EMT Exam Chapters 1-4: Practice Questions and Answers

Posted on Sep 13, 2024 in Medicine & Health

Exam Chapters 1 – 4
Pruitt, Ashley S
Grade: 124

1.) What reference provides important information regarding hazardous materials, emergency care, and procedures in case of accidental fire or release; supplies definitions of placard colors and identification numbers; and should be standard issue on-board all ambulances and rescue units? (worth 1)
A.) Accidental Exposure and Contamination Guide * B.) Emergency Response Guidebook C.) Emergency Preparedness and Response Plan D.) Material Safety Data Sheets
Student Answer: B Correct Answer: B

2.) Which of the following situations would require the use of an emergency move? (worth 1)
A.) Your patient has a life-threatening condition that requires repositioning. * B.) You must reach other, more critically injured patients. C.) The scene is hazardous. D.) All of the above
Student Answer: B Incorrect! The correct answer is: D

3.) Which of the following statements about HIV/AIDS is true? (worth 1)
A.) HIV positive needlesticks have a 30 percent infection rate. B.) The HIV virus lives longer outside the body than hepatitis B. * C.) HIV positive needlesticks have less than a 0.05 percent infection rate D.) Drugs are not available that slow HIV from progressing into AIDS.
Student Answer: C Correct Answer: C

4.) You respond to a bus accident with multiple patients. As you arrive at the scene, you are approached by a local politician who states that his wife has been involved. He tells you that if you will take care of her first, he will ensure that you get the promotion you are up for. This becomes what type of decision for you as an EMT? (worth 1)
A.) Legal B.) Financial C.) Medical * D.) Ethical
Student Answer: D Correct Answer: D

5.) You are moving an elderly patient down the stairs using a stair chair. The patient is alert and very anxious. What should you do prior to moving the patient to prevent her from grabbing the railing and causing you to fall? (worth 1)
A.) Explain to the patient what you are doing and advise her to hold her hands together and not let go until you are finished moving her. B.) Gently tie the patient’s hands together until you are downstairs to prevent her from unconsciously grabbing the railing. * C.) Use a strap to safely secure the patient’s arms to the chair without causing any loss of circulation to the patient’s extremities. D.) Place the patient on oxygen during the move to calm her down.
Student Answer: C Incorrect! The correct answer is: A

6.) An EMT may consider wearing protective eyewear when caring for which of these patients? (worth 1)
A.) A patient with a difficult-to-visualize scalp laceration B.) A trauma patient who is covered in dirt, rocks, and other foreign debris * C.) A patient who is actively coughing D.) A patient who was sprayed with mace by police during arrest
Student Answer: C Correct Answer: C

7.) Which of the following terms is best defined as “a state of physical and/or psychological arousal to a stimulus”? (worth 1)
A.) Homeostasis B.) Distress * C.) Stress D.) Eustress
Student Answer: C Correct Answer: C

8.) Which of the following statements is true concerning the H1N1 Swine Flu? (worth 1)
A.) Efforts to slow the spread of disease are ineffective. B.) Symptoms are unrecognizable until fatal. C.) It has killed 30 to 50 million people worldwide. * D.) Respiratory droplets are its mode of transmission
Student Answer: D Correct Answer: D

9.) Which of the following factors should be considered before lifting any patient? (worth 1)
A.) The weight of the patient B.) Your physical limitations C.) Communications * D.) All of the above
Student Answer: D Correct Answer: D

10.) You are called to an assault on a homeless male. Dried blood from the trauma is visible around the patient’s mouth and nose. During assessment, you note the patient has a productive cough. The patient says, “Don’t worry, I’m not contagious. I’ve had this cough for a year.” Describe the best approach regarding respiratory isolation. (worth 1)
A.) Isolate the patient with a nonrebreather mask. * B.) Mask yourself and the patient C.) Mask yourself only. D.) Use gloves for PPE, as that’s all that’s needed.
Student Answer: B Correct Answer: B

11.) Who is responsible for on-scene safety of EMS providers? (worth 1)
A.) Traffic director B.) Law enforcement * C.) All crew members D.) Triage officer
Student Answer: C Correct Answer: C

12.) Which of the following groups is credited with developing the earliest documented emergency medical service? (worth 1)
A.) The Spanish B.) The Egyptians C.) The Mayans * D.) The French
Student Answer: D Correct Answer: D

13.) Which of the following is a physical trait necessary for performing the duties of an EMT? (worth 1)
A.) Nonjudgmental and fair B.) Ability to lift and carry 200 pounds C.) Giving and receiving written instructions * D.) Ability to remain calm in stressful situations
Student Answer: D Incorrect! The correct answer is: C

14.) Which of the following is the primary responsibility of the EMT? (worth 1)
A.) Protect and stabilize the patient B.) Communicate with other responders on the scene C.) Maintain personal health and safety * D.) Provide emergency care
Student Answer: D Incorrect! The correct answer is: C

15.) An off-duty EMT is driving down the road when she sees a major vehicle accident. There are no Emergency Medical Responders on the scene yet. There are only Good Samaritans. The EMT is late for a doctor’s appointment so she decides that she will not stop and help. The driver of the vehicle dies before help arrives. One of the Good Samaritans notices her EMT license plates and writes them down as she passes by. The Good Samaritan is angry that the EMT did not stop and help and tries to get the EMT fired for not helping. Which of the following statements is true? (worth 1)
* A.) The EMT is negligent for not stopping and helping. B.) The EMT is negligent because the patient died. C.) The EMT is not negligent because she had a doctor’s appointment. D.) The EMT is not negligent because she did not have a duty to act
Student Answer: A Incorrect! The correct answer is: D

16.) Where should you position the weight of the object being lifted? (worth 1)
A.) As far from the body as possible B.) An arm’s length away from the body C.) Below your waist * D.) As close to the body as possible
Student Answer: D Correct Answer: D

17.) Which of the following BEST describes an urgent move? (worth 1)
* A.) Moving a patient from a car directly to a long spine board B.) Dragging a patient from a burning house using his shirt C.) Using a sheet to move a patient from a bed to the stretcher D.) None of the above
Student Answer: A Correct Answer: A

18.) Post-traumatic stress disorder may be described as a(n): (worth 1)
A.) acute stress reaction. B.) cumulative stress reaction. C.) severe stress reaction. * D.) delayed stress reaction
Student Answer: D Correct Answer: D

19.) You respond to the scene of a two-vehicle T-bone motor collision. The driver’s side door is smashed shut and will not open. The front passenger door will open. The front passenger is stable and complaining of severe head and neck pain. You suspect that he has a potential spinal injury. The driver is unresponsive, in critical condition, and has gurgling respirations. You should extricate the passenger by which technique? (worth 1)
A.) Carefully move the patient using full c-spine precautions. B.) Take extra care to protect the passenger’s neck with a KED board or short spine board because of the injury. * C.) Move the patient out of the car as quickly as possible, in the direction of the long axis of the body D.) Move the patient as quickly as possible so he can get to a hospital before paralysis sets in.
Student Answer: C Correct Answer: C

20.) You have responded to a nursing home and find an elderly patient in his bed in cardiac arrest. Which type of move would you perform to get the patient to a hard surface so you can perform chest compressions? (worth 1)
A.) Non-urgent move B.) Clothing drag C.) Urgent move * D.) Emergency move
Student Answer: D Correct Answer: D

