1
Copyright © 2024 Pearson Education, Inc.
o o o o o
,TEST BANK FOR o o
Prehospital Emergency Care, 12th Edition by Joseph J. Mistovich Keith J Karren Brent Q. Hafen
o o o o o o o o o o o o o o
Chapter 1-44 o
Chapter 1Emergency Medical Service Systems, Research, and Public Health
o o o o o o o o o
1) What is a primary purpose of the modern-day EMS system?
o o o o o o o o o
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
o o o o o o o o o o
C) Decrease the incidence of death and disability related to injury and illness
o o o o o o o o o o o
D) Provide emergency health care services to medically underserved areas Answer: C
o o o o o o o o o o
Diff: 2
o Page Ref: 2
o o o
Objective: 1-2 o
2) Most authorities agree that the modern-day EMS system evolved after the release of which
o o o o o o o o o o o o o
document?
o
A) The Emergency Medical Services Act of 1973
o o o o o o
B) The white paper "Accidental Death and Disability: The Neglected Disease of Modern Society," in
o o o o o o o o o o o o o
1966 o
C) The American Heart Association's Guidelines for Cardiac Resuscitation
o o o o o o o
D) Emergency Medical Services: Agenda for the Future, in 1996 Answer: B o o o o o o o o o o
Diff: 1
o Page Ref: 2
o o o
Objective: 1-2 o
3) An Emergency Medical Responder comes to you and states that they would like to work for your
o o o o o o o o o o o o o o o o
emergency ambulance service on a full-time basis. Knowing the National EMS Scope of Practice
o o o o o o o o o o o o o o
Model, you inform them of which element they need to attain first?
o o o o o o o o o o o o
A) They will be able to take care of only patients with non-life-threatening complaints.
o o o o o o o o o o o o
B) They will first need approval from your ambulance service's medical director.
o o o o o o o o o o
C) They will be able to work only with an Advanced Emergency Medical Technician (AEMT) or
o o o o o o o o o o o o o o
Paramedic.
o
D) They will first have to become an Emergency Medical Technician (EMT). Answer: D
o o o o o o o o o o o o
Diff: 1
o Page Ref: 3
o o o o o
Objective: 1-1 o
4) As defined by the National EMS Scope of Practice Model, the four levels of EMS practitioners
o o o o o o o o o o o o o o o
include:
o
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
2
Copyright © 2024 Pearson Education, Inc. o o o o o
,Objective: 1-3 o o
5) An Emergency Medical Responder (EMR) approaches you and states that they are interested in
o o o o o o o o o o o o o
becoming an EMT. Specifically, they ask what they will be able to do as an EMT that they cannot
o o o o o o o o o o o o o o o o o o o
presently do as an EMR. You respond by saying they will be able to:
o o o o o o o o o o o o o o
A) Administer some medications. o o
B) Assist in emergency childbirth. o o o
C) Use an automated external defibrillator.
o o o o
D) Obtain vitalsigns. o o
Answer: A
o o
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
o o o o o o o o o o o o
Responders (EMRs) are on the scene. In your community, all EMS practitioners are trained
o o o o o o o o o o o o o o
according to the National EMS Scope of Practice Model. Given this, which type of care do you
o o o o o o o o o o o o o o o o o
expect the EMRs to be providing?
o o o o o o
A) Emergency medication administration o o
B) Automated external defibrillation o o
C) Intravenous therapy o
D) Readingan electrocardiogram o o
Answer: B
o o
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
o o o o o o o o o o o o o o o o
provide advanced care. Under the National EMS Scope of Practice Model, which one of these types
o o o o o o o o o o o o o o o o
of care will they be able to provide as a Paramedic that they cannot provide as an EMT?
o o o o o o o o o o o o o o o o o o
A) Use of an automated blood pressure monitoring
o o o o o o
B) Assistance with emergency childbirth o o o
C) Providing interfacility transports o o
D) Initiatingintravenous (IV)therapy o o o
Answer: D
o o
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
o o o o o o o o o o o o o o
supervisor?
