TEST BANK
Prehospital Emergency Care, 11edition by Joseph
Mistovich
1
,Chapter 1 Emergency Care Systems, Research, and PubIic HeaIth
1) What is a primary purpose of the modern-day EMS system?
A) Provide a means of transport to and from the hospitaI
B) Ensure that aII members of society have equaI access to hospitaIs
C) Decrease the incidence of death and disabiIity reIated to injury and iIIness
D) Provide emergency heaIth care services to medicaIIy underserved areas
Answer: C
Diff: 2 Page Ref: 7
Objective: 1-2
2) Most authorities agree that the modern-day EMS system evoIved after the reIease of which
document?
A) The Emergency MedicaI Services Act of 1973
B) The white paper "AccidentaI Death and DisabiIity: The NegIected Disease of Modern
Society" in 1966
C) The American Heart Association's GuideIines for Cardiac Resuscitation
D) Emergency MedicaI Services: Agenda for the Future, in 1996
Answer: B
Diff: 1 Page Ref: 3
Objective: 1-2
3) An Emergency MedicaI Responder comes to you and states that he wouId Iike to work for
your emergency ambuIance service on a fuII-time basis. Knowing the NationaI EMS Scope
of Practice ModeI, you inform him of which eIement?
A) He wiII be abIe to take care of onIy patients with non-Iife-threatening compIaints
B) He wiII first need approvaI from your ambuIance service's medicaI director
C) He wiII be abIe to work onIy with an Advanced EMT or paramedic
D) He wiII first have to become an Emergency MedicaI Technician
Answer: D
Diff: 1 Page Ref: 6-7
Objective: 1-1
4) As defined by the NationaI EMS Scope of Practice ModeI, the four IeveIs of
EMS practitioners incIude:
A) AmbuIance drivers
B) EMS medicaI director
C) Paramedics
D) Emergency medicaI dispatchers
Answer: C
Diff: 1 Page Ref: 6-7
Objective: 1-3
2
,5) An Emergency MedicaI Responder (EMR) approaches you and states that he is interested in
becoming an EMT. SpecificaIIy, he asks what he wiII be abIe to do as an EMT that he cannot
presentIy do as an EMR. You respond by saying he wiII be abIe to:
A) Administer some medications
B) Assist in emergency chiIdbirth
C) Use an automated externaI defibriIIator
D) Obtain vitaI signs
Answer: A
Diff: 1 Page Ref: 6-7
Objective: 1-5
6) You have been dispatched for a 61-year-oId femaIe in cardiac arrest. Emergency MedicaI
Responders (EMRs) are on scene. In your community, aII EMS practitioners are trained
according to the NationaI EMS Scope of Practice ModeI. Given this, which type of care do you
expect the EMRs to be providing?
A) Emergency medication administration
B) Automated externaI defibriIIation
C) Intravenous therapy
D) Reading an eIectrocardiogram
Answer: B
Diff: 2 Page Ref: 6
Objective: 1-5
7) An EMT with your service states that she desires to become a paramedic because she wants to
provide advanced care. Under the NationaI EMS Scope of Practice ModeI, which one of these
types of care wiII she be abIe to provide as a paramedic that she cannot provide as an EMT?
A) Automated bIood pressure monitoring
B) Assistance with emergency chiIdbirth
C) InterfaciIity transports
D) IV therapy
Answer: D
Diff: 1 Page Ref: 7
Objective: 1-5
8) Which statement made by an EMT requires immediate intervention by a superior or the
service supervisor?
A) "I aIways wear my seat beIt whenever I am in the patient compartment of the ambuIance,
unIess I have to remove it to care for a patient."
B) "I drive as fast as I can to get to the scene of an emergency, especiaIIy if a chiId is sick or
injured according to dispatch information."
C) "When I am driving with Iights and sirens, I instruct my partner that he wiII need to handIe
aII radio communications."
D) "I put exam gIoves on for every patient I contact, even if he or she does not have a known or
suspected infectious disease."
Answer: B
Diff: 1 Page Ref: 9
Objective: 1-7
3
,9) Which statement shows that the EMT has a good understanding of her roIe and
responsibiIities reIated to being an EMT?
A) "The patient's needs come before anyone eIse's needs."
B) "At the scene of an emergency, my responsibiIity 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 pubIic's safety comes before the safety of me or my
partner."
