EMT NREMT Study Guide| 1430 questions| with
complete solution| 115 pages
The purpose of a system of emergency medical services is to care for sick and injured patients by
providing: Correct Answer: Assessment, transportation, and stabilization. Definitive care is not
given in the prehospital setting.
EMTs may transport patients from ____ to ____ Correct Answer: The hospital to the patient's
home, the scene of an emergency to the hospital, one hospital to another hospital.
Which of the following is not a nationally recognized level of EMS provider?
EMR
EMT
First Responder
Paramedic Correct Answer: First responder
The level of EMS provider that gives initial emergency care but does not usually transport
patients is an: Correct Answer: Emergency Medical Responder
The EMT's first responsibility is: Correct Answer: Maintaining personal safety
Which of the following is not an example of medical direction?
Standing orders
Protocols
Following paramedics' verbal orders
Following physicians' radio orders Correct Answer: Following paramedics' verbal orders is not
an example of medical direction.
The primary reason the EMT must use body substance isolation (BSI) or universal precautions is
to: Correct Answer: Prevent the EMT from exposure to blood and bodily fluids that may contain
potentially infectious material.
As an EMS provider, working within written protocols is an example of: Correct Answer: Off-
line medical control.
Which of the following is an important personal attribute of EMTs?
Being informed about local, state, and national issues in EMS
Maintaining a neat, clean, positive image
Placing the patient's needs above all else, except personal safety
,All of the above Correct Answer: All of the above
The laws that govern the practice of EMS are typically enacted at the ___ level Correct Answer:
State
You are treating A critically injured child. The child's mother is crying and saying, "Please, God,
let him live. I swear I will never ask for anything again." Which term best describes the mother's
reaction? Correct Answer: Bargaining
You just informed a family that their loved one is dead and that there is nothing you can do for
her. The patient's son screams at you and punches the wall. This is best described as Correct
Answer: Anger, which is to be expected in response to death of a loved one.
Which of the following situations would most predictably produce critical incident stress in EMS
personnel?
Repeatedly responding to the same address for a patient who does not really seem to be sick
Delivering a baby
Responding to an elderly female who was forced by her caregiver to sit in a bathtub of hot water
until she received full thickness (third-degree) burns
Inability to successfully resuscitated an 80-year-old male who was found in cardiac arrest in his
bed Correct Answer: Responding to an elderly female who was forced by her caregiver to sit in
a bathtub of hot water until she received full thickness burns.
Some of the situations that commonly produce stress reactions and EMS personnel include: mass
casualty incident situations, trauma to infants and children, amputations, infant child elder or
spousal abuse, and death or injury of a coworker or other public safety personnel.
You responds to a home where an 85-year-old male apparently died in his sleep during the night.
The body is cool to the touch, mottled, and rigored. The patient's wife is looking at you
anxiously, asking, "isn't there anything you can do?" What is the best way to handle this
situation? Correct Answer: State, "I am sorry ma'am. Your husband is dead. "
Your patient has signs and symptoms suggestive of tuberculosis. He is coughing and needs
oxygen. What action is most appropriate in protecting yourself from exposure to tuberculosis?
Correct Answer: Wear a HEPA mask or N-95 respirator and gloves.
Your partners spouse is placing a lot of pressure on her because of the time she spends away
from him doing her job. She says she does not know what to do about it, but it is really "stressing
her out." What response would be most appropriate? Correct Answer: Have you thought about
requesting a shift that might allow you to spend more time together?
,Critical incident stress debriefing is effective when it is conducted within ___ of the event.
Correct Answer: 24 to 72 hours
Which of the following dietary habitats is helpful in minimizing the effects of stress?
Using caffeine to stay awake when working the night shift
Having three to four alcoholic drinks a day
Eating a variety of foods, limiting fat and sugar intake
All of the above Correct Answer: Eating a variety of foods limiting fat and sugar intake
You recently noticed that you are irritated with your spouse, children, and just about everyone.
You are not sleeping well, and find it difficult to sit through movie, which is usually an
enjoyable activity for you. Which of the following is most likely to be helpful?
Request a couple of overtime shifts to avoid conflict with your family
Walk a mile or so before or after your shift and on your days off
Have a beer or glass of wine to help you relax and fall asleep
Call in sick for your next shift Correct Answer: Walk a mile or so before or after your shift and
on your days off.
Which of the following is not considered personal protective equipment for rescue situations?