21.) Since EMS personnel are often exposed to both acute and chronic stressors, ________ management may be helpful to cope with on-the-job experiences. (worth 1)
* A.) critical incident stress B.) crisis intervention stress C.) stress prevention D.) chronic stress
Student Answer: A Correct Answer: A

22.) When transporting a patient with tuberculosis, a(n) ________ mask should be worn by the EMT and a(n) ________ mask should be worn by the patient. (worth 1)
A.) N-95; N-95 B.) surgical; surgical C.) surgical; N-95 * D.) N-95; surgical
Student Answer: D Correct Answer: D

23.) What is a common term used to describe the items needed for Standard Precautions or body substance isolation precautions? (worth 1)
A.) Harm-reduction strategy B.) Exposure-control plan * C.) Personal protective equipment D.) Infection-control plan
Student Answer: C Correct Answer: C

24.) What are some signs and symptoms that a coworker may be experiencing delayed stress reaction (PTSD)? (worth 1)
A.) Irritability with friends, family, coworkers, or patients B.) Difficulty sleeping, loss of appetite, and distractibility C.) Headaches, stomach ailments, and a chronic cough * D.) Flashbacks, nightmares, and feelings of detachment
Student Answer: D Correct Answer: D

25.) Which of the following is the EMT’s primary responsibility at a crime scene? (worth 1)
A.) Identifying any potential suspects encountered at the scene * B.) Securing his or her own safety C.) Taking notes that may be needed during court testimony D.) Preserving evidence
Student Answer: B Correct Answer: B

26.) Which of the following has the ultimate responsibility for the patient care aspects of an EMS system? (worth 1)
* A.) Medical Director B.) Ambulance service director C.) EMS battalion chief D.) Legal counsel
Student Answer: A Correct Answer: A

27.) You have responded to a multiple casualty incident involving an overturned bus. Patients have been thrown around the interior of the bus and several are piled on top of each other. What type of move would you perform to gain access to the most critically injured patients? (worth 1)
A.) Non-urgent move B.) Extremity drag C.) Urgent move * D.) Emergency move
Student Answer: D Correct Answer: D

28.) What BEST defines direction given to the EMT by a physician over the telephone or radio? (worth 1)
A.) Off-line medical direction B.) Virtual medical direction C.) Verbal medical direction * D.) On-line medical direction
Student Answer: D Correct Answer: D

29.) Which of the following BEST describes the purpose of the modern emergency medical services (EMS) system? (worth 1)
A.) To have trained personnel respond quickly and provide emergency care on the scene, during transport, and at the hospital B.) To have trained personnel capable of assessing and caring for injured and ill patients on the scene * C.) To have trained personnel understand the limitations of their training and “do no harm,” while providing prompt transport to the hospital D.) To have trained personnel knowledgeable in all aspects of prehospital care
Student Answer: C Incorrect! The correct answer is: A

30.) You observe a coworker telling a terminal cancer patient and her family, “Everything will be OK.” Making false reassurances is considered: (worth 1)
* A.) naive and uncompassionate B.) caring and supportive. C.) professional and discreet. D.) ambiguous and uncertain.
Student Answer: A Correct Answer: A

31.) Which of the following requires training, policies, and procedures related to storing, accessing, and sharing patient information? (worth 1)
* A.) HIPAA B.) HIAPA C.) EMTALA D.) COBRA
Student Answer: A Correct Answer: A

32.) Your patient is a 10-year-old boy who suffered a possible fractured arm while rollerblading at a friend’s house. Which of the following is the BEST way to obtain consent for treatment? (worth 1)
A.) Act on implied consent. B.) Get consent from the patient’s 15-year-old sister, who is at the scene. * C.) Call the patient’s mother at work D.) Allow the patient to consent as an emancipated minor.
Student Answer: C Correct Answer: C

33.) While treating a patient involved in a shooting at a patient’s vacation home, which of the following actions may interfere with the investigation of a crime scene? (worth 1)
A.) Moving the patient B.) Using the bathroom C.) Using the patient’s phone * D.) All of the above
Student Answer: D Correct Answer: D

34.) Why is it important for EMTs to participate in quality improvement programs? (worth 1)
A.) To ensure that individuals making false calls for EMS are prosecuted B.) To identify problem employees and create a corrective action plan C.) To identify problems and develop a plan to prevent their recurrence * D.) To ensure adequate personnel are available for emergencies
Student Answer: D Incorrect! The correct answer is: C

35.) You are on the scene with a 72-year-old male patient with chest pain. The patient is complaining of shortness of breath but also refuses to go to the hospital, even after multiple attempts urging him to go. Which of the following should you do next? (worth 1)
A.) Stay with the patient until he loses consciousness. * B.) Fully inform the patient about his situation and the implications of refusing care C.) Inform the patient that he is having a “heart attack” and must be taken to the hospital for evaluation. D.) Contact medical direction for orders to restrain the patient.
Student Answer: B Correct Answer: B

36.) Which of the following is an example of patient advocacy? (worth 1)
* A.) Immobilizing the neck of a patient with a possible spinal injury B.) Granting patient wishes and not reporting spousal abuse to the authorities C.) Building rapport with the patient during transport to the hospital D.) Providing oxygen to a patient that is short of breath
Student Answer: A Incorrect! The correct answer is: C

37.) Which level of EMS training is designed for the person who is often first at the scene, including police officers and firefighters, with an emphasis on activating the EMS system? (worth 1)
A.) Emergency Medical Technician * B.) Emergency Medical Responder C.) Paramedic D.) Advanced EMT
Student Answer: B Correct Answer: B

38.) When moving an object across the floor, which of the following is the best technique? (worth 1)
A.) Place your back against the object and push backwards with your legs to move the object. * B.) Stand behind the object and push it in front of you C.) Face away from the object and walk forward, pulling it behind you. D.) Face the object and walk backward, pulling it toward you.
Student Answer: B Correct Answer: B

39.) Prehospital and emergency in-hospital care together are collectively called the: (worth 1)
A.) community wellness program. B.) healthcare system. * C.) emergency medical services system. D.) rapid response team.
Student Answer: C Correct Answer: C

40.) You and your partner arrive on the scene of a 400-pound patient lying in bed. He complains of nausea and vomiting for the past 3 days. When he tries to sit up, he gets very dizzy and has a syncopal episode. Realizing that he cannot assist you in getting on the stretcher, you decide to do which of the following? (worth 1)
A.) Use the patient’s sheets to slide him over to the stretcher. B.) Place the patient on a backboard to provide better gripping points to move the patient. C.) Use the power lift technique to carefully and safely lift the patient to the stretcher. * D.) Call for additional manpower to move the patient
Student Answer: D Correct Answer: D

