Seth Weaver
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Seth Weaver
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EMT 3

Question 1 of 50

1

A patient regains consciousness en route from his office to the emergency department. The patient tells you that he feels fine and does not want to go to the hospital. Under these circumstances, you should:
Select one:

Select one of the following:

  • document the patient's request but continue to transport him.

  • have the patient sign a refusal form and return him to his office.

  • request that the police place the patient under protective custody.

  • assess whether or not the patient's mental condition is impaired.

Explanation

Question 2 of 50

1

Acting in such a way as to make another person fear immediate bodily harm is called:
Select one:

Select one of the following:

  • negligence.

  • battery.

  • assault.

  • libel.

Explanation

Question 3 of 50

1

An EMT would MOST likely be held liable for abandonment if he or she:
Select one:

Select one of the following:

  • refused to care for a violent patient who is armed with a knife.

  • remained at the hospital for 30 minutes to give a patient report.

  • did not make provisions for continued care of an injured patient.

  • terminated care of a competent adult patient at his or her request.

Explanation

Question 4 of 50

1

As an EMT, the performance of your duties will be compared to that of:
Select one:

Select one of the following:

  • a paramedic supervisor.

  • the medical director.

  • the general public.

  • another EMT.

Explanation

Question 5 of 50

1

At the scene of a mass-casualty incident, you identify a patient as an organ donor. When triaging the other patients, you:
Select one:

Select one of the following:

  • should transport the donor patient before critical patients.

  • may have to assign the donor patient a lower triage priority.

  • should use a separate ambulance to transport the donor patient.

  • must assign the donor the highest priority regardless of injuries.

Explanation

Question 6 of 50

1

During your monthly internal quality improvement (QI) meeting, you review several patient care reports (PCRs) with the staff of your EMS system. You identify the patient's name, age, and sex, and then discuss the treatment that was provided by the EMTs in the field. By taking this approach to the QI process, you:
Select one:

Select one of the following:

  • acted appropriately but must have each EMT sign a waiver stating that he or she will not discuss the cases with others.

  • adequately safeguarded the patient's PHI because the cases were discussed internally.

  • are in violation of HIPAA because you did not remove the PHI from the PCR beforehand.

  • violated the patient's privacy because you should have only discussed the information with the EMTs who provided it.

Explanation

Question 7 of 50

1

If an action or procedure that was performed on a patient is not recorded on the written report:
Select one:

Select one of the following:

  • it was performed haphazardly by the EMT.

  • it cannot be used in establishing negligence.

  • it can be qualified by the EMT in charge.

  • it was not performed in the eyes of the law.

Explanation

Question 8 of 50

1

In many states, a minor may be treated as an adult for the purpose of consenting to or refusing medical treatment if the minor:
Select one:

Select one of the following:

  • is self-supporting and lives by him- or herself.

  • has a poor relationship with his or her parents.

  • possesses a valid driver's license.

  • is mentally competent and able to refuse.

Explanation

Question 9 of 50

1

In order for a do not resuscitate (DNR) order to be valid, it must:
Select one:

Select one of the following:

  • be signed by the local justice of the peace.

  • be updated a minimum of every 6 months.

  • clearly state the patient's medical problem.

  • be dated within the previous 24 months.

Explanation

Question 10 of 50

1

In the eyes of the court, an incomplete or untidy patient care form indicates:
Select one:

Select one of the following:

  • that the EMT was too busy providing patient care.

  • that inadequate patient care was administered.

  • potential falsification of the patient care form.

  • that thorough documentation was not required.

Explanation

Question 11 of 50

1

In which of the following circumstances can the EMT legally release confidential patient information?
Select one:

Select one of the following:

  • the patient is competent and signs a release form

  • a media representative inquires about the patient

  • the family requests a copy for insurance purposes

  • a police officer requests a copy to place on file

Explanation

Question 12 of 50

1

In which of the following situations does the EMT NOT have a legal duty to act?
Select one:

Select one of the following:

  • Local policy requires you to assist in any emergency.

  • a response to an injured patient while on duty

  • a response to a motor vehicle crash while off duty

  • a response to the residence of a patient who fell

Explanation

Question 13 of 50

1

Maintaining the chain of evidence at the scene of a crime should include:
Select one:

Select one of the following:

  • not cutting through holes in clothing that were caused by weapons.

  • making brief notes at the scene and then completing them later.

  • placing the patient in a private area until the police arrive.

  • quickly moving any weapons out of the patient's sight.

