Test Bank - Prehospital Emergency Care 11th Edition by Mistovich & Karre, All 46 Chapters Covered, Verified Latest Edition

TEST BANK
ft

,Chapter 1 Emergency Care Systems, Research, and Public Health
ft f t ft ft ft ft ft ft




1) What is a primary purpose of the modern-day EMS system?
ft ft ft ft ft ft ft ft ft


A) Provide a means of transport to and from the hospital ft ft ft ft ft ft ft ft ft


B) Ensure that all members of society have equal access to hospitals
ft ft ft ft ft ft ft ft ft ft


C) Decrease the incidence of death and disability related to injury and illness
ft ft ft ft ft ft ft ft ft ft ft


D) Provide emergency health care services to medically underserved areas
ft ft ft ft ft ft ft ft


Answer: C
ft f t


Diff: 2 Page Ref: 7
ft ft ft


Objective: 1-2 f t




2) Most authorities agree that the modern-day EMS system evolved after the release of which
ft ft ft ft ft ft ft ft ft ft ft ft ft


document?
ft


A) The Emergency Medical Services Act of 1973
ft ft ft ft ft ft


B) The white paper "Accidental Death and Disability: The Neglected Disease of Modern
ft ft ft ft ft ft ft ft ft ft ft


Society" in 1966
ft ft ft


C) The American Heart Association's Guidelines for Cardiac Resuscitation
ft ft ft ft ft ft ft


D) Emergency Medical Services: Agenda for the Future, in 1996 ft ft ft ft ft ft ft ft


Answer: B
ft f t


Diff: 1 Page Ref: 3
ft ft ft


Objective: 1-2 f t




3) An Emergency Medical Responder comes to you and states that he would like to work
ft ft ft ft ft ft ft ft ft ft ft ft ft ft


for your emergency ambulance service on a full-time basis. Knowing the National EMS
ft ft ft ft ft ft ft ft ft ft ft ft ft


Scope of Practice Model, you inform him of which element?
ft ft ft ft ft ft ft ft ft ft


A) He will be able to take care of only patients with non-life-threatening complaints
ft ft ft ft ft ft ft ft ft ft ft ft


B) He will first need approval from your ambulance service's medical director
ft ft ft ft ft ft ft ft ft ft


C) He will be able to work only with an Advanced EMT or paramedic
ft ft ft ft ft ft ft ft ft ft ft ft


D) He will first have to become an Emergency Medical Technician
ft ft ft ft ft ft ft ft ft


Answer: D
ft f t


Diff: 1 Page Ref: 6-7
ft ft ft


Objective: 1-1 f t




4) As defined by the National EMS Scope of Practice Model, the four levels of EMS
ft ft ft ft ft ft ft ft ft ft ft ft ft ft


practitioners include:
ft ft


A) Ambulance drivers ft


B) EMS medical director ft ft


C) Paramedics
D) Emergency medical dispatchers ft ft


Answer: C
ft f t


Diff: 1 Page Ref: 6-7
ft ft ft


Objective: 1-3 f t

,5) An Emergency Medical Responder (EMR) approaches you and states that he is interested in
ft ft ft ft ft ft ft ft ft ft ft ft ft


becoming an EMT. Specifically, he asks what he will be able to do as an EMT that he
ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft


cannot presently do as an EMR. You respond by saying he will be able to:
ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft


A) Administer some medications ft ft


B) Assist in emergency childbirth
ft ft ft


C) Use an automated external defibrillator
ft ft ft ft


D) Obtain vital signs ft ft


Answer: A
ft f t


Diff: 1
ft Page Ref: 6-7 ft ft


Objective: 1-5 f t




6) You have been dispatched for a 61-year-old female in cardiac arrest. Emergency Medical
ft ft ft ft ft ft ft ft ft ft ft ft


