Test Bank for Prehospital Emergency Care 11th Edition (2018) by Mistovich, Karren, and Hafen with Questions and Answers for All Chapters, A+ Guaranteed Exam Success Study Resource

Prehospital Emergency Care, 11e (Mistovich et al.) f f f f f f f




Chapter 1 Emergency Care Systems, Research, and Public Health f fff f f f f f f f




1) What is a primary purpose of the modern-day EMS system?
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A) Provide a means of transport to and from the hospital
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B) Ensure that all members of society have equal access to hospitals
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C) Decrease the incidence of death and disability related to injury and illness D) Pro
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vide emergency health care services to medically underserved areas Answer: C
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Diff: 2 Page Ref: 7 f ffffff f f f




Objective: 1-2 ff f




2) Most authorities agree that the modern-
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day EMS system evolved after the release of which document?
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A) The Emergency Medical Services Act of 1973
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B) The white paper "Accidental Death and Disability: The Neglected Disease of Modern Societ
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y" in 1966
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C) The American Heart Association's Guidelines for Cardiac Resuscitation
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D) Emergency Medical Services: Agenda for the Future, in 1996
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Answer: B ff f




Diff: 1 Page Ref: 3 f ffffff f f f




Objective: 1-2 ff f




3) An Emergency Medical Responder comes to you and states that he would like to work for your eme
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rgency ambulance service on a full- f f f f f




time basis. Knowing the National EMS Scope of Practice Model, you inform him of which element?
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A) He will be able to take care of only patients with non-life-
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threatening complaints B) He will first need approval from your ambulance service's medi f f f f f f f f f f f f




cal director C) He will be able to work only with an Advanced EMT or paramedic
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D) He will first have to become an Emergency Medical Technician
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Answer: D ff f




Diff: 1 Page Ref: 6-7 f ffffff f f f




Objective: 1-1 ff f




4) As defined by the National EMS Scope of Practice Model, the four levels of EMS practiti
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oners include: f f




A) Ambulance drivers
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B) EMS medical director
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C) Paramedics
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D) Emergency medical dispatchers
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Answer: C ff f




Diff: 1 Page Ref: 6-7 f ffffff f f f




Objective: 1-3 ff f




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,5) An Emergency Medical Responder (EMR) approaches you and states that he is interested in becomi
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ng an EMT. Specifically, he asks what he will be able to do as an EMT that he cannot presently do as an E
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MR. You respond bysaying he will be able to:
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A) Administer some medications
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B) Assist in emergency childbirth
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C) Use an automated external defibrillator
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D) Obtain vital signs f f f f




Answer: A ff f




Diff: 1 Page Ref: 6-7 f ffffff f f f




Objective: 1-5 ff f




6) You have been dispatched for a 61-year-
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old female in cardiac arrest. Emergency Medical Responders (EMRs) are on scene. In your communit
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y, all EMS practitioners are trained according to the National EMS Scope of Practice Model. Given this
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, which type of care do you expect the EMRs to be providing?
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A) Emergency medication administration
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B) Automated external defibrillation
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C) Intravenous therapy
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D) Reading an electrocardiogram
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Answer: B ff f




Diff: 2 Page Ref: 6 f ffffff f f f




Objective: 1-5 ff f




7) An EMT with your service states that she desires to become a paramedic because she wants to provide a
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dvanced care. Under the National EMS Scope of Practice Model, which one of these types of care will she
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be able to provide as a paramedic that she cannot provide as an EMT?
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A) Automated blood pressure monitoring
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B) Assistance with emergency childbirth
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C) Interfacility transports
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D) IV therapy f f f




Answer: D ff f




Diff: 1 Page Ref: 7 f ffffff f f f




Objective: 1-5 ff f




8) Which statement made by an EMT requires immediate intervention by a superior or the service s
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upervisor? f




A) "I always wear myseat belt whenever I am in the patient compartment of the ambulance, unless I have t
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o remove it to care for a patient."
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B) "I drive as fast as I can to get to the scene of an emergency, especially if a child is sick or injured accordin
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g to dispatch information."
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C) "When I am driving with lights and sirens, I instruct my partner that he will need to handle all radio com
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munications." f




