Test
EMT 2
Preguntas del test (74)
1A 15-year-old boy was killed when he was struck by a car while riding his bicycle. He has numerous disfiguring injuries and has been placed in the back of the ambulance to shield him from curious bystanders. When the child's parents arrive at the scene, they demand to see him. You should:
- AA. advise them that their son had severely disfiguring injuries and ask them if there is anyone they would like you to contact first. Correct
- BB. discreetly escort them to the back of the ambulance and allow them to see their child by themselves while you wait outside.
- CC. let them know that because of the circumstances of their child's death, they will not be permitted to see him at this time.
- DD. express your sincere condolences over their loss and have them escorted away from the scene by a law enforcement officer.
2A 75-year-old male with a terminal illness has died at home. As you and your partner enter the residence, a family member becomes verbally abusive, pushes you, and states that you took too long to get there. You should:
- Aretreat and notify law enforcement personnel.
- Btell the family member that it is not your fault.
- Csubdue the family member until the police arrive.
- Dignore the family member and assess the patient.
3A critical incident stress debriefing should be conducted no longer than ________ hours following the incident.
- A6
- B12
- C24
- D72
4A positive TB skin test indicates that:
- Athe disease is dormant and may become active.
- Byou are actively infected with the disease.
- Cyou have been exposed to the disease.
- Dyou have never been exposed to TB.
5According to Occupational Safety and Health Administration (OSHA) regulations, an employer must:
- Ascreen all prospective employees for bloodborne pathogens.
- Bprovide gloves and other personal protective equipment (PPE) to full-time paid employees only.
- Coffer a workplace environment that reduces the risk for exposure.
- Dguarantee a 100% risk-free environment prior to employment.
6According to the CDC, recommended immunizations and tests include a
- Asmallpox vaccine every 5 years.
- BTB skin test every 6 months.
- Ctwo-shot hepatitis A vaccination series.
- Dtetanus-diphtheria booster every 10 years.
7As an EMT, it is important to remember that the signs and symptoms of cumulative stress:
- Amay not be obvious or present all the time.
- Busually manifest suddenly and without warning.
- Ccannot be identified and can cause health problems.
- Dare most effectively treated with medications.
8At the scene of an automobile crash, a utility pole has been broken, and power lines are lying across the car. The patients inside the car are conscious. You should:
- Amark off a danger zone around the downed lines
- Badvise the patients to carefully get out of the car.
- Cremove the lines with a nonconductive object.
- Dproceed with normal extrication procedures.
9Carbon monoxide blocks the ability of the blood to oxygenate the body because it:
- Abinds with the hemoglobin in the red blood cells.
- Bfills the lungs with secretions.
- Ccauses the body to expel too much carbon dioxide.
- Ddestroys the number of circulating red blood cells.
10Common factors that influence how a patient reacts to the stress of an illness or injury include all of the following, EXCEPT:
- Adistrust of the EMT.
- Bmental disorders.
- Chistory of chronic disease.
- Dfear of medical personnel.
11Common questions asked by patients with a serious illness or injury include all of the following, EXCEPT:
- A“Am I going to die?”
- B“What hospital am I going to?”
- C“What are you doing to me?”
- D“Will I be permanently disabled?”
12Critical incident stress management (CISM) can occur at an ongoing scene in all of the following circumstances, EXCEPT:
- Awhen personnel are assessed during periods of rest.
- Bbefore personnel are preparing to reenter the scene.
- Cwhen patients are actively being assessed or treated.
- Dbefore leaving the scene after the incident is resolved.
13Determination of exposure is an important component of an infection control plan because it:
- Adetermines the time of day that most exposures are likely to occur.
- Bdetermines which type of communicable disease might be present in the workplace.
- Cdefines who is most likely to transmit communicable diseases in the workplace.
- Ddefines who is at risk for contact with blood and body fluids and which tasks pose a risk of exposure. Correct
14Gloves, a mask, eye protection, and a face shield should be used:
Select one:- Aany time you touch non-intact skin.
- Bduring routine cleaning of the ambulance.
- Cwhile handling needles or other sharps.
- Dwhen performing endotracheal intubation.
15Hazards that are associated with a structural fire include all of the following, EXCEPT:
Select one:- Athe risk of building collapse.
- Bhigh ambient temperatures.
- Ccarbon dioxide deficiency
- Dsmoke and toxic gases.
16If a mask cannot be placed on a coughing patient, the Centers for Disease Control and Prevention (CDC) recommend that you maintain a distance of at least ________ feet if possible.
- A2
- B3
- C4
- D5
17If a person is partially immune to a particular disease, he or she:
Select one:- Ais not protected from a new infection if exposed to another individual.
