Emergency Care EMT 13th Edition Daniel Limmer Test Bank

1 Emergency Care (EMT) 13th Edition Daniel Limmer Test Bank Exam

Name

MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question.1) Which of the following BEST describes a communication system capable of identifying the number and location of the phone from which a caller is calling?

• Enhanced 911 B) Advanced 911
• Data display 911 D) Priority dispatch 911

Answer: A

Explanation: A) CORRECT. An enhanced 911 system has the capability of automatically identifying the caller's phone number and location.

• INCORRECT. Advanced 911 is an emergency texting system rather than a system

for locating callers.

• INCORRECT. Data display 911 does not refer to a system capable of identifying a

caller's location.

• INCORRECT. Priority dispatch 911 would refer more to an internal

communication center protocol than a system for displaying locations and phone numbers.

2) Which of the following is the most common gateway for hospital services for patients who need emergency medical assistance?

• Emergency medical dispatch center B) Emergency medical services system
• Surgical services department D) Emergency department

Answer: D

Explanation: A) INCORRECT. An emergency medical dispatch center coordinates transports to the hospitals, but is not involved in determining or promoting specific hospital services.

• INCORRECT. The EMS system is not generally involved with hospital services

other than the emergency department.

• INCORRECT. Although an important component of a hospital's services, not all

emergency medical patients will require surgery.

• CORRECT. The emergency department serves as the gateway for the rest of the

services offered by a hospital.

3) The National Registry of Emergency Medical Technicians (NREMT) was founded to establish which of the following?

• Quality oversight of emergency medical services practices
• Quality improvement and quality assurance programs for emergency medical services
• An education curriculum for EMT courses
• National standards for emergency medical services personnel

Answer: D

Explanation: A) INCORRECT. The NREMT created the standards used for modern EMS, but the organization does not oversee or determine the quality of provided services.

• INCORRECT. The NREMT developed the professional standards for emergency

care personnel, but is not involved in quality improvement or any assurance of the care provided.

• INCORRECT. Although EMT course curricula are based on the standards

provided by the NREMT, the National Registry was not founded to create them.

• CORRECT. In 1970, the National Registry of Emergency Medical Technicians

(NREMT) was founded to establish national standards within the industry.

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2 4) What is NOT one the common settings that an EMT may work in? 4)

• Ambulance services B) Rural/wilderness settings
• Fire departments D) Hospitals

Answer: D

Explanation: A) INCORRECT. One common setting that EMTs work in is ambulance services.

• INCORRECT. One common setting that EMTs work in is rural/wilderness settings.
• INCORRECT. One common setting that EMTs work in is fire departments.
• CORRECT. EMTs do not work in a hospital.

5) What BEST describes the level of EMS training that emphasizes use of advanced airway devices 5) and some prehospital medication administration?

• Advanced EMT B) EMT
• Emergency Medical Responder D) Paramedic

Answer: A

Explanation: A) CORRECT. The Advanced EMT (AEMT) provides basic- level care and

transportation as well as some advanced- level care, such as use of advanced airway devices, monitoring of blood glucose levels, and administration of some medications, which may include intravenous and intraosseous administration.

• INCORRECT. EMTs provide basic- level medical and trauma care but cannot

manage advanced airways or administer medications.

• INCORRECT. The first level of EMS training (Emergency Medical Responder) is

primarily focused on activating the EMS system and immediate care for life- threatening injuries.

• INCORRECT. The Paramedic performs all of the skills of the EMT and AEMT plus

advanced- level skills. The Paramedic provides the most advanced level of prehospital care.

6) Which of the following agencies is responsible for establishing EMS system assessment programs? 6)

• Department of Health and Human Services (HHS)
• National Highway Traffic Safety Administration (NHTSA)
• United States Health Services Agency (HSA)
• National Transportation Safety Board (NTSB)

Answer: B

Explanation: A) INCORRECT. The Department of Health and Human Services (HHS) is not responsible for EMS system assessment programs.

