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EMT-JBL Mid Term (400 Questions with
100% Correct Answers).
When treating a patient who is trapped in a vehicle and covered with broken glass, it is best to wear: a.) Puncture-proof leather gloves over your latex gloves b.)latex gloves with thick leather gloves underneath c.)Firefighter gloves only, to perseve manual dexterity. d.)Thick firefighter gloves over two pairs of latex gloves - Correct Answers a.) Puncture-proof leather gloves over your latex gloves According to the National EMS Scope of Practice Model, an EMT should be able to: a.) adminster epinephrine via the subcutaneous route b.) assist a patient with certain prescribed medications c.) insert a perioheral IV line and infuse fluids. d.) interpret a basic (ECG) rhythm and treat accordingly - Correct Answers b.) assist a patient with certain prescribed medications You 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: a.) apply a nasal cannula on the patient and a sterile surgical mask on yourself. b.) apply a sterile surgical mask on yourself and a HEPA respirator on a patient c.) remain at least 3 feet away from the patient and apply a surgical mask on him. d.) apply a nonrebreathing mask on the patient and a high-effciency particulate air (HEPA) respirator on yourself. - Correct Answers d.) apply a nonrebreathing mask on the patient and a high-effciency particulate air (HEPA) respirator on yourself. While transporting a woman with diabetes, you should inadvertently give oral glucose even though her blood glucose level was high. You reassess the patient and note that her condition did not change; she remained stable.
You should: a.) notify law enforcement so they can file an incident report. b.) contact medical control and notify them of the error. c.) document the error and report it to your supervisor exclude this intervention from the PCR because it did not harm the patient.
- Correct Answers b.) contact medical control and notify them of the error. The official transfer of patient care does not occur until the EMT: a.) notifies the admitting clerk of the patient care does not occur until the EMT: a.) notifies the admitting clerk of the patient's arrival at the hospital b.) gives oral report to the emergency room physician or nurse. c.) gives a radio report to the recieving medical facility d.) informs dispatch of the patient's arrival at the emergency department - Correct Answers b.) gives oral report to the emergency room physician or nurse. The compliance-monitoring component of an infection control plan should: a.) address issues such as medical waste collection, storage, and ambulance disinfection b.) ensure that employees understand what they should do and why it is important c.) consist of a list of tasks that pose a risk for contact with blood or other body fluids. d.) identify who to notify after an exposure and where treatment should be provided - Correct Answers b.) ensure that employees understand what they should do and why it is important As an EMT, it is important to remember that the signs and symptoms of cumulative stress: a.) may not be obvious or present all the time. b.) usually manifest suddenly and without warning. c.) cannot be identified and can cause health problems. d.) are most effectively treated with medications - Correct Answers a.) may not be obvious or present all the time. EMS as we know it today had its origins in 1966 with the publication of: a.) the Emergency Medical Services Act b.) Emergency Care and Transportation of the Sick and Injured.
d.) Hyperactivity during an EMS call - Correct Answers c.) Isolation from the rest of the crew Which of the following situations requires you to notify the appropriate authorities? a.) Drug overdose b.) Accidental knife wound c.) Cardiac arrest d.) Attemted Suicide - Correct Answers d.) Attemted Suicide Shortly after you load your patient, a 50-year-old man with abdominal pain, into the ambulance, he tells you that he changed his mind and does not want to go to the hospital. The patient is conscious and alert and has no signs of mental incapacitation. You are suspicious that the man has a significant underlying condition and feel strongly that he should go to the hospital. Which of the following statements regarding this situation is correct? - Correct Answers A mentally competent adult can withdraw his or her consent to treat at any time You are treating a man who was assulted and has a closed head injury. The patient, who has slurred speech, becomes verbually abuisive and tells you to leave him alone. You should: - Correct Answers Proceed with treatment and utilize law enforcement for assistance if necessary The MOST effective way to preserve your own body heat when functioning in cold, wet weather is to: - Correct Answers wear at least three layers of clothing Which type of stress reaction occurs when an EMT is exposed to many insignificant stressors over a persiod of several months or years? - Correct Answers Cumluative stress reaction In relation to the wrist, the elbow is: - Correct Answers proximal When caring for the parents of a child who has died of leukemia, the EMT should: - Correct Answers acknowledge the death of their child in private. The hepatitis B vaccine program, a component of the infection control pan, addresses all of the following issues, EXCEPT: - Correct Answers family history of hepatitis
