An appropriate demonstration of professionalism when your patient is frightened, demanding, or unpleasant is to: - ANSWER continue to be nonjudgmental, compassionate, and respectful.
Being aware and thoughtful about t
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An appropriate demonstration of professionalism when your patient is frightened, demanding, or unpleasant is to: - ANSWER continue to be nonjudgmental, compassionate, and respectful.
Being aware and thoughtful about the needs of your patient describes the attribute of: - ANSWER empathy
In most states, a person may be denied certification as an AEMT if he or she: - ANSWER has been convicted of a felony.
The function of the National Registry of EMTs is to: - ANSWER assess competence through a valid testing process.
The recognition by one state of another state's EMS licensure is called: - ANSWER reciprocity
Which of the following is an example of a secondary prevention strategy? - ANSWER Educating the public regarding the use of helmets and seat belts.
Which of the following scenarios involves an ALS skill? - ANSWER Administering oxygen and infusing IV fluids.
You arrive at the scene of a domestic dispute. You can hear yelling and the sound of breaking glass from inside the residence. You should: - ANSWER retreat to a safe place until the scene has been secured.
A circular system of ongoing internal and external reviews is known as: - ANSWER continuous quality improvement.
A physician authorizes you, via two-way radio, to help a patient administer prescribed nitroglycerin. What type of medical direction is this? - ANSWER Online medical control
A self-motivated AEMT should be able to: - ANSWER discover problems and solve them without someone else's direction.
After successfully completely a state-approved AEMT course, you are: - ANSWER eligible to take your state's AEMT certification examination.
All of the following are roles and responsibilities of the AEMT, EXCEPT: - ANSWER providing definitive care for the patient's condition.
An EMS system's primary service area (PSA) is the area where - ANSWER the system is responsible for the provision of emergency care.
As an AEMT, you may have to function as an advocate for your patient. This involves: - ANSWER protecting the best interests of the patient.
Authorization to use an automatic transport ventilator when transporting a patient requires which minimum level of EMS provider? - ANSWER EMT
Continuous quality improvement (CQI) involves all of the following components, EXCEPT: - ANSWER negative feedback to those who make mistakes while on a call.
Even with an EMS certification, your ability to function as an AEMT is governed locally by the: - ANSWER EMS system's medical director
In an enhanced 9-1-1 system: - ANSWER the phone number from which the call is made is displayed on a screen.
Roles and responsibilities of the AEMT include: - ANSWER identifying patients who are critically ill or injured.
Which of the following is NOT a standard licensure requirement for the AEMT? - ANSWER Completion of an NREMT-developed AEMT course.
Which of the following scenarios does NOT involve an ALS skill? - ANSWER Using an AED and performing rescue breathing
While attempting resuscitation of a patient in cardiac arrest, you initiate CPR, defibrillate the patient with an AED, and insert a multilumen airway prior to contacting medical control. What does this scenario most accurately describe? - ANSWER Standing orders
Who regulates the standards under which the AEMT provides emergency care? - ANSWER The State EMS office or agency
A man is experiencing significant anxiety and depression regarding the impending death of his wife. However, the wife is trying to comfort her husband by telling him that she loves him and is prepared to die. What stage of the grieving process is the patient experiencing? - ANSWER Acceptance
After being told of the death of her husband, a middle-aged woman asks, "Why are you lying to me?" What stage of the grieving process is this typical of? - ANSWER Denial
Physical signs that indicate an emotionally disturbed patient may become violent include all of the following, EXCEPT: - ANSWER large physical stature.
The concept of standard precautions assumes that: - ANSWER every patient is potentially infected or can spread an organism that could be transmitted in the health care setting.
Warning signs of stress include which of the following? - ANSWER Indecisiveness
Which of the following personnel are typically NOT involved in a critical incident stress debriefing (CISD)? - ANSWER Supervisors of those involved in the incident.
Which of the following physiologic responses is common during an acute stress reaction? - ANSWER Increased blood glucose levels
You are assessing a seriously ill patient when he suddenly becomes very angry and starts yelling at you. After ensuring your own safety, you should: - ANSWER remain tolerant and avoid becoming defensive.
You arrive at the scene of an overturned semi-trailer truck. There is an odd odor in the air and you can see material leaking from the truck. After ensuring that fire department and law enforcement personnel are notified, you should: - ANSWER use binoculars to try to read the placard.
You have just established an IV on a critically injured patient. As you prepare to dispose of the needle in the appropriate container, you get stuck with the needle. You should: - ANSWER report the incident to your supervisor as soon as possible.
After several years in EMS, you begin to experience chronic stress. An effective way to deal with this is to: - ANSWER sustain friends or activities outside of EMS.
