EMT MIDTERM REVIEW
23) You work in a community that has an “enhanced” 911 system. Which one of the following is
true about that system?
A) The
... [Show More] location of the 911 call is displayed to the call taker.
B) The EMS system uses EMTs, Advanced EMTs, and paramedics.
C) The fire department responds simultaneously with EMS.
D) The total response time for EMS rarely exceeds 9 minutes.
Answer: A
Diff: 1 Page Ref: 4
Objective: 1-4
24) Which one of the following patients should benefit most by calling an enhanced 911 system?
A) Patient with chest pain
B) Patient with sudden onset of confusion
C) Patient requiring advanced medical care
D) Patient who cannot reach his phone
Answer: B
Diff: 2 Page Ref: 4
Objective: 1-4
25) A 14-year-old boy has fallen through a plate glass window and is bleeding heavily from a
laceration to his arm. His panicked mother has called 911 for help. Since the 911 operators are
also Emergency Medical Dispatchers, which one of the following will they be able to provide?
A) Simultaneous notification of the hospital
B) Whether the EMS response is covered by medical insurance
C) Instructions on how to control bleeding
D) The names of the EMTs who are responding
Answer: C
Diff: 2 Page Ref: 4Objective: 1-4
30) The county dispatch center where you work employs Emergency Medical Dispatchers
(EMDs) as call takers. This enables the dispatch center to:
A) handle all emergency calls, including those for police, fire, and EMS.
B) provide medical instructions to the caller prior to the arrival of EMS.
C) use computer technology when dispatching the closest ambulance.
D) properly utilize an enhanced 911 call-taking system.
Answer: B
Diff: 2 Page Ref: 4
Objective: 1-4
34) At a public 911 center meeting, a concerned woman asks if voice over Internet protocols
(VoIP) can be used to access the community emergency operations center. You would inform her
that:
A) Internet providers are encouraged to provide 911 access, but are not required by law.
B) Internet providers are required to provide their own 911 service to subscribers.
C) Internet providers must provide a callback number and location of the 911 call.
D) Internet providers are required to provide medical instructions prior to arrival of EMS.
Answer: C
Diff: 2 Page Ref: 5
Objective: 1-4
35) The EMT would recognize which of the following as an advantage of the 911 universal
number?
A) It is able to track the location of all emergency vehicles in an EMS system.
B) It allows for simultaneous dispatch of EMS, law enforcement, and fire services.
C) It is less expensive to operate than a 7- or 10-digit telephone number.
D) It can easily accommodate non-emergency as well as emergency situations.
Answer: BDiff: 1 Page Ref: 4-5
Objective: 1-4
3) An Emergency Medical Responder (EMR) comes to you and states that he would like to work
for your emergency ambulance service. Knowing the National EMS Scope of Practice Model,
you inform him of which one of the following?
A) He will only be able to take care of patients with non-life-threatening complaints.
B) He will first need approval from your ambulance service’s medical director.
C) He will only be able to work with an advanced EMT or paramedic.
D) He will first have to become an Emergency Medical Technician (EMT).
Answer: D
Diff: 2 Page Ref: 4
Objective: 1-5
4) As defined by The National EMS Scope of Practice Model, the four levels of EMS
practitioners include:
A) ambulance drivers.
B) EMS Medical Director.
C) paramedics.
D) emergency medical dispatchers.
Answer: C
Diff: 1 Page Ref: 5
Objective: 1-5
5) An Emergency Medical Responder (EMR) approaches you and states that he is interested in
becoming an EMT. Specifically, he asks what he will be able to do as an EMT that he cannot
presently do as an EMR. You respond by saying he will be able to:
A) administer some medications.
B) perform emergency childbirth.
C) use an automated external defibrillator (AED).
D) obtain vital signs.Answer: A
Diff: 2 Page Ref: 5
Objective: 1-5
6) You have been dispatched for a 61-year-old female in cardiac arrest. Emergency Medical
Responders (EMRs) are on scene. In your community all EMS practitioners are trained
according to the National EMS Scope of Practice Model. Which one of the following do you
expect the EMRs to be providing?