Explanation

Question 14 of 50

1

Putrefaction is defined as:
Select one:

Select one of the following:

  • separation of the torso from the rest of the body.

  • blood settling to the lowest point of the body.

  • profound cyanosis to the trunk and face.

  • decomposition of the body's tissues.

Explanation

Question 15 of 50

1

Shortly after loading 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. He 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?
Select one:

Select one of the following:

  • Once a patient is in the ambulance, he or she cannot legally refuse EMS treatment.

  • Because of your suspicions, the best approach is to transport him to the hospital.

  • Any patient who refuses EMS treatment must legally sign a patient refusal form.

  • A mentally competent adult can withdraw his or her consent to treat at any time.

Explanation

Question 16 of 50

1

The EMT's scope of practice within his or her local response area is defined by the:

Select one of the following:

  • local health district.

  • EMS supervisor.

  • state EMS office.

  • medical director.

Explanation

Question 17 of 50

1

The manner in which the EMT must act or behave when caring for a patient is called the:

Select one of the following:

  • scope of practice.

  • standard of care.

  • EMT oath.

  • code of ethics.

Explanation

Question 18 of 50

1

To minimize the risk of litigation, the EMT should always:
Select one:

Select one of the following:

  • utilize at least four personnel when moving a patient.

  • use universal precautions with every patient encounter.

  • transport patients to the hospital of their choice.

  • provide competent care that meets current standards.

Explanation

Question 19 of 50

1

Two EMTs witnessed a call in which a coworker gave adequate medical care but ignored the patient's emotional needs. The coworker was deliberately rude solely because the patient was thought to be infected with the human immunodeficiency virus (HIV). The EMTs ignored the coworker's treatment of this patient and took no steps to prevent this behavior from happening again. This lack of action on the part of the two EMTs is considered:
Select one:
A. legal and ethical.
B. legal but unethical. Correct
C. illegal but ethical.
D. illegal and unethical.

Select one of the following:

  • legal but unethical.

  • legal and ethical.

  • illegal but ethical.

  • illegal and unethical.

Explanation

Question 20 of 50

1

What section of the Health Insurance Portability and Accountability Act (HIPAA) MOST affects EMS personnel?
Select one:

Select one of the following:

  • preventing insurance fraud

  • ensuring access to insurance

  • protecting patient privacy

  • controlling insurance cost

Explanation

Question 21 of 50

1

What type of consent is involved when a 39-year-old mentally competent female with a severe headache asks you to take her to the hospital?

Select one of the following:

  • expressed

  • informed

  • implied

  • formal

Explanation

Question 22 of 50

1

When caring for a 65-year-old male with respiratory distress, you place him in a comfortable position but do not apply oxygen. The patient's condition continues to deteriorate and he develops cardiac arrest and dies at the hospital. This scenario is an example of:
Select one:
A. assault.
B. battery.
C. negligence. Correct
D. abandonment.

Select one of the following:

  • negligence.

  • abandonment.

  • battery.

  • assault.

Explanation

Question 23 of 50

1

When faced with a situation in which a patient is in cardiac arrest, and a valid living will or DNR order cannot be located, you should:
Select one:

Select one of the following:

  • notify the coroner immediately.

  • determine the patient's illness.

  • contact medical control first.

  • begin resuscitation at once.

Explanation

Question 24 of 50

1

When performing his or her duties, the EMT is generally expected to:
Select one:

Select one of the following:

  • exercise reasonable care and act prudently.

  • function above his or her scope of practice.

  • contact medical control on every EMS call.

  • consistently exceed the standard of care.

Explanation

Question 25 of 50

1

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:
Select one:

Select one of the following:

  • begin two-rescuer CPR and apply the automated external defibrillator (AED) as soon as possible.

  • obtain permission from medical control to not attempt resuscitation.

  • wait for the backup ambulance while your partner performs CPR.

  • advise your partner that you cannot provide care to this patient.

Explanation

Question 26 of 50

1

Where would you MOST likely find information regarding a patient's wishes to be an organ donor?
Select one:

Select one of the following:

  • voter registration card

  • Social Security card

  • insurance card

  • driver's license

Explanation

Question 27 of 50

1

Which of the following components are needed to prove negligence?
Select one:

Select one of the following:

  • breach of duty, injury/damages, abandonment, and causation

  • duty to act, breach of duty, injury/damages, and causation

  • duty to act, abandonment, breach of duty, and causation

  • abandonment, breach of duty, damages, and causation

Explanation

Question 28 of 50

1

Which of the following general statements regarding consent is MOST correct?
Select one:

Select one of the following:

  • All patients older than 18 years can legally refuse treatment or transport.

