Chapter 17 Quiz

Question 1

When you arrive at the receiving facility, the nurse asks your partner for a verbal report of the patient’s condition. This is in addition to the radio report your partner gave to the hospital en route. Afterwards, you ask your partner why you must give a second verbal report and a written report to the receiving nurse. What is the best reason to provide both reports?

Answer 1

The nurse may have to perform critical interventions on the patient before you complete your written report.

Question 2

Which of the following is not considered a principle of proper radio usage in EMS?
A.
Speak with your lips 2 to 3 inches from the microphone.

B.
Make sure the radio is on before speaking.

C.
Use plain English.

D.
Speak as quickly as possible.

Answer 2

D.
Speak as quickly as possible.

Question 3

You are responding to a nursing home for an 85-year-old patient complaining of difficulty breathing. How would you initiate contact with this patient?

Answer 3

Place yourself at eye level, identify yourself, and ask the patient for her name.

Question 4

Which of the following best describes a base station?

A.
A two-way radio mounted in a vehicle

B.
A two-way radio that can be carried on a belt clip

C.
A device used to receive and then amplify transmissions that must be carried over long distances

D.
A two-way radio at a fixed sit

Answer 4

D.
A two-way radio at a fixed site

Question 5

Two EMTs are on the scene of a behavioral call at a psychiatric facility. The medical personnel state that the patient had a psychotic episode and slashed his wrists. During the call, the patient claims to hear the voice of God and says that the voice is hurting his ears. The patient refuses to be transported to the emergency department, becomes combative, and bites one of the EMTs. Which of the following should not be documented on the EMS report?
A.
The fact that the EMT had an exposure incident

B.
The fact that the patient hears voices

C.
The fact that the patient was violent and bit the EMT

D.
The fact that the patient slashed his wrists

Answer 5

A.
The fact that the EMT had an exposure incident

Question 6

Patient information includes all of the following except the:

A.
patient’s medications.

B.
patient’s chief complaint.

C.
time the unit was notified of the call.

D.
mechanism of injury

Answer 6

C.
time the unit was notified of the call.

Question 7

Which of the following is not a reason for routine review of prehospital care reports in a quality improvement program?
Select one:

A.
Review poor patient care.

B.
Reveal excellent patient care.

C.
Satisfy requirements of the shift supervisor.

D.
Assess conformity to patient care standards.

Answer 7

C.
Satisfy requirements of the shift supervisor.

Question 8

Which of the following statements regarding eye contact with a patient is not true?
Select one:

A.
Eye contact is always appropriate.

B.
It shows you are attentive.

C.
Failure to make eye contact may signal uneasiness to the patient.

D.
It shows you are interested in the patient.

Answer 8

A.
Eye contact is always appropriate.

Question 9

Which of the following best describes a portable radio?
Select one:

A.
A two-way radio at a fixed site

B.
A two-way radio that is mounted in a vehicle

C.
A two-way radio that can be carried on a belt clip

D.
A device that receives and amplifies signals that must be sent over long distances

Answer 9

C.
A two-way radio that can be carried on a belt clip

Question 10

While on the scene with an elderly chest pain call, you notice that your partner gets on one knee when talking to the seated patient. What is the best reason for an EMT to kneel down beside the patient?

Answer 10

The EMT does not want to appear threatening or intimidating to the patient.

Question 11

You are transporting a city councilman to the hospital after he injured his shoulder playing basketball at his gym. His left shoulder is swollen, deformed, and bruised. There is pain and tingling when the patient attempts to use his hand. He has a pulse of 92 per minute, a respiratory rate of 20 per minute, and a blood pressure of 132/88 mmHg. Which of the following should not be included in the radio report?
A.
The appearance of the shoulder

B.
Vital signs

C.
How the injury occurred

D.
Notification that extra security is needed for a VIP

Answer 11

D.
Notification that extra security is needed for a VIP

Question 12

You suspect that a 6-year-old female patient with multiple bruises and a broken wrist was abused. The stepmother states the patient fell down the stairs. The patient is crying and sheepishly nods in agreement with the stepmother’s statements. How should you document this situation in the patient report?

Answer 12

Document any pertinent information that was said by the stepmother and child exactly in quotations.