A) Emergency medication administration
B) Automated external defibrillation
C) Intravenous (IV) therapy
D) Reading an electrocardiogram (ECG)
Answer: B
Diff: 1 Page Ref: 5
Objective: 1-5
7) An EMT with your service states that he desires to become a paramedic because he wants to
provide advanced care. Under the National EMS Scope of Practice Model, which one of the
following will he be able to provide as a paramedic that he cannot provide as an EMT?
A) Automated blood pressure monitoring
B) Emergency childbirth
C) Interfacility transports
D) Advanced patient assessment
Answer: D
Diff: 2 Page Ref: 5
Objective: 1-5
8) Which one of the following statements made by an EMT requires immediate intervention by a
superior or the service supervisor?
A) “I always wear my seat belt whenever I am in the ambulance, unless I have to remove it to
care for a patient.”B) “I drive as fast as I can to get to the scene of an emergency, especially if a child is sick or
injured.”
C) “When I am driving with lights and sirens, I instruct my partner that he will need to handle all
radio communications.”
D) “I put exam gloves on for every patient I contact, even if he or she does not have an infectious
disease.”
Answer: B
Diff: 1 Page Ref: 7
Objective: 1-7
9) Which one of the following statements shows that the EMT has a good understanding of her
role and responsibility related to being an EMT?
A) “The patient’s needs come before anyone else’s needs.”
B) “On a scene of an emergency, my responsibility is to get to the patient no matter what.”
C) “My safety comes first and then the patient’s safety.”
D) “As an EMT, I recognize that the public’s safety comes before the safety of me or my
partner.”
Answer: C
Diff: 2 Page Ref: 7
Objective: 1-7
10) An ambulance with two EMTs arrives in front of a house for an unknown medical call in a
good section of town. On scene, bystanders report that a female patient was beaten by her
husband in the driveway and then dragged back into the house. They continue by stating that the
patient appeared unconscious and was bleeding from the head. Which action would the EMTs
perform next?
A) Remove the ambulance and themselves from the scene and wait for the police.
B) Quietly enter the home and quickly move the patient to the ambulance.
C) Remove the husband from the house, then provide emergency care to the wife.
D) Enter the home to protect the patient while waiting for the police to arrive.
Answer: A
Diff: 2 Page Ref: 7Objective: 1-7
11) You are assessing an 81-year-old female complaining of chest pain with accompanying
dizziness and weakness. She also has a history of Alzheimer’s dementia and is very confused.
After ruling out life threats to the airway, breathing, and circulation, your partner leaves to
retrieve the stretcher. Within a few minutes, he has the stretcher at the bottom of the stairs
leading up to the bedroom where you and the patient are located. He states that he needs help
moving the stretcher up the stairs. Regarding patient safety, your best action would be to:
A) close the door to the room so the patient cannot leave and then help with the stretcher.
B) ambulate the patient from the room and down the stairs to the stretcher.
C) walk the patient to the stairs and then have her sit there while you help move the stretcher.
D) instruct a family member to sit with the patient while you help move the stretcher.
Answer: D
Diff: 2 Page Ref: 7; 8; 12
Objective: 1-7
12) You have arrived on the scene of a motor vehicle collision. A car has gone off the road and
into a utility pole. The pole is broken and wires are hanging just above the car. You do not see
any sparking or arcing of the wires. The driver of the car is slumped over the steering wheel and
not moving. There are several bystanders around the car yelling for you to help. Which of the
following lists the correct order of your response?
A) Clear bystanders, fire department secures the wires, access the patient, extricate the patient,
transport
B) Access the patient, clear bystanders, fire department secures the wires, extricate patient,
transport
C) Clear bystanders, access the patient, extricate the patient, transport, fire department secures
the wires
D) Access the patient, fire department secures the wires, clear bystanders, extricate patient,
transport
Answer: A
Diff: 2 Page Ref: 7
Objective: 1-713) Once a scene is free of safety hazards, the EMT must recognize and focus on the needs of
the:
A) rescuers.
B) patient.
C) family.
D) bystanders.
Answer: B
Diff: 1 Page Ref: 7
Objective: 1-7
32) You have arrived on the scene of a medical emergency and find a woman lying on the floor
of a grocery store. As you approach her, you know that your first priority as an EMT is:
A) personal safety.
