FISDAP-EMT Operations Exam |Questions with
100% Correct Answers
You are called to transport a patient with terminal lung cancer from a skilled nursing facility to
the emergency department for evaluation of
possible pneumonia. As you are reviewing the transfer paperwork, you see that the patient has
a valid do not attempt resuscitation order.
During transport, you should:
A) perform CPR for only 2 minutes if the patient develops cardiac arrest.
B) disregard the DNAR order because it is only valid in the hospital setting.
C) provide supportive care, such as oxygen, and keep the patient comfortable.
D) monitor the patient because a DNAR order prohibits you from providing care. - ✔️✔️C)
provide supportive care, such as oxygen, and keep the patient comfortable.
A valid do not attempt resuscitation (DNAR) order gives you the legal authority not to initiate
resuscitative efforts if the patient develops cardiac arrest.
Because laws vary from state to state, you must be familiar with the DNAR laws in the state in
which you work as an EMT. Many states have adopted out-of hospital DNAR orders; these are
legal documents and should be adhered to if they are valid. Generally speaking, a valid DNAR
order must clearly state the
patient's medical problem(s), be signed by the patient or legal guardian, and be signed by one
or more physicians. In some states, DNAR orders have an
expiration date, while in others, no expiration date is included. Contact medical control for
guidance if the validity of a DNAR order is questionable. Even in
the presence of a valid DNAR order, you are still obligated to provide supportive measures, such
as oxygen, pain relief, and comfort. DNAR does NOT mean do not treat.
When driving in emergency mode on a multilane highway, the emergency vehicle operator
should keep to the:
A) right shoulder so that traffic flow is not disrupted.
B) extreme left lane so motorists can yield to the right.
,C) extreme right lane so motorists can yield to the left.
D) center lane so the traffic can flow around the ambulance. - ✔️✔️B) extreme left lane so
motorists can yield to the right.
When traveling on a highway with more than one lane, the emergency vehicle operator should
remain in the extreme left-hand (fast) lane. This allows other
motorists to yield to the right as they see you approach. A motorist's typical initial reaction
upon seeing an approaching ambulance is to slam on the brakes
and then look for the best direction to yield; this may be to the left or right, depending on the
traffic. Do not attempt to pass a motorist until he or she is
clearly aware of your presence and has yielded accordingly. Passing other motorists on the right
is unsafe and should be avoided.
The EMT should avoid focusing all of his or her attention on a single critical patient during the
triage process because:
A) three EMTs are required to effectively manage a critical patient.
B) other patients may die from causes that could have been prevented.
C) all of his or her supplies will likely be depleted on that one patient.
D) the patient will most likely die before he or she can be transported. - ✔️✔️B) other patients
may die from causes that could have been prevented.
Triage is the process of rapidly assessing patients to determine their treatment priority.
Focusing your attention on one patient during the triage process not
only defeats the purpose of triage (to do the greatest good for the greatest number of people),
but also neglects other patients who might die from injuries or
conditions that could have been corrected if detected earlier.
You are caring for a 6-year-old child with a swollen, painful deformity to the left forearm. As
you communicate with the parents of this
child, you should:
,A) ask them repeatedly how the child was injured.
B) use appropriate medical terminology at all times.
C) make sure that they remain aware of what you are doing.
D) tell them that the child will be transported to the hospital. - ✔️✔️C) make sure that they
remain aware of what you are doing.
When caring for any patient, it is important to keep both the patient and the family aware of
what you are doing. You should avoid medical terminology
whenever possible because most laypeople will not understand what you are saying. The plain
English approach is much more effective. When caring for
children specifically, you should inform the parents of the need for ambulance transportation
and why; doing so will provide them with the information
necessary to make an informed decision. Asking the parents repeatedly how the child was
injured may be construed by some as implying that the child was
abused.
You receive a call at 3:00 a.m. for a patient who is slumped over the steering wheel of his car,
which is parked on the shoulder of the road.
