Chapter 01 - EMS Systems Flashcards

1
Q

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. apply and interpret data from a pulse oximeter.

C. insert a peripheral intravenous catheter.

D. give aspirin to a patient with chest pain.

A

C. insert a peripheral intravenous catheter.

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2
Q

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

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

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

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

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

A

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

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3
Q

National guidelines for EMS care are intended to…

A. facilitate a national EMS Labor group.

B. provide more consistent delivery of EMS care across the United States.

C. unify EMS providers under a single medical director.

D. reduce expenses at the local and state levels.

A

B. provide more consistent delivery of EMS care across the United States.

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4
Q

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. regional trauma guidelines.

B. EMS research.

C. local protocols.

D. the lead EMT’s decision.

A

B. EMS research.

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5
Q

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

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

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

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

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

A

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

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6
Q

Which of the following descriptions MOST accurately portrays EMS?

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

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

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 re responsible for providing care to the sick and inured patients.

A

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

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7
Q

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

A. EMT.

B. EMT.

C. paramedic.

D. EMR

A

C. paramedic.

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8
Q

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

A. Administration of supplemental oxygen

B. Insertion of an oropharyngeal airway

C. Obtaining a manual blood pressure

D. Bleeding control using a tourniquet

A

D. Bleeding control using a tourniquet

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9
Q

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.

A

B. medical director.

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10
Q

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 patient’s condition.

C. medical director approval.

D. the transport time to the hospital.

A

C. medical director approval.

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11
Q

The criteria to be licensed and employed as an EMT include:

A. successful completion of a recognized bystander CPR course.

B. proof of immunization against certain communicable diseases.

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

D. demonstration of the ability to lift and carry at least 200 pounds.

A

B. proof of immunization against certain communicable diseases.

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12
Q

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

A. the Emergency Medical Services Act.

B. the Department of Transportation’s White Paper: Death and Dying.

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

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

A

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

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13
Q

Which of the following interventions is used by all levels of EMS providers?

A. Needle decompression.

B. Automatic transport ventilators.

C. Automated external defibrillator.

D. Multilumen airways.

A

C. Automated external defibrillator.

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14
Q

Which of the following statements regarding the NREMT is correct?

A. EMS training standards are regulated by the NREMT.

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

C. The NREMT provides a national standard for EMS training.

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

A

C. The NREMT provides a national standard for EMS training.

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15
Q

Which of the following courses requires about 150 hours of training?

A. AEMT

B. Paramedic

C. EMT

D. EMR

A

C. EMT

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16
Q

Which of the following scenarios involves the administration of ALS?

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

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

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

A

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

17
Q

What should an EMT do to limit errors in the field?

A. Contact medical direction before initiating any treatments.

B. Follow the agency’s written protocols.

C. Deviate from established standards when necessary.

D. Carry an EMT text for reference at all times.

A

B. Follow the agency’s written protocols.

18
Q

The ability to understand others and have them understand you is known as…

A. communication

B. self-confidence

C. scene leadership

D. teamwork and diplomacy

A

A. communication

19
Q

You are caring for a driver who struck a light pole. She admits to drinking alcohol but orders you not to tell anyone. You should report the information to…

A. the receiving nurse or doctor

B. the state motor vehicle department

C. your medical director

D. law enforcement personnel

A

C. your medical director

20
Q

Prehospital patient care decisions should be based on…

A. the opinions of physicians

B. an EMS agency’s fiscal resources

C. EMS research

D. the experiences of EMTs

A

C. EMS research

21
Q

What is an EMT’s primary service area?

A. The area serviced by the EMT’s medical director

B. The only area the EMT is certified to provide patient care

C. The location where the EMT provides essential care during a 9-1-1 call

D. The main area in which the EMS agency operates

A

D. The main area in which the EMS agency operates

22
Q

The ability to take appropriate action with little direction is known as…

A. self-motivation

B. diplomacy

C. self-confidence

D. time management

A

A. self-motivation

23
Q

You are encouraging a patient to go to the hospital by ambulance. You know that a transport will keep you on duty several hours after your regular quitting time. This is an example of…

A. undue hardship

B. scope of practice

C. patient advocacy

D. abuse of authority

A

C. patient advocacy

24
Q

Online medical control requires…

A. the presence of an advanced-level provider

B. phone or radio contact with the medical director

C. a physician’s presence on the scene of the call

D. written protocols approved by medical control

A

B. phone or radio contact with the medical director

25
Q

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

A. paramedic.

B. advanced EMT (AEMT).

C. EMR.

D. EMT.

A

A. paramedic.

26
Q

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

A. EMTs assess a patient whose lung disease is “acting up”

B. The paramedic administers a patient’s flu vaccination

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

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

A

B. The paramedic administers a patient’s flu vaccination

27
Q

American Heart Association protocols are based on…

A. trends in the EMS community

B. evidence-based research

C. opinions from a core group of cardiologists

D. theories ready for field trial

A

B. evidence-based research

28
Q

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

A. state office of EMS.

B. American Heart Association.

C. regional trauam center.

D. National Registry of EMTs.

A

A. state office of EMS.