While you are on duty, your partner asks you out on a date and touches you in an inappropriate location without your consent: You should: - Correct Answers tell your partner to stop and report the incident to your supervisor Which type of communications equipment functions as a radio reciever and searches across several frequencies? - Correct Answers Scanner Which of the following is NOT a function of the Federal Communications Comission (FCC) - Correct Answers Maintaining communications equipment on the ambulance As an EMT, the performance of your duties will be compared to that of: - Correct Answers another EMT. Which of following scenarios involves the administration of ALS? - Correct Answers A 48-year old patient whose airway is secured with a supraglottic device When you and your partner arrive at the residence of a man in cardiac arrest, you immediately recognize the patient as the drunk driver who killed your brother several years earlier. A backup ambulance is en route to the scene. You should: - Correct Answers begin two-rescuer CPR and apply the AED as soon as possible You are dispatched to the residence of an Asian family for a child with a high fever. When you assess the child, you note that he has numerous red marks on his back. The child's parents explain that these marks represent coining-a traditional Asian healing practice in which hot coins are rubbed on the back. You should: - Correct Answers document this finding on your patient care report and advise the emergency department staff of what the child's parents told You are assessing a woman who was thrown from a 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: - Correct Answers crouch down in a position so that only your feet are touching the ground
you. When caring for this patient, you should: - Correct Answers make her feel comfortable and provide emotional support If it is not possible to adequately clean your ambulance at the hospital following a call, you should: - Correct Answers clean the ambulance at your station in a designated area that is well ventilated EMT training in nearly every state meets or exceeds the guidelines recommended by the: - Correct Answers National Highway Traffic Safety Administration (NHTSA) During the alert and dispatch phase of EMS communications, the dispatcher's responsibilities include all of the following, EXCEPT: - Correct Answers discourging the caller from providing care until EMS unit arrives What should you do before attempting to access a patient trapped in a vehicle? - Correct Answers Ensure the vehicle is stable You are dispatched to an apartment complex for a shooting. Law enforcement personnel are present and have the suspected in custody. You find the patient lying in a narrow space between the couch and coffee table of his small apartment. He is semiconscious and has a large gunshot wound to his chest. You should: - Correct Answers quickly move the coffee table so you can access and treat the patient Critical incident stress management (CISM) can occur at an ongoing scence in all of the floowing circumstances, EXCEPT: - Correct Answers when patients are actively being assessed or treated Information included in a radio report to the receiving hospital should include all of the following, EXCEPT: - Correct Answers a preliminary diagnosis of the pateint's problem. In many states, a minor may be treated as an adult for the purpose of consenting to or refusing medical treatment if the minor: - Correct Answers is self-supporting and lives by him-or herself The person who is responsible for authorizing EMTs to perform emergency medical care in the field is the: - Correct Answers medical director
In the eyes of the courts, an incomplete or untidy pateint care form indicates: - Correct Answers inadequate pateint care was administered You 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: - Correct Answers explain the seriousness of the situation to him, but aviod causing undue alarm The BEST way to reduce the risk of contracting a work-related disease following exposure is to: - Correct Answers activate your department's infection control plan as soon as possible Which of the following statements regarfing the hepatitis B vaccine is correct? - Correct Answers OSHA requires that your employer offer you the vaccine free of charge The final stage of death and dying MOST commonly takes the form of: - Correct Answers acceptance Patients who become dependent upon EMS personnel or other health care providers often feel: - Correct Answers shamed. What type of medical direction do standing orders and protocols describe?
