Question 1

EMT training in nearly every state meets or exceeds the guidelines recommended by the:

Accepted Answer

National Highway Traffic Safety Administration (NHTSA)

Question 2

Which of the following is a unique function of the emergency medical dispatcher (EMD)?

Accepted Answer

Providing callers with life-saving instructions

Question 3

The person who is responsible for authorizing EMTs to perform emergency medical care in the field is the:

Accepted Answer

Medical director

Question 4

What type of medical direction do standing orders and protocols describe?

Accepted Answer

Off-line

Question 5

The continuous quality improvement (CQI) process is designed to:

Accepted Answer

Identify areas of improvement and provide remedial training if needed

Question 6

The term “pharmacology” is MOST accurately defined as:

Accepted Answer

The study of drugs and their actions on the body

Question 7

Which of the following statements regarding the metered-dose inhaler (MDI) is correct?

Accepted Answer

An MDI delivers the same amount of medication every time it is used

Question 8

How is nitroglycerin usually given by the EMT?

Accepted Answer

Sublingually

Question 9

An end-stage cancer patient is abusive and complaints about how the system cannot cure him. He is likely in what stage?

Accepted Answer

Anger

Question 10

You are at a nursing home to care for a confused 88 year old with terminal cancer. She has a DNR order. You should:

Accepted Answer

Make her comfortable and provide emotional support

Question 11

You arrive at a motor vehicle crash where the FD is stabilizing the vehicle and the PD is directing traffic. You first:

Accepted Answer

Report to the incident commander

Question 12

You arrive at the scene of a domestic violence situation and hear screaming and some shout "He has a gun!". You should:

Accepted Answer

Seek a safe place and request law enforcement assistance

Question 13

The simplest yet most effective method of preventing the spread of an infectious disease is to":

Accepted Answer

Wash your hands in between patient contacts

Question 14

You are treating a 42 year old with severe chest pains who does not want to be treated or transported. You should:

Accepted Answer

Ensure that he is aware of the risks of refusing medical care

Question 15

A 13 year old is unconscious and has multiple injuries. The child's parents will be at the scene in 15 minutes. You:

Accepted Answer

Transport the child immediately and have the parents meet you at the hospital

Question 16

In which of the following circumstances can the EMT legally release confidential patient information?

Accepted Answer

The  patient is competent and signs a release form

Question 17

Your BEST protection against legal liability when a competent patient refuses EMS care and transport is to:

Accepted Answer

Thoroughly document the entire event

Question 18

When faced with a situation in which a patient is in cardiac arrest and a valid living will or DNR order cant be found:

Accepted Answer

Begin resuscitation at once

Question 19

You arrive at the scene of a DOA. When evaluating the patient, which of the following is a definitive sign of death?
=

Accepted Answer

Dependent lividity

Question 20

The manner in which the EMT must act or behave when caring for a patient is called the:

Accepted Answer

Standard of care

Question 21

When performing his or her duties, the EMT is generally expected to:

Accepted Answer

Exercise reasonable care and act prudently

Question 22

Which of the following MOST accurately defines negligence?

Accepted Answer

Deviation from the standard of care that may result in  further injury

Question 23

Which of the following components are needed to prove negligence?

Accepted Answer

Duty to act, breach of duty, injury/damages, and causation

Question 24

An EMT would MOST likely be held liable for abandonment if he or she:

Accepted Answer

Did not make provisions for continued care of an injured patient

Question 25

Which of the following statements regarding the Good Samaritan law is correct?

Accepted Answer

It will not protect the EMT in cases of gross negligence

Question 26

You are dispatched to a shooting- police have a semiconscious suspect in custody with a gunshot to the chest. You should:

Accepted Answer

Quickly move the coffee table so you can access and treat the patient

Question 27

In questioning a short of breath 75 year old, you progressively move closer and closer. It's important to remember that:

Accepted Answer

As you physically get closer to the patient, a greater and greater sense of trust must be established

Question 28

A conscious 60-year-old man complains of chest pain and denies shortness of breath. Which question is most appropriate?

Accepted Answer

"Do you have any heart problems or take any medications?"

Question 29

In what manner should you act and speak with a patient?