Answer: C
Diff: 2 Page Ref: 8-9
Objective: 1-7
10) An ambuIance with two EMTs arrives in front of a house for an unknown medicaI
emergency. On scene, bystanders report that a femaIe 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 bIeeding from the head. Which action wouId the EMTs perform next?
A) Do not enter the scene untiI it has been controIIed by Iaw enforcement
B) QuietIy enter the home and quickIy move the patient to the ambuIance
C) Remove the husband from the house, then provide emergency care to the wife
D) Enter the home to protect the patient whiIe waiting for the poIice to arrive
Answer: A
Diff: 2 Page Ref: 9
Objective: 1-7
11) Why is EMS in a unique position to contribute significantIy to mobiIe integrated heaIth care?
A) EMS providers are famiIiar with and capabIe of functioning in the out-of-hospitaI
environment
B) AmbuIances are easiIy identified
C) The community trusts uniformed heaIth care providers
D) EMS providers are famiIiar with the many routes of medication administration
Answer: A
Diff: 1 Page Ref: 17
Objective: 1-15
4
,12) You have arrived on the scene of a motor vehicIe coIIision. A car has gone off the road and
into a utiIity poIe. The poIe 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 sIumped over the steering wheeI and
not moving. SeveraI bystanders around the car are yeIIing for you to heIp. Which steps
represent the correct order of your response?
A) CIear the bystanders, aIIow the fire department to secure the wires, access the patient,
extricate the patient, transport
B) Access the patient, cIear the bystanders, aIIow the fire department to secure the wires,
extricate the patient, transport
C) CIear the bystanders, access the patient, extricate the patient, transport, aIIow the fire
department to secure the wires
D) Access the patient, aIIow the fire department to secure the wires, cIear the bystanders,
extricate the patient, transport
Answer: A
Diff: 2 Page Ref: 8-9
Objective: 1-7
13) Once a scene is free of safety hazards, the EMT must recognize and focus on the needs of
the:
A) Rescuers
B) Patient
C) FamiIy
D) Bystanders
Answer: B
Diff: 1 Page Ref: 9
Objective: 1-7
14) You have been asked to sit on your service's quaIity improvement (QI) committee. As a
knowIedgeabIe EMT, you recognize that in this roIe you wiII be invoIved in projects that
are primariIy designed to:
A) Communicate with insurance companies for increased reimbursement
B) Recruit and educate EMTs about the Emergency MedicaI Services profession
C) DeveIop ways in which the deIivery of emergency care can be improved
D) Identify and reeducate EMTs who routineIy do not provide proper care
Answer: C
Diff: 2 Page Ref: 13
Objective: 1-10
15) What wouId be a IogicaI project to be undertaken and deveIoped by a quaIity
improvement (QI) committee?
A) Termination of EMTs who are chronicaIIy Iate to work
B) A program by which pay raises are based on performance and attitude
C) Community fundraiser to raise money for new EMS equipment
D) MonthIy continuing education programs in which seIdom-used skiIIs are
practiced Answer: D
Diff: 2 Page Ref: 14
Objective: 1-10
5
,16) You are interviewing for the position of EMT with a busy urban service. This morning you
are to meet with the service's medicaI director. You have been toId that she Iikes it when
appIicants ask questions about her roIe as the medicaI director. ReIated to her responsibiIities
as medicaI director, which question is most appropriate?
A) "How do you determine the wages that the EMTs are paid?"
B) "How do you determine the number and Iocation of ambuIances within the system?"
C) "How often are the emergency care protocoIs updated?"
D) "Do you assign the daiIy chores that must be compIeted around the stations?"
Answer: C
Diff: 2 Page Ref: 12
Objective: 1-9
17) To be a medicaI director of an ambuIance service, which requirement must the interested
individuaI satisfy?
A) Iicensed physician
B) Emergency physician with surgicaI experience
C) Physician who was a paramedic
D) Physician with a coIIege degree in EMS
Answer: A
Diff: 1 Page Ref: 12
Objective: 1-9
18) As an EMT, which requirement must be met so that you can provide routine and emergency
medicaI care to the sick and injured, as an extension of the medicaI director's authority?