B) patient care.
C) public safety.
D) patient advocacy.
Answer: A
Diff: 1 Page Ref: 7
Objective: 1-7
33) A female jogger has collapsed on the trail of a public park. A crowd of curious onlookers has
collected and are watching as the EMT examines the patient for any life-threatening conditions.
After determining that there are none and the patient is stable, the EMT acts as a patient advocate
by:
A) informing the crowd that the patient appears to be okay.
B) transporting the patient to the hospital using lights and sirens.
C) continuing care despite the crowd’s presence.
D) asking curious onlookers to leave the scene.
Answer: D
Diff: 2 Page Ref: 8-9
Objective: 1-716) You are interviewing for the position of EMT with a busy urban service. This morning you
are to meet with the service’s medical director. You have been told that he likes when applicants
ask questions about his role as the medical director. Related to his responsibilities as medical
director, which one of the following questions is most appropriate?
A) “How do you determine the wages that the EMTs are paid?”
B) “How do you determine the number and location of ambulances within the system?”
C) “How often are the emergency care protocols updated?”
D) “Do you assign the daily chores that must be completed around the stations?”
Answer: C
Diff: 2 Page Ref: 11
Objective: 1-9
17) To be a medical director of an ambulance service, which one of the following requirements
must the individual satisfy?
A) Licensed physician
B) Emergency physician with surgical experience
C) Physician who was a paramedic
D) Physician with a college degree in EMS
Answer: A
Diff: 2 Page Ref: 11
Objective: 1-9
18) As an EMT, which requirement is needed so that you can provide routine and emergency
medical care to the sick and injured?
A) Prior medical experience
B) Service medical director
C) Knowledgeable partner
D) Safe driving record
Answer: B
Diff: 2 Page Ref: 11Objective: 1-9
19) It has been some time since you were involved in the care of a pediatric patient. You decide
to review the assessment and treatment basics that your medical director requires. To review this
information, which one of the following resources should you consult first?
A) Emergency Medical Responders
B) Reputable Internet websites
C) Emergency department nurses
D) Service protocols
Answer: D
Diff: 1 Page Ref: 11
Objective: 1-9
20) Before contacting medical direction for authorization to assist a shortness of breath patient
with his or her metered-dose inhaler, protocols state that the EMT must first attempt to provide
relief by administering oxygen. You recognize that the administration of oxygen is best described
as a(n):
A) standing order.
B) on-line medical direction.
C) direct permission.
D) quality improvement.
Answer: A
Diff: 2 Page Ref: 11
Objective: 1-9
21) If a patient with chest pain takes a daily aspirin, your medical director wants the EMT to
contact an emergency department physician first before administering additional aspirin. The act
of contacting the emergency department physician for permission to administer additional aspirin
is an example of:
A) quality improvement.
B) on-line medical direction.C) off-line medical direction.
D) indirect medical control.
Answer: B
Diff: 2 Page Ref: 11
Objective: 1-9
28) You are by the side of a confused diabetic patient who has a low blood sugar level. You know
that the patient needs orally administered sugar, so following your service’s guidelines, you call
the physician on duty at the hospital emergency department and request permission to administer
it. This request is an example of:
A) standing orders.
B) on-line medical direction.
C) medical cooperation.
D) off-line medical direction.
Answer: B
Diff: 1 Page Ref: 11
Objective: 1-9
1) A distraught husband awoke to find his 26-year-old wife not breathing and cold to the touch.
Since your assessment indicates that the woman has been dead for some time, you contact
medical direction for authorization to withhold emergency care. The medical director agrees and
the coroner is notified. At this time, your immediate responsibility is:
A) establishing the time of death.
B) preparing for the next call.
C) determining the cause of death.
D) providing supportive care to the husband.
Answer: D
Diff: 2 Page Ref: 19
Objective: 2-3
2) You are doing CPR on a male patient who is unresponsive, not breathing, and pulseless.
Emergency Medical Responders (EMRs) were on scene first and applied the AED, which did notdeliver a shock to the patient. The patient’s wife is crying and asks how her husband is doing.
