EMT: Exam 1

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.