Accepted Answer

Calm and confident

Question 30

Which of the following statements regarding communication with a child is MOST correct?

Accepted Answer

Standing over a child often increases his or her level of anxiety

Question 31

When communicating with an older patient, it is important to remember that:

Accepted Answer

Most older people think clearly and are capable of answering questions

Question 32

Your patient, a 44-year-old man, has chest pain & does not speak English. There is no interpreter on scene. You should:

Accepted Answer

Use short simple questions and point to specific parts of your body to try to determine the source of the complaint

Question 33

When documenting a patient's blood pressure reading, you inadvertently write 120/60 instead of 130/70. To correct this:

Accepted Answer

Draw a single horizontal line through the error,  initial it, and write the correct data next to it

Question 34

A ___________ receives messages and signals on one frequency and then automatically retransmits them on a second frequency

Accepted Answer

repeater

Question 35

A patient has fractured both femurs. Anatomically, these injuries would be described as being:

Accepted Answer

bilateral

Question 36

Medical control gives you an order that seems inappropriate for the patient's condition. After confirming the order you:

Accepted Answer

Advise the physician that the order is unclear and ask for clarification

Question 37

An intoxicated 40-year-old male is found lying face down. How would you document his body's position?

Accepted Answer

prone

Question 38

A patient in a semireclined position with the head elevated to facilitate breathing is in the ___________ position:

Accepted Answer

Fowler's

Question 39

The brain connects to the spinal cord through a large opening at the base of the skull called the:

Accepted Answer

Foramen magnum

Question 40

The cervical spine is composed of ___________ vertebrae

Accepted Answer

Seven

Question 41

The bones of the forearm are called the:

Accepted Answer

radius and ulna

Question 42

The leaf-shaped flap of tissue that prevents food and liquid from entering the trachea during swallowing is called the:

Accepted Answer

epiglottis

Question 43

As the bronchus divides into smaller bronchioles, the terminal ends of these smaller passages form the:

Accepted Answer

Alveoli

Question 44

The backup system of respiratory control, which is based on low concentrations of oxygen in the blood, is called the:

Accepted Answer

hypoxic drive

Question 45

The heart muscle is called the:

Accepted Answer

myocardium

Question 46

Your call is for a 4-month-old infant with respiratory distress. While you prepare to take care of her you remember that

Accepted Answer

Small infants are nose breathers and require clear nasal passages at all times

Question 47

While examinating a 13 month old with fever and vomitting, you will MOST likely find that she:

Accepted Answer

Responds to her name but is fearful of your presence

Question 48

An appropriate demonstration of professionalism when your patient is frightened, demanding, or unpleasant is to:

Accepted Answer

Continue to be nonjudgmental, compassionate, and respectful.

Question 49

The recognition of the need for early intervention in cardiac arrest resulted in efforts to train citizens in

Accepted Answer

CPR

Question 50

Laws that protect anyone who voluntarily stops and aids a person in an emergency are called

Accepted Answer

Good Samaritan laws

Question 51

EMT’s who render aid at a scene of an accident when off duty usually do so because of

Accepted Answer

Moral or ethical duty

Question 52

Reports of the patient care in the field must be presented_______ to the receiving hospital staff.

Accepted Answer

Both verbally and in writing

Question 53

The need for rapid, universal access to emergency assistance resulted in establishment of

Accepted Answer

911

Question 54

The highest level of training in EMS is

Accepted Answer

Paramedic

Question 55

Once an EMT is certified, they may practice

Accepted Answer

Within the states scope of practice for that level EMT

Question 56

Which personality traits best describe the ideal EMT?