Your response would be:
A) “I have to be honest, he is probably dead, but we are going to take him to the hospital so the
doctor can examine him and make sure.”
B) “Why don’t we wait until we get to the hospital to talk about your husband’s condition?”
C) “Right now he is not breathing and his heart is not beating, but we are doing everything we
possibly can for him.”
D) “I am not a doctor, but if we get him to the hospital very quickly, I am sure he will be just
fine.”
Answer: C
Diff: 2 Page Ref: 19
Objective: 2-3
26) You have just been instructed to stop emergency care on an unresponsive and pulseless 61-
year-old man found by his wife in the bathroom. After telling his wife that there is nothing more
that can be done, she erupts in an episode of rage and starts screaming that there must be
something else that can be done and you are not doing your job well enough. In this situation,
which action is best?
A) Resume resuscitation for another 5 minutes.
B) Be tolerant of the angry reaction.
C) Leave the scene immediately.
D) Contact medical direction for advice.
Answer: B
Diff: 2 Page Ref: 19
Objective: 2-3
46) After 20 minutes of performing CPR on a 65-year-old female with end stage multiple
sclerosis, your medical director orders you to stop resuscitation and inform the family that the
patient has died. Family is upset and crying. You notice the patient’s daughter holding her hand.
Your immediate response would be:
A) “It’s okay to hold her hand, but you should really use gloves like we do.”
B) “It’s important not to touch her since she may be infectious from her disease.”
C) “I know that you are upset, but it is best not to touch her since she just passed.”
D) “It’s okay to hold her hand; you can touch her face and hair as well.”Answer: D
Diff: 3 Page Ref: 19
Objective: 2-3
47) A young girl with end-stage cancer is unresponsive, not breathing, and pulseless. Her mother
and father are by her side, both crying as you start emergency care. Which statement indicates
the most appropriate action?
A) “I think that it would be best for you both to leave the room so we can care for your
daughter.”
B) “If you feel comfortable, it’s okay to stay and watch how we care for your daughter.”
C) “It is important not to cry since she may still be able to hear you and needs you to be
strong for her.”
D) “I can show you how to do chest compressions so that you can take part in caring for
your daughter.”
Answer: B
Diff: 3 Page Ref: 19
Objective: 2-3
48) A patient with terminal lung cancer has called EMS for shortness of breath. At the request of
your paramedic partner, you are getting the patient’s blood pressure. While inflating and then
deflating the blood pressure cuff, the patient angrily shouts, “That thing is too tight … what are
you trying to do, send me to the funeral home a couple of weeks early!” Your best reply would
be:
A) “I have to get your blood pressure. The paramedic needs it.”
B) “Why are you so mad at me? I am just trying to help you.”
C) “I know that this is tight. I am just about done now.”
D) “Do not yell at me. There is no need for yelling and I do not appreciate it.”
Answer: C
Diff: 3 Page Ref: 19
Objective: 2-3
4) An EMT is correct when he describes a communicable disease as:A) any of a number of diseases that are deadly once contracted.
B) a disease that can be spread from one person to another.
C) any disease that is caused and spread by a viral agent.
D) a disease for which no immunization or treatment exists.
Answer: B
Diff: 2 Page Ref: 24
Objective: 2-1; 2-11
5) Which one of the following is the single best technique that the EMT can use to prevent the
spread of infection?
A) Disinfecting equipment
B) Wearing gloves
C) Washing hands
D) Getting immunizations
Answer: C
Diff: 1 Page Ref: 26
Objective: 2-11
6) The EMT is correctly performing routine hand washing when she:
A) uses an alcohol-based hand sanitizer without water.
B) rinses with hot water after using a disinfectant soap.
C) lathers and scrubs with plain soap for 10 to 15 seconds.
D) dries hands thoroughly for 30 seconds with a reusable towel.
Answer: C
Diff: 2 Page Ref: 26
Objective: 2-11; 2-13
7) A patient with human immunodeficiency virus (HIV) is complaining of chest pain. In this
situation, what personal protective equipment is most appropriate?
A) Gloves and eyewearB) Gloves and gown [Show Less]