,Prehospital Emergency Care, 12thED(Mistovich et al.) z z z z z
Chapter 1 Emergency Care Systems, Research, and Public Health
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1) What is a primary purpose of the modern-day EMS system?
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A) Provide a means of transport to and from the hospital
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B) Ensure that all members of society have equal access to hospitals
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C) Decrease the incidence of death and disability related to injury and illness
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D) Provide emergency health care services to medically underserved areas
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Answer: C s l
Diff: 2 Page Ref: 7
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Objective: 1-2 s l
2) Most authorities agree that the modern-
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day EMS system evolved after the release of whichdocument?
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A) The Emergency Medical Services Act of 1973
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B) The white paper "Accidental Death and Disability: The Neglected Disease of Modern
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Society" in 1966 sl sl
C) The American Heart Association's Guidelines for Cardiac Resuscitation
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D) Emergency Medical Services: Agenda for the Future, in 1996 sl sl sl sl sl sl sl sl sl
Answer: B s l
Diff: 1 slPage Ref: 3 sl sl
Objective: 1-2 s l
3) An Emergency Medical Responder comes to you and states that he would like to work for y
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our emergency ambulance service on a full-
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time ba s. Knowing the National EMS Scope ofPractice Model, you inform him of which elem
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ent?
A) He will be able to take care of only patients with non-life-threatening complaints
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B) He will first need approval from your ambulance service's medical director
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C) He will be able to work only with an Advanced EMT or paramedic
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D) He will first have to become an Emergency Medical Technician
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Answer: D s l
Diff: 1 slPage Ref: 6-7 sl sl
Objective: 1-1 s l
4) As defined by the National EMS Scope of Practice Model, the four levels of EMS
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practitioners include: sl
A) Ambulance drivers sl
B) EMS medical director sl sl
C) Paramedics
D) Emergency medical dispatchers sl sl sl
Answer: C s l
Diff: 1 slPage Ref: 6-7 sl sl
Objective: 1-3 s l
1
Copyright © 2018 Pearson Education, Inc. sl sl sl sl sl
,5) An Emergency Medical Responder (EMR) approaches you and states that he is interested inb
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ecoming an EMT. Specifically, he asks what he will be able to do as an EMT that he cannot pre
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sently do as an EMR. You respond by saying he will be able to:
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A) Administer some medications sl sl
B) As st in emergency childbirth
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C) Use an automated external defibrillator
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D) Obtain vital gns sl slsl sl
Answer: A s l
Diff: 1 Page Ref: 6-7
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Objective: 1-5 s l
6) You have been dispatched for a 61-year-
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old female in cardiac arrest. Emergency Medical Responders (EMRs) are on scene. In your com
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munity, all EMS practitioners are trained according to the National EMS Scope of Practice Mod
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el. Given this, which type of care do youexpect the EMRs to be providing?
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A) Emergency medication administration sl sl
B) Automated external defibrillation sl sl
C) Intravenous therapy sl
D) Reading an electrocardiogram sl sl sl
Answer: B s l
Diff: 2 Page Ref: 6
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Objective: 1-5 s l
7) An EMT with your service states that she de res to become a paramedic because she wants topr
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ovide advanced care. Under the National EMS Scope of Practice Model, which one of these types
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of care will she be able to provide as a paramedic that she cannot provide as an EMT?
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A) Automated blood pressure monitoring sl sl sl
B) As stance with emergency childbirth
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C) Interfacility transports sl
D) IV therapy sl sl
Answer: D s l
Diff: 1 Page Ref: 7
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Objective: 1-5 s l
8) Which statement made by an EMT requires immediate intervention by a superior or the
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service supervisor? sl
A) "I always wear my seat belt whenever I am in the patient compartment of the ambulance,
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unless I have to remove it to care for a patient."
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B) "I drive as fast as I can to get to the scene of an emergency, especially if a child is ck orin
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jured according to dispatch information."
sl sl sl sl
C) "When I am driving with lights and rens, I instruct my partner that he will need to handle allra
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dio communications."
sl
D) "I put exam gloves on for every patient I contact, even if he or she does not have a known ors
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uspected infectious disease." sl sl
Answer: B s l
Diff: 1 Page Ref: 9
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Objective: 1-7 s l
2
Copyright © 2018 Pearson Education, Inc. sl sl sl sl sl
, 9) Which statement shows that the EMT has a good understanding of her role andr
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espon bilities related to being an EMT?
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A) "The patient's needs come before anyone else's needs."
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B) "At the scene of an emergency, my respon bility is to get to the patient no matter what."
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C) "My safety comes first, and then the patient's safety."
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D) "As an EMT, I recognize that the public's safety comes before the safety of me or myp
sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl
artner."
