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West Coast EMT ACTUAL Block Exam QUESTIONS AND ANSWERS|CORRECT AND VERIFIED|BRAND NEW|A+ GUARANTEED American Heart Association protocols are based on __________. Select one: A. theories ready for field trial B. trends in the EMS community C. opinions from a core group of cardiologists D. evidence-based research - CORRECT ANSWER-D. evidence-based research As an EMT, you may be authorized to administer aspirin to a patient with chest pain based on: Select one: A. medical director approval. B. the patient's condition. C. an order from a paramedic. D. the transport time to the hospital. - CORRECT ANSWER-A. medical director approval. National guidelines for EMS care are intended to __________. Select one: A. reduce expenses at the local and state levels B. unify EMS providers under a single medical director C. facilitate a national EMS labor group
D. provide more consistent delivery of EMS care across the United States - CORRECT ANSWER-D. provide more consistent delivery of EMS care across the United States Online medical control requires __________. Select one: A. the presence of an advanced-level provider B. written protocols approved by medical control C. a physician's presence on the scene of the call D. phone or radio contact with the medical director - CORRECT ANSWER-D. phone or radio contact with the medical director Prehospital patient care decisions should be based on __________. Select one: A. the experiences of EMTs B. the opinions of physicians C. an EMS agency's fiscal resources D. EMS research - CORRECT ANSWER-D. EMS research The ability to handle multiple tasks based on their priority is called __________. Select one: A. patient empathy B. patient advocacy C. integrity D. time management - CORRECT ANSWER-D. time management The ability to take appropriate action with little direction is known as __________. Select one: A. self-motivation B. diplomacy
B. The main area in which the EMS agency operates C. The area serviced by the EMT's medical director D. The location where the EMT provides essential care during a 9- 1 - 1 call - CORRECT ANSWER-B. The main area in which the EMS agency operates What should an EMT do to limit errors in the field? Select one: A. Contact medical direction before initiating any treatments. B. Carry an EMT text for reference at all times. C. Follow the agency's written protocols. D. Deviate from established standards when necessary. - CORRECT ANSWER-C. Follow the agency's written protocols. Which of the following courses requires about 150 hours of training? Select one: A. EMT B. EMR C. AEMT D. Paramedic - CORRECT ANSWER-A. EMT Which of the following descriptions MOST accurately portrays emergency medical services (EMS)? Select one: A. A team of paramedics and emergency physicians who are responsible for providing emergency care to critically injured patients B. A team of health care professionals who are responsible for providing emergency care and transportation to the sick and injured C. A vast network of advanced life support (ALS) providers who provide definitive emergency care in the prehospital setting
D. A system composed exclusively of emergency medical responders (EMRs) and emergency medical technicians (EMTs) who are responsible for providing care to sick and injured patients - CORRECT ANSWER-B. A team of health care professionals who are responsible for providing emergency care and transportation to the sick and injured Which of the following interventions is used by all levels of EMS providers? Select one: A. Automatic transport ventilators B. Automated external defibrillator C. Needle decompression D. Multilumen airways - CORRECT ANSWER-B. Automated external defibrillator Which of the following is a specific example of the Mobile Integrated Healthcare (MIH) model? Select one: A. EMTs respond to a woman who complains of high fever B. Paramedics pick up a patient from an acute care clinic C. EMTs assess a patient whose lung disease is "acting up" D. The paramedic administers a patient's flu vaccination - CORRECT ANSWER-D. The paramedic administers a patient's flu vaccination Which of the following statements regarding the Americans With Disabilities Act (ADA) of 1990 is correct? Select one: A. The minimum number of hours required to successfully complete an EMT course is less for candidates who are disabled. B. According to the ADA, EMT candidates with a documented disability are exempt from taking the NREMT exam. C. The ADA applies only to individuals with a diagnosed and well-documented physical disability.
