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Test one: EMS 104 part 1 Flashcards | StudBud
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Test one: EMS 104 part 1
Test one: EMS 104 part 1
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1
Online medical control requires __________.
written protocols approved by medical control
a physician's presence on the scene of the call
phone or radio contact with the medical director
the presence of an advanced-level provider
2
What should an EMT do to limit errors in the field?
Follow the agency's written protocols.
Contact medical direction before initiating any treatments.
Carry an EMT text for reference at all times.
Deviate from established standards when necessary.
3
Question is on the image below.
decide on further action once the DNR order is produced.
honor the patient's wishes and withhold all treatment.
begin treatment and contact medical control as needed.
transport the patient w/o providing any treatment
4
When performing his or her duties, the EMT is generally expected to:
function above his or her scope of practice.
consistently exceed the standard of care.
contact medical control on every EMS call.
exercise reasonable care and act prudently.
5
The EMT's scope of practice within his or her local response area is defined by the:
medical director.
state EMS office.
EMS supervisor.
local health district.
6
The MOST serious consequence of drug or alcohol abuse among EMS personnel is:
low morale and frequently missed shifts.
punitive action and the loss of a job.
tension among coworkers and supervisors.
substandard or inappropriate patient care.
7
Question is on the image below.
ePCR allows patient info to be transmitted to the receiving hospitals PC
the ePCR is unsecured & shouldn't contain patient-specified information
written patient record will need to be completed on arrival at the hospital
ePCR doesn't cotain the same level of info as the written or verbal version
8
The EMT is legally obligated to protect a patient's privacy according to _____________.
APGAR
CQI
HIPAA
DCAP
9
Which of the following courses requires about 150 hours of training?
EMR
AEMT
EMT
Paramedic
10
General adaptation syndrome is characterized by which of the following phases?
Reaction and resistance, euphoria, and physical exhaustion
Delayed reaction, alarm response, and physical recovery
Alarm response, reaction and resistance, and recovery
Immediate reaction, psychological exhaustion, and recovery
11
Question is on the image below:
tell him that you cannot help him unless he answers your questions
allow him time to think about the question and respond to it.
repeat your question because he probably did not hear you.
ask him if he frequently experiences severe headaches and nausea.
12
The simplest, yet most effective method of preventing the spread of an infectious disease is to:
undergo an annual physical examination.
ensure that your immunizations are up-to-date.
wash your hands in between patient contacts.
undergo annual testing for tuberculosis and hepatitis.
13
Question is in the image below.
Transport the child immediately & have the parents meet you at the hospital
Treat the child at the scene & wait for the parents to arrive & consent
Begin transport at once & have the parents meet you en route to hospital
Withhold treatment until the parents arrive & consent for treatment
14
Putrefaction is defined as:
blood settling to the lowest point of the body.
decomposition of the body's tissues.
separation of the torso from the rest of the body.
profound cyanosis to the trunk and face.
15
When requesting medical direction for a patient who was involved in a major car accident, the EMT should avoid:
relaying vital signs unless they are abnormal.
questioning an order that seems inappropriate
the use of medical terminology when speaking.
using radio codes to describe the situation.
16
Maintaining the chain of evidence at the scene of a crime should include:
not cutting through holes in clothing that were caused by weapons.
quickly moving any weapons out of the patient's sight.
making brief notes at the scene and then completing them later.
placing the patient in a private area until the police arrive.
17
______ is the fuel to make the body run.
Exercise
Sleep
Work/life balance
Food
18
In which of the following circumstances can the EMT legally release confidential patient information?
The family requests a copy for insurance purposes
A police officer requests a copy to place on file
The patient is competent and signs a release form
A media representative inquires about the patient
19
Which of the following is an effective stress management strategy?
Requesting overtime to occupy your mind
Modestly increasing caffeine consumption
Developing a social network outside of EMS
Frequently reflecting on troublesome calls
20
Question is on the image below.
remove the lines with a nonconductive object.
mark off a danger zone around the downed lines.
advise the patients to carefully get out of the car.
proceed with normal extrication procedures.
