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