Ultimate EMT Exam
Ultimate EMT[NREMT] Actual Exam COMPLETE
VERIFIED QUESTIONS AND CORRECT ANSWERS
with DETAILED RATIONALES GRADED A+
GUARANTEED PASS- ACE YOUR EXAM
You have completed your patient care report and left a copy at the hospital when you realize
that you forgot to document a pertinent finding on the front of the report. You should:
• A:take no action and report the event to your supervisor.
• B:attach an addendum to the original run report.
• C:complete a new run report and add the information.
• D:write the information on the original run report.
You selected B; This is correct!
Detailed Rationale:If you discover that you forgot to include pertinent information on your
patient care report (PCR) after leaving a copy at the hospital, you should write the
information on a separate addendum and attach it to the original PCR. A copy of the
A+ TEST BANK 1
, Ultimate EMT Exam
addendum also should be sent to the receiving facility. Once you leave a copy of your PCR at
the hospital, you should not add anything to the original. Legally, this would result in two
different records for the same patient. Many EMS systems use electronic PCR (E-PCR)
software, in which case the PCR is electronically submitted to the receiving facility upon
completion. As with the hand-written PCR, you should add an addendum to the E-PCR if you
forget to include pertinent information on the original.
While treating a patient in cardiac arrest, you turn the AED on and attach the pads to the
patient. However, when the AED begins to analyze the patient's cardiac rhythm, it signals
"low battery" and then shuts off. The patient subsequently died. Which of the following
statements regarding this scenario is MOST correct?
• A:You and your partner may be held liable for negligence.
• B:The crew that preceded you may be held liable for negligence.
• C:Most errors associated with the AED involve equipment failure.
• D:The manufacturer of the AED will be held liable for negligence.
You selected A; This is correct!
Detailed Rationale:The most common errors that occur with the AED are the result of
operator error (not equipment failure), usually because no one made sure that the batteries
were fully charged when checking the ambulance at the start of the shift. Because the patient
died, you and your partner could be held liable for negligence. Remember, the entire
ambulance must be checked by the oncoming shift to ensure that all equipment is functional
and that all supplies are present. Even though the preceding crew is morally responsible for
not replacing the batteries, the legal ramifications will rest on you and your partner's
shoulders.
When providing care to multiple patients at the scene of a mass-casualty incident, your goal
should remain focused on:
• A:transporting patients to the hospital.
• B:keeping all bystanders at a safe distance.
• C:initiating CPR for those in cardiac arrest.
• D:immobilizing all patients at the scene.
You selected A; This is correct!
Detailed Rationale:At the scene a mass-casualty incident, you will be faced with many
challenges, including ensuring your safety, extrication, triage, and patient care. In the midst of
all of these activities, however, you must never lose sight of your ultimate goal, which is to
transport all patients to the hospital as soon as possible.
A+ TEST BANK 2
, Ultimate EMT Exam
You arrive at the scene of an 80-year-old woman who is weak and lightheaded. Her son, who
called 911, is present and asks you to transport his mother to the hospital. You should:
• A:assess the woman and determine if she wishes to be treated and transported.
• B:comply with the son's request and transport the woman to the hospital.
• C:advise the son that he can probably drive his mother to the hospital.
• D:take the woman's vital signs and apply supplemental oxygen if necessary.
You selected A; This is correct!
Detailed Rationale:You must obtain consent from any mentally competent adult patient prior
to initiating treatment. Just because the patient is 80 years old does not mean that she does
not have decision-making capacity. And just because her son wants her to be transported
does not mean that she does. Ask her if she wishes to be treated and transported to the
hospital. If she does, then you have obtained consent and should proceed accordingly. If she
does not, you should determine if she has decision-making capacity; that is, whether or not
she is mentally competent. If she is determined to have decision-making capacity, then you
cannot legally treat or transport her. If she does not have decision-making capacity (eg, she is
confused, under the influence of drugs or alcohol), then you may treat and transport under
the law of implied consent. It is not the EMT's decision to determine, let alone recommend,
that a patient be taken to the hospital via privately owned vehicle (POV). If the patient
requests EMS treatment and transport, you are legally obligated to do so.
Which of the following actions demonstrates an EMT's knowledge of crime scene
preservation?
• A:Carefully cutting through the hole in a patient's clothing that was made by a large caliber
firearm
• B:Requesting approval from law enforcement before controlling severe bleeding from a
patient's arm
• C:Advising a law enforcement officer after moving a coffee table to access a critically injured
patient
• D:Placing a knife in a plastic zip-lock bag and giving it to a law enforcement officer for safe-
keeping
You selected C; This is correct!
