EMS 1119 Final Exam Review UPDATED
ACTUAL QUESTIONS AND CORRECT
ANSWERS
In what year was the National Highway Safety Act charged with developing the EMS standards. -
CORRECT ANSWER 1966
Which agencies are made up of emergency medical service standards? - CORRECT
ANSWER National Registry of Emergency Medical Technicians
What is the minimum level of certification required of ambulance personnel responsible for direct
patient care? - CORRECT ANSWER Emergency Medical Technician
What is responsible for the on-scene safety of EMS providers? - CORRECT ANSWER You are
responsible for your safety and your patient's and crew's safety
What was the NREMT founded to do? - CORRECT ANSWER Provide registration to EMTs in
an effort to establish and maintain national standards.
Do you think it is important for EMTs to participate in QI programs? - CORRECT
ANSWER Yes, it is vital to providing quality prehospital care and ensuring processes are being
followed
Who assumes the ultimate responsibility for patient care rendered by the EMT? - CORRECT
ANSWER Medical Director
What is it called when you don't have to contact the physician in the ED because of existing protocols
when you want to give O2 for a patient who is short of breath? - CORRECT ANSWER Off-line
medical direction/standing orders
During assessment of a male assaults victim, you note the patient has a productive cough. The patient
says, "Don't worry, I'm not contagious. I've had this cough for a year." Describe the best approach
regarding respiratory isolation. - CORRECT ANSWER Provide the patient with a mask and
ensure it is being utilized properly before continuing care
,What pathogens can live in dried blood? - CORRECT ANSWER Hepatitis B
What is the name of the federal act that mandates a procedure by which emergency healthcare
providers can find out if they have been exposed to potentially life-threatening diseases while on the
job? - CORRECT ANSWER Ryan White CARE Act
You respond where there is a lot of blood. When you arrive on scene, you walk into the house and
find a person suffering from a severe wrist laceration. You immediately grab the wrist and apply direct
pressure to the wound- OOPS! You forgot to put on your gloves. You look down to see your hand in
covered in blood. When practical, you immediately wash your hands thoroughly, and do what next: -
CORRECT ANSWER Document and report
What are some s/s of PTSD? - CORRECT ANSWER flashbacks, nightmares, feeling detached,
irritability, difficulty sleeping, self-harm
In an assessment of a pt who has a hx of terminal brain cancer, the pt says, "I know I'm going to die,
but first I want to see my grandson graduate from HS." What stage of death described this pt's current
condition? - CORRECT ANSWER Bargaining
What behaviors would demonstrate that an EMT understands reactions to death and dying? -
CORRECT ANSWER Empathy and patience
Name some of the 3 R's that are essential for the EMT to practice when reacting to danger. -
CORRECT ANSWER Respond, radio, reevaluate
What reference provides important info regarding HAZMATs, emergency care, and procedures in case
of accidental fires and release; supplies definitions of placard cards ID #s; and should be standard
issue on ambulances? - CORRECT ANSWER Emergency Response Guidebook
Dispatched to a F with AMS. Once inside, you find a F who appears to have been beaten unconscious.
A M, who smells of alcohol, says that she is his wife and he doesn't know what happened. The
husband is behaving suspiciously, appears paranoid, and is pacing erratically around the room. What
would you do next? - CORRECT ANSWER Treat and escort the wife while keeping an eye on
the husband. Then report the issue and advocate for the wife
,Dispatched to a man down with no further info. On arrival, you see a crowd looking at a man lying in
the alleyway. The bystanders are screaming "Help him, he's been shot." What do you do next? -
CORRECT ANSWER Radio dispatch for LE assistance before entering
You are approaching a scene of an MVC. Describe what would be the first way to safeguard your
well-being as an EMT? - CORRECT ANSWER Appropriate PPE including hi vis vest
The term body mechanics describes the proper use of your body to lift without injury. What are the 3
considerations to review before any lift? - CORRECT ANSWER the object, your limitations,
and communication
What is an urgent move? - CORRECT ANSWER Pt must be moved quickly for treatment of
life-threatening injury; move occurs with spinal precautions
How many EMTs needed for a stair chair? - CORRECT ANSWER 2
Responded to a MCI of overturned buses. Pts have been thrown around inside the bus, and several are
stacked on top of each other. What type of move would you perform to gain access to the most
critically injured pts? - CORRECT ANSWER Emergency
EMS stretchers designed to carry obese pts weighing up to 800 lbs are called: - CORRECT
ANSWER bariatric stretchers
Urgent moves are required when: - CORRECT ANSWER the pt must be moved quickly for tx
of an immediate life threat
For a pt w/o the possibility of a spin injury, what carry should be used to move him from a bed to a
stretcher? - CORRECT ANSWER draw sheet method or direct carry
Moving an elderly pt down the stairs with a stair chair. The pt is alert and very anxious. Describe what
should you do prior to moving the pt to prevent her from grabbing the railing and causing you to fall?