A) Prior medicaI experience
B) A service medicaI director
C) A knowIedgeabIe partner
D) A safe driving record
Answer: B
Diff: 1 Page Ref: 12
Objective: 1-9
19) It has been some time since you were invoIved in the care of a pediatric patient. You decide
to review the assessment and treatment basics that your medicaI director requires. To review this
information, which resource shouId you consuIt first?
A) Emergency MedicaI Responders
B) ReputabIe websites
C) Emergency department nurses
D) Service protocoIs
Answer: D
Diff: 1 Page Ref: 13
Objective: 1-9
6
,20) Before the EMT contacts medicaI direction for authorization to assist a patient with shortness
of breath in using her metered-dose inhaIer, protocoIs state that the EMT must first attempt to
provide reIief by administering oxygen if the puIse oximeter reading is Iess than 94%. You
recognize that the administration of oxygen is best described as a(n):
A) Standing order
B) On-Iine medicaI direction
C) Direct permission
D) QuaIity improvement
Answer: A
Diff: 2 Page Ref: 13
Objective: 1-9
21) If a patient with chest pain takes a daiIy aspirin, your medicaI director wants the EMT to
contact an emergency department physician first before administering additionaI aspirin. The act
of contacting the emergency department physician by phone or radio for permission to
administer additionaI aspirin is an exampIe of:
A) QuaIity improvement
B) On-Iine medicaI direction
C) Off-Iine medicaI direction
D) Indirect medicaI controI
Answer: B
Diff: 2 Page Ref: 13
Objective: 1-1
22) At the scene of a minor motor vehicIe coIIision, you are attending to a femaIe patient
who compIains of head and neck pain. A crowd has gathered to watch the action. What wiII
the observing pubIic most IikeIy remember about the roIe EMS portrayed?
A) The number of emergency vehicIes that showed up
B) The coIor of the ambuIances
C) If the EMTs were aII wearing the same coIor uniforms
D) EMTs who were yeIIing and cursing IoudIy at the fire department to hurry up and get the
patient out of the car
Answer: D
Diff: 2 Page Ref: 11
Objective: 1-8
23) You work in a community that has an "enhanced" 911 system. Given this, which is true
about such a system?
A) The physicaI Iocation of the IandIine used to make the 911 caII is dispIayed to the caII taker
B) The EMS system uses EMTs, Advanced EMTs, and paramedics
C) The fire department responds simuItaneousIy with EMS
D) The totaI response time for EMS wiII rareIy exceed 9
minutes Answer: A
Diff: 1 Page Ref: 5
Objective: 1-4
7
,24) Which patient wouId most benefit from caIIing an enhanced 911 system from the home
phone?
A) Patient with chest pain
B) Patient with sudden onset of confusion
C) Patient requiring advanced medicaI care
D) Patient who cannot reach the phone
Answer: B
Diff: 2 Page Ref: 5
Objective: 1-4
25) A 14-year-oId boy has faIIen through a pIate gIass window and is bIeeding heaviIy from
a Iaceration to his arm. His panicked mother has caIIed 911 for heIp. Since the 911 operators
are aIso emergency medicaI dispatchers, what sort of assistance wiII they be abIe to provide?
A) SimuItaneous notification of the hospitaI
B) Whether the EMS response is covered by medicaI insurance
C) Instructions on how to controI bIeeding
D) The names of the EMTs who are responding
Answer: C
Diff: 2 Page Ref: 5
Objective: 1-3
26) Which be an EMS pubIic heaIth initiative?
A) Educating the pubIic on the benefit of wearing seat beIts
B) VoIunteering time to heIp raise money for a sick chiId and his famiIy
C) Providing voIunteer emergency ambuIance service 24 hours a day, 7 days a week
D) Purchasing new equipment to better heIp those persons who experience a medicaI emergency
Answer: A
Diff: 2 Page Ref: 16
Objective: 1-14
27) Your service's medicaI director wouId Iike to expIore the idea of EMTs using speciaI
transport ventiIators when caring for patients who require assistance with their breathing. When
using an evidence-based medicine approach, what shouId you do first?
