PrehospitaldEmergencydCare,d11ed(Mistovichdetdal.)
Chapterd1d d EmergencydCaredSystems,dResearch,danddPublicdHealth
1) Whatdisdadprimarydpurposedofdthedmodern-daydEMSdsystem?
A) Providedadmeansdofdtransportdtodanddfromdthedhospital
B) Ensuredthatdalldmembersdofdsocietydhavedequaldaccessdtodhospitals
C) Decreasedthedincidencedofddeathdandddisabilitydrelateddtodinjurydanddillness
D) Providedemergencydhealthdcaredservicesdtodmedicallydunderserveddareasd
Answer:d C
Diff:d2 PagedRef:d7
Objective:d 1-2
2) Mostdauthoritiesdagreedthatdthedmodern-
daydEMSdsystemdevolveddafterdthedreleasedofdwhichddocument?
A) ThedEmergencydMedicaldServicesdActdofd1973
B) Thedwhitedpaperd"AccidentaldDeathdanddDisability:dThedNeglecteddDiseasedofdModernd
Society"dind1966
C) ThedAmericandHeartdAssociation'sdGuidelinesdfordCardiacdResuscitation
D) EmergencydMedicaldServices:dAgendadfordthedFuture,dind1996d
Answer:d B
Diff:d1 PagedRef:d3
Objective:d 1-2
3) AndEmergencydMedicaldResponderdcomesdtodyoudanddstatesdthatdhedwoulddlikedtodworkdfordy
ourdemergencydambulancedservicedondadfull-
timedbasis.dKnowingdthedNationaldEMSdScopedofdPracticedModel,dyoudinformdhimdofdwhichdele
ment?
A) Hedwilldbedabledtodtakedcaredofdonlydpatientsdwithdnon-life-threateningdcomplaints
B) Hedwilldfirstdneeddapprovaldfromdyourdambulancedservice'sdmedicalddirector
C) HedwilldbedabledtodworkdonlydwithdandAdvanceddEMTdordparamedic
D) HedwilldfirstdhavedtodbecomedandEmergencydMedicaldTechniciand
Answer:d D
Diff:d1 PagedRef:d6-7
Objective:d 1-1
4) AsddefineddbydthedNationaldEMSdScopedofdPracticedModel,dthedfourdlevelsdofdEMSdp
ractitionersdinclude:
A) Ambulanceddrivers
B) EMSdmedicalddirector
C) Paramedics
D) Emergencydmedicalddispatchersd
Answer:d C
Diff:d1 PagedRef:d6-7
Objective:d 1-3
1
Copyrightd©d2018dPearsondEducation,dInc.
,5) AndEmergencydMedicaldResponderd(EMR)dapproachesdyoudanddstatesdthatdhedisdinteresteddindb
ecomingdandEMT.dSpecifically,dhedasksdwhatdhedwilldbedabledtoddodasdandEMTdthatdhedcannotdpres
entlyddodasdandEMR.dYoudresponddbydsayingdhedwilldbedabledto:
A) Administerdsomedmedications
B) Assistdindemergencydchildbirth
C) Usedandautomateddexternalddefibrillator
D) Obtaindvitaldsignsd
Answer:d A
Diff:d1 PagedRef:d6-7
Objective:d 1-5
6) Youdhavedbeenddispatcheddfordad61-year-
olddfemaledindcardiacdarrest.dEmergencydMedicaldRespondersd(EMRs)daredondscene.dIndyourdcom
munity,dalldEMSdpractitionersdaredtraineddaccordingdtodthedNationaldEMSdScopedofdPracticedMod
el.dGivendthis,dwhichdtypedofdcareddodyoudexpectdthedEMRsdtodbedproviding?
A) Emergencydmedicationdadministration
B) Automateddexternalddefibrillation
C) Intravenousdtherapy
D) Readingdandelectrocardiogramd
Answer:d B
Diff:d2 PagedRef:d6
Objective:d 1-5
7) AndEMTdwithdyourdservicedstatesdthatdsheddesiresdtodbecomedadparamedicdbecausedshedwantsdtodp
rovidedadvanceddcare.dUnderdthedNationaldEMSdScopedofdPracticedModel,dwhichdonedofdthesedtype
sdofdcaredwilldshedbedabledtodprovidedasdadparamedicdthatdshedcannotdprovidedasdandEMT?
