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,TESTBANK |FOR
Prehospital|Emergency|Care,|12th|Edition|byJoseph|J.|mistovich|Keith|JKarren|Brent|Q.|Hafen
Chapter|1-44
Chapter|1emergency|Medical|ServiceSystems,|Research,|and|Public|Health
1) What |is |a |primary|purpose |of |the|modern-day|EMS |system?
A) Provide |a |means |ofJtransport |toJand |from |theJhospital
B) Ensure|that |all |members |of |society|have |equal |access |to |hospitals
C) DecreaseJthe |incidence |of |death |and |disability|related |toJinjury|and |illness
D) Provide|emergency|health |care|services |to |medically|underserved |areas |Answer: |CJD |iff:
|2 Page |Ref: |2
Objective: | 1-2
2) Most |authorities |agree |that |the|modern-
day|EMS |system |evolvedJafter |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 |19 |66
C) The|American |Heart |Association's |Guidelines |for |Cardiac |Resuscitation
D) Emergency|Medical |Services: |Agenda|for|the|Future,|in|1996|Answer:|B |D |iff:
|1 Page |Ref: |2
Objective: | 1-2
3) An |Emergency|Medical |Responder|comes |to |you |and |states |that |they|would |likeJto |work|for |your |em
|ergency |ambulanceJservice |on |a |full-
time|basis. |KnowingJthe|National |EMS |Scope|of|Practice |Model, |you |inform |them |of |which |element
|they |need |toJattain |first?
A) They|will |be |able |to |take |care |of |only|patients |withJnon-life-threatening |complaints.
B) They|will |first |need |approval |from |your |ambulanceJservice's |medical |director.
C) They|will |be|ableJtoJwork|only|with|an|AdvancedJEmergency|Medical |Technician |(AEMT)|or |Pa
|ramedic.
D) They|will |first |have|to|become|anJEmergency|Medical |Technician |(EMT). |Answer: |D |Di |ff: |1
PageJRef: |3
Objective: | 1-1
4) As |defined |by|the|National |EMS |Scope|of |Practice|Model, |theJfour|levels |of|EMS |practitioners |inc
|lude:
A) Ambulance |drivers.
B) EMS |medical |director.
C) Paramedics.
D) Emergencymedical|dispatchers.|Answer:|C
Diff: |1
| Page |Ref: |6
2
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,Objective: | 1-3
5) An |Emergency |Medical |Responder |(EMR) |approaches |you |and |states |that |theyareinterested |in |be
|coming |an |EMT. |Specifically, |they |ask |what |they |will |be |able |to |do |as |an |EMT |that |they |cannot |prese |ntly
|do |as |an |EMR. |YouJrespond |by |saying |they |will |be |able |to:
A) Administer |some |medications.
B) Assist |inJemergency|childbirth.
C) Use|an |automated |external |defibrillator.
D) Obtain|vital|signs.
|Answer: | A
Diff:|1 Page|Ref: |5-6
Objective: | 1-5
6) You |have |been |dispatched |for |a |61-year-
oldJfemale |in |cardiac |arrest. |Emergency |Medical |Responders |(EMRs) |areJonJthe |scene. |InJyour |co
|mmunity, |all |EMS |practitioners |areJtrained |according |to |the |National |EMS |Scope |of |Practice |Mod |el.
|Given |this, |which |t ype |of |careJdo |you |expect |the |EMRs |to |be |providing?
A) Emergencymedication | administration
B) Automated |external |defibrillation
C) IntravenousJtherapy
D) Reading|an|electrocardiogramJ
| Answer: |B
Diff:|2 Page|Ref: |5-6
Objective: | 1-5
7) An |EMT |withJyour |service |states |that |they |desireJtoJbecome |aJParamedic |because |they |want |to |pro
|vide |advanced |care. |Under |theJNational |EMS |ScopeJof |Practice |Model, |which |one |of |theseJtypes |of
|care |will |they |beJable |to |provide |as |a |Paramedic |that |they |cannot |provide |as |anJEMT?
A) Use|of |an |automated |blood |pressure|monitoring
B) Assistance|with |emergency |childbirth
C) Providing |interfacility |transports
D) InitiatingJintravenous|(IV)|therapy
|Answer: |D
Diff:|1 Page|Ref: |6
Objective: | 1-5
8) WhichJstatement|made|by|an|EMT|requires|immediate|intervention|by|a|superior|or|the|service |su
|pervisor?