At the scene of an automobile crash, a utility pole has been broken, and power lines are lying across the car. The driver of the car is responsive, but reporting neck pain. You should: - ANSWER mark off a danger zone around the car and downed lines.
Common hazards associated with a structural fire include all of the following, EXCEPT: - ANSWER carbon dioxide deficiency.
If you use a waterless handwashing substitute in the field, it is important to: - ANSWER thoroughly wash your hands with water as soon as possible.
Life-long immunity would MOST likely occur after a patient is infected with: - ANSWER rubella
Patients who have developed partial immunity to a particular disease: - ANSWER are protected against new infections, but not from germs that remain in the body from the initial illness.
The AEMT should wear double gloves when caring for a patient who: - ANSWER is bleeding heavily from a large artery laceration.
What is the difference between cover and concealment? - ANSWER Cover involves the use of an impenetrable barrier.
When assisting with the delivery of a baby, the minimum standard precautions you should take include: - ANSWER gloves, mask, gown, and eye protection.
When you suction a patient's airway, the minimum personal protective equipment the AEMT should wear is: - ANSWER gloves, eye protection, and a face shield.
Which of the following bodily fluids has the LEAST chance of transmitting an infectious disease? - ANSWER Saliva
Which of the following general statements regarding infectious diseases is correct? - ANSWER All contagious diseases are infectious.
Which of the following is NOT a typical warning sign of stress? - ANSWER Increased appetite
Which of the following scenarios is an example of exposure via indirect contact? - ANSWER An AEMT is stuck with a needle that she used to start an IV on a patient.
Which of the following statements is correct regarding the family's reaction to the death of a loved one who had an extended or terminal illness? - ANSWER They often feel relieved that the illness is over.
Which of the following statements regarding HIV is correct? - ANSWER HIV cannot enter the bloodstream through intact skin.
Which of the following statements regarding rescue breathing and disease transmission is correct? - ANSWER Although disease transmission is unlikely, mouth-to-mouth rescue breathing is rarely necessary in the field
Which of the following statements would be MOST appropriate to make to the family member of a patient who has just died? - ANSWER This must be hard for you to accept.
While caring for a 40-year-old male with shortness of breath and a history of tuberculosis, the AEMT should place a: - ANSWER HEPA respirator on himself and a nonrebreathing mask on the patient.
You are dispatched for a young male who, according to witnesses, is "not acting right." The patient is found sitting on the ground outside of a grocery store, rocking back and forth. He has blood on his arm from an apparent wound to his wrist. You should: - ANSWER talk to him as you approach him, but be prepared for him to turn violent.
A certified AEMT is a prehospital care provider who has: - ANSWER met certain predetermined standards to ensure safe and ethical practice.
A direct relationship between a patient's injury and the AEMT's actions or inactions is called: - ANSWER proximate cause.
In most states, the AEMT has a legal obligation to report: - ANSWER a man who was shot during an attempt to rob a bank.
Under which of the following situations would the AEMT NOT have a legal duty to act? - ANSWER You are off duty and encounter a man in cardiac arrest.
When writing your patient care form involving an acutely intoxicated patient, you document that the patient was "drunk." What does this statement constitute? - ANSWER Libel
Which of the following scenarios MOST accurately depicts assault? - ANSWER Telling a patient to calm down or you will start an IV.
While treating a responsive and alert patient with a serious illness, your partner starts an IV, but does not explain the procedure to the patient. Your partner's inaction MOST accurately constitutes: - ANSWER battery
You respond to a call for a 56-year-old man with a severe headache and nausea. He asks you to take him to a local community hospital. What type of consent has this patient given to you? - ANSWER Expressed consent
You respond to the scene of a 16-year-old pregnant woman with abdominal pain. Her friend called EMS because she was concerned. As you begin your assessment, the patient tells you that she feels better and does not want to go to the hospital. You should: - ANSWER explain the consequences of refusal of care.
A male patient is reporting crushing chest pain. Prior to informing an invasive procedure on him, you must: - ANSWER explain the risks and benefits of the procedure to the patient.
During transport of a patient with a possible fractured arm, you come upon a major car accident involving multiple patients. Your patient is responsive, alert, and has stable vital signs. What should you do? - ANSWER Radio the dispatcher to send ambulances to the scene and continue transport.
En route to the hospital, a diabetic patient regains partial consciousness. He tells you that he feels fine and that he does not want to go to the hospital. Under these circumstances, you should: - ANSWER assess whether the patient's mental condition is impaired.
In most instances, a valid do not resuscitate (DNR) order must meet which of the following requirements? - ANSWER It must clearly state the patient's medical condition.
The absence of a pulse and breath sounds are NOT adequate in declaring death in patients who: - ANSWER were acutely poisoned.
The Good Samaritan law is designed to afford legal protection for providers who: - ANSWER provide good faith care while not on duty.
