Prehospital Emergency Care, 11e (Mistovich et al.) f f f f f f
Chapter 1 Emergency Care Systems, Research, and Public Health
f f f f f f f f f
1) What is a primary purpose of the modern-day EMS system?
f f f f f f f f f
A) Provide a means of transport to and from the hospital
f f f f f f f f f
B) Ensure that all members of society have equal access to hospitals
f f f f f f f f f f
C) Decrease the incidence of death and disability related to injury and illness
f f f f f f f f f f f
D) Provide emergency health care services to medically underserved areas
f f f f f f f f
Answer: C
f f
Diff: 2
f Page Ref: 7 f f
Objective: 1-2 f
2) Most authorities agree that the modern-day EMS system evolved after the release of which
f f f f f f f f f f f f f
document?
f
A) The Emergency Medical Services Act of 1973
f f f f f f
B) The white paper "Accidental Death and Disability: The Neglected Disease of Modern
f f f f f f f f f f f
Society" in 1966
f f f
C) The American Heart Association's Guidelines for Cardiac Resuscitation
f f f f f f f
D) Emergency Medical Services: Agenda for the Future, in 1996 f f f f f f f f
Answer: B
f f
Diff: 1
f Page Ref: 3 f f
Objective: 1-2 f
3) An Emergency Medical Responder comes to you and states that he would like to work for
f f f f f f f f f f f f f f f
your emergency ambulance service on a full-time basis. Knowing the National EMS Scope of
f f f f f f f f f f f f f f
Practice Model, you inform him of which element?
f f f f f f f f
A) He will be able to take care of only patients with non-life-threatening complaints
f f f f f f f f f f f f
B) He will first need approval from your ambulance service's medical director
f f f f f f f f f f
C) He will be able to work only with an Advanced EMT or paramedic
f f f f f f f f f f f f
D) He will first have to become an Emergency Medical Technician
f f f f f f f f f
Answer: D
f f
Diff: 1
f Page Ref: 6-7 f f
Objective: 1-1 f
4) As defined by the National EMS Scope of Practice Model, the four levels of EMS
f f f f f f f f f f f f f f
practitioners include:
f f
A) Ambulance drivers f
B) EMS medical director f f
C) Paramedics
D) Emergency medical dispatchers f f
Answer: C
f f
Diff: 1
f Page Ref: 6-7 f f
Objective: 1-3 f
1
Copyright © 2018 Pearson Education, Inc. f f f f f
,5) An Emergency Medical Responder (EMR) approaches you and states that he is interested in
f f f f f f f f f f f f f
becoming an EMT. Specifically, he asks what he will be able to do as an EMT that he cannot
f f f f f f f f f f f f f f f f f f f
presently do as an EMR. You respond by saying he will be able to:
f f f f f f f f f f f f f f
A) Administer some medications f f
B) Assist in emergency childbirth f f f
C) Use an automated external defibrillator
f f f f
D) Obtain vital signs f f
Answer: A
f f
Diff: 1
f Page Ref: 6-7 f f
Objective: 1-5 f
6) You have been dispatched for a 61-year-old female in cardiac arrest. Emergency Medical
f f f f f f f f f f f f
Responders (EMRs) are on scene. In your community, all EMS practitioners are trained
f f f f f f f f f f f f f
according to the National EMS Scope of Practice Model. Given this, which type of care do you
f f f f f f f f f f f f f f f f f
expect the EMRs to be providing?
f f f f f f
A) Emergency medication administration f f
B) Automated external defibrillation f f
C) Intravenous therapy f
D) Reading an electrocardiogram f f
Answer: B
f f
Diff: 2
f Page Ref: 6 f f
Objective: 1-5 f
7) An EMT with your service states that she desires to become a paramedic because she wants to
f f f f f f f f f f f f f f f f
provide advanced care. Under the National EMS Scope of Practice Model, which one of these
f f f f f f f f f f f f f f f
types of care will she be able to provide as a paramedic that she cannot provide as an EMT?
