Quiz
EMT 4
Questions in this quiz (50)
1A 4-year-old boy had an apparent seizure. He is conscious and calm and is sitting on his mother's lap. His father is sitting in a nearby chair. The child's mother suddenly begins crying uncontrollably, which causes the child to start crying. You should:
Select one:- Areassure the child's mother that seizures in children are very common and that there is nothing to worry about.
- Bgive the child a favorite toy or blanket to hold onto and perform your assessment to the best of your ability.
- Cconsider asking the father to hold the child so you can assess him while your partner tries to calm the mother.
- Dattempt to calm the child's mother, but avoid separating her from her child because this will increase her anxiety.
2A 60-year-old man complains of chest pain. He is conscious and alert and denies shortness of breath. Which of the following questions would be the MOST appropriate to ask him?
Select one:- A“Were you exerting yourself when the chest pain began?”
- B“Does the pain in your chest feel like a stabbing sensation?”
- C“Do you have any heart problems or take any medications?”
- D“Does the pain in your chest move to either of your arms?”
3A patient's refusal for EMS treatment and/or transport must be:
Select one:- Awitnessed by a notary.
- Ban informed refusal.
- Cauthorized by a judge.
- Dreported to the police.
4A ___________ receives messages and signals on one frequency and then automatically retransmits them on a second frequency.
Select one:- Arepeater
- Bduplex
- Cscanner
- Ddecoder
5After being dispatched on an emergency call, you should expect the dispatcher to provide you with all of the following information, EXCEPT:
Select one:- Aother agencies that are responding to the scene.
- Bthe time at which your unit was dispatched.
- Cthe number of patients involved in the incident.
- Dthe general geographic location of the incident.
6After delivering your patient to the hospital, you sit down to complete the PCR. When documenting the patient's last blood pressure reading, you inadvertently write 120/60 instead of 130/70. To correct this mistake, you should:
Select one:- Aleave the error on your PCR but inform the staff of the patient's actual blood pressure.
- Bdraw a single horizontal line through the error, initial it, and write the correct data next to it.
- Ccover the error with correction fluid and simply write the patient's actual blood pressure over it
- Dattempt to erase the error, initial it, and then write the correct data on a separate addendum.
7After receiving online orders from medical control to perform a patient care intervention, you should:
Select one:- Aperform the intervention as ordered.
- Bask the physician to repeat the order.
- Crepeat the order to medical control word for word.
- Dconfirm the order in your own words.
8All information recorded on the PCR must be:
Select one:- Atypewritten or printed.
- Bconsidered confidential.
- Ca matter of public record.
- Dreflective of your opinion.
9Any radio hardware containing a transmitter and receiver that is located in a fixed location is called a:
- Abase station.
- Brepeater.
- Cmobile radio.
- Dmultiplex.
10As you are wheeling your patient through the emergency department doors, you receive another call for a major motor vehicle crash. You should:
Select one:- Aleave a copy of the run form with a nurse and then respond to the call.
- Binform the admissions clerk of the situation and then respond at once.
- Cplace the patient in a high-visibility area and then respond to the call.
- Drespond only after giving a verbal patient report to a nurse or physician.
11Calming and reassuring an anxious patient can be facilitated by:
Select one:- Apositioning yourself at a level that is higher than the patient.
- Bmaintaining eye contact with the patient whenever possible.
- Cusing medical terminology to ensure the patient understands.
- Dwithholding unpleasant information until arrival at the hospital.
12Communicating with hearing-impaired patients can be facilitated by doing all of the following, EXCEPT:
- Aproviding pen and paper if the patient prefers to write his or her response.
- Belevating the tone of your voice and exaggerating word pronunciation.
- Cplacing yourself in a position to ensure that the patient can see your lips.
- Dshining a light on your face when you are in a darkened environment.
13Despite numerous, sincere efforts to convince a 40-year-old man to consent to EMS treatment and transport, he refuses. After explaining the potential consequences of his refusal and determining that he has decision-making capacity, you ask him to sign an EMS refusal form, but he refuses to do that as well. You should:
- Asign the refusal form, include the date and time, and have your partner witness it with his or her signature.
- Badvise the patient that unless he signs the refusal form, he cannot legally refuse EMS treatment or transport.
