First on Scene, 12th edition Chris Le Baudour
Kaitlyn Laurelle Keith Wesley
Chapter 1 Introduction to EMS Systems
1) What term/phrase is used when referring to the chain of human resources and
emergency services linked together to provide continuous emergency care from the scene to the
medical facility?
A) EMT resources
B) 911 services
C) EMS system
D) Emergency
services Answer: C
Diff: 1 Page Ref: 4-5
Objective: 1
2) The Medical Director is a physician who assumes the ultimate responsibility for:
A) standards, protocols, and evaluation of patient care.
B) certification and licensure of EMRs.
C) staffing decisions and hiring.
D) answering and dispatching 911
calls. Answer: A
Diff: 1 Page Ref: 6
Objective: 1
3) You have received an order over the phone from the Medical Director to administer
oxygen to the patient. This would be called:
A) off-line medical direction.
B) on-line medical direction.
C) hospital direction.
D) EMS coordinator
direction. Answer: B
Diff: 1 Page Ref: 10
Objective: 12
4) The procedures that an Emergency Medical Responder can and must legally provide
as care for a patient are called:
A) scope of practice.
B) scope of training.
C) standard of care.
D) standard of
training. Answer: A
Diff: 1 Page Ref: 9
Objective: 10
,5) Which agency coordinates EMS on a national level and defines all levels of EMS
providers?
A) NEMSES
B) AEMT
C) NHTSA
D) NSPM
Answer: C
Diff: 2 Page Ref: 7-8
Objective: 2
6) One important point where trained and untrained people come together as part of
the EMS system is:
A) the 911 service.
B) clinical care.
C) ambulance response.
D) evaluatio
n. Answer:
A
Diff: 1 Page Ref: 5
Objective: 3
7) How many nationally recognized levels of EMS training are covered by the
National EMS Education Standards?
A) 8
B) 2
C) 5
D) 4
Answer: D
Diff: 1 Page Ref: 8
Objective: 5
8) Which level of EMS education allows the responder to perform cardiac defibrillation?
A) Paramedic
B) AEMT
C) EMT
D) EMR
Answer: A
Diff: 1 Page Ref: 8
Objective: 6
9) Which level is considered the minimum level of education and certification for
ambulance personnel in most areas of the United States?
A) Paramedic
B) AEMT
C) EMT
D) EMR
Answer: C
Diff: 2 Page Ref: 8
Objective: 6
,10) Many police officers, firefighters, industrial workers, and other public service
providers are trained as Emergency Medical Responders because the EMR level is
designed specifically for those who:
A) can insert advanced airways and IV lines.
B) have the authority to arrest suspects.
C) are ambulance personnel.
D) may arrive first on the
scene. Answer: D
Diff: 1 Page Ref: 8
Objective: 7
11) Which EMS model is typically operated by a government entity other than the fire
department?
A) Public utility
B) EMS
C) Paramedic
D) Hospital-
based Answer:
A
Diff: 1 Page Ref: 8
Objective: 8
12) The scope of practice for an EMS provider is defined by statutes and regulations
developed by:
A) national professional organizations.
B) state or local EMS entities.
C) Federal government.
D) The Surgeon
General. Answer: B
Diff: 1 Page Ref: 9
Objective: 9
13) Most 911 calls are automatically directed to which location, which is operated by
a city or county agency with specially trained dispatchers?
A) Emergency room switchboard
B) Fire department
C) Public safety answering point (PSAP)
D) Hospita
l Answer:
C
Diff: 1 Page Ref: 9
Objective: 11
, 14) Which of these skills could be performed by all nationally recognized levels
of EMS practitioners?
A) Initiation of the IV line
B) Administration of cardiac medications
C) Intubating a newborn infant in respiratory arrest
D) Stopping a massive arterial bleed from a chainsaw
accident Answer: D
Diff: 1 Page Ref: 8
Objective: 10
15) Which of these is an example of an off-line medical direction?
A) Telephone orders
B) On-scene medical intervention
C) Standing orders
D) Direct
intervention
Answer: C
Diff: 1 Page Ref: 10
Objective: 12
16) You are responding to an emergency involving a middle-aged man who broke his
arm while playing football in the park with some college students. You smell an odor
resembling that of alcohol about him. He appears angry and yells random insults at
you. What should you do?
A) Tell him that you cannot treat him until he treats you with respect.
B) Stay calm and overlook his behavior.
C) Provide treatment but tell him that he's not hurt badly and to stop complaining.
D) Call for police back-up and avoid treating the patient until they
arrive. Answer: B
Diff: 1 Page Ref: 15
Objective: 13
17) In an EMS system, CQI means continuous improvement in the quality of:
A) health care products.
B) hospital systems.
C) protocols and standards.
D) patient
care. Answer:
D
Diff: 1 Page Ref: 16
Objective: 14
18) What is the goal of the public health system administered by the communities they
serve?
A) Emergency medical response services
B) Continuous quality improvement
C) Medical direction
D) Optimal health and quality of
life Answer: D
Diff: 1 Page Ref: 17
Objective: 15