1
.
,TEST BANK FOR
Prehospital Emergency Care, 12th Edition by Joseph J. Mistovich Keith J Karren Brent Q. Hafen
Chapter 1-44
Chapter 1 Emergency Medical Service 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: 2
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: 2
Objective: 1-2
3) An Emergency Medical Responder comes to you and states that they would like to work
for your emergency ambulance service on a full-time basis. Knowing the National EMS
Scope of Practice Model, you inform them of which element they need to attain first?
A) They will be able to take care of only patients with non-life-threatening complaints.
B) They will first need approval from your ambulance service's medical director.
C) They will be able to work only with an Advanced Emergency Medical Technician
(AEMT) or Paramedic.
D) They will first have to become an Emergency Medical Technician (EMT). Answer: D
Diff: 1 Page Ref: 3
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
2
.
,Objective: 1-3
5) An Emergency Medical Responder (EMR) approaches you and states that they are
interested in becoming an EMT. Specifically, they ask what they will be able to do as an
EMT that they cannot presently do as an EMR. You respond by saying they 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: 5-6
Objective: 1-5
6) You have been dispatched for a 61-year-old female in cardiac arrest. Emergency
Medical Responders (EMRs) are on the 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: 5-6
Objective: 1-5
7) An EMT with your service states that they desire to become a Paramedic because
they want to provide advanced care. Under the National EMS Scope of Practice Model,
which one of these types of care will they be able to provide as a Paramedic that they
cannot provide as an EMT? A) Use of an automated blood pressure monitoring
B) Assistance with emergency childbirth
C) Providing interfacility transports
D) Initiating intravenous (IV)
therapy Answer: D
Diff: 1 Page Ref: 6
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: 7
3
.
, Objective: 1-7
9) Which statement shows that the EMT has a good understanding of their role and
responsibilities related to being an EMT?
A) "The patient's needs come before anyone else's needs."
B) "At the scene of an emergency, my responsibility is to get to the patient no
matter what." C) "My safety comes first, and then the patient's safety."
D) "As an EMT, I recognize that the public's safety comes before the safety of me or my
partner." Answer: C
Diff: 2 Page Ref: 7
Objective: 1-7
10) An ambulance with two EMTs arrives in front of a house for an unknown medical
emergency. On scene, bystanders report that a female patient was beaten by her husband
in the driveway and then dragged back into the house. They state that the patient appeared
unconscious and was bleeding from the head. Which action would the EMTs perform next?
A) Do not enter the scene until it has been controlled by law enforcement.
B) Quietly enter the home and quickly move the patient to the ambulance.
C) Remove the husband from the house, then provide emergency care to
the wife. D) Enter the home to protect the patient while waiting for the
police to arrive. Answer: A
Diff: 2 Page Ref: 7-8
Objective: 1-7
11) Why is EMS in a unique position to contribute significantly to mobile integrated
health care? A) EMS providers are familiar with and capable of functioning in the out-of-
hospital environment. B) Ambulances are easily identified.
C) The community trusts uniformed health care providers.
D) EMS providers are familiar with the many routes of medication
administration. Answer: A
Diff: 1 Page Ref: 15
Objective: 1-14
12) You have arrived on the scene of a motor vehicle collision. A car has gone off the
road and into a utility pole. The pole is broken and wires are hanging just above the car.
You do not see any sparking or arcing of the wires. The driver of the car is slumped
over the steering wheel and not moving. Several bystanders around the car are yelling
for you to help. Which steps represent the correct order of your response?
A) Clear the bystanders, allow the fire department to secure the wires, access the
patient, extricate the patient, transport
B) Access the patient, clear the bystanders, allow the fire department to secure the
wires, extricate the patient, transport
C) Clear the bystanders, access the patient, extricate the patient, transport,
allow the fire department to secure the wires
D) Access the patient, allow the fire department to secure the wires, clear the
bystanders, extricate the patient, transport
Answer: A
Diff: 2 Page Ref: 7-8
Objective: 1-7
4
.