Turnout gear
Helmet
Eye protection
Latex or vinyl gloves Correct Answer: Latex or vinyl gloves
You have responded to the home of an 80-year-old female in cardiac arrest. The patient's
husband states, "she doesn't want to be kept alive by machines." The husband is not able to
produce a written document from the patient's physician verifying these wishes. What should
you do? Correct Answer: Begin resuscitation.
Your patient is a 45-year-old male who is complaining of chest pain. He is diaphoretic and pale.
He refuses your treatment and transportation. Which of the following is most appropriate?
Call law enforcement to place the patient under immediate detention so you can treat him.
Tell the patient he is having a heart attack and there is a likelihood he will die within the next
few hours.
, Have the patient sign a release and leave the scene.
Contact medical direction and have the patient speak to the physician. Correct Answer: Contact
medical direction and have the patient speak to the physician
Your patient is a 70-year-old female who does not want you to take her blood pressure. You
apply the blood pressure cuff causing the patient to become very upset. Which of the following
terms describes your action?
Battery
Assault
Negligence
Duty to act Correct Answer: Battery
You just transported a patient with an injured ankle to the emergency department and placed her
in a wheelchair in the waiting room, without talking to a nurse or leaving a report. Which of the
following terms describes your action?
Breach of contract
Negligence
Abandonment
Assault Correct Answer: Abandonment
True or false: any patient who has been drinking alcohol is incompetence to consent or refuse
medical care Correct Answer: False. The mere ingestion of alcohol dors not mean that a patient
is not competent to consent to medical care.
You respond to the scene of an adult patient who was injured when she was thrown from a horse.
The patient is complaining of neck pain, but refuses to be immobilized. The EMT explains the
risks to the patient, but she still refuses. At the the emergency departments, a nurse threatens to
report the EMT for negligence. Fortunately the patient does not have a serious injury. Which of
the following necessary components to prove negligence is missing?
Breach of duty
Infliction of injury
A causal link between the EMT's actions and the patient's injury
All of the above Correct Answer: All of the above
Under what conditions can confidential patient information be released to someone not directly
involved in the patient's care? Correct Answer: Under state law, the case involves a reportable
situation such as a gunshot wound. A subpoena has been issued for the information. The patient
signs a written release requesting the release of information.
Which of the following applies to expressed consent or refusal of medical care?
complete solution| 115 pages
The purpose of a system of emergency medical services is to care for sick and injured patients by
providing: Correct Answer: Assessment, transportation, and stabilization. Definitive care is not
given in the prehospital setting.
EMTs may transport patients from ____ to ____ Correct Answer: The hospital to the patient's
home, the scene of an emergency to the hospital, one hospital to another hospital.
Which of the following is not a nationally recognized level of EMS provider?
EMR
EMT
First Responder
Paramedic Correct Answer: First responder
The level of EMS provider that gives initial emergency care but does not usually transport
patients is an: Correct Answer: Emergency Medical Responder
The EMT's first responsibility is: Correct Answer: Maintaining personal safety
Which of the following is not an example of medical direction?
Standing orders
Protocols
Following paramedics' verbal orders
Following physicians' radio orders Correct Answer: Following paramedics' verbal orders is not
an example of medical direction.
The primary reason the EMT must use body substance isolation (BSI) or universal precautions is
to: Correct Answer: Prevent the EMT from exposure to blood and bodily fluids that may contain
potentially infectious material.
As an EMS provider, working within written protocols is an example of: Correct Answer: Off-
line medical control.
Which of the following is an important personal attribute of EMTs?
Being informed about local, state, and national issues in EMS
Maintaining a neat, clean, positive image
Placing the patient's needs above all else, except personal safety
,All of the above Correct Answer: All of the above
The laws that govern the practice of EMS are typically enacted at the ___ level Correct Answer:
State
You are treating A critically injured child. The child's mother is crying and saying, "Please, God,
let him live. I swear I will never ask for anything again." Which term best describes the mother's
reaction? Correct Answer: Bargaining
You just informed a family that their loved one is dead and that there is nothing you can do for
her. The patient's son screams at you and punches the wall. This is best described as Correct
Answer: Anger, which is to be expected in response to death of a loved one.
Which of the following situations would most predictably produce critical incident stress in EMS
personnel?
Repeatedly responding to the same address for a patient who does not really seem to be sick
Delivering a baby
Responding to an elderly female who was forced by her caregiver to sit in a bathtub of hot water
until she received full thickness (third-degree) burns
Inability to successfully resuscitated an 80-year-old male who was found in cardiac arrest in his
bed Correct Answer: Responding to an elderly female who was forced by her caregiver to sit in
a bathtub of hot water until she received full thickness burns.