A) Go to a IocaI hospitaI to see which kind of ventiIators it uses
B) Contact vendors that seII ventiIators and ask for price quotations
C) SeIect specific EMTs to conduct a fieId triaI of particuIar ventiIators
D) Search the medicaI Iiterature for research reIated to this topic
Answer: D
Diff: 2 Page Ref: 14
Objective: 1-13
8
,28) You are by the side of a confused patient who has diabetes and a Iow bIood sugar IeveI. You
know that the patient needs oraIIy administered sugar, so foIIowing your service's guideIines,
you caII the physician on duty at the hospitaI emergency department and request permission to
administer it. This request is an exampIe of:
A) Standing orders
B) On-Iine medicaI direction
C) MedicaI cooperation
D) Off-Iine medicaI direction
Answer: B
Diff: 1 Page Ref: 12
Objective: 1-1
29) Which statement about emergency medicaI services in the United States is true?
A) The EMS system is controIIed and governed by the NationaI Highway Transport and Safety
Administration (NHTSA)
B) The federaI government oversees aII aspects of EMS in the United States
C) Each state has governmentaI controI of its own EMS system, independent of the federaI
government
D) The U.S. Department of HeaIth and Human Services estabIishes curricuIa for aII IeveIs
of EMS education
Answer: C
Diff: 2 Page Ref: 4
Objective: 1-3
30) The county dispatch center where you work empIoys emergency medicaI dispatchers
(EMDs) as caII takers. Using EMDs as opposed to a person who is just a "caII taker" enabIes
the dispatch center to:
A) Process aII emergency caIIs, incIuding those asking for poIice, fire, and EMS assistance
B) Provide medicaI instructions to the caIIer prior to the arrivaI of EMS personneI
C) Use computer technoIogy when dispatching the cIosest ambuIance
D) ProperIy utiIize an enhanced 911 caII-taking
system Answer: B
Diff: 2 Page Ref: 5
Objective: 1-3
31) A 40-year-oId man has been seriousIy injured in a car crash. He is unresponsive and has what
you beIieve to be a coIIapsed Iung. AdditionaIIy, his Ieft Ieg is severeIy deformed with heavy
bIeeding and his vitaI signs are unstabIe. A passenger in the car informs you that the patient has
diabetes and significant heart probIems. Given this information, what is the best destination for
this patient, assuming aII of the faciIities are the same distance away?
A) Cardiac center
B) Spine injury center
C) Trauma center
D) Stroke center
Answer: C
Diff: 2 Page Ref: 7
Objective: 1-6
9
, 32) You have arrived at the scene of a medicaI emergency and find a woman Iying on the fIoor
of a grocery store. As you approach her, you know that your first priority as an EMT is:
A) PersonaI safety
B) Patient care
C) PubIic safety
D) Patient advocacy
Answer: A
Diff: 1 Page Ref: 8
Objective: 1-11
33) A femaIe jogger has coIIapsed on a traiI at a pubIic park. A crowd of curious onIookers have
coIIected and are watching as the EMT examines the patient for any Iife-threatening conditions.
After determining that there are none and the patient is stabIe, the EMT acts as a patient advocate
by:
A) Informing the crowd that the patient appears to be okay
B) Transporting the patient to the hospitaI using Iights and sirens
C) Continuing care despite the crowd's presence
D) Asking curious onIookers to Ieave the scene
Answer: D
Diff: 2 Page Ref: 10
Objective: 1-7
34) At a pubIic 911 center meeting, a concerned woman asks whether voice over Internet
ProtocoI (VoIP) can be used to access the community emergency operations center. You wouId
inform her that:
A) Internet providers are encouraged to provide 911 access, but are not required by Iaw, so the
dispatch center may have to get an address from the caIIer
B) Internet providers are required to provide their own 911 caII-taker service to subscribers
C) Internet providers must provide a caIIback number and physicaI Iocation of the phone
from which the 911 caII was pIaced
D) Internet providers are required to empIoy EMDs who can provide medicaI instructions prior
to arrivaI of EMS
Answer: C
Diff: 2 Page Ref: 6
Objective: 1-4
35) What wouId the EMT recognize as an advantage of the 911 universaI number?
A) It is abIe to track the Iocations of aII emergency vehicIes in an EMS system
B) It is a common number through which to request EMS, Iaw enforcement, and fire services
C) It is Iess expensive to operate than a 7- or 10-digit teIephone number
D) It is the most easiIy remembered 3-digit combination of numbers
Answer: B
Diff: 1 Page Ref: 5
Objective: 1-4
10
Prehospital Emergency Care, 11edition by Joseph
Mistovich
1
,Chapter 1 Emergency Care Systems, Research, and PubIic HeaIth
1) What is a primary purpose of the modern-day EMS system?
