TEST BANK
Emergency Medical Responder: First on Scene
Chris Le Baudour, J. David Bergeron, & Keith Wesley
11th Edition Table of Contents
Chapter 1 Introduction to EMS Systems 1
Chapter 2 Legal and Ethical Principles of Emergency Care 8
Chapter 3 Wellness and Safety of the Emergency Medical Responder 15
Chapter 4 Introduction to Medical Terminology, Human Anatomy, 21
Chapter 5 Introduction to Pathophysiology 27
Chapter 6 Principles of Lifting, Moving, and Positioning of Patients 33
Chapter 7 Principles of Effective Communication 39
Chapter 8 Principles of Effective Documentation 45
Chapter 9 Principles of Airway Management and Ventilation 51
Chapter 10 Principles of Oxygen Therapy 59
Chapter 11 Principles of Resuscitation 64
Chapter 12 Obtaining a Medical History and Vital Signs 70
Chapter 13 Principles of Patient Assessment 76
Chapter 14 Caring for Cardiac Emergencies 83
Chapter 15 Caring for Respiratory Emergencies 90
Chapter 16 Caring for Common Medical Emergencies 96
Chapter 17 Caring for Environmental Emergencies 104
Chapter 18 Caring for Soft-Tissue Injuries and Bleeding 110
Chapter 19 Recognition and Care of Shock 117
Chapter 20 Caring for Muscle and Bone Injuries 125
Chapter 21 Caring for Head and Spine Injuries 132
Chapter 22 Caring for Chest and Abdominal Emergencies 137
Chapter 23 Care During Pregnancy and Childbirth 143
Chapter 24 Caring for Infants and Children 150
Chapter 25 Special Considerations for the Geriatric Patient 156
Chapter 26 Introduction to EMS Operations and Hazardous Response 162
Chapter 27 Introduction to Multiple-Casualty Incidents, the Incident Command System, 171 https://www.stuvia.com/en-us/user/AllStudyGuides Emergency Medical Responder: First on the Scene, 11 e (Le Baudour) Chapter 1 Introduction to EMS Systems 1) The term ________ means the chain of human resou rces and services linked together to provide continuous emergency care from the scene to the medical facility. A) EMT resources B) 911 services C) EMS system D) emergency services Answer: C Diff: 1 Page Ref: 4 Objective: 1 2) The Medical Director is a physician who assumes the ultimate responsibility for: A) standards, protocols, and evaluation of patient care. B) certification and licensure of EMRs. C) staffing decisions and hiring. D) answering and dispatching 911 calls. Answer: A Diff: 1 Page Ref: 4 Objective: 1 3) You have received an order over the phone from t he Medical Director to administer oxygen to the patient. This would be called: A) off-line medical direction. B) on-line medical direction. C) hospital direction. D) EMS coordinator direction. Answer: B Diff: 1 Page Ref: 8 Objective: 1 4) The procedures that an Emergency Medical Respond er can and must legally provide as care for a patient are called: A) scope of practice. B) scope of training. C) standard of care. D) standard of training. Answer: A Diff: 1 Page Ref: 7 Objective: 1 ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Emergency Medical Responder: First on Scene, 11th Edition (Le Baudour, 2019)
1 | P a g e https://www.stuvia.com/en-us/user/AllStudyGuides 5) Which agency coordinates EMS on a national level and defines all levels of EMS providers? A) NEMSES B) AEMT C) NHTSA D) NSPM Answer: C Diff: 1 Page Ref: 4 Objective: 2 6) One important point where trained and untrained people come together as part of the EMS system is: A) the 911 service. B) clinical care. C) ambulance response. D) evaluation. Answer: A Diff: 1 Page Ref: 6 Objective: 3 7) How many nationally recognized levels of EMS tr aining are covered by the National EMS Education Standards? A) 8 B) 2 C) 5 D) 4 Answer: D Diff: 1 Page Ref: 6 Objective: 4 8) Which level of EMS education allows the responde r to perform cardiac defibrillation? A) Paramedic B) AEMT C) EMT D) EMR Answer: A Diff: 1 Page Ref: 7 Objective: 5 9) Which level is considered the minimum level of e ducation and certification for ambulance personnel in most areas of the United States? A) Paramedic B) AEMT C) EMT D) EMR Answer: C Diff: 1 Page Ref: 7 Objective: 5 ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Emergency Medical Responder: First on Scene, 11th Edition (Le Baudour, 2019)