21
Question is on the image below.
Medications that the patient is taking
Vital signs that may have changed
The patient’s name and age
The patient’s family medical history
22
Which of the following is an example of abandonment?
An EMT transfers care of a patient to an emergency department nurse.
An AEMT transfers care of a patient to a paramedic
An AEMT transfers care of a patient to an EMR.
An EMT leaves the scene after a competent adult has refused care
23
To help protect patients, EMS agencies are required to have __________.
a privacy officer to answer questions
public forums with their medical director
online access to patient records
an anonymous reporting system
24
When you are communicating with an older patient, it is important to remember that:
speaking loudly and distinctly will ensure that the patient can hear you.
hostility and confusion should be presumed to be due to the patient's age.
most older people think clearly and are capable of answering questions.
your questions should focus exclusively on the patient's obvious problem.
25
Common factors that influence how a patient reacts to the stress of an illness or injury include all of the following:
history of chronic disease.
mental disorders.
fear of medical personnel.
assessment by the EMT.
26
In which of the following situations does a legal duty to act clearly exist?
A bystander encounters a victim who is not breathing.
The EMT witnesses a vehicle crash while off duty.
The EMT hears of a cardiac arrest after his or her shift ends.
A call is received 15 minutes prior to shift change.
27
The MOST effective way of preventing the spread of disease is:
wearing goggles, gloves, a gown, and a mask.
placing a HEPA respirator on the patient.
keeping your immunizations up-to-date.
handwashing.
28
A device that receives a low-frequency signal and then transmits it at a relatively higher frequency is called a:
receiver
scanner
duplex
repeater
29
The unauthorized confinement of a person is called
false imprisonment
battery
slander.
assault
30
Which of the following components are needed to prove negligence?
Abandonment, breach of duty, damages, and causation
Breach of duty, injury/damages, abandonment, and causation
Duty to act, abandonment, breach of duty, and causation
Duty to act, breach of duty, injury/damages, and causation
31
A condition characterized by reexperiencing an event and overresponding to stimuli that recall the event is called:
delayed stress reaction.
posttraumatic stress disorder (PTSD).
cumulative stress reaction.
acute stress reaction.
32
Question is in the image below.
negligence
slander
libel
assault
33
Question is in the image below
leave a copy of the run form with a nurse and then respond to the call.
respond only after giving a verbal patient report to a nurse or physician.
inform the admissions clerk of the situation and then respond at once.
place the patient in a high-visibility area and then respond to the call.
34
Question is on the image below.
Implied
Informed
Expressed
Formal
35
Which of the following is a
specific
example of the Mobile Integrated Healthcare (MIH) model?
EMTs respond to a woman who complains of high fever
EMTs assess a patient whose lung disease is “acting up”
The paramedic administers a patient's flu vaccination
Paramedics pick up a patient from an acute care clinic
36
The ability to handle multiple tasks based on their priority is called __________.
time management
patient empathy
patient advocacy
integrity
37
Gloves, a mask, eye protection, and a face shield should be used:
when performing endotracheal intubation.
during routine cleaning of the ambulance.
while handling needles or other sharps.
whenever you touch nonintact skin.
38
Ethnocentrism is defined as:
suspecting a person has an interior motive based on the tone of voice
forcing your values onto patient b/c you think your values are better
considering your own values more important than other people's values
understanding people from diverse backgrounds respond to situations differ
39
Placards are used on:
storage papers.
individual packages.
storage lockers.
buildings
40
As an EMT, the standards of emergency care are often partially based on:
Patient care cannot be discredited based on poor documentation.
It is difficult to prove actions were performed if they are not included on
EMTs are not liable for any actions that are accurately documented.
Incomplete reports are common and accepted in EMS.
41
What is the second stage of response in the stress response known as the general adaptation syndrome?
