EMT Chapter 1 EMS System

Which of the following statements regarding the EMS medical director and an EMT's scope of practice is correct?

A. An EMT's scope of practice may be expanded by the medical director after proper training and state approval.

B. The EMS medical director can expand or limit an individual EMT's scope of practice without state approval.

C. An EMT's scope of practice is exclusively regulated by the state EMS office, not the EMS medical director.

D. The EMS medical director can expand the EMT's scope of practice but cannot limit it without state approval.

A. An EMT's scope of practice may be expanded by the medical director after proper training and state approval

Which of the following statements regarding the Americans With Disabilities Act (ADA) of 1990 is correct?

A. The ADA prohibits employers from failing to provide full and equal employment to those who are disabled.

B. According to the ADA, EMT candidates with a documented disability are exempt from taking the NREMT exam.

C. The ADA applies only to individuals with a diagnosed and well-documented physical disability.

D. The minimum number of hours required to successfully complete an EMT course is less for candidates who are disabled.

A. The ADA prohibits employers from failing to provide full and equal employment to those who are disabled

Which of the following statements regarding the NREMT is correct?

A. The NREMT is the exclusive certifying body for EMTs.

B. The NREMT provides a national standard for EMS testing.

C. The NREMT is a governmental agency that certifies EMTs.

D. The NREMT regulates EMS training standards.

B. The NREMT provides a national standard for EMS testing

Which type of medical direction do standing orders and protocols describe?

A. Direct

B. Off-line

C. Radio

D. Online

B. Off-line

Which of the following skills would a layperson most likely be trained to perform before the arrival of EMS?

A. Obtaining a manual blood pressure

B. Administration of supplemental oxygen

C. Bleeding control using a tourniquet

D. Insertion of an oropharyngeal airway

C. bleeding control using a tourniquet

If an EMT candidate has been convicted of a felony or misdemeanor, he or she should:

A. wait at least 24 months before taking another state-approved EMT class.

B. send an official request to the National Registry of EMTs (NREMT) to seek approval to take the EMT exam.

C. recognize that any such conviction will disqualify him or her from EMT licensure.

D. contact the state EMS office and provide its staff with the required documentation.

D. contact the state EMS office and provide its staff with the required documentation

According to the National EMS Scope of Practice Model, an EMT should be able to:

A. interpret a basic (ECG) rhythm and treat accordingly.

B. insert a peripheral IV line and infuse fluids.

C. administer epinephrine via the subcutaneous route.

D. assist a patient with certain prescribed medications.

D. assist a patient with certain prescribed medications

Which of the following descriptions most accurately portrays emergency medical services (EMS)?

A. A team of health care professionals who are responsible for providing emergency care and transportation to the sick and injured

B. A system composed exclusively of emergency medical responders (EMRs) and emergency medical technicians (EMTs) who are responsible for providing care to sick and injured patients

C. A team of paramedics and emergency physicians who are responsible for providing emergency care to critically injured patients

D. A vast network of advanced life support (ALS) providers who provide definitive emergency care in the prehospital setting

A. a team of health care professionals who are responsible for providing emergency care and transportation to the sick and injured

Which of the following errors is an example of a knowledge-based failure?

A. A patient is given nitroglycerin by an EMT who did not obtain proper authorization from medical control first.

B. An EMT gives the correct drug to a patient, although his protocols clearly state that he is not authorized to do so.

C. An EMT administers the wrong drug to a patient because she did not know the pertinent information about the drug.

D. Due to an improperly applied cervical collar, a patient's spinal injury is aggravated and he is permanently disabled.

C. An EMT administers the wrong drug to a patient because she did not know the pertinent information about the drug

Cardiac monitoring, pharmacologic interventions, and other advanced treatment skills are functions of the:

A. AEMT.

B. EMT.

C. paramedic.

D. EMR.

C. paramedic

The EMT certification exam is designed to:

A. ensure that EMTs are competent and have the same level of knowledge and skills.

B. rank EMTs based on performance on the certification exam.

C. identify those EMTs who are prepared for advanced levels of training.

D. provide EMTs with the best possible wage once certification is achieved.

A. ensure that EMTs are competent and have the same level of knowledge and skills

If a defibrillator manufacturer claims that its device terminates ventricular fibrillation on the first shock 95% of the time, you should:

A. purchase the device based solely on the manufacturer's claim.

B. avoid purchasing the device because this claim is unrealistic.

C. determine which device the American Heart Association recommends.

D. recognize that this does not mean the device will save more lives.

D. recognize that this does not mean the device will save more lives

Which of the following skills or interventions is included at every level of prehospital emergency training?

