TEST BANK
,Chapter 1 Emergency Care Systems, Research, and Public Health
1) What is a 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
Answer: C
Diff: 2 Page Ref: 7
Objective: 1-2
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
Answer: B
Diff: 1 Page Ref: 3
Objective: 1-2
3) An Emergency Medical Responder comes to you and states that he would like to work for
your emergency ambulance service on a full-time basis. Knowing the National EMS Scope of
Practice Model, you inform him of which element?
A) He will be able to take care of only patients with non-life-threatening complaints
B) He will first need approval from your ambulance service's medical director
C) He will be able to work only with an Advanced EMT or paramedic
D) He will first have to become an Emergency Medical Technician
Answer: D
Diff: 1 Page Ref: 6-7
Objective: 1-1
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
Answer: C
Diff: 1 Page Ref: 6-7
Objective: 1-3
,5) An Emergency Medical Responder (EMR) approaches you and states that he is interested in
becoming an EMT. Specifically, he asks what he will be able to do as an EMT that he cannot
presently do as an EMR. You respond by saying he will be able to:
A) Administer some medications
B) Assist in emergency childbirth
C) Use an automated external defibrillator
D) Obtain vital signs
Answer: A
Diff: 1 Page Ref: 6-7
Objective: 1-5
6) You have been dispatched for a 61-year-old female in cardiac arrest. Emergency Medical
Responders (EMRs) are on scene. In your community, all EMS practitioners are trained
according to the National EMS Scope of Practice Model. Given this, which type of care do you
expect the EMRs to be providing?
A) Emergency medication administration
B) Automated external defibrillation
C) Intravenous therapy
D) Reading an electrocardiogram
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 National EMS Scope of Practice Model, which one of these
types of care will she be able to provide as a paramedic that she cannot provide as an EMT?
A) Automated blood pressure monitoring
B) Assistance with emergency childbirth
C) Interfacility 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 always wear my seat belt whenever I am in the patient compartment of the ambulance,
unless 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, especially if a child is sick or
injured according to dispatch information."
C) "When I am driving with lights and sirens, I instruct my partner that he will need to handle all
radio communications."
D) "I put exam gloves 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
,9) 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."
Answer: C
Diff: 2 Page Ref: 8-9
Objective: 1-7
10) 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. Which action would the EMTs perform next?
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
Answer: A
Diff: 2 Page Ref: 9
Objective: 1-7
11) Why is EMS in a unique position to contribute significantly to mobile integrated health care?
A) EMS providers are familiar with and capable of functioning in the out-of-hospital
environment
B) Ambulances are easily identified
C) The community trusts uniformed health care providers
D) EMS providers are familiar with the many routes of medication administration
Answer: A
Diff: 1 Page Ref: 17
Objective: 1-15
,12) 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. Which steps represent
the correct order of your response?
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, allow the fire department to secure the wires, clear 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) Family
D) Bystanders
Answer: B
Diff: 1 Page Ref: 9
Objective: 1-7
14) 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
C) Develop ways in which the delivery of emergency care can be improved
D) Identify and reeducate EMTs who routinely do not provide proper care
Answer: C
Diff: 2 Page Ref: 13
Objective: 1-10
15) What would be a logical project to be undertaken and developed by a quality improvement
(QI) committee?
A) Termination of EMTs who are chronically late 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) Monthly continuing education programs in which seldom-used skills are practiced
Answer: D
Diff: 2 Page Ref: 14
Objective: 1-10
,16) You fare finterviewing ffor fthe fposition fof fEMT fwith fa fbusy furban fservice. fThis
f morning f you fare fto fmeet fwith fthe fservice's f medical fdirector. fYou fhave f been ftold fthat
fshe f likes f it fwhen f applicants fask fquestions fabout fher frole fas fthe fmedical fdirector.
fRelated fto fher fresponsibilities fas f medical fdirector, fwhich fquestion f is f most fappropriate?
A) "How fdo fyou fdetermine fthe fwages fthat fthe fEMTs fare fpaid?"
B) "How fdo fyou fdetermine fthe fnumber fand flocation fof fambulances fwithin fthe fsystem?"
C) "How foften fare fthe femergency fcare fprotocols fupdated?"