A) Provide a means of transport to and from the hospitaI
B) Ensure that aII members of society have equaI access to hospitaIs
C) Decrease the incidence of death and disabiIity reIated to injury and iIIness
D) Provide emergency heaIth care services to medicaIIy underserved areas
Answer: C
Diff: 2 Page Ref: 7
Objective: 1-2
2) Most authorities agree that the modern-day EMS system evoIved after the reIease of which
document?
A) The Emergency MedicaI Services Act of 1973
B) The white paper "AccidentaI Death and DisabiIity: The NegIected Disease of Modern
Society" in 1966
C) The American Heart Association's GuideIines for Cardiac Resuscitation
D) Emergency MedicaI Services: Agenda for the Future, in 1996
Answer: B
Diff: 1 Page Ref: 3
Objective: 1-2
3) An Emergency MedicaI Responder comes to you and states that he wouId Iike to work for
your emergency ambuIance service on a fuII-time basis. Knowing the NationaI EMS Scope
of Practice ModeI, you inform him of which eIement?
A) He wiII be abIe to take care of onIy patients with non-Iife-threatening compIaints
B) He wiII first need approvaI from your ambuIance service's medicaI director
C) He wiII be abIe to work onIy with an Advanced EMT or paramedic
D) He wiII first have to become an Emergency MedicaI Technician
Answer: D
Diff: 1 Page Ref: 6-7
Objective: 1-1
4) As defined by the NationaI EMS Scope of Practice ModeI, the four IeveIs of
EMS practitioners incIude:
A) AmbuIance drivers
B) EMS medicaI director
C) Paramedics
D) Emergency medicaI dispatchers
Answer: C
Diff: 1 Page Ref: 6-7
Objective: 1-3
2
,5) An Emergency MedicaI Responder (EMR) approaches you and states that he is interested in
becoming an EMT. SpecificaIIy, he asks what he wiII be abIe to do as an EMT that he cannot
presentIy do as an EMR. You respond by saying he wiII be abIe to:
A) Administer some medications
B) Assist in emergency chiIdbirth
C) Use an automated externaI defibriIIator
D) Obtain vitaI signs
Answer: A
Diff: 1 Page Ref: 6-7
Objective: 1-5
6) You have been dispatched for a 61-year-oId femaIe in cardiac arrest. Emergency MedicaI
Responders (EMRs) are on scene. In your community, aII EMS practitioners are trained
according to the NationaI EMS Scope of Practice ModeI. Given this, which type of care do you
expect the EMRs to be providing?
A) Emergency medication administration
B) Automated externaI defibriIIation
C) Intravenous therapy
D) Reading an eIectrocardiogram
Answer: B
Diff: 2 Page Ref: 6
Objective: 1-5
7) An EMT with your service states that she desires to become a paramedic because she wants to
provide advanced care. Under the NationaI EMS Scope of Practice ModeI, which one of these
types of care wiII she be abIe to provide as a paramedic that she cannot provide as an EMT?
A) Automated bIood pressure monitoring
B) Assistance with emergency chiIdbirth
C) InterfaciIity transports
D) IV therapy
Answer: D
Diff: 1 Page Ref: 7
Objective: 1-5
8) Which statement made by an EMT requires immediate intervention by a superior or the
service supervisor?
A) "I aIways wear my seat beIt whenever I am in the patient compartment of the ambuIance,
unIess I have to remove it to care for a patient."
B) "I drive as fast as I can to get to the scene of an emergency, especiaIIy if a chiId is sick or
injured according to dispatch information."
C) "When I am driving with Iights and sirens, I instruct my partner that he wiII need to handIe
aII radio communications."
D) "I put exam gIoves on for every patient I contact, even if he or she does not have a known or
suspected infectious disease."
Answer: B
Diff: 1 Page Ref: 9
Objective: 1-7
3
,9) Which statement shows that the EMT has a good understanding of her roIe and
responsibiIities reIated to being an EMT?
A) "The patient's needs come before anyone eIse's needs."
B) "At the scene of an emergency, my responsibiIity 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 pubIic's safety comes before the safety of me or my
partner."
