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Exam (elaborations)

NREMT EMR All 2.

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Exam of 187 pages for the course NREMT at NREMT (NREMT EMR All 2.)

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NREMT EMR All 2

According to the National EMS Scope of Practice Model, an EMT should be able to:
A. assist a patient with certain prescribed medications.
B. insert a peripheral intravenous (IV) line and infuse fluids.
C. administer epinephrine via the subcutaneous route.
D. interpret a basic electrocardiogram (ECG) rhythm and treat accordingly. -
✅ A

According to the National EMS Scope of Practice Model, an EMT would require special permission
from the medical director and the state EMS office in order to:
A. perform blood glucose monitoring.
B. apply and interpret a pulse oximeter.
C. use an automatic transport ventilator.
D. give aspirin to a patient with chest pain. -
✅ A

An EMS provider who has extensive training in various aspects of advanced life support (ALS) is
called a(n):
A. EMT.
B. paramedic.
C. advanced EMT (AEMT).
D. EMR. -
✅ B

Cardiac monitoring, pharmacological interventions, and other advanced treatment skills are
functions of the:
A. EMT.
B. paramedic.
C. AEMT.
D. EMR. -
✅ B

EMT training in nearly every state meets or exceeds the guidelines recommended by the:
A. National Registry of EMTs.
B. individual state's EMS protocols.
C. National Association of EMTs.
D. National Highway Traffic Safety Administration (NHTSA). -
✅ D

If a defibrillator manufacturer claims that its device terminates ventricular fibrillation on the first
shock 95% of the time, you should:
A. avoid purchasing the device because this claim is unrealistic.
B. recognize that this does not mean it will save more lives.
C. purchase the device based solely on the manufacturer's claim.
D. determine which device the American Heart Association suggests. -
✅ B

1

,If an EMT candidate has been convicted of a felony or misdemeanor, he or she should:
A. wait at least 24 months before taking another state-approved EMT class.
B. send an official request to the National Registry of EMT (NREMT) to seek approval to take the
EMT exam.
C. recognize that any such conviction will disqualify him or her from EMT licensure.
D. contact the state EMS office and provide them with the required documentation. -
✅ D

Laypeople are often trained to perform all of the following skills, EXCEPT:
A. one- or two-rescuer CPR.
B. splinting of a possible fracture.
C. insertion of an oropharyngeal airway.
D. control of life-threatening bleeding. -
✅ C

Obtaining continuing medical education is the responsibility of the:
A. individual EMT.
B. State Bureau of EMS.
C. EMS training officer.
D. EMS medical director. -
✅ A

The continuous quality improvement (CQI) process is designed to:
A. provide punitive action to EMTs who do not follow local protocols.
B. identify areas of improvement and provide remedial training if needed.
C. ensure that all EMTs maintain licensure through the state EMS office.
D. focus specifically on the quality of emergency care provided to the patient. -
✅ B

The criteria to be licensed and employed as an EMT include:
A. demonstration of the ability to lift and carry at least 200 pounds.
B. proof of immunization against certain communicable diseases.
C. a minimum of 60 college credit hours that focus on health care.
D. successful completion of a recognized bystander cardiopulmonary resuscitation (CPR) course. -
✅ B

The determination that prompt surgical care in the hospital is more important than performing time-
consuming procedures in the field on a major trauma patient is based MOSTLY on:
A. EMS research.
B. local protocols.
C. the lead EMT's decision.
D. regional trauma guidelines. -
✅ A

The ____________ deals with the well-being of the EMT, career progression, and EMT
compensation.
A. human resources department
B. office of the medical director


2

,C. EMS administrator or chief
D. local public health department -
✅ A

What type of medical direction do standing orders and protocols describe?
A. radio
B. online
C. off-line
D. direct -
✅ C

Which of the following descriptions MOST accurately portrays emergency medical services
(EMS)?
A. a vast network of advanced life support (ALS) providers who provide definitive emergency care
in the prehospital setting
B. a team of health care professionals who are responsible for providing emergency care and
transportation to the sick and injured
C. a system composed exclusively of emergency medical responders (EMRs) and emergency
medical technicians (EMTs) who are responsible for providing care to sick and injured patients
D. a team of paramedics and emergency physicians who are responsible for providing emergency
care to critically injured patients -
✅ B

Which of the following is a unique function of the emergency medical dispatcher (EMD)?
A. relaying relevant information to the EMTs
B. directing the ambulance to the correct address
C. obtaining patient information from the caller
D. providing callers with life-saving instructions -
✅ D

Which of the following is an example of a primary prevention strategy?
A. community awareness programs that emphasize the dangers of drinking and driving
B. the construction of a guardrail on a dangerous curve following a fatal motor vehicle crash
C. protecting a patient's spine from further injury after a fall from a significant height
D. teaching a group of new parents how to perform one- and two-rescuer infant CPR -
✅ A

Which of the following scenarios does NOT involve the administration of ALS?
A. a 48-year-old patient whose airway is secured with a multilumen device
B. a 53-year-old patient who is given glucagon for significant hypoglycemia
C. a 61-year-old trauma patient whose chest is decompressed with a needle
D. a 64-year-old cardiac arrest patient who is defibrillated with an automated external defibrillator
(AED) -
✅ D

Which of the following skills or interventions is included at every level of prehospital emergency
training?
A. oral glucose for hypoglycemia
B. AED


3

, C. intranasal medication administration
D. use of a manually triggered ventilator -
✅ B

Which of the following statements regarding the EMS medical director and an EMT's scope of
practice is correct?
A. The EMS medical director can expand the EMT's scope of practice but cannot limit it without
state approval.
B. The EMS medical director can expand or limit an individual EMT's scope of practice without
state approval.
C. An EMT's scope of practice is exclusively regulated by the state EMS office, not the EMS
medical director.
D. An EMT's scope of practice may be expanded by the medical director after proper training and
state approval. -
✅ D

Contol of external bleeding, oxygen administration, and CPR are included in the "scope of practice"
of the:
A. paramedic
B. EMT
C. AEMT
D. EMR -
✅ B

Which of the following is NOT true of medical control?
A. It is determined by the dispatcher
B. It may be written or "standing orders"
C. It may require online radio or phone consultation
D. It describes the care authorized by the medical director -
✅ A

All of the following are components of continuous quality improvement (CQI) except:
A. periodic run reviews
B. remedial training
C. internal reviews and audits
D. public seminars and meetings -
✅ D

The major goal of quality improvement is to ensure that:
A. quarterly audits of the EMS system are performed
B. EMTs have received BLS/CPR training
C. the public receives the highest standard of care
D. the proper information is received in the billing department -
✅ C

Federal legislation concerning patient confidentiality is known as:
A. HIPAA
B. NAACS
C. EMTALA


4

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