Emergency Care (14th Edition) – Test Bank by
Daniel Limmer, Michael O’Keefe & Edward
Dickinson
Complete Test Bank: Emergency Care (14th Edition)
Table of Contents by Section
Section 1: Foundations (Questions 1-35)
Section 2: Airway Management (Questions 36-50)
Section 3: Patient Assessment (Questions 51-80)
Section 4: Medical Emergencies (Questions 81-130)
Section 5: Trauma Emergencies (Questions 131-170)
Section 6: Special Populations (Questions 171-185)
Section 7: Operations (Questions 186-200)
Chapters 1-8
Section 1: Foundations
Question 1
Which of the following refers to a program or process for evaluating and improving the
effectiveness of an EMS system?
A) Quality improvement
B) System effectiveness management
C) Process Improvement Plan (PIP)
D) Total quality system
Answer: A) Quality improvement
Rationale: Quality improvement (QI) consists of continuous self-review with the purpose of
identifying aspects of the EMS system that require improvement, with subsequent action
plans to make necessary changes. The other options are not standard terms for this EMS
system evaluation process.
Question 2
Which of the following groups is credited with developing the earliest documented
emergency medical service?
A) The Spanish
B) The Egyptians
C) The Mayans
D) The French
,Answer: D) The French
Rationale: The earliest documented emergency medical service was in 1790 when the
French began transporting wounded soldiers from battlefields to waiting physicians. This
established the first formal system of prehospital care.
Question 3
In 1966, the National Highway Safety Act charged which agency with developing emergency
medical service (EMS) standards?
A) U.S. Department of Health and Human Services (HHS)
B) U.S. Department of Transportation (DOT)
C) National Highway Traffic Safety Administration (NHTSA)
D) Federal Emergency Management Agency (FEMA)
Answer: B) U.S. Department of Transportation (DOT)
Rationale: The National Highway Safety Act of 1966 charged the U.S. Department of
Transportation (DOT) with developing EMS standards and assisting states in upgrading the
quality of their prehospital emergency care. While NHTSA plays a significant role in EMS, the
Act specifically empowered the DOT.
Question 4
Which agency is responsible for establishing EMS system assessment programs?
A) Department of Health and Human Services (HHS)
B) National Transportation Safety Board (NTSB)
C) National Highway Traffic Safety Administration (NHTSA)
D) United States Health Services Agency (HSA)
Answer: C) National Highway Traffic Safety Administration (NHTSA)
Rationale: NHTSA is responsible for establishing EMS system assessment programs and has
developed the "National EMS Scope of Practice Model" and "National EMS Education
Standards" to guide EMS systems nationwide.
Question 5
What is the minimum level of certification required of ambulance personnel responsible for
direct patient care?
A) Emergency Medical Technician
B) Emergency Medical Responder
C) Advanced EMT
D) Emergency Ambulance Driver
Answer: A) Emergency Medical Technician
,Rationale: In most areas, the EMT is considered the minimum level of certification for
ambulance personnel directly responsible for patient care. EMRs are below this level, while
AEMTs and Paramedics represent higher certification levels.
Question 6
Which level of EMS training provides the most advanced prehospital care?
A) Advanced EMT
B) Emergency Medical Responder
C) Emergency Medical Technician
D) Paramedic
Answer: D) Paramedic
Rationale: The Paramedic performs all skills of the EMT and AEMT plus advanced-level skills
including cardiac monitoring, advanced airway management, and administration of a wider
range of medications. This represents the highest level of prehospital care.
Question 7
What BEST describes the level of EMS training that emphasizes activation of the EMS system
and provides immediate care for life-threatening problems?
A) Emergency Medical Dispatcher
B) Cardiac care responder
C) EMT
D) Emergency Medical Responder
Answer: D) Emergency Medical Responder
Rationale: EMRs are trained to activate the EMS system, provide immediate care for life-
threatening injuries, control the scene, and prepare for ambulance arrival. This is the
foundational level of EMS training.