- Correct Answers Off-line While 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: - Correct Answers your partner's attempt to dimish their grief If you use a waterless handwahsing subsitute in the field, it is important to:
- Correct Answers wash your hands with soap and water at the hospital Which of the following statement is MOST consistent with the bargaining phase of the greiving process? - Correct Answers I will be compliant with all my medications if I can just see my grandson graduate Cardiac monitoring, pharmacologic interventions, and other advanced treatment skills are functions of the: - Correct Answers paramedic
You 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: - Correct Answers seek a safe place and request law enforcement assistance. While you are transporting a stable pateint with chest pain to the hospital, you come across a major motor vehicle crash involving several critically injured patients. You should: - Correct Answers continue transporting your patient and notify the dispatcher of the crash You are caring for a 35-year-old female with pregnancy-related complications. She is clearly experencing significant stress and is crying uncontrollably. Your MOST apprpriate action would be to: - Correct Answers demostrate courtesy with a professional tone It is especially important for EMS personnel to develop nonadversarial relationships with their coworkers because they - Correct Answers depend on one another for their safety Hazards that are associated with a structural fire include all of the following, EXCEPT: - Correct Answers carbon dioxide deficency A patient regains consciousness en route from his office to the emergency department. The pateint tells you that he feels fine but does not want to go to the hospital. Under these circumstances, you should: - Correct Answers assess whether the patient's mental condition is impaired Which of the following has the weakest transmission signal and, as a result, is LEAST likely to be heard by the party being called? - Correct Answers Hand-held portable radio When a patient is dying, he or she may experience regression. This is MOST accuratley described as: - Correct Answers behavior consistent with an earlier developmental stage. The MOST important consideration at the scene of a hazardous material incident is: - Correct Answers ensuring your personal safety
You are caring for a 52-year-old man who complains of chest discomfort. The patient is a retired paramedic and is very anxious because he thinks he is having a heart attack. Which of the following statements would be appropriate? - Correct Answers "It is possible that you are experencing a heart attack. I am going to give you four baby asprin to chew and swallow." According to the National EMS Scope of Practice Model, an EMT would require special permission from the medical director and the state EMS office to: - Correct Answers insert a peripheral intravenous catheter The continuous quality improvement (CQI) process is designated to: - Correct Answers identify areas of improvement and provide remedial training if needed If an EMT candidate has been convicted of a felony or misdemeanor, he or she should: - Correct Answers contact the state EMS office and provide its staff with the required documentation Determination of exposure is an important component of an infection control plan because it: - Correct Answers defines who is at risk for contact with blood and body fluids and which tasks pose a risk of exposure The standards for the prehospital emergency care and the individuals who provide it are typically regulated by the: - Correct Answers state office of EMS Continuing education in EMS serves to: - Correct Answers maintain, update, and expand your knowledge and skills. After receiving online orders from medical control to perform a patient care intervention, you should: - Correct Answers report the order to medical control word for word The spread of HIV and hepatitis in the health care setting can usually be traced to: - Correct Answers careless handling of sharps Physiologic manifestations of stress include: - Correct Answers perspiration, increased blood glucose levels, and dilated pupils.
To minimize the risk of litigation, the EMT should: - Correct Answers provide competent care that meets current standards A pateint's refusal of EMS treatment and/or transport must be: - Correct Answers an informed refusal Which of the following is the MOST significant factor in determining whether a person will become ill from certain germs? - Correct Answers Immunity Which of the following statements would NOT be appropriate to say to the family of a dying patient? - Correct Answers "Things will get better in time" The carpal bones from the: - Correct Answers wrist The elbow is an example of a [blank] joint - Correct Answers hinge Trauma to the [blank] lobe of the brain would likely result in visual disturbances - Correct Answers occipital The primary organ responsible for absorption of the products of digestion is the: - Correct Answers small intestines The major artery that supplies all other arteries with blood is the: - Correct Answers aorta The artery that can be palpated on the anterior surface of the foot is the: - Correct Answers dorsalis pedis The bones of the forearm are called the: - Correct Answers radius and ulna Which layer of the skin is composed of fatty tissue and serves as an insulator for the body? - Correct Answers Subcutaneous The atlas is the: - Correct Answers first cervical vertebra, which articulates with the skull The vocal cords are located in the: - Correct Answers larynx
At rest, the normal adult heart rate should not exceed: - Correct Answers 100 beats/min. Which of the following glands regulates the function of all other endocrine glands in the body? - Correct Answers Pituitary The leaf-shaped flap of cartialiage that prevents food and liquid from entering the trachea during swallowing is called the: - Correct Answers epiglottis Which of the following statements regarding the heart is correct? - Correct Answers The heart is under control of the autonomic nervous system Activities such as walking, talking, and writing are regulated exclusively by the: - Correct Answers somatic nervous system The [blank] portion of the spinal column is joined to the illac bones of the pelvis. - Correct Answers sacrum The largest portion of the brain is the [blank], which is commonly referred to as the "gray matter" - Correct Answers cerebrum Hemoglobin is a molecule that attaches to ______ and carries oxygen. - Correct Answers erthrocytes In an otherwise healthy adult, blood loss would cause: - Correct Answers vascular constriction and tachycardia Which of the following is MOST characteristic of adequate breathing in an adult? - Correct Answers Respirations of 20 breaths/min and bilateral chest movement Both areas of the pons are used to: - Correct Answers augment respiration's during emotional or physical stress Which of the following are central pulses? - Correct Answers femoral and carotid