- Cask a family member, law enforcement officer, or bystander to sign the form verifying that the patient refused to sign.
- Ddocument the patient's refusal, but leave the refusal form blank because only the patient can legally sign it.
14During the alert and dispatch phase of EMS communications, the dispatcher's responsibilities include all of the following, EXCEPT:
Select one:- Adiscouraging the caller from providing care until the EMS unit arrives.
- Bcoordinating responding EMS units with other public safety personnel.
- Cscreening and assigning a priority to each call based on local protocols.
- Dselecting and notifying the correct EMS response units and person
B. nel.screening and assigning a priority to each call based on local prot
15During your assessment of a 20-year-old man with a severe headache and nausea, you ask him when his headache began, but he does not answer your question immediately. You should:
Select one:- Atell him that you cannot help him unless he answers your questions.
- Bask him if he frequently experiences severe headaches and nausea.
- Callow him time to think about the question and respond to it.
- Drepeat your question because he probably did not hear you.
16Ethnocentrism is defined as:
Select one:- Aconsidering your own cultural values as more important when interacting with people of a different culture.
- Bsuspecting that a person has an ulterior motive based on the tone of his or her voice when answering a question.
- Cunderstanding that people from different cultural backgrounds respond to pain and stress differently.
- Dsubconsciously forcing your cultural values onto a patient because you feel that yours are more acceptable.
17General guidelines for effective radio communications include all of the following, EXCEPT:
Select one:- Aholding the microphone about 2" to 3" from your mouth.
- Busing 10 codes to ensure radio traffic confidentiality.
- Cacknowledging a transmission as soon as possible.
- Dspeaking in a clear, calm, monotone voice.
18Immediately after being dispatched to a residence for an elderly patient with diabetic complications, you should:
Select one:- Arequest that law enforcement secure the scene before you arrive.
- Bask the dispatcher if the patient is conscious or unconscious.
- Cconfirm with dispatch that you received the call information.
- Dask the dispatcher to obtain a medical history from the caller.
19In what manner should you act and speak with a patient?
Select one:- Apassive
- Bcalm and confident
- Cauthoritative
- Doud and official
20Information included in a radio report to the receiving hospital should include all of the following, EXCEPT:
Select one:- Aa preliminary diagnosis of the patient's problem.
- Ba brief history of the patient's current problem.
- Cyour perception of the severity of the problem.
- Da brief summary of the care you provided.
21Medical control gives you an order that seems inappropriate for the patient's condition. After confirming that you heard the physician correctly, you should:
Select one:- Aobtain consent from the patient and then carry out the order as usual.
- Bcarry out the order and then carefully document it on the run form.
- Cstate that you will not carry out the order because it is inappropriate.
- Dadvise the physician that the order is unclear and ask for clarification.
22The official transfer of patient care does not occur until the EMT:
Select one:- Anotifies the admitting clerk of their arrival at the hospital.
- Bgives a radio report to the receiving medical facility.
- Cgives an oral report to the emergency room physician or nurse
- Dinforms dispatch of their arrival at the emergency department.
23The patient care report (PCR) ensures:
Select one:- Alegal protection.
- Bquality assurance.
- Cresearch data.
- Dcontinuity of care.
24Two-way communication that requires the EMT to “push to talk” and “release to listen” describes what mode of communication?
Select one:- Aduplex
- Bmultiplex
- Cmediplex
- Dsimplex
25Typical components of an oral patient report include all of the following, EXCEPT:
Select one:- Aimportant medical history not previously given.
- Bthe patient's response to treatment you provided.
- Cthe set of baseline vital signs taken at the scene.
- Dthe chief complaint or mechanism of injury.
26What type of communications equipment functions as a radio receiver and searches across several frequencies?
Select one:- Amobile repeater
- Bduplex station
- Csimplex station
- Dscanner
27When communicating information over the radio, you should:
- Alimit any single transmission to 60 seconds or less and use 10 codes.
- Brespond professionally by saying “please” and “thank you.”
- Cuse the words “affirmative” and “negative” instead of “yes” or “no.” Correct
- Duse the patient's name only when communicating with the hospital.
28When communicating with a visually impaired patient, you should:
Select one:- Arecall that most visually impaired patients are blind.
- Bpossess an in-depth knowledge of sign language.
- Cexpect him or her to have difficulty understanding.
