TEST BANK FOR
3 3
Prehospital3Emergency3Care,312th3Edition3by3Joseph3J.3Mistovich3Keith3J3Karren3Brent3Q.3Hafen
Chapter31-44
Chapter31 Emergency3Medical3Service3Systems,3Research,3and3Public3Health
1) What3is3a3primary3purpose3of3the3modern-day3EMS3system?
A) Provide3a3means3of3transport3to3and3from3the3hospital
B) Ensure3that3all3members3of3society3have3equal3access3to3hospitals
C) Decrease3the3incidence3of3death3and3disability3related3to3injury3and3illness
D) Provide3emergency3health3care3services3to3medically3underserved3area
s3Answer:3 C
Diff:32 Page3Ref:32
Objective:3 3 1-2
2) Most3authorities3agree3that3the3modern-
day3EMS3system3evolved3after3the3release3of3which3document?
A) The3Emergency3Medical3Services3Act3of31973
B) The3white3paper3"Accidental3Death3and3Disability:3The3Neglected3Disease3of3Modern3Society,
"3in31966
C) The3American3Heart3Association's3Guidelines3for3Cardiac3Resuscitation
D) Emergency3Medical3Services:3Agenda3for3the3Future,3in3199
63Answer:3 B
Diff:31 Page3Ref:32
Objective:3 3 1-2
3) An3Emergency3Medical3Responder3comes3to3you3and3states3that3they3would3like3to3work3f
or3your3emergency3ambulance3service3on3a3full-
time3basis.3Knowing3the3National3EMS3Scope3of3Practice3Model,3you3inform3them3of3which3
element3they3need3to3attain3first?
A) They3will3be3able3to3take3care3of3only3patients3with3non-life-threatening3complaints.
B) They3will3first3need3approval3from3your3ambulance3service's3medical3director.
C) They3will3be3able3to3work3only3with3an3Advanced3Emergency3Medical3Technician3(AEMT)3
or3Paramedic.
D) They3will3first3have3to3become3an3Emergency3Medical3Technician3(EMT)
.3Answer:3 D
Diff:31 Page3Ref:33
Objective:3 3 1-1
4) As3defined3by3the3National3EMS3Scope3of3Practice3Model,3the3four3levels3of3EMS3practitione
rs3include:
A) Ambulance3drivers.
B) EMS3medical3director.
C) Paramedics.
D) Emergency3medical3dispatchers.
3Answer: 3 C
Diff:31 Page3Ref:36
1
Copyright3©320243Pearson3Education,3Inc
.
,Objective:3 3 1-3
5) An3Emergency3Medical3Responder3(EMR)3approaches3you3and3states3that3they3are3interested3i
n3becoming3an3EMT.3Specifically,3they3ask3what3they3will3be3able3to3do3as3an3EMT3that3they3ca
nnot3presently3do3as3an3EMR.3You3respond3by3saying3they3will3be3able3to:
A) Administer3some3medications.
B) Assist3in3emergency3childbirth.
C) Use3an3automated3external3defibrillator.
D) Obtain3vital3signs
.
Answer:3 3 A
Diff:31 Page3Ref:35-6
Objective:3 3 1-5
6) You3have3been3dispatched3for3a361-year-
old3female3in3cardiac3arrest.3Emergency3Medical3Responders3(EMRs)3are3on3the3scene.3In3yo
ur3community,3all3EMS3practitioners3are3trained3according3to3the3National3EMS3Scope3of3Pra
ctice3Model.3Given3this,3which3type3of3care3do3you3expect3the3EMRs3to3be3providing?
A) Emergency3medication3administration
B) Automated3external3defibrillation
C) Intravenous3therapy
D) Reading3an3electrocardiogram
3Answer: 3 B
Diff:32 Page3Ref:35-6
Objective:3 3 1-5
7) An3EMT3with3your3service3states3that3they3desire3to3become3a3Paramedic3because3they3want3t
o3provide3advanced3care.3Under3the3National3EMS3Scope3of3Practice3Model,3which3one3of3thes
e3types3of3care3will3they3be3able3to3provide3as3a3Paramedic3that3they3cannot3provide3as3an3EMT
?
A) Use3of3an3automated3blood3pressure3monitoring
B) Assistance3with3emergency3childbirth
C) Providing3interfacility3transports
D) Initiating3intravenous3(IV)3therapy
3Answer: 3 D
Diff:31 Page3Ref:36
Objective:3 3 1-5
8) Which3statement3made3by3an3EMT3requires3immediate3intervention3by3a3superior3or3the3servic
e3supervisor?