  • Expressed consent is valid only if given in writing by a family member.

  • Patients who are intoxicated are generally allowed to refuse treatment.

  • A patient can consent to transport but can legally refuse to be treated.

Explanation

Question 29 of 50

1

Which of the following is NOT considered to be protected health information (PHI)?

Select one of the following:

  • assessment findings

  • location of the call

  • treatment rendered

  • patient history

Explanation

Question 30 of 50

1

Which of the following MOST accurately defines negligence?
Select one:

Select one of the following:

  • transport of a mentally incompetent patient against his or her will

  • deviation from the standard of care that may result in further injury

  • transferring patient care to a provider with a lower level of training

  • providing care that is consistent with care provided by other EMTs

Explanation

Question 31 of 50

1

Which of the following scenarios MOST accurately depicts abandonment?
Select one:

Select one of the following:

  • An EMT gives a verbal report to an emergency room nurse.

  • A physician assumes patient care from an EMT.

  • An AEMT transfers patient care to a paramedic.

  • A paramedic transfers patient care to an EMT.

Explanation

Question 32 of 50

1

Which of the following scenarios MOST accurately depicts informed consent?
Select one:

Select one of the following:

  • A patient is advised by an EMT of the risks of refusing care.

  • An EMT initiates immediate care for an unconscious adult.

  • An EMT advises a patient of the risks of receiving treatment.

  • A patient advises an EMT of why he or she is refusing care.

Explanation

Question 33 of 50

1

Which of the following situations requires you to notify the appropriate authorities?
Select one:

Select one of the following:

  • cardiac arrest

  • drug overdose

  • attempted suicide

  • accidental knife wound

Explanation

Question 34 of 50

1

Which of the following statements regarding the Good Samaritan law is correct?
Select one:

Select one of the following:

  • It provides the EMT immunity from a lawsuit.

  • It guarantees that the EMT will not be held liable if he or she is sued.

  • The law does not protect EMTs who are off duty.

  • It will not protect the EMT in cases of gross negligence.

Explanation

Question 35 of 50

1

Which of the following types of consent allows treatment of a patient who is unconscious or mentally incapacitated?

Select one of the following:

  • expressed

  • informed

  • actual

  • implied

Explanation

Question 36 of 50

1

While transporting a stable patient with chest pain to the hospital, you come across a major motor vehicle crash involving several critically injured patients. Your MOST appropriate action should be to:
Select one:

Select one of the following:

  • continue transporting your patient and notify the dispatcher of the crash.

  • ask a bystander to remain with your patient as you treat the crash victims.

  • remain at the scene until law enforcement and another ambulance arrive.

  • stop and triage the patients while your partner remains in the ambulance.

Explanation

Question 37 of 50

1

While transporting a woman with diabetes, you inadvertently give her 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:
Select one:

Select one of the following:

  • document the error and report it to your supervisor.

  • notify law enforcement so they can file an incident report.

  • contact medical control and notify him or her of the error.

  • exclude this from the PCR since it did not harm the patient.

Explanation

Question 38 of 50

1

You and your partner are the first to arrive at a potential crime scene with a critically injured patient involved. The scene is safe. Your first priority is to:
Select one:

Select one of the following:

  • determine why the patient was injured.

  • wait for law enforcement to arrive.

  • provide immediate patient care

  • notify medical control for advice.

Explanation

Question 39 of 50

1

You and your partner arrive at the scene of a major motor vehicle crash. The driver, a young male, is severely entrapped in his car. He has an open head injury and massive facial trauma. He is unresponsive, is not breathing, and does not have a palpable carotid pulse. You should:

Select one of the following:

  • have your partner check for a pulse to confirm that the patient is deceased.

  • request the fire department to extricate the patient so you can begin cardiopulmonary resuscitation (CPR).

  • ventilate the patient for 5 minutes and then stop if there is no response.

  • stop any active bleeding and advise dispatch to send a paramedic crew.

Explanation

Question 40 of 50

1

You are dispatched to a middle school for a 16-year-old female experiencing an asthma attack. She is conscious and alert, but in severe respiratory distress. The school nurse informs you that she has tried several times to contact the patient's parents but has not been successful. You should:
Select one:

Select one of the following:

  • administer oxygen only until you receive parental consent for further treatment.

  • transport the child to the closest hospital and let them provide any treatment.

  • recognize that you cannot begin treatment without expressed parental consent.