41.) You respond to a laceration call. When you arrive on-scene, you walk into the house and find a person suffering from a severe wrist laceration from a broken window. Without thinking, you immediately grab the wrist and apply direct pressure to the wound. You then realize that, in your hurry to save a life, you forgot to put on your gloves. You look down to see your hand is covered in blood. When practical, you immediately wash your hands thoroughly. What is your next best action? (worth 1)
A.) Report the exposure incident because it is the law and you could be fined a large sum of money for failing to report the exposure. * B.) Report the exposure so you can protect yourself from any accidental infection C.) Report the exposure. Failure to report the exposure may result in you not receiving financial compensation for a potential line-of-duty injury. D.) If your hands had no open wounds, it is not required to report the exposure as there is no risk of infection, and you could get in trouble at work for failure to follow policy.
Student Answer: B Correct Answer: B

42.) What level of emergency medical training allows for insertion of endotracheal tubes, IV access, and cardiac defibrillation, as well as the administration of a variety of medications by various routes? (worth 1)
A.) Advanced EMT B.) Emergency Medical Responder C.) Emergency Medical Technician * D.) Paramedic
Student Answer: D Correct Answer: D

43.) Which of the following is NOT correct body mechanics when using the power lift? (worth 1)
A.) Keep the weight primarily on the balls of your feet. * B.) Raise your upper body before your lower body. C.) Raise your lower body before your upper body D.) Lock your back in.
Student Answer: B Incorrect! The correct answer is: C

44.) In which of the following situations is it legal to share information about treatment you provided to a patient? (worth 1)
A.) The triage nurse at the emergency department asks about the care you provided to the patient B.) The patient gives verbal consent to release information to a friend. C.) The patient’s lawyer requests the information over the phone. * D.) You are asked by a coworker who knows the patient.
Student Answer: D Incorrect! The correct answer is: A

45.) You discover a patient with abdominal bruising after arrival to an assault. The patient has an elevated pulse and respiratory rate, and a low blood pressure. Law enforcement is on-scene, and one of the officers asks if you can wait 15 minutes for a crime scene investigator (CSI) to arrive. He said the CSI needs to photograph the bruising, which will mean valuable evidence if the perpetrator goes to trial. The EMT’s primary obligation is to (worth 1)
A.) transport the patient immediately B.) use a cell phone camera to take the photos. C.) have the CSI upgrade to a Code 3 response. * D.) await the CSI because the person responsible needs to go to jail.
Student Answer: D Incorrect! The correct answer is: A

46.) Which of the following moves should be used for a patient who has been entrapped in wreckage for a long period of time but has now been freed? (worth 1)
A.) Emergency move B.) Elective move C.) Non-urgent move * D.) Urgent move
Student Answer: D Correct Answer: D

47.) You and your EMT partner are assigned to spend a day at the senior center where you are to provide free blood pressure screenings for the community. Your partner is upset that he is not in the ambulance where the “action is.” He complains that taking blood pressures is a waste of his time. What would be the best response to his complaints? (worth 1)
A.) It is good practice for the next emergency call. B.) It makes the taxpayers happy. * C.) Illness prevention is an important component of EMS D.) It minimizes the number of 911 calls late at night.
Student Answer: C Correct Answer: C

48.) Which of the following best describes training that supplements the EMT’s original training and that is usually taken in regular intervals? (worth 1)
A.) Distance education B.) EMT training program C.) Recertification * D.) Continuing education
Student Answer: D Correct Answer: D

49.) Which of the following BEST describes a person who speaks up on behalf of the patient and supports his cause? (worth 1)
* A.) Guardian B.) Assistant C.) Advocate D.) Representative
Student Answer: A Incorrect! The correct answer is: C

50.) After delivering a patient to the emergency department, you discuss with hospital staff the details of your care and ask for suggestions to improve your care. This is an example of your role in which of the following? (worth 1)
A.) Patient advocacy B.) Transfer of care * C.) Quality improvement D.) Continuing education
Student Answer: C Correct Answer: C

51.) Your patient is a 45-year-old man who is suffering from chest pain. Upon arrival, the patient is pale, sweaty, and seems short of breath. The patient is angry with his daughter for calling 911. He says that he had some spicy sausage for breakfast and has indigestion. Which of the following is an appropriate means of getting the patient the care he needs? (worth 1)
* A.) Try to find out why the patient does not want to go to the hospital B.) Call the patient’s neighbors and tell them that you have been called to the patient’s house but he is now refusing care. C.) Inform the patient that if he does not agree to treatment, you will have to take him against his will because he has a potentially life-threatening problem. D.) Tell the patient that his chest pain is most likely caused by his diet, have him take an antacid, and go to bed.
Student Answer: A Correct Answer: A

52.) An EMT’s authority to provide medical care is granted by which of the following? (worth 1)
* A.) National Registry of EMTs B.) U.S. Department of Transportation C.) State EMS certification board or agency D.) An extension of the Medical Director’s license to practice medicine
Student Answer: A Incorrect! The correct answer is: D

53.) Which of the following terms refers to a positive form of stress that helps people work when under pressure and respond effectively? (worth 1)
A.) Prostress B.) Distress * C.) Unstress D.) Eustress
Student Answer: C Incorrect! The correct answer is: D

54.) You are treating a patient who has a productive cough and who reports weight loss, loss of appetite, weakness, night sweats, and fever. Which of the following diseases is most likely the cause of these signs and symptoms? (worth 1)
A.) Hepatitis B B.) Pneumonia C.) AIDS * D.) Tuberculosis
Student Answer: D Correct Answer: D

55.) Which of the following refers to learning about changes in EMS practices, new research, or gaining more advanced knowledge to remain current on modern trends in health care? (worth 1)
* A.) Refresher education B.) Registration with NREMT C.) Continuing education D.) Requalification requirements
Student Answer: A Incorrect! The correct answer is: C

56.) How does research impact EMS? (worth 1)
* A.) Protocol and standing order development B.) Medical direction and patient outcomes C.) Patient outcomes and evidence-based techniques D.) Evidence-based techniques and patient condition upon arrival at the emergency department
Student Answer: A Incorrect! The correct answer is: C

57.) What is the likely impact of power stretchers on EMS? (worth 1)
A.) There is no likely impact of power stretchers on EMS. * B.) There will be a decrease in the number of injuries among EMTs C.) Insurance reimbursement will increase for ambulance services. D.) There will be an increase in the number of home health transfers.
Student Answer: B Correct Answer: B

58.) Two EMTs respond to the scene of a syncopal episode. They evaluate a 50-year-old male patient who passed out and cut his upper lip. The EMTs examine the patient and his vital signs are normal. The EMTs talk the patient out of an expensive ambulance ride and suggest he will save money by driving himself to the urgent care clinic for stitches for his lip rather than waiting all night in the emergency department as a nonemergency patient. The patient signs the EMS refusal form. The patient decides to see his own doctor the next morning but dies at his house from sudden cardiac arrest an hour later. Which of the following statements is true? (worth 1)
A.) The EMTs are not negligent because the patient signed the refusal form. B.) The EMTs are negligent because the patient died. * C.) The EMTs are negligent because there was proximate causation D.) The EMTs are not negligent because the EMTs have no control over the patient’s medical condition.
Student Answer: C Correct Answer: C

59.) Which of the following devices is BEST suited for maneuvering a patient through a confined space or narrow hallway? (worth 1)
A.) Wheeled stretcher B.) Long backboard C.) Basket stretcher * D.) Flexible stretcher
Student Answer: D Correct Answer: D

