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 istatement ishows ithat ithe iEMT ihas ia igood iunderstanding iof iher irole
iand iresponsibilities irelated ito ibeing ian iEMT?
A) "The ipatient's ineeds icome ibefore ianyone ielse's ineeds."
B) "At ithe iscene iof ian iemergency, imy iresponsibility iis ito iget ito ithe ipatient ino imatter iwhat."
C) "My isafety icomes ifirst, iand ithen ithe ipatient's isafety."
D) "As ian iEMT, iI irecognize ithat ithe ipublic's isafety icomes ibefore ithe isafety iof ime ior
imy ipartner."
Answer: i C
Diff: i2 Page iRef: i8-9
Objective: i 1-7
10) An iambulance iwith itwo iEMTs iarrives iin ifront iof ia ihouse ifor ian iunknown imedical
iemergency. iOn iscene, ibystanders ireport ithat ia ifemale ipatient iwas ibeaten iby iher ihusband iin
ithe idriveway iand ithen idragged iback iinto ithe ihouse. iThey istate ithat ithe ipatient iappeared
iunconscious iand iwas ibleeding ifrom ithe ihead. iWhich iaction iwould ithe iEMTs iperform inext?
A) Do inot ienter ithe iscene iuntil iit ihas ibeen icontrolled iby ilaw ienforcement
B) Quietly ienter ithe ihome iand iquickly imove ithe ipatient ito ithe iambulance
C) Remove ithe ihusband ifrom ithe ihouse, ithen iprovide iemergency icare ito ithe iwife
D) Enter ithe ihome ito iprotect ithe ipatient iwhile iwaiting ifor ithe ipolice ito
iarrive iAnswer: i A
Diff: i2 Page iRef: i9
Objective: i 1-7
11) Why iis iEMS iin ia iunique iposition ito icontribute isignificantly ito imobile iintegrated ihealth
icare?
A) EMS iproviders iare ifamiliar iwith iand icapable iof ifunctioning iin ithe iout-of-
hospital ienvironment
B) Ambulances iare ieasily iidentified
C) The icommunity itrusts iuniformed ihealth icare iproviders
D) EMS iproviders iare ifamiliar iwith ithe imany iroutes iof imedication
iadministration iAnswer: i A
Diff: i1 Page iRef: i17
Objective: i 1-15
,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 istatement ishows ithat ithe iEMT ihas ia igood iunderstanding iof iher irole
iand iresponsibilities irelated ito ibeing ian iEMT?
A) "The ipatient's ineeds icome ibefore ianyone ielse's ineeds."
B) "At ithe iscene iof ian iemergency, imy iresponsibility iis ito iget ito ithe ipatient ino imatter iwhat."
C) "My isafety icomes ifirst, iand ithen ithe ipatient's isafety."
D) "As ian iEMT, iI irecognize ithat ithe ipublic's isafety icomes ibefore ithe isafety iof ime ior
imy ipartner."
Answer: i C
Diff: i2 Page iRef: i8-9
Objective: i 1-7
10) An iambulance iwith itwo iEMTs iarrives iin ifront iof ia ihouse ifor ian iunknown imedical
iemergency. iOn iscene, ibystanders ireport ithat ia ifemale ipatient iwas ibeaten iby iher ihusband iin
ithe idriveway iand ithen idragged iback iinto ithe ihouse. iThey istate ithat ithe ipatient iappeared
iunconscious iand iwas ibleeding ifrom ithe ihead. iWhich iaction iwould ithe iEMTs iperform inext?
A) Do inot ienter ithe iscene iuntil iit ihas ibeen icontrolled iby ilaw ienforcement
B) Quietly ienter ithe ihome iand iquickly imove ithe ipatient ito ithe iambulance
C) Remove ithe ihusband ifrom ithe ihouse, ithen iprovide iemergency icare ito ithe iwife
D) Enter ithe ihome ito iprotect ithe ipatient iwhile iwaiting ifor ithe ipolice ito
iarrive iAnswer: i A
Diff: i2 Page iRef: i9
Objective: i 1-7
11) Why iis iEMS iin ia iunique iposition ito icontribute isignificantly ito imobile iintegrated ihealth
icare?
A) EMS iproviders iare ifamiliar iwith iand icapable iof ifunctioning iin ithe iout-of-
hospital ienvironment
B) Ambulances iare ieasily iidentified
C) The icommunity itrusts iuniformed ihealth icare iproviders
D) EMS iproviders iare ifamiliar iwith ithe imany iroutes iof imedication
iadministration iAnswer: i A
Diff: i1 Page iRef: i17
Objective: i 1-15