Accepted Answer

Kind and compassionate

Question 57

Common infectious illness that an EMT may encounter include

Accepted Answer

Human immunodeficiency Virus (HIV)

Question 58

A common person who voluntarily stops to help an injured traveler is called a

Accepted Answer

Good Samaritan

Question 59

What is the best way to transfer care of a patient

Accepted Answer

Transfer care to nurse or MD and give a report

Question 60

Decisions regarding what facility to transport a patient from the scene of an accident are the responsibility of the

Accepted Answer

EMT in charge

Question 61

The first priority of any EMT in the field is

Accepted Answer

Personal safety

Question 62

Medical information received by an EMT must

Accepted Answer

Be kept in confidence, unless required by law to report

Question 63

Diseases which an EMT can be immunized against include

Accepted Answer

Hepatitis B

Question 64

Instructions for medical care that a person leaves for others in advance of a life-threatening medical situation is a:

Accepted Answer

Advanced directive

Question	Answer
EMT training in nearly every state meets or exceeds the guidelines recommended by the:	National Highway Traffic Safety Administration (NHTSA)
Which of the following is a unique function of the emergency medical dispatcher (EMD)?	Providing callers with life-saving instructions
The person who is responsible for authorizing EMTs to perform emergency medical care in the field is the:	Medical director
What type of medical direction do standing orders and protocols describe?	Off-line
The continuous quality improvement (CQI) process is designed to:	Identify areas of improvement and provide remedial training if needed
The term “pharmacology” is MOST accurately defined as:	The study of drugs and their actions on the body
Which of the following statements regarding the metered-dose inhaler (MDI) is correct?	An MDI delivers the same amount of medication every time it is used
How is nitroglycerin usually given by the EMT?	Sublingually
An end-stage cancer patient is abusive and complaints about how the system cannot cure him. He is likely in what stage?	Anger
You are at a nursing home to care for a confused 88 year old with terminal cancer. She has a DNR order. You should:	Make her comfortable and provide emotional support
You arrive at a motor vehicle crash where the FD is stabilizing the vehicle and the PD is directing traffic. You first:	Report to the incident commander
You arrive at the scene of a domestic violence situation and hear screaming and some shout "He has a gun!". You should:	Seek a safe place and request law enforcement assistance
The simplest yet most effective method of preventing the spread of an infectious disease is to":	Wash your hands in between patient contacts
You are treating a 42 year old with severe chest pains who does not want to be treated or transported. You should:	Ensure that he is aware of the risks of refusing medical care
A 13 year old is unconscious and has multiple injuries. The child's parents will be at the scene in 15 minutes. You:	Transport the child immediately and have the parents meet you at the hospital
In which of the following circumstances can the EMT legally release confidential patient information?	The patient is competent and signs a release form
Your BEST protection against legal liability when a competent patient refuses EMS care and transport is to:	Thoroughly document the entire event
When faced with a situation in which a patient is in cardiac arrest and a valid living will or DNR order cant be found:	Begin resuscitation at once
You arrive at the scene of a DOA. When evaluating the patient, which of the following is a definitive sign of death? =	Dependent lividity
The manner in which the EMT must act or behave when caring for a patient is called the:	Standard of care
When performing his or her duties, the EMT is generally expected to:	Exercise reasonable care and act prudently
Which of the following MOST accurately defines negligence?	Deviation from the standard of care that may result in further injury
Which of the following components are needed to prove negligence?	Duty to act, breach of duty, injury/damages, and causation
An EMT would MOST likely be held liable for abandonment if he or she:	Did not make provisions for continued care of an injured patient
Which of the following statements regarding the Good Samaritan law is correct?	It will not protect the EMT in cases of gross negligence
You are dispatched to a shooting- police have a semiconscious suspect in custody with a gunshot to the chest. You should:	Quickly move the coffee table so you can access and treat the patient
In questioning a short of breath 75 year old, you progressively move closer and closer. It's important to remember that:	As you physically get closer to the patient, a greater and greater sense of trust must be established
A conscious 60-year-old man complains of chest pain and denies shortness of breath. Which question is most appropriate?	"Do you have any heart problems or take any medications?"
In what manner should you act and speak with a patient?	Calm and confident