A) "Ialways|wearmyseatbeltwhenever|IJam|intheJpatient|compartment|of|theambulance,|unless |I |h
|aveJto |remove |it |to |care |for |a |patient."
B) "Idrive|as|fast|as |IJcan|togettothescene|of|an|emergency,|especiallyif|achildisJsick|or|injured |acco
|rding |to |dispatch |information."
C) "WhenJIJamJdriving|with|lightsJand|sirens, |IinstructJmypartner|that|he|will|need|to|handleJall|radi |o
|communications."
D) "IJput|exam|gloves|on|for|every|patient |I|contact,|even|if|he|or|she|does |not |have|a|known|or |susp |ected
|infectiousJdisease."
Answer: | B
Diff:|1 Page|Ref: |7
3
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, Objective: | 1-7
9) Which|statementJshows|that|the|EMThasa|good|understandingJof|their|roleand|responsibilities|rel
|ated |to |being |an |EMT?
A) "The|patient's |needs |come |before |anyone |else's |needs."
B) "At|the|scene|of|an|emergency, |myresponsibility|is|to|get|to|theJpatient |no|matter|what."
C) "My|safety|comes |first, |and |then |the |patient's |safety."
D) "As|an|EMT,|Irecognize|that|the|public's|safety|comes|before|the|safety|of|me|or|mypartner."|An |swer:
|C
Diff:|2 Page|Ref: |7
Objective: | 1-7
10) An |ambulanceJwith |two |EMTs |arrives |in |front |of |ahouse |for |an |unknown |medical |emergency. |On
|scene, |bystanders |report |that |a |female |patient |was |beaten |by |her |husband |in |the |driveway |and |then |d
|raggedJback |into |theJhouse. |They |state |that |theJpatient |appeared |unconscious |and |was |bleeding |from
|the |head. |Which |actionJwouldJthe |EMTs |performJnext?
A) Do|not |enter|the|scene |until |it |has |been |controlled |by|law |enforcement.
B) Quietlyenter|the|home|and |quickly|move|the|patient |toJthe|ambulance.
C) Remove|the |husband |from |the |house, |then |provide|emergency|care |to |the |wife.
D) Enter|the|home|to|protect|theJpatient|while|waitingJfor|the|policeto|arrive. |A
|nswer: |A
Diff:|2 Page|Ref: |7-8
Objective: | 1-7
11) Why|is |EMS |inJaJunique |position |to |contributeJsignificantly|to |mobileJintegratedJhealth |care?
A) EMS|providers|areJfamiliar|with|and|capable|of|functioning|intheout-of-hospital|environment.
B) Ambulances |areJeasily|identified.
C) The|community|trusts |uniformed |health |care |providers.
D) EMS |providers|areJfamiliar|with|the|many|routes|of|medication |administration. |A
|nswer: |A
Diff:|1 Page|Ref: |15
Objective: | 1-14
12) You|havearrived|on|thescene|of|amotor|vehicleJcollision.|A|car|hasgoneJoff|theroadand|into |a |uti |lity
|pole. |The |pole |is |broken |and |wires |are |hangingJjust |aboveJthe |car. |You |do|not |see |any|sparking |o |r |arcing |of
|theJwires. |The |driver |of |the |car |is |slumped |over |the |steering |wheel |and |not |moving. |Sever |al |bystanders
|around |the |car |are |yelling |for |you |toJhelp. |Which |steps |represent |theJcorrect |order |of |y |our |response?
A) Clearthebystanders, |allow |the |fire |department |to |securethe |wires, |access |thepatient, |extricate |the
|patient, |transport
B) Access |thepatient, |clear |thebystanders, |allow |the |firedepartment |tosecurethe |wires, |extricateJthe
|patient, |transport
C) Clear|the|bystanders,|access|the|patient,|extricate|thepatient,|transport,|allow|the|fire|de
|partment |to |secureJthe |wires
D) Access |theJpatient, |allow |the |fire |department |tosecurethe |wires, |clearthebystanders, |extricate |the
|patient, |transport
Answer: | A
Diff:|2 Page|Ref: |7-8
Objective: | 1-7
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