Seth Weaver
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Seth Weaver
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EMT 4

EMT 4

Question 1 of 50

1

A 4-year-old boy had an apparent seizure. He is conscious and calm and is sitting on his mother's lap. His father is sitting in a nearby chair. The child's mother suddenly begins crying uncontrollably, which causes the child to start crying. You should:
Select one:

Select one of the following:

  • reassure the child's mother that seizures in children are very common and that there is nothing to worry about.

  • give the child a favorite toy or blanket to hold onto and perform your assessment to the best of your ability.

  • consider asking the father to hold the child so you can assess him while your partner tries to calm the mother.

  • attempt to calm the child's mother, but avoid separating her from her child because this will increase her anxiety.

Explanation

Question 2 of 50

1

A 60-year-old man complains of chest pain. He is conscious and alert and denies shortness of breath. Which of the following questions would be the MOST appropriate to ask him?
Select one:

Select one of the following:

  • “Were you exerting yourself when the chest pain began?”

  • “Does the pain in your chest feel like a stabbing sensation?”

  • “Do you have any heart problems or take any medications?”

  • “Does the pain in your chest move to either of your arms?”

Explanation

Question 3 of 50

1

A patient's refusal for EMS treatment and/or transport must be:
Select one:

Select one of the following:

  • witnessed by a notary.

  • an informed refusal.

  • authorized by a judge.

  • reported to the police.

Explanation

Question 4 of 50

1

A ___________ receives messages and signals on one frequency and then automatically retransmits them on a second frequency.
Select one:

Select one of the following:

  • repeater

  • duplex

  • scanner

  • decoder

Explanation

Question 5 of 50

1

After being dispatched on an emergency call, you should expect the dispatcher to provide you with all of the following information, EXCEPT:
Select one:

Select one of the following:

  • other agencies that are responding to the scene.

  • the time at which your unit was dispatched.

  • the number of patients involved in the incident.

  • the general geographic location of the incident.

Explanation

Question 6 of 50

1

After delivering your patient to the hospital, you sit down to complete the PCR. When documenting the patient's last blood pressure reading, you inadvertently write 120/60 instead of 130/70. To correct this mistake, you should:
Select one:

Select one of the following:

  • leave the error on your PCR but inform the staff of the patient's actual blood pressure.

  • draw a single horizontal line through the error, initial it, and write the correct data next to it.

  • cover the error with correction fluid and simply write the patient's actual blood pressure over it

  • attempt to erase the error, initial it, and then write the correct data on a separate addendum.

Explanation

Question 7 of 50

1

After receiving online orders from medical control to perform a patient care intervention, you should:
Select one:

Select one of the following:

  • perform the intervention as ordered.

  • ask the physician to repeat the order.

  • repeat the order to medical control word for word.

  • confirm the order in your own words.

Explanation

Question 8 of 50

1

All information recorded on the PCR must be:
Select one:

Select one of the following:

  • typewritten or printed.

  • considered confidential.

  • a matter of public record.

  • reflective of your opinion.

Explanation

Question 9 of 50

1

Any radio hardware containing a transmitter and receiver that is located in a fixed location is called a:

Select one of the following:

  • base station.

  • repeater.

  • mobile radio.

  • multiplex.

Explanation

Question 10 of 50

1

As you are wheeling your patient through the emergency department doors, you receive another call for a major motor vehicle crash. You should:
Select one:

Select one of the following:

  • leave a copy of the run form with a nurse and then respond to the call.

  • inform the admissions clerk of the situation and then respond at once.

  • place the patient in a high-visibility area and then respond to the call.

  • respond only after giving a verbal patient report to a nurse or physician.

Explanation

Question 11 of 50

1

Calming and reassuring an anxious patient can be facilitated by:
Select one:

Select one of the following:

  • positioning yourself at a level that is higher than the patient.

  • maintaining eye contact with the patient whenever possible.

  • using medical terminology to ensure the patient understands.

  • withholding unpleasant information until arrival at the hospital.

Explanation

Question 12 of 50

1

Communicating with hearing-impaired patients can be facilitated by doing all of the following, EXCEPT:

Select one of the following:

  • providing pen and paper if the patient prefers to write his or her response.

  • elevating the tone of your voice and exaggerating word pronunciation.

  • placing yourself in a position to ensure that the patient can see your lips.

  • shining a light on your face when you are in a darkened environment.

Explanation

Question 13 of 50

1

Despite numerous, sincere efforts to convince a 40-year-old man to consent to EMS treatment and transport, he refuses. After explaining the potential consequences of his refusal and determining that he has decision-making capacity, you ask him to sign an EMS refusal form, but he refuses to do that as well. You should:

Select one of the following:

  • sign the refusal form, include the date and time, and have your partner witness it with his or her signature.

