The patient's first and perhaps most crucial contact with the EMS system occurs when the _________ arrives.
A. emergency medical responder (EMR)
The emergency medical system (EMS) was developed:
A. to give patients a greater chance for survival.
An EMR needs a set of skills that includes:
D. all of the above.
When EMTs or paramedics arrive, the EMR should:
B. assist the EMTs or paramedics.
A person who is trained and certified to provide advanced life support (ALS) and other medical procedures is called:
C. a paramedic.
Which of the following needs to be documented by the EMR?
D. all of the above
The treatment provided by the EMR may be followed by care given by:
D. all of the above.
A physician who gives direction to EMRs:
D. all of the above.
Which of the following is NOT a component of the quality improvement (QI) process identified by the Institute of Medicine?
D. certification
Once other personnel such as paramedics or EMTs have arrived on the scene, the responsibilities of the EMR end.
TRUE
FALSE
FALSE
Which of the following statements regarding EMR certification is FALSE?
D. It is the responsibility of the medical director to track certification requirements.
A person who is able to perform BLS skills and limited ALS skills is a(n):
B. advanced EMT (AEMT).
EMRs are a critical component of an EMS system because they are:
A. responsible for reporting such emergencies.
B. the first medically trained personnel to
arrive on the scene.
C. able to provide both basic and advanced life
support.
D. trained in traffic control.
B. the first medically trained personnel toarrive on the scene.
Which of the following is not a level of care
typically found during the EMS response phase?
A. EMT
B. AEMT
C. paramedic
D. physician
D. physician
The civilian EMS system tends to follow trends seen in which
area of medicine?
A. military
medicine
B. hospital
medicine
C. veterinary
medicine
D. private
physician medicine
A. militarymedicine
National levels of EMS training include all of the
following except:
A. advanced first aid.
B. EMR.
C. AEMT.
D. paramedic.
A. advanced first aid.
The major emphasis of the EMR curriculum deals with ____________
of the ill or injured patient in the prehospital setting.
A. advanced life
support
B. interpretation
of electrocardiograms
C. assessment and
care
D. techniques of
advanced airway care
C. assessment andcare
The overall leader of the EMS system is the physician.
A. True
B. False
A. True
The difference
between online (direct) and off-line (indirect) medical direction is that:
A. off-line medical direction does not need
protocols.
B. off-line orders are given by the on-duty
physician, usually over the radio or phone.
C. online medical direction uses standing orders.
D. online orders are given by the on-duty physician, usually over the radio or phone
D. onlineorders are given by the on-duty physician, usually over the radio or phone
The grief process is important for the patient and patient's family, but does not affect a well-trained and emotionally stable caregiver.
TRUE FALSE
FALSE
In the grief process, a normal reaction is one of disbelief, which protects those who are experiencing a grieving situation. This stage is called:
B. denial.
The stage of the grief process that involves trying to negotiate a postponement of death is called:
D. bargaining.
The first step in managing stress is to:
B. recognize the signs and symptoms.
Consuming a healthy diet involves limiting which group of foods?
C. sugars and fats
Alcoholic drinks will relax you and help you deal with the stress of your job.
TRUE
FALSE
FALSE
Tuberculosis is spread by contact with contaminated:
C. air.
The standard precautions recommended by the Centers for Disease Control (CDC) call for the use of:
D. medical gloves, protective eye wear, and a face shield or pocket mask.
The MOST important consideration at the scene of an accident is:
C. to protect the emergency scene and emergency providers from further accidents or injury.
A competent, well-trained EMR will experience no stress in carrying out his or her responsibilities.
TRUE
FALSE
FALSE
Which of the following statements is FALSE?
B. A CISD is a type of investigation.
Which of the following immunizations are recommended for EMS providers?
D. all of the above
You should park your vehicle at an emergency scene so that it protects the area from traffic hazards.
TRUE
FALSE
TRUE
Some warning signs that an EMR is being affected by stress include:
A. overeating
and ringing in the ears.
B. rapid
urination and sweating.
C. indecisiveness
and guilt.
D. increased
sexual activity and sleep.
C. indecisivenessand guilt.
All of the following are recommended lifestyle changes an EMR may take to deal with job stress except:
A. developing more healthful and positive dietary
habits.
B. devoting time to relaxation.
C. exercising.
D. avoiding talking about his or her feelings.
D. avoiding talking about his or her feelings.
A meeting held by a team of peer counselors and mental health professionals within 24 to 72 hours after a major incident is called a(n):
B. critical incident stress debriefing.
Standard precautions include all of the following except:
C. avoiding mouth-to-mouth rescue breathing whenever possible.
Certain immunizations are recommended for EMS providers, including:
D. all of the above.
The most important job of the EMR is to:
community members.
D. check the unit at the end of each shift.
A. stay physically safe and emotionally well.
If you suspect that a scene involves violence, and if weapons are visible, you should:
away.
D. focus your efforts on the patient.
B. retreat and wait for the police.
The manner in which an individual must act or behave when giving care is called:
A. standard of care.
The collective set of regulations and ethical considerations governing the EMR is called:
A. scope of care.
Consent based on the assumption that an unconscious patient would approve lifesaving interventions is called:
A. implied consent.
When a patient lets you know verbally that he or she is willing to accept treatment, you have received:
C. expressed consent.
What must a patient demonstrate to refuse medical care?
