is to reduce death and
disability from injury and illness through rapid emergency care and transport. While transport
and access are components, they are means to this primary end goal .
2. Most authorities agree that the modern-day EMS system evolved after the release of which
document?
A) The Emergency Medical Services Act of 1973
B) The white paper “Accidental Death and Disability: The Neglected Disease of Modern
Society” in 1966
C) The American Heart Association’s Guidelines for Cardiac Resuscitation
D) Emergency Medical Services: Agenda for the Future, in 1996
Correct Answer: B
Rationale: The 1966 white paper published by the National Academy of Sciences/National
Research Council is widely recognized as the catalyst for the development of organized EMS
systems in the United States .
3. An Emergency Medical Responder states they would like to work for your emergency
ambulance service full-time. Knowing the National EMS Scope of Practice Model, what
element do you inform them they need to attain?
,A) They can only care for patients with non-life-threatening complaints
B) They need approval from your service’s medical director
C) They can work only with an Advanced EMT or paramedic
D) They must first become an Emergency Medical Technician
Correct Answer: D
Rationale: Under the National EMS Scope of Practice Model, the four levels are EMR, EMT,
AEMT, and Paramedic. An EMR must achieve EMT certification to work on an ambulance
providing emergency care .
4. As defined by the National EMS Scope of Practice Model, the four levels of EMS
practitioners include:
A) Ambulance drivers
B) EMS medical director
C) Paramedics
D) Emergency medical dispatchers
Correct Answer: C
Rationale: The four recognized levels are Emergency Medical Responder (EMR), Emergency
Medical Technician (EMT), Advanced EMT (AEMT), and Paramedic .
5. You are dispatched for a 61-year-old female in cardiac arrest. EMRs are on scene. Based on
the National EMS Scope of Practice Model, what care do you expect the EMRs to be
providing?
A) Emergency medication administration
B) Automated external defibrillation
C) Intravenous therapy
D) Reading an electrocardiogram
Correct Answer: B
, Rationale: EMRs are trained in basic life support skills including CPR and AED application.
Medication administration, IV therapy, and ECG interpretation are beyond their scope .
6. Which statement shows that the EMT has a good understanding of her role and
responsibilities related to being an EMT?
A) “The patient’s needs come before anyone else’s needs.”
B) “At the scene of an emergency, my responsibility is to get to the patient no matter what.”
C) “My safety comes first, and then the patient’s safety.”
D) “As an EMT, I recognize that the public’s safety comes before the safety of me or my partner.”
Correct Answer: C
Rationale: Scene safety is the first priority. An injured EMT cannot help anyone. The EMT
must ensure personal safety before patient care .
7. An ambulance with two EMTs arrives in front of a house for an unknown medical
emergency. On scene, bystanders report that a female patient was beaten by her husband in
the driveway and then dragged back into the house. They state that the patient appeared
unconscious and was bleeding from the head. What should the EMTs do?
A) Do not enter the scene until it has been controlled by law enforcement
B) Quietly enter the home and quickly move the patient to the ambulance
C) Remove the husband from the house, then provide emergency care to the wife
D) Enter the home to protect the patient while waiting for the police to arrive
Correct Answer: A
Rationale: This is a violent crime scene. The EMTs must stage away from the scene until law
enforcement secures it. Entering an unsecured violent scene places providers at risk .
8. You have arrived on the scene of a motor vehicle collision. A car has gone off the road and
into a utility pole. The pole is broken and wires are hanging just above the car. You do not see
any sparking or arcing of the wires. The driver of the car is slumped over the steering wheel
, and not moving. Several bystanders around the car are yelling for you to help. What should
you do?
A) Clear the bystanders, allow the fire department to secure the wires, access the patient,
extricate the patient, transport
B) Access the patient, clear the bystanders, allow the fire department to secure the wires,
extricate the patient, transport
C) Clear the bystanders, access the patient, extricate the patient, transport, allow the fire
department to secure the wires
D) Access the patient, extricate the patient, transport, clear the bystanders, allow the fire
department to secure the wires
Correct Answer: A
Rationale: Downed power lines present an electrocution hazard. The scene must be secured
by the fire department before patient access. Bystanders must be moved to a safe distance first
.
9. Once a scene is free of safety hazards, the EMT must recognize and focus on the needs of
the:
A) Rescuers
B) Bystanders
C) Patient
D) Family members
Correct Answer: C
Rationale: After scene safety is ensured, the EMT’s focus shifts entirely to the patient .
10. You have been asked to sit on your service’s quality improvement (QI) committee. As a
knowledgeable EMT, you recognize that in this role you will be involved in projects that are
primarily designed to:
A) Communicate with insurance companies for increased reimbursement
B) Recruit and educate EMTs about the emergency medical services profession