Answer: C s l
Diff: 2 Page Ref: 8-9
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Objective: 1-7 s l
10) An ambulance with two EMTs arrives in front of a house for an unknown medical emergency
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. On scene, bystanders report that a female patient was beaten by her husband in the driveway and
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then dragged back into the house. They state that the patient appeared unconsciousand was bleedi
sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl
ng from the head. Which action would the EMTs perform next?
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A) Do not enter the scene until it has been controlled by law enforcement
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B) Quietly enter the home and quickly move the patient to the ambulance
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C) Remove the husband from the house, then provide emergency care to the wife
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D) Enter the home to protect the patient while waiting for the police to arrive
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Answer: A s l
Diff: 2 Page Ref: 9
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Objective: 1-7 s l
11) Why is EMS in a unique po tion to contribute gnificantly to mobile integrated health care?
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A) EMS providers are familiar with and capable of functioning in the out-of-
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hospitalenvironment sl
B) Ambulances are ea ly identified sl sl sl sl
C) The community trusts uniformed health care providers
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D) EMS providers are familiar with the many routes of medication administration
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Answer: A s l
Diff: 1 Page Ref: 17
sl sl sl
Objective: 1-15 s l
3
Copyright © 2018 Pearson Education, Inc. sl sl sl sl sl
Chapter 1 Emergency Care Systems, Research, and Public Health
sl s l sl sl sl sl sl sl
1) What is a primary purpose of the modern-day EMS system?
sl sl sl sl sl sl sl sl sl
A) Provide a means of transport to and from the hospital
sl sl sl sl sl sl sl sl sl
B) Ensure that all members of society have equal access to hospitals
sl sl sl sl sl sl sl sl sl sl 1
C) Decrease the incidence of death and disability related to injury and illness
sl sl sl sl sl sl sl sl sl sl sl
D) Provide emergency health care services to medically underserved areas
sl sl sl sl sl sl sl sl sl
Answer: C s l
Diff: 2 Page Ref: 7
sl sl sl
Objective: 1-2 s l
2) Most authorities agree that the modern-
sl sl sl sl sl
day EMS system evolved after the release of whichdocument?
sl sl sl sl sl sl sl sl sl
A) The Emergency Medical Services Act of 1973
sl sl sl sl sl sl
B) The white paper "Accidental Death and Disability: The Neglected Disease of Modern
sl sl sl sl sl sl sl sl sl sl sl sl
Society" in 1966 sl sl
C) The American Heart Association's Guidelines for Cardiac Resuscitation
sl sl sl sl sl sl sl
D) Emergency Medical Services: Agenda for the Future, in 1996 sl sl sl sl sl sl sl sl sl
Answer: B s l
Diff: 1 slPage Ref: 3 sl sl
Objective: 1-2 s l
3) An Emergency Medical Responder comes to you and states that he would like to work for y
sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl
our emergency ambulance service on a full-
sl sl sl sl sl sl
time ba s. Knowing the National EMS Scope ofPractice Model, you inform him of which elem
sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl
ent?
A) He will be able to take care of only patients with non-life-threatening complaints
sl sl sl sl sl sl sl sl sl sl sl sl
B) He will first need approval from your ambulance service's medical director
sl sl sl sl sl sl sl sl sl sl
C) He will be able to work only with an Advanced EMT or paramedic
sl sl sl sl sl sl sl sl sl sl sl sl
D) He will first have to become an Emergency Medical Technician
sl sl sl sl sl sl sl sl sl sl
Answer: D s l
Diff: 1 slPage Ref: 6-7 sl sl
Objective: 1-1 s l
4) As defined by the National EMS Scope of Practice Model, the four levels of EMS
sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl
practitioners include: sl
A) Ambulance drivers sl
B) EMS medical director sl sl
C) Paramedics
D) Emergency medical dispatchers sl sl sl
Answer: C s l
Diff: 1 slPage Ref: 6-7 sl sl
Objective: 1-3 s l
1
Copyright © 2018 Pearson Education, Inc. sl sl sl sl sl
,5) An Emergency Medical Responder (EMR) approaches you and states that he is interested inb
sl sl sl sl sl sl sl sl sl sl sl sl sl sl
ecoming an EMT. Specifically, he asks what he will be able to do as an EMT that he cannot pre
sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl
sently do as an EMR. You respond by saying he will be able to:
sl sl sl sl sl sl sl sl sl sl sl sl sl
A) Administer some medications sl sl
B) As st in emergency childbirth
sl sl sl sl
C) Use an automated external defibrillator
sl sl sl sl
D) Obtain vital gns sl slsl sl
Answer: A s l
Diff: 1 Page Ref: 6-7
sl sl sl
Objective: 1-5 s l
6) You have been dispatched for a 61-year-
sl sl sl sl sl sl
old female in cardiac arrest. Emergency Medical Responders (EMRs) are on scene. In your com
sl sl sl sl sl sl sl sl sl sl sl sl sl sl
munity, all EMS practitioners are trained according to the National EMS Scope of Practice Mod
sl sl sl sl sl sl sl sl sl sl sl sl sl sl
el. Given this, which type of care do youexpect the EMRs to be providing?