Alarm
Recovery
Reaction and resistance
Exhaustion
42
Which of the following would provide the EMT with the BEST cover in a situation involving active gunfire?
A large cluster of shrubs
Stacked empty barrels
A concrete barricade
Behind a car door
43
Which of the following statements about the patient care report is correct?
Patient care cannot be discredited based on poor documentation.
EMTs are not liable for any actions that are accurately documented.
It's difficult to prove actions were performed if not documented on report
Incomplete reports are common and accepted in EMS.
44
While caring for a trauma patient, the EMT has blood splashed into her eyes. This is an example of:
exposure.
infection
indirect contact.
transmission.
45
The EMT's first priority is __________.
rapid response
treatment and transport
personal safety
empathy for all patients
46
When is forcible restraint permitted?
When the patient poses a significant threat to self or others
Only if law enforcement personnel have witnessed threatening behavior
Only if consent to restrain is given by a family member
Anytime that the EMT feels threatened
47
Which of the following statements regarding the Americans With Disabilities Act (ADA) of 1990 is correct?
EMT candidates with documented disability are exempt from taking the NREMT
The number of hrs required to complete an EMT course is less for disabled
Applies only to people w/ a diagnosed and documented physical disability
Prohibits employers from failing to provide full and equal employment
48
Which of the following statements is NOT appropriate to document in the narrative section of a PCR?
“Significant damage was noted to the front end of the vehicle.”
“General impression revealed that the patient was intoxicated.”
“The patient admits to smoking marijuana earlier in the day.”
“After oxygen was administered, the patient's breathing improved.”
49
Effective therapeutic communication skills require _________.
English-speaking patients or family members
correct use of complex medical terminology
verbal and nonverbal communication techniques
supervision by advanced life support personnel
50
Question is on the image below
ventilate the patient for 5 minutes and then stop if there is no response.
request the fire department to extricate the patient so you can begin CPR.
stop any active bleeding and advise dispatch to send a paramedic crew.
have your partner check for pulse to confirm that the patient is deceased
51
Question is on the image below.
state that you will not carry out the order because it is inappropriate.
carry out the order and then carefully document it on the run form.
advise the physician that the order is unclear and ask for clarification.
obtain consent from the patient and then carry out the order as usual.
52
Which of the following statements regarding a “dedicated line” is correct?
constantly open line of communication that cannot be accessed by outsiders
open line of communication that is under exclusive control of a single user
frequency used exclusively by EMTs to communicate with 1 another in field
frequency on portable radio that provides direct access to medical control
53
When treating a potentially hostile patient, you should try to diffuse the situation by:
verbally threatening the patient.
speaking calmly, confidently, and slowly.
assuming an aggressive posture.
staring at the patient.
54
While caring for a 5-year-old boy with respiratory distress, you should:
avoid direct eye contact with the child, as this may frighten him
allow a parent or caregiver to hold the child if the situation allows
avoid alerting the child prior to a patient procedure
avoid letting the child hold any toys, as this may hinder your care
55
The ability to understand others and have them understand you is known as __________.
self-confidence
communication
teamwork and diplomacy
scene leadership
56
When relaying patient information via radio, communications should be:
lengthy and complete.
brief and easily understood.
spoken in a loud voice.
coded and scripted.
57
Which of the following incidents does NOT require a report to be filed with local authorities?
Gunshot wounds
Cardiac arrest
Animal bites
Spousal abuse
58
When communicating with an older patient, you should:
obtain the majority of your information from family members
step back to avoid making the patient uncomfortable.
approach the patient slowly and calmly.
raise your voice to ensure that the patient can hear you
59
Which of the following statements regarding the NREMT is correct?
EMS training standards are regulated by the NREMT.
The NREMT is a governmental agency that certifies EMTs.
The NREMT provides a national standard for EMS testing.
The NREMT is the exclusive certifying body for EMTs.
60
Which of the following statements regarding HIV is correct?