Your unit and a police officer arrive at the scene at the same time. You should:
A) stay in your unit until the police officer checks the patient.
B) park the ambulance 25 feet in front of the patient's vehicle.
C) shine a spotlight in the side view mirror of the patient's vehicle.
D) approach the vehicle from the front to ensure maximum visibility. - ✔️✔️A) stay in your unit
until the police officer checks the patient.
Unfortunately, it is not uncommon for people to fake illness or injury with the intent of harming
responding personnel. In this situation, you should utilize
the safety resource at the scene: the police officer. You and your partner should stay in the unit
until the police officer checks the patient to ensure it is safe
for you to approach. Remember, the safety of you and your partner comes first!
, You are called to a residence for a woman in cardiac arrest. Shortly after you start CPR, the
patient's husband presents you with an unsigned
document that states "do not attempt resuscitation." You should:
A) stop all resuscitative efforts in accordance with the document.
B) stop CPR until the document can be validated by a physician.
C) continue CPR until you have contacted medical control for guidance.
D) contact medical control prior to continuing any resuscitative efforts. - ✔️✔️C) continue CPR
until you have contacted medical control for guidance.
Do not attempt resuscitation (DNAR} orders can be challenging for EMS providers. When
presented with documentation, especially if it does not appear to
be valid (in this case, an unsigned document), you should err on the side of patient care and
continue resuscitative efforts until medical control orders you to
stop.
While caring for a trauma patient, blood splashes into an EMT's eyes. This is an example of:
A) exposure.
B) infection.
C) transmission.
D) indirect contact. - ✔️✔️A) exposure.
Exposure occurs when an individual comes in direct contact with blood or other bodily fluids.
Examples of direct exposure include blood splashing into the
eyes or mouth and an accidental stick with a contaminated needle or other sharp object.
Exposure does not always result in disease transmission and
subsequent infection; that depends on whether the patient has an infectious disease. Routine
use of standard precautions will afford the EMT the best
protection from exposure to an infectious disease.
100% Correct Answers
You are called to transport a patient with terminal lung cancer from a skilled nursing facility to
the emergency department for evaluation of
possible pneumonia. As you are reviewing the transfer paperwork, you see that the patient has
a valid do not attempt resuscitation order.
During transport, you should:
A) perform CPR for only 2 minutes if the patient develops cardiac arrest.
B) disregard the DNAR order because it is only valid in the hospital setting.
C) provide supportive care, such as oxygen, and keep the patient comfortable.
D) monitor the patient because a DNAR order prohibits you from providing care. - ✔️✔️C)
provide supportive care, such as oxygen, and keep the patient comfortable.
A valid do not attempt resuscitation (DNAR) order gives you the legal authority not to initiate
resuscitative efforts if the patient develops cardiac arrest.
Because laws vary from state to state, you must be familiar with the DNAR laws in the state in
which you work as an EMT. Many states have adopted out-of hospital DNAR orders; these are
legal documents and should be adhered to if they are valid. Generally speaking, a valid DNAR
order must clearly state the
patient's medical problem(s), be signed by the patient or legal guardian, and be signed by one
or more physicians. In some states, DNAR orders have an
expiration date, while in others, no expiration date is included. Contact medical control for
guidance if the validity of a DNAR order is questionable. Even in
the presence of a valid DNAR order, you are still obligated to provide supportive measures, such
as oxygen, pain relief, and comfort. DNAR does NOT mean do not treat.
When driving in emergency mode on a multilane highway, the emergency vehicle operator
should keep to the:
A) right shoulder so that traffic flow is not disrupted.
B) extreme left lane so motorists can yield to the right.
,C) extreme right lane so motorists can yield to the left.
D) center lane so the traffic can flow around the ambulance. - ✔️✔️B) extreme left lane so
motorists can yield to the right.
