To receive the highest quality of care, some patients need to be transported to special facilities,
such as patients who have:
A. broken a long bone.
B. a diabetic emergency or altered mental status.
C. been critically burned or had a stroke.
D. been exposed to extremes of cold or heat. - correct answer C
A term for treatments backed by research that proves that the interventions have positive
effects in patient care is:
A. evidence-based medicine.
B. traditional approach.
C. early goal-directed therapy.
D. authority-based treatment. - correct answer A
Treatment decisions based on research are called:
A. higher medical authority.
B. evidence-based.
C. off-line protocols.
D. standard of care. - correct answer B
You believe that your patient should be given nitroglycerin for his chest pain. You do not have
off-line protocols for this, so you should:
A. contact medical direction.
B. transport the patient.
C. administer the medication and document accordingly.
D. encourage the patient to self-administer the medication. - correct answer A
Which step in the evidence-based medicine process deals with the concept of determining
what we already know about a particular intervention or situation?
A. Changing of protocol on the basis of the research outcome
B. Formulating a question
,C. Searching medical literature
D. Appraising evidence for validity and reliability - correct answer C
The modern EMS system in the United States began in the:
A. 1960s.
B. 1950s.
C. 1980s.
D. 2000s. - correct answer A
Which of the following terms is the description of medical techniques or practices that are
supported by scientific evidence confirming their safety and efficacy?
A. Patient outcomes
B. Injury prevention
C. Quality improvement
D. Evidence-based - correct answer D
What is the MOST common destination facility to which an EMT will be transporting patients?
A. Hospital cardiac, medical, or trauma intensive-care units
B. Freestanding emergency care facility
C. Hospital emergency department
D. Private physician's office - correct answer C
The National Highway Traffic Safety Administration provides a set of recommended standards
for EMS systems called the Technical Assistance Program Assessment Standards. Which of the
following is one of these ten standards?
A. Personnel scheduling
B. Vehicle maintenance
C. System access
D. Medical direction - correct answer D
What is one way in which an EMT can work toward high-quality care?
A. By limiting his or her education to core requirements
B. By checking and maintaining the equipment
,C. By writing run reports after a shift
D. By advising against the QI process - correct answer B
EMS has a role in many public health issues, including:
A. vaccination programs.
B. enforcing the speeding laws.
C. promoting safer vehicle design.
D. regulating the number of work hours. - correct answer A
An enhanced 911 system allows the emergency dispatcher to:
A. contact police, fire, and EMS personnel simultaneously.
B. immediately access the phone number and address from which the call is being made.
C. provide step-by-step CPR instructions to the caller.
D. respond to the scene of a medical incident much quicker. - correct answer B
Holding an NREMT certification may help you in which of the following situations?
A. Passing an EMT examination
B. Gaining reciprocity
C. Establishing protocols
D. Providing prehospital care - correct answer B
Why would the failure of a CQI program to advise EMTs within the system about the system's
overall performance pose a risk to future patients?
A. It may lead to patient care errors from lack of knowledge about treatment protocols.
B. It may result in inadequate data collection for billing purposes.
C. It may result in "over-triage" of patients and the transport of patients to the hospital who
should never have gone.
D. It may lead to inaccurate reporting of issues to the state EMS office. - correct answer A
Refresher courses for EMTs are required:
A. as determined by each employer.
B. at 2- to 4-year intervals.
C. annually.
, D. only if the EMT's skills are poor. - correct answer B
As an EMT, your role in quality improvement includes:
A. keeping your opinions and observations to yourself.
B. carefully and thoroughly documenting each call.
C. conducting follow-up interviews with patients.
D. withholding important information from your CQI officer because it pertains to your partner.
- correct answer B
According to the National EMS Scope of Practice Model, an Advanced EMT should be trained to:
A. decompress a chest cavity.
B. perform a needle jet insufflation.
C. initiate cardiac pacing.
D. administer medications intravenously. - correct answer D
You are taking care of a patient who has been assigned to you during a mass-casualty incident.
What should precede your emergency care?
A. Patient assessment
B. Communicating with law enforcement
C. Leaving the scene
D. Patient advocacy - correct answer A
Which of the following are you most likely to do for every patient transport?
A. Notify the receiving facility of the nature and extent of injuries.
B. Use lights and siren to minimize transport time.
C. Obtain the patient's insurance information.
D. Allow family members to ride in the patient compartment. - correct answer A
What do many fire departments require of an employee?
A. Cross-training as an EMT
B. Cross-training as a firefighter
C. Cross-training as a policeman
D. Cross-training as a volunteer - correct answer A