- CORRECT ANSWER Talk to the pt to calm them down, assure it is safe practice as long as
they don't grab the rails
, Which type of consent must be used by the EMT when seeking to treat a mentally competent adult? -
CORRECT ANSWER expressed consent
The administration of O2 and the application of a SMR are part of which of the following for the
EMT? - CORRECT ANSWER Scope of practice
Which of the following refers to the care that would be expected tp be provided by an EMT with
similar training when caring for a pt in a similar situation? - CORRECT ANSWER standard of
care
Your pt is a 40 y/o known diabetic who was found unconscious at work by a coworker. What type of
consent allows you to treat this pt? - CORRECT ANSWER Implied consent
Respond to a middle school for a 12 y/o M pt who has been hit by a car. You get consent to treat the t
from the school principal. What concept allows the principal to speak for the parents? - CORRECT
ANSWER in loco parentis
Arrive on scene of a 55 y/o M pt. Pt's wife called 911 because he was having chest pains. Pt is very
angry w/ his wife for calling, he states it is only heart burn and refuses tx or transport. After signing pt
refusal, the pt collapses and goes into cardiac arrest. Describe what you should do. - CORRECT
ANSWER Begin CPR and transport. document every event and appropriate times
In which of the following situations should the EMT withhold resuscitation from a pt in cardiac
arrest? - CORRECT ANSWER DNR or POLST
On scene with a 72 y/o M pt w/ chest pain. Pt complains of dyspnea, but refuses transport. Describe
what to do. - CORRECT ANSWER Explain the risk of not being transported
Ask about family members that could convince him
Call medical direction to inform pt
Sign refusal and call back if needed
Respond to syncopal episode. Evaluate a 50 y/o M pt who passed out and cut his lip. EMTs talk pt out
of being transported. Pt signs refusal of transport. Pt sees PCP in the morning and then dies an hour
later from cardiac arrest. What legal ramifications fo the EMTs have? - CORRECT
ANSWER EMTs could be found guilty of negligence
ACTUAL QUESTIONS AND CORRECT
ANSWERS
In what year was the National Highway Safety Act charged with developing the EMS standards. -
CORRECT ANSWER 1966
Which agencies are made up of emergency medical service standards? - CORRECT
ANSWER National Registry of Emergency Medical Technicians
What is the minimum level of certification required of ambulance personnel responsible for direct
patient care? - CORRECT ANSWER Emergency Medical Technician
What is responsible for the on-scene safety of EMS providers? - CORRECT ANSWER You are
responsible for your safety and your patient's and crew's safety
What was the NREMT founded to do? - CORRECT ANSWER Provide registration to EMTs in
an effort to establish and maintain national standards.
Do you think it is important for EMTs to participate in QI programs? - CORRECT
ANSWER Yes, it is vital to providing quality prehospital care and ensuring processes are being
followed
Who assumes the ultimate responsibility for patient care rendered by the EMT? - CORRECT
ANSWER Medical Director
What is it called when you don't have to contact the physician in the ED because of existing protocols
when you want to give O2 for a patient who is short of breath? - CORRECT ANSWER Off-line
medical direction/standing orders
During assessment of a male assaults victim, you note the patient has a productive cough. The patient
says, "Don't worry, I'm not contagious. I've had this cough for a year." Describe the best approach
regarding respiratory isolation. - CORRECT ANSWER Provide the patient with a mask and
ensure it is being utilized properly before continuing care
,What pathogens can live in dried blood? - CORRECT ANSWER Hepatitis B
What is the name of the federal act that mandates a procedure by which emergency healthcare
providers can find out if they have been exposed to potentially life-threatening diseases while on the
job? - CORRECT ANSWER Ryan White CARE Act
You respond where there is a lot of blood. When you arrive on scene, you walk into the house and
find a person suffering from a severe wrist laceration. You immediately grab the wrist and apply direct
pressure to the wound- OOPS! You forgot to put on your gloves. You look down to see your hand in
covered in blood. When practical, you immediately wash your hands thoroughly, and do what next: -
CORRECT ANSWER Document and report
What are some s/s of PTSD? - CORRECT ANSWER flashbacks, nightmares, feeling detached,
irritability, difficulty sleeping, self-harm
In an assessment of a pt who has a hx of terminal brain cancer, the pt says, "I know I'm going to die,
but first I want to see my grandson graduate from HS." What stage of death described this pt's current
condition? - CORRECT ANSWER Bargaining
What behaviors would demonstrate that an EMT understands reactions to death and dying? -
CORRECT ANSWER Empathy and patience
Name some of the 3 R's that are essential for the EMT to practice when reacting to danger. -
CORRECT ANSWER Respond, radio, reevaluate
What reference provides important info regarding HAZMATs, emergency care, and procedures in case
of accidental fires and release; supplies definitions of placard cards ID #s; and should be standard
issue on ambulances? - CORRECT ANSWER Emergency Response Guidebook
Dispatched to a F with AMS. Once inside, you find a F who appears to have been beaten unconscious.