o
A) "Ialways wearmyseat beltwhenever Iam inthepatient compartmentof theambulance, unless I have
o o o o o o o o o o o o o o o o o o
to remove it to care for a patient."
o o o o o o o o
B) "Idriveas fast as Ican to get tothesceneofan emergency, especiallyifachild issickorinjured
o o o o o o o o o o o o o o o o o o o o o o
according to dispatch information."
o o o o
C) "When I am driving with lights and sirens, Iinstruct my partner that he will need to handle all radio
o o o o o o o o o o o o o o o o o o o
communications."
o
D) "I put exam gloves on for every patient I contact, even if he or she does not have a known or
o o o o o o o o o o o o o o o o o o o o
suspected infectious disease."
o o o
Answer: B o o
Diff: 1 o Page Ref: 7 o o
3
Copyright © 2024 Pearson Education, Inc. o o o o o
, Objective: 1-7 o o
9) Whichstatementshowsthat theEMThasagoodunderstandingoftheirroleand responsibilities
o o o o o o o o o o o o o o
related to being an EMT?
o o o o o
A) "The patient's needs come before anyone else's needs."
o o o o o o o
B) "At the scene of an emergency, myresponsibility is to get to the patient no matter what."
o o o o o o o o o o o o o o o o
C) "My safety comes first, and then the patient's safety."
o o o o o o o o
D) "As an EMT, Irecognize that the public's safety comes before the safety of me or my partner."
o o o o o o o o o o o o o o o o o
Answer: C
o o
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
o o o o o o o o o o o o o o o o
scene, bystanders report that a female patient was beaten by her husband in the driveway and then
o o o o o o o o o o o o o o o o o
dragged back into the house. They state that the patient appeared unconscious and was bleeding from
o o o o o o o o o o o o o o o o
the head. Which action would the EMTs perform next?
o o o o o o o o o
A) Do not enter the scene until it has been controlled by law enforcement.
o o o o o o o o o o o o
B) Quietly enter the home and quickly move the patient to the ambulance.
o o o o o o o o o o o
C) Remove the husband from the house, then provide emergency care to the wife.
o o o o o o o o o o o o
D) Enter the home to protect the patient while waiting for the police to arrive.
o o o o o o o o o o o o o
Answer: A
o o
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?
o o o o o o o o o o o o o o
A) EMS providers arefamiliar with and capable of functioning intheout-of-hospital environment.
o o o o o o o o o o o o
B) Ambulances are easily identified. o o o
C) The community trusts uniformed health care providers.
o o o o o o
D) EMS providers are familiar with the manyroutes of medication administration.
o o o o o o o o o o
Answer: A
o o
Diff: 1 o Page Ref: 15 o o
Objective: 1-14 o o
12) Youhavearrivedonthe sceneofamotorvehiclecollision. Acarhasgoneofftheroad and into a utility
o o o o o o o o o o o o o o o o o o o o o
pole. The pole is broken and wires are hanging just above the car. You do not see any sparking or
o o o o o o o o o o o o o o o o o o o o
arcing of the wires. The driver of the car is slumped over the steering wheel and not moving. Several
o o o o o o o o o o o o o o o o o o o
bystanders around the car are yelling for you to help. Which steps represent the correct order of your
o o o o o o o o o o o o o o o o o o
response?
o
A) Clear the bystanders, allow the fire department to secure the wires, access the patient, extricate the
o o o o o o o o o o o o o o o
patient, transport
o o
B) Access the patient, clear the bystanders, allow the fire department to secure the wires, extricate the
o o o o o o o o o o o o o o o
patient, transport
o o
C) Clear the bystanders, access the patient, extricate the patient, transport, allow the fire
o o o o o o o o o o o o
department to secure the wires
o o o o o
D) Access the patient, allow the firedepartment to securethe wires, clear the bystanders, extricate the
o o o o o o o o o o o o o o o
patient, transport
o o
Answer: A o o
Diff: 2 o Page Ref: 7-8 o o
Objective: 1-7 o o
4
Copyright © 2024 Pearson Education, Inc. o o o o o
Copyright © 2024 Pearson Education, Inc.