  • advise the patient that unless he signs the refusal form, he cannot legally refuse EMS treatment or transport.

  • ask a family member, law enforcement officer, or bystander to sign the form verifying that the patient refused to sign.

  • document the patient's refusal, but leave the refusal form blank because only the patient can legally sign it.

Explanation

Question 14 of 50

1

During the alert and dispatch phase of EMS communications, the dispatcher's responsibilities include all of the following, EXCEPT:
Select one:

Select one of the following:

  • discouraging the caller from providing care until the EMS unit arrives.

  • coordinating responding EMS units with other public safety personnel.

  • screening and assigning a priority to each call based on local protocols.

  • selecting and notifying the correct EMS response units and person
    B. nel.screening and assigning a priority to each call based on local prot

Explanation

Question 15 of 50

1

During your assessment of a 20-year-old man with a severe headache and nausea, you ask him when his headache began, but he does not answer your question immediately. You should:
Select one:

Select one of the following:

  • tell him that you cannot help him unless he answers your questions.

  • ask him if he frequently experiences severe headaches and nausea.

  • allow him time to think about the question and respond to it.

  • repeat your question because he probably did not hear you.

Explanation

Question 16 of 50

1

Ethnocentrism is defined as:
Select one:

Select one of the following:

  • considering your own cultural values as more important when interacting with people of a different culture.

  • suspecting that a person has an ulterior motive based on the tone of his or her voice when answering a question.

  • understanding that people from different cultural backgrounds respond to pain and stress differently.

  • subconsciously forcing your cultural values onto a patient because you feel that yours are more acceptable.

Explanation

Question 17 of 50

1

General guidelines for effective radio communications include all of the following, EXCEPT:
Select one:

Select one of the following:

  • holding the microphone about 2" to 3" from your mouth.

  • using 10 codes to ensure radio traffic confidentiality.

  • acknowledging a transmission as soon as possible.

  • speaking in a clear, calm, monotone voice.

Explanation

Question 18 of 50

1

Immediately after being dispatched to a residence for an elderly patient with diabetic complications, you should:
Select one:

Select one of the following:

  • request that law enforcement secure the scene before you arrive.

  • ask the dispatcher if the patient is conscious or unconscious.

  • confirm with dispatch that you received the call information.

  • ask the dispatcher to obtain a medical history from the caller.

Explanation

Question 19 of 50

1

In what manner should you act and speak with a patient?
Select one:

Select one of the following:

  • passive

  • calm and confident

  • authoritative

  • oud and official

Explanation

Question 20 of 50

1

Information included in a radio report to the receiving hospital should include all of the following, EXCEPT:
Select one:

Select one of the following:

  • a preliminary diagnosis of the patient's problem.

  • a brief history of the patient's current problem.

  • your perception of the severity of the problem.

  • a brief summary of the care you provided.

Explanation

Question 21 of 50

1

Medical control gives you an order that seems inappropriate for the patient's condition. After confirming that you heard the physician correctly, you should:
Select one:

Select one of the following:

  • obtain consent from the patient and then carry out the order as usual.

  • carry out the order and then carefully document it on the run form.

  • state that you will not carry out the order because it is inappropriate.

  • advise the physician that the order is unclear and ask for clarification.

Explanation

Question 22 of 50

1

The official transfer of patient care does not occur until the EMT:
Select one:

Select one of the following:

  • notifies the admitting clerk of their arrival at the hospital.

  • gives a radio report to the receiving medical facility.

  • gives an oral report to the emergency room physician or nurse

  • informs dispatch of their arrival at the emergency department.

Explanation

Question 23 of 50

1

The patient care report (PCR) ensures:
Select one:

Select one of the following:

  • legal protection.

  • quality assurance.

  • research data.

  • continuity of care.

Explanation

Question 24 of 50

1

Two-way communication that requires the EMT to “push to talk” and “release to listen” describes what mode of communication?
Select one:

Select one of the following:

  • duplex

  • multiplex

  • mediplex

  • simplex

Explanation

Question 25 of 50

1

Typical components of an oral patient report include all of the following, EXCEPT:
Select one:

Select one of the following:

  • important medical history not previously given.

  • the patient's response to treatment you provided.

  • the set of baseline vital signs taken at the scene.

  • the chief complaint or mechanism of injury.

Explanation

Question 26 of 50

1

What type of communications equipment functions as a radio receiver and searches across several frequencies?
Select one:

Select one of the following:

  • mobile repeater

  • duplex station

  • simplex station

  • scanner

Explanation

Question 27 of 50

1

When communicating information over the radio, you should:

Select one of the following:

  • limit any single transmission to 60 seconds or less and use 10 codes.

  • respond professionally by saying “please” and “thank you.”