f f f f f f f f f f f f f f f f f f f
A) Automated blood pressure monitoring f f f
B) Assistance with emergency childbirth f f f
C) Interfacility transports f
D) IV therapyf
Answer: D
f f
Diff: 1
f Page Ref: 7 f f
Objective: 1-5 f
8) Which statement made by an EMT requires immediate intervention by a superior or the
f f f f f f f f f f f f f
service supervisor?
f f
A) "I always wear my seat belt whenever I am in the patient compartment of the ambulance,
f f f f f f f f f f f f f f f
unless I have to remove it to care for a patient."
f f f f f f f f f f f
B) "I drive as fast as I can to get to the scene of an emergency, especially if a child is sick or
f f f f f f f f f f f f f f f f f f f f f
injured according to dispatch information."
f f f f f
C) "When I am driving with lights and sirens, I instruct my partner that he will need to handle all
f f f f f f f f f f f f f f f f f f
radio communications."
f f
D) "I put exam gloves on for every patient I contact, even if he or she does not have a known or
f f f f f f f f f f f f f f f f f f f f
suspected infectious disease."
f f f
Answer: B f
Diff: 1
f Page Ref: 9 f f
Objective: 1-7 f
2
Copyright © 2018 Pearson Education, Inc. f f f f f
,9) Which statement shows that the EMT has a good understanding of her role and
f f f f f f f f f f f f f
responsibilities related to being an EMT?
f f f f f f
A) "The patient's needs come before anyone else's needs."
f f f f f f f
B) "At the scene of an emergency, my responsibility is to get to the patient no matter what."
f f f f f f f f f f f f f f f f
C) "My safety comes first, and then the patient's safety."
f f f f f f f f
D) "As an EMT, I recognize that the public's safety comes before the safety of me or my
f f f f f f f f f f f f f f f f
partner."
f
Answer: C f
Diff: 2 Page Ref: 8-9
f f f
Objective: 1-7 f
10) An ambulance with two EMTs arrives in front of a house for an unknown medical emergency.
f f f f f f f f f f f f f f f
On scene, bystanders report that a female patient was beaten by her husband in the driveway and
f f f f f f f f f f f f f f f f f
then dragged back into the house. They state that the patient appeared unconscious and was
f f f f f f f f f f f f f f f
bleeding from the head. Which action would the EMTs perform next?
f f f f f f f f f f f
A) Do not enter the scene until it has been controlled by law enforcement
f f f f f f f f f f f f
B) Quietly enter the home and quickly move the patient to the ambulance
f f f f f f f f f f f
C) Remove the husband from the house, then provide emergency care to the wife
f f f f f f f f f f f f
D) Enter the home to protect the patient while waiting for the police to arrive
f f f f f f f f f f f f f
Answer: A
f f
Diff: 2 Page Ref: 9
f f f
Objective: 1-7 f
11) Why is EMS in a unique position to contribute significantly to mobile integrated health care?
f f f f f f f f f f f f f f
A) EMS providers are familiar with and capable of functioning in the out-of-hospital
f f f f f f f f f f f
environment
f
B) Ambulances are easily identified f f f
C) The community trusts uniformed health care providers
f f f f f f
D) EMS providers are familiar with the many routes of medication administration
f f f f f f f f f f
Answer: A
f f
Diff: 1 Page Ref: 17
f f f
Objective: 1-15 f
3
Copyright © 2018 Pearson Education, Inc. f f f f f
, 12) You have arrived on the scene of a motor vehicle collision. A car has gone off the road and
f f f f f f f f f f f f f f f f f f
into a utility pole. The pole is broken and wires are hanging just above the car. You do not see any
f f f f f f f f f f f f f f f f f f f f f
sparking or arcing of the wires. The driver of the car is slumped over the steering wheel and not
f f f f f f f f f f f f f f f f f f f
moving. Several bystanders around the car are yelling for you to help. Which steps represent the
f f f f f f f f f f f f f f f f
correct order of your response?