C. competency
Termination of care for the patient without ensuring the continuation of care at the same level or higher is called:
C. abandonment.
An example of ensuring continuity during the
transfer of care of the patient would be:
A. providing pertinent patient information to the hospital staff.
If an EMR with a duty to act fails to provide the standard of care, and if this failure causes harm or injury to the patient, the EMR may be accused of:
C. negligence.
Which of the following is not a condition of negligence?
A. abandonment
To avoid violating patient confidentiality, the EMR should:
A. avoid discussing privileged information with family members.
____________ transmits electrocardiograms and other patient data to online medical control.
C. Telemetry
If you are not sure that you have received all the dispatch information correctly, ask the dispatcher to:
D. repeat it.
Which information should not be relayed when transferring care of a patient to other professionals?
the incident
D. description of the patient’s level of responsiveness
C. your personal feelings about the patient’s activities prior tothe incident
What is the most important thing to do when dealing with a patient who is displaying
disruptive behavior?
C. Ensure personal safety.
All of the following should be documented in your patient care report except:
D. the specific treatments rendered by the receiving medical crews.
The flapper valve that prevents food and foreign objects from entering the trachea is called the:
D. epiglottis.
Oxygen travels from the environment to the lungs in what order?
B. mouth, pharynx, trachea, alveoli
The pulse at the thumb side of the wrist is referred to as the ______________ pulse.
C. radial
Oxygen is transported throughout the body by means of the:
C. red blood cells.
Bones in the upper extremities include the:
D. humerus and radius.
The system that carries electrical impulses to and from areas of the body, and that is responsible for regulating many body activities, is called the ______________ system.
B. nervous
Which of the following structures is not part of the digestive system?
D. kidney
The standard of care includes:
D. all of the above.
Ethical issues of an EMR include:
B. honesty.
Consent means:
C. approval or permission.
Minors:
A. are those who are not of legal age as designated by the state.
An EMR must honor refusal of treatment if the patient:
B. is competent.
The failure of the EMR to continue emergency medical treatment until another trained person arrives to take over is called:
A. abandonment.
A temporary stiffening of the muscles that occurs several hours after death is called:
D. rigor mortis.
State regulations may require a report of certain wounds or certain abuse.
TRUE
FALSE
TRUE
At a crime scene, a patient needing treatment for severe shock must not be moved until law enforcement officials have arrived and approved movement.
TRUE
FALSE
FALSE
Since an EMR is not a law enforcement personnel, reporting a crime is not a responsibility.
TRUE
FALSE
FALSE
Which of the following is NOT considered an advance directive?
c. do not resuscitate (DNR) order
B. guardianship
The Health Insurance Portability and Accountability Act (HIPAA) prevents EMRs from sharing a patient's personal health information with anyone.
TRUE
FALSE
FALSE
If you determine that a crime scene is unsafe, you should not approach the patient until law enforcement secures the scene.
TRUE
FALSE
TRUE
A device that receives a weak radio signal, amplifies that signal, and then rebroadcasts it is called a(n):
A. repeater.
A pager is MOST accurately defined as a:
B. radio receiver that is silent unless activated by a dispatcher.
A __________ transmits data messages through a radio system and reduces the amount of time the radio frequency is tied up to send or receive a message.
B. mobile data terminal
Upon arriving at the scene of an emergency call, a visual survey will enable you to:
A. determine the number of patients and estimate injury severity.
Good communication means that:
B. the person being spoken to understands exactly what he or she is told.
Sick or injured patients may not always understand what you are doing or saying because they:
B. are often scared.
Communication guidelines used to help EMRs calm and reassure patients include:
D. all of the above.
EMRs should never tell patients the truth since EMRs do not have the details about a patient's medical/trauma conditions.
TRUE
FALSE
FALSE
Body language is a type of:
a. nonverbal communication.
d. visual contact with patients.
b. verbal communication.
c. none of the above.
a. nonverbal communication.
Proper documentation includes all of the following EXCEPT:
D. the patient's insurance information.
It is necessary for EMRs to have a strong, working knowledge and understanding of all medical terminology.
TRUE
FALSE
FALSE
Documentation is important because:
D. all of the above.
The term used to describe a location on the body close to the point where an arm or leg is attached is called:
D. proximal.
The structures of the body that contribute to normal breathing make up which system?
A. respiratory
The large muscle that forms the bottom of the chest cavity is the:
A. diaphragm.
Blood is carried away from the heart via the:
A. arteries.
The section of the neck in the spine is called the:
D. cervical spine.
The shoulder girdles consist of the:
D. clavicle, scapula, and humerus.
The reproductive organs are protected by the:
B. pelvis.
The muscles that carry out automatic functions of the body:
D. all of the above.
The brain:
D. all of the above.
A hormone produced by the pancreas is called:
C. insulin.
Which of the following statements is TRUE?
D. all of the above
Floating ribs are attached to the spine but are not attached to the sternum.
TRUE
FALSE
TRUE
The skull is an example of a fused joint.
TRUE
FALSE
TRUE
Adolescence (ages 13 to 18 years) is the period when most body systems are fully developed.