After assessing a patient's blood glucose level, you accidentally stick yourself with the contaminated lancet. You should: Select one: A. get immunized against hepatitis as soon as possible. B. report the incident to your supervisor after the call. C. discontinue patient care and seek medical attention. D. immerse your wound in an alcohol-based solution. - CORRECT ANSWER-B. report the incident to your supervisor after the call. At the scene of an automobile crash, a utility pole has been broken and power lines are lying across the car. The patients inside the car are conscious. You should: Select one: A. mark off a danger zone around the downed lines. B. proceed with normal extrication procedures. C. advise the patients to carefully get out of the car. D. remove the lines with a nonconductive object. - CORRECT ANSWER-A. mark off a danger zone around the downed lines. Common factors that influence how a patient reacts to the stress of an illness or injury include all of the following, EXCEPT: Select one: A. mental disorders. B. fear of medical personnel. C. history of chronic disease. D. assessment by the EMT. - CORRECT ANSWER-D. assessment by the EMT. General adaptation syndrome is characterized by which of the following phases? Select one: A. Delayed reaction, alarm response, and physical recovery
B. Immediate reaction, psychological exhaustion, and recovery C. Alarm response, reaction and resistance, and recovery D. Reaction and resistance, euphoria, and physical exhaustion - CORRECT ANSWER-C. Alarm response, reaction and resistance, and recovery Gloves, a mask, eye protection, and a face shield should be used: Select one: A. whenever you touch nonintact skin. B. during routine cleaning of the ambulance. C. while handling needles or other sharps. D. when performing endotracheal intubation. - CORRECT ANSWER-D. when performing endotracheal intubation. Quid pro quo, a type of sexual harassment, occurs when the harasser: Select one: A. touches another person without his or her consent. B. stares at certain parts of another person's anatomy. C. requests sexual favors in exchange for something else. D. makes rude remarks about a person's body parts. - CORRECT ANSWER-C. requests sexual favors in exchange for something else. The EMT's first priority is __________. Select one: A. personal safety B. rapid response C. treatment and transport D. empathy for all patients - CORRECT ANSWER-A. personal safety The MOST serious consequence of drug or alcohol abuse among EMS personnel is:
B. have a weak immune system. C. received a hepatitis B vaccination. D. are older than 35 years of age. - CORRECT ANSWER-A. have been infected with hepatitis in the past. Vector-borne transmission of an infectious organism occurs via: Select one: A. animals or insects. B. direct contact. C. smoke or dust. D. inanimate objects. - CORRECT ANSWER-A. animals or insects. When decontaminating the back of your ambulance after a call, you should: Select one: A. spray the contaminated areas and then immediately wipe them dry with a towel. B. use a bleach and water solution at a 1:2 dilution ratio to thoroughly wipe all surfaces. C. clean all surfaces and patient contact areas with a mixture of alcohol and water. D. allow surfaces to air dry unless otherwise indicated in the product directions. - CORRECT ANSWER-D. allow surfaces to air dry unless otherwise indicated in the product directions. Which of the following is an effective stress management strategy? Select one: A. Requesting overtime to occupy your mind B. Developing a social network outside of EMS C. Frequently reflecting on troublesome calls D. Modestly increasing caffeine consumption - CORRECT ANSWER-B. Developing a social network outside of EMS
Which of the following scenarios MOST accurately depicts a posttraumatic stress disorder (PTSD) reaction? Select one: A. An EMT is emotionally exhausted and depressed after a school bus crash involving critical injuries and the death of several children. B. A newly certified EMT becomes extremely nauseated and diaphoretic at the scene of an incident involving grotesque injuries. C. An EMT with many years of field experience becomes irritable with her coworkers and experiences headaches and insomnia. D. An EMT becomes distracted at the scene of a motor vehicle crash involving the same type of car in which a child was previously killed. - CORRECT ANSWER-D. An EMT becomes distracted at the scene of a motor vehicle crash involving the same type of car in which a child was previously killed. Which of the following statements regarding HIV is correct? Select one: A. HIV is easily transmittable in the EMS field. B. HIV is transmitted exclusively via blood. C. HIV is far more contagious than hepatitis B. D. There is no vaccine against HIV infection. - CORRECT ANSWER-D. There is no vaccine against HIV infection. Which of the following statements regarding the different stages of the grieving process is correct? Select one: A. The stages of the grieving process may occur simultaneously. B. It is rare that people will jump back and forth between stages. C. Bargaining is the most unpleasant stage of the grieving process. D. The grieving process typically begins with severe depression. - CORRECT ANSWER-A. The stages of the grieving process may occur simultaneously.
Select one: A. locally accepted protocols. B. the wishes of the general public. C. a consensus among paramedic supervisors. D. the priorities of the medical director. - CORRECT ANSWER-A. locally accepted protocols. 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: A. are in violation of HIPAA because you did not remove the PHI from the PCR beforehand. B. violated the patient's privacy because you should have discussed the information only with the EMTs involved. C. acted appropriately but must have each EMT sign a waiver stating that he or she will not discuss the cases with others. D. adequately safeguarded the patient's PHI because the cases were discussed internally. - CORRECT ANSWER-A. are in violation of HIPAA because you did not remove the PHI from the PCR beforehand. In which of the following circumstances can the EMT legally release confidential patient information? Select one: A. A police officer requests a copy to place on file B. The family requests a copy for insurance purposes C. A media representative inquires about the patient D. The patient is competent and signs a release form - CORRECT ANSWER-D. The patient is competent and signs a release form In which of the following situations does a legal duty to act clearly exist? Select one:
A. The EMT hears of a cardiac arrest after his or her shift ends. B. The EMT witnesses a vehicle crash while off duty. C. A bystander encounters a victim who is not breathing. D. A call is received 15 minutes prior to shift change. - CORRECT ANSWER-D. A call is received 15 minutes prior to shift change. Maintaining the chain of evidence at the scene of a crime should include: Select one: A. quickly moving any weapons out of the patient's sight. B. placing the patient in a private area until the police arrive. C. making brief notes at the scene and then completing them later. D. not cutting through holes in clothing that were caused by weapons. - CORRECT ANSWER- D. not cutting through holes in clothing that were caused by weapons. Putrefaction is defined as: Select one: A. profound cyanosis to the trunk and face. B. blood settling to the lowest point of the body. C. separation of the torso from the rest of the body. D. decomposition of the body's tissues. - CORRECT ANSWER-D. decomposition of the body's tissues. The EMT's scope of practice within his or her local response area is defined by the: Select one: A. medical director. B. EMS supervisor. C. state EMS office. D. local health district. - CORRECT ANSWER-A. medical director.