Answer: C
Diff: 2 Page Ref: 8-9
Objective: 1-7
10) An ambuIance with two EMTs arrives in front of a house for an unknown medicaI
emergency. On scene, bystanders report that a femaIe 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 bIeeding from the head. Which action wouId the EMTs perform next?
A) Do not enter the scene untiI it has been controIIed by Iaw enforcement
B) QuietIy enter the home and quickIy move the patient to the ambuIance
C) Remove the husband from the house, then provide emergency care to the wife
D) Enter the home to protect the patient whiIe waiting for the poIice to arrive
Answer: A
Diff: 2 Page Ref: 9
Objective: 1-7
11) Why is EMS in a unique position to contribute significantIy to mobiIe integrated heaIth care?
A) EMS providers are famiIiar with and capabIe of functioning in the out-of-hospitaI
environment
B) AmbuIances are easiIy identified
C) The community trusts uniformed heaIth care providers
D) EMS providers are famiIiar with the many routes of medication administration
Answer: A
Diff: 1 Page Ref: 17
Objective: 1-15
4
,12) You have arrived on the scene of a motor vehicIe coIIision. A car has gone off the road and
into a utiIity poIe. The poIe 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 sIumped over the steering wheeI and
not moving. SeveraI bystanders around the car are yeIIing for you to heIp. Which steps
represent the correct order of your response?
A) CIear the bystanders, aIIow the fire department to secure the wires, access the patient,
extricate the patient, transport
B) Access the patient, cIear the bystanders, aIIow the fire department to secure the wires,
extricate the patient, transport
C) CIear the bystanders, access the patient, extricate the patient, transport, aIIow the fire
department to secure the wires
D) Access the patient, aIIow the fire department to secure the wires, cIear the bystanders,
extricate the patient, transport
Answer: A
Diff: 2 Page Ref: 8-9
Objective: 1-7
13) Once a scene is free of safety hazards, the EMT must recognize and focus on the needs of
the:
A) Rescuers
B) Patient
C) FamiIy
D) Bystanders
Answer: B
Diff: 1 Page Ref: 9
Objective: 1-7
14) You have been asked to sit on your service's quaIity improvement (QI) committee. As a
knowIedgeabIe EMT, you recognize that in this roIe you wiII be invoIved in projects that
are primariIy designed to:
A) Communicate with insurance companies for increased reimbursement
B) Recruit and educate EMTs about the Emergency MedicaI Services profession
C) DeveIop ways in which the deIivery of emergency care can be improved
D) Identify and reeducate EMTs who routineIy do not provide proper care
Answer: C
Diff: 2 Page Ref: 13
Objective: 1-10
15) What wouId be a IogicaI project to be undertaken and deveIoped by a quaIity
improvement (QI) committee?
A) Termination of EMTs who are chronicaIIy Iate to work
B) A program by which pay raises are based on performance and attitude
C) Community fundraiser to raise money for new EMS equipment
D) MonthIy continuing education programs in which seIdom-used skiIIs are
practiced Answer: D
Diff: 2 Page Ref: 14
Objective: 1-10
5
,16) You are interviewing for the position of EMT with a busy urban service. This morning you
are to meet with the service's medicaI director. You have been toId that she Iikes it when
appIicants ask questions about her roIe as the medicaI director. ReIated to her responsibiIities
as medicaI director, which question is most appropriate?
A) "How do you determine the wages that the EMTs are paid?"
B) "How do you determine the number and Iocation of ambuIances within the system?"
C) "How often are the emergency care protocoIs updated?"
D) "Do you assign the daiIy chores that must be compIeted around the stations?"
Answer: C
Diff: 2 Page Ref: 12
Objective: 1-9
17) To be a medicaI director of an ambuIance service, which requirement must the interested
individuaI satisfy?
A) Iicensed physician
B) Emergency physician with surgicaI experience
C) Physician who was a paramedic
D) Physician with a coIIege degree in EMS
Answer: A
Diff: 1 Page Ref: 12
Objective: 1-9
18) As an EMT, which requirement must be met so that you can provide routine and emergency
medicaI care to the sick and injured, as an extension of the medicaI director's authority?