  • use the words “affirmative” and “negative” instead of “yes” or “no.” Correct

  • use the patient's name only when communicating with the hospital.

Explanation

Question 28 of 50

1

When communicating with a visually impaired patient, you should:
Select one:

Select one of the following:

  • recall that most visually impaired patients are blind.

  • possess an in-depth knowledge of sign language.

  • expect him or her to have difficulty understanding.

  • determine the degree of the patient's impairment.

Explanation

Question 29 of 50

1

When communicating with an older patient, it is important to remember that:
Select one:

Select one of the following:

  • your questions should focus exclusively on the patient's obvious problem.

  • most older people think clearly and are capable of answering questions.

  • speaking loudly and distinctly will ensure that the patient can hear you.

  • hostility and confusion should be presumed to be due to the patient's age.

Explanation

Question 30 of 50

1

When obtaining patient care orders from a physician via a two-way radio, it is MOST important to remember that:
Select one:

Select one of the following:

  • his or her instructions are based on the information you provide.

  • the physician may or may not be located within your service area.

  • all orders should be carried out immediately and without question.

  • the use of 10 codes is an effective method of communication.

Explanation

Question 31 of 50

1

When providing a patient report via radio, you should protect the patient's privacy by:
Select one:

Select one of the following:

  • using coded medical language.

  • refraining from objective statements.

  • not disclosing his or her name.

  • withholding medical history data.

Explanation

Question 32 of 50

1

When relaying patient information via radio, communications should be:
Select one:

Select one of the following:

  • brief and easily understood.

  • coded and scripted.

  • lengthy and complete.

  • spoken in a loud voice.

Explanation

Question 33 of 50

1

When you begin an oral report, you should state the patient's age, sex, and:
Select one:

Select one of the following:

  • the emergency care given.

  • chief complaint.

  • any known allergies.

  • past medical history.

Explanation

Question 34 of 50

1

Which of the following has the weakest transmission signal and, as a result, is LEAST likely to be heard by the party being called?
Select one:

Select one of the following:

  • land-base repeater station

  • mobile repeater station

  • hand-held portable radio

  • multiplex base station

Explanation

Question 35 of 50

1

Which of the following incidents does NOT require a report to be filed with local authorities?
Select one:

Select one of the following:

  • spousal abuse

  • cardiac arrest

  • gunshot wounds

  • animal bites

Explanation

Question 36 of 50

1

Which of the following is NOT a function of the Federal Communications Commission (FCC)?
Select one:

Select one of the following:

  • monitoring all radio traffic and conducting field spot checks

  • maintaining communications equipment on the ambulance

  • licensing base stations and assigning appropriate radio call signs

  • allocating specific radio frequencies for use by EMS providers

Explanation

Question 37 of 50

1

Which of the following statements is NOT appropriate to document in the narrative section of a PCR?
Select one:

Select one of the following:

  • “After oxygen was administered, the patient's breathing improved.”

  • “The patient admits to smoking marijuana earlier in the day.”

  • “Significant damage was noted to the front end of the vehicle.”

  • “General impression revealed that the patient was intoxicated.”

Explanation

Question 38 of 50

1

Which of the following statements regarding a “dedicated line” is MOST correct?
Select one:

Select one of the following:

  • It is a constantly open line of communication that is under exclusive control of a single user.

  • It is an exclusive frequency that is used by EMTs to communicate with each other in the field.

  • It is a designated frequency on a portable radio that provides direct access to medical control.

  • It is a constantly open line of communication that cannot be accessed by outside users.

Explanation

Question 39 of 50

1

Which of the following statements regarding a patient refusal is MOST correct?
Select one:

Select one of the following:

  • Documentation of proposed care is unnecessary if the patient refuses treatment.

  • Advice given to a patient who refuses EMS treatment should not be documented.

  • A patient who consumed a few beers will likely be able to refuse EMS treatment.

  • A mentally competent adult has the legal right to refuse EMS care and transport.

Explanation

Question 40 of 50

1

Which of the following statements regarding communication with a child is MOST correct?
Select one:

Select one of the following:

  • Standing over a child often increases his or her level of anxiety.

  • Give the child minimal information to avoid scaring him or her.

  • Unlike adults, children cannot see through lies or deceptions.

  • Most children are intrigued by strangers wearing uniforms.

Explanation

Question 41 of 50

1

Which of the following statements regarding standing orders is MOST correct?
Select one:

Select one of the following:

  • Standing orders should be followed when physician contact is not possible. Correct

  • Standing orders require you to contact medical control first.

  • Standing orders only highlight the care that you may provide.

  • Standing orders have less legal authority than orders given via radio.

Explanation

Question 42 of 50

1

While at the scene of a motor vehicle crash, you determine that there are two critically injured patients and that another ambulance is needed. You attempt to contact the dispatcher with your portable radio but are unsuccessful. You should:
Select one:

Select one of the following:

  • place both patients in the ambulance and transport at once.