Breathing occurs as the result of a(n): - Correct Answers increase in carbon dioxide, which decreases the pH of the CSF All critical life functions are coordinated in which part of the brain? - Correct Answers Brain stem The inferior cartilaginous tip of the sternum is called the: - Correct Answers xiphoid process The bones that constiture the fingers and toes are called: - Correct Answers phalanges Cardiac output (CO) is affected by: - Correct Answers stroke volume and heart rate The diaphragm is unique because it: - Correct Answers is both a voluntary and an involuntary muscle. The [blank] fills the entire anterposterior depth of the right upper quadrant of the abdomen - Correct Answers liver Signs of adequate breathing in the adult include all of the following, except:
- Correct Answers a reduction in tidal volume The distal aspect of the tibia forms the: - Correct Answers medial malleolus The phase of the cardiac cycle in which the ventricles fill with blood is called: - Correct Answers diastole Which of the following statements regarding plasma is correct? - Correct Answers Plasma transports the blood cells and nutrients Bile is produced by the liver and concentrated and stored in the: - Correct Answers gallbladder The diaphragm and intercostal muscles contract during: - Correct Answers inhalation
The [blank] is made up of the maxilla and zygoma, as well as the frontal bone of the cranium. - Correct Answers orbit Your ability to remain awake is a function of the: - Correct Answers reticular activating system Stimulation of alpha-adrenergic receptors result in: - Correct Answers constriction of the blood vessels The electrcal impulse of the heart normally begins at the: - Correct Answers sinoatrial node Tweleve pairs of ribs attach to which section of the spinal column? - Correct Answers Thoracic [blank] pressure is the pressure exerted by a - Correct Answers Hydrostatic The large, flat triangular bone that overlies the posterior thoracic wall is called the: - Correct Answers scapula The left side of the heart recieves oxygenated blood from the lungs through the: - Correct Answers pulmonary veins Contraction of the right ventricle causes: - Correct Answers blood to flow into the pulmonary circulation During each heartbeat, _______ of blood is ejected from the adult heart. This is called stroke volume (SV) - Correct Answers 70 to 80 mL As the bronchus divides into smaller bronchioles, the terminal ends of these smaller passages form the: - Correct Answers alveoli The pelvic bones are formed by the fusion of the: - Correct Answers ilium, ischium, pubis The body's backup system of repiratory control, which is based on low concentration of oxygen in the blood, is called the: - Correct Answers hypoxic drive.
Which set of nerves is responsible for carrying information from the body to the central nervous system? - Correct Answers sensory The smooth muscles that cause the artery to contract are found in the: - Correct Answers tunica media Oxygen and carbon dioxide pass across the alveolar membrane in the lungs through a process called: - Correct Answers diffusion The part of the brain that controls the left side of the body is the: - Correct Answers right-side cerebrum Deoxygenated blood from the abdomen, pelvis, and lower extremities is returned to the right atrium via the: - Correct Answers inferior vena cava The average adult has approximately [blank] of blood in his or her vascular system. - Correct Answers 6 L The most superior section of the sternum is called the: - Correct Answers manubrium Mean Arterial Pressure (MAP) is a product of: - Correct Answers Cardiac output and systemic vascular resistance The bony prominence on the lateral/superior aspect of the thigh is called the: - Correct Answers greater trochanter Which part of the central nervous system is responsible for coordinating bodily movement such as writing or sewing? - Correct Answers Cerebellum As you assess the head of a patient with a suspected spinal injury, your partner should: - Correct Answers maintain stabilization of the head At what age does separation anxiety typically peak in infants and small children? - Correct Answers 10 to 18 months A patient with spintaneous respirations is breathing: - Correct Answers without assistance
Normal skin color, temperature, and condition should be: - Correct Answers pink, warm, and dry With regard to the assessment of a patient's cardiovascular status, capillary refill time is MOST reliable in: - Correct Answers patients who are younger than 6 years of age Which of the following findings indicates that your patient has a patent airway? - Correct Answers Forceful coughing Which of the following signs of repiratory distress is seen MOST commonly in pedatric patients? - Correct Answers Seesaw breathing In which of the following situations would a direcr ground lift be the MOST appropriate method of moving a patient? - Correct Answers A conscious patient complaining of abdominal pain As the single EMT managing an apneic patient's airway, the preferred initial method of providing ventilations is the: - Correct Answers mouth-to-mask technique with a one-way valve. In late adults, the amount of air left in the lungs after expiration of the maximum amount of air: - Correct Answers increases, which hampers diffusion of gases because of the stagnant air that remains in the alveoli Inhalation occurs when the: - Correct Answers diaphragm and intercostal muscles contract and cause a decrease in intrathoracic pressure. An infant or small child's airway can be occluded if it is overextended or overflexed because: - Correct Answers the occiput is proportionately large and the trachea is flexible An adult patient who is NOT experiencing difficulty breathing will: - Correct Answers be able to speak in complete sentences without unusual pauses intrapulmonary shunting occurs when: - Correct Answers blood coming from the right side of the heart bypasses nonfunctional alveoli and returns to the left side of the heart in an unoxygenated state.
