1. The level of oxygen circulating through a patient's blood vessels is measured using a:

A. sphygmomanometer.

B. pulse oximeter.

C. stethoscope.

D. penlight. 

Ch 13: Homework

B. pulse oximeter.

2. Which of the following terms is another way of describing a rapid heart rate?

A. Bradycardia

B. Tachypnea

C. Tachycardia

D. Hypertension 

Ch 13: Homework

C. Tachycardia

3. As an EMT, you will be measuring breathing, pulse, skin, pupils, and blood pressure. The FIRST set of measurements you take are most commonly referred to as:

A. initial vital signs.

B. ongoing vital signs.

C. primary vital signs.

D. baseline vital signs.

Ch 13: Homework

D. baseline vital signs.

4. Listening with a stethoscope is also known as:

A. percussion.

B. inspection.

C. palpation.

D. auscultation

Ch 13: Homework

D. auscultation

5. In adults, direct assessment of the circulatory status of the body can be performed by measuring the blood pressure and the:

A. pulse oximetry.

B. pulse.

C. temperature.

D. respiratory rate.

Ch 13: Homework

B. pulse.

6. What method is best used to assess a patient's blood pressure in a noisy industrial environment?

A. Palpation

B. BP Monitor

C. Postpone until later

D. Auscultation

Ch 13: Homework

A. Palpation

7. Which one of the following can best help to evaluate the extent of hypoxia in a patient?

A. Pulse oximetry

B. Pulse quality

C. Skin condition

D. Skin color

Ch 13: Homework

A. Pulse oximetry

8. A 59-year-old female has suffered sudden cardiac arrest. CPR has been successful in restoring breathing. A pulse check reveals a strong carotid pulse, but the patient is still unconscious. While expediting transport, you should also:

A. continue with chest compressions for 1 minute.

B. reassess vital signs after 10 minutes.

C. check the pulse oximetry after 3 minutes.

D. Check pulse and blood pressure again in 5 minutes

Ch 13: Homework

D. Check pulse and blood pressure again in 5 minutes

9. Your patient presents with signs and symptoms of a stroke. Why is it important to keep accurate records of vital signs?

A. For insurance billing purposes.

B. To avoid lawsuits, everything should be written down. C. In case hypertension medications must be given.

D. Important treatment decisions may be based on your documentation.

Ch 13: Homework

D. Important treatment decisions may be based on your documentation.

10. Which of the following monitoring devices is NOT generally used by the EMT?

A. Blood pressure cuff.

B. ECG monitor.

C. Pulse oximeter.

D. Glucose meter.

Ch 13: Homework

B. ECG monitor.

11. Which of the following results will occur from attempting to utilize a pulse oximeter on a patient who is anemic?

A. The monitor will provide a falsely low reading.

B. The sensor will progress out of calibration.

C. The meter may provide a falsely high reading.

D. The meter reading will become increasingly erratic.

Ch 13: Homework

C. The meter may provide a falsely high reading.

12. A 33-year-old female is unconscious after a fall. You assess her respirations and note them to be regular at a rate of 9/min. You would describe this respiratory rate as:

A. rapid.

B. agonal.

C. normal.

D. slow.

 Ch 13: Homework

D. slow.

13. Which of the following conditions would adversely affect the accuracy of a pulse oximeter reading?

A. Hypoxia

B. Pulmonary edema

C. Carbon monoxide poisoning

D. Pneumonia

Ch 13: Homework

C. Carbon monoxide poisoning

14. A 26-year-old female complains of respiratory distress. You have completed your primary assessment, obtained a baseline set of vital signs, and been ordered by medical control to assist the patient with her bronchodilator inhaler. After administering the medication, you should NEXT:

A. ask the patient whether she has any allergies.

B. continue on to the patient history.

C. reassess vital signs.

D. complete a detailed physical examination

Ch 13: Homework

C. reassess vital signs.

15. The average range for an adult's pulse would be:

A. 12 to 20 beats per minute.

B. 110 to 140 beats per minute.

C. 30 to 50 beats per minute.

D. 60 to 100 beats per minute.

Ch 13: Homework

D. 60 to 100 beats per minute.

16. Which one of the following would be of the most concern?

A. Peripheral cyanosis in a newborn upon first APGAR scoring

B. Flushed skin in a sixteen-year-old basketball player after playing

C. Peripheral cyanosis in a shivering nine-year-old after swimming

D. Peripheral cyanosis in an adult with respiratory distress

Ch 13: Homework

D. Peripheral cyanosis in an adult with respiratory distress

1. Which of the following terms describes an analytical process that helps someone think through a problem in an organized and efficient manner?