A) Automateddblooddpressuredmonitoring
B) Assistancedwithdemergencydchildbirth
C) Interfacilitydtransports
D) IVdtherapy
dAnswer:d D
Diff:d1 PagedRef:d7
Objective:d 1-5
8) WhichdstatementdmadedbydandEMTdrequiresdimmediatedinterventiondbydadsuperiordordtheds
ervicedsupervisor?
A) "IdalwaysdweardmydseatdbeltdwheneverdIdamdindthedpatientdcompartmentdofdthedambulance,du
nlessdIdhavedtodremoveditdtodcaredfordadpatient."
B) "IddrivedasdfastdasdIdcandtodgetdtodthedscenedofdandemergency,despeciallydifdadchilddisdsickdordin
jureddaccordingdtoddispatchdinformation."
C) "WhendIdamddrivingdwithdlightsdanddsirens,dIdinstructdmydpartnerdthatdhedwilldneeddtodhandledalldr
adiodcommunications."
D) "IdputdexamdglovesdondfordeverydpatientdIdcontact,devendifdhedordsheddoesdnotdhavedadknowndords
uspecteddinfectiousddisease."
Answer:d B
Diff:d1 PagedRef:d9
Objective:d 1-7
2
Copyrightd©d2018dPearsondEducation,dInc.
,9) WhichdstatementdshowsdthatdthedEMTdhasdadgooddunderstandingdofdherdroledanddr
esponsibilitiesdrelateddtodbeingdandEMT?
A) "Thedpatient'sdneedsdcomedbeforedanyonedelse'sdneeds."
B) "Atdthedscenedofdandemergency,dmydresponsibilitydisdtodgetdtodthedpatientdnodmatterdwhat."
C) "Mydsafetydcomesdfirst,danddthendthedpatient'sdsafety."
D) "AsdandEMT,dIdrecognizedthatdthedpublic'sdsafetydcomesdbeforedthedsafetydofdmedordmydp
artner."
Answer:d C
Diff:d2 PagedRef:d8-9
Objective:d 1-7
10) AndambulancedwithdtwodEMTsdarrivesdindfrontdofdadhousedfordandunknowndmedicaldemergency.
dOndscene,dbystandersdreportdthatdadfemaledpatientdwasdbeatendbydherdhusbanddindtheddrivewaydanddt
henddraggeddbackdintodthedhouse.dTheydstatedthatdthedpatientdappeareddunconsciousdanddwasdbleedin
gdfromdthedhead.dWhichdactiondwoulddthedEMTsdperformdnext?
A) Dodnotdenterdthedsceneduntilditdhasdbeendcontrolleddbydlawdenforcement
B) Quietlydenterdthedhomedanddquicklydmovedthedpatientdtodthedambulance
C) Removedthedhusbanddfromdthedhouse,dthendprovidedemergencydcaredtodthedwife
D) Enterdthedhomedtodprotectdthedpatientdwhiledwaitingdfordthedpolicedtodarrived
Answer:d A
Diff:d2 PagedRef:d9
Objective:d 1-7
11) WhydisdEMSdindaduniquedpositiondtodcontributedsignificantlydtodmobiledintegrateddhealthdcare?
A) EMSdprovidersdaredfamiliardwithdanddcapabledofdfunctioningdindthedout-of-
hospitaldenvironment
B) Ambulancesdaredeasilydidentified
C) Thedcommunitydtrustsduniformeddhealthdcaredproviders
D) EMSdprovidersdaredfamiliardwithdthedmanydroutesdofdmedicationdadministrationd
Answer:d A
Diff:d1 PagedRef:d17
Objective:d 1-15
3
Copyrightd©d2018dPearsondEducation,dInc.
, 12) Youdhavedarriveddondthedscenedofdadmotordvehicledcollision.dAdcardhasdgonedoffdthedroaddanddint
odadutilitydpole.dThedpoledisdbrokendanddwiresdaredhangingdjustdabovedthedcar.dYouddodnotdseedanyds
parkingdordarcingdofdthedwires.dTheddriverdofdthedcardisdslumpeddoverdthedsteeringdwheeldanddnotdmo
ving.dSeveraldbystandersdarounddthedcardaredyellingdfordyoudtodhelp.dWhichdstepsdrepresentdthedcorr
ectdorderdofdyourdresponse?