o o o o o
,TEST BANK FOR o o
Prehospital Emergency Care, 12th Edition by Joseph J. Mistovich Keith J Karren Brent Q. Hafen
o o o o o o o o o o o o o o
Chapter 1-44 o
Chapter 1Emergency Medical Service Systems, Research, and Public Health
o o o o o o o o o
1) What is a primary purpose of the modern-day EMS system?
o o o o o o o o o
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
o o o o o o o o o o
C) Decrease the incidence of death and disability related to injury and illness
o o o o o o o o o o o
D) Provide emergency health care services to medically underserved areas Answer: C
o o o o o o o o o o
Diff: 2
o Page Ref: 2
o o o
Objective: 1-2 o
2) Most authorities agree that the modern-day EMS system evolved after the release of which
o o o o o o o o o o o o o
document?
o
A) The Emergency Medical Services Act of 1973
o o o o o o
B) The white paper "Accidental Death and Disability: The Neglected Disease of Modern Society," in
o o o o o o o o o o o o o
1966 o
C) The American Heart Association's Guidelines for Cardiac Resuscitation
o o o o o o o
D) Emergency Medical Services: Agenda for the Future, in 1996 Answer: B o o o o o o o o o o
Diff: 1
o Page Ref: 2
o o o
Objective: 1-2 o
3) An Emergency Medical Responder comes to you and states that they would like to work for your
o o o o o o o o o o o o o o o o
emergency ambulance service on a full-time basis. Knowing the National EMS Scope of Practice
o o o o o o o o o o o o o o
Model, you inform them of which element they need to attain first?
o o o o o o o o o o o o
A) They will be able to take care of only patients with non-life-threatening complaints.
o o o o o o o o o o o o
B) They will first need approval from your ambulance service's medical director.
o o o o o o o o o o
C) They will be able to work only with an Advanced Emergency Medical Technician (AEMT) or
o o o o o o o o o o o o o o
Paramedic.
o
D) They will first have to become an Emergency Medical Technician (EMT). Answer: D
o o o o o o o o o o o o
Diff: 1
o Page Ref: 3
o o o o o
Objective: 1-1 o
4) As defined by the National EMS Scope of Practice Model, the four levels of EMS practitioners
o o o o o o o o o o o o o o o
include:
o
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
2
Copyright © 2024 Pearson Education, Inc. o o o o o
,Objective: 1-3 o o
5) An Emergency Medical Responder (EMR) approaches you and states that they are interested in
o o o o o o o o o o o o o
becoming an EMT. Specifically, they ask what they will be able to do as an EMT that they cannot
o o o o o o o o o o o o o o o o o o o
presently do as an EMR. You respond by saying they will be able to:
o o o o o o o o o o o o o o
A) Administer some medications. o o
B) Assist in emergency childbirth. o o o
C) Use an automated external defibrillator.
o o o o
D) Obtain vitalsigns. o o
Answer: A
o o
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
o o o o o o o o o o o o
Responders (EMRs) are on the scene. In your community, all EMS practitioners are trained
o o o o o o o o o o o o o o
according to the National EMS Scope of Practice Model. Given this, which type of care do you
o o o o o o o o o o o o o o o o o
expect the EMRs to be providing?
o o o o o o
A) Emergency medication administration o o
B) Automated external defibrillation o o
C) Intravenous therapy o
D) Readingan electrocardiogram o o
Answer: B
o o
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
o o o o o o o o o o o o o o o o
provide advanced care. Under the National EMS Scope of Practice Model, which one of these types
o o o o o o o o o o o o o o o o
of care will they be able to provide as a Paramedic that they cannot provide as an EMT?
o o o o o o o o o o o o o o o o o o
A) Use of an automated blood pressure monitoring
o o o o o o
B) Assistance with emergency childbirth o o o
C) Providing interfacility transports o o
D) Initiatingintravenous (IV)therapy o o o
Answer: D
o o
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
o o o o o o o o o o o o o o
supervisor?
