Emergency Care (14th Edition) – by Daniel Limmer, Michael O’Keefe & Edward
Dickinson.
EMS Systems & Operations (Chapters 1-5)
1. The National Highway Traffic Safety Administration (NHTSA) Technical
Assistance Program has established assessment programs with set standards for
which of the following?
A) Emergency Medical Dispatch centers only
B) EMS systems
C) Hospital emergency departments
D) Fire suppression systems
Answer: B) EMS systems
Rationale: The NHTSA Technical Assistance Program has established assessment
programs with set standards to evaluate and improve the quality of prehospital
emergency care.
,2. A 6-year-old male fell off his bicycle and cut his upper arm. His mother is
holding a blood-soaked towel over the wound. When you examine the wound,
you see a five-inch laceration that is spraying blood. You should immediately:
A) apply direct pressure.
B) compress his brachial artery.
C) apply a tourniquet two inches above the laceration.
D) elevate his arm above his heart.
Answer: C) apply a tourniquet two inches above the laceration.
Rationale: Life-threatening bleeding from an extremity that is not controlled by
direct pressure requires the immediate application of a tourniquet.
3. You are on the scene of an explosion at a suspected methamphetamine
manufacturing operation. You and your partner are the first to arrive and note
two middle-aged men and a woman on the front lawn with burns and cuts on
their faces and arms. The fire department is en route. Which of the following
resources would be the least important to request during the scene size-up?
A) Hazardous material clean-up crew
B) Gas company
C) Law enforcement
D) One or two additional ambulances
Answer: A) Hazardous material clean-up crew
,Rationale: While the site is a hazmat scene, the primary focus for EMS is patient
care, safety, and rapid transport. The clean-up crew is not an immediate patient
care or scene safety priority for the initial EMS response.
4. Centralized coordination of emergency medical access, transportation, and care
most refers to which of the following?
A) Emergency preparedness plan
B) Trauma system
C) Resource management
D) Central deployment
Answer: C) Resource management
Rationale: Resource management ensures that all patients have equal access to
emergency care and are transported by certified personnel in licensed
ambulances to appropriate facilities.
5. You are on the scene of a tanker truck versus passenger vehicle collision on a
rural highway. The vehicles are just beyond a curve in the roadway and there is a
distinct odor of diesel fuel. It is dark and there is little traffic. Which of the
following should be used to alert oncoming traffic to the situation?
A) Yellow crime scene tape
B) Flashing lights on the ambulance
, C) Reflective triangles
D) Flares
Answer: C) Reflective triangles
Rationale: Flares are not safe to use when fuel has been spilled due to the risk of
ignition. Reflective triangles are the recommended method for warning oncoming
traffic in this hazardous situation.
Patient Assessment & Airway (Chapters 9-13)
6. What are the steps for reassessment of a trauma patient?
A) 1. Repeat the primary assessment. 2. Reassess Vital signs. 3. Repeat pertinent
parts of the secondary assessment. 4. Check interventions.
B) 1. Check interventions. 2. Reassess Vital signs. 3. Repeat the primary
assessment. 4. Repeat the secondary assessment.
C) 1. Reassess Vital signs. 2. Repeat the secondary assessment. 3. Check
interventions. 4. Repeat the primary assessment.
D) 1. Check interventions. 2. Repeat the primary assessment. 3. Reassess Vital
signs. 4. Repeat the secondary assessment.
Answer: A) 1. Repeat the primary assessment. 2. Reassess Vital signs. 3. Repeat
pertinent parts of the secondary assessment. 4. Check interventions.
Dickinson.
EMS Systems & Operations (Chapters 1-5)
1. The National Highway Traffic Safety Administration (NHTSA) Technical
Assistance Program has established assessment programs with set standards for
which of the following?
A) Emergency Medical Dispatch centers only
B) EMS systems
C) Hospital emergency departments
D) Fire suppression systems
Answer: B) EMS systems
Rationale: The NHTSA Technical Assistance Program has established assessment
programs with set standards to evaluate and improve the quality of prehospital
emergency care.
,2. A 6-year-old male fell off his bicycle and cut his upper arm. His mother is
holding a blood-soaked towel over the wound. When you examine the wound,
you see a five-inch laceration that is spraying blood. You should immediately:
A) apply direct pressure.
B) compress his brachial artery.
C) apply a tourniquet two inches above the laceration.
D) elevate his arm above his heart.
Answer: C) apply a tourniquet two inches above the laceration.
Rationale: Life-threatening bleeding from an extremity that is not controlled by
direct pressure requires the immediate application of a tourniquet.
3. You are on the scene of an explosion at a suspected methamphetamine
manufacturing operation. You and your partner are the first to arrive and note
two middle-aged men and a woman on the front lawn with burns and cuts on
their faces and arms. The fire department is en route. Which of the following
resources would be the least important to request during the scene size-up?
A) Hazardous material clean-up crew
B) Gas company
C) Law enforcement
D) One or two additional ambulances
Answer: A) Hazardous material clean-up crew
,Rationale: While the site is a hazmat scene, the primary focus for EMS is patient
care, safety, and rapid transport. The clean-up crew is not an immediate patient
care or scene safety priority for the initial EMS response.
4. Centralized coordination of emergency medical access, transportation, and care
most refers to which of the following?
A) Emergency preparedness plan
B) Trauma system
C) Resource management
D) Central deployment
Answer: C) Resource management
Rationale: Resource management ensures that all patients have equal access to
emergency care and are transported by certified personnel in licensed
ambulances to appropriate facilities.
5. You are on the scene of a tanker truck versus passenger vehicle collision on a
rural highway. The vehicles are just beyond a curve in the roadway and there is a
distinct odor of diesel fuel. It is dark and there is little traffic. Which of the
following should be used to alert oncoming traffic to the situation?
A) Yellow crime scene tape
B) Flashing lights on the ambulance
, C) Reflective triangles
D) Flares
Answer: C) Reflective triangles
Rationale: Flares are not safe to use when fuel has been spilled due to the risk of
ignition. Reflective triangles are the recommended method for warning oncoming
traffic in this hazardous situation.
Patient Assessment & Airway (Chapters 9-13)
6. What are the steps for reassessment of a trauma patient?
A) 1. Repeat the primary assessment. 2. Reassess Vital signs. 3. Repeat pertinent
parts of the secondary assessment. 4. Check interventions.
B) 1. Check interventions. 2. Reassess Vital signs. 3. Repeat the primary
assessment. 4. Repeat the secondary assessment.
C) 1. Reassess Vital signs. 2. Repeat the secondary assessment. 3. Check
interventions. 4. Repeat the primary assessment.
D) 1. Check interventions. 2. Repeat the primary assessment. 3. Reassess Vital
signs. 4. Repeat the secondary assessment.
Answer: A) 1. Repeat the primary assessment. 2. Reassess Vital signs. 3. Repeat
pertinent parts of the secondary assessment. 4. Check interventions.
