Ch. 36 Assessment

Operators of emergency vehicles must drive with the safety of others in mind. This is known as​ driving:
A.
defensively.
B.
with emergency privilege.
C.
with due regard.
D.
as a public servant.
C

You have transported a stable patient with complaints of having abdominal pain for the last three weeks to the hospital. On​ arrival, you notice the emergency department is very busy and there are no empty beds to be found. You have attempted to get the attention of a hospital staff member to transfer the​ patient, but all are currently helping other patients. Your partner tells you to take the patient to the waiting room and leave him since the dispatcher of your service is holding several serious calls. What could possibly happen to you if you leave the patient in this​ fashion?
A.
​Nothing; there are other people who are in need of an ambulance.
B.
You could possibly be charged with false imprisonment.
C.
You could possibly be charged with abandonment.
D.
​Nothing, provided that your supervisor authorizes this action.
C

While staffing an emergency services dispatch​ center, an Emergency Medical Dispatcher​ (EMD) receives a call from someone who is very upset and screaming that her friend was just shot. Which of the following would the EMD need to do in this​ situation?
A.
Provide prearrival medical instructions to the caller.
B.
Determine the location of the shooter.
C.
Notify the​ victim’s family of the incident.
D.
Provide the caller with information on local hospitals.
A

Regarding ambulance warning​ devices, which of the following statements is NOT​ true?
A.
The large lights on the outermost corners of the ambulance box should blink alternately.
B.
​Four-way flashers should not be used as emergency lights.
C.
The use of strobes is controversial.
D.
In most states it is illegal to drive at night with only one headlight.
A

An​ EMT’s BEST defense against potential legal liability​ is:
A.
practicing excellent prehospital care.
B.
relying on Good Samaritan immunity.
C.
documenting as little as possible on the run sheet.
D.
purchasing medical malpractice insurance.
A

Which of the following is the primary reason why ambulances should have two oxygen supply​ systems?
A.
To have a backup system in the event of failure of the primary system
B.
To provide oxygen to the patient in the event of vehicle breakdown
C.
To provide oxygen to two patients at one time
D.
To ensure a supply of oxygen for​ long-distance transports
C

Regarding the use of emergency​ sirens, which of the following is false​?
A.
Dense shrubbery may block the sound of the siren.
B.
EMTs should assume that other drivers cannot hear the siren.
C.
Ambulance operators are not affected by siren noise.
D.
The sound of the siren may increase the​ patient’s anxiety.
C

Which of the following contributes MOST significantly to the occurrence of ambulance​ crashes?
A.
Size of the vehicle
B.
Weather conditions
C.
Time of day
D.
Speed of the vehicle
D

Which of the following is true concerning​ disinfection?
A.
A solution of 1 part household bleach to 100 parts water is an effective disinfectant for health care purposes.
B.
A​ low-level disinfectant will kill germs on ambulance floors and walls.
C.
High level disinfection destroys all sources of infection.
D.
All of the above
B

After responding to the scene of a patient complaining of difficulty​ breathing, you and your partner determine that the​ patient’s condition is not life threatening based on a thorough assessment. You should transport the patient to an appropriate medical facility​ with:
A.
the emergency lights​ off, but activating the siren when traffic builds.
B.
both lights and siren activated.
C.
neither lights nor siren activated.
D.
the emergency lights​ on, but without activating the siren.
C

The process of combining the patient and​ patient-carrying device into a unit ready for moving and transporting the patient is​ called:
A.
immobilizing.
B.
packaging.
C.
loading.
D.
wrapping.
B

Which of the following fluids is NOT checked by an​ EMT?
A.
Oil
B.
Hydraulic
C.
Transmission
D.
Coolant
B

Because of the extra equipment now placed on ambulances for specialty​ rescue, advanced life​ support, and hazardous materials​ operations, their gross vehicle weight has been easily exceeded in some communities. This has necessitated introduction of a​ ________ truck chassis built for rugged durability and large storage and work areas.
A.
​Medium-duty
B.
Type I
C.
Type III
D.
Type II
A

