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EMT Final Exam Study Guide Questions
And Answers 100% Correct
1. After stocking the ambulance this morning, you and your partner go out for
breakfast. While entering the restaurant, you see an older gentleman clutch his chest and collapse to the floor. When you get to him, he has no pulse and is not breathing. To treat this patient, you will follow:
A) off-line medical control.
B) online medical control.
C) protocols.
D) All of these answers are correct.: D
2. Which of the following is NOT true of medical control?
A) It is determined by the dispatcher.
B) It may be written or "standing orders."
C) It may require online radio or phone consultation.
D) It describes the care authorized by the medical director.: A
3. EMS as we know it today had its origins in 1966 with the publication of:
A) the Emergency Medical Services Act.
B) the Department of Transportation's White Paper: Death and Dying.
C) Emergency Care and Transportation of the Sick and Injured.
D) Accidental Death and Disability: The Neglected Disease of Modern Soci-
ety.: D
4. According to the National EMS Scope of Practice Model, an EMT would
require special permission from the medical director and the state EMS office to:
A) insert a peripheral intravenous catheter.
B) apply and interpret data from a pulse oximeter.
C) use an automatic transport ventilator.
D) give aspirin to a patient with chest pain.: A
5. If an EMT candidate has been convicted of a felony or misdemeanor, he or
she should:
A) wait at least 24 months before taking another state-approved EMT class.
B) send an official request to the National Registry of EMTs (NREMT) to seek
approval to take the EMT exam.
C) recognize that any such conviction will disqualify him or her from EMT
licensure.
A) glucose
B) carbohydrates
C) protein
D) fat: A
10. If you find that you are the target of the patient's anger, make sure that
you:
A) are safe.
B) do not take the anger or insults personally.
C) are tolerant and do not become defensive.
D) All of these answers are correct.: D
11. Which of the following signs would indicate that your partner is experi-
encing significant stress?
A) Increased interest in daily activities
B) Isolation from the rest of the crew
C) Hyperactivity during an EMS call
D) Acute increase in appetite: B
12. What should you do before attempting to access a patient trapped in a
vehicle?
A) Check for other patients.
B) Ensure the vehicle is stable.
C) Request another ambulance.
D) Contact medical control.: B
13. When a patient is dying, he or she may experience regression. This is
MOST accurately defined as:
A) anger projected toward the EMT or other providers.
B) fear of being completely dependent upon other people.
C) behavior consistent with an earlier developmental stage.
D) a decreased ability to exercise age-appropriate judgment.: C
14. Vector-borne transmission of an infectious organism occurs via:
A) animals or insects.
B) smoke or dust.
C) advise the patients to carefully get out of the car.
D) mark off a danger zone around the downed lines.: D
17. To minimize the risk of litigation, the EMT should:
A) always transport patients to the hospital of their choice.
B) provide competent care that meets current standards.
C) use universal precautions with every patient encounter.
D) utilize at least four personnel when moving a patient.: B
18. Which of the following MOST accurately defines negligence?
A) Transport of a mentally incompetent patient against his or her will
B) Deviation from the standard of care that may result in further injury
C) Transferring patient care to a provider with a lower level of training
D) Providing care that is consistent with care provided by other EMTs: B
19. While transporting a stable patient with chest pain to the hospital, you
come across a major motor vehicle crash involving several critically injured patients. You should:
A) ask a bystander to remain with your patient as you treat the crash victims.
B) remain at the scene until law enforcement and another ambulance arrive.
C) stop and triage the patients while your partner remains in the ambulance.
D) continue transporting your patient and notify the dispatcher of the crash.-
: D
20. Which of the following is generally NOT considered confidential?
A) Assessment findings
B) A patient's mental condition
C) A patient's medical history
D) The location of the emergency: D
21. At 2:00 AM, a 17-year-old boy, accompanied by his 19-year-old girlfriend,
had driven to the bar to give his father (who had been drinking large amounts of alcohol) a ride home. On the way back, they were involved in a motor vehicle collision. The boy has a large laceration with profuse bleeding on his forehead. His girlfriend is unconscious in the front passenger floor. The father is standing outside the vehicle, appearing heavily intoxicated, and is refusing care. What is the best way to gain consent to begin care for the driver, considering that he is a minor and his father has an altered mental status?
C) Duty