60.) Which of the following is NOT required to prove a claim of negligence against an EMT? (worth 1)
* A.) The EMT had a duty to act. B.) The patient suffered harm as a result of what the EMT did or did not do. C.) The EMT failed to act according to the standard of care. D.) The patient was in fear of bodily harm at the time of the incident
Student Answer: A Incorrect! The correct answer is: D

61.) Which of the following is NOT correct when performing a log-roll? (worth 1)
A.) Keep your back straight. B.) Lean forward from the hips. C.) Use your shoulder muscles. * D.) Roll the patient away from you
Student Answer: D Correct Answer: D

62.) You are first on the scene of a vehicle collision where a vehicle has gone off a bridge and is partially submerged. You are told that a person is still trapped in the vehicle. Your partner starts to take off his shoes and prepares to go in to save the victim. You stop your partner and tell him it is too dangerous. He tells you he is prepared to die to save a life. What is the best response to him? (worth 1)
* A.) He is not only putting his life at risk, but also placing the lives of the professional rescuers unnecessarily at risk. B.) His family will not receive any benefits if he is not trained in rescue and dies while attempting a rescue. C.) The patient’s family may sue him if he is not successful in rescuing him. D.) He will force additional fire units to come to his aid unnecessarily and waste taxpayer money.
Student Answer: A Correct Answer: A

63.) Which of the following devices should be used to carry a patient down the stairs whenever possible? (worth 1)
* A.) Stair chair B.) Scoop stretcher C.) Basket stretcher D.) Wheeled ambulance stretcher
Student Answer: A Correct Answer: A

64.) In 1966 the National Highway Safety Act charged which of the following agencies with the development of emergency medical service standards? (worth 1)
* A.) The U.S. Department of Transportation B.) The U.S. Department of the Interior C.) The U.S. Department of Health Services D.) The U.S. Department of Homeland Security
Student Answer: A Correct Answer: A

65.) Which of the methods listed below is best described as moving a patient from the floor to a stretcher by having two or more rescuers kneel, curl the patient to their chests, stand, and then reverse the process to place the patient on the stretcher? (worth 1)
A.) Direct carry * B.) Direct-ground lift C.) Power lift D.) Draw-sheet method
Student Answer: B Correct Answer: B

66.) Healthcare employers are required by law to make hepatitis B ________ available to employees free of charge (worth 1)
A.) prophylaxis * B.) vaccine C.) cure D.) immunity
Student Answer: B Correct Answer: B

67.) 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? (worth 1)
* A.) Transfer of care B.) Breach of duty C.) Definitive care D.) End of tour
Student Answer: A Correct Answer: A

68.) What are the minimum Standard Precautions an EMT should take when transporting a patient infected with SARS or Avian flu? (worth 1)
A.) Gloves, N-95 mask, and goggles B.) Gloves C.) Gloves and N-95 mask * D.) Gloves, N-95 mask, goggles, and gown
Student Answer: D Correct Answer: D

69.) What are some positive ways to help deal with stress? (worth 1)
A.) Caffeine to “get up and go” * B.) Regular physical exercise C.) Adding workload to a busy regular schedule D.) Drinking alcohol to “unwind”
Student Answer: B Correct Answer: B

70.) You are approaching the scene of a motor vehicle crash. Which of the following would be the first way to safeguard your well-being as an EMT? (worth 1)
* A.) Take personal protective equipment (PPE) precautions B.) Request additional resources C.) Ensure scene safety D.) Utilize DOT-approved reflective safety clothing
Student Answer: A Incorrect! The correct answer is: C

71.) During water safety week, you speak to a group of school-age children about the importance of wearing a properly fitting flotation device while boating. This is an example of the EMT being involved with which of the following? (worth 1)
* A.) Water safety B.) Youth assistance program C.) Public education D.) Injury prevention for youth
Student Answer: A Incorrect! The correct answer is: D

72.) Which of the following is the correct position of an EMT’s feet when lifting? (worth 1)
* A.) Shoulder-width apart B.) As close together as possible C.) As wide apart as possible D.) Two feet apart
Student Answer: A Correct Answer: A

73.) Which of the following is used to immobilize a patient with a suspected spinal injury? (worth 1)
A.) Portable stretcher * B.) Long backboard C.) Basket stretcher D.) Scoop stretcher
Student Answer: B Correct Answer: B

74.) The EMT is on-scene of a 57-year-old male patient complaining of chest pain; the EMT must contact medical direction on the phone to assist with the patient’s nitroglycerin. Contacting medical control for orders is known as which of the following? (worth 1)
A.) Off-site medical direction B.) Off-line medical direction * C.) On-line medical direction D.) On-call medical direction
Student Answer: C Correct Answer: C

75.) You are dispatched to a female with altered mental status. Once inside the home, you find a female who appears to have been beaten unconscious. A man, who smells of alcohol, says that she is his wife and that he doesn’t know what happened: “I just found her this way!” The husband is behaving suspiciously, appears paranoid, and is pacing erratically around the room. What would be the safest course of action? (worth 1)
A.) Continue to question the man and begin treating the patient. B.) Evacuate the patient and begin treatment. * C.) Leave the house and call for law enforcement D.) Have your partner call for help while you stay with the patient.
Student Answer: C Correct Answer: C

76.) The National Registry of Emergency Medical Technicians was founded to establish which of the following? (worth 1)
A.) An education curriculum for EMT courses B.) Quality oversight of emergency medical services practices * C.) Professional standards for emergency medical services personnel D.) Quality improvement and quality assurance programs for emergency medical services
Student Answer: C Correct Answer: C

77.) Which of the following BEST describes body mechanics? (worth 1)
A.) Proper use of the body to prevent injury * B.) Proper use of the body to facilitate lifting and moving objects C.) Equipment designed to minimize stress on the user’s body D.) Both B and C
Student Answer: B Correct Answer: B

78.) You respond to the report of an unconscious female patient. You can acquire important medical information about the patient through which of the following? (worth 1)
A.) Medical identification device * B.) Driver’s license C.) Medical history identifier D.) On-call Medical Director
Student Answer: B Incorrect! The correct answer is: A

79.) Which of the following patients should NOT be transported in a stair chair? (worth 1)
A.) A patient with difficulty breathing B.) A patient who is nauseated * C.) A patient with a suspected spinal injury D.) A patient found lying in bed
Student Answer: C Correct Answer: C

80.) All of the following are EMS system components as defined by the National Highway Traffic Safety Administration (NHTSA) EXCEPT: (worth 1)
* A.) safety and security of EMS personnel B.) facilities. C.) regulation and policy. D.) public information and education.
Student Answer: A Correct Answer: A

81.) When did non-military ambulances begin operating in most major American cities? (worth 1)
A.) Mid-1800s B.) Mid-1900s C.) Late 1800s * D.) Early 1900s
Student Answer: D Correct Answer: D

82.) As an EMT, you are asked to participate in a free vaccination clinic. This is an example of the EMT’s role in which of the following? (worth 1)
A.) Socialized medicine B.) Disaster preparedness C.) Charitable health * D.) Public health
Student Answer: D Correct Answer: D