• CORRECT. The National Highway Traffic Safety Administration (NHTSA)

Technical Assistance Program has established assessment programs with set standards for EMS systems.

• INCORRECT. The United States Department of Health and Human Services has no

oversight of EMS systems.

• INCORRECT. The National Transportation Safety Board (NTSB) does not establish

EMS system assessment programs. 2 / 4

3 7) Upon arrival at the hospital, the EMT advises hospital personnel of the patient's condition, observations from the scene, treatment rendered, and other pertinent data to assure continuity of care. This process is known as which of the following?

• Definitive care B) Transfer of care C) End of tour D) Breach of duty

Answer: B

Explanation: A) INCORRECT. Definitive care refers to the type of care ultimately needed by a patient, not to the process of transferring the patient to hospital staff.

• CORRECT. Providing the receiving hospital staff with information on the patient's

condition, observations of the scene, and other pertinent data so that there will be continuity of care is part of the transfer of care process.

• INCORRECT. The end of tour generally refers to the end of a scheduled EMS shift

and is not related to patient care.

• INCORRECT. A breach of duty occurs when an EMT has a responsibility to care

for a patient and does not follow through.

8) What is the minimum level of certification required of ambulance personnel responsible for direct patient care?

• Emergency Medical Technician B) Emergency Ambulance Driver
• Emergency Medical Responder D) Advanced EMT

Answer: A

Explanation: A) CORRECT. In most areas, the Emergency Medical Technician (EMT) is considered the minimum level of certification for ambulance personnel.

• INCORRECT. Most ambulance personnel are expected to be at the EMT level or

higher.

• INCORRECT. An Emergency Medical Responder (EMR) is below the EMT

certification level, and below the minimum usually expected for ambulance personnel.

• INCORRECT. Advanced EMTs have a higher level of certification than what is

commonly required as the minimum for ambulance personnel.7)

8)

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4 9) You and your new EMT partner arrive first on the scene of a single car rollover on the shoulder of a busy highway. You pull off in a safe location and just as you stop the ambulance, your partner throws the passenger door open, steps out of the truck, and begins jogging through the scattered debris toward the overturned car. You shout for him to stop and he looks back at you, but then continues to the vehicle and begins assessing the driver. Later, as you are restocking in the ambulance bay of the local trauma center your partner tells you that he thinks you acted unprofessionally by shouting at him. What is the best way to respond?

• An EMT should never hurry to assist a patient.
• The On- Duty Supervisor should be called.
• New EMTs should expect partners to yell at them occasionally.
• Shouting was an attempt to protect the EMT from a potentially unsafe scene.

Answer: D

Explanation: A) INCORRECT. Emergency medical care sometimes does require responders to act quickly, but never when it places others on scene in danger.

• INCORRECT. It is important for EMT partners to be able to communicate

effectively and professionally when debriefing calls. Generally, a Supervisor should only become involved if the EMTs cannot resolve a conflict themselves or if they need a specific question answered.

• INCORRECT. Although sometimes the noise level of a situation requires

responders to raise their voices to be heard, expecting to be yelled at simply because one is a new EMT is not professional or correct.

• CORRECT. Quickly entering a dangerous scene without taking proper precautions

will create additional risks. A professional EMT should always be concerned about the safety of everyone on scene; not just themselves and the patients, but other responders as well. In this case, shouting at the EMT was an appropriate attempt to prevent him from entering an unsafe situation.9)

10) Which of the following is a personal trait an EMT should demonstrate? 10)

• Strong communication B) Good eyesight
• Self- starter D) Strong student

Answer: C

Explanation: A) INCORRECT. Strong communication is obviously important for an EMT, but it is the result of certain personal traits (respectful, able to listen, controlled in tone, etc.)  not a personal trait itself.

• INCORRECT. Good eyesight is a critical physical trait for an EMT to have.
• CORRECT. One of the personal traits of an effective EMT is that of being a

self- starter.

• INCORRECT. Being a strong student is a good quality, but personal traits relate to

the behavior and demeanor of the EMT, not her strength in a particular task.

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