A M, who smells of alcohol, says that she is his wife and he doesn't know what happened. The
husband is behaving suspiciously, appears paranoid, and is pacing erratically around the room. What
would you do next? - CORRECT ANSWER Treat and escort the wife while keeping an eye on
the husband. Then report the issue and advocate for the wife
,Dispatched to a man down with no further info. On arrival, you see a crowd looking at a man lying in
the alleyway. The bystanders are screaming "Help him, he's been shot." What do you do next? -
CORRECT ANSWER Radio dispatch for LE assistance before entering
You are approaching a scene of an MVC. Describe what would be the first way to safeguard your
well-being as an EMT? - CORRECT ANSWER Appropriate PPE including hi vis vest
The term body mechanics describes the proper use of your body to lift without injury. What are the 3
considerations to review before any lift? - CORRECT ANSWER the object, your limitations,
and communication
What is an urgent move? - CORRECT ANSWER Pt must be moved quickly for treatment of
life-threatening injury; move occurs with spinal precautions
How many EMTs needed for a stair chair? - CORRECT ANSWER 2
Responded to a MCI of overturned buses. Pts have been thrown around inside the bus, and several are
stacked on top of each other. What type of move would you perform to gain access to the most
critically injured pts? - CORRECT ANSWER Emergency
EMS stretchers designed to carry obese pts weighing up to 800 lbs are called: - CORRECT
ANSWER bariatric stretchers
Urgent moves are required when: - CORRECT ANSWER the pt must be moved quickly for tx
of an immediate life threat
For a pt w/o the possibility of a spin injury, what carry should be used to move him from a bed to a
stretcher? - CORRECT ANSWER draw sheet method or direct carry
Moving an elderly pt down the stairs with a stair chair. The pt is alert and very anxious. Describe what
should you do prior to moving the pt to prevent her from grabbing the railing and causing you to fall?
- CORRECT ANSWER Talk to the pt to calm them down, assure it is safe practice as long as
they don't grab the rails
, Which type of consent must be used by the EMT when seeking to treat a mentally competent adult? -
CORRECT ANSWER expressed consent
The administration of O2 and the application of a SMR are part of which of the following for the
EMT? - CORRECT ANSWER Scope of practice
Which of the following refers to the care that would be expected tp be provided by an EMT with
similar training when caring for a pt in a similar situation? - CORRECT ANSWER standard of
care
Your pt is a 40 y/o known diabetic who was found unconscious at work by a coworker. What type of
consent allows you to treat this pt? - CORRECT ANSWER Implied consent
Respond to a middle school for a 12 y/o M pt who has been hit by a car. You get consent to treat the t
from the school principal. What concept allows the principal to speak for the parents? - CORRECT
ANSWER in loco parentis
Arrive on scene of a 55 y/o M pt. Pt's wife called 911 because he was having chest pains. Pt is very
angry w/ his wife for calling, he states it is only heart burn and refuses tx or transport. After signing pt
refusal, the pt collapses and goes into cardiac arrest. Describe what you should do. - CORRECT
ANSWER Begin CPR and transport. document every event and appropriate times
In which of the following situations should the EMT withhold resuscitation from a pt in cardiac
arrest? - CORRECT ANSWER DNR or POLST
On scene with a 72 y/o M pt w/ chest pain. Pt complains of dyspnea, but refuses transport. Describe
what to do. - CORRECT ANSWER Explain the risk of not being transported
Ask about family members that could convince him
Call medical direction to inform pt
Sign refusal and call back if needed
Respond to syncopal episode. Evaluate a 50 y/o M pt who passed out and cut his lip. EMTs talk pt out
of being transported. Pt signs refusal of transport. Pt sees PCP in the morning and then dies an hour
later from cardiac arrest. What legal ramifications fo the EMTs have? - CORRECT
ANSWER EMTs could be found guilty of negligence