- Bmust be revaccinated at least every 18 months to avoid infection.
- Cmay develop illness from germs that lie dormant from the initial infection.
- Dwill not experience future illness, even if his or her immune system is stressed.
18If it is not possible to adequately clean your ambulance at the hospital following a call, you should:
Select one:- Athoroughly wash the back of the ambulance at a local car wash or similar facility.
- Bwait until the end of your shift and then disinfect the entire patient compartment.
- Cclean the ambulance at your station in a designated area that is well ventilated.
- Dquickly wipe down all high contact surfaces with an antibacterial solution.
19If you are exposed to a patient's blood or other bodily fluid, your first action should be to:
- Areport the incident to the infection control officer.
- Babandon patient care and seek medical attention.
- Ctransfer care of your patient to another EMS provider.
- Dvigorously clean the area with soap and water.
20If you use a waterless handwashing substitute in the field, it is important to:
Select one:- Awash your hands with soap and water at the hospital.
- Bimmediately dry your hands with a paper towe
- Cwait at least 5 minutes before touching another patient.
- Davoid donning another pair of gloves for at least 10 minutes.
21It is especially important for EMS personnel to develop nonadversarial relationships with their coworkers because they:
Select one:- Amay have to bunk in the same rooom
- Bmust work together every third day.
- Cdepend on each other for their safety.
- Dare highly prone to stress and burnout.
22Patients who become dependent upon EMS personnel or other health care providers often feel:
Select one:- Ashamed.
- Bhopeful.
- Csuperior.
- Drelieved.
23Physiologic manifestations of stress include:
Select one:- Aincreased blood pressure, decreased blood glucose levels, and chest pain.
- Bperspiration, increased blood glucose levels, and dilated pupils.
- Cslow heart rate, low blood pressure, and severe headaches.
- Dflushed skin, decreased muscle control, and vomiting.
24Prescription glasses do not provide adequate eye protection because they:
Select one:- Ado not have shatterproof lenses.
- Boffer little or no side protection.
- Care not secured with a strap.
- Dhave large rounded lenses.
25Quid pro quo, a type of sexual harassment, occurs when the harasser:
Select one:- Amakes rude remarks about a person's body parts.
- Bstares at certain parts of another person's anatomy.
- Ctouches another person without his or her consent.
- Drequests sexual favors in exchange for something else.
26The BEST way to reduce your risk of contracting a work-related disease following exposure is to:
- Avigorously wash the affected area with an antimicrobial solution.
- Bbe evaluated by a physician within 72 hours following the exposure.
- Cget vaccinated against the disease you think you were exposed to.
- Dactivate your department's infection control plan as soon as possible.
27The compliance monitoring component of an infection control plan should:
Select one:- Aensure that employees understand what they should do and why it is important
- Bidentify who to notify after an exposure and where treatment should be provided.
- Cconsist of a list of tasks that pose a risk for contact with blood or other body fluids.
- Daddress issues such as medical waste collection, storage, and ambulance disinfection.
28The final stage of death and dying is MOST commonly displayed as:
Select one:- Aacceptance.
- Bdepression.
- Cdenial.
- Danger.
29The general adaptation syndrome is characterized by which of the following phases?
Select one:- Aimmediate reaction, psychological exhaustion, and recovery
- Breaction and resistance, euphoria, and physical exhaustion
- Cdelayed reaction, alarm response, and physical recovery
- Dalarm response, reaction and resistance, and recovery
30The hepatitis B vaccine program, a component of the infection control plan, addresses all of the following issues, EXCEPT:
Select one:- Afamily history of hepatitis.
- Bpostvaccine antibody titers.
- Cvaccine safety and efficacy.
- Drecord keeping and tracking.
31The MOST effective way to preserve your own body heat when functioning in cold, wet weather is to:
- Awear socks made of heavy-duty cotton.
- Bwear at least three layers of clothing
- Cavoid outer clothing with zippers.
- Dwear a heavy, thick jacket or coat.
32The MOST important consideration at the scene of a hazardous material incident is:
Select one:- Aidentifying the material.
- Bcalling the hazardous materials team.
- Cevacuating the bystanders.
- Densuring your personal safety.
33The MOST serious consequence of drug or alcohol abuse among EMS personnel is:
Select one:- Asubstandard or inappropriate patient care.
- Bpunitive action and the loss of a job.
- Clow morale and frequently missed shifts.
- Dtension among coworkers and supervisors.
34The simplest yet most effective method of preventing the spread of an infectious disease is to:
Select one:- Aundergo an annual physical examination.
- Bensure that your immunizations are up-to-date.