D) "I put exam gloves on for every patient I contact, even if he or she does not have a known or suspected in
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fectious disease." f f




Answer: B ff f




Diff: 1 Page Ref: 9 f ffffff f f f




Objective: 1-7 ff f




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Copyright © 2018 Pearson Education, Inc. f f f f f f

,9) Which statement shows that the EMT has a good understanding of her role and respons
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ibilities related to being an EMT? f f f f f f




A) "The patient's needs come before anyone else's needs."
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B) "At the scene of an emergency, my responsibility is to get to the patient no matter what." C) "My sa
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fety comes first, and then the patient's safety."
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D) "As an EMT, I recognize that the public's safety comes before the safety of me or my partner."
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Answer: C ff f




Diff: 2 Page Ref: 8-9 f ffffff f f f




Objective: 1-7 ff f




10) An ambulance with two EMTs arrives in front of a house for an unknown medical
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emergency. On scene, bystanders report that a female patient was beaten by her husband in the driveway f f f f f f f f f f f f f f f f f




and then dragged back into the house. They state that the patient appeared unconscious and was bleeding
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from the head. Which action would the EMTs perform next?
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A) Do not enter the scene until it has been controlled by law enforcement B) Quietly enter
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the home and quickly move the patient to the ambulance C) Remove the husband from th
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e house, then provide emergency care to the wife D) Enter the home to protect the patient
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while waiting for the police to arrive Answer: A
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Diff: 2 Page Ref: 9 f ffffff f f f




Objective: 1-7 ff f




11) Why is EMS in a unique position to contribute significantly to mobile integrated health care? A) EMS
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providers are familiar with and capable of functioning in the out-of-hospital
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environment f




B) Ambulances are easily identified
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C) The community trusts uniformed health care providers
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D) EMS providers are familiar with the many routes of medication administration
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Answer: A ff f




Diff: 1 Page Ref: 17 f ffffff f f f




Objective: 1-15 ff f




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Copyright © 2018 Pearson Education, Inc. f f f f f f

, 12) You have arrived on the scene of a motor vehicle collision. A car has gone off the road and into a utility
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pole. The pole is broken and wires are hanging just above the car. You do not see any sparking or arcing of
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the wires. The driver of the car is slumped over the steering wheel and not moving. Several bystanders ar
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ound the car are yelling for you to help. Which steps represent the correct order of your response?
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A) Clear the bystanders, allow the fire department to secure the wires, access the patient, extricat
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e the patient, transport
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B) Access the patient, clear the bystanders, allow the fire department to secure the wires, extricat
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e the patient, transport
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C) Clear the bystanders, access the patient, extricate the patient, transport, allow the fire departm
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ent to secure the wires
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D) Access the patient, allow the fire department to secure the wires, clear the bystanders, extricat
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e the patient, transport
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Answer: A ff f




Diff: 2 Page Ref: 8-9 f ffffff f f f




Objective: 1-7 ff f




13) Once a scene is free of safety hazards, the EMT must recognize and focus on the needs of the:
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A) Rescuers
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B) Patient
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C) Family
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D) Bystanders
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Answer: B ff f




Diff: 1 Page Ref: 9 f ffffff f f f




Objective: 1-7 ff f




14) You have been asked to sit on your service's quality improvement (QI) committee. As a knowledg
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eable EMT, you recognize that in this role you will be involved in projects that are primarily designed
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to: f




A) Communicate with insurance companies for increased reimbursement
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B) Recruit and educate EMTs about the Emergency Medical Services profession
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C) Develop ways in which the delivery of emergency care can be improved
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D) Identify and reeducate EMTs who routinely do not provide proper care
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Answer: C ff f




Diff: 2 Page Ref: 13 f ffffff f f f




Objective: 1-10 ff f




15) What would be a logical project to be undertaken and developed by a quality improvement (QI) co
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mmittee? f




A) Termination of EMTs who are chronically late to work
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B) A program by which pay raises are based on performance and attitude
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C) Community fundraiser to raise money for new EMS equipment
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D) Monthly continuing education programs in which seldom-
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used skills are practiced Answer: D
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Diff: 2 Page Ref: 14 f ffffff f f f




Objective: 1-10 ff f




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Copyright © 2018 Pearson Education, Inc. f f f f f f