C. Voter registration card D. Driver's license - CORRECT ANSWER-D. Driver's license Which aspect of the Health Insurance Portability and Accountability Act (HIPAA) MOST affects EMS personnel? Select one: A. Preventing insurance fraud B. Controlling insurance costs C. Protecting patient privacy D. Ensuring access to insurance - CORRECT ANSWER-C. Protecting patient privacy Which of the following components are needed to prove negligence? Select one: A. Duty to act, breach of duty, injury/damages, and causation B. Abandonment, breach of duty, damages, and causation C. Duty to act, abandonment, breach of duty, and causation D. Breach of duty, injury/damages, abandonment, and causation - CORRECT ANSWER-A. Duty to act, breach of duty, injury/damages, and causation Which of the following general statements regarding consent is correct? Select one: A. A patient can consent to transport but can legally refuse to be treated. B. Patients who are intoxicated are generally allowed to refuse treatment. C. All patients older than 18 years can legally refuse treatment or transport. D. Expressed consent is valid only if given in writing by a family member. - CORRECT ANSWER-A. A patient can consent to transport but can legally refuse to be treated. Which of the following statements about the patient care report is correct? Select one:
a. It is difficult to prove actions were performed if they are not included on the report. b. EMTs are not liable for any actions that are accurately documented. c. Patient care cannot be discredited based on poor documentation. d. Incomplete reports are common and accepted in EMS. - CORRECT ANSWER-a. It is difficult to prove actions were performed if they are not included on the report. Which 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: A. Formal B. Implied C. Expressed D. Informed - CORRECT ANSWER-C. Expressed 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: A. ventilate the patient for 5 minutes and then stop if there is no response. B. stop any active bleeding and advise dispatch to send a paramedic crew. C. have your partner check for a pulse to confirm that the patient is deceased. D. request the fire department to extricate the patient so you can begin CPR. - CORRECT ANSWER-C. have your partner check for a pulse to confirm that the patient is deceased. You are called to attend to an elderly patient with an extensive medical history who is now in cardiac arrest. The patient's family tells you that the patient has a DNR order. There is no paperwork available but the patient does have a MedicAlert bracelet indicating Do Not Resuscitate. You should: Select one: A. initiate resuscitation in the absence of paperwork.
Select one: A. attempt to calm the child's mother, but avoid separating her from her child because this will increase her anxiety. B. ask the father to hold the child so you can assess him while your partner tries to calm the mother. C. reassure the child's mother that seizures in children are very common and that there is nothing to worry about. D. give the child a favorite toy or blanket to hold onto and perform your assessment to the best of your ability. - CORRECT ANSWER-B. ask the father to hold the child so you can assess him while your partner tries to calm the mother. 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: A. place the patient in a high-visibility area and then respond to the call. B. leave a copy of the run form with a nurse and then respond to the call. C. inform the admissions clerk of the situation and then respond at once. D. respond only after giving a verbal patient report to a nurse or physician. - CORRECT ANSWER-D. respond only after giving a verbal patient report to a nurse or physician. Communicating with patients who are deaf or hard-of-hearing can be facilitated by doing all of the following, EXCEPT: Select one: A. shining a light on your face when you are in a darkened environment. B. placing yourself in a position to ensure that the patient can see your lips. C. providing pen and paper if the patient prefers to write his or her response. D. elevating the tone of your voice and exaggerating word pronunciation. - CORRECT ANSWER-D. elevating the tone of your voice and exaggerating word pronunciation.
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: A. allow him time to think about the question and respond to it. B. tell him that you cannot help him unless he answers your questions. C. repeat your question because he probably did not hear you. D. ask him if he frequently experiences severe headaches and nausea. - CORRECT ANSWER-A. allow him time to think about the question and respond to it. Effective therapeutic communication skills require _________. Select one: A. supervision by advanced life support personnel B. correct use of complex medical terminology C. English-speaking patients or family members D. verbal and nonverbal communication techniques - CORRECT ANSWER-D. verbal and nonverbal communication techniques Ethnocentrism is defined as: Select one: A. considering your own cultural values to be more important when interacting with people of a different culture. B. understanding that people from different cultural backgrounds respond to pain and stress differently. C. subconsciously forcing your cultural values onto a patient because you feel that your own values are more acceptable. D. suspecting that a person has an ulterior motive based on the tone of his or her voice when answering a question. - CORRECT ANSWER-A. considering your own cultural values to be more important when interacting with people of a different culture.
