Test Bank For Prehospital Emergency Care 12th Edition By Joseph J. Mistovich, Keith J. Karren |All Chapters,

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,TEST BANK FOR o o




Prehospital Emergency Care, 12th Edition by Joseph J. Mistovich Keith J Karren Brent Q. Hafen
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Chapter 1-44 o




Chapter 1Emergency Medical Service Systems, Research, and Public Health
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1) What is a primary purpose of the modern-day EMS system?
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A) Provide a means of transport to and from the hospital o o o o o o o o o




B) Ensure that all members of society have equal access to hospitals
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C) Decrease the incidence of death and disability related to injury and illness
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D) Provide emergency health care services to medically underserved areas Answer: C
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Diff: 2
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Objective: 1-2 o




2) Most authorities agree that the modern-day EMS system evolved after the release of which
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document?
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A) The Emergency Medical Services Act of 1973
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B) The white paper "Accidental Death and Disability: The Neglected Disease of Modern Society," in
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1966 o




C) The American Heart Association's Guidelines for Cardiac Resuscitation
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D) Emergency Medical Services: Agenda for the Future, in 1996 Answer: B o o o o o o o o o o




Diff: 1
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Objective: 1-2 o




3) An Emergency Medical Responder comes to you and states that they would like to work for your
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emergency ambulance service on a full-time basis. Knowing the National EMS Scope of Practice
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Model, you inform them of which element they need to attain first?
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A) They will be able to take care of only patients with non-life-threatening complaints.
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B) They will first need approval from your ambulance service's medical director.
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C) They will be able to work only with an Advanced Emergency Medical Technician (AEMT) or
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Paramedic.
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D) They will first have to become an Emergency Medical Technician (EMT). Answer: D
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Diff: 1
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Objective: 1-1 o




4) As defined by the National EMS Scope of Practice Model, the four levels of EMS practitioners
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include:
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A) Ambulance drivers. o




B) EMS medical director. o o




C) Paramedics.
D) Emergencymedical dispatchers. Answer: C o o o o




o Diff: 1 o Page Ref: 6 o o




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,Objective: 1-3 o o




5) An Emergency Medical Responder (EMR) approaches you and states that they are interested in
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becoming an EMT. Specifically, they ask what they will be able to do as an EMT that they cannot
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presently do as an EMR. You respond by saying they will be able to:
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A) Administer some medications. o o




B) Assist in emergency childbirth. o o o




C) Use an automated external defibrillator.
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D) Obtain vitalsigns. o o




Answer: A
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Diff: 1 o Page Ref: 5-6 o o




Objective: 1-5 o o




6) You have been dispatched for a 61-year-old female in cardiac arrest. Emergency Medical
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Responders (EMRs) are on the scene. In your community, all EMS practitioners are trained
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according to the National EMS Scope of Practice Model. Given this, which type of care do you
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expect the EMRs to be providing?
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A) Emergency medication administration o o




B) Automated external defibrillation o o




C) Intravenous therapy o




D) Readingan electrocardiogram o o




Answer: B
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Diff: 2 o Page Ref: 5-6 o o




Objective: 1-5 o o




7) An EMT with your service states that theydesire to become a Paramedic because they want to
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provide advanced care. Under the National EMS Scope of Practice Model, which one of these types
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of care will they be able to provide as a Paramedic that they cannot provide as an EMT?
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A) Use of an automated blood pressure monitoring
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B) Assistance with emergency childbirth o o o




C) Providing interfacility transports o o




D) Initiatingintravenous (IV)therapy o o o




Answer: D
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Diff: 1 o Page Ref: 6 o o




Objective: 1-5 o o




8) Which statement made byan EMT requires immediate intervention by a superior or the service
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supervisor?
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A) "Ialways wearmyseat beltwhenever Iam inthepatient compartmentof theambulance, unless I have
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to remove it to care for a patient."
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B) "Idriveas fast as Ican to get tothesceneofan emergency, especiallyifachild issickorinjured
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according to dispatch information."
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C) "When I am driving with lights and sirens, Iinstruct my partner that he will need to handle all radio
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communications."
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D) "I put exam gloves on for every patient I contact, even if he or she does not have a known or
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suspected infectious disease."
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Answer: B o o




Diff: 1 o Page Ref: 7 o o




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, Objective: 1-7 o o




9) Whichstatementshowsthat theEMThasagoodunderstandingoftheirroleand responsibilities
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related to being an EMT?
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A) "The patient's needs come before anyone else's needs."
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B) "At the scene of an emergency, myresponsibility is to get to the patient no matter what."
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C) "My safety comes first, and then the patient's safety."
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D) "As an EMT, Irecognize that the public's safety comes before the safety of me or my partner."
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Answer: C
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Diff: 2 o Page Ref: 7 o o




Objective: 1-7 o o




10) An ambulance with two EMTs arrives infront of ahouse foran unknown medical emergency. On
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scene, bystanders report that a female patient was beaten by her husband in the driveway and then
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dragged back into the house. They state that the patient appeared unconscious and was bleeding from
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the head. Which action would the EMTs perform next?
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A) Do not enter the scene until it has been controlled by law enforcement.
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B) Quietly enter the home and quickly move the patient to the ambulance.
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C) Remove the husband from the house, then provide emergency care to the wife.
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D) Enter the home to protect the patient while waiting for the police to arrive.
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Answer: A
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Diff: 2 o Page Ref: 7-8 o o




Objective: 1-7 o o




11) Whyis EMS in a unique position to contribute significantly to mobile integrated health care?
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A) EMS providers arefamiliar with and capable of functioning intheout-of-hospital environment.
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B) Ambulances are easily identified. o o o




C) The community trusts uniformed health care providers.
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D) EMS providers are familiar with the manyroutes of medication administration.
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Answer: A
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Diff: 1 o Page Ref: 15 o o




Objective: 1-14 o o




12) Youhavearrivedonthe sceneofamotorvehiclecollision. Acarhasgoneofftheroad and into a utility
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pole. The pole is broken and wires are hanging just above the car. You do not see any sparking or
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arcing of the wires. The driver of the car is slumped over the steering wheel and not moving. Several
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bystanders around the car are yelling for you to help. Which steps represent the correct order of your
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response?
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A) Clear the bystanders, allow the fire department to secure the wires, access the patient, extricate the
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patient, transport
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B) Access the patient, clear the bystanders, allow the fire department to secure the wires, extricate the
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patient, transport
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C) Clear the bystanders, access the patient, extricate the patient, transport, allow the fire
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department to secure the wires
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D) Access the patient, allow the firedepartment to securethe wires, clear the bystanders, extricate the
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patient, transport
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Answer: A o o




Diff: 2 o Page Ref: 7-8 o o




Objective: 1-7 o o




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