A. Intranasal medication administration

B. Automated external defibrillation

C. Oral glucose for hypoglycemia

D. Use of a manually triggered ventilator

B. Automated external defibrillation

According to the National EMS Scope of Practice Model, an EMT would require special permission from the medical director and the state EMS office to:

A. use an automatic transport ventilator.

B. give aspirin to a patient with chest pain.

C. insert a peripheral intravenous catheter.

D. apply and interpret data from a pulse oximeter.

C. insert a peripheral intravenous catheter

EMS as we know it today had its origins in 1966 with the publication of:

A. Emergency Care and Transportation of the Sick and Injured.

B. the Emergency Medical Services Act.

C. the Department of Transportation's White Paper: Death and Dying.

D. Accidental Death and Disability: The Neglected Disease of Modern Society

D. Accidental Death and Disability: The Neglected Disease of Modern Society

Which of the following criteria is required to become licensed and employed as an EMT?

A. Proof of immunization against certain communicable diseases

B. Demonstration of the ability to lift and carry at least 200 pounds

C. A minimum of 60 college credit hours that focus on health care

D. Successful completion of a recognized bystander CPR course

A. Proof of immunization against certain communicable diseases

Which of the following is an example of a primary prevention strategy?

A. Community awareness programs that emphasize the dangers of drinking and driving

B. Teaching a group of new parents how to perform one- and two-rescuer infant CPR

C. Protecting a patient's spine from further injury after a fall from a significant height

D. The construction of a guardrail on a dangerous curve following a fatal motor vehicle crash

A. Community awareness programs that emphasize the dangers of drinking and driving

The determination that prompt surgical care in the hospital is more important than performing time-consuming procedures in the field on a major trauma patient is based mostly on:

A. the lead EMT's decision.

B. EMS research.

C. regional trauma guidelines.

D. local protocols.

B. EMS research

An EMS provider who has extensive training in various aspects of advanced life support (ALS) is called a(n):

A. EMT.

B. EMR.

C. paramedic.

D. advanced EMT (AEMT).

C. paramedic

An appropriate demonstration of professionalism when your patient is frightened, demanding, or unpleasant is to:

A. ignore the patient's feelings and focus on his or her medical complaint.

B. continue to be nonjudgmental, compassionate, and respectful.

C. demand that the patient remain quiet and cooperative during transport.

D. reassure the patient that everything will be all right, even if it will not be.

B. continue to be nonjudgmental, compassionate, and respectful

Why are prehospital emergency care guidelines updated on a regular basis?

A. Statistical data indicate that an increasing number of people are being diagnosed with a particular illness.

B. EMS providers should be encouraged to actively participate in research and become familiar with data analysis.

C. Additional information and evidence indicate that the effectiveness of certain interventions has changed.

D. The federal government requires the implementation of changes to existing emergency care protocols at least every five years.

C. Additional information and evidence indicate that the effectiveness of certain interventions has changed

The ____________ deals with the well-being of the EMT, career progression, and EMT compensation.

A. human resources department

B. local public health department

C. office of the medical director

D. EMS administrator or chief

A. human resources department

Obtaining continuing medical education is the responsibility of the:

A. individual EMT.

B. State Bureau of EMS.

C. EMS training officer.

D. EMS medical director.

A. individual EMT

The continuous quality improvement (CQI) process is designed to:

A. identify areas of improvement and provide remedial training if needed.

B. focus specifically on the quality of emergency care provided to the patient.

C. administer punitive actions to EMTs who do not follow local protocols.

D. ensure that all EMTs maintain licensure through the state EMS office.

A. identify areas of improvement and provide remedial training if needed

As an EMT, you may be authorized to administer aspirin to a patient with chest pain based on:

A. an order from a paramedic.

B. the transport time to the hospital.

C. the patient's condition.

D. medical director approval.

D. medical director approval

Which of the following is a specific example of the Mobile Integrated Healthcare (MIH) model?

A. The paramedic administers a patient's flu vaccination

B. EMTs respond to a woman who complains of high fever

C. EMTs assess a patient whose lung disease is "acting up"

D. Paramedics pick up a patient from an acute care clinic

A. The paramedic administers a patient's flu vaccination

Which of the following scenarios involves the administration of ALS?