sl sl sl sl sl sl sl sl sl sl sl sl sl sl
A) Emergency medication administration sl sl
B) Automated external defibrillation sl sl
C) Intravenous therapy sl
D) Reading an electrocardiogram sl sl sl
Answer: B s l
Diff: 2 Page Ref: 6
sl sl sl
Objective: 1-5 s l
7) An EMT with your service states that she de res to become a paramedic because she wants topr
sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl
ovide advanced care. Under the National EMS Scope of Practice Model, which one of these types
sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl
of care will she be able to provide as a paramedic that she cannot provide as an EMT?
sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl
A) Automated blood pressure monitoring sl sl sl
B) As stance with emergency childbirth
sl sl sl sl
C) Interfacility transports sl
D) IV therapy sl sl
Answer: D s l
Diff: 1 Page Ref: 7
sl sl sl
Objective: 1-5 s l
8) Which statement made by an EMT requires immediate intervention by a superior or the
sl sl sl sl sl sl sl sl sl sl sl sl sl sl
service supervisor? sl
A) "I always wear my seat belt whenever I am in the patient compartment of the ambulance,
sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl
unless I have to remove it to care for a patient."
sl sl sl sl sl sl sl sl sl sl
B) "I drive as fast as I can to get to the scene of an emergency, especially if a child is ck orin
sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl slsl sl sl
jured according to dispatch information."
sl sl sl sl
C) "When I am driving with lights and rens, I instruct my partner that he will need to handle allra
sl sl sl sl sl sl slsl sl sl sl sl sl sl sl sl sl sl sl sl
dio communications."
sl
D) "I put exam gloves on for every patient I contact, even if he or she does not have a known ors
sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl
uspected infectious disease." sl sl
Answer: B s l
Diff: 1 Page Ref: 9
sl sl sl
Objective: 1-7 s l
2
Copyright © 2018 Pearson Education, Inc. sl sl sl sl sl
, 9) Which statement shows that the EMT has a good understanding of her role andr
sl sl sl sl sl sl sl sl sl sl sl sl sl sl
espon bilities related to being an EMT?
sl sl sl sl sl sl
A) "The patient's needs come before anyone else's needs."
sl sl sl sl sl sl sl
B) "At the scene of an emergency, my respon bility is to get to the patient no matter what."
sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl
C) "My safety comes first, and then the patient's safety."
sl sl sl sl sl sl sl sl
D) "As an EMT, I recognize that the public's safety comes before the safety of me or myp
sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl
artner."
Answer: C s l
Diff: 2 Page Ref: 8-9
sl sl sl
Objective: 1-7 s l
10) An ambulance with two EMTs arrives in front of a house for an unknown medical emergency
sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl
. On scene, bystanders report that a female patient was beaten by her husband in the driveway and
sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl
then dragged back into the house. They state that the patient appeared unconsciousand was bleedi
sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl sl
ng from the head. Which action would the EMTs perform next?
sl sl sl sl sl sl sl sl sl sl
A) Do not enter the scene until it has been controlled by law enforcement
sl sl sl sl sl sl sl sl sl sl sl sl
B) Quietly enter the home and quickly move the patient to the ambulance
sl sl sl sl sl sl sl sl sl sl sl
C) Remove the husband from the house, then provide emergency care to the wife
sl sl sl sl sl sl sl sl sl sl sl sl
D) Enter the home to protect the patient while waiting for the police to arrive
sl sl sl sl sl sl sl sl sl sl sl sl sl sl
Answer: A s l
Diff: 2 Page Ref: 9
sl sl sl
Objective: 1-7 s l
11) Why is EMS in a unique po tion to contribute gnificantly to mobile integrated health care?
sl sl sl sl sl sl sl sl sl slsl sl sl sl sl sl
A) EMS providers are familiar with and capable of functioning in the out-of-
sl sl sl sl sl sl sl sl sl sl sl
hospitalenvironment sl
B) Ambulances are ea ly identified sl sl sl sl
C) The community trusts uniformed health care providers
sl sl sl sl sl sl
D) EMS providers are familiar with the many routes of medication administration
sl sl sl sl sl sl sl sl sl sl sl
Answer: A s l
Diff: 1 Page Ref: 17
sl sl sl
Objective: 1-15 s l
3
Copyright © 2018 Pearson Education, Inc. sl sl sl sl sl