  • provide treatment up to your level of training and transport the child at once.

Explanation

Question 41 of 50

1

You are dispatched to an apartment complex for a shooting. Law enforcement personnel are present and have the suspect 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:
Select one:

Select one of the following:

  • obtain permission from law enforcement before moving anything.

  • quickly move the coffee table so you can access and treat the patient.

  • treat the patient where he is so that you do not destroy any evidence.

  • drag the patient into a larger area so that you can begin treatment.

Explanation

Question 42 of 50

1

You are dispatched to an office building for a 49-year-old male with chest pain. When you arrive at the scene, you find the patient to be conscious and alert, but in obvious pain. He tells you that he did not call 9-1-1; a coworker did. He further states that he does not want to be treated or transported to the hospital. You should:
Select one:

Select one of the following:

  • ensure that he is aware of the risks of refusing medical care.

  • err in the best interest of the patient and transport him at once.

  • have him sign a refusal of care form and then return to service.

  • tell him that he is having a heart attack and needs medical care.

Explanation

Question 43 of 50

1

You are treating a man with a closed head injury following an assault by a burglar. The patient, who has slurred speech, becomes verbally abusive and tells you to leave him alone. You should:
Select one:
A. ask a police officer to transport the patient to the hospital.
B. allow him to refuse treatment since the injury was not his fault.
C. proceed with treatment and utilize law enforcement if necessary. Correct
D. have the police arrest him so that you can legally begin treatment.

Select one of the following:

  • have the police arrest him so that you can legally begin treatment.

  • ask a police officer to transport the patient to the hospital.

  • allow him to refuse treatment since the injury was not his fault.

  • proceed with treatment and utilize law enforcement if necessary.

Explanation

Question 44 of 50

1

You arrive at the scene of a motor vehicle versus pedestrian accident. The patient, a 13-year-old male, is unconscious and has multiple injuries. As you are treating the child, a law enforcement officer advises you that the child's parents will be at the scene in approximately 15 minutes. What should you do?
Select one:

Select one of the following:

  • Withhold treatment until the parents arrive and give you consent for treatment.

  • Begin transport at once and have the parents meet you en route to the hospital.

  • Treat the child at the scene and wait for the parents to arrive and give consent.

  • Transport the child immediately and have the parents meet you at the hospital.

Explanation

Question 45 of 50

1

You arrive at the scene of an apparent death. When evaluating the patient, which of the following is a definitive sign of death?
Select one:

Select one of the following:

  • absent breath sounds

  • dependent lividity

  • profound cyanosis

  • absence of a pulse

Explanation

Question 46 of 50

1

You have been tasked by your medical director to assist in the development of your EMS agency's institutional standards. When developing these standards, it is important to:
Select one:

Select one of the following:

  • require personnel to transport all patients to the closest hospital.

  • be reasonable and realistic to avoid overburdening your personnel.

  • demand that all personnel consistently exceed the standard of care.

  • expect personnel to function beyond their scope of practice if needed.

Explanation

Question 47 of 50

1

You respond to the home of a 59-year-old man who is unconscious, has slow, shallow breathing, and has a weak pulse. The family states that the patient has terminal brain cancer and does not wish to be resuscitated. They further state that there is a DNR order for this patient; however, they are unable to locate it. You should:
Select one:

Select one of the following:

  • decide on further action once the DNR order is produced.

  • transport the patient without providing any treatment.

  • honor the patient's wishes and withhold all treatment.

  • begin treatment and contact medical control as needed.

Explanation

Question 48 of 50

1

You suspect that a 6-year-old girl has broken her leg after falling from a swing at a playground. Shortly after you arrive, the child's mother appears and refuses to allow you to continue treatment. You should:
Select one:

Select one of the following:

  • use your authority under the implied consent law.

  • try to persuade the mother that treatment is needed.

  • ask the mother to sign a refusal form and then leave.

  • tell the mother that her refusal is a form of child abuse.

Explanation

Question 49 of 50

1

You suspect that a pregnant 16-year-old girl has a broken leg after she was hit by a car. You explain that you plan to splint her leg, and she agrees to treatment. What type of consent is her agreement considered?
Select one:

Select one of the following:

  • minor's

  • expressed

  • informed

  • implied

Explanation

Question 50 of 50

1

Your BEST protection against legal liability when a competent patient refuses EMS care and transport is to:
Select one:

Select one of the following:

  • thoroughly document the entire event.

  • ensure that the family is aware of the risks.

  • err on the side of caution and transport.

  • advise medical control of the situation.

Explanation

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