2 | P a g e https://www.stuvia.com/en-us/user/AllStudyGuides 10) Many police officers, firefighters, industrial workers, and other public service providers are trained as Emergency Medical Responders because the EMR level is designed specifically for those who: A) can insert advanced airways and IV lines. B) have the authority to arrest suspects. C) are ambulance personnel. D) may arrive first on the scene. Answer: D Diff: 1 Page Ref: 7 Objective: 6 11) The EMS model known as the ________ model is ty pically operated by a government entity other than the fire department. A) public utility B) EMS C) paramedic D) hospital-based Answer: A Diff: 1 Page Ref: 6 Objective: 7 12) The scope of practice for an EMS provider is de fined by ________ statutes and regulations. A) national B) state or local C) professional organization D) medical Answer: B Diff: 1 Page Ref: 7 Objective: 8 13) Most 911 calls are automatically directed to a designated ________ operated by a city or county agency with specially trained dispatchers. A) emergency room switchboard. B) fire department. C) public safety answering point (PSAP) D) hospital Answer: C Diff: 1 Page Ref: 7 Objective: 9 ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Emergency Medical Responder: First on Scene, 11th Edition (Le Baudour, 2019)
3 | P a g e https://www.stuvia.com/en-us/user/AllStudyGuides 14) Which of the following procedures might be allo wed for an Advanced EMT in certain states but not in others? A) Assessment of injury B) Scene safety C) Administration of certain basic medications D) Starting an intravenous line Answer: D Diff: 1 Page Ref: 7 Objective: 10 15) Off-line medical direction includes ________ th at give the EMS provider permission to administer specific interventions, such as oxygen a nd medications. A) telephone orders B) medical intervention C) standing orders D) direct intervention Answer: C Diff: 1 Page Ref: 8 Objective: 11 16) You are responding to a medical emergency invol ving a middle-aged man who broke his arm while playing football in the park with some colleg e students. He appears angry and yells random insults at you. What should you do? A) Tell him that you cannot treat him until he trea ts you with respect. B) Stay calm and overlook his behavior. C) Provide treatment but tell him that he's not hur t badly and to stop complaining. D) Call for police back-up and avoid treating the p atient until they arrive. Answer: B Diff: 1 Page Ref: 11 Objective: 12 17) In an EMS system, CQI means continuous improvem ent in the quality of: A) health care products. B) hospital systems. C) protocols and standards. D) patient care. Answer: D Diff: 1 Page Ref: 13 Objective: 13 ______________________________________________________________________________________________
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4 | P a g e https://www.stuvia.com/en-us/user/AllStudyGuides 18) The public health system administered by counti es, regions, and states promote ________ for the communities they serve. A) emergency medical response services B) continuous quality improvement C) medical direction D) optimal health and quality of life Answer: D Diff: 1 Page Ref: 14 Objective: 14 19) ________ are specialized teams consisting of hi ghly experienced, trained EMS personnel that can be deployed at a moment's notice to emerge ncies anywhere in the United States. A) Disaster Medical Assistance Teams B) Emergency Medical Systems C) Emergency Response Teams D) First Responders Answer: A Diff: 1 Page Ref: 14 Objective: 15 20) New research means new practices are constantly being developed to improve EMS practice. Which two organizations release new guidelines for resuscitation and emergency care every 5 years? A) American Medical Association and the U.S. Depart ment of Health and Human Services B) National Highway Traffic Safety Administration a nd the American Heart Association C) American Heart Association and the International Liaison Committee on Resuscitation D) Centers for Disease Control and Prevention and t he American Medical Association Answer: C Diff: 1 Page Ref: 15 Objective: 16 21) Which new technology makes it possible for emer gency personnel to easily locate and navigate to the scene of an emergency? A) 911 B) EMS C) GPS D) MAPS Answer: C Diff: 1 Page Ref: 15 Objective: 16 ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Emergency Medical Responder: First on Scene, 11th Edition (Le Baudour, 2019)