- Cwash your hands in between patient contacts
- Dundergo human immunodeficiency virus (HIV) testing at least twice a year.
35The spread of HIV and hepatitis in the health care setting can usually be traced to:
Select one:- Aa noncompliance with standard precautions.
- Bexcessive blood splashing or splattering.
- Ca lack of proper immunizations.
- Dcareless handling of sharps.
36Upon arriving at the scene of a motor vehicle crash, you note that two small cars collided head-on; the occupants are still in their vehicles. The fire department is in the process of stabilizing the vehicles and law enforcement personnel are directing traffic. After parking the ambulance at a safe distance, you and your partner should:
Select one:- Aput on high-visibility safety vests.
- Bquickly begin the triage process.
- Cassist with vehicle stabilization.
- Dreport to the incident commander.
37Vaccination against the hepatitis A virus is unnecessary if you:
Select one:- Areceived a hepatitis B vaccination.
- Bare older than 35 years of age.
- Chave a weak immune system.
- Dhave been infected in the past.
38Vector-borne transmission of an infectious organism occurs via:
Select one:- Ainanimate objects.
- Bdirect contact.
- Csmoke or dust.
- Danimals or insects.
39What should you do before attempting to access a patient trapped in a vehicle?
Select one:- AContact medical control.
- BRequest another ambulance.
- CEnsure the vehicle is stable
- DCheck for other patients.
40What type of stress reaction occurs when an EMT is exposed to many insignificant stressors over a period of several months or years?
Select one:- Acritical incident stress reaction
- Bposttraumatic stress reaction
- Ccumulative stress reaction
- Dacute stress reaction
41When a patient is dying, he or she may experience regression. This is MOST accurately defined as:
- Aanger projected toward the EMT or other providers.
- Ba decreased ability to exercise age-appropriate judgment.
- Cbehavior consistent with an earlier developmental stage
- Dfear of being completely dependent upon other people.
42When caring for the parents of a child who has died of leukemia, the EMT should:
- Aacknowledge the death of their child in private
- Brefrain from using words such as “died” or “dead.”
- Ctell them that their feelings are understood.
- Dimmediately refer them to a counselor.
43When considering his or her personal life, it is important for the EMT to realize that:
Select one:- Ait is more difficult to effectively relax at home than it is while on duty.
- Bfamily or friends may not understand the stress associated with EMS.
- Cshift work is the least stressful type of an EMS-related work schedule.
- Dhe or she should not discuss stressful issues with family members.
44When decontaminating the back of your ambulance after a call, you should:
Select one:- Aspray the contaminated areas and then immediately wipe them dry with a towel.
- Bclean all surfaces and patient contact areas with a mixture of alcohol and water.
- Cuse a bleach and water solution at a 1:2 dilution ratio to thoroughly wipe all surfaces.
- Dallow surfaces to air dry unless otherwise indicated in the product directions
45When treating a patient who is trapped in a vehicle and covered with broken glass, it is BEST to wear:
Select one:- Athick fire fighter gloves over two pairs of latex gloves.
- Bfire fighter gloves only, to preserve manual dexterity.
- Cpuncture-proof leather gloves over your latex gloves
- Dlatex gloves with thick leather gloves underneath.
46Which of the following factors is NOT taken into consideration when assessing a person's potential for violence?
Select one:- Alarge physical size
- Bsubstance abuse
- Ctattoos, such as those with gang identification
- Dpoor impulse control
47Which of the following infectious diseases confers no protection from re-infection after exposure?
Select one:- Amumps
- Brubella
- Csyphilis
- Dchickenpox
48Which of the following is the MOST effective strategy for managing stress?
Select one:- AFrequently reflect on troublesome calls.
- BAvoid friends and interests outside of EMS.
- CRequest overtime to increase your income.
- DFocus on delivering high-quality patient care
49Which of the following is the MOST significant factor in determining if a person will become ill from certain germs?
- Aimmunity
- Bgender
- Crace
- Dage
50Which of the following scenarios MOST accurately depicts a posttraumatic stress disorder (PTSD) reaction?
Select one:- AAn EMT becomes distracted at the scene of a motor vehicle crash involving the same type of car in which a child was previously killed.
- BAn EMT is emotionally exhausted and depressed after a school bus crash involving critical injuries and the death of several children.
- CA newly certified EMT becomes extremely nauseated and diaphoretic at the scene of an incident involving grotesque injuries.
- DAn EMT with many years of field experience becomes irritable with her coworkers and experiences headaches and insomnia.
51Which of the following signs would indicate that your partner is experiencing significant stress?