Detailed Rationale:After ensuring your own safety, your priority when caring for a patient at a
crime scene is to do just that, care for the patient. If you need to move a piece of furniture to
gain access to a critically injured patient, move the furniture, treat the patient, and then
advise a law enforcement officer of what you moved and where you moved it to. In this way,
you are providing immediate care to the patient, but are remaining aware that the location of
any obstacles between you and the patient may serve as evidence. Clearly, you are not going
A+ TEST BANK 3
, Ultimate EMT Exam
to request approval from a law enforcement officer before treating a critically injured patient.
Items that may have fingerprints on them, such as knives or guns, should be placed in a paper
bag; condensation can accumulate in plastic bags, potentially destroying any evidence. When
removing clothing from a gunshot victim, you should make an effort to cut around (not
through) the hole in the clothing that was made by the bullet. The hole in a patient's clothing
may contain gunshot residue and can provide valuable information regarding the type of
weapon used and the distance between the assailant and the victim.
While caring for an emotionally disturbed 30-year-old male, he suddenly becomes violent and
needs to be physically restrained. During the restraint procedure, you should:
• A:approach the patient from the front and converge on him quickly.
• B:maintain communication with him and closely monitor his airway.
• C:ensure that at least three people are available to safely restrain him.
• D:place him in a prone position and secure straps across his back.
The correct answer is B;
Detailed Rationale:Physical restraint may be necessary if a patient is a threat to him- or herself
or others. If it becomes necessary to physically restrain a violent patient, there are certain,
specific guidelines that must be followed. Use a minimum of four people to restrain the
patient, one assigned to each extremity. Approach the patient from the front and the sides;
this will prevent him or her from getting away from you. Somebody, preferably you or your
partner, should talk to the patient throughout the restraint process, even if the patient is not
listening to you. Never restrain a patient facedown (prone); it is impossible to adequately
monitor the patient and this position may inhibit the breathing of an impaired or exhausted
patient (positional asphyxia). Use just enough force to effectively restrain the patient; the
patient's gender, body size, strength, and mental status can be used to determine the
appropriate amount of force. Reassess airway and breathing continuously, regardless of the
patient's position, and continue to talk to him or her during transport.
The safest emergency vehicle operator is one who:
• A:has a positive attitude.
• B:is physically fit.
• C:drives with lights and siren.
• D:drives with due regard.
You selected D; This is correct!
Detailed Rationale:One of the most important attributes of a safe emergency vehicle
operator is the ability to drive with due regard for others. This means that the operator must
be aware of others around him or her and to keep their safety in mind. The EMT should never
A+ TEST BANK 4
Ultimate EMT[NREMT] Actual Exam COMPLETE
VERIFIED QUESTIONS AND CORRECT ANSWERS
with DETAILED RATIONALES GRADED A+
GUARANTEED PASS- ACE YOUR EXAM
You have completed your patient care report and left a copy at the hospital when you realize
that you forgot to document a pertinent finding on the front of the report. You should:
• A:take no action and report the event to your supervisor.
• B:attach an addendum to the original run report.
• C:complete a new run report and add the information.
• D:write the information on the original run report.
You selected B; This is correct!
Detailed Rationale:If you discover that you forgot to include pertinent information on your
patient care report (PCR) after leaving a copy at the hospital, you should write the
information on a separate addendum and attach it to the original PCR. A copy of the
A+ TEST BANK 1
, Ultimate EMT Exam
addendum also should be sent to the receiving facility. Once you leave a copy of your PCR at
the hospital, you should not add anything to the original. Legally, this would result in two
different records for the same patient. Many EMS systems use electronic PCR (E-PCR)
software, in which case the PCR is electronically submitted to the receiving facility upon
completion. As with the hand-written PCR, you should add an addendum to the E-PCR if you
forget to include pertinent information on the original.
While treating a patient in cardiac arrest, you turn the AED on and attach the pads to the
patient. However, when the AED begins to analyze the patient's cardiac rhythm, it signals
"low battery" and then shuts off. The patient subsequently died. Which of the following
statements regarding this scenario is MOST correct?
• A:You and your partner may be held liable for negligence.
• B:The crew that preceded you may be held liable for negligence.
• C:Most errors associated with the AED involve equipment failure.
• D:The manufacturer of the AED will be held liable for negligence.
You selected A; This is correct!
Detailed Rationale:The most common errors that occur with the AED are the result of
operator error (not equipment failure), usually because no one made sure that the batteries
were fully charged when checking the ambulance at the start of the shift. Because the patient
died, you and your partner could be held liable for negligence. Remember, the entire
ambulance must be checked by the oncoming shift to ensure that all equipment is functional
and that all supplies are present. Even though the preceding crew is morally responsible for
not replacing the batteries, the legal ramifications will rest on you and your partner's
shoulders.
When providing care to multiple patients at the scene of a mass-casualty incident, your goal
should remain focused on:
• A:transporting patients to the hospital.
• B:keeping all bystanders at a safe distance.