Which of the following statements regarding communication with a child is MOST correct?	Standing over a child often increases his or her level of anxiety
When communicating with an older patient, it is important to remember that:	Most older people think clearly and are capable of answering questions
Your patient, a 44-year-old man, has chest pain & does not speak English. There is no interpreter on scene. You should:	Use short simple questions and point to specific parts of your body to try to determine the source of the complaint
When documenting a patient's blood pressure reading, you inadvertently write 120/60 instead of 130/70. To correct this:	Draw a single horizontal line through the error, initial it, and write the correct data next to it
A ___________ receives messages and signals on one frequency and then automatically retransmits them on a second frequency	repeater
A patient has fractured both femurs. Anatomically, these injuries would be described as being:	bilateral
Medical control gives you an order that seems inappropriate for the patient's condition. After confirming the order you:	Advise the physician that the order is unclear and ask for clarification
An intoxicated 40-year-old male is found lying face down. How would you document his body's position?	prone
A patient in a semireclined position with the head elevated to facilitate breathing is in the ___________ position:	Fowler's
The brain connects to the spinal cord through a large opening at the base of the skull called the:	Foramen magnum
The cervical spine is composed of ___________ vertebrae	Seven
The bones of the forearm are called the:	radius and ulna
The leaf-shaped flap of tissue that prevents food and liquid from entering the trachea during swallowing is called the:	epiglottis
As the bronchus divides into smaller bronchioles, the terminal ends of these smaller passages form the:	Alveoli
The backup system of respiratory control, which is based on low concentrations of oxygen in the blood, is called the:	hypoxic drive
The heart muscle is called the:	myocardium
Your call is for a 4-month-old infant with respiratory distress. While you prepare to take care of her you remember that	Small infants are nose breathers and require clear nasal passages at all times
While examinating a 13 month old with fever and vomitting, you will MOST likely find that she:	Responds to her name but is fearful of your presence
An appropriate demonstration of professionalism when your patient is frightened, demanding, or unpleasant is to:	Continue to be nonjudgmental, compassionate, and respectful.
The recognition of the need for early intervention in cardiac arrest resulted in efforts to train citizens in	CPR
Laws that protect anyone who voluntarily stops and aids a person in an emergency are called	Good Samaritan laws
EMT’s who render aid at a scene of an accident when off duty usually do so because of	Moral or ethical duty
Reports of the patient care in the field must be presented_______ to the receiving hospital staff.	Both verbally and in writing
The need for rapid, universal access to emergency assistance resulted in establishment of	911
The highest level of training in EMS is	Paramedic
Once an EMT is certified, they may practice	Within the states scope of practice for that level EMT
Which personality traits best describe the ideal EMT?	Kind and compassionate
Common infectious illness that an EMT may encounter include	Human immunodeficiency Virus (HIV)
A common person who voluntarily stops to help an injured traveler is called a	Good Samaritan
What is the best way to transfer care of a patient	Transfer care to nurse or MD and give a report
Decisions regarding what facility to transport a patient from the scene of an accident are the responsibility of the	EMT in charge
The first priority of any EMT in the field is	Personal safety
Medical information received by an EMT must	Be kept in confidence, unless required by law to report
Diseases which an EMT can be immunized against include	Hepatitis B
Instructions for medical care that a person leaves for others in advance of a life-threatening medical situation is a:	Advanced directive
Which will allow an EMT to terminate care of a patient?	Patient no longer wants it
An advanced directive that specifically forbids CPR is called	A DNR order
Which is off-line medical control of EMT practice?	MD approval and review of treatment & protocols
Assumed agreement by an unconscious person to allow medical care is called	Implied consent
IV needles should be discarded in	Sharps container
The medical procedures that the EMT can perform by state statute are called the	Scope of practice
The nose is _____ to the mouth	superior
The nipples are ____ to the midline	Lateral
Which organ plays an important role in the defense of the body from disease?	skin
When measuring blood pressure, the appropriate PPE is	gloves
Which is the last structure that air would reach on inhalation?	Alveolus
The _____________________ is commonly defined by state law and outlines the care that an EMT may provide.	Scope of practice
What is the normal range for a respiratory rate in an adult patient	12-20