You respond to a major automobile collision involving multiple patients. Which of the following patients would receive Priority 1​ transport?
A.
​6-year-old with lower leg fracture and normal vital signs
B.
​25-year-old with abdominal bruising and signs of shock
C.
​68-year-old with mild respiratory distress and seat belt burns
D.
​45-year-old with no vital signs
B

At which point should you complete your patient care report​ (PCR)?
A.
As soon as you are free from patient duties
B.
En route to the hospital
C.
At the end of your shift
D.
As soon as you arrive at the hospital
A

Which of the following is the correct order of operations when transferring a stable patient from his or her house to the​ ambulance?
A.
Select the proper​ patient-carrying device, move the patient to the​ ambulance, package the patient for​ transport, and load the patient into the ambulance.
B.
Select the proper​ patient-carrying device, package the patient for​ transport, move the patient to the​ ambulance, and load the patient into the ambulance.
C.
Package the patient for​ transport, select the proper​ patient-carrying device, move the patient to the​ ambulance, and load the patient into the ambulance.
D.
Package the patient for​ transport, move the patient to the​ ambulance, select the proper​ patient-carrying device, and load the patient into the ambulance.
B

Which of the following statements is true regarding helicopter​ transport?
A.
Helicopter transport is relatively inexpensive.
B.
Patient care is seldom affected during the flight.
C.
Pressure changes do not affect equipment such as​ PASG, ET​ tubes, and so on.
D.
Most treatment should be done prior to loading the patient.
D

What is an​ appropriate-sized landing zone for a​ helicopter?
A.
75 feet by 75 feet
B.
25 feet by 25 feet
C.
50 feet by 50 feet
D.
100 feet by 100 feet
D

Which of the following is a purpose for carrying sterilized aluminum foil on an​ ambulance?
A.
To control major arterial bleeding
B.
To care for amputated parts
C.
To keep a newborn warm
D.
None of the above
C

Inexperienced drivers tend to​ ________ when they hear a siren approaching.
A.
speed up
B.
pull to the right
C.
stop
D.
pull to the left
A

Full immobilization of a trauma​ patient, including placing a cervical collar and securing the patient to a​ backboard, should take place at which of the following points in​ time?
A.
En route to the hospital
B.
After checking for cervical range of motion
C.
Before moving the patient to the ambulance
D.
Before the primary assessment
C

You are at the scene of a vehicle collision and have found that there is one patient who is in stable condition. At this​ point, the call can be categorized​ as:
A.
an unfounded call.
B.
a​ non-incident.
C.
no longer a true emergency.
D.
a refusal.
C

You have transported a patient to the emergency department and are in the process of cleaning the ambulance while your partner is completing all required paperwork. At what point is the final phase of an ambulance call​ complete?
A.
As soon as you put the stretcher back in the ambulance with a clean sheet and you notify your dispatch center you are available
B.
After your partner completes all required paperwork and you have the ambulance completely cleaned and restocked
C.
As soon as you get back to the station and notify your dispatch center you are in quarters
D.
As soon as your partner completes the patient care report and you are restocking the supplies used during the call
B

The U.S. Department of Transportation has issued specifications for all of the following types of ambulances ​except:
A.
Type IV.
B.
Type I.
C.
Type III.
D.
Type II.
A

Which of the following is optional​ equipment?
A.
Flashlights
B.
Infant oxygen masks
C.
Disinfectant solution
D.
Lubricating jelly
B

Tests have shown that​ ________ ambulance operators tend to speed up by 10 to 15 miles per hour when the siren is sounding.
A.
inexperienced
B.
privately employed
C.
younger
D.
experienced
A

When deciding whether or not to drive to the hospital with lights and siren activated for any​ patient, the driver should​ consider:
A.
the​ patient’s preference for lights and siren.
B.
how many calls are waiting for an available ambulance.
C.
potential risks of making the​ patient’s condition worse.
D.
the​ patient’s past medical history.
C