• C:initiating CPR for those in cardiac arrest.
• D:immobilizing all patients at the scene.
You selected A; This is correct!
Detailed Rationale:At the scene a mass-casualty incident, you will be faced with many
challenges, including ensuring your safety, extrication, triage, and patient care. In the midst of
all of these activities, however, you must never lose sight of your ultimate goal, which is to
transport all patients to the hospital as soon as possible.
A+ TEST BANK 2
, Ultimate EMT Exam
You arrive at the scene of an 80-year-old woman who is weak and lightheaded. Her son, who
called 911, is present and asks you to transport his mother to the hospital. You should:
• A:assess the woman and determine if she wishes to be treated and transported.
• B:comply with the son's request and transport the woman to the hospital.
• C:advise the son that he can probably drive his mother to the hospital.
• D:take the woman's vital signs and apply supplemental oxygen if necessary.
You selected A; This is correct!
Detailed Rationale:You must obtain consent from any mentally competent adult patient prior
to initiating treatment. Just because the patient is 80 years old does not mean that she does
not have decision-making capacity. And just because her son wants her to be transported
does not mean that she does. Ask her if she wishes to be treated and transported to the
hospital. If she does, then you have obtained consent and should proceed accordingly. If she
does not, you should determine if she has decision-making capacity; that is, whether or not
she is mentally competent. If she is determined to have decision-making capacity, then you
cannot legally treat or transport her. If she does not have decision-making capacity (eg, she is
confused, under the influence of drugs or alcohol), then you may treat and transport under
the law of implied consent. It is not the EMT's decision to determine, let alone recommend,
that a patient be taken to the hospital via privately owned vehicle (POV). If the patient
requests EMS treatment and transport, you are legally obligated to do so.
Which of the following actions demonstrates an EMT's knowledge of crime scene
preservation?
• A:Carefully cutting through the hole in a patient's clothing that was made by a large caliber
firearm
• B:Requesting approval from law enforcement before controlling severe bleeding from a
patient's arm
• C:Advising a law enforcement officer after moving a coffee table to access a critically injured
patient
• D:Placing a knife in a plastic zip-lock bag and giving it to a law enforcement officer for safe-
keeping
You selected C; This is correct!
Detailed Rationale:After ensuring your own safety, your priority when caring for a patient at a
crime scene is to do just that, care for the patient. If you need to move a piece of furniture to
gain access to a critically injured patient, move the furniture, treat the patient, and then
advise a law enforcement officer of what you moved and where you moved it to. In this way,
you are providing immediate care to the patient, but are remaining aware that the location of
any obstacles between you and the patient may serve as evidence. Clearly, you are not going
A+ TEST BANK 3
, Ultimate EMT Exam
to request approval from a law enforcement officer before treating a critically injured patient.
Items that may have fingerprints on them, such as knives or guns, should be placed in a paper
bag; condensation can accumulate in plastic bags, potentially destroying any evidence. When
removing clothing from a gunshot victim, you should make an effort to cut around (not
through) the hole in the clothing that was made by the bullet. The hole in a patient's clothing
may contain gunshot residue and can provide valuable information regarding the type of
weapon used and the distance between the assailant and the victim.
While caring for an emotionally disturbed 30-year-old male, he suddenly becomes violent and
needs to be physically restrained. During the restraint procedure, you should:
• A:approach the patient from the front and converge on him quickly.
• B:maintain communication with him and closely monitor his airway.
• C:ensure that at least three people are available to safely restrain him.
• D:place him in a prone position and secure straps across his back.
The correct answer is B;
Detailed Rationale:Physical restraint may be necessary if a patient is a threat to him- or herself
or others. If it becomes necessary to physically restrain a violent patient, there are certain,
specific guidelines that must be followed. Use a minimum of four people to restrain the
patient, one assigned to each extremity. Approach the patient from the front and the sides;
this will prevent him or her from getting away from you. Somebody, preferably you or your
partner, should talk to the patient throughout the restraint process, even if the patient is not
listening to you. Never restrain a patient facedown (prone); it is impossible to adequately
monitor the patient and this position may inhibit the breathing of an impaired or exhausted
patient (positional asphyxia). Use just enough force to effectively restrain the patient; the
patient's gender, body size, strength, and mental status can be used to determine the
appropriate amount of force. Reassess airway and breathing continuously, regardless of the
patient's position, and continue to talk to him or her during transport.
The safest emergency vehicle operator is one who:
• A:has a positive attitude.
• B:is physically fit.
• C:drives with lights and siren.
• D:drives with due regard.
You selected D; This is correct!
Detailed Rationale:One of the most important attributes of a safe emergency vehicle
operator is the ability to drive with due regard for others. This means that the operator must
be aware of others around him or her and to keep their safety in mind. The EMT should never
A+ TEST BANK 4