Deviation from the established standard of care may:	Cause criminal charges to be filed, result in Civil Prosecution, bring sanctions from state regulatory agencies
In determining legal negligence, the following four elements must be present: duty, breach of duty, damages and:	Cause
The type of consent where a sound of mind patient understands and wants to receive care is:	informed consent
If a mentally competent patient with a minor injury refuses transport to a hospital, you should	Document your assessment on a patient care report and have the patient sign a refusal form
An advance directive is a document that specifies:	Medical treatments that a patient would like to withhold or receive if they become unable to make decesions
Compliance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) has the following effects:	Protected health information may be shared with those directly providing patient care
Definitive signs of death include the following except	Exposed brain tissue
An incomplete or untidy patient care report may be viewed by a court as:	Evidence of incompetence by the author
When treating a patient with a serious head injury and the patient is a known organ donor and may not live, you should	treat the patient in the same manner you would another patient with similar injuries
What is the name of the breast bone?	Sternum
The front of the patient is referred to as the _________ aspect of the patient	Anterior
Which medication route indicates the medication is to be taken into the mouth and swallowed?	PO
How many injections are in a complete Hepatitis B vaccination series:	3
Which of the following is a procedure that evidence-based practice has made obsolete?	Insertion of bite sticks
What is the name of the process that debriefs rescuers after an difficult call that might be causing them stress?	CISD/CISM
What is the ideal way to lift weight safely?	Weight close to the body; back straight
Which of the following descriptions MOST accurately portrays emergency medical services (EMS)?	A team of health professionals who are responsible for providing emergency care & transportation to the sick/injured
What consent is involved when a 39 y/o mentally competent female with severe headache asks to be taken to the hospital?	Expressed
A “coordinated network of professionals whose function is to provide for people who need emergency care” best describes	EMS
In which situation would the EMT NOT have a duty to act?	Driving by a motor vehicle crash while off duty
Which of the following scenarios does NOT involve the administration of ALS?	a 64-year-old cardiac arrest patient who is defibrillator with an automated external defibrillator (AED)
A patient lying face up on his back is in what position?	Supine
What is the primary muscle of breathing?	Diaphragm
What is the correct order for air flowing out of the respiratory system?	Alveoli, bronchiole, bronchi, trachea, larynx, epiglottis, pharynx
What best describes the function of the alveoli?	To exchange oxygen for carbon dioxide
Which sign or symptom can be a sign of respiratory distress?	Very rapid breathing
Which sign or symptom can be a sign of respiratory arrest?	No breathing
Which skin color is most likely due to a respiratory problem?	Cyanosis
Which rate most likely represents adequate air exchange in an adult?	16 times per minute
Which speech pattern indicates a patient with adequate air exchange?	Complete sentences
The aspect of natural ventilation that involves the diaphragm contracting and the chest wall expanding is:	Inhalation
The process by which carbon dioxide moves from a high concentration in the capillaries to the lower concentration in alevoli	diffusion
A patient who is developing early stages of hypoxia may exhibit:	Restlessness
A patient who to takes an occasional gasping breath after their heart has stopped has:	Agonal respirations
If a D-sized oxygen cylinder contains 300 L of oxygen and is at 2,000 PSI, the patient's 15lpm non-rebreather will run:	30 minutes
Properly performed suctioning of a patient may still cause:	Hypoxia
When using a bag-valve-mask device, the key finding to observe to assure adequate ventilation is:	good chest rise and fall
The most common complication of bag-valve-mask use is:	gastric distension
The actual exchange of oxygen and carbon dioxide occurs in the:	alveolar sacs
Which of the following structures is NOT found in the upper airway?	bronchus
Which of the following statements regarding normal gas exchange in the lungs is correct?	Oxygen and carbon dioxide diffuse across the alveolar walls and capillaries
The leaf-shaped structure located superior to the larynx is called the:	epiglottis
Inhalation occurs when the:	Diaphragm and intercostal muscles contract and cause a decrease in intrathoracic pressure
Tidal volume is defined as the volume of air that:	Moves into or out of the lungs in a single breath
Hypoxia is MOST accurately defined as:	inadequate oxygen to the tissues and cells
To select the proper size oropharyngeal airway, you should measure from the:	Corner of the mouth to the earlobe
