Ch.1 Posttest

Question 1

Transferring a 911 caller with a low acuity complaint to a nurse line is an example of:

A.call routing.
B.​evidence-based medicine.
C.mobile integrated health care.
D.dispatch prioritization.

Answer 1

C.mobile integrated health care.

Question 2

Why is transporting a patient to the hospital considered a potential​ risk?

A.The patient may be taken to the wrong emergency department.
B.The EMT tends to perform fewer skills because they are belted into the​ captain’s chair.
C.It increases the risk for injury by wheeling the patient into the hospital on the ambulance cot.
D.The ambulance might be involved in a vehicular crash.

Answer 2

D. The ambulance might be involved in a vehicular crash.

Question 3

A term for treatments backed by research that proves interventions have positive effects in patient care​ is:

A.evidence-based treatment.
B.early​ goal-directed therapy.
C.​evidence-based medicine.
D.traditional approach.

Answer 3

C.​evidence-based medicine.

Question 4

Maintaining and recertifying your EMT certification or licensure​ is:

A.the responsibility of your service training officer.
B.the role of your regional EMT training council.
C.part of your role as an EMS professional.
D.the responsibility of your service medical director.

Answer 4

C.part of your role as an EMS professional.

Question 5

Which of the following is a professional attribute expected of all​ EMTs?

A.Communicating effectively both verbally and in writing
B.Summoning law enforcement to witness care if the patient is a minor
C.Deciding if the patient should be transported to the hospital or not
D.Following up on patients after they have gone home

Answer 5

A.Communicating effectively both verbally and in writing

Question 6

Orders from the​ on-duty physician given by radio or phone are referred to​ as:

A.online medical direction.
B.offline medical direction.
C.treatment policy.
D.standing orders.

Answer 6

A.online medical direction.

Question 7

You are getting ready to transport a​ 32-year-old male patient who wrecked his motorcycle and is now unresponsive with multiple long bone fractures. There will be two EMTs caring for the patient while you drive to the hospital. Which of the destinations listed below seems MOST​ appropriate?

A.Hyperbaric center facility 2 miles away
B.Trauma center facility 7 miles away
C.Burn center facility 9 miles away
D.Small community emergency department 5 miles away

Answer 7

B.Trauma center facility 7 miles away

Question 8

What is the MOST important outcome for any continuous quality improvement​ (CQI) program?

A.Improving the quality in all aspects of the EMS system
This is the correct answer.
B.Improving the quality of statistics uploaded to the state trauma registry
C.Improving the quality of a particular person in an EMS system
D.Improving the quality of the care rendered in an EMS system

Answer 8

A.Improving the quality in all aspects of the EMS system

Question 9

A medical facility for specialized treatment of serious injuries that generally exceed the capabilities of MOST hospital emergency departments is commonly known as​ a:

A.stroke center.
B.rehabilitation center.
C.trauma center.
D.burn center.

Answer 9

C.trauma center.

Question 10

A 911 system that allows the call taker to view the​ caller’s location and phone number automatically when using a landline to summon EMS is known​ as:

A.rapid 911.
B.localized 911.
C.GPS 911.
D.enhanced 911.

Answer 10

D.enhanced 911.

Question 11

A current initiative establishing benchmarks to improve cardiac care and increase survival of​ out-of-hospital cardiac arrest patients is known​ as:

A.AHRQ.
B.NEMSIS.
C.CARES.
D.AHA.

Answer 11

C.CARES.

Question 12

From an MIH​ standpoint, which one of the following will significantly increase the value of EMS within the health care​ system?

A.Increasing transport to emergency departments
B.Continued acute care management
C.Providing patient education
D.Increasing the EMT scope of practice

Answer 12

C.Providing patient education

Question 13

The medical director issues a written order that allows an EMT to give glucose in certain circumstances without speaking to another physician. This is​ called:

A.online medical direction.
B.indirect medical permission.
C.direct medical permission.
D.offline medical direction.

Answer 13

D.offline medical direction.

Question 14

An Emergency Medical Responder​ (EMR) is generally trained to provide the following​ care:

A.transportation, intubation, and basic ECG interpretation.
B.traction​ splinting, extrication, and transport to the hospital.
C.ambulance​ transport, neonatal​ resuscitation, and venous access.
D.bleeding​ control, CPR, and automated external defibrillation.

Answer 14

D.bleeding​ control, CPR, and automated external defibrillation.

Question 15

The 911 dispatchers who are specially trained to give​ pre-arrival instructions to​ callers, such as how to control bleeding or how to perform​ CPR, are​ called:

A.physicians.
B.Emergency Medical Dispatchers.
C.base hospitals.
D.medical directors.