When traveling on a highway with more than one lane, the emergency vehicle operator should
remain in the extreme left-hand (fast) lane. This allows other
motorists to yield to the right as they see you approach. A motorist's typical initial reaction
upon seeing an approaching ambulance is to slam on the brakes
and then look for the best direction to yield; this may be to the left or right, depending on the
traffic. Do not attempt to pass a motorist until he or she is
clearly aware of your presence and has yielded accordingly. Passing other motorists on the right
is unsafe and should be avoided.
The EMT should avoid focusing all of his or her attention on a single critical patient during the
triage process because:
A) three EMTs are required to effectively manage a critical patient.
B) other patients may die from causes that could have been prevented.
C) all of his or her supplies will likely be depleted on that one patient.
D) the patient will most likely die before he or she can be transported. - ✔️✔️B) other patients
may die from causes that could have been prevented.
Triage is the process of rapidly assessing patients to determine their treatment priority.
Focusing your attention on one patient during the triage process not
only defeats the purpose of triage (to do the greatest good for the greatest number of people),
but also neglects other patients who might die from injuries or
conditions that could have been corrected if detected earlier.
You are caring for a 6-year-old child with a swollen, painful deformity to the left forearm. As
you communicate with the parents of this
child, you should:
,A) ask them repeatedly how the child was injured.
B) use appropriate medical terminology at all times.
C) make sure that they remain aware of what you are doing.
D) tell them that the child will be transported to the hospital. - ✔️✔️C) make sure that they
remain aware of what you are doing.
When caring for any patient, it is important to keep both the patient and the family aware of
what you are doing. You should avoid medical terminology
whenever possible because most laypeople will not understand what you are saying. The plain
English approach is much more effective. When caring for
children specifically, you should inform the parents of the need for ambulance transportation
and why; doing so will provide them with the information
necessary to make an informed decision. Asking the parents repeatedly how the child was
injured may be construed by some as implying that the child was
abused.
You receive a call at 3:00 a.m. for a patient who is slumped over the steering wheel of his car,
which is parked on the shoulder of the road.
Your unit and a police officer arrive at the scene at the same time. You should:
A) stay in your unit until the police officer checks the patient.
B) park the ambulance 25 feet in front of the patient's vehicle.
C) shine a spotlight in the side view mirror of the patient's vehicle.
D) approach the vehicle from the front to ensure maximum visibility. - ✔️✔️A) stay in your unit
until the police officer checks the patient.
Unfortunately, it is not uncommon for people to fake illness or injury with the intent of harming
responding personnel. In this situation, you should utilize
the safety resource at the scene: the police officer. You and your partner should stay in the unit
until the police officer checks the patient to ensure it is safe
for you to approach. Remember, the safety of you and your partner comes first!
, You are called to a residence for a woman in cardiac arrest. Shortly after you start CPR, the
patient's husband presents you with an unsigned
document that states "do not attempt resuscitation." You should:
A) stop all resuscitative efforts in accordance with the document.
B) stop CPR until the document can be validated by a physician.
C) continue CPR until you have contacted medical control for guidance.
D) contact medical control prior to continuing any resuscitative efforts. - ✔️✔️C) continue CPR
until you have contacted medical control for guidance.
Do not attempt resuscitation (DNAR} orders can be challenging for EMS providers. When
presented with documentation, especially if it does not appear to
be valid (in this case, an unsigned document), you should err on the side of patient care and
continue resuscitative efforts until medical control orders you to
stop.
While caring for a trauma patient, blood splashes into an EMT's eyes. This is an example of:
A) exposure.
B) infection.
C) transmission.
D) indirect contact. - ✔️✔️A) exposure.
Exposure occurs when an individual comes in direct contact with blood or other bodily fluids.
Examples of direct exposure include blood splashing into the
eyes or mouth and an accidental stick with a contaminated needle or other sharp object.
Exposure does not always result in disease transmission and
subsequent infection; that depends on whether the patient has an infectious disease. Routine
use of standard precautions will afford the EMT the best
protection from exposure to an infectious disease.