Some of the situations that commonly produce stress reactions and EMS personnel include: mass
casualty incident situations, trauma to infants and children, amputations, infant child elder or
spousal abuse, and death or injury of a coworker or other public safety personnel.
You responds to a home where an 85-year-old male apparently died in his sleep during the night.
The body is cool to the touch, mottled, and rigored. The patient's wife is looking at you
anxiously, asking, "isn't there anything you can do?" What is the best way to handle this
situation? Correct Answer: State, "I am sorry ma'am. Your husband is dead. "
Your patient has signs and symptoms suggestive of tuberculosis. He is coughing and needs
oxygen. What action is most appropriate in protecting yourself from exposure to tuberculosis?
Correct Answer: Wear a HEPA mask or N-95 respirator and gloves.
Your partners spouse is placing a lot of pressure on her because of the time she spends away
from him doing her job. She says she does not know what to do about it, but it is really "stressing
her out." What response would be most appropriate? Correct Answer: Have you thought about
requesting a shift that might allow you to spend more time together?
,Critical incident stress debriefing is effective when it is conducted within ___ of the event.
Correct Answer: 24 to 72 hours
Which of the following dietary habitats is helpful in minimizing the effects of stress?
Using caffeine to stay awake when working the night shift
Having three to four alcoholic drinks a day
Eating a variety of foods, limiting fat and sugar intake
All of the above Correct Answer: Eating a variety of foods limiting fat and sugar intake
You recently noticed that you are irritated with your spouse, children, and just about everyone.
You are not sleeping well, and find it difficult to sit through movie, which is usually an
enjoyable activity for you. Which of the following is most likely to be helpful?
Request a couple of overtime shifts to avoid conflict with your family
Walk a mile or so before or after your shift and on your days off
Have a beer or glass of wine to help you relax and fall asleep
Call in sick for your next shift Correct Answer: Walk a mile or so before or after your shift and
on your days off.
Which of the following is not considered personal protective equipment for rescue situations?
Turnout gear
Helmet
Eye protection
Latex or vinyl gloves Correct Answer: Latex or vinyl gloves
You have responded to the home of an 80-year-old female in cardiac arrest. The patient's
husband states, "she doesn't want to be kept alive by machines." The husband is not able to
produce a written document from the patient's physician verifying these wishes. What should
you do? Correct Answer: Begin resuscitation.
Your patient is a 45-year-old male who is complaining of chest pain. He is diaphoretic and pale.
He refuses your treatment and transportation. Which of the following is most appropriate?
Call law enforcement to place the patient under immediate detention so you can treat him.
Tell the patient he is having a heart attack and there is a likelihood he will die within the next
few hours.
, Have the patient sign a release and leave the scene.
Contact medical direction and have the patient speak to the physician. Correct Answer: Contact
medical direction and have the patient speak to the physician
Your patient is a 70-year-old female who does not want you to take her blood pressure. You
apply the blood pressure cuff causing the patient to become very upset. Which of the following
terms describes your action?
Battery
Assault
Negligence
Duty to act Correct Answer: Battery
You just transported a patient with an injured ankle to the emergency department and placed her
in a wheelchair in the waiting room, without talking to a nurse or leaving a report. Which of the
following terms describes your action?
Breach of contract
Negligence
Abandonment
Assault Correct Answer: Abandonment
True or false: any patient who has been drinking alcohol is incompetence to consent or refuse
medical care Correct Answer: False. The mere ingestion of alcohol dors not mean that a patient
is not competent to consent to medical care.
You respond to the scene of an adult patient who was injured when she was thrown from a horse.
The patient is complaining of neck pain, but refuses to be immobilized. The EMT explains the
risks to the patient, but she still refuses. At the the emergency departments, a nurse threatens to
report the EMT for negligence. Fortunately the patient does not have a serious injury. Which of
the following necessary components to prove negligence is missing?
Breach of duty
Infliction of injury
A causal link between the EMT's actions and the patient's injury
All of the above Correct Answer: All of the above
Under what conditions can confidential patient information be released to someone not directly
involved in the patient's care? Correct Answer: Under state law, the case involves a reportable
situation such as a gunshot wound. A subpoena has been issued for the information. The patient
signs a written release requesting the release of information.
Which of the following applies to expressed consent or refusal of medical care?
