DANIEL LIMMER QUESTIONS & ANSWERS WITH
RATIONALES (CHAPTER 1-41)
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 - A) CORRECT. Quality improvement (QI) consists of
continuous self-review with the purpose of identifying aspects of the EMS systemthat
require improvement, with subsequent action plans to make subsequent changes.
B) INCORRECT. System effectiveness management does not refer to a program of
evaluating and improving an EMS system.
C) INCORRECT. A program or process for evaluating and improving the
effectiveness of an EMS system is not referred to as a Process Improvement
Program.
D) INCORRECT. The term "total quality system" does not refer to a program for
improving the effectiveness of EMS systems.
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 - Explanation: A) INCORRECT. The Spanish did not develop thefirst
documented emergency medical service; the French did in the 1700s.
B) INCORRECT. Although known for progress in technical areas, the Egyptians
,COMPLETE TEST BANK EMERGENCY CARE 14TH EDITION
DANIEL LIMMER QUESTIONS & ANSWERS WITH
RATIONALES (CHAPTER 1-41)
were not responsible for the first documented emergency medical service. In 1790, the
French first began transporting wounded soldiers away from battlefields and to waiting
medical care.
C) INCORRECT. The earliest documented emergency medical service was in
France in 1790, nearly a thousand years after the Mayan civilization disappeared.
,COMPLETE TEST BANK EMERGENCY CARE 14TH EDITION
DANIEL LIMMER QUESTIONS & ANSWERS WITH
RATIONALES (CHAPTER 1-41)
D) CORRECT. The earliest documented emergency medical service was in 1790
when the French began transporting wounded soldiers from the scenes of battle to
waiting physicians.
3) In 1966 the National Highway Safety Act charged which of the following
agencies with the development of emergency medical service standards?
A) U.S. Department of Transportation
B) U.S. Department of the Interior
C) U.S. Department of Health Services
D) U.S. Department of Homeland Security - Explanation: A) CORRECT. In 1966the
National Highway Safety Act charged the United States Department of Transportation
(DOT) with developing EMS standards and assisting the states to upgrade the quality
of their prehospital emergency care.
B) INCORRECT. The U.S. Department of the Interior is charged with the
management and conservation of federal land and the country's natural resources.
The Department of Transportation was charged with developing EMS standards.
C) INCORRECT. Although the U.S. Department of Health and Human Services is
charged with protecting the health of all Americans, the United States Departmentof
Transportation was assigned the task of developing emergency medical service
standards.
D) INCORRECT. Although the U.S. Department of Homeland Security is tasked with
protecting the nation from threats, it was established in 2002 and did not existin 1966. It
was the U.S. Department of Transportation that was charged with developing EMS
standards.
, COMPLETE TEST BANK EMERGENCY CARE 14TH EDITION
DANIEL LIMMER QUESTIONS & ANSWERS WITH
RATIONALES (CHAPTER 1-41)
4) Which of the following agencies 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) - Explanation: A) INCORRECT. The
Department of Health and Human Services (HHS) is not responsible for EMS system
assessment programs.
B) INCORRECT. The National Transportation Safety Board (NTSB) does not
establish EMS system assessment programs.
C) CORRECT. The National Highway Traffic Safety Administration (NHTSA)
Technical Assistance Program has established assessment programs with set
standards for EMS systems.
D) INCORRECT. The United States Department of Health and Human Serviceshas
no oversight of EMS systems.
5) 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 - Explanation: A) INCORRECT. Emergency preparedness plans
are usually developed to guide the actions of a specific group of people at theoutset of
an emergency, with the goal of protecting people and/or property. They generally will
not address the specifics of medical care or transport.
B) INCORRECT. A trauma system is an organized, coordinated effort between
facilities and responders within a defined geographic area to deliver a full range of