A) "I3always3wear3my3seat3belt3whenever3I3am3in3the3patient3compartment3of3the3ambulance,3unle
ss3I3have3to3remove3it3to3care3for3a3patient."
B) "I3drive3as3fast3as3I3can3to3get3to3the3scene3of3an3emergency,3especially3if3a3child3is3sick3or3injur
ed3according3to3dispatch3information."
C) "When3I3am3driving3with3lights3and3sirens,3I3instruct3my3partner3that3he3will3need3to3handle3
all3radio3communications."
D) "I3put3exam3gloves3on3for3every3patient3I3contact,3even3if3he3or3she3does3not3have3a3known3
or3suspected3infectious3disease."
2
Copyright3©320243Pearson3Education,3Inc
.
,Answer:3 3 B
Diff:31 Page3Ref:37
3
Copyright3©320243Pearson3Education,3Inc
.
, Objective:3 3 1-7
9) Which3statement3shows3that3the3EMT3has3a3good3understanding3of3their3role3and3responsibiliti
es3related3to3being3an3EMT?
A) "The3patient's3needs3come3before3anyone3else's3needs."
B) "At3the3scene3of3an3emergency,3my3responsibility3is3to3get3to3the3patient3no3matter3what."
C) "My3safety3comes3first,3and3then3the3patient's3safety."
D) "As3an3EMT,3I3recognize3that3the3public's3safety3comes3before3the3safety3of3me3or3my3partner
."3Answer:3 C
Diff:32 Page3Ref:37
Objective:3 3 1-7
10) An3ambulance3with3two3EMTs3arrives3in3front3of3a3house3for3an3unknown3medical3emergenc
y.3On3scene,3bystanders3report3that3a3female3patient3was3beaten3by3her3husband3in3the3driveway3
and3then3dragged3back3into3the3house.3They3state3that3the3patient3appeared3unconscious3and3was
3bleeding3from3the3head.3Which3action3would3the3EMTs3perform3next?
A) Do3not3enter3the3scene3until3it3has3been3controlled3by3law3enforcement.
B) Quietly3enter3the3home3and3quickly3move3the3patient3to3the3ambulance.
C) Remove3the3husband3from3the3house,3then3provide3emergency3care3to3the3wife.
D) Enter3the3home3to3protect3the3patient3while3waiting3for3the3police3to3arriv
e.3Answer:3 A
Diff:32 Page3Ref:37-8
Objective:3 3 1-7
11) Why3is3EMS3in3a3unique3position3to3contribute3significantly3to3mobile3integrated3health3care?
A) EMS3providers3are3familiar3with3and3capable3of3functioning3in3the3out-of-hospital3environment.
B) Ambulances3are3easily3identified.
C) The3community3trusts3uniformed3health3care3providers.
D) EMS3providers3are3familiar3with3the3many3routes3of3medication3administration
.3Answer:3 A
Diff:31 Page3Ref:315
Objective:3 3 1-14
12) You3have3arrived3on3the3scene3of3a3motor3vehicle3collision.3A3car3has3gone3off3the3road3and3in
to3a3utility3pole.3The3pole3is3broken3and3wires3are3hanging3just3above3the3car.3You3do3not3see3an
y3sparking3or3arcing3of3the3wires.3The3driver3of3the3car3is3slumped3over3the3steering3wheel3and3
not3moving.3Several3bystanders3around3the3car3are3yelling3for3you3to3help.3Which3steps3represen
t3the3correct3order3of3your3response?
A) Clear3the3bystanders,3allow3the3fire3department3to3secure3the3wires,3access3the3patient,3extricat
e3the3patient,3transport
B) Access3the3patient,3clear3the3bystanders,3allow3the3fire3department3to3secure3the3wires,3extricat
e3the3patient,3transport
C) Clear3the3bystanders,3access3the3patient,3extricate3the3patient,3transport,3allow3the3fir
e3department3to3secure3the3wires
D) Access3the3patient,3allow3the3fire3department3to3secure3the3wires,3clear3the3bystanders,3extricat
e3the3patient,3transport
Answer:3 3 A
Diff:32 Page3Ref:37-8
Objective:3 3 1-7
4
Copyright3©320243Pearson3Education,3Inc
.