D) "Do fyou fassign fthe fdaily fchores fthat fmust fbe fcompleted faround fthe
fstations?" f Answer: f C
Diff: f2 Page fRef: f12
Objective: f 1-9
17) To fbe fa fmedical fdirector fof fan fambulance fservice, fwhich frequirement fmust fthe
finterested findividual f satisfy?
A) Licensed fphysician
B) Emergency fphysician fwith fsurgical fexperience
C) Physician fwho fwas fa fparamedic
D) Physician fwith fa fcollege fdegree fin
fEMS fAnswer: f A
Diff: f1 Page fRef: f12
Objective: f 1-9
18) As fan fEMT, fwhich frequirement fmust fbe fmet fso fthat fyou fcan fprovide froutine fand
femergency f medical fcare fto fthe fsick fand f injured, fas fan fextension fof fthe f medical
fdirector's fauthority?
A) Prior fmedical fexperience
B) A fservice fmedical fdirector
C) A fknowledgeable fpartner
D) A fsafe fdriving
frecord fAnswer: f B
Diff: f1 Page fRef: f12
Objective: f 1-9
19) It fhas fbeen fsome ftime fsince fyou fwere finvolved fin fthe fcare fof fa fpediatric fpatient.
fYou fdecide fto freview fthe fassessment fand ftreatment fbasics fthat fyour fmedical fdirector
frequires. fTo freview fthis f information, fwhich fresource fshould f you fconsult f first?
A) Emergency fMedical fResponders
B) Reputable fwebsites
C) Emergency fdepartment fnurses
D) Service
fprotocols f Answer:
fD
Diff: f1 Page fRef: f13
Objective: f 1-9
, 20) Before fthe fEMT fcontacts fmedical fdirection ffor fauthorization fto fassist fa fpatient fwith
fshortness fof f breath f in fusing f her f metered-dose finhaler, fprotocols fstate fthat fthe fEMT f must
f first fattempt fto fprovide frelief f by fadministering foxygen f if fthe fpulse foximeter freading f is
f less fthan f94%. fYou frecognize fthat fthe fadministration fof foxygen f is f best fdescribed fas
fa(n):
A) Standing forder
B) On-line fmedical fdirection
C) Direct fpermission
D) Quality
fimprovement fAnswer:
fA
Diff: f2 Page fRef: f13
Objective: f 1-9
21) If fa fpatient fwith fchest fpain ftakes fa fdaily faspirin, fyour fmedical fdirector fwants fthe
fEMT fto fcontact fan femergency fdepartment fphysician ffirst fbefore fadministering fadditional
faspirin. fThe fact fof fcontacting fthe f emergency fdepartment fphysician f by fphone for fradio f for
fpermission fto fadminister fadditional faspirin f is fan fexample fof:
A) Quality fimprovement
B) On-line fmedical fdirection
C) Off-line fmedical fdirection
D) Indirect fmedical
fcontrol f Answer: f B
Diff: f2 Page fRef: f13
Objective: f 1-1
22) At fthe fscene fof fa fminor fmotor fvehicle fcollision, fyou fare fattending fto fa ffemale
fpatient fwho fcomplains fof f head fand f neck fpain. fA fcrowd fhas fgathered fto fwatch fthe
faction. f What fwill fthe fobserving fpublic f most f likely fremember fabout fthe frole fEMS
fportrayed?
A) The fnumber fof femergency fvehicles fthat fshowed fup
B) The fcolor fof fthe fambulances
C) If fthe fEMTs fwere fall fwearing fthe fsame fcolor funiforms
D) EMTs fwho fwere fyelling fand fcursing floudly fat fthe ffire fdepartment fto fhurry fup fand
fget fthe fpatient fout fof fthe fcar
Answer: f D
Diff: f2 Page fRef: f11
Objective: f 1-8
23) You fwork fin fa fcommunity fthat fhas fan f"enhanced" f911 fsystem. fGiven fthis, fwhich
fis ftrue fabout fsuch fa f system?
A) The fphysical flocation fof fthe flandline fused fto fmake fthe f911 fcall fis fdisplayed fto fthe fcall
ftaker
B) The fEMS fsystem fuses fEMTs, fAdvanced fEMTs, fand fparamedics
C) The ffire fdepartment fresponds fsimultaneously fwith fEMS
D) The ftotal fresponse ftime ffor fEMS fwill frarely fexceed f9
fminutes f Answer: f A
Diff: f1 Page fRef: f5
Objective: f 1-4
,Chapter 1 Emergency Care Systems, Research, and Public Health
1) What is a 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
Answer: C
Diff: 2 Page Ref: 7
Objective: 1-2
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
Answer: B
Diff: 1 Page Ref: 3
Objective: 1-2
3) An Emergency Medical Responder comes to you and states that he would like to work for
your emergency ambulance service on a full-time basis. Knowing the National EMS Scope of
Practice Model, you inform him of which element?
