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1. Which of the following BEST describes the purpose of the modern emergency medical services (EMS) system? 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 Answer: A Page Ref: 7–18 Objective: 1.4 2. Which of the following groups is credited with developing the earliest documented emergency medical service? A) The Spanish B) The Egyptians C) The Mayans D) The French Answer: D Page Ref: 5–7 Objective: 1.2 3. In 1966 the National Highway Safety Act charged which of the following agencies with the development of emergency medical service standards? 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 Answer: A Page Ref: 6–7 Objective: 1.3 4. The National Registry of Emergency Medical Technicians was founded to establish which of the following? 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 Answer: C Page Ref: 13 Objective: 1.9 5. What is the minimum level of certification required of ambulance personnel in most areas? A) Emergency Medical Technician B) Emergency Medical Responder C) Advanced EMT D) Emergency Ambulance Driver Answer: A Page Ref: 8–9 Objective: 1.5 6. Which of the following is the primary responsibility of the EMT? A) Protect and stabilize the patient B) Communicate with other responders on the scene C) Maintain personal health and safety D) Provide emergency care Answer: C Page Ref: 6 Objective: 1.6 7. Upon arrival at the hospital, the EMT advises hospital personnel of the patient's condition, observations from the scene, treatment rendered, and other pertinent data to assure continuity of care. This process is known as which of the following? A) Transfer of care B) Breach of duty C) Definitive care D) End of tour Answer: A Page Ref: 10 Objective: 1.6 8. Which of the following BEST describes a person who speaks up on behalf of the patient and supports his cause? A) Guardian B) Assistant C) Advocate D) Representative Answer: C Page Ref: 11–12 Objective: 1.7 9. Which of the following is an example of patient advocacy? 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 Answer: C Page Ref: 10 Objective: 1.6 10. Why is it important for EMTs to participate in quality improvement programs? 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 Answer: C Page Ref: 13–16 Objective: 1.10 11. Which of the following is a role of the EMT in the quality improvement process? A) Taking responsibility for the actions of one's partner B) Writing complete patient care reports C) Critiquing performance of one’s partner D) Assuring personal safety Answer: B Page Ref: 14–15 Objective: 1.11 12. Who assumes the ultimate responsibility for patient care rendered by the EMT? A) EMS supervisor B) EMT C) Director of quality assurance D) Medical Director Answer: D Page Ref: 15–16 Objective: 1.1, 1.12 13. Which of the following BEST describes a list of steps the EMT should perform while assessing and managing emergency medical situations? A) Standing orders B) On-line medical direction C) Protocols D) Standard operating procedures
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