A. Differential diagnosis

B. Critical thinking

C. EMT diagnosis

D. Diagnosis 

Ch 14: Homework 

B. Critical thinking

2. During which of the following would the EMT thoroughly examine the patient's face, ears, nose, eyes, and mouth?

A. Detailed physical examination

B. Rapid trauma assessment

C. SAMPLE

D. Past medical history

Ch 14: Homework

A. Detailed physical examination

3. Which of the following might be found when the EMT inspects the patient's chest?

A. Bilateral rales

B. Bruising

C. Tenderness

D. Hyperresonance

Ch 14: Homework

B. Bruising

4. Which of the following clinical findings would indicate that you should conduct a modified secondary assessment rather than a full head-to-toe secondary assessment?

A. No significant mechanism of injury

B. Significant MOI

C. Altered mental status

D. Multiple thoracic and abdominal injuries

Ch 14: Homework

A. No significant mechanism of injury

5. Your patient is unresponsive, has an unusual odor on his breath, and is incontinent of urine. You should suspect:

A. a cardiac emergency.

B. a respiratory emergency.

C. an endocrine emergency.

D. a neurological emergency.

Ch 14: Homework

C. an endocrine emergency.

6. In which of the following emergencies would your patient most likely present with a chief complaint of headache?

A. Respiratory

B. Endocrine

C. Cardiovascular

D. Neurological

Ch 14: Homework

D. Neurological

7. The secondary assessment, when conducted on an unresponsive medical patient, can be defined as:

A. a comprehensive history.

B. a systematic assessment that is aimed at quickly identifying undiscovered life threats.

C. a comprehensive history and physical examination.

D. a repeat of the patient's vital signs and primary examination conducted for comparison to the established baseline.                                               Ch 14: Homework

B. a systematic assessment that is aimed at quickly identifying undiscovered life threats.

8. A 14-year-old female is complaining of knee pain after a fall on the playground. Witnesses state that she had no unconsciousness and stood immediately after falling. She is now alert and complaining of no other pain or injury. After completing a primary assessment, you should next:

A. apply a cervical collar.

B. complete a rapid trauma assessment.

C. obtain a SAMPLE history.

D. assess the patient's knee and leg

Ch 14: Homework

D. assess the patient's knee and leg

9. Which of the following statements is TRUE about the rapid trauma assessment?

A. Do not delay transport to conduct the rapid trauma assessment.

B. The rapid trauma assessment should be performed at the scene.

C. Limit the rapid trauma assessment to a visual inspection only.

D. The rapid trauma assessment is for patients without a significant mechanism of injury.

Ch 14: Homework

B. The rapid trauma assessment should be performed at the scene.

10. What process would you use to discover the circumstances surrounding the chief complaint of the responsive medical patient?

A. SAMPLE

B. OPQRST-ASPN

C. PERRL

D. AVPU

Ch 14: Homework

B. OPQRST-ASPN

11. When your patient tells you that he had a heart valve replaced two years ago, this is considered:

A. an event leading up to today's problem.

B. pertinent past medical history.

C. a chief complaint.

D. irrelevant to today's problems.

Ch 14: Homework

B. pertinent past medical history.

12. Which of the following BEST describes the purpose of repeating the primary assessment?

A. To recheck for ongoing life-threatening problems

B. To reassess mental status

C. To maintain an open airway

D. To monitor skin color and temperature

Ch 14: Homework

A. To recheck for ongoing life-threatening problems

13. Which of the following represents a significant mechanism of injury?

A. Fall from a bicycle

B. Fall from less than 6 feet

C. Superficial burns over 2% of the body

D. Pedestrian hit by automobile

Ch 14: Homework

D. Pedestrian hit by automobile

14. Which of the following terms means that a sign or symptom suggests the possibility that a problem is very serious?

A. Red flag

B. Differential diagnosis

C. Black flag

D. EMT diagnosis

Ch 14: Homework

A. Red flag

1. Which of the following terms BEST describes an abbreviated form of the PCR that an EMS crew can leave at the hospital when there is not enough time to complete the PCR before leaving?