A) He will be able to take care of only patients with non-life-threatening complaints
B) He will first need approval from your ambulance service's medical director
C) He will be able to work only with an Advanced EMT or paramedic
D) He will first have to become an Emergency Medical Technician
Answer: D
Diff: 1 Page Ref: 6-7
Objective: 1-1
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
Answer: C
Diff: 1 Page Ref: 6-7
Objective: 1-3
,5) An Emergency Medical Responder (EMR) approaches you and states that he is interested in
becoming an EMT. Specifically, he asks what he will be able to do as an EMT that he cannot
presently do as an EMR. You respond by saying he will be able to:
A) Administer some medications
B) Assist in emergency childbirth
C) Use an automated external defibrillator
D) Obtain vital signs
Answer: A
Diff: 1 Page Ref: 6-7
Objective: 1-5
6) You have been dispatched for a 61-year-old female in cardiac arrest. Emergency Medical
Responders (EMRs) are on scene. In your community, all EMS practitioners are trained
according to the National EMS Scope of Practice Model. Given this, which type of care do you
expect the EMRs to be providing?
A) Emergency medication administration
B) Automated external defibrillation
C) Intravenous therapy
D) Reading an electrocardiogram
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 National EMS Scope of Practice Model, which one of these
types of care will she be able to provide as a paramedic that she cannot provide as an EMT?
A) Automated blood pressure monitoring
B) Assistance with emergency childbirth
C) Interfacility 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 always wear my seat belt whenever I am in the patient compartment of the ambulance,
unless 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, especially if a child is sick or
injured according to dispatch information."
C) "When I am driving with lights and sirens, I instruct my partner that he will need to handle all
radio communications."
D) "I put exam gloves 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
,9) 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."
Answer: C
Diff: 2 Page Ref: 8-9
Objective: 1-7
10) 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. Which action would the EMTs perform next?
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
Answer: A
Diff: 2 Page Ref: 9
Objective: 1-7
11) Why is EMS in a unique position to contribute significantly to mobile integrated health care?
A) EMS providers are familiar with and capable of functioning in the out-of-hospital
environment
B) Ambulances are easily identified
C) The community trusts uniformed health care providers
D) EMS providers are familiar with the many routes of medication administration
Answer: A
Diff: 1 Page Ref: 17
Objective: 1-15
,12) 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. Which steps represent
the correct order of your response?
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, allow the fire department to secure the wires, clear 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) Family
D) Bystanders
Answer: B
Diff: 1 Page Ref: 9
Objective: 1-7
14) 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
C) Develop ways in which the delivery of emergency care can be improved
D) Identify and reeducate EMTs who routinely do not provide proper care
Answer: C
Diff: 2 Page Ref: 13
Objective: 1-10
15) What would be a logical project to be undertaken and developed by a quality improvement
(QI) committee?
A) Termination of EMTs who are chronically late 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) Monthly continuing education programs in which seldom-used skills are practiced
Answer: D
Diff: 2 Page Ref: 14
Objective: 1-10
,16) You fare finterviewing ffor fthe fposition fof fEMT fwith fa fbusy furban fservice. fThis
f morning f you fare fto fmeet fwith fthe fservice's f medical fdirector. fYou fhave f been ftold fthat
fshe f likes f it fwhen f applicants fask fquestions fabout fher frole fas fthe fmedical fdirector.
fRelated fto fher fresponsibilities fas f medical fdirector, fwhich fquestion f is f most fappropriate?
A) "How fdo fyou fdetermine fthe fwages fthat fthe fEMTs fare fpaid?"
B) "How fdo fyou fdetermine fthe fnumber fand flocation fof fambulances fwithin fthe fsystem?"
C) "How foften fare fthe femergency fcare fprotocols fupdated?"