- Ddetermine the degree of the patient's impairment.
29When communicating with an older patient, it is important to remember that:
Select one:- Ayour questions should focus exclusively on the patient's obvious problem.
- Bmost older people think clearly and are capable of answering questions.
- Cspeaking loudly and distinctly will ensure that the patient can hear you.
- Dhostility and confusion should be presumed to be due to the patient's age.
30When obtaining patient care orders from a physician via a two-way radio, it is MOST important to remember that:
Select one:- Ahis or her instructions are based on the information you provide.
- Bthe physician may or may not be located within your service area.
- Call orders should be carried out immediately and without question.
- Dthe use of 10 codes is an effective method of communication.
31When providing a patient report via radio, you should protect the patient's privacy by:
Select one:- Ausing coded medical language.
- Brefraining from objective statements.
- Cnot disclosing his or her name.
- Dwithholding medical history data.
32When relaying patient information via radio, communications should be:
Select one:- Abrief and easily understood.
- Bcoded and scripted.
- Clengthy and complete.
- Dspoken in a loud voice.
33When you begin an oral report, you should state the patient's age, sex, and:
Select one:- Athe emergency care given.
- Bchief complaint.
- Cany known allergies.
- Dpast medical history.
34Which of the following has the weakest transmission signal and, as a result, is LEAST likely to be heard by the party being called?
Select one:- Aland-base repeater station
- Bmobile repeater station
- Chand-held portable radio
- Dmultiplex base station
35Which of the following incidents does NOT require a report to be filed with local authorities?
Select one:- Aspousal abuse
- Bcardiac arrest
- Cgunshot wounds
- Danimal bites
36Which of the following is NOT a function of the Federal Communications Commission (FCC)?
Select one:- Amonitoring all radio traffic and conducting field spot checks
- Bmaintaining communications equipment on the ambulance
- Clicensing base stations and assigning appropriate radio call signs
- Dallocating specific radio frequencies for use by EMS providers
37Which of the following statements is NOT appropriate to document in the narrative section of a PCR?
Select one:- A“After oxygen was administered, the patient's breathing improved.”
- B“The patient admits to smoking marijuana earlier in the day.”
- C“Significant damage was noted to the front end of the vehicle.”
- D“General impression revealed that the patient was intoxicated.”
38Which of the following statements regarding a “dedicated line” is MOST correct?
Select one:- AIt is a constantly open line of communication that is under exclusive control of a single user.
- BIt is an exclusive frequency that is used by EMTs to communicate with each other in the field.
- CIt is a designated frequency on a portable radio that provides direct access to medical control.
- DIt is a constantly open line of communication that cannot be accessed by outside users.
39Which of the following statements regarding a patient refusal is MOST correct?
Select one:- ADocumentation of proposed care is unnecessary if the patient refuses treatment.
- BAdvice given to a patient who refuses EMS treatment should not be documented.
- CA patient who consumed a few beers will likely be able to refuse EMS treatment.
- DA mentally competent adult has the legal right to refuse EMS care and transport.
40Which of the following statements regarding communication with a child is MOST correct?
Select one:- AStanding over a child often increases his or her level of anxiety.
- BGive the child minimal information to avoid scaring him or her.
- CUnlike adults, children cannot see through lies or deceptions.
- DMost children are intrigued by strangers wearing uniforms.
41Which of the following statements regarding standing orders is MOST correct?
Select one:- AStanding orders should be followed when physician contact is not possible. Correct
- BStanding orders require you to contact medical control first.
- CStanding orders only highlight the care that you may provide.
- DStanding orders have less legal authority than orders given via radio.
42While at the scene of a motor vehicle crash, you determine that there are two critically injured patients and that another ambulance is needed. You attempt to contact the dispatcher with your portable radio but are unsuccessful. You should:
Select one:- Aplace both patients in the ambulance and transport at once.
- Bask a police officer to call dispatch with his portable radio.
- Creattempt to contact dispatch from an area of higher terrain.
- Duse the mobile radio in the ambulance to contact dispatch.
43You and your partner are attempting to resuscitate a middle-aged female in cardiac arrest. Because of the remote location you are in, you are unable to contact medical control. What should you do?
Select one:- AMake continuous attempts to contact medical control.
- BAsk the husband if he wants to continue resuscitation.