Select one:- Aacute increase in his or her appetite
- Bhyperactivity during an EMS call
- Cisolation from the rest of the crew
- Dincreased interest in daily activities
52Which of the following statements is MOST consistent with the bargaining phase of the grieving process?
Select one:- A“The doctors must be wrong in their diagnosis because I have always been healthy.”
- B“I understand that my death is inevitable and I am ready to die when the time comes.”
- C“I will be compliant with all my medications if I can just see my grandson graduate.
- D“It is because of our lousy health care system that I developed this brain tumor.”
53Which of the following statements regarding a patient with a behavioral crisis is correct?
Select one:- APeople who say that they are “hearing voices” are usually bluffing you.
- BDepression accounts for a very small percentage of violent attacks.
- CA quiet patient is not as likely to attack you as one who is screaming
- DA past history of violence is an unreliable indicator of future violence.
54Which of the following statements regarding HIV is correct?
Select one:- AThere is no vaccine against HIV infection.
- BHIV is transmitted exclusively via blood.
- CIt is far more contagious than hepatitis B.
- DIt is easily transmittable in the EMS field.
55Which of the following statements regarding the different stages of the grieving process is correct?
Select one:- ABargaining is the most unpleasant stage of the grieving process.
- BThe grieving process typically begins with severe depression.
- CIt is rare that people will jump back and forth between stages.
- DThe stages of the grieving process may occur simultaneously.
56Which of the following statements regarding the hepatitis B vaccine is correct?
- AVaccination with the hepatitis B vaccine confers immunity against hepatitis A.
- BThe hepatitis B vaccine provides protection against the disease for 2 years.
- COSHA requires that your employer offer you the vaccine free of charge
- DVaccination against hepatitis B provides partial immunity for life.
57Which of the following statements would NOT be appropriate to say to the family of a dying patient?
- AThings will get better in time
- B“It is okay to be angry and sad.”
- CThis must be painful for you.”
- D“Tell me how you are feeling.”
58While assisting an advanced life support (ALS) ambulance crew, you are accidentally stuck with an IV needle. You should:
- Adiscontinue patient care and seek medical attention.
- Bget immunized against hepatitis as soon as possible.
- Creport the incident to your supervisor after the call.
- Dimmerse your wound in an alcohol-based solution.
59While on duty, your partner asks you out on a date and touches you in an inappropriate location without your consent. You should:
Select one:- Atell your partner to stop and report the incident to your supervisor.
- Bnotify law enforcement personnel and have your partner arrested.
- Cwarn your partner that you will report him or her if it happens again.
- Dtell your partner to quit kidding around and focus on his or her job.
60While providing care to a patient, blood got onto the ambulance stretcher. Because the stretcher was not properly cleaned afterward, a virus was transmitted to another emergency medical technician (EMT) several days later. What route of transmission does this scenario describe?
- Avector-borne transmission
- Bairborne transmission
- Cindirect contact
- Ddirect contact
61While trying to make a family member feel better after a loved one has died, your partner uses trite statements. The family members may view this as:
Select one:- Ayour partner's caring and supportive attitude.
- Bcoaching them through the grieving process.
- Ca show of respect for the person who has died.
- Dyour partner's attempt to diminish their grief.
62You and your partner are EMTs and have been dispatched to standby at the scene of a residential fire. While standing next to the ambulance observing the fire fighters, you see a woman frantically moving around in her burning house. You should:
Select one:- Aimmediately notify the incident commander or safety officer.
- Bstay where you are until fire fighters remove her from the house.
- Cdon a self-contained breathing apparatus (SCBA) and rescue the woman.
- Drequest permission from the fire chief to enter the structure.
63You and your partner respond to the residence of a 66-year-old male with shortness of breath. As you are assessing the patient, his wife tells you that he was recently diagnosed with lung cancer. The patient is verbally abusive and tells you that failure of the health care system caused his disease. What stage of the grieving process is this patient's behavior consistent with?
Select one:- Adepression
- Bbargaining
- Canger
- Ddenial
64You are assessing a middle-aged man with chest pain that you suspect is caused by a cardiac problem. The patient tells you that he does not want to go to the hospital and insists that you leave him alone. You should:
Select one:- Areassure him that he will not receive a bill for the EMS call if he cannot pay.
- Btell him that he is having a heart attack and that he needs to go to the hospital.
- Cexplain the seriousness of the situation to him, but avoid causing undue alarm.
- Dproceed to treat him because the stress of the situation has impaired his thinking.
65You are assessing a woman who was thrown from her horse. She is located in a large field and you can see that a thunderstorm is rapidly approaching. Suddenly, you feel your skin begin to tingle and the hair on your arms stands on end. The ambulance is located about 30 yards away. You should:
Select one:- Aimmediately lie down on your side and draw your knees into your abdomen.