Answer 15

B.Emergency Medical Dispatchers.

Question 16

If it is required in your state that every ambulance must be staffed at a minimum with one EMT and one​ paramedic, this would be in fulfillment of which of the Technical Assistance Program Assessment Standards​?

A.Medical direction
B.Human resources and training
C.Resource management
D.Regulation and policy

Answer 16

D.Regulation and policy

Question 17

Treatment that is given to patients before they are transported to a hospital or other facility is​ called:

A.rapid response.
B.early intervention.
C.prehospital care.
D.ongoing treatment.

Answer 17

C.prehospital care.

Question 18

Collecting and safeguarding a​ patient’s valuables is an example​ of:

A.guardian support.
B.patient advocacy.
C.patient support.
D.patient adversary.

Answer 18

B.patient advocacy.

Question 19

What would be the most important reason why poor communication is a contributor to patient safety​ risks?

A.You might take the patient to the wrong hospital.
B.It can lead to medical errors.
C.The patient may be charged for a skill you did not provide.
D.You could get an​ over-response to the call.

Answer 19

B.It can lead to medical errors.

Question 20

After a difficult multiple casualty​ incident, your medical director invites your EMS system to participate in a countywide MCI drill. This exercise is best described​ as:

A.quality improvement.
B.offline medical direction.
C.maintenance of certification.
D.documentation review.

Answer 20

A.quality improvement.

Question 21

You have just assessed a patient in the living room and you notice the couch is in front of the picture window. You are on the third floor and the window only has a screen on it. If there are toddlers and preschoolers in the​ home, what would be good injury prevention advice for the​ family?

A.Children can easily get sick when exposed to outdoor air.
B.Always keep the stairs free of clothing.
C.Get an air conditioner instead of house fans.
D.Move the couch away from the​ window, as children might fall out the window.

Answer 21

D.Move the couch away from the​ window, as children might fall out the window.

Question 22

What is one aspect of quality improvement in which every EMT can​ participate?

A.Patient counseling
B.Continuing education
C.Protocols
D.Standing orders

Answer 22

B.Continuing education

Question 23

Researching a current​ protocol’s effect on patient outcome is best described​ as:

A.patient advocacy.
B.evidence-based medicine.
C.continuing education.
D.performance review.

Answer 23

B.evidence-based medicine.

Question 24

Tracking down the crew that was on a call involving a patient with a communicable​ disease, such as bacterial​ meningitis, would be an example of a health​ department’s role​ in:

A.health education.
B.injury prevention.
C.disease surveillance.
D.workplace safety.

Answer 24

C.disease surveillance.

Question 25

Which government​ law, policy, or document identifies the four levels of EMS​ practitioners?

A.National EMS Education and Practice
B.National EMS Education Standards
C.National EMS Scope of Practice Model
D.National EMS Core Content

Answer 25

C.National EMS Scope of Practice Model

Question 26

Which organization is responsible for defining the levels of EMS licensure and corresponding knowledge and skills necessary at each​ level?

A.U.S. Department of Labor
B.National Highway Traffic Safety Administration
C.World Health Organization
D.Centers for Disease Control and Prevention

Answer 26

B.National Highway Traffic Safety Administration

Question 27

To avoid infectious​ diseases, the EMT should​ don:

A.leather gloves.
B.a gown.
C.a helmet.
D.turnout gear.

Answer 27

B.a gown.

Question 28

Which of the following is NOT a common step in​ evidence-based decision​ making?

A.Review the newspapers and television reports for views on the topic in question.
B.Formulate a prehospital question that needs to be answered.
C.Appraise the evidence found for validity and reliability.
D.If evidence supports the change in​ practice, change your protocols and implement the changes.

Answer 28

A.Review the newspapers and television reports for views on the topic in question.

Question 29

You are charged with revising the destination protocol for trauma patients in your EMS system. Having this policy in place helps to fulfill which of the Technical Assistance Program Assessment​ Standards?

A.Trauma systems
B.Resource management
C.Transportation
D.Medical direction

Answer 29

A.Trauma systems

Question 30

What lesson learned from the Korean and Vietnam conflicts have impacted​ modern-day EMS the​ greatest?

A.There was a need for a common scope of practice for all treatment personnel in the military.
B.Lifesaving care needs to occur in the hospital setting.
C.Speed of evacuation is the most important element in an EMS system.
D.Injured soldiers benefited from emergency care provided prior to transport.

Answer 30

D.Injured soldiers benefited from emergency care provided prior to transport.