Most state statutes allow an emergency vehicle operator to do which of the following on emergency​ calls?
A.
Pass a stopped school bus with its red flashers on
B.
Be exempt from liability in the event of a collision
C.
Drive around lowered​ cross-arms at a railroad crossing
D.
Exceed posted speed limits if life and property are not endangered
D

Safety studies have shown that drivers of other vehicles do not usually see or hear ambulances or other emergency vehicles until they are within​ ________ feet of it.
A.
600 feet
B.
500 feet
C.
200 feet
D.
100 feet
D

Occlusive dressings must be carried on an ambulance to treat which of the following​ injuries?
A.
Impaled object in the eye
B.
Tension pneumothorax
C.
Open pneumothorax
D.
Amputations
C

When responding to an emergency in an authorized vehicle while functioning as an EMT for an authorized emergency​ service, the actions you take while driving​ are:
A.
covered by your​ service’s insurance carrier.
B.
subject to laws that govern all drivers.
C.
not likely to result in an investigation in the event of a collision.
D.
​allowable, provided you do not exceed 15 mph above the posted speed limit.
B

When arriving at the location of a motor vehicle collision on an interstate​ highway, you should position the ambulance so​ that:
A.
there is a safe area between the damaged vehicles and traffic behind the scene.
B.
there is a fire truck between you and oncoming traffic.
C.
you are nearest to the command post for easy communications with the incident commander.
D.
there is a safe area beyond the damaged vehicles.
D

Which of the following situations may warrant the use of helicopter transport from the scene to a medical​ facility?
A.
The patient is in cardiac arrest.
B.
The distance to the medical facility is 15 minutes away.
C.
The patient is located in a remote area.
D.
The patient may go into shock shortly.
C

A study of emergency collisions demonstrated that the majority of collisions occurred
A.
at night.
B.
during turning.
C.
at intersections.
D.
during inclement weather.
C

Failure to formally transfer the patient to medical staff in the emergency department could place the EMT in danger of being held liable​ for:
A.
patient endangerment.
B.
false imprisonment.
C.
abandonment.
D.
unlawful consent.
C

Chemical cold packs are carried on the ambulance for treatment of which of the​ following?
A.
Abdominal pain
B.
Seizures
C.
Musculoskeletal injuries
D.
Snake bites
C

Which of the following should be checked with the vehicle engine turned​ off?
A.
Windshield wiper operation
B.
​Dash-mounted gauges
C.
Battery
D.
Warning lights
C

The KKK standards deal​ with:
A.
minimum standard medical protocols.
B.
training and education of field personnel.
C.
air evacuation of trauma victims.
D.
ambulance safety and design.
D

Which of the following transport positions is indicated for the patient in​ shock?
A.
Legs raised 8 to 12 inches
B.
Recumbent
C.
Sitting
D.
Left lateral recumbent
A

When heading back to​ quarters, on what should you place your​ emphasis?
A.
Documentation
B.
Refueling the ambulance for the next call
C.
Beginning to reorganize the ambulance
D.
A safe return
D

The medical acronym EMD stands for which of the​ following?
A.
Emergency Medical Dispatch
B.
Emergency Medical Director
C.
Emergency Medical Doctor
D.
Emergency Medical Driver
A

Which of the following is NOT essential equipment on an​ ambulance?
A.
Portable suction unit
B.
Automatic transport ventilator
C.
Pediatric oxygen administration devices
D.
Portable oxygen tanks
B

Police escorts of ambulances driving at emergency status are typically discouraged​ because:
A.
there is no guarantee that the police officer knows where the call is located.
B.
police officers are not accustomed to driving an ambulance.
C.
drivers who pull over for the police officer often pull back in front of the ambulance.
D.
ambulances do not move as fast as police cruisers.
C

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1. exceed the speed limit posted for the area as long as you are not endangering lives or property 2. drive wrong way down 1-way street or drive down opposite side of road 3. turn in any direction at any …

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