A) Cleardthedbystanders,dallowdthedfireddepartmentdtodsecuredthedwires,daccessdthedpatient,de
xtricatedthedpatient,dtransport
B) Accessdthedpatient,dcleardthedbystanders,dallowdthedfireddepartmentdtodsecuredthedwires,de
xtricatedthedpatient,dtransport
C) Cleardthedbystanders,daccessdthedpatient,dextricatedthedpatient,dtransport,dallowdthedfired
departmentdtodsecuredthedwires
D) Accessdthedpatient,dallowdthedfireddepartmentdtodsecuredthedwires,dcleardthedbystanders,de
xtricatedthedpatient,dtransport
Answer:d A
Diff:d2 PagedRef:d8-9
Objective:d 1-7
13) Oncedadscenedisdfreedofdsafetydhazards,dthedEMTdmustdrecognizedanddfocusdondthedneedsdofdt
he:
A) Rescuers
B) Patient
C) Family
D) Bystanders
dAnswer:d B
Diff:d1 PagedRef:d9
Objective:d 1-7
14) Youdhavedbeendaskeddtodsitdondyourdservice'sdqualitydimprovementd(QI)dcommittee.dAsdadk
nowledgeabledEMT,dyoudrecognizedthatdindthisdroledyoudwilldbedinvolveddindprojectsdthatdaredpri
marilyddesigneddto:
A) Communicatedwithdinsurancedcompaniesdfordincreaseddreimbursement
B) RecruitdanddeducatedEMTsdaboutdthedEmergencydMedicaldServicesdprofession
C) Developdwaysdindwhichdtheddeliverydofdemergencydcaredcandbedimproved
D) IdentifydanddreeducatedEMTsdwhodroutinelyddodnotdprovidedproperdcared
Answer:d C
Diff:d2 PagedRef:d13
Objective:d 1-10
15) Whatdwoulddbedadlogicaldprojectdtodbedundertakendandddevelopeddbydadqualitydimprovementd(
QI)dcommittee?
A) TerminationdofdEMTsdwhodaredchronicallydlatedtodwork
B) Adprogramdbydwhichdpaydraisesdaredbaseddondperformancedanddattitude
C) CommunitydfundraiserdtodraisedmoneydfordnewdEMSdequipment
D) Monthlydcontinuingdeducationdprogramsdindwhichdseldom-
useddskillsdaredpracticeddAnswer:d D
Diff:d2 PagedRef:d14
Objective:d 1-10
4
Copyrightd©d2018dPearsondEducation,dInc.
Chapterd1d d EmergencydCaredSystems,dResearch,danddPublicdHealth
1) Whatdisdadprimarydpurposedofdthedmodern-daydEMSdsystem?
A) Providedadmeansdofdtransportdtodanddfromdthedhospital
B) Ensuredthatdalldmembersdofdsocietydhavedequaldaccessdtodhospitals
C) Decreasedthedincidencedofddeathdandddisabilitydrelateddtodinjurydanddillness
D) Providedemergencydhealthdcaredservicesdtodmedicallydunderserveddareasd
Answer:d C
Diff:d2 PagedRef:d7
Objective:d 1-2
2) Mostdauthoritiesdagreedthatdthedmodern-
daydEMSdsystemdevolveddafterdthedreleasedofdwhichddocument?
A) ThedEmergencydMedicaldServicesdActdofd1973
B) Thedwhitedpaperd"AccidentaldDeathdanddDisability:dThedNeglecteddDiseasedofdModernd
Society"dind1966
C) ThedAmericandHeartdAssociation'sdGuidelinesdfordCardiacdResuscitation
D) EmergencydMedicaldServices:dAgendadfordthedFuture,dind1996d
Answer:d B
Diff:d1 PagedRef:d3
Objective:d 1-2
3) AndEmergencydMedicaldResponderdcomesdtodyoudanddstatesdthatdhedwoulddlikedtodworkdfordy
ourdemergencydambulancedservicedondadfull-
timedbasis.dKnowingdthedNationaldEMSdScopedofdPracticedModel,dyoudinformdhimdofdwhichdele
ment?
A) Hedwilldbedabledtodtakedcaredofdonlydpatientsdwithdnon-life-threateningdcomplaints
B) Hedwilldfirstdneeddapprovaldfromdyourdambulancedservice'sdmedicalddirector
C) HedwilldbedabledtodworkdonlydwithdandAdvanceddEMTdordparamedic
D) HedwilldfirstdhavedtodbecomedandEmergencydMedicaldTechniciand
Answer:d D
Diff:d1 PagedRef:d6-7
Objective:d 1-1
4) AsddefineddbydthedNationaldEMSdScopedofdPracticedModel,dthedfourdlevelsdofdEMSdp
ractitionersdinclude:
A) Ambulanceddrivers
B) EMSdmedicalddirector
C) Paramedics
D) Emergencydmedicalddispatchersd
Answer:d C
Diff:d1 PagedRef:d6-7
Objective:d 1-3
1
Copyrightd©d2018dPearsondEducation,dInc.