83.) What is the main benefit of using a stair chair with a trac-like system over a traditional stair chair? (worth 1)
A.) A stair chair with a trac-like system can be manipulated to lift into an ambulance using a hydraulic system. * B.) A stair chair with a trac-like system prevents the patient from having to be lifted down stairs C.) There is no benefit of a trac-like stair chair over a traditional stair chair. D.) Only one EMT is required to operate a stair chair with a trac-like system.
Student Answer: B Correct Answer: B

84.) While transporting a patient to the hospital who has a history of terminal brain cancer, the patient says, “I know I’m going to die, but first I want to see my grandson graduate from high school.” What stage of death and dying describes this patient’s current condition? (worth 1)
* A.) Bargaining B.) Denial C.) Anger D.) Depression
Student Answer: A Correct Answer: A

85.) Which of the following is another name for an ambulance cot? (worth 1)
A.) Stair chair B.) Reeve’s stretcher C.) Scoop stretcher * D.) Wheeled ambulance stretcher
Student Answer: D Correct Answer: D

86.) Urgent moves are required: (worth 1)
A.) when an emergency move is not possible or advisable. B.) when there are major life threats and rapid transport is necessary. * C.) when performed for treatment of life threats along with precautions for spinal injuries D.) when there are no life threats and conditions are stable.
Student Answer: C Correct Answer: C

87.) For the last few days, your regular EMT partner has been having trouble sleeping, has been on edge, and has trouble concentrating on his job during EMS calls. Luckily, your call volume has been low with no serious calls since the infant cardiac arrest you both worked last month. You ask him if anything is bothering him and he states he is fine in every way. He states that he has been going to the bars lately to relax and invites you to come along for some drinks after work. Choose the best answer for this situation. (worth 1)
* A.) Your partner is suffering from acute stress reaction and you should recommend to him that he seek professional counseling. B.) Your partner is suffering from post-traumatic stress disorder and you should go to the bar with him to provide moral support and talk with him. C.) Your partner is suffering from a delayed stress reaction and you should recommend that he seek professional counseling. D.) Your partner is suffering from a cumulative stress reaction. This is a natural response and he should be fine in a few days.
Student Answer: A Incorrect! The correct answer is: C

*88.) The term body mechanics* describes the proper use of your body to lift without injury. What are the three considerations to review before any lift?** (worth 1)
A.) Equipment, patient injury, and communication B.) The object, patient injury, and communication * C.) The object, your limitations, and communication D.) Equipment, injury, and communication
Student Answer: C Correct Answer: C

89.) When a stretcher with a patient secured to it is elevated, what occurs? (worth 1)
A.) The patient feels more comfortable being at near normal height. B.) The center of gravity is raised and this causes a tip hazard C.) The stretcher is more stable and easily pushed. * D.) The EMTs lessen the possibility of injury from being bent over the patient.
Student Answer: D Incorrect! The correct answer is: B

90.) What is physician oversight of patient care in the EMS system called? (worth 1)
* A.) Medical direction B.) Human resources management C.) Incident command D.) System administration
Student Answer: A Correct Answer: A

91.) Which of the following is considered a form of off-line medical control? (worth 1)
A.) Radio orders B.) Consult with on-duty physician * C.) Protocols D.) Telephone orders
Student Answer: C Correct Answer: C

92.) Searching the Internet for literature to support a new procedure that your service would like to implement is an example of which of the following? (worth 1)
A.) Reviewing literature B.) Quality improvement C.) Forming a hypothesis * D.) Critiquing literature
Student Answer: D Incorrect! The correct answer is: A

93.) What BEST describes the level of EMS training that emphasizes advanced airway management and IV therapy but limited pharmacology training? (worth 1)
* A.) Advanced EMT B.) Paramedic C.) Emergency Medical Responder D.) EMT
Student Answer: A Correct Answer: A

94.) Stretchers that are designed to carry obese patients up to 800 pounds are called: (worth 1)
A.) battery-powered stretchers. B.) wheeled stretchers. C.) hydraulic stretchers. * D.) bariatric stretchers
Student Answer: D Correct Answer: D

95.) Who assumes the ultimate responsibility for patient care rendered by the EMT? (worth 1)
A.) EMS supervisor B.) EMT * C.) Director of quality assurance D.) Medical Director
Student Answer: C Incorrect! The correct answer is: D

96.) The administration of oxygen and the application of spinal immobilization is part of which of the following for the EMT? (worth 1)
A.) Duty to act B.) Standard of care * C.) Scope of practice D.) None of the above
Student Answer: C Correct Answer: C

97.) Your patient is a 40-year-old known diabetic who was found unconscious at work by a coworker. What type of consent allows you to treat this patient? (worth 1)
A.) Consent for treatment of minor emergencies B.) Consent for mentally incompetent adults C.) Expressed consent * D.) Implied consent
Student Answer: D Correct Answer: D

98.) How many pounds are most battery-powered hydraulic systems rated to safely lift? (worth 1)
A.) 300 B.) 500 * C.) 700 D.) 200
Student Answer: C Correct Answer: C

99.) During which of these situations would the use of protective gloves be optional? (worth 1)
A.) Bandaging a laceration B.) Childbirth * C.) Splinting a sprained ankle D.) Glucometry
Student Answer: C Correct Answer: C

100.) Which of the following statements is true concerning protection by Good Samaritan laws? (worth 1)
A.) A Good Samaritan law allows an EMT to exceed the scope of practice, if necessary, when providing emergency care off-duty. B.) An EMT is expected to act as a lay person when providing emergency care off-duty. * C.) The purpose of Good Samaritan laws is to protect people who are trying to help in an emergency D.) An EMT cannot be sued for negligence if the state in which he works has a Good Samaritan law.
Student Answer: C Correct Answer: C

101.) What BEST describes the level of EMS training that emphasizes activation of the EMS system and provides immediate care for life-threatening problems? (worth 1)
A.) Emergency Medical Dispatcher B.) Cardiac care responder * C.) EMT D.) Emergency Medical Responder
Student Answer: C Incorrect! The correct answer is: D

102.) When placing all fingers and the palm in contact with the object being lifted, you are using which of the following? (worth 1)
A.) Lock grip B.) Power lift * C.) Power grip D.) All of the above
Student Answer: C Correct Answer: C

103.) An EMT is confronted by an armed gunman who is threatening to kill the EMT and his partner. An elevation in the EMT’s heart rate and blood pressure occurs in which stage of the body’s response to stress? (worth 1)
A.) Resistance stage B.) Exhaustion stage * C.) Alarm reaction stage D.) Response stage
Student Answer: C Correct Answer: C

104.) An EMT involved in an especially difficult call, such as one in which a coworker was killed, should be urged to: (worth 1)
A.) discuss the experience freely with coworkers. B.) begin a course of psychiatric medications. * C.) seek help from a trained mental health professional D.) conceal the problem because care may not be covered financially.
Student Answer: C Correct Answer: C

105.) When responding to the scene of a patient who was discovered to be unresponsive, not breathing, and without a pulse, family members state that the patient has been suffering from cancer for several years. One of his sons is cursing at you and your partner, saying that you are not moving fast enough. Which stage of grief is the patient’s son experiencing in response to his father’s death? (worth 1)
A.) Denial B.) Depression * C.) Anger D.) Acceptance
Student Answer: C Correct Answer: C