D) "Do fyou fassign fthe fdaily fchores fthat fmust fbe fcompleted faround fthe
fstations?" f Answer: f C
Diff: f2 Page fRef: f12
Objective: f 1-9
17) To fbe fa fmedical fdirector fof fan fambulance fservice, fwhich frequirement fmust fthe
finterested findividual f satisfy?
A) Licensed fphysician
B) Emergency fphysician fwith fsurgical fexperience
C) Physician fwho fwas fa fparamedic
D) Physician fwith fa fcollege fdegree fin
fEMS fAnswer: f A
Diff: f1 Page fRef: f12
Objective: f 1-9
18) As fan fEMT, fwhich frequirement fmust fbe fmet fso fthat fyou fcan fprovide froutine fand
femergency f medical fcare fto fthe fsick fand f injured, fas fan fextension fof fthe f medical
fdirector's fauthority?
A) Prior fmedical fexperience
B) A fservice fmedical fdirector
C) A fknowledgeable fpartner
D) A fsafe fdriving
frecord fAnswer: f B
Diff: f1 Page fRef: f12
Objective: f 1-9
19) It fhas fbeen fsome ftime fsince fyou fwere finvolved fin fthe fcare fof fa fpediatric fpatient.
fYou fdecide fto freview fthe fassessment fand ftreatment fbasics fthat fyour fmedical fdirector
frequires. fTo freview fthis f information, fwhich fresource fshould f you fconsult f first?
A) Emergency fMedical fResponders
B) Reputable fwebsites
C) Emergency fdepartment fnurses
D) Service
fprotocols f Answer:
fD
Diff: f1 Page fRef: f13
Objective: f 1-9
, 20) Before fthe fEMT fcontacts fmedical fdirection ffor fauthorization fto fassist fa fpatient fwith
fshortness fof f breath f in fusing f her f metered-dose finhaler, fprotocols fstate fthat fthe fEMT f must
f first fattempt fto fprovide frelief f by fadministering foxygen f if fthe fpulse foximeter freading f is
f less fthan f94%. fYou frecognize fthat fthe fadministration fof foxygen f is f best fdescribed fas
fa(n):
A) Standing forder
B) On-line fmedical fdirection
C) Direct fpermission
D) Quality
fimprovement fAnswer:
fA
Diff: f2 Page fRef: f13
Objective: f 1-9
21) If fa fpatient fwith fchest fpain ftakes fa fdaily faspirin, fyour fmedical fdirector fwants fthe
fEMT fto fcontact fan femergency fdepartment fphysician ffirst fbefore fadministering fadditional
faspirin. fThe fact fof fcontacting fthe f emergency fdepartment fphysician f by fphone for fradio f for
fpermission fto fadminister fadditional faspirin f is fan fexample fof:
A) Quality fimprovement
B) On-line fmedical fdirection
C) Off-line fmedical fdirection
D) Indirect fmedical
fcontrol f Answer: f B
Diff: f2 Page fRef: f13
Objective: f 1-1
22) At fthe fscene fof fa fminor fmotor fvehicle fcollision, fyou fare fattending fto fa ffemale
fpatient fwho fcomplains fof f head fand f neck fpain. fA fcrowd fhas fgathered fto fwatch fthe
faction. f What fwill fthe fobserving fpublic f most f likely fremember fabout fthe frole fEMS
fportrayed?
A) The fnumber fof femergency fvehicles fthat fshowed fup
B) The fcolor fof fthe fambulances
C) If fthe fEMTs fwere fall fwearing fthe fsame fcolor funiforms
D) EMTs fwho fwere fyelling fand fcursing floudly fat fthe ffire fdepartment fto fhurry fup fand
fget fthe fpatient fout fof fthe fcar
Answer: f D
Diff: f2 Page fRef: f11
Objective: f 1-8
23) You fwork fin fa fcommunity fthat fhas fan f"enhanced" f911 fsystem. fGiven fthis, fwhich
fis ftrue fabout fsuch fa f system?
A) The fphysical flocation fof fthe flandline fused fto fmake fthe f911 fcall fis fdisplayed fto fthe fcall
ftaker
B) The fEMS fsystem fuses fEMTs, fAdvanced fEMTs, fand fparamedics
C) The ffire fdepartment fresponds fsimultaneously fwith fEMS
D) The ftotal fresponse ftime ffor fEMS fwill frarely fexceed f9
fminutes f Answer: f A
Diff: f1 Page fRef: f5
Objective: f 1-4