A. Patient care record

B. SOAP notes

C. Drop report

D. Run data

Ch 15: Homework

C. Drop report

2. You are en route to the ED with a critical patient when your ambulance's mobile radio fails. Which of the following may be used to contact the hospital?

A. Local law enforcement

B. Repeater

C. Base station

D. Cell phone

Ch 15: Homework

D. Cell phone

3. What power output do most portable radios have?

A. 0.5 to 3 watts

B. 25 to 35 watts

C. 1 to 5 watts

D. 5 to 10 watts

Ch 15: Homework

C. 1 to 5 watts

4. A radio that is located at a stationary site is called a:

A. base station.

B. repeater.

C. mobile.

D. portable.

Ch 15: Homework

A. base station.

5. Radio communications include trends in the patient's condition, responses to interventions, and information from the scene and are monitored by the:

A. FCC.

B. OSHA.

C. DOT.

D. EPA.

Ch 15: Homework

A. FCC.

6. What does "PTT" mean on a portable or mobile radio?

A. Press to terminate.

B. Patient telemetry transmit.

C. Pre-transmit toggle.

D. Press to talk.

Ch 15: Homework

D. Press to talk.

7. Which of the following is TRUE about use of the patient's name over the radio?

A. It may violate confidentiality rules.

B. Refer to all patients as Jane or John Doe.

C. Spell the patient's last name to avoid confusion.

D. Most hospitals require you to provide the patient's name.

Ch 15: Homework

A. It may violate confidentiality rules.

8. Which of the following is a routine radio transmission for an EMT?

A. Contacting law enforcement with medical information about the patient

B. Contacting the patient's personal physician while you are en route to the hospital

C. Notifying dispatch when you are five minutes from the scene

D. Notifying dispatch of your arrival at the hospital

Ch 15: Homework

D. Notifying dispatch of your arrival at the hospital

9. Which of the following is appropriate in communicating with medical direction over the phone or radio?

A. "Patient is complaining of chest pain."

B. "Patient likely experiencing non-cardiac chest pain."

C. "Patient presents with myocardial infarction."

D. "Patient with symptoms of heart attack."

Ch 15: Homework

A. "Patient is complaining of chest pain."

10. Which of the following methods of communicating with medical direction BEST protects the patient's privacy?

A. Using the phone at the patient's residence

B. Using your dispatcher to relay the information

C. Using the portable radio

D. Using the mobile radio

Ch 15: Homework

A. Using the phone at the patient's residence

11. When communicating within the EMS system, you should keep your transmission brief and remember to:

A. listen before transmitting.

B. speak with your lips directly on the microphone.

C. begin talking as soon as you depress the microphone button.

D. state your ID number and then the number of the unit you are calling.

Ch 15: Homework

A. listen before transmitting.

12. When receiving orders from medical direction, you should do all of the following EXCEPT:

A. asking for clarification of an order that you did not understand or feel is inappropriate.

B. giving the patient's name over the radio.

C. avoiding phrases such as "please," "thank you," and "you're welcome."

D. repeating the order word for word.

Ch 15: Homework

B. giving the patient's name over the radio.

13. You may receive an order from medical direction over the radio to help a patient with his medication. After receiving the order, you should NEXT:

A. confirm the order with your partner.

B. repeat the order.

C. repeat vital signs.

D. administer the medication.

Ch 15: Homework

B. repeat the order.

14. Patient condition, vitals, and pertinent medical history would typically be communicated to what party?

A. The receiving hospital

B. Dispatch

C. The patient's family

D. Bystanders

Ch 15: Homework

A. The receiving hospital

15. Guidelines for communicating with your patient includes which of the following?

A. Never touch a patient in a comforting manner, as the patient will perceive it as encroachment.

B. Be informal with older patients and call them by their first name.

C. Listen carefully and allow time for the patient to answer.

D. Refrain from explaining what you are doing, as it takes too much time.

Ch 15: Homework

C. Listen carefully and allow time for the patient to answer.

16. Typically, you should do which of the following when interviewing your patient?

A. Position yourself below the patient's eye level.

B. Change positions frequently.

C. Stand above the patient.

D. Position yourself at the patient's eye level.

Ch 15: Homework

D. Position yourself at the patient's eye level.

17. Why is poor communication a contributor to patient safety risks?

A. You could get an over-response to the call.

B. The patient may be charged for a skill you did not provide.

C. You might take the patient to the wrong hospital.

D. It can lead to medical errors.

Ch 15: Homework

D. It can lead to medical errors.

18. Which of the following is TRUE about communicating with patients from a different culture?

A. The patient's culture is irrelevant to the EMT.

B. Cultural differences have no impact on communication.

C. Cultural differences can make effective communication more challenging.

D. You should take no action until you understand the key cultural differences.

Ch 15: Homework

C. Cultural differences can make effective communication more challenging.

19. You are treating an elderly man who tells you that his name is Robert Walters. What is the MOST appropriate way to refer to him?

A. Rob

B. Mister

C. Robert

D. Mr. Walters

Ch 15: Homework

D. Mr. Walters

20. The Department of Transportation's minimum data set for patient information gathered by the EMT includes:

A. the patient's respiratory rate and effort.

B. the patient's medical insurance information.

C. systolic blood pressure for patients older than one year old.

D. capillary refill for patients younger than three years old.

Ch 15: Homework

A. the patient's respiratory rate and effort.

21. Which of the following should be avoided in completing the vital signs division of the PCR?

A. If you take only one set of vital signs, estimating a second set

B. Documenting the time the patient's vital signs were taken

C. Taking and recording at least two complete sets of vital signs

D. Documenting the position the patient was in when vitals were taken

Ch 15: Homework

A. If you take only one set of vital signs, estimating a second set

22. Which of the following can lead to medical error on a patient care report?

A. Using accepted medical abbreviations

B. Stating only facts as you found them

C. Using anatomical language

D. Using quotations to document the language of the patient

Ch 15: Homework

A. Using accepted medical abbreviations

23. Which of the following is CORRECT about the prehospital care report?

A. It is only for the eyes of other EMS providers.

B. It serves only one function.

C. It is not part of the patient's permanent medical record.

D. It serves administrative functions.

Ch 15: Homework

D. It serves administrative functions.

24. What type of report is usually left with the receiving facility if the EMS system is using electronic charting and normally faxes the chart in later?

A. A drop report

B. A temporary report

C. A full written PCR

D. A PCR with only the patient demographics and administrative section completed

Ch 15: Homework

A. A drop report

25. What is the difference between the patient information section of the PCR and the administrative information that is included on the PCR?

A. The patient information includes the patient's address only, and the administrative section include the trip times.

B. The patient information includes the patient assessment information, and the administrative section is the name and address of the EMS system.

C. The patient information includes specific assessment findings, and the administrative information includes the trip times.

D. The patient information is the chief complaint, and the administrative information is the EMS arrival time.                                                      Ch 15: Homework

C. The patient information includes specific assessment findings, and the administrative information includes the trip times.

26. When a service uses review of patient care reports to track and shorten response times, they are using data for?

A. Administrative use

B. Research use

C. Disciplinary use

D. Quality improvement

Ch 15: Homework

D. Quality improvement

27. The EMT accurately documents that she gave a medication without appropriate medical direction. This is an example of:

A. gross negligence.

B. an error of commission.

C. an error of omission.

D. falsification of the PCR.

Ch 15: Homework

B. an error of commission.

28. Complete documentation on a PCR includes:

A. summary of law enforcement activities.

B. administrative information.

C. discharge instructions.

D. all possible differential diagnosis.

Ch 15: Homework

B. administrative information.