106.) What is the minimum level of certification required of ambulance personnel in most areas? (worth 1)
* A.) Emergency Medical Technician B.) Emergency Medical Responder C.) Advanced EMT D.) Emergency Ambulance Driver
Student Answer: A Correct Answer: A

107.) Which of the following is a personal trait an EMT should demonstrate? (worth 1)
A.) A self-starter B.) A strong student * C.) Strong communication D.) Good eyesight
Student Answer: C Incorrect! The correct answer is: A

108.) Which of the following incidents is the EMT legally required to report to law enforcement? (worth 1)
A.) You suspect the wife of the patient you are treating for chest pain has been smoking marijuana. B.) Your patient is an 18-year-old college student who has been consuming large amounts of alcohol at a fraternity party. C.) Your patient is a 12-year-old male who fell from his bicycle, breaking his left arm, and tells you his parents are at work. * D.) Your patient has facial and head injuries and states that her husband beat her with a telephone receiver
Student Answer: D Correct Answer: D

109.) Which of the following situations BEST illustrates the act of abandonment by the EMT? (worth 1)
A.) The EMT resuscitates a patient who has a DNR order signed by his physician. * B.) An EMT transports a patient to the emergency department, leaves the patient in the waiting room, but does not advise the ED staff. C.) An EMT begins care of a patient, then turns the patient over to a paramedic. D.) An EMT who is off-duty sees a motor vehicle collision with probable injuries but does not stop to help.
Student Answer: B Correct Answer: B

110.) Which of the following provides the greatest personal safety for an EMT working at a motor vehicle collision? (worth 1)
A.) Nonslip footwear * B.) Reflective outer clothing C.) Portable radio D.) Flashlight
Student Answer: B Correct Answer: B

111.) Centralized coordination of emergency medical access, transportation, and care most refers to which of the following? (worth 1)
A.) An emergency preparedness plan * B.) A trauma system C.) Resource management D.) Central deployment
Student Answer: B Incorrect! The correct answer is: C

112.) You are treating an elderly male patient in the back of your ambulance. En route, the patient becomes unresponsive. Upon arrival, the ED nurse asks you several questions about his condition. What should you do? (worth 1)
* A.) You should answer her questions because you may legally share the patient’s medical condition with other pertinent health care providers. B.) You should not disclose the information to the nurse because it is protected confidential information and the patient did not sign a release authorizing you to discuss his condition. C.) You should not disclose the information because HIPAA laws only allow you to provide the information to the emergency department physician. D.) You should disclose the information, as it is not protected by law.
Student Answer: A Correct Answer: A

113.) Which hormone helps the body control stress, regulate metabolism, and influence an immune response? (worth 1)
A.) Immunoglobulin B.) Serotonin C.) Epinephrine * D.) Cortisol
Student Answer: D Correct Answer: D

114.) You are dispatched to a “down and out” with no further information. As your unit arrives on-scene, you see a crowd of bystanders looking at a man lying in an alleyway. The bystanders begin screaming to you, “Help him, he’s been shot! He’s bleeding real bad!” What would be the best course of action? (worth 1)
A.) Move bystanders aside since the patient will die without treatment. B.) Tell law enforcement investigators to meet your unit at the ER. * C.) Dispatch law enforcement and wait until the scene is secure D.) Load and go, because you’re already on-scene.
Student Answer: C Correct Answer: C

115.) An interaction with a(n) ________ is a situation that may lead to an acute stress reaction (worth 1)
A.) routine call * B.) pediatric code blue C.) ongoing night shift D.) unpleasant coworker
Student Answer: B Incorrect! The correct answer is: D

116.) Due to the high risk of an unstable work environment, EMTs responding to a motor vehicle crash may consider using _________ in addition to standard PPE. (worth 1)
A.) N-95 masks B.) heavy-duty gloves C.) face shields * D.) Level B hazmat suits
Student Answer: D Incorrect! The correct answer is: B

117.) Which of the following devices is BEST suited for maneuvering a patient through a narrow hallway? (worth 1)
A.) Long backboard * B.) Flexible stretcher C.) Wheeled stretcher D.) Basket stretcher
Student Answer: B Correct Answer: B

118.) Which of the following statements regarding body mechanics is true? (worth 1)
A.) Use your back to lift. * B.) Use your legs to lift C.) Twist your torso while lifting. D.) Position your feet close together.
Student Answer: B Correct Answer: B

119.) Which of the following BEST describes a list of steps the EMT should perform while assessing and managing emergency medical situations? (worth 1)
* A.) Standing orders B.) On-line medical direction C.) Protocols D.) Standard operating procedures
Student Answer: A Incorrect! The correct answer is: C

120.)

The “Stress Triad,” or the body’s response to a stressful stimulation, is known as general ________ syndrome.

(worth 1)

A.) dictation
B.) resistance
* C.) reaction

D.) adaptation

Student Answer: C

Incorrect! The correct answer is: D

121.) 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? (worth 1)
A.) Data display 911 B.) Priority dispatch 911 * C.) Enhanced 911 D.) Advanced 911
Student Answer: C Correct Answer: C

122.) What is a simple step EMTs can perform to help prevent the spread of flu in the prehospital environment? (worth 1)
* A.) Place a surgical mask on suspected flu patients B.) Transport all patients with coughs to negative pressure rooms. C.) Notify the CDC and local health department of flu cases. D.) Encourage patients to get their H1N1 antivirals early in the flu season.
Student Answer: A Correct Answer: A

123.) A family member who keeps pleading with a deceased loved one to “wake up” is experiencing which reaction to death and dying? (worth 1)
A.) Anger B.) Rejection C.) Projection * D.) Denial
Student Answer: D Correct Answer: D

124.) Which type of consent must be used by the EMT when seeking to treat a mentally competent adult? (worth 1)
A.) Unconditional consent B.) Expressed consent C.) Conscious consent * D.) Implied consent
Student Answer: D Incorrect! The correct answer is: B

125.) Which of the following descriptions BEST defines the term pathogen? (worth 1)
A.) An immunity developed after an exposure B.) A study of the origins of infection and disease C.) A medication with a harmful effect * D.) An organism that causes infection and disease
Student Answer: D Correct Answer: D

126.) The CDC recommends using an alcohol-based hand sanitizer in all BUT which of the following situation(s)? (worth 1)
* A.) The patient has a bloodborne communicable disease. B.) The patient has a respiratory illness. C.) The provider is not vaccinated against hepatitis B. D.) The provider’s gloves come into contact with fecal matter
Student Answer: A Incorrect! The correct answer is: D

127.) Which of the following is a physiologic effect of the “Stress Triad” as described by the physician Hans Selye? (worth 1)
* A.) Bleeding gastric ulcers B.) Hypertrophy of the lymph nodes C.) Atrophy of the adrenal glands D.) Amnesia for stressful events
Student Answer: A Correct Answer: A

128.) The EMT’s obligation to provide care to a patient either as a formal or ethical responsibility is known as which of the following? (worth 1)
A.) Legal responsibility B.) Scope of practice * C.) Duty to act D.) Standard of care
Student Answer: C Correct Answer: C

129.) What is an accurate statement regarding tuberculosis (TB)? (worth 1)
A.) The incubation period of TB is from 1 to 7 days. B.) TB is not spread through surface contamination. C.) The TB pathogen only affects lung tissue. * D.) A PPD skin test can detect TB exposure
Student Answer: D Correct Answer: D