A. A 61-year-old patient who is receiving humidified supplemental oxygen

B. A 53-year-old patient who is assisted with his prescribed nitroglycerin

C. A 48-year-old patient whose airway is secured with a supraglottic device

D. A 64-year-old patient who is given aspirin for suspected cardiac chest pain

C. a 48-year old patient whose airway is secured with a supraglottic device

EMT training in nearly every state meets or exceeds the guidelines recommended by the:

A. National Highway Traffic Safety Administration (NHTSA).

B. National Association of EMTs.

C. National Registry of EMTs.

D. individual state's EMS protocols

A. National Highway Traffic Safety Administration (NHTSA)

EMRs such as firefighters, law enforcement officers, and park rangers are an integral part of the EMS system because:

A. they often arrive at the scene before the ambulance and EMTs.

B. they are usually trained to assist paramedics with certain procedures.

C. they can initiate certain ALS procedures before EMS arrival.

D. the average response time for the EMT crew is approximately 15 minutes.

A. They often arrive at the scene before the ambulance and EMTs

Continuing education in EMS serves to:

A. enforce mandatory attendance at agency-specific training.

B. provide an ongoing review and audit of the EMS system.

C. maintain, update, and expand the EMT's knowledge and skills.

D. confirm research and statistical findings in prehospital care.

C. maintain, update, and expand the EMTs knowledge and skills

The person who is responsible for authorizing EMTs to perform emergency medical care in the field is the:

A. shift supervisor.

B. medical director.

C. field training officer.

D. EMS administrator.

B. medical director

The standards for prehospital emergency care and the individuals who provide it are typically regulated by the:

A. state office of EMS.

B. regional trauma center.

C. American Heart Association.

D. National Registry of EMTs.

A. state office of EMS

The determination that prompt surgical care in the hospital is more important than performing time-consuming procedures in the field on a major trauma patient is based mostly on:

A. the lead EMT's decision.

B. local protocols.

C. EMS research.

D. regional trauma guidelines.

C. EMS research

Which of the following criteria is required to become licensed and employed as an EMT?

A. Demonstration of the ability to lift and carry at least 200 pounds

B. A minimum of 60 college credit hours that focus on health care

C. Proof of immunization against certain communicable diseases

D. Successful completion of a recognized bystander CPR course

C. Proof of immunization against certain communicable diseases

Which of the following statements regarding the NREMT is correct?

A. The NREMT is a governmental agency that certifies EMTs.

B. The NREMT provides a national standard for EMS testing.

C. The NREMT is the exclusive certifying body for EMTs.

D. The NREMT regulates EMS training standards.

B. The NREMT provides a national standard for EMS testing

Which of the following errors is an example of a knowledge-based failure?

A. An EMT administers the wrong drug to a patient because she did not know the pertinent information about the drug.

B. Due to an improperly applied cervical collar, a patient's spinal injury is aggravated and he is permanently disabled.

C. A patient is given nitroglycerin by an EMT who did not obtain proper authorization from medical control first.

D. An EMT gives the correct drug to a patient, although his protocols clearly state that he is not authorized to do so.

A. An EMT administers the wrong drug to a patient because she did not know the pertinent information about the drug

Which of the following descriptions most accurately portrays emergency medical services (EMS)?

A. A vast network of advanced life support (ALS) providers who provide definitive emergency care in the prehospital setting

B. A team of health care professionals who are responsible for providing emergency care and transportation to the sick and injured

C. A team of paramedics and emergency physicians who are responsible for providing emergency care to critically injured patients

D. A system composed exclusively of emergency medical responders (EMRs) and emergency medical technicians (EMTs) who are responsible for providing care to sick and injured patients

B. a team of health care professionals who are responsible for providing emergency care and transportation to the sick and injured

The EMT certification exam is designed to:

A. ensure that EMTs are competent and have the same level of knowledge and skills.

B. provide EMTs with the best possible wage once certification is achieved.

C. rank EMTs based on performance on the certification exam.

D. identify those EMTs who are prepared for advanced levels of training.

A. ensure the EMTs are competent and have the same level of knowledge and skills

Cardiac monitoring, pharmacologic interventions, and other advanced treatment skills are functions of the:

A. AEMT.

B. paramedic.

C. EMT.

D. EMR.

B. paramedic

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