Question 8
An EMT who arrives on scene and finds a patient pulseless and apneic begins CPR
immediately. This is an example of which type of consent?
A) Expressed consent
B) Implied consent
C) Informed consent
D) Minor's consent
Answer: B) Implied consent
Rationale: Implied consent is used when a patient is unconscious or mentally incapacitated
but in need of emergency care. The law assumes the patient would consent to life-saving
care if they were able to do so.
Question 9
, Which type of consent must be used by the EMT when seeking to treat a mentally
competent adult?
A) Unconditional consent
B) Expressed consent
C) Conscious consent
D) Implied consent
Answer: B) Expressed consent
Rationale: Expressed consent must be obtained from all patients who are physically and
mentally able to give it. This can only be given by adults of legal age who are mentally
competent to make rational decisions about their medical care .
Question 10
Which of the following refers to the set of regulations that defines the legal actions expected
of and limitations placed on the EMT?
A) Scope of practice
B) Legal standards of practice
C) Protocols and standing orders
D) Professional standards
Answer: A) Scope of practice
Rationale: The collective set of regulations and ethical considerations that defines the extent
and limitations of an EMT's job is known as the scope of practice. This varies by state but
generally follows national guidelines .
Question 11
The administration of oxygen and the application of spinal immobilization are part of which
of the following for the EMT?
A) Duty to act
B) Standard of care
C) Scope of practice
D) Expressed consent
Answer: B) Standard of care
Rationale: Standard of care refers to the manner in which an EMT must act or behave when
providing emergency care. Administering oxygen and applying spinal immobilization are
accepted practices expected of EMTs in similar situations .
Question 12
Which of the following BEST describes the purpose of the modern emergency medical
services (EMS) system?
A) To have trained personnel respond quickly and provide emergency care on the scene,
during transport, and at the hospital
B) To have trained personnel capable of assessing and caring for injured and ill patients on
Daniel Limmer, Michael O’Keefe & Edward
Dickinson
Complete Test Bank: Emergency Care (14th Edition)
Table of Contents by Section
Section 1: Foundations (Questions 1-35)
Section 2: Airway Management (Questions 36-50)
Section 3: Patient Assessment (Questions 51-80)
Section 4: Medical Emergencies (Questions 81-130)
Section 5: Trauma Emergencies (Questions 131-170)
Section 6: Special Populations (Questions 171-185)
Section 7: Operations (Questions 186-200)
Chapters 1-8
Section 1: Foundations
Question 1
Which of the following refers to a program or process for evaluating and improving the
effectiveness of an EMS system?
A) Quality improvement
B) System effectiveness management
C) Process Improvement Plan (PIP)
D) Total quality system
Answer: A) Quality improvement
Rationale: Quality improvement (QI) consists of continuous self-review with the purpose of
identifying aspects of the EMS system that require improvement, with subsequent action
plans to make necessary changes. The other options are not standard terms for this EMS
system evaluation process.
Question 2
Which of the following groups is credited with developing the earliest documented
emergency medical service?
A) The Spanish
B) The Egyptians
C) The Mayans
D) The French
,Answer: D) The French
Rationale: The earliest documented emergency medical service was in 1790 when the
French began transporting wounded soldiers from battlefields to waiting physicians. This
established the first formal system of prehospital care.
Question 3
In 1966, the National Highway Safety Act charged which agency with developing emergency
medical service (EMS) standards?
A) U.S. Department of Health and Human Services (HHS)
B) U.S. Department of Transportation (DOT)
C) National Highway Traffic Safety Administration (NHTSA)
D) Federal Emergency Management Agency (FEMA)
Answer: B) U.S. Department of Transportation (DOT)
Rationale: The National Highway Safety Act of 1966 charged the U.S. Department of
Transportation (DOT) with developing EMS standards and assisting states in upgrading the
quality of their prehospital emergency care. While NHTSA plays a significant role in EMS, the
Act specifically empowered the DOT.