.
,TEST BANK FOR
Prehospital Emergency Care, 12th Edition by Joseph J. Mistovich Keith J Karren Brent Q. Hafen
Chapter 1-44
Chapter 1 Emergency Medical Service 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: 2
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: 2
Objective: 1-2
3) An Emergency Medical Responder comes to you and states that they would like to work
for your emergency ambulance service on a full-time basis. Knowing the National EMS
Scope of Practice Model, you inform them of which element they need to attain first?
A) They will be able to take care of only patients with non-life-threatening complaints.
B) They will first need approval from your ambulance service's medical director.
C) They will be able to work only with an Advanced Emergency Medical Technician
(AEMT) or Paramedic.
D) They will first have to become an Emergency Medical Technician (EMT). Answer: D
Diff: 1 Page Ref: 3
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
2
.
,Objective: 1-3
5) An Emergency Medical Responder (EMR) approaches you and states that they are
interested in becoming an EMT. Specifically, they ask what they will be able to do as an
EMT that they cannot presently do as an EMR. You respond by saying they 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: 5-6
Objective: 1-5
6) You have been dispatched for a 61-year-old female in cardiac arrest. Emergency
Medical Responders (EMRs) are on the 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: 5-6
Objective: 1-5
7) An EMT with your service states that they desire to become a Paramedic because
they want to provide advanced care. Under the National EMS Scope of Practice Model,
which one of these types of care will they be able to provide as a Paramedic that they
cannot provide as an EMT? A) Use of an automated blood pressure monitoring
B) Assistance with emergency childbirth
C) Providing interfacility transports
D) Initiating intravenous (IV)
therapy Answer: D
Diff: 1 Page Ref: 6
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: 7
3
.
, Objective: 1-7
9) Which statement shows that the EMT has a good understanding of their role and
responsibilities related to being an EMT?
A) "The patient's needs come before anyone else's needs."
B) "At the scene of an emergency, my responsibility is to get to the patient no
matter what." C) "My safety comes first, and then the patient's safety."
D) "As an EMT, I recognize that the public's safety comes before the safety of me or my
partner." Answer: C
Diff: 2 Page Ref: 7
Objective: 1-7
10) An ambulance with two EMTs arrives in front of a house for an unknown medical
emergency. On scene, bystanders report that a female patient was beaten by her husband
in the driveway and then dragged back into the house. They state that the patient appeared
unconscious and was bleeding from the head. Which action would the EMTs perform next?
A) Do not enter the scene until it has been controlled by law enforcement.
B) Quietly enter the home and quickly move the patient to the ambulance.
C) Remove the husband from the house, then provide emergency care to
the wife. D) Enter the home to protect the patient while waiting for the
police to arrive. Answer: A
Diff: 2 Page Ref: 7-8
Objective: 1-7
11) Why is EMS in a unique position to contribute significantly to mobile integrated
health care? A) EMS providers are familiar with and capable of functioning in the out-of-
hospital environment. B) Ambulances are easily identified.
C) The community trusts uniformed health care providers.
D) EMS providers are familiar with the many routes of medication
administration. Answer: A
Diff: 1 Page Ref: 15
Objective: 1-14
12) You have arrived on the scene of a motor vehicle collision. A car has gone off the
road and into a utility pole. The pole is broken and wires are hanging just above the car.
You do not see any sparking or arcing of the wires. The driver of the car is slumped
over the steering wheel and not moving. Several bystanders around the car are yelling
for you to help. Which steps represent the correct order of your response?
A) Clear the bystanders, allow the fire department to secure the wires, access the
patient, extricate the patient, transport
B) Access the patient, clear the bystanders, allow the fire department to secure the
wires, extricate the patient, transport
C) Clear the bystanders, access the patient, extricate the patient, transport,
allow the fire department to secure the wires
D) Access the patient, allow the fire department to secure the wires, clear the
bystanders, extricate the patient, transport
Answer: A
Diff: 2 Page Ref: 7-8
Objective: 1-7
4
.