The manner in which you are required to act or behave while providing emergency care is called: - ANSWER standard of care.
When establishing negligence, which of the following factors is NOT a consideration? - ANSWER The patient's injury was life threatening.
When treating an anxious and uncooperative patient with chest pain, you state, "If you don't settle down, I am going to put a large IV in your arm." What is this an example of? - ANSWER Assault
Which of the following circumstances would require a written release of confidential information from the patient? - ANSWER Family members wanting information about an adult patient.
Which of the following is a presumptive sign of death? - ANSWER Lack of a palpable pulse
Which of the following is your BEST protection against being accused of defamation of character? - ANSWER Documenting objective findings only.
Which of the following patients has the legal right to refuse treatment? - ANSWER Responsive and alert 45-year-old male with chest pressure
While treating a man with severe chest pain and difficulty breathing, you are presented with a valid do not resuscitate (DNR) order by the patient's wife. She tells you that her husband does not want any "heroics." How should you manage this situation? - ANSWER Provide supportive care and transport the patient
While triaging patients at a multiple-casualty incident, you encounter a 40-year-old female with an obvious fracture of her right forearm and multiple abrasions to her face and arms. She is responsive and alert and does not appear to have any airway or breathing problems. You note that she is wearing an organ donor bracelet. You should: - ANSWER assign her an appropriate triage category and move to the next patient.
You and your team attempted to resuscitate a young male who hung himself in his garage. Despite your best efforts, the patient did not survive. When the medical examiner arrives at the scene, you should: - ANSWER provide information to the medical examiner, such as the position in which the patient was found upon your arrival.
You are NOT covered under the Good Samaritan law if you: - ANSWER perform an act beyond your scope of care.
You arrive at the scene of a shooting. The patient, a young man, was shot in the head and has exposed brain matter. He is pulseless and apneic. What should you do? - ANSWER Take necessary precautions not to disturb the scene.
You arrive at the scene where an older man inadvertently overdosed on his blood pressure medication. He is unresponsive with shallow respirations. The patient's wife is unavailable. You should: - ANSWER begin treatment and transport the patient to the hospital.
You respond to a call for an 16-year-old boy who injured his arm. As you are assessing the child, he tells you that he does not want you to touch him. His mother tells you to begin treatment and transport the child to the hospital if necessary. What should you do? - ANSWER Continue your assessment and transport if necessary.
A 68-year-old female with a history of Alzheimer's disease complains of acute abdominal pain. As you prepare to start an IV on her, she becomes verbally abusive. You should: - ANSWER remain patient and explain the procedure to her.
A 79-year-old female is complaining of shortness of breath. When you ask her when this episode began, she does not answer you. You should: - ANSWER speak clearly and repeat the question.
Radios that operate at 800 MHz allow for trunking, which is the: - ANSWER ability of multiple agencies to share frequencies.
The transfer of patient care officially occurs when you: - ANSWER give an oral report to a nurse or physician.
Which of the following functions would an emergency medical dispatcher (EMD) perform? - ANSWER Instructing a caller how to perform CPR
Which of the following information is generally NOT reported to the dispatcher during a call? - ANSWER The patient's clinical condition
Which of the following represents the MOST appropriate order to present patient information over the radio when communicating with the hospital? - ANSWER Age and sex, chief complaint, history of present illness, exam findings, care provided, estimated time of arrival
Which of the following statements regarding patient refusals is correct? - ANSWER You cannot legally mandate that a patient sign a refusal form.
You are caring for a 32-year-old female who does not speak English. The patient is clinically stable and there are no family members present at the scene. What is the most effective way to communicate with her? - ANSWER Ask short questions and use simple words.
A 66-year-old female's daughter called EMS because her mother was having chest pain. When you arrive, the patient states that she does not need EMS and will not go to the hospital on her own. The patient is conscious, alert, and oriented and will not sign a refusal form. You should: - ANSWER Have the daughter sign the form verifying her mother's refusal.
After medical control has ordered you to start an IV and administer normal saline at 125 mL/hr, you should: - ANSWER repeat the order, word for word.
Any radio hardware that contains a transmitter and receiver and is located in a fixed location is called a: - ANSWER base station.
During your assessment of a patient, you ask, "Can you tell me more about your problem? I am listening." Which communication tool is this an example of? - ANSWER Facilitation.
Ethnocentrism is defined as: - ANSWER considering your own cultural values as more important when interacting with people of a different culture.
Pertinent information that is transmitted over the radio to the receiving hospital includes all of the following, EXCEPT the: - ANSWER name and address of the patient.
When assessing an anxious 55-year-old male with chest pain, you should: - ANSWER ask him how he prefers to be addressed.
When documenting a mass-casualty incident (MCI), you should: - ANSWER follow your local MCI plan for documentation.