Question 4
Which agency is responsible for establishing EMS system assessment programs?
A) Department of Health and Human Services (HHS)
B) National Transportation Safety Board (NTSB)
C) National Highway Traffic Safety Administration (NHTSA)
D) United States Health Services Agency (HSA)
Answer: C) National Highway Traffic Safety Administration (NHTSA)
Rationale: NHTSA is responsible for establishing EMS system assessment programs and has
developed the "National EMS Scope of Practice Model" and "National EMS Education
Standards" to guide EMS systems nationwide.
Question 5
What is the minimum level of certification required of ambulance personnel responsible for
direct patient care?
A) Emergency Medical Technician
B) Emergency Medical Responder
C) Advanced EMT
D) Emergency Ambulance Driver
Answer: A) Emergency Medical Technician
,Rationale: In most areas, the EMT is considered the minimum level of certification for
ambulance personnel directly responsible for patient care. EMRs are below this level, while
AEMTs and Paramedics represent higher certification levels.
Question 6
Which level of EMS training provides the most advanced prehospital care?
A) Advanced EMT
B) Emergency Medical Responder
C) Emergency Medical Technician
D) Paramedic
Answer: D) Paramedic
Rationale: The Paramedic performs all skills of the EMT and AEMT plus advanced-level skills
including cardiac monitoring, advanced airway management, and administration of a wider
range of medications. This represents the highest level of prehospital care.
Question 7
What BEST describes the level of EMS training that emphasizes activation of the EMS system
and provides immediate care for life-threatening problems?
A) Emergency Medical Dispatcher
B) Cardiac care responder
C) EMT
D) Emergency Medical Responder
Answer: D) Emergency Medical Responder
Rationale: EMRs are trained to activate the EMS system, provide immediate care for life-
threatening injuries, control the scene, and prepare for ambulance arrival. This is the
foundational level of EMS training.
Question 8
An EMT who arrives on scene and finds a patient pulseless and apneic begins CPR
immediately. This is an example of which type of consent?
A) Expressed consent
B) Implied consent
C) Informed consent
D) Minor's consent
Answer: B) Implied consent
Rationale: Implied consent is used when a patient is unconscious or mentally incapacitated
but in need of emergency care. The law assumes the patient would consent to life-saving
care if they were able to do so.
Question 9
, Which type of consent must be used by the EMT when seeking to treat a mentally
competent adult?
A) Unconditional consent
B) Expressed consent
C) Conscious consent
D) Implied consent
Answer: B) Expressed consent
Rationale: Expressed consent must be obtained from all patients who are physically and
mentally able to give it. This can only be given by adults of legal age who are mentally
competent to make rational decisions about their medical care .
Question 10
Which of the following refers to the set of regulations that defines the legal actions expected
of and limitations placed on the EMT?
A) Scope of practice
B) Legal standards of practice
C) Protocols and standing orders
D) Professional standards
Answer: A) Scope of practice
Rationale: The collective set of regulations and ethical considerations that defines the extent
and limitations of an EMT's job is known as the scope of practice. This varies by state but
generally follows national guidelines .
Question 11
The administration of oxygen and the application of spinal immobilization are part of which
of the following for the EMT?
A) Duty to act
B) Standard of care
C) Scope of practice
D) Expressed consent
Answer: B) Standard of care
Rationale: Standard of care refers to the manner in which an EMT must act or behave when
providing emergency care. Administering oxygen and applying spinal immobilization are
accepted practices expected of EMTs in similar situations .
Question 12
Which of the following BEST describes the purpose of the modern emergency medical
services (EMS) system?
A) To have trained personnel respond quickly and provide emergency care on the scene,
during transport, and at the hospital
B) To have trained personnel capable of assessing and caring for injured and ill patients on