o
A) "Ialways wearmyseat beltwhenever Iam inthepatient compartmentof theambulance, unless I have
o o o o o o o o o o o o o o o o o o
to remove it to care for a patient."
o o o o o o o o
B) "Idriveas fast as Ican to get tothesceneofan emergency, especiallyifachild issickorinjured
o o o o o o o o o o o o o o o o o o o o o o
according to dispatch information."
o o o o
C) "When I am driving with lights and sirens, Iinstruct my partner that he will need to handle all radio
o o o o o o o o o o o o o o o o o o o
communications."
o
D) "I put exam gloves on for every patient I contact, even if he or she does not have a known or
o o o o o o o o o o o o o o o o o o o o
suspected infectious disease."
o o o
Answer: B o o
Diff: 1 o Page Ref: 7 o o
3
Copyright © 2024 Pearson Education, Inc. o o o o o
, Objective: 1-7 o o
9) Whichstatementshowsthat theEMThasagoodunderstandingoftheirroleand responsibilities
o o o o o o o o o o o o o o
related to being an EMT?
o o o o o
A) "The patient's needs come before anyone else's needs."
o o o o o o o
B) "At the scene of an emergency, myresponsibility is to get to the patient no matter what."
o o o o o o o o o o o o o o o o
C) "My safety comes first, and then the patient's safety."
o o o o o o o o
D) "As an EMT, Irecognize that the public's safety comes before the safety of me or my partner."
o o o o o o o o o o o o o o o o o
Answer: C
o o
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
o o o o o o o o o o o o o o o o
scene, bystanders report that a female patient was beaten by her husband in the driveway and then
o o o o o o o o o o o o o o o o o
dragged back into the house. They state that the patient appeared unconscious and was bleeding from
o o o o o o o o o o o o o o o o
the head. Which action would the EMTs perform next?
o o o o o o o o o
A) Do not enter the scene until it has been controlled by law enforcement.
o o o o o o o o o o o o
B) Quietly enter the home and quickly move the patient to the ambulance.
o o o o o o o o o o o
C) Remove the husband from the house, then provide emergency care to the wife.
o o o o o o o o o o o o
D) Enter the home to protect the patient while waiting for the police to arrive.
o o o o o o o o o o o o o
Answer: A
o o
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?
o o o o o o o o o o o o o o
A) EMS providers arefamiliar with and capable of functioning intheout-of-hospital environment.
o o o o o o o o o o o o
B) Ambulances are easily identified. o o o
C) The community trusts uniformed health care providers.
o o o o o o
D) EMS providers are familiar with the manyroutes of medication administration.
o o o o o o o o o o
Answer: A
o o
Diff: 1 o Page Ref: 15 o o
Objective: 1-14 o o
12) Youhavearrivedonthe sceneofamotorvehiclecollision. Acarhasgoneofftheroad and into a utility
o o o o o o o o o o o o o o o o o o o o o
pole. The pole is broken and wires are hanging just above the car. You do not see any sparking or
o o o o o o o o o o o o o o o o o o o o
arcing of the wires. The driver of the car is slumped over the steering wheel and not moving. Several
o o o o o o o o o o o o o o o o o o o
bystanders around the car are yelling for you to help. Which steps represent the correct order of your
o o o o o o o o o o o o o o o o o o
response?
o
A) Clear the bystanders, allow the fire department to secure the wires, access the patient, extricate the
o o o o o o o o o o o o o o o
patient, transport
o o
B) Access the patient, clear the bystanders, allow the fire department to secure the wires, extricate the
o o o o o o o o o o o o o o o
patient, transport
o o
C) Clear the bystanders, access the patient, extricate the patient, transport, allow the fire
o o o o o o o o o o o o
department to secure the wires
o o o o o
D) Access the patient, allow the firedepartment to securethe wires, clear the bystanders, extricate the
o o o o o o o o o o o o o o o
patient, transport
o o
Answer: A o o
Diff: 2 o Page Ref: 7-8 o o
Objective: 1-7 o o
4
Copyright © 2024 Pearson Education, Inc. o o o o o