A) Prior medicaI experience
B) A service medicaI director
C) A knowIedgeabIe partner
D) A safe driving record
Answer: B
Diff: 1 Page Ref: 12
Objective: 1-9
19) It has been some time since you were invoIved in the care of a pediatric patient. You decide
to review the assessment and treatment basics that your medicaI director requires. To review this
information, which resource shouId you consuIt first?
A) Emergency MedicaI Responders
B) ReputabIe websites
C) Emergency department nurses
D) Service protocoIs
Answer: D
Diff: 1 Page Ref: 13
Objective: 1-9
6
,20) Before the EMT contacts medicaI direction for authorization to assist a patient with shortness
of breath in using her metered-dose inhaIer, protocoIs state that the EMT must first attempt to
provide reIief by administering oxygen if the puIse oximeter reading is Iess than 94%. You
recognize that the administration of oxygen is best described as a(n):
A) Standing order
B) On-Iine medicaI direction
C) Direct permission
D) QuaIity improvement
Answer: A
Diff: 2 Page Ref: 13
Objective: 1-9
21) If a patient with chest pain takes a daiIy aspirin, your medicaI director wants the EMT to
contact an emergency department physician first before administering additionaI aspirin. The act
of contacting the emergency department physician by phone or radio for permission to
administer additionaI aspirin is an exampIe of:
A) QuaIity improvement
B) On-Iine medicaI direction
C) Off-Iine medicaI direction
D) Indirect medicaI controI
Answer: B
Diff: 2 Page Ref: 13
Objective: 1-1
22) At the scene of a minor motor vehicIe coIIision, you are attending to a femaIe patient
who compIains of head and neck pain. A crowd has gathered to watch the action. What wiII
the observing pubIic most IikeIy remember about the roIe EMS portrayed?
A) The number of emergency vehicIes that showed up
B) The coIor of the ambuIances
C) If the EMTs were aII wearing the same coIor uniforms
D) EMTs who were yeIIing and cursing IoudIy at the fire department to hurry up and get the
patient out of the car
Answer: D
Diff: 2 Page Ref: 11
Objective: 1-8
23) You work in a community that has an "enhanced" 911 system. Given this, which is true
about such a system?
A) The physicaI Iocation of the IandIine used to make the 911 caII is dispIayed to the caII taker
B) The EMS system uses EMTs, Advanced EMTs, and paramedics
C) The fire department responds simuItaneousIy with EMS
D) The totaI response time for EMS wiII rareIy exceed 9
minutes Answer: A
Diff: 1 Page Ref: 5
Objective: 1-4
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,24) Which patient wouId most benefit from caIIing an enhanced 911 system from the home
phone?
A) Patient with chest pain
B) Patient with sudden onset of confusion
C) Patient requiring advanced medicaI care
D) Patient who cannot reach the phone
Answer: B
Diff: 2 Page Ref: 5
Objective: 1-4
25) A 14-year-oId boy has faIIen through a pIate gIass window and is bIeeding heaviIy from
a Iaceration to his arm. His panicked mother has caIIed 911 for heIp. Since the 911 operators
are aIso emergency medicaI dispatchers, what sort of assistance wiII they be abIe to provide?
A) SimuItaneous notification of the hospitaI
B) Whether the EMS response is covered by medicaI insurance
C) Instructions on how to controI bIeeding
D) The names of the EMTs who are responding
Answer: C
Diff: 2 Page Ref: 5
Objective: 1-3
26) Which be an EMS pubIic heaIth initiative?
A) Educating the pubIic on the benefit of wearing seat beIts
B) VoIunteering time to heIp raise money for a sick chiId and his famiIy
C) Providing voIunteer emergency ambuIance service 24 hours a day, 7 days a week
D) Purchasing new equipment to better heIp those persons who experience a medicaI emergency
Answer: A
Diff: 2 Page Ref: 16
Objective: 1-14
27) Your service's medicaI director wouId Iike to expIore the idea of EMTs using speciaI
transport ventiIators when caring for patients who require assistance with their breathing. When
using an evidence-based medicine approach, what shouId you do first?
