EP EMT JB learning Test

Quality control in an EMS system is the ultimate responsibility of the:

A. paramedic.

B. lead EMT.

C. medical director.

D. EMS administrator.

• A

• B

• C

• D

Answer explanation

The medical director is responsible for maintaining quality control, which ensures that all staff members who are involved in caring for patients meet the standard of care on every call.

Which of the following is an example of care that is provided using standing orders?

A. Medical control is contacted by the EMT after a patient with chest pain refuses EMS care.

B. The EMT defibrillates a patient in cardiac arrest, begins CPR, and then contacts medical control.

C. A physician gives the EMT an order via radio to administer oral glucose to a diabetic patient.

D. Following an overdose, the EMT contacts the medical director for permission to give activated charcoal.

• A

• B

• C

• D

Answer explanation

Standing orders—a form of off-line (indirect) medical control—involves performing certain life-saving interventions (ie, CPR, defibrillation, bleeding control) before contacting a physician for further instructions.

Upon arriving at the scene of a domestic dispute, you hear yelling and the sound of breaking glass from inside the residence. You should:

A immediately gain access to the patient.

B carefully enter the house and then call the police.

C retreat to a safe place until the police arrive.

D tell the patient to exit the residence so you can provide care.

• A

• B

• C

• D

Answer explanation

Never enter a scene in which signs of violence are present, including yelling, screaming, or the sound of breaking glass. Law enforcement must secure the scene prior to the EMT’s entry.

Which of the following is NOT a component of continuous quality improvement (CQI)?

A Periodic review of run reports

B Discussion of needs for improvement

C Negative feedback given to those who make mistakes while on a call

D Remedial training as deemed necessary by the medical director

• A

• B

• C

• D

Answer explanation

The purpose of CQI is to ensure that the standard of care is provided on all calls. This involves periodic run report reviews, discussing needs for improvement, and providing remedial training as deemed necessary by the medical director. Positive feedback should be provided during this process.

All of the following are responsibilities of the EMS medical director, EXCEPT:

A. evaluating patient insurance information.

B. serving as a liaison to the medical community.

C. ensuring that the appropriate standards are met by EMTs.

D. ensuring appropriate EMT education and continuing training.

• A

• B

• C

• D

Answer explanation

Responsibilities of the medical director include serving as a liaison to the medical community, ensuring that appropriate standards are met by EMS personnel, and ensuring appropriate EMT education and continuing training. Insurance matters are handled by the EMS billing department.

Which of the following situations would MOST likely disqualify a person for EMS certification?

A. A misdemeanor committed at age 17

B. Driving under the influence of alcohol

C. Possessing a valid driver’s license from another state

D. A mild hearing impairment that is corrected with hearing aids

• A

• B

• C

• D

Answer explanation

In most states, a person may be denied EMS certification for being convicted of a felony, such as driving under the influence of alcohol or other drugs.

Which of the following should be the EMT’s highest priority?

A. Controlling severe bleeding

B. Maintaining a patient’s airway

C. Ensuring patient safety

 Ensuring personal safety

• A

• B

• C

• D

Answer explanation

Personal safety is of utmost concern for the EMT. This involves sizing up a scene to determine whether the scene is safe to enter. This will ensure the safety of all personnel.

A patient who requires cardiac monitoring in the field would require, at a minimum, which level of EMS provider?

A. EMR

B. EMT

C. Paramedic

D.  AEMT

• A

• B

• C

• D

Answer explanation

Of all levels of EMS provider, the paramedic is trained in advanced medical care, including cardiac monitoring, IV therapy, and administration of a variety of emergency drugs.

Which of the following is a professional responsibility of the EMT?

A. Telling the family of a dying patient that everything will be OK

B. Maintaining only the skills that he or she feels uncomfortable with

C. Maintaining a professional demeanor in even the most stressful situations

D. Advising an emergency department nurse that patient reports are given only to a physician

• A

• B

• C

• D

Answer explanation

Because the public relies upon the EMT to remain calm when others cannot, he or she must project a professional and calm demeanor even when under extreme stress.

Emergency patient care occurs in progressive phases. What occurs first?

A. Activation of EMS

B. Initial prehospital care

C. The patient receives definitive care

D. Incident recognition

• A

• B

• C

• D

Answer explanation

Someone must recognize an emergency before EMS can be activated.