There is no vaccine against HIV infection.
HIV is transmitted exclusively via blood.
HIV is easily transmittable in the EMS field.
HIV is far more contagious than hepatitis B.
61
What is an EMT's primary service area?
The location where the EMT provides essential care during a 9-1-1 call
The area serviced by the EMT's medical director
The only area the EMT is certified to provide patient care
The main area in which the EMS agency operates
62
When providing a patient report via radio, you should protect the patient's privacy by:
refraining from objective statements.
withholding medical history data.
not disclosing his or her name.
using coded medical language.
63
Question is on the image below.
law enforcement personnel
the receiving nurse or doctor
your medical director
the state motor vehicle department
64
As an EMT, you may be authorized to administer aspirin to a patient with chest pain based on:
an order from a paramedic.
medical director approval.
the patient's condition.
the transport time to the hospital.
65
National guidelines for EMS care are intended to __________.
reduce expenses at the local and state levels
unify EMS providers under a single medical director
provide more consistent delivery of EMS care across the United States
facilitate a national EMS labor group
66
Question is in the image below.
Request police to respond to the hospital to apprise the staff of arrival
Call the receiving hospital with cell phone while providing patient care
Have driver contact dispatch and relay the patient information to hospital
Wait until arriving at hospital & quickly apprise the staff of situation
67
Question is on the image below.
put on high-visibility safety vests.
report to the incident commander.
quickly begin the triage process.
assist with vehicle stabilization.
68
Question is on the image below.
ethnocentrism.
nonverbal communication.
cultural imposition.
proxemics.
69
Question is on the image below.
Direct contact
Indirect contact
Vector-borne transmission
Airborne transmission
70
Vector-borne transmission of an infectious organism occurs via:
smoke or dust
inanimate objects
animals or insects
direct contact
71
American Heart Association protocols are based on __________.
opinions from a core group of cardiologists
evidence-based research
theories ready for field trial
trends in the EMS community
72
Which of the following interventions is used by all levels of EMS providers?
Automated external defibrillator
Needle decompression
Multilumen airways
Automatic transport ventilators
73
When decontaminating the back of your ambulance after a call, you should:
allow surfaces to air dry unless otherwise indicated in the product direct
use a bleach and water solution at a 1:2 dilution ratio to thoroughly wipe
clean surfaces & patient contact areas with/ a mixture of alcohol & water
spray the contaminated areas and then immediately wipe them dry w/ a towel
74
Question is on the image below.
local protocols.
the lead EMT's decision.
regional trauma guidelines.
EMS research.
75
Which of the following types of questions allow for the most detailed response?
Multiple questions asked at once
Open-ended questions
Closed-ended questions
Yes or no questions
76
All of the following are functions of the emergency medical dispatcher, EXCEPT
alerting the appropriate EMS response unit.
providing medical direction to the EMT in the field
providing emergency medical instructions to the caller.
screening a call and assigning it a priority.
77
A disease that can be spread from person-to-person is known as:
a spreadable disease.
a communicable disease.
a transmittable disease.
an infectious disease.
78
Which aspect of the Health Insurance Portability and Accountability Act (HIPAA) MOST affects EMS personnel?
Controlling insurance costs
Ensuring access to insurance
Preventing insurance fraud
Protecting patient privacy
79
Vaccination against the hepatitis A virus is unnecessary if you:
received a hepatitis B vaccination.
are older than 35 years of age.
have been infected with hepatitis in the past.
have a weak immune system.
80
Protective measures that prevent health care workers from coming into contact with germs are referred to as:
transmission.
PPE.
standard precautions.
exposure.
81
Which of the following general statements regarding consent is correct?
Expressed consent is valid only if given in writing by a family member.
Patients who are intoxicated are generally allowed to refuse treatment.
All patients older than 18 years can legally refuse treatment or transport.
A patient can consent to transport but can legally refuse to be treated.