Responders (EMRs) are on scene. In your community, all EMS practitioners are trained
ft ft ft ft ft ft ft ft ft ft ft ft ft


according to the National EMS Scope of Practice Model. Given this, which type of care do you
ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft


expect the EMRs to be providing?
ft ft ft ft ft ft


A) Emergency medication administration ft ft


B) Automated external defibrillation ft ft


C) Intravenous therapy ft


D) Reading an electrocardiogram ft ft


Answer: B
ft f t


Diff: 2
ft Page Ref: 6 ft ft


Objective: 1-5 f t




7) An EMT with your service states that she desires to become a paramedic because she wants to
ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft


provide advanced care. Under the National EMS Scope of Practice Model, which one of these
ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft


types of care will she be able to provide as a paramedic that she cannot provide as an EMT?
ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft


A) Automated blood pressure monitoring ft ft ft


B) Assistance with emergency childbirth ft ft ft


C) Interfacility transports ft


D) IV therapy
ft


Answer: D
ft f t


Diff: 1
ft Page Ref: 7 ft ft


Objective: 1-5 f t




8) Which statement made by an EMT requires immediate intervention by a superior or the
ft ft ft ft ft ft ft ft ft ft ft ft ft


service supervisor?
ft ft


A) "I always wear my seat belt whenever I am in the patient compartment of the ambulance,
ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft


unless I have to remove it to care for a patient."
ft ft ft ft ft ft ft ft ft ft ft


B) "I drive as fast as I can to get to the scene of an emergency, especially if a child is sick or
ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft


injured according to dispatch information."
ft ft ft ft ft


C) "When I am driving with lights and sirens, I instruct my partner that he will need to handle all
ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft


radio communications."
ft ft


D) "I put exam gloves on for every patient I contact, even if he or she does not have a known or
ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft


suspected infectious disease."
ft ft ft


Answer: B f t


Diff: 1
ft Page Ref: 9 ft ft


Objective: 1-7 f t

, 9) Which statement shows that the EMT has a good understanding of her role and
ft ft ft ft ft ft ft ft ft ft ft ft ft


responsibilities related to being an EMT?
ft ft ft ft ft ft


A) "The patient's needs come before anyone else's needs."
ft ft ft ft ft ft ft


B) "At the scene of an emergency, my responsibility is to get to the patient no matter what."
ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft


C) "My safety comes first, and then the patient's safety."
ft ft ft ft ft ft ft ft


D) "As an EMT, I recognize that the public's safety comes before the safety of me or my
ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft


partner."
ft


Answer: C f t


Diff: 2 Page Ref: 8-9
ft ft ft


Objective: 1-7 f t




10) An ambulance with two EMTs arrives in front of a house for an unknown medical
ft ft ft ft ft ft ft ft ft ft ft ft ft ft


emergency. On scene, bystanders report that a female patient was beaten by her husband in
ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft


the driveway and then dragged back into the house. They state that the patient appeared
ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft


unconscious and was bleeding from the head. Which action would the EMTs perform next?
ft ft ft ft ft ft ft ft ft ft ft ft ft ft


A) Do not enter the scene until it has been controlled by law enforcement
ft ft ft ft ft ft ft ft ft ft ft ft


B) Quietly enter the home and quickly move the patient to the ambulance
ft ft ft ft ft ft ft ft ft ft ft


C) Remove the husband from the house, then provide emergency care to the wife
ft ft ft ft ft ft ft ft ft ft ft ft


D) Enter the home to protect the patient while waiting for the police to arrive
ft ft ft ft ft ft ft ft ft ft ft ft ft


Answer: A
ft f t


Diff: 2 Page Ref: 9
ft ft ft


Objective: 1-7 f t




11) Why is EMS in a unique position to contribute significantly to mobile integrated health care?
ft ft ft ft ft ft ft ft ft ft ft ft ft ft


A) EMS providers are familiar with and capable of functioning in the out-of-hospital
ft ft ft ft ft ft ft ft ft ft ft


environment
ft


B) Ambulances are easily identified ft ft ft


C) The community trusts uniformed health care providers
ft ft ft ft ft ft


D) EMS providers are familiar with the many routes of medication administration
ft ft ft ft ft ft ft ft ft ft


Answer: A
ft f t


Diff: 1 Page Ref: 17
ft ft ft


Objective: 1-15 f t