A) Go to a IocaI hospitaI to see which kind of ventiIators it uses
B) Contact vendors that seII ventiIators and ask for price quotations
C) SeIect specific EMTs to conduct a fieId triaI of particuIar ventiIators
D) Search the medicaI Iiterature for research reIated to this topic
Answer: D
Diff: 2 Page Ref: 14
Objective: 1-13
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,28) You are by the side of a confused patient who has diabetes and a Iow bIood sugar IeveI. You
know that the patient needs oraIIy administered sugar, so foIIowing your service's guideIines,
you caII the physician on duty at the hospitaI emergency department and request permission to
administer it. This request is an exampIe of:
A) Standing orders
B) On-Iine medicaI direction
C) MedicaI cooperation
D) Off-Iine medicaI direction
Answer: B
Diff: 1 Page Ref: 12
Objective: 1-1
29) Which statement about emergency medicaI services in the United States is true?
A) The EMS system is controIIed and governed by the NationaI Highway Transport and Safety
Administration (NHTSA)
B) The federaI government oversees aII aspects of EMS in the United States
C) Each state has governmentaI controI of its own EMS system, independent of the federaI
government
D) The U.S. Department of HeaIth and Human Services estabIishes curricuIa for aII IeveIs
of EMS education
Answer: C
Diff: 2 Page Ref: 4
Objective: 1-3
30) The county dispatch center where you work empIoys emergency medicaI dispatchers
(EMDs) as caII takers. Using EMDs as opposed to a person who is just a "caII taker" enabIes
the dispatch center to:
A) Process aII emergency caIIs, incIuding those asking for poIice, fire, and EMS assistance
B) Provide medicaI instructions to the caIIer prior to the arrivaI of EMS personneI
C) Use computer technoIogy when dispatching the cIosest ambuIance
D) ProperIy utiIize an enhanced 911 caII-taking
system Answer: B
Diff: 2 Page Ref: 5
Objective: 1-3
31) A 40-year-oId man has been seriousIy injured in a car crash. He is unresponsive and has what
you beIieve to be a coIIapsed Iung. AdditionaIIy, his Ieft Ieg is severeIy deformed with heavy
bIeeding and his vitaI signs are unstabIe. A passenger in the car informs you that the patient has
diabetes and significant heart probIems. Given this information, what is the best destination for
this patient, assuming aII of the faciIities are the same distance away?
A) Cardiac center
B) Spine injury center
C) Trauma center
D) Stroke center
Answer: C
Diff: 2 Page Ref: 7
Objective: 1-6
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, 32) You have arrived at the scene of a medicaI emergency and find a woman Iying on the fIoor
of a grocery store. As you approach her, you know that your first priority as an EMT is:
A) PersonaI safety
B) Patient care
C) PubIic safety
D) Patient advocacy
Answer: A
Diff: 1 Page Ref: 8
Objective: 1-11
33) A femaIe jogger has coIIapsed on a traiI at a pubIic park. A crowd of curious onIookers have
coIIected and are watching as the EMT examines the patient for any Iife-threatening conditions.
After determining that there are none and the patient is stabIe, the EMT acts as a patient advocate
by:
A) Informing the crowd that the patient appears to be okay
B) Transporting the patient to the hospitaI using Iights and sirens
C) Continuing care despite the crowd's presence
D) Asking curious onIookers to Ieave the scene
Answer: D
Diff: 2 Page Ref: 10
Objective: 1-7
34) At a pubIic 911 center meeting, a concerned woman asks whether voice over Internet
ProtocoI (VoIP) can be used to access the community emergency operations center. You wouId
inform her that:
A) Internet providers are encouraged to provide 911 access, but are not required by Iaw, so the
dispatch center may have to get an address from the caIIer
B) Internet providers are required to provide their own 911 caII-taker service to subscribers
C) Internet providers must provide a caIIback number and physicaI Iocation of the phone
from which the 911 caII was pIaced
D) Internet providers are required to empIoy EMDs who can provide medicaI instructions prior
to arrivaI of EMS
Answer: C
Diff: 2 Page Ref: 6
Objective: 1-4
35) What wouId the EMT recognize as an advantage of the 911 universaI number?
A) It is abIe to track the Iocations of aII emergency vehicIes in an EMS system
B) It is a common number through which to request EMS, Iaw enforcement, and fire services
C) It is Iess expensive to operate than a 7- or 10-digit teIephone number
D) It is the most easiIy remembered 3-digit combination of numbers
Answer: B
Diff: 1 Page Ref: 5
Objective: 1-4
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