,5) AndEmergencydMedicaldResponderd(EMR)dapproachesdyoudanddstatesdthatdhedisdinteresteddindb
ecomingdandEMT.dSpecifically,dhedasksdwhatdhedwilldbedabledtoddodasdandEMTdthatdhedcannotdpres
entlyddodasdandEMR.dYoudresponddbydsayingdhedwilldbedabledto:
A) Administerdsomedmedications
B) Assistdindemergencydchildbirth
C) Usedandautomateddexternalddefibrillator
D) Obtaindvitaldsignsd
Answer:d A
Diff:d1 PagedRef:d6-7
Objective:d 1-5
6) Youdhavedbeenddispatcheddfordad61-year-
olddfemaledindcardiacdarrest.dEmergencydMedicaldRespondersd(EMRs)daredondscene.dIndyourdcom
munity,dalldEMSdpractitionersdaredtraineddaccordingdtodthedNationaldEMSdScopedofdPracticedMod
el.dGivendthis,dwhichdtypedofdcareddodyoudexpectdthedEMRsdtodbedproviding?
A) Emergencydmedicationdadministration
B) Automateddexternalddefibrillation
C) Intravenousdtherapy
D) Readingdandelectrocardiogramd
Answer:d B
Diff:d2 PagedRef:d6
Objective:d 1-5
7) AndEMTdwithdyourdservicedstatesdthatdsheddesiresdtodbecomedadparamedicdbecausedshedwantsdtodp
rovidedadvanceddcare.dUnderdthedNationaldEMSdScopedofdPracticedModel,dwhichdonedofdthesedtype
sdofdcaredwilldshedbedabledtodprovidedasdadparamedicdthatdshedcannotdprovidedasdandEMT?
A) Automateddblooddpressuredmonitoring
B) Assistancedwithdemergencydchildbirth
C) Interfacilitydtransports
D) IVdtherapy
dAnswer:d D
Diff:d1 PagedRef:d7
Objective:d 1-5
8) WhichdstatementdmadedbydandEMTdrequiresdimmediatedinterventiondbydadsuperiordordtheds
ervicedsupervisor?
A) "IdalwaysdweardmydseatdbeltdwheneverdIdamdindthedpatientdcompartmentdofdthedambulance,du
nlessdIdhavedtodremoveditdtodcaredfordadpatient."
B) "IddrivedasdfastdasdIdcandtodgetdtodthedscenedofdandemergency,despeciallydifdadchilddisdsickdordin
jureddaccordingdtoddispatchdinformation."
C) "WhendIdamddrivingdwithdlightsdanddsirens,dIdinstructdmydpartnerdthatdhedwilldneeddtodhandledalldr
adiodcommunications."
D) "IdputdexamdglovesdondfordeverydpatientdIdcontact,devendifdhedordsheddoesdnotdhavedadknowndords
uspecteddinfectiousddisease."
Answer:d B
Diff:d1 PagedRef:d9
Objective:d 1-7
2
Copyrightd©d2018dPearsondEducation,dInc.
,9) WhichdstatementdshowsdthatdthedEMTdhasdadgooddunderstandingdofdherdroledanddr
esponsibilitiesdrelateddtodbeingdandEMT?
A) "Thedpatient'sdneedsdcomedbeforedanyonedelse'sdneeds."
B) "Atdthedscenedofdandemergency,dmydresponsibilitydisdtodgetdtodthedpatientdnodmatterdwhat."
C) "Mydsafetydcomesdfirst,danddthendthedpatient'sdsafety."
D) "AsdandEMT,dIdrecognizedthatdthedpublic'sdsafetydcomesdbeforedthedsafetydofdmedordmydp
artner."
Answer:d C
Diff:d2 PagedRef:d8-9
Objective:d 1-7
10) AndambulancedwithdtwodEMTsdarrivesdindfrontdofdadhousedfordandunknowndmedicaldemergency.
dOndscene,dbystandersdreportdthatdadfemaledpatientdwasdbeatendbydherdhusbanddindtheddrivewaydanddt
henddraggeddbackdintodthedhouse.dTheydstatedthatdthedpatientdappeareddunconsciousdanddwasdbleedin
gdfromdthedhead.dWhichdactiondwoulddthedEMTsdperformdnext?