When documenting your assessment of a patient with a headache, you should include pertinent negatives, which are: - ANSWER expected signs or symptoms that are not present.
When responding to the scene of a mass-casualty incident, you should: - ANSWER ask the dispatcher to notify all of the hospitals in the area.
When you talk with a patient, you should try to position yourself: - ANSWER at a level lower than the patient's.
Which of the following statements regarding hearing-impaired patients is correct? - ANSWER Family members of hearing-impaired patients often have difficulty coping.
You are assessing a middle-aged man who complains of nausea and a headache. Before you physically move closer to him, it is important to remember that: - ANSWER a greater sense of trust must be established first.
You are caring for a patient with a possible myocardial infarction. When communicating with medical control, you are able to speak to the physician and send an ECG tracing at the same time. What type of radio system is required to do this? - ANSWER Full duplex mode
You are dispatched to a residence for a 5-year-old child with fever. During your assessment, the child becomes irritable and starts crying. You should: - ANSWER encourage a parent or caregiver to hold the child.
You are giving your oral report to the attending physician in the emergency department. Which of the following information about the patient is usually NOT given at this point? - ANSWER The patient's physical address
You are requesting an order to perform an invasive intervention on a critically ill patient from medical control when the radio system suddenly fails. You should: - ANSWER follow standing orders.
You must be careful when speaking to the family members about a patient because: - ANSWER the patient may misinterpret what you said.
Your assessment of a 40-year-old male with an altered mental status (AMS) reveals the obvious odor of alcohol on his breath. When documenting the events of the call, you should state that: - ANSWER the smell of alcohol was noted on the patient's breath.
A pH of 7.30 indicates: - ANSWER acidosis
Agonal respirations can be described as: - ANSWER occasional gasping breaths.
During an acidotic state, the kidneys attempt to maintain a normal pH by: - ANSWER retaining bicarbonate.
Oxygen and carbon dioxide pass across the alveocapillary membrane through a process called: - ANSWER diffusion.
The layer of tissue that lines the inside of the chest cavity is called the: - ANSWER parietal pleura.
The majority of the body's total body water is contained within the: - ANSWER intracellular space.
The pneumotaxic center is located in the __________, and functions by: - ANSWER pons; inhibiting the dorsal respiratory group and increases the speed and depth of breathing.
The renin-angiotensin system in the kidneys helps to regulate: - ANSWER blood pressure.
What are the functions of the pancreas? - ANSWER Production of insulin and certain enzymes that aid in digestion.
What is the function of the lymphatic system? - ANSWER Filtration of debris and bacteria from the blood.
A bruit differs from a murmur in that a bruit: - ANSWER is auscultated over a main blood vessel.
A medication that possesses a positive chronotropic effect is one that: - ANSWER increases heart rate.
A person with type A+ blood could receive which of the following blood types? - ANSWER A+
After the aorta arises from the left ventricle, it first: - ANSWER ascends and branches into the coronary arteries.
As an electrical impulse travels down the electrical conduction system, it transiently slows at the: - ANSWER AV node.
Closure of the tricuspid and mitral valves occur during: - ANSWER ventricular contraction.
In addition to facilitating the uptake of sugar into the cells, insulin is also responsible for: - ANSWER the chemical conversion of glucose to glycogen.
Release of the adrenocorticotropic hormone (ACTH) is triggered by: - ANSWER stress.
The adrenal cortex, a portion of the adrenal gland, produces: - ANSWER corticosteroids.
The aorta divides into the two common iliac arteries at the level of the: - ANSWER fifth lumbar vertebra.
The heart's primary pacemaker, which is located in the right atrium, is the: - ANSWER SA node.
The left main coronary artery rapidly divides into the: - ANSWER left anterior descending and circumflex arteries.
The semilunar valves of the heart function by: - ANSWER preventing backflow of blood into the ventricles.
The term inotropy refers to the: - ANSWER strength of myocardial contraction.
What body system is comprised of various glands located throughout the body? - ANSWER Endocrine system
What is the cardiac output of a person with a stroke volume of 60 mL and a heart rate of 90 beats/min? - ANSWER 5.4 L
What is the function of a baroreceptor? - ANSWER Monitoring changes in arterial pressure.
What occurs during the initial phase of hemostasis? - ANSWER Local vasoconstriction and platelet activation occur.
Which layer of the blood vessel wall is composed of elastic tissue and smooth muscle cells? - ANSWER Tunica media
Which layer of the heart would be penetrated during an emergent medical procedure in order to remove fluid? - ANSWER Pericardium
Age-related changes in the renal system result in: - ANSWER a decreased ability to clear wastes from the body and a decreased ability to conserve fluids when needed.
Aging is often associated with diminished proprioception, which is defined as: - ANSWER the ability to know where various parts of the body are located in re
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