3 3
Prehospital3Emergency3Care,312th3Edition3by3Joseph3J.3Mistovich3Keith3J3Karren3Brent3Q.3Hafen
Chapter31-44
Chapter31 Emergency3Medical3Service3Systems,3Research,3and3Public3Health
1) What3is3a3primary3purpose3of3the3modern-day3EMS3system?
A) Provide3a3means3of3transport3to3and3from3the3hospital
B) Ensure3that3all3members3of3society3have3equal3access3to3hospitals
C) Decrease3the3incidence3of3death3and3disability3related3to3injury3and3illness
D) Provide3emergency3health3care3services3to3medically3underserved3area
s3Answer:3 C
Diff:32 Page3Ref:32
Objective:3 3 1-2
2) Most3authorities3agree3that3the3modern-
day3EMS3system3evolved3after3the3release3of3which3document?
A) The3Emergency3Medical3Services3Act3of31973
B) The3white3paper3"Accidental3Death3and3Disability:3The3Neglected3Disease3of3Modern3Society,
"3in31966
C) The3American3Heart3Association's3Guidelines3for3Cardiac3Resuscitation
D) Emergency3Medical3Services:3Agenda3for3the3Future,3in3199
63Answer:3 B
Diff:31 Page3Ref:32
Objective:3 3 1-2
3) An3Emergency3Medical3Responder3comes3to3you3and3states3that3they3would3like3to3work3f
or3your3emergency3ambulance3service3on3a3full-
time3basis.3Knowing3the3National3EMS3Scope3of3Practice3Model,3you3inform3them3of3which3
element3they3need3to3attain3first?
A) They3will3be3able3to3take3care3of3only3patients3with3non-life-threatening3complaints.
B) They3will3first3need3approval3from3your3ambulance3service's3medical3director.
C) They3will3be3able3to3work3only3with3an3Advanced3Emergency3Medical3Technician3(AEMT)3
or3Paramedic.
D) They3will3first3have3to3become3an3Emergency3Medical3Technician3(EMT)
.3Answer:3 D
Diff:31 Page3Ref:33
Objective:3 3 1-1
4) As3defined3by3the3National3EMS3Scope3of3Practice3Model,3the3four3levels3of3EMS3practitione
rs3include:
A) Ambulance3drivers.
B) EMS3medical3director.
C) Paramedics.
D) Emergency3medical3dispatchers.
3Answer: 3 C
Diff:31 Page3Ref:36
1
Copyright3©320243Pearson3Education,3Inc
.
,Objective:3 3 1-3
5) An3Emergency3Medical3Responder3(EMR)3approaches3you3and3states3that3they3are3interested3i
n3becoming3an3EMT.3Specifically,3they3ask3what3they3will3be3able3to3do3as3an3EMT3that3they3ca
nnot3presently3do3as3an3EMR.3You3respond3by3saying3they3will3be3able3to:
A) Administer3some3medications.
B) Assist3in3emergency3childbirth.
C) Use3an3automated3external3defibrillator.
D) Obtain3vital3signs
.
Answer:3 3 A
Diff:31 Page3Ref:35-6
Objective:3 3 1-5
6) You3have3been3dispatched3for3a361-year-
old3female3in3cardiac3arrest.3Emergency3Medical3Responders3(EMRs)3are3on3the3scene.3In3yo
ur3community,3all3EMS3practitioners3are3trained3according3to3the3National3EMS3Scope3of3Pra
ctice3Model.3Given3this,3which3type3of3care3do3you3expect3the3EMRs3to3be3providing?
A) Emergency3medication3administration
B) Automated3external3defibrillation
C) Intravenous3therapy
D) Reading3an3electrocardiogram
3Answer: 3 B
Diff:32 Page3Ref:35-6
Objective:3 3 1-5
7) An3EMT3with3your3service3states3that3they3desire3to3become3a3Paramedic3because3they3want3t
o3provide3advanced3care.3Under3the3National3EMS3Scope3of3Practice3Model,3which3one3of3thes
e3types3of3care3will3they3be3able3to3provide3as3a3Paramedic3that3they3cannot3provide3as3an3EMT
?
A) Use3of3an3automated3blood3pressure3monitoring
B) Assistance3with3emergency3childbirth
C) Providing3interfacility3transports
D) Initiating3intravenous3(IV)3therapy
3Answer: 3 D
Diff:31 Page3Ref:36
Objective:3 3 1-5
8) Which3statement3made3by3an3EMT3requires3immediate3intervention3by3a3superior3or3the3servic
e3supervisor?