Question 13

You have an urgent transmission you need to make to the dispatch center. Which of the following is the appropriate way to communicate this?
Select one:

A.
Speak loudly to convey the urgency of the message.

B.
Use the phrase, “Attention, attention, I have priority traffic.”

C.
Interrupt less-urgent radio traffic to get your message across.

D.
Listen to the frequency first to avoid stepping on another transmission.

Answer 13

D.
Listen to the frequency first to avoid stepping on another transmission.

Question 14

Which of the following can be correctly noted as a chief complaint?
Select one:

A.
The patient was confused.

B.
The patient had a respiratory rate of 44.

C.
The patient was found sitting in the driver’s seat of a full-size sedan.

D.
The patient stated that she felt sick.

Answer 14

D.
The patient stated that she felt sick

Question 15

You have responded to a call at a government office building. One of the office workers became very upset during a fire drill and experienced an episode of difficulty breathing. As your partner is speaking with the patient, who is not sure she wants to be transported, an individual wearing civilian clothes approaches you and states she is a security guard in the building. She asks you for the “yellow copy” of your prehospital care report. Which of the following should you do?
Select one:

A.
Provide the documentation if the individual shows proper identification.

B.
Ask the patient if it is alright with her if you provide the individual with a copy of the prehospital care report.

C.
Get permission from medical control.

D.
State that you are unable to comply with the request due to patient confidentiality.

Answer 15

D.
State that you are unable to comply with the request due to patient confidentiality.

Question 16

Your elderly male patient tells you his name is Joe Smith. Which of the following is the best way to address him?
Select one:

A.
Joe

B.
Sir

C.
Smitty

D.
Mr. Smith

Answer 16

D.
Mr. Smith

Question 17

In which of the following circumstances is a fully documented prehospital care report not necessary?
Select one:

A.
A patient is treated but not transported.

B.
Multiple patients come from an office building evacuation.

C.
A patient says that someone else called EMS and he does not want any assistance.

D.
A fully documented patient care report is required for All of these.

Answer 17

B.
Multiple patients come from an office building evacuation.

Question 18

You are treating a patient with a possible fractured ankle. The patient appears to be in a lot of pain and is uneasy. As you are getting ready to splint the patient’s leg, he asks you if it is going to hurt. Which of the following is the best response?
Select one:

A.
“If you’re stressed out like this, it’s going to hurt a lot more.”

B.
“Relax, this is not a painful procedure.”

C.
“It doesn’t matter, we have to do it anyway.”

D.
“I will do my best, but it may hurt while we put the splint

Answer 18

D.
“I will do my best, but it may hurt while we put the splint

Question 19

You are treating a 32-year-old man who is deaf. You need to find out why he called for an ambulance. What is the best way to communicate with this patient?

Answer 19

Make sure the patient can see your lips when you speak.

Question 19

Which of the following is part of the minimum data set developed by the National Highway Traffic Safety Administration (NHTSA) for purposes of data collection in conducting research?

A.
Patient’s name

B.
Time of arrival at the patient’s location

C.
Amount charged for ambulance services

D.
Patient’s insurance coverage

Answer 19

B.
Time of arrival at the patient’s location

Question 20

What is the best way to communicate with a young pediatric patient?

Answer 20

Sit at the level of the child, if possible, and always be honest.

Question 21

Which of the following is the correct manner for making a correction on a paper copy of a patient care report?
Select one:

A.
Use typing correction fluid to cover up the error and write over it.

B.
Blacken out the entire error and draw an arrow to the correct information.

C.
Draw a single line through the error and initial it.

D.
Get a credible witness to co-sign your patient care report

Answer 21

C.
Draw a single line through the error and initial it.

Question 21

Which of the following information on a patient care report is not considered run data?
Select one:

A.
Time of arrival at the receiving facility

B.
Time of the incident report

C.
Chief complaint

D.
Time unit left the scene

Answer 21

C.
Chief complaint

Question 22

Which of the following is not appropriate for inclusion in the radio report to the receiving hospital?
Select one:

A.
Name of the patient’s health insurance provider

B.
Pertinent physical exam findings

C.
Pertinent past illnesses

D.
Major past illnesses of the patient

Answer 22

A.
Name of the patient’s health insurance provider

Question 23

The QI manager calls your partner into his office after your shift. The QI managers pulls out your partner's EMS report on a call he ran last month on a 45-year-old driver of a single-vehicle motor vehicle collision. There were several empty beer cans in the patient's vehicle, and your partner detected an odor of alcoholic beverages on the patient's breath. The QI manager, however, critiques your partner about calling the patient an alcoholic and giving opinions in the report. He tells your partner to never write opinions in the EMS report. Your partner is confused because he is sure the patient was drunk, and he was actually arrested for suspicion of driving while intoxicated. Your partner believes his assessment is supported by facts and not just his opinion. How can you help your partner understand the QI manager's concerns?

