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Which of the following is a personal trait that is expected of the EMT?
Communicating effectively both orally and in writing
What is the essence of QI review?
It is self-initiated.
Which of the following is LEAST likely to be an area of employment for an EMT?
A.
Wilderness rescue
B.
Fire department
C.
Chain restaurant
Your answer is correct.
D.
Industrial warehouse
Chain restaurant
Quality improvement should be:
active
Something is evidence if it is based on:
scientific.
Which of the following statements is NOT a benefit of using the emergency 911 number during an emergency?
It eliminates the need for EMDs.
Which of the following is a common step in evidence-based decision making?
Changing your protocols and implementing the changes, if supported by evidence
The NHTSA Technical Assistance Program assessment standards for EMS systems address the resource management component by stating that each state must provide a centralized coordination of resources to ensure that:
all patients have equal access to acceptable emergency care.
In transfer of care, it is important to provide:
continuity of care.
An EMT's role in the quality improvement process is:
a part of every call for the EMT.
What must someone do to gain registration with the National Registry of EMTs?
Pass both a computer-based knowledge examination and a practical hands-on examination
Your EMS employer provides injury prevention education to children. This is an example of:
public information and education.
You respond to the residence of a senior citizen who has fallen. You make an observation about slippery throw rugs on the living room floor and bring this to the attention of the patient and her family. This is an example of being:
a self-starter
Who can issue on-line direction to EMTs to perform a treatment that is NOT listed in their protocol but is in their scope of practice?
Medical director
Which of the following best describes off-line medical direction?
Standing orders issued by the medical director that allow EMTs to give certain medications or perform certain procedures
Providing reports involving a patient with a communicable disease, such as bacterial meningitis, would be an example of the involvement of EMS in:
disease surveillance.
Orders from the on-duty physician given by radio or phone are referred to as:
on-line medical direction.
Which statement regarding states and the National Registry examinations is true?
Many states use these examinations as their certification exams.
What is the BEST way to determine whether an intervention provided by EMTs is beneficial to patient outcomes?
Perform evidence-based research on that intervention in the EMS environment.
You have arrived at the ED with a patient when another call comes over the radio for your squad to respond to a cardiac arrest. Transfer of patient care to the staff has not been completed. What action would best demonstrate your ability to lead?
Stay with the patient until care is transferred to hospital staff.
Safe transport involves:
securing the patient in the ambulance.
In areas where children do not have routine well care and are at risk, EMS providers may help with:
vaccination programs.
The expectation that an EMT will demonstrate good listening skills is considered a personal trait involving:
empathy.
You are involved in a single-car accident on a rural, two-lane road. When you call 911, who is most likely to respond?
Local volunteer EMT
What is a lesson learned from the Korean and Vietnam conflicts?
Specialized centers should be devoted to treatment of trauma injuries.
One aspect of the regulation and policy standard of the NHTSA Technical Assistance Program is that each state should have:
a lead EMS agency.
You provide encouragement to a patient experiencing respiratory distress to get the patient to calm down. This BEST demonstrates:
patient care.
You have just assessed a patient in her living room, and you notice the couch is in front of an open window. You are on the third floor, and the window has only a screen on it. If there are toddlers and preschoolers in the home, what would be good injury prevention advice for the family?
Move the couch away from the window.
Which of the following should the EMT do for every patient contact that will improve the quality of data collected for the QI program?
Document carefully
Which of the following agencies has established an assessment program with a set of standards for EMS systems?
NHTSA
A personal trait that the EMT must possess that relates to overcoming the unpleasant aspects of an emergency is:
having emotional stability.
Emergency Medical Responders (EMRs) are generally trained to provide:
immediate care for life-threatening injuries.
Of the four nationally recognized levels of EMS training, which one is the most basic?
Emergency Medical Responder
The 911 call takers who are specially trained to give prearrival instructions to callers, such as how to control bleeding or how to perform CPR, are called:
emergency medical dispatchers.
An EMT should never enter a violent scene until:
it has been secured by the police.
What is the name of the event that takes place within the first several hours after a critical incident and is designed to start the process of helping emergency providers work through a stressful situation?