5 | P a g e https://www.stuvia.com/en-us/user/AllStudyGuides 22) A(n) ________ provides specialized services, su ch as trauma care, pediatric care, cardiac care, stroke care, or burn care. A) outpatient clinic B) medical office C) dispatch center D) specialty hospital Answer: D Diff: 1 Page Ref: 8 Objective: 1 23) Which of the following is the definition of "pr otocols"? A) Indirect medical direction communicated by radio or telephone B) Written guidelines that direct the care EMS pers onnel provide for patients C) Specialized equipment to minimize contact with i nfectious substances D) Personal traits that indicate professionalism in an EMR Answer: B Diff: 1 Page Ref: 8 Objective: 1 SCENARIO Use this scenario to answer the following question( s). You and your partner are called to a one-vehicle co llision. A car has collided with a telephone pole. You arrive on the scene and notice that the p olice are controlling the traffic and that the power company has turned the power off. The patient is a 65-year-old male who is unconscious in the driver's seat. He is breathing and has a pul se. There is a starburst crack in the windshield, and the patient is unrestrained. As your crew is ap proaching the scene, the local Advanced Life Support Crew arrives. 24) As an Emergency Medical Responder on this call, the first responsibility for you and your crew would be to: A) determine the number of patients needing your ca re. B) ensure that it is safe for you and your crew to enter the area. C) determine the need for advanced resources. D) ensure that the patient has an open airway. Answer: B Diff: 1 Page Ref: 11 Objective: 12 ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Emergency Medical Responder: First on Scene, 11th Edition (Le Baudour, 2019)
6 | P a g e https://www.stuvia.com/en-us/user/AllStudyGuides 25) Which EMS professional should be the one to mon itor the patient's cardiac rhythms and use the defibrillator if necessary? A) Emergency Medical Technician B) Paramedic C) Emergency Medical Responder D) First Responder on Scene Answer: D Diff: 1 Page Ref: 7 Objective: 5 26) Spinal immobilization protocols in your area re cently changed because of new research regarding cervical spine injuries. This change in p rotocol is an example of: A) anecdotal policy change. B) evidence-based practice. C) on-line medical direction. D) independent protocol adjustment. Answer: B Diff: 1 Page Ref: 4 Objective: 1 ______________________________________________________________________________________________
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7 | P a g e https://www.stuvia.com/en-us/user/AllStudyGuides Emergency Medical Responder: First on the Scene, 11 e (Le Baudour) Chapter 2 Legal and Ethical Principles of Emergen cy Care 1) Unlawful physical contact with a patient is call ed: A) negligence. B) abandonment. C) battery. D) harassment. Answer: C Diff: 1 Page Ref: 23 Objective: 1 2) The term ________ means the care that should be provided for any level of training based on local laws, administrative orders, and guidelines a nd protocols established by the local EMS system. A) scope of practice B) standard of care C) ethical response D) emergency response Answer: B Diff: 1 Page Ref: 28 Objective: 2 3) Ethics are the ________ that guide a person's ri ght, good, and proper behavior. A) laws B) protocols C) duties D) moral principles Answer: D Diff: 1 Page Ref: 20 Objective: 3 4) You have a patient who has stopped breathing and has no signs of circulation. You notice a medical alert bracelet indicating the patient is a registered organ donor. This patient will be able to provide ________ consent. A) informed B) implied C) expressed D) competent Answer: B Diff: 1 Page Ref: 23 Objective: 4 ______________________________________________________________________________________________
______________________________________________________________________________________________Test Bank - Emergency Medical Responder: First on Scene, 11th Edition (Le Baudour, 2019)
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