82
Question is on the image below:
emergency consent.
expressed consent.
implied consent.
informed consent.
83
Which of the following will help improve radio communications?
Hold the radio at least 6 inches from your mouth.
Use codes to speed communication.
Wait 1 second after pressing the transmit button before speaking.
Answer questions with “yes” or “no.”
84
Question is on image below.
tell her that you understand why she's scared & everything will be okay
acknowledge she is scared & tell her that you will take good care of her
reassure her that w/ treatment, she will be able to regain her speech
eye contact at all times & reassure her, there is no need to be scared
85
Question in on the image below.
violation of HIPAA b/c you didn't remove the PHI from the PCR beforehand
acted appropriately but EMTs must sign a waiver stating they won't discuss
adequately safeguarded the patient's PHI because the cases were discussed
violated HIPPA b/c you should've shared info with only EMTs involved
86
Which of the following statements regarding the different stages of the grieving process is correct?
Bargaining is the most unpleasant stage of the grieving process.
It is rare that people will jump back and forth between stages.
The grieving process typically begins with severe depression.
The stages of the grieving process may occur simultaneously.
87
After receiving an order from medical control over the radio, the EMT should:
repeat the order to the physician word for word.
disregard the order if it is not understood.
carry out the order immediately.
obtain the necessary consent from the patient.
88
Question is on the image below.
confirm the patient identity & confirm the DNR by calling the medicalert #
initiate resuscitation in the absence of paperwork.
confirm the patient's identity and honor the DNR order.
transport with minimal care.
89
The ability to take appropriate action with little direction is known as __________.
diplomacy
self-confidence
self-motivation
time management
90
Where would you MOST likely find information regarding a patient's wishes to be an organ donor?
Insurance card
Driver's license
Social Security card
Voter registration card
91
Which of the following statements about the patient care report (PCR) is true?
It helps ensure efficient continuity of patient care.
It is intended for use only by the prehospital care provider.
It cannot be used for patient billing information
It is not a legal document in the eyes of the law.
92
Question is on the image below.
scope of practice
Abuse of authority
undue hardship
patient advocacy
93
After assessing a patient's blood glucose level, you accidentally stick yourself w/ the contaminated lancet. You should:
discontinue patient care and seek medical attention.
get immunized against hepatitis as soon as possible.
report the incident to your supervisor after the call.
immerse your wound in an alcohol-based solution.
94
Which of the following statements regarding a patient refusal is correct?
Documentation of proposed care is unnecessary if the patient refuses care
Advice given to patient who refuses EMS treatment should not be documented
A patient who consumed a few beers will likely be able to refuse EMS care
A mentally competent adult has the legal right to refuse EMS care/transport
95
Quid pro quo, a type of sexual harassment, occurs when the harasser:
makes rude remarks about a person's body parts.
stares at certain parts of another person's anatomy.
requests sexual favors in exchange for something else.
touches another person without his or her consent.
96
Question is on the image below.
wait until you reach the hospital to transmit the information.
be aware that only audio or data transmissions can be sent at any one time.
use the multiplex system to transmit the information
send the electrocardiogram from the back of the ambulance.
97
Question is on the image below
attempt to calm child's mother but avoid separating her from her child
ask father to hold child so you can assess child while partner calms mother
give child a toy or blanket to hold onto & perform your assessment
reassure the mother seizures in children are common & no reason to worry
98
Communicating with patients who are deaf or hard-of-hearing can be facilitated by doing all of the following, EXCEPT:
providing pen and paper if the patient prefers to write his or her response
shining a light on your face when you are in a darkened environment.
placing yourself in a position to ensure that the patient can see your lips
elevating the tone of your voice and exaggerating word pronunciation.
99
Prehospital patient care decisions should be based on __________.
EMS research
the experiences of EMTs
an EMS agency's fiscal resources
the opinions of physicians
100
Which stage of grieving commonly results in blame?
Bargaining
Denial
Anger, hostility
Depression