Defusing
Your patient is suspected of tuberculosis. Your PPE should include a(n):
N-95 respirator mask.
You are on a call for a patient who was assaulted. Law enforcement is on the scene. You are not directly involved with patient care. You should:
actively observe for potential dangers.
You are caring for a critically injured patient who asks you whether she will be OK. Which of the following responses is appropriate?
"You're badly hurt, and we are doing everything we can to get you out of here and to a hospital. But don't you give up."
To reduce the risk of illness, the EMT should:
use Standard Precautions during each patient contact.
Which of the following is the best way to handle job-related stress?
Recognize the signs of stress when they develop.
A patient you know is dying asks for comfort, and you say, "Don't worry, it isn't certain that you are going to die. You can't lose hope." This is:
giving false reassurance.
What emotional stage of dying might your patient be experiencing if he responds to a terminal diagnosis by saying that he understands he is going to die but then listing all the things he could do to be healthier and push off death for a little longer?
Bargaining
Which of the following should you do when threatened by a patient or family member?
Quickly plan your route of escape.
A TST provides:
exposure detection.
What is an example of an engineering control according to OSHA?
A pocket mask
Where can you obtain an immunization against tuberculosis?
Nowhere in the United States
Hepatitis A is usually contracted through exposure to:
food or water that has been contaminated by feces.
The organisms that cause infection, such as viruses and bacteria, are called:
pathogens.
Lack of sleep:
has physical, mental, and emotional effects.
What is the major hormone that influences metabolism and the immune response, and helps the body adapt to stress?
Cortisol
SARS cross-contamination from the patient to the provider can be reduced if the EMT takes which precautions?
Don gloves and gown, use eye protection, and wear an N-95 respirator.
A patient appears to be bloodied, although it's not clear whether the patient herself is bleeding. Which of the following should the EMT definitely wear when treating this patient?
Gloves
During rescue operations, you are unprepared if you lack:
turnout gear.
Which of the following diseases has the shortest incubation period?
Influenza
For which of the following is there a vaccination?
Hepatitis B
You have been an EMT in a busy system for a number of years. Over the past several months, you have noticed an increase in your stress levels. Your partner asks you what positive steps you've tried. What is a positive lifestyle intervention you could mention?
You've developed positive and healthful dietary habits.
An example of eustress is:
having to meet higher performance standards.
Which of the following is considered part of the stress triad?
Bleeding gastric ulcers
When is it advisable to use an alcohol-based hand cleaner?
If only disinfection is warranted
Which of the following is a suggested way to help reduce your job-related stress?
Request to work at a station that has a lighter call volume.
During a clinical shift in the emergency department, you are instructed to put on a HEPA mask. The situation likely involves:
tuberculosis.
Who mandates that employers of emergency responders must take certain measures to protect employees who are likely to be exposed to blood and other body fluids?
OSHA
What type of stress reaction would an EMT likely experience when the EMT's partner has been attacked?
Acute stress reaction
During a hazardous material incident, when should you begin treating patients?
After they have been decontaminated
You are dispatched for a patient who called 911 after what was reported to be a fall from a ladder. On your arrival, the patient admits to having been injured during a domestic dispute. The patient also tells you that the spouse is still in the home. What should you do?
Immediately leave the scene and contact law enforcement.
Which of the following patient care situations would MOST likely indicate the use of a gown along with gloves and eye/face protection?
Assisting with childbirth
Which of the following diseases is on the decline because of better vaccination?
Epiglottitis
What is the proper term for the introduction of dangerous chemicals, disease, or infectious material into the human body?
Contamination
Which of the following stress reactions is associated with the condition that some EMS providers describe as
burnout?
Cumulative stress reaction
A dangerous person is threatening you, causing you to rapidly move away from that person. At your new position, at least how many major obstacles should you place between yourself and the pursuer if you can?
Two
Which of the following situations should heighten your suspicion that a scene is unsafe?
Uncaged animals
Which of the following is recommended when washing your hands after patient contact?
Use soap and water when available.
Which type of hepatitis is acquired primarily through contaminated food or water?