f f f f f
A) Clear the bystanders, allow the fire department to secure the wires, access the patient,
f f f f f f f f f f f f f
extricate the patient, transport
f f f f
B) Access the patient, clear the bystanders, allow the fire department to secure the wires,
f f f f f f f f f f f f f
extricate the patient, transport
f f f f
C) Clear the bystanders, access the patient, extricate the patient, transport, allow the fire
f f f f f f f f f f f f
department to secure the wires
f f f f f
D) Access the patient, allow the fire department to secure the wires, clear the bystanders,
f f f f f f f f f f f f f
extricate the patient, transport
f f f f
Answer: A f
Diff: 2 f Page Ref: 8-9 f f
Objective: 1-7 f
13) Once a scene is free of safety hazards, the EMT must recognize and focus on the needs of
f f f f f f f f f f f f f f f f f
the:
f
A) Rescuers
B) Patient
C) Family
D) Bystanders
Answer: B
f f
Diff: 1 f Page Ref: 9 f f
Objective: 1-7 f
14) You have been asked to sit on your service's quality improvement (QI) committee. As a
f f f f f f f f f f f f f f
knowledgeable EMT, you recognize that in this role you will be involved in projects that are
f f f f f f f f f f f f f f f f
primarily designed to:
f f f
A) Communicate with insurance companies for increased reimbursement f f f f f f
B) Recruit and educate EMTs about the Emergency Medical Services profession
f f f f f f f f f
C) Develop ways in which the delivery of emergency care can be improved
f f f f f f f f f f f
D) Identify and reeducate EMTs who routinely do not provide proper care
f f f f f f f f f f
Answer: C
f f
Diff: 2 f Page Ref: 13 f f
Objective: 1-10 f
15) What would be a logical project to be undertaken and developed by a quality improvement
f f f f f f f f f f f f f f
(QI) committee?
f f
A) Termination of EMTs who are chronically late to work f f f f f f f f
B) A program by which pay raises are based on performance and attitude
f f f f f f f f f f f
C) Community fundraiser to raise money for new EMS equipment f f f f f f f f
D) Monthly continuing education programs in which seldom-used skills are practiced
f f f f f f f f f
Answer: D
f f
Diff: 2 f Page Ref: 14 f f
Objective: 1-10 f
4
Copyright © 2018 Pearson Education, Inc. f f f f f
Chapter 1 Emergency Care Systems, Research, and Public Health
f f f f f f f f f
1) What is a primary purpose of the modern-day EMS system?
f f f f f f f f f
A) Provide a means of transport to and from the hospital
f f f f f f f f f
B) Ensure that all members of society have equal access to hospitals
f f f f f f f f f f
C) Decrease the incidence of death and disability related to injury and illness
f f f f f f f f f f f
D) Provide emergency health care services to medically underserved areas
f f f f f f f f
Answer: C
f f
Diff: 2
f Page Ref: 7 f f
Objective: 1-2 f
2) Most authorities agree that the modern-day EMS system evolved after the release of which
f f f f f f f f f f f f f
document?
f
A) The Emergency Medical Services Act of 1973
f f f f f f
B) The white paper "Accidental Death and Disability: The Neglected Disease of Modern
f f f f f f f f f f f
Society" in 1966
f f f
C) The American Heart Association's Guidelines for Cardiac Resuscitation
f f f f f f f
D) Emergency Medical Services: Agenda for the Future, in 1996 f f f f f f f f
Answer: B
f f
Diff: 1
f Page Ref: 3 f f
Objective: 1-2 f
3) An Emergency Medical Responder comes to you and states that he would like to work for
f f f f f f f f f f f f f f f
your emergency ambulance service on a full-time basis. Knowing the National EMS Scope of
f f f f f f f f f f f f f f
Practice Model, you inform him of which element?