Answer 23

Documenting that the patient is an alcoholic is an unverifiable opinion of the patient that is not supported by available facts and could negatively influence other medical providers.

Question 24

Which of the following is not an appropriate way of dealing with a patient who does not speak the same language as you do? Select one: A. Use an interpreter. B. Avoid communicating with the patient so there is no misunderstanding of your intentions. C. Use a manual that provides translation. D. Contact dispatch for assistance in finding a translator.

Answer 24

B. Avoid communicating with the patient so there is no misunderstanding of your intentions.

Question 25

The Health Insurance Portability and Accountability Act (HIPAA) requires ambulance services to do all of the following except: A. place patient care reports in a locked box. B. safeguard patient confidentiality. C. report child abuse. D. All of these are required by HIPAA.

Answer 25

report child abuse.

Question 26

How many parts does a standard medical radio report have as described in your textbook?

Answer 26

12

Question 27

Which of the following best describes a mobile radio? Select one: A. A two-way radio at a fixed site B. A two-way radio that can be carried on a belt clip C. A device that receives and amplifies signals that must be sent over a long distance D. A two-way radio that is mounted in a vehicle

Answer 27

D. A two-way radio that is mounted in a vehicle

Question 28

Which of the following is not part of a medical radio report? Select one: A. Address at which the patient was located B. Unit identification C. Estimated time of arrival D. Patient's response to medical care provided

Answer 28

A. Address at which the patient was located

Question 29

The portion of the patient care report in which the EMT writes his description of the patient's presentation, assessment findings, treatment, and transport information is called the:

Answer 29

narrative.

Question 30

You are on the scene of an unresponsive adult female patient. You find an empty pill bottle lying next to her bed. You look up the medication in your field guide and discover the medication is a powerful sedative. The prescription on the bottle is for the patient's husband, who is not present to answer questions about the medication. What should you do?

Answer 30

Document the empty pill bottle. It may provide important clues to the patient's condition.

Question 31

Which of the following is not an objective element of documented patient information? Select one: A. Patient's complaint of nausea B. Patient's blood pressure C. Position in which the patient was found D. Patient's age

Answer 31

Patient's complaint of nausea

Question 32

Which of the following does not need to be documented regarding a patient refusal of treatment? Select one: A. That you advised the patient to call back if he changed his mind B. That you informed the patient of the consequences of refusing care C. Any insulting remarks the patient made to you D. Patient's mental status

Answer 32

C. Any insulting remarks the patient made to you

Question 33

You are attempting to place a nonrebreather mask on a patient who is experiencing difficulty breathing. The patient is anxious and does not want the mask on his face. Which of the following is the best course of action? Select one: A. Tell the patient the mask is for his benefit, and you will restrain him if necessary to place it on him. B. Explain the importance of oxygen, and ask the patient to at least try to leave the mask on, but assure him that if he can't tolerate it, you can try another method. C. Tell the patient he will soon become unconscious without the mask, and then you will be able to place it on him. D. Document that the patient was uncooperative and refused oxygen.

Answer 33

B. Explain the importance of oxygen, and ask the patient to at least try to leave the mask on, but assure him that if he can't tolerate it, you can try another method.

Question 34

Which of the following is a possible consequence of using medical terminology about which you are unsure of the meaning in your patient care report? Select one: A. Loss of credibility B. Embarrassment C. Negative impact on patient care D. All of these

Answer 34

D. All of these

Question 35

You are on a call of a minor vehicle accident. Your patient is a 22-year-old male who was the driver of a moderate T-bone collision. The patient was not wearing a seat belt, and there was spidering of the windshield. The patient complains of neck pain and has a scalp laceration. After performing the primary assessment, you take vital signs and bandage the patient's scalp. When you tell him you need to backboard him, he refuses care and ambulance transport. Because the person is alert and oriented to time, place, and person, you have the patient sign the separate patient refusal form provided by your service. How should you document this incident in your EMS report?

Answer 35

You should document everything including all patient care, all of your attempts to persuade the patient to go by ambulance, and who witnessed the patient refusal.