You insert an oral pharyngeal airway into an unconscious 19 year old and she gags violently. You should:	Remove the airway and be prepared to suction her orophrarynx
The nasopharyngeal airway is MOST beneficial because it	Can maintain a patent airway in a semiconscious patient with a gag reflex
The MOST serious complication associated with using a nasopharyngeal airway in a patient with trauma to the head/face is	Penetrating the cranium
A nasopharyngeal airway is inserted:	With the bevel facing the septum if inserted into the right nare
A 71-year-old male is semiconscious with vomitus on his face and his respirations are slow and shallow. You must first:	Perform oropharyngeal suctioning
The MOST significant complication associated with oropharyngeal suctioning is:	Hypoxia due to prolonged suction attempts
You have inserted an oral airway and are ventilating a patient with a BVM. She vomits suddenly - you should first:	Rol her onto her side and remove the oral airway
Which of the following patients should you place in the recovery position?	a 31-year-old semiconscious male with low blood sugar and adequate breathing
Which of the following organs or tissues can survive the longest without oxygen?	Muscle
The purpose of the pin-indexing system that has been established for compressed gas cylinders is to:	Ensure that the correct regulator is used for the cylinder
The pressure of gas in a full cylinder of oxygen is approximately _______ pounds per square inch (psi).	2000
Which of the following statements regarding oxygen is correct?	Oxygen supports the combustion process an may cause a fire
A patient who is severely hypoxic but is breathing adequately should be given supplemental oxygen with a:	nonrebreathing mask
With a good mask-to-face seal and an oxygen flow rate of 15lpm, the nonrebreathing mask is capable of delivering up to:	90% oxygen
Prior to applying a nonrebreathing mask on a patient, you must ensure that the:	Reservoir bag is fully inflated
The nasal cannula is MOST appropriately used in the prehospital setting:	When the patient has mild distress or cannot tolerate a nonrebreathing mask
The main advantage of the Venturi mask is:	The use of its fine adjustment capabilities in the long-term management of physiologically stable patients
A conscious 51-year-old female has difficulty breathing - 22bpm and regular and can speak full sentences. You should:	Administer 100% oxygen via a nonrebreathing mask
As the single EMT managing an apneic patient's airway, the preferred initial method of providing ventilations is the:	mouth-to-mask technique with a one-way valve and oxygen
Your 40-year-old uninjured man who is apneic but has a pulse is being ventilated but his BP drops suddenly. You should:	Reevaluate the rate and volume of your ventilations
You are performing mouth-to-mask breaths with oxygen connected and set at a flow rate of 15 L/min.What % of O2 is given?	55%
All these will help minimize the risk of gastric distention when ventilating an apneic patient with a BVM except:	delivering each breath over 1 second
After repositioning the mask several times, you are unable to ventilate a critically injured patient. You should:	Begin ventilations using the mouth-to-mask technique
Which of the following is the MOST reliable indicator of adequately performed BVM ventilations in an apneic adult?	Adequate rise of the chest when squeezing the bag
Which of the following statements regarding the one-person bag-mask device technique is correct?	Adequate tidal volume is often difficult to achieve when one EMT is operating the bag-mask device
How does CPAP improve oxygenation and ventilation in patients with certain respiratory problems?	It forces the alveoli open and pushes more oxygen across the alveolar membrane
CPAP is indicated for patients who:	Have severe work of breathing and can follow verbal commands
You are ventilating a patient with a stoma; however, air is escaping from the mouth and nose. You should:	Seal the mouth and nose
A 37-year-old male has an apparent foreign body airway obstruction. He is conscious and alert and is coughing forcefully	Encourage him to keep coughing and transport
While eating dinner, your partner suddenly grabs his throat & has a panicked look. He has a weak cough and faint stridor	Stand behind him and administer abdominal thrusts
Hypoxia is MOST accurately defined as:	Inadequate oxygen to the tissues and cells
Which of the following is NOT a possible cause of airway obstruction?	shallow breathing
During ventilation the patients dentures loosen -you still get chest rise and her SPO2 is 96% with them loose in mouth.	Remove her dentures, resume ventilations, and assess for adequate chest rise
What is the minute volume of a patient w/ a tidal volume of 500 mL,dead space volume of 150 mL, & rate of 16?	5600 mL
Which of the following structures is NOT found in the lower airway?	Oropharynx
Which of the following statements regarding normal gas exchange in the lungs is correct?	Oxygen and carbon dioxide diffuse across the alveolar walls and capillaries

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EMT Final Modules

EMT Final

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