- Bquickly cover the patient with a blanket and then lie down flat on the ground.
- Csit down, bend your knees, and hold your crossed arms close to your body.
- Dcrouch down in a position so that only your feet are touching the ground.
66You are caring for a 35-year-old female with pregnancy-related complications. She is clearly experiencing significant stress and is crying uncontrollably. Your MOST appropriate action would be to:
Select one:- Arestrain her if she is extremely emotional and will not calm down.
- Bexplain to her that “everything will be all right” in order to calm her down.
- Cdiscourage her from expressing fears until a counselor is available.
- Ddemonstrate courtesy and speak with a professional tone of voice.
67You are caring for a 40-year-old female who was involved in a motor vehicle crash. Her husband, who was driving the vehicle, was killed. When the patient asks you if her husband is all right, you should:
Select one:- Aavoid answering her questions and focus on her injuries.
- Blet clergy or hospital staff relay the bad news if possible.
- Cimmediately tell her of his death so that she may grieve.
- Dtell her that he is being resuscitated by other EMTs.
68You are dispatched to the scene of a crash involving a large tanker truck. While you are en route, dispatch advises you that there are multiple patients and that the fire department is en route as well. As you approach the scene, you should:
Select one:- Adon PPE and quickly triage all patients.
- Bimmediately begin evacuating residents that live near the crash site.
- Ccordon off the area and quickly remove all of the injured patients.
- Dmaintain a safe distance and try to read the placard with binoculars.
69You are summoned to a convalescent center for an 88-year-old female with an altered mental status. A staff nurse advises you that the patient has terminal cancer and her physician stated that she would probably die within the next few hours; a valid do not resuscitate (DNR) order is presented to you. When caring for this patient, you should:
Select one:- Amake her comfortable and provide emotional support.
- Bprovide no interventions and transport to the hospital.
- Cstart cardiopulmonary resuscitation (CPR) if she experiences cardiopulmonary arrest.
- Ddepart the scene and allow her to die with dignity.
70You are transporting a 40-year-old male with respiratory distress. The patient tells you that he recently had a positive tuberculosis (TB) skin test and is currently being evaluated for possible TB. You should:
Select one:- Aapply a nasal cannula on the patient and a sterile surgical mask on yourself.
- Bapply a sterile surgical mask on yourself and a HEPA respirator on the patient.
- Cremain at least 3 feet away from the patient and apply a surgical mask on him.
- Dapply a nonrebreathing mask on the patient and a high-efficiency particulate air (HEPA) respirator on yourself.
71You are transporting an elderly woman who has possibly experienced a stroke. She is obviously scared but is unable to talk and cannot move the entire right side of her body. In addition to providing the medical care that she needs, you should:
Select one:- Atell her that you understand why she is scared and that everything will likely be okay.
- Bmaintain eye contact at all times and tell her that there is no need for her to be scared.
- Cacknowledge that she is scared and tell her that you are going to take good care of her.
- Dreassure her that after proper treatment in the hospital, she will regain her speech in time.
72You arrive at the scene of a domestic violence situation. As you approach the doorway of the apartment, you hear screaming and the statement “He has a gun!” Your MOST appropriate action should be to:
Select one:- Aseek a safe place and request law enforcement assistance.
- Bget in your ambulance and leave the scene immediately.
- Cproceed into the apartment and apprehend the gunman.
- Dcontinue into the apartment using extreme caution.
73You have been working at the scene of a major building collapse for 8 hours. Many injured people are still being removed, and everyone is becoming frustrated and losing focus. This situation is MOST effectively managed by:
Select one:- Aproviding large amounts of caffeine to the rescue workers.
- Brequesting a CISM team to provide on-scene peer support.
- Cconducting a critical incident stress debriefing the next day.
- Dallowing each worker to sleep in 15- to 30-minute increments.
74Your partner, a veteran EMT who you have worked with regularly for the past 4 years, seems unusually agitated during a call involving an elderly patient. Upon arrival back at your station, you note the obvious smell of alcohol on his breath. What should you do?
Select one:- ARemain quiet and simply request another partner.
- BReport the incident to your EMS medical director.
- CDiscreetly report your suspicions to your supervisor.
- DTell your partner that he must seek professional help.
Información
- Descripción
- Jones and Barlett
- Autor
- Seth Weaver
- Idioma
- English
- Visitas
- 339
- Historial
- Creado el 22 may 2018 · actualizado el 22 may 2018
- Etiquetas
- Valoración
- Aún sin valoraciones Valora este test