130.) Which of the following is the form of stress that can cause immediate and long-term problems with an EMT’s health and well-being? (worth 1)
A.) Megastress B.) Hyperstress * C.) Distress D.) Eustress
Student Answer: C Correct Answer: C

131.) How far apart should your hands be when using a power grip? (worth 1)
A.) 24 inches * B.) 10 inches C.) 12 inches D.) 15 inches
Student Answer: B Correct Answer: B

132.) According to Dr. Hans Selye, the third stage of the “Stress Triad” is known as the ________ stage (worth 1)
A.) resistance B.) cumulative * C.) exhaustion D.) alarm
Student Answer: C Correct Answer: C

133.) You are dispatched to the staging area of a terrorist-related chemical exposure. The incident commander asks you to stand by while hazmat personnel bring patients to the cold zone. As an EMT on-board an ambulance, what statement BEST describes your role? (worth 1)
A.) Triage patients to be decontaminated * B.) Transport decontaminated patients C.) Coordinate hazmat response D.) Transport patients to be decontaminated
Student Answer: B Correct Answer: B

134.) When lifting a patient, a basic principle is to: (worth 1)
A.) lift with your lower back. B.) extend your arms to maximize your lift. C.) rush your lift to minimize your lift time. * D.) know your lifting limits
Student Answer: D Correct Answer: D

135.) You are on the scene of a “sick case” call. The patient is a 26-year-old, 250-pound male patient who suddenly becomes violently angry. Everything you say to the patient only makes him angrier. Offended by your questions, he screams that he is going to “cut your tongue out” and hurries into the kitchen. What should you do? (worth 1)
A.) Radio for police and then calmly walk out of the house, being sure to take all of your medical equipment. B.) Tackle the patient before he can get a kitchen knife to stab you. C.) Radio for police and relay to dispatch important scene information until they arrive. * D.) Leave immediately to a safe area and then call for police assistance
Student Answer: D Correct Answer: D

136.) The term burnout is also known as a(n) ________ stress reaction (worth 1)
A.) delayed B.) post-traumatic C.) acute * D.) cumulative
Student Answer: D Correct Answer: D

137.) Which of the following actions is NOT permitted by an advance directive? (worth 1)
A.) Providing only comfort measures, such as pain medication B.) Withholding CPR if cardiac arrest is not witnessed C.) Refusing to allow long-term life support measures, such as a ventilator or feeding tube * D.) Assisted suicide via medication overdose
Student Answer: D Correct Answer: D

138.) One’s “cognitive ability” refers to his or her ability to do which of the following? (worth 1)
A.) Control his or her emotions B.) Use fine motor skills C.) Adapt to stress * D.) Think and solve problems
Student Answer: D Correct Answer: D

139.) If the EMT is in doubt as to whether a patient in cardiac arrest should be resuscitated, which of the following is the best decision? (worth 1)
A.) Have the patient’s family put their wishes in writing. B.) Withhold resuscitative measures. C.) Consult with the patient’s physician. * D.) Begin resuscitative measures
Student Answer: D Correct Answer: D

140.) Which three “Rs” are essential for the EMT to practice when reacting to danger? (worth 1)
* A.) Retreat, radio, reevaluate B.) Remember, respect, respond C.) Ricochet, recover, re-entry D.) Realize, react, reassess
Student Answer: A Correct Answer: A

141.) What would be the primary reason for an EMT to change gloves between contact with different patients? (worth 1)
A.) To protect the EMT from becoming infected B.) To minimize the amount of time the EMT’s hands are spent in gloves C.) To ensure soiled gloves are changed as soon as possible * D.) To prevent spreading infection to the next patient
Student Answer: D Correct Answer: D

142.) Which of the following should you do when reaching for something? (worth 1)
A.) Keep your back in a locked-in position. B.) Avoid twisting. C.) Avoid reaching more than 15 to 20 inches in front of your body. * D.) All of the above
Student Answer: D Correct Answer: D

143.) You are providing care to a 54-year-old male patient complaining of chest pain. The patient asks to speak to you privately. He tells you he is taking Cialis^� for erectile dysfunction and his wife does not know he is taking it. He does not want his wife to find out. As you are putting the EMS bags back in the ambulance, the wife corners you and insists that you tell her what her husband said. What should you do? (worth 1)
A.) You should tell her. As his spouse, she is legally entitled to know his medical information. B.) You should not tell her. There is no reason to humiliate your patient by disclosing his embarrassing condition. C.) You should tell her. He may be having an affair without her knowledge and she needs to be tested for sexually transmitted diseases. * D.) You should not tell her. By law, your conversation with your patient is confidential
Student Answer: D Correct Answer: D

144.) Which of the following refers to the set of regulations that defines the legal actions expected and limitations placed on the EMT? (worth 1)
* A.) Scope of practice B.) Legal standards of practice C.) Protocols and standing orders D.) Professional standards
Student Answer: A Correct Answer: A

145.) Which of the following agencies is responsible for establishing EMS system assessment programs? (worth 1)
A.) Department of Health and Human Services (DHHS) B.) National Transportation Safety Board (NTSB) * C.) National Highway Traffic Safety Administration (NHTSA) D.) United States Health Services Agency (HSA)
Student Answer: C Correct Answer: C

146.) Sharing information about a patient’s medical history with your neighbor after you hear a call on a radio scanner would constitute which of the following? (worth 1)
* A.) Slander B.) Violation of patient privacy C.) Breach of confidentiality D.) Libel
Student Answer: A Incorrect! The correct answer is: C

147.) Which of the following should you use when you want to move a patient from a wheelchair to a stretcher? (worth 1)
A.) Ground transfer B.) Extremity lift C.) Clothing lift * D.) Modified direct lift
Student Answer: D Incorrect! The correct answer is: B

148.) Which of the following is the most common gateway for hospital services for patients who need emergency medical assistance? (worth 1)
A.) Emergency department * B.) Emergency medical services system C.) Surgical services department D.) Emergency medical dispatch center
Student Answer: B Incorrect! The correct answer is: A

149.) Which of the following is a personality trait required of EMTs? (worth 1)
A.) Ability to lift and carry 125 pounds B.) Awareness of problems with color vision C.) Ability to dominate the patient * D.) Control of personal habits
Student Answer: D Correct Answer: D

150.) What BEST defines the evaluation of the patient’s condition in order to provide emergency care? (worth 1)
A.) Patient access * B.) Patient assessment C.) Medical intervention D.) Patient advocacy
Student Answer: B Correct Answer: B

151.) Which of the following behaviors would demonstrate that an EMT understands reactions to death and dying? (worth 1)
* A.) Being tolerant of angry reactions by patients and family members B.) Giving a dying patient hope that a cure can be found before the patient dies C.) Providing spiritual guidance to patients who express anger at God D.) Being firm with grieving family members and telling them they need to accept what has happened
Student Answer: A Correct Answer: A

152.) Which of the following are goals of lifting and moving patients? (worth 1)
A.) Safety of the patient B.) Safety of the EMS provider C.) Speed * D.) All of the above
Student Answer: D Correct Answer: D