Hepatitis A
After lashing out at others, lapsing into sadness, and then briefly trying to negotiate for more time, a terminal patient finally seems to have recognized death as inevitable and is now waiting for the end. What is the final emotional stage this patient is in?
Acceptance
You are at the scene of a patient with obvious signs of traumatic death. You are required by law in your state to report violent deaths. Your duty as an EMT is to notify:
law enforcement.
You are off duty and on your way to the grocery store when you witness a car accident in front of the store entrance. You stop to render assistance and identify yourself as an EMT to the occupants of the vehicles. The patient in the first car denies the need for assistance, but the second driver is complaining of neck pain. She tells you that she thinks she will be okay but would like to get checked out. You are in a hurry, as you have an appointment and want to get your shopping done first. You should:
stay with the patient until someone with an equal or higher care level of training or certification assumes care.
A suicidal 14-year-old who has critically injured herself is trying to get you to withhold care. She is screaming that she wants to die and that you should not touch her or come near her. You should:
provide the care she needs.
Ethical considerations:
relate primarily to making patient care and well-being a priority.
A patient is suing an EMT for failing to administer oxygen for a heart attack. The patient is alleging that the EMT was negligent. This case would be considered a:
civil case.
When an EMT takes the time to ask permission from a conscious adult to do an assessment and procedures, this is respecting the legal principle of:
expressed consent.
Good Samaritan laws were enacted to:
protect individuals who try to help people in emergencies.
Which of the following could be a source of information to let the EMT know that a patient is an organ donor?
The patient's driver's license
Good Samaritan laws are based on:
providing care in good faith.
You are on the scene of a cardiac arrest. You have already begun resuscitation when family members arrive and present you with a valid DNR order. You should:
follow your local protocols and contact medical direction if unsure how to proceed.
EMS is on the scene of the cardiac arrest of a terminally ill cancer patient. The family states that the patient has a valid DNR, but they are unable to locate it. The family is upset and adamant that the patient does not want resuscitation. The EMS crew should:
begin resuscitation and consider establishing on-line medical direction.
You explain a risky procedure to a patient. He says, "As long as it's guaranteed to work, you can do it." You should:
explain that a risky procedure is not guaranteed.
A patient who called 911 is now refusing transport. You should:
assess the patient, advise the patient of the risks of refusal, and clearly document everything in the patient care report.
You respond to the scene of an automobile accident where a patient has an obvious fractured femur. You ask your partner to get the traction splint from the ambulance. Your partner returns and tells you there is no traction splint in the ambulance. You could be guilty of:
negligence.
Which of the following is MOST clearly a HIPAA violation?
You provide a personal injury attorney with a copy of a patient care report.
At a crime scene, which of the following is the first priority of the EMT?
Patient care and transport
You have just returned to the station after completing a call in which you transported an elderly female patient to the hospital for nausea and vomiting. Upon exiting the ambulance, you are approached by an adult male who indicates that the patient you just transported was his mother and that he wants to know the details of the run. You should:
tell him that you can pass his contact information along to the privacy officer at your department.
For which of the following situations would the EMT NOT be allowed to share protected health information about a patient?
A reporter pulls you aside to ask you questions about the people involved in a school bus accident.
Which of the following is likely to be inscribed on a medical identification device worn as a bracelet?
Allergies
You are caring for a patient who was stabbed. During your assessment, you find a small knife impaled in one of the stab wounds. You determine that removing the weapon now would be dangerous for the patient. You should:
treat the wound as usual, but notify police that you must transport the weapon with the patient.
Which of the following is concerned generally with what you can do, as opposed to what you should do and how you should do it?
Scope of practice
An EMT who turns the care of a multisystem trauma patient over to a doctor of dermatology has likely:
abandoned the patient.
You are on the scene with a patient who is complaining of chest pain, and you have administered medication. Your partner brings in the stretcher, and the patient tells you that she does not want to be transported to the ED. You should:
contact medical direction for a consult.
Why does the EMT's scope of practice vary from state to state?
Local legislation
Quality improvement relates primarily to:
standard of care.