  • ask a police officer to call dispatch with his portable radio.

  • reattempt to contact dispatch from an area of higher terrain.

  • use the mobile radio in the ambulance to contact dispatch.

Explanation

Question 43 of 50

1

You and your partner are attempting to resuscitate a middle-aged female in cardiac arrest. Because of the remote location you are in, you are unable to contact medical control. What should you do?
Select one:

Select one of the following:

  • Make continuous attempts to contact medical control.

  • Ask the husband if he wants to continue resuscitation.

  • Perform CPR only and initiate immediate transport.

  • Follow locally established protocols or standing orders.

Explanation

Question 44 of 50

1

You and your partner are dispatched to a residence for an “ill person.” When you arrive, you find that the patient, a 44-year-old man, does not speak English. There are no relatives or bystanders present who can act as an interpreter. You should:
Select one:

Select one of the following:

  • refrain from performing any assessment or treatment until you can contact someone who can function as an interpreter.

  • use short, simple questions and point to specific parts of your body to try to determine the source of the patient's complaint.

  • give the patient oxygen, assess his vital signs, and transport him to the hospital in a position of comfort.

  • speak to the patient with a moderately louder voice to facilitate his ability to understand what you are saying.

Explanation

Question 45 of 50

1

You are assessing a 75-year-old woman with mild shortness of breath. As you are asking her questions regarding her chief complaint and medical history, you progressively move closer and closer to her. In doing this, it is important to remember that:
Select one:
A. it is necessary to enter an older person's intimate space because the elderly are typically hearing impaired. Incorrect
B. as you physically get closer to the patient, a greater and greater sense of trust must be established.
C. a patient's personal space should not be violated, regardless of any barriers that may hamper communication.
D. placing yourself in the patient's personal space is relaying to her that you can be trusted.

Select one of the following:

  • it is necessary to enter an older person's intimate space because the elderly are typically hearing impaired.

  • as you physically get closer to the patient, a greater and greater sense of trust must be established.

  • a patient's personal space should not be violated, regardless of any barriers that may hamper communication.

  • placing yourself in the patient's personal space is relaying to her that you can be trusted.

Explanation

Question 46 of 50

1

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:
Select one:

Select one of the following:

  • advise the emergency department physician that you feel as though the child was intentionally abused by his parents.

  • advise the child's parents that this is a harmful practice and is considered a form of child abuse in the United States.

  • document this on your patient care report and advise the emergency department staff of what the child's parents told you.

  • acknowledge and respect this practice as a cultural belief, but advise the child's parents that it has no healing power.

Explanation

Question 47 of 50

1

You are interviewing 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 to say?
Select one:

Select one of the following:

  • “It is possible that you are experiencing a heart attack. I am going to give you four baby aspirin to chew and swallow.”

  • “We need to take you to the ED stat. We will give you ASA and NTG en route and then reassess your vitals. Do you have any questions?”

  • “I notice that you are a retired paramedic, so I'm sure you will understand all of the things that we will be doing to you.”

  • “This is nothing to worry about. Please try to stay calm. The physician at the hospital will probably not find any signs of a heart problem.”

Explanation

Question 48 of 50

1

You are transporting a 54-year-old male in cardiac arrest. An EMR is driving the ambulance as you and your partner attempt to resuscitate the patient. What is the MOST logical way of notifying the hospital?
Select one:

Select one of the following:

  • Request that a police officer respond to the hospital to apprise them of your arrival.

  • Have the driver contact dispatch and relay the patient information to the hospital.

  • Call the receiving hospital with your cellular phone as you attempt resuscitation.

  • Wait until you arrive at the hospital and then quickly apprise them of the situation.

Explanation

Question 49 of 50

1

You could be sued for ___________ if your radio report to the hospital describes the patient in a manner that injures his or her reputation.

Select one of the following:

  • libel

  • negligence

  • assault

  • slander

Explanation

Question 50 of 50

1

Your EMS system uses a computerized PCR in which you fill in the information electronically and then send it to the emergency department via a secure Internet server. The PCR has a comprehensive series of drop-down boxes, which are used to identify your assessment findings and specify the treatment that you provided; it also has a section for your narrative. When completing your PCR after a call, you should:
Select one:

Select one of the following:

  • complete a thorough and accurate narrative because drop-down boxes cannot provide all of the information that needs to be documented.

  • avoid documenting personally identifiable information, such as the patient's name, because the PCR could be intercepted during transmission.

  • defer the narrative only if the information in the drop-down boxes accurately reflects the assessment and treatment that you performed.

  • enter all of the pertinent information of the electronic PCR, but then print it out and provide a copy to the emergency department staff.

Explanation

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