153.) What type of move should the EMT use to move a patient who is in a burning car? (worth 1)
A.) Non-urgent move * B.) Emergency move C.) No attempt to move D.) Urgent move
Student Answer: B Correct Answer: B

154.) What mode of transmission most accurately describes the route of spreading hepatitis A? (worth 1)
A.) Respiratory droplet * B.) Unprotected sex C.) Fecal–oral D.) Bloodborne
Student Answer: B Incorrect! The correct answer is: C

155.) What is the name of the federal act that mandates a procedure by which emergency healthcare providers can find out if they have been exposed to potentially life-threatening diseases while on the job? (worth 1)
A.) The Communicable Disease Notification Act B.) The EMS Personnel Health Protection Act of 1991 C.) The Occupational Exposure to Bloodborne Pathogens Act * D.) The Ryan White Comprehensive AIDS Resource Emergency Act
Student Answer: D Correct Answer: D

156.) When covering a patient’s mouth and nose with a mask of any kind, which of the following is the primary risk? (worth 1)
A.) Causing or exasperating respiratory illnesses B.) Interfering with patient communication C.) Upsetting the patient because of the social stigma * D.) Obstructing the ability to visualize and protect the airway
Student Answer: D Correct Answer: D

157.) What is the EMT’s highest priority at the scene of a hazardous materials incident? (worth 1)
* A.) Personal safety B.) Identification of hazards C.) Patient care D.) Safety of bystanders
Student Answer: A Correct Answer: A

158.) Which of the following refers to a program or process for evaluating and improving the effectiveness of an EMS system? (worth 1)
* A.) Quality improvement B.) System effectiveness management C.) Quality assurance D.) Total quality management
Student Answer: A Correct Answer: A

159.) Which of the following is another name for the squat-lift position? (worth 1)
A.) Power grip B.) Power lift C.) Weight-lifter technique * D.) None of the above
Student Answer: D Incorrect! The correct answer is: B

160.) You arrive on the scene of a 55-year-old male patient. The patient’s wife called 911 because he is having chest pains. The patient is very angry with his wife for calling 911 because he states he only has heartburn and adamantly refuses any treatment or transport. After signing the patient refusal form, the patient collapses and goes into sudden cardiac arrest. The wife is crying uncontrollably and begging you to do something. What should you do? (worth 1)
A.) Respect his legal right to not have any treatment, regardless of how much the wife begs you to help. B.) Explain to the wife that her husband signed a legal document refusing care, and if you intervened to help him now, you would be breaking the law. C.) Provide emergency care for the patient only if his wife signs a document stating they will not sue the EMS service. * D.) Provide emergency care under implied consent
Student Answer: D Correct Answer: D

161.) What is the contraindication for the use of a scoop or orthopedic stretcher? (worth 1)
A.) Internal injuries B.) Hip fracture * C.) Pelvic injury D.) Spinal injury
Student Answer: C Incorrect! The correct answer is: D

162.) Which of the following behaviors would be considered a common sign of stress rather than an acute psychological problem? (worth 1)
A.) Failure to use PPE appropriately on a regular basis * B.) Irritability with friends, family, coworkers, or patients C.) Flashbacks, nightmares, and feelings of detachment D.) Increased speeding and reckless driving
Student Answer: B Correct Answer: B

163.) Which of the following pathogens can live in dried blood for weeks and should be a major concern for EMS providers even while cleaning contaminated equipment? (worth 1)
A.) Tuberculosis * B.) Hepatitis B C.) Hepatitis A D.) AIDS
Student Answer: B Correct Answer: B

EMT Exam Chapters 1-4: Practice Questions and Answers

* B.) Emergency Response Guidebook

2.) Which of the following situations would require the use of an emergency move?

D.) All of the above

Incorrect! The correct answer is: D

3.) Which of the following statements about HIV/AIDS is true?

* C.) HIV positive needlesticks have less than a 0.05 percent infection rate

* D.) Ethical

Incorrect! The correct answer is: A

6.) An EMT may consider wearing protective eyewear when caring for which of these patients?

* C.) A patient who is actively coughing

* C.) Stress

8.) Which of the following statements is true concerning the H1N1 Swine Flu?

* D.) Respiratory droplets are its mode of transmission

9.) Which of the following factors should be considered before lifting any patient?

* D.) All of the above

* B.) Mask yourself and the patient

11.) Who is responsible for on-scene safety of EMS providers?

* C.) All crew members

12.) Which of the following groups is credited with developing the earliest documented emergency medical service?

* D.) The French

13.) Which of the following is a physical trait necessary for performing the duties of an EMT?

C.) Giving and receiving written instructions

Incorrect! The correct answer is: C

14.) Which of the following is the primary responsibility of the EMT?

C.) Maintain personal health and safety

Incorrect! The correct answer is: C

D.) The EMT is not negligent because she did not have a duty to act

Incorrect! The correct answer is: D

16.) Where should you position the weight of the object being lifted?

* D.) As close to the body as possible

17.) Which of the following BEST describes an urgent move?

* A.) Moving a patient from a car directly to a long spine board

18.) Post-traumatic stress disorder may be described as a(n):

* D.) delayed stress reaction

* C.) Move the patient out of the car as quickly as possible, in the direction of the long axis of the body

* D.) Emergency move

* A.) critical incident stress

* D.) N-95; surgical

* C.) Personal protective equipment

24.) What are some signs and symptoms that a coworker may be experiencing delayed stress reaction (PTSD)?

* D.) Flashbacks, nightmares, and feelings of detachment

25.) Which of the following is the EMT’s primary responsibility at a crime scene?

* B.) Securing his or her own safety

26.) Which of the following has the ultimate responsibility for the patient care aspects of an EMS system?

* A.) Medical Director

* D.) Emergency move

28.) What BEST defines direction given to the EMT by a physician over the telephone or radio?

* D.) On-line medical direction

29.) Which of the following BEST describes the purpose of the modern emergency medical services (EMS) system?

Incorrect! The correct answer is: A

* A.) naive and uncompassionate

HIPAA

* C.) Call the patient’s mother at work

* D.) All of the above

34.) Why is it important for EMTs to participate in quality improvement programs?

C.) To identify problems and develop a plan to prevent their recurrence

Incorrect! The correct answer is: C

* B.) Fully inform the patient about his situation and the implications of refusing care

36.) Which of the following is an example of patient advocacy?

C.) Building rapport with the patient during transport to the hospital

Incorrect! The correct answer is: C

* B.) Emergency Medical Responder

38.) When moving an object across the floor, which of the following is the best technique?

* B.) Stand behind the object and push it in front of you

39.) Prehospital and emergency in-hospital care together are collectively called the:

* D.) Call for additional manpower to move the patient

* B.) Report the exposure so you can protect yourself from any accidental infection

* D.) Paramedic

43.) Which of the following is NOT correct body mechanics when using the power lift?

C.) Raise your lower body before your upper body

Incorrect! The correct answer is: C

A.) The triage nurse at the emergency department asks about the care you provided to the patient

Incorrect! The correct answer is: A

A.) transport the patient immediately

Incorrect! The correct answer is: A

* D.) Urgent move

* C.) Illness prevention is an important component of EMS

* D.) Continuing education

49.) Which of the following BEST describes a person who speaks up on behalf of the patient and supports his cause?