- CPerform CPR only and initiate immediate transport.
- DFollow locally established protocols or standing orders.
44You and your partner are dispatched to a residence for an “ill person.” When you arrive, you find that the patient, a 44-year-old man, does not speak English. There are no relatives or bystanders present who can act as an interpreter. You should:
Select one:- Arefrain from performing any assessment or treatment until you can contact someone who can function as an interpreter.
- Buse short, simple questions and point to specific parts of your body to try to determine the source of the patient's complaint.
- Cgive the patient oxygen, assess his vital signs, and transport him to the hospital in a position of comfort.
- Dspeak to the patient with a moderately louder voice to facilitate his ability to understand what you are saying.
45You are assessing a 75-year-old woman with mild shortness of breath. As you are asking her questions regarding her chief complaint and medical history, you progressively move closer and closer to her. In doing this, it is important to remember that:
Select one:
A. it is necessary to enter an older person's intimate space because the elderly are typically hearing impaired. Incorrect
B. as you physically get closer to the patient, a greater and greater sense of trust must be established.
C. a patient's personal space should not be violated, regardless of any barriers that may hamper communication.
D. placing yourself in the patient's personal space is relaying to her that you can be trusted.- Ait is necessary to enter an older person's intimate space because the elderly are typically hearing impaired.
- Bas you physically get closer to the patient, a greater and greater sense of trust must be established.
- Ca patient's personal space should not be violated, regardless of any barriers that may hamper communication.
- Dplacing yourself in the patient's personal space is relaying to her that you can be trusted.
46You are dispatched to the residence of an Asian family for a child with a high fever. When you assess the child, you note that he has numerous red marks on his back. The child's parents explain that these marks represent coining—a traditional Asian healing practice in which hot coins are rubbed on the back. You should:
Select one:- Aadvise the emergency department physician that you feel as though the child was intentionally abused by his parents.
- Badvise the child's parents that this is a harmful practice and is considered a form of child abuse in the United States.
- Cdocument this on your patient care report and advise the emergency department staff of what the child's parents told you.
- Dacknowledge and respect this practice as a cultural belief, but advise the child's parents that it has no healing power.
47You are interviewing a 52-year-old man who complains of chest discomfort. The patient is a retired paramedic and is very anxious because he thinks he is having a heart attack. Which of the following statements would be appropriate to say?
Select one:- A“It is possible that you are experiencing a heart attack. I am going to give you four baby aspirin to chew and swallow.”
- B“We need to take you to the ED stat. We will give you ASA and NTG en route and then reassess your vitals. Do you have any questions?”
- C“I notice that you are a retired paramedic, so I'm sure you will understand all of the things that we will be doing to you.”
- D“This is nothing to worry about. Please try to stay calm. The physician at the hospital will probably not find any signs of a heart problem.”
48You are transporting a 54-year-old male in cardiac arrest. An EMR is driving the ambulance as you and your partner attempt to resuscitate the patient. What is the MOST logical way of notifying the hospital?
Select one:- ARequest that a police officer respond to the hospital to apprise them of your arrival.
- BHave the driver contact dispatch and relay the patient information to the hospital.
- CCall the receiving hospital with your cellular phone as you attempt resuscitation.
- DWait until you arrive at the hospital and then quickly apprise them of the situation.
49You could be sued for ___________ if your radio report to the hospital describes the patient in a manner that injures his or her reputation.
- Alibel
- Bnegligence
- Cassault
- Dslander
50Your EMS system uses a computerized PCR in which you fill in the information electronically and then send it to the emergency department via a secure Internet server. The PCR has a comprehensive series of drop-down boxes, which are used to identify your assessment findings and specify the treatment that you provided; it also has a section for your narrative. When completing your PCR after a call, you should:
Select one:- Acomplete a thorough and accurate narrative because drop-down boxes cannot provide all of the information that needs to be documented.
- Bavoid documenting personally identifiable information, such as the patient's name, because the PCR could be intercepted during transmission.
- Cdefer the narrative only if the information in the drop-down boxes accurately reflects the assessment and treatment that you performed.
- Denter all of the pertinent information of the electronic PCR, but then print it out and provide a copy to the emergency department staff.
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- Jones and Bartlet
- Author
- Seth Weaver
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- English
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