f f f f f f f f
A) He will be able to take care of only patients with non-life-threatening complaints
f f f f f f f f f f f f
B) He will first need approval from your ambulance service's medical director
f f f f f f f f f f
C) He will be able to work only with an Advanced EMT or paramedic
f f f f f f f f f f f f
D) He will first have to become an Emergency Medical Technician
f f f f f f f f f
Answer: D
f f
Diff: 1
f Page Ref: 6-7 f f
Objective: 1-1 f
4) As defined by the National EMS Scope of Practice Model, the four levels of EMS
f f f f f f f f f f f f f f
practitioners include:
f f
A) Ambulance drivers f
B) EMS medical director f f
C) Paramedics
D) Emergency medical dispatchers f f
Answer: C
f f
Diff: 1
f Page Ref: 6-7 f f
Objective: 1-3 f
1
Copyright © 2018 Pearson Education, Inc. f f f f f
,5) An Emergency Medical Responder (EMR) approaches you and states that he is interested in
f f f f f f f f f f f f f
becoming an EMT. Specifically, he asks what he will be able to do as an EMT that he cannot
f f f f f f f f f f f f f f f f f f f
presently do as an EMR. You respond by saying he will be able to:
f f f f f f f f f f f f f f
A) Administer some medications f f
B) Assist in emergency childbirth f f f
C) Use an automated external defibrillator
f f f f
D) Obtain vital signs f f
Answer: A
f f
Diff: 1
f Page Ref: 6-7 f f
Objective: 1-5 f
6) You have been dispatched for a 61-year-old female in cardiac arrest. Emergency Medical
f f f f f f f f f f f f
Responders (EMRs) are on scene. In your community, all EMS practitioners are trained
f f f f f f f f f f f f f
according to the National EMS Scope of Practice Model. Given this, which type of care do you
f f f f f f f f f f f f f f f f f
expect the EMRs to be providing?
f f f f f f
A) Emergency medication administration f f
B) Automated external defibrillation f f
C) Intravenous therapy f
D) Reading an electrocardiogram f f
Answer: B
f f
Diff: 2
f Page Ref: 6 f f
Objective: 1-5 f
7) An EMT with your service states that she desires to become a paramedic because she wants to
f f f f f f f f f f f f f f f f
provide advanced care. Under the National EMS Scope of Practice Model, which one of these
f f f f f f f f f f f f f f f
types of care will she be able to provide as a paramedic that she cannot provide as an EMT?
f f f f f f f f f f f f f f f f f f f
A) Automated blood pressure monitoring f f f
B) Assistance with emergency childbirth f f f
C) Interfacility transports f
D) IV therapyf
Answer: D
f f
Diff: 1
f Page Ref: 7 f f
Objective: 1-5 f
8) Which statement made by an EMT requires immediate intervention by a superior or the
f f f f f f f f f f f f f
service supervisor?
f f
A) "I always wear my seat belt whenever I am in the patient compartment of the ambulance,
f f f f f f f f f f f f f f f
unless I have to remove it to care for a patient."
f f f f f f f f f f f
B) "I drive as fast as I can to get to the scene of an emergency, especially if a child is sick or
f f f f f f f f f f f f f f f f f f f f f
injured according to dispatch information."
f f f f f
C) "When I am driving with lights and sirens, I instruct my partner that he will need to handle all
f f f f f f f f f f f f f f f f f f
radio communications."
f f
D) "I put exam gloves on for every patient I contact, even if he or she does not have a known or
f f f f f f f f f f f f f f f f f f f f
suspected infectious disease."
f f f
Answer: B f
Diff: 1
f Page Ref: 9 f f
Objective: 1-7 f
2
Copyright © 2018 Pearson Education, Inc. f f f f f
,9) Which statement shows that the EMT has a good understanding of her role and
f f f f f f f f f f f f f
responsibilities related to being an EMT?
f f f f f f
A) "The patient's needs come before anyone else's needs."
f f f f f f f
B) "At the scene of an emergency, my responsibility is to get to the patient no matter what."
f f f f f f f f f f f f f f f f
C) "My safety comes first, and then the patient's safety."
f f f f f f f f
D) "As an EMT, I recognize that the public's safety comes before the safety of me or my
f f f f f f f f f f f f f f f f
partner."
f
Answer: C f
Diff: 2 Page Ref: 8-9
f f f
Objective: 1-7 f
10) An ambulance with two EMTs arrives in front of a house for an unknown medical emergency.
f f f f f f f f f f f f f f f
On scene, bystanders report that a female patient was beaten by her husband in the driveway and
f f f f f f f f f f f f f f f f f
then dragged back into the house. They state that the patient appeared unconscious and was
f f f f f f f f f f f f f f f
bleeding from the head. Which action would the EMTs perform next?