A) "I3always3wear3my3seat3belt3whenever3I3am3in3the3patient3compartment3of3the3ambulance,3unle
ss3I3have3to3remove3it3to3care3for3a3patient."
B) "I3drive3as3fast3as3I3can3to3get3to3the3scene3of3an3emergency,3especially3if3a3child3is3sick3or3injur
ed3according3to3dispatch3information."
C) "When3I3am3driving3with3lights3and3sirens,3I3instruct3my3partner3that3he3will3need3to3handle3
all3radio3communications."
D) "I3put3exam3gloves3on3for3every3patient3I3contact,3even3if3he3or3she3does3not3have3a3known3
or3suspected3infectious3disease."
2
Copyright3©320243Pearson3Education,3Inc
.
,Answer:3 3 B
Diff:31 Page3Ref:37
3
Copyright3©320243Pearson3Education,3Inc
.
, Objective:3 3 1-7
9) Which3statement3shows3that3the3EMT3has3a3good3understanding3of3their3role3and3responsibiliti
es3related3to3being3an3EMT?
A) "The3patient's3needs3come3before3anyone3else's3needs."
B) "At3the3scene3of3an3emergency,3my3responsibility3is3to3get3to3the3patient3no3matter3what."
C) "My3safety3comes3first,3and3then3the3patient's3safety."
D) "As3an3EMT,3I3recognize3that3the3public's3safety3comes3before3the3safety3of3me3or3my3partner
."3Answer:3 C
Diff:32 Page3Ref:37
Objective:3 3 1-7
10) An3ambulance3with3two3EMTs3arrives3in3front3of3a3house3for3an3unknown3medical3emergenc
y.3On3scene,3bystanders3report3that3a3female3patient3was3beaten3by3her3husband3in3the3driveway3
and3then3dragged3back3into3the3house.3They3state3that3the3patient3appeared3unconscious3and3was
3bleeding3from3the3head.3Which3action3would3the3EMTs3perform3next?
A) Do3not3enter3the3scene3until3it3has3been3controlled3by3law3enforcement.
B) Quietly3enter3the3home3and3quickly3move3the3patient3to3the3ambulance.
C) Remove3the3husband3from3the3house,3then3provide3emergency3care3to3the3wife.
D) Enter3the3home3to3protect3the3patient3while3waiting3for3the3police3to3arriv
e.3Answer:3 A
Diff:32 Page3Ref:37-8
Objective:3 3 1-7
11) Why3is3EMS3in3a3unique3position3to3contribute3significantly3to3mobile3integrated3health3care?
A) EMS3providers3are3familiar3with3and3capable3of3functioning3in3the3out-of-hospital3environment.
B) Ambulances3are3easily3identified.
C) The3community3trusts3uniformed3health3care3providers.
D) EMS3providers3are3familiar3with3the3many3routes3of3medication3administration
.3Answer:3 A
Diff:31 Page3Ref:315
Objective:3 3 1-14
12) You3have3arrived3on3the3scene3of3a3motor3vehicle3collision.3A3car3has3gone3off3the3road3and3in
to3a3utility3pole.3The3pole3is3broken3and3wires3are3hanging3just3above3the3car.3You3do3not3see3an
y3sparking3or3arcing3of3the3wires.3The3driver3of3the3car3is3slumped3over3the3steering3wheel3and3
not3moving.3Several3bystanders3around3the3car3are3yelling3for3you3to3help.3Which3steps3represen
t3the3correct3order3of3your3response?
A) Clear3the3bystanders,3allow3the3fire3department3to3secure3the3wires,3access3the3patient,3extricat
e3the3patient,3transport
B) Access3the3patient,3clear3the3bystanders,3allow3the3fire3department3to3secure3the3wires,3extricat
e3the3patient,3transport
C) Clear3the3bystanders,3access3the3patient,3extricate3the3patient,3transport,3allow3the3fir
e3department3to3secure3the3wires
D) Access3the3patient,3allow3the3fire3department3to3secure3the3wires,3clear3the3bystanders,3extricat
e3the3patient,3transport
Answer:3 3 A
Diff:32 Page3Ref:37-8
Objective:3 3 1-7
4
Copyright3©320243Pearson3Education,3Inc
.