Question 36

Which of the following is not an appropriate use of prehospital care report (PCR) information? Select one: A. For referral to Alcoholics Anonymous or similar social services B. To provide EMS personnel with education and quality assurance C. For billing and insurance purposes D. To conduct research

Answer 36

A. For referral to Alcoholics Anonymous or similar social services

Question 37

Which of the following is not appropriate to document on your patient care report? Select one: A. Patient's attitude B. Patient's mental status C. Patient's race D. All should be documented

Answer 37

A. Patient's attitude

Question 38

You are en route to the hospital with a 22-year-old male patient who has suffered a very embarrassing injury to his genitalia. Which method of contacting the receiving facility will afford the patient the most privacy?

Answer 38

Providing the receiving hospital with all information via a cell phone

Question 39

Which of the following describes the importance of effective communication of patient information in the verbal report? Select one: A. Patient treatment can be based on this information. B. Additional information that was not given in the radio report can be provided. C. Changes in the patient's condition can be communicated. D. All of these

Answer 39

All of these

Question 40

Why is it important that your radio report to the receiving facility be concise?

Answer 40

The emergency department needs to know quickly and accurately the patient's condition.

Question 41

During your radio report to the hospital, which of the following pieces of information should not be relayed? Select one: A. Patient's age B. Patient's mental status C. Baseline vital signs D. Patient's name

Answer 41

D. Patient's name

Question 42

When giving a radio report to the hospital, which of the following would be the first patient-specific information provided? Select one: A. The patient is a 55-year-old male. B. The patient is having a heart attack. C. The patient has taken nitroglycerin. D. The patient is complaining of chest pain.

Answer 42

The patient is a 55-year-old male.

Question 42

Which of the following should not be included in a patient care report? Select one: A. Patient's subjective statements B. Chief complaint C. Pertinent negative findings D. Radio codes

Answer 42

Radio codes

Question 43

Which of the following should be documented as subjective patient information? Select one: A. Vital signs B. Medications C. Symptoms D. Description of the surroundings

Answer 43

C. Symptoms

Question 44

Medical direction has requested that you administer 70 grams of activated charcoal to an overdose patient. Which of the following should you do next? Select one: A. Repeat the order back to the physician to make sure you understood correctly. B. Prepare the medication and then call the hospital back to verify the order. C. Administer the medication without delay. D. Document the order in writing before carrying it out.

Answer 44

A. Repeat the order back to the physician to make sure you understood correctly.

Question 45

Which of the following is one the most common situations in which an EMT may be liable? Select one: A. Inaccurate recording of times and mileage B. Failure to document all of a patient's medications on the patient care report C. Failing to get the receiving physician's signature on the patient care report D. Patient refusal of treatment and transport

Answer 45

D. Patient refusal of treatment and transport

Question 46

You have received an order from medical direction that you feel would be detrimental to your patient. Which of the following should you do?

Answer 46

Politely question the physician.

Question 47

Which of the following best describes the position you should take when dealing with a cooperative patient who is sitting in a chair?

Answer 47

Sit or kneel at the same level as the patient.

Question 48

Which of the following best describes a repeater?

Answer 48

A device that receives and amplifies a signal that must be carried over long distances

Question 49

You have received the following order from medical control: "Administer one tablet of nitroglycerin under the patient's tongue." Which of the following is the best response?

Answer 49

"Order received. One nitroglycerin tablet under the patient's tongue."

Question 50

Which of the following should be placed in quotes in the patient care report? A. Mechanism of injury B. Patient's expressed consent C. List of patient's medications D. Chief complaint

Answer 50

D. Chief complaint

Question 51

An objective statement made in a prehospital patient care report meets all of the following criteria except which one? A. Biased B. Observable C. Verifiable D. Measurable

Answer 51

Biased

Question 52

Which of the following agencies assigns and licenses radio frequencies? Select one: A. Federal Trade Commission B. Federal Communications Commission C. Transportation Security Administration D. United States Department of Transportation

Answer 52

B. Federal Communications Commission

Question 52

Which of the following is not an appropriate statement for the EMT to make on a patient care report? Select one: A. The patient was having an asthma attack. B. The patient has a history of asthma. C. The patient had wheezes that were audible without using a stethoscope. D. The patient complains of difficulty breathing.

Answer 52

The patient was having an asthma attack.

Question 53

Which of the following information does not need to be provided to the dispatcher? Select one: A. When you depart from the hospital B. Estimated time of arrival at the hospital C. Which hospital you are transporting to D. When you arrive at the hospital

Answer 53

Estimated time of arrival at the hospital