A) Dodnotdenterdthedsceneduntilditdhasdbeendcontrolleddbydlawdenforcement
B) Quietlydenterdthedhomedanddquicklydmovedthedpatientdtodthedambulance
C) Removedthedhusbanddfromdthedhouse,dthendprovidedemergencydcaredtodthedwife
D) Enterdthedhomedtodprotectdthedpatientdwhiledwaitingdfordthedpolicedtodarrived
Answer:d A
Diff:d2 PagedRef:d9
Objective:d 1-7
11) WhydisdEMSdindaduniquedpositiondtodcontributedsignificantlydtodmobiledintegrateddhealthdcare?
A) EMSdprovidersdaredfamiliardwithdanddcapabledofdfunctioningdindthedout-of-
hospitaldenvironment
B) Ambulancesdaredeasilydidentified
C) Thedcommunitydtrustsduniformeddhealthdcaredproviders
D) EMSdprovidersdaredfamiliardwithdthedmanydroutesdofdmedicationdadministrationd
Answer:d A
Diff:d1 PagedRef:d17
Objective:d 1-15
3
Copyrightd©d2018dPearsondEducation,dInc.
, 12) Youdhavedarriveddondthedscenedofdadmotordvehicledcollision.dAdcardhasdgonedoffdthedroaddanddint
odadutilitydpole.dThedpoledisdbrokendanddwiresdaredhangingdjustdabovedthedcar.dYouddodnotdseedanyds
parkingdordarcingdofdthedwires.dTheddriverdofdthedcardisdslumpeddoverdthedsteeringdwheeldanddnotdmo
ving.dSeveraldbystandersdarounddthedcardaredyellingdfordyoudtodhelp.dWhichdstepsdrepresentdthedcorr
ectdorderdofdyourdresponse?
A) Cleardthedbystanders,dallowdthedfireddepartmentdtodsecuredthedwires,daccessdthedpatient,de
xtricatedthedpatient,dtransport
B) Accessdthedpatient,dcleardthedbystanders,dallowdthedfireddepartmentdtodsecuredthedwires,de
xtricatedthedpatient,dtransport
C) Cleardthedbystanders,daccessdthedpatient,dextricatedthedpatient,dtransport,dallowdthedfired
departmentdtodsecuredthedwires
D) Accessdthedpatient,dallowdthedfireddepartmentdtodsecuredthedwires,dcleardthedbystanders,de
xtricatedthedpatient,dtransport
Answer:d A
Diff:d2 PagedRef:d8-9
Objective:d 1-7
13) Oncedadscenedisdfreedofdsafetydhazards,dthedEMTdmustdrecognizedanddfocusdondthedneedsdofdt
he:
A) Rescuers
B) Patient
C) Family
D) Bystanders
dAnswer:d B
Diff:d1 PagedRef:d9
Objective:d 1-7
14) Youdhavedbeendaskeddtodsitdondyourdservice'sdqualitydimprovementd(QI)dcommittee.dAsdadk
nowledgeabledEMT,dyoudrecognizedthatdindthisdroledyoudwilldbedinvolveddindprojectsdthatdaredpri
marilyddesigneddto:
A) Communicatedwithdinsurancedcompaniesdfordincreaseddreimbursement
B) RecruitdanddeducatedEMTsdaboutdthedEmergencydMedicaldServicesdprofession
C) Developdwaysdindwhichdtheddeliverydofdemergencydcaredcandbedimproved
D) IdentifydanddreeducatedEMTsdwhodroutinelyddodnotdprovidedproperdcared
Answer:d C
Diff:d2 PagedRef:d13
Objective:d 1-10
15) Whatdwoulddbedadlogicaldprojectdtodbedundertakendandddevelopeddbydadqualitydimprovementd(
QI)dcommittee?
A) TerminationdofdEMTsdwhodaredchronicallydlatedtodwork
B) Adprogramdbydwhichdpaydraisesdaredbaseddondperformancedanddattitude
C) CommunitydfundraiserdtodraisedmoneydfordnewdEMSdequipment
D) Monthlydcontinuingdeducationdprogramsdindwhichdseldom-
useddskillsdaredpracticeddAnswer:d D
Diff:d2 PagedRef:d14
Objective:d 1-10
4
Copyrightd©d2018dPearsondEducation,dInc.