f f f f f f f f f f f
A) Do not enter the scene until it has been controlled by law enforcement
f f f f f f f f f f f f
B) Quietly enter the home and quickly move the patient to the ambulance
f f f f f f f f f f f
C) Remove the husband from the house, then provide emergency care to the wife
f f f f f f f f f f f f
D) Enter the home to protect the patient while waiting for the police to arrive
f f f f f f f f f f f f f
Answer: A
f f
Diff: 2 Page Ref: 9
f f f
Objective: 1-7 f
11) Why is EMS in a unique position to contribute significantly to mobile integrated health care?
f f f f f f f f f f f f f f
A) EMS providers are familiar with and capable of functioning in the out-of-hospital
f f f f f f f f f f f
environment
f
B) Ambulances are easily identified f f f
C) The community trusts uniformed health care providers
f f f f f f
D) EMS providers are familiar with the many routes of medication administration
f f f f f f f f f f
Answer: A
f f
Diff: 1 Page Ref: 17
f f f
Objective: 1-15 f
3
Copyright © 2018 Pearson Education, Inc. f f f f f
, 12) You have arrived on the scene of a motor vehicle collision. A car has gone off the road and
f f f f f f f f f f f f f f f f f f
into a utility pole. The pole is broken and wires are hanging just above the car. You do not see any
f f f f f f f f f f f f f f f f f f f f f
sparking or arcing of the wires. The driver of the car is slumped over the steering wheel and not
f f f f f f f f f f f f f f f f f f f
moving. Several bystanders around the car are yelling for you to help. Which steps represent the
f f f f f f f f f f f f f f f f
correct order of your response?
f f f f f
A) Clear the bystanders, allow the fire department to secure the wires, access the patient,
f f f f f f f f f f f f f
extricate the patient, transport
f f f f
B) Access the patient, clear the bystanders, allow the fire department to secure the wires,
f f f f f f f f f f f f f
extricate the patient, transport
f f f f
C) Clear the bystanders, access the patient, extricate the patient, transport, allow the fire
f f f f f f f f f f f f
department to secure the wires
f f f f f
D) Access the patient, allow the fire department to secure the wires, clear the bystanders,
f f f f f f f f f f f f f
extricate the patient, transport
f f f f
Answer: A f
Diff: 2 f Page Ref: 8-9 f f
Objective: 1-7 f
13) Once a scene is free of safety hazards, the EMT must recognize and focus on the needs of
f f f f f f f f f f f f f f f f f
the:
f
A) Rescuers
B) Patient
C) Family
D) Bystanders
Answer: B
f f
Diff: 1 f Page Ref: 9 f f
Objective: 1-7 f
14) You have been asked to sit on your service's quality improvement (QI) committee. As a
f f f f f f f f f f f f f f
knowledgeable EMT, you recognize that in this role you will be involved in projects that are
f f f f f f f f f f f f f f f f
primarily designed to:
f f f
A) Communicate with insurance companies for increased reimbursement f f f f f f
B) Recruit and educate EMTs about the Emergency Medical Services profession
f f f f f f f f f
C) Develop ways in which the delivery of emergency care can be improved
f f f f f f f f f f f
D) Identify and reeducate EMTs who routinely do not provide proper care
f f f f f f f f f f
Answer: C
f f
Diff: 2 f Page Ref: 13 f f
Objective: 1-10 f
15) What would be a logical project to be undertaken and developed by a quality improvement
f f f f f f f f f f f f f f
(QI) committee?
f f
A) Termination of EMTs who are chronically late to work f f f f f f f f
B) A program by which pay raises are based on performance and attitude
f f f f f f f f f f f
C) Community fundraiser to raise money for new EMS equipment f f f f f f f f
D) Monthly continuing education programs in which seldom-used skills are practiced
f f f f f f f f f
Answer: D
f f
Diff: 2 f Page Ref: 14 f f
Objective: 1-10 f
4
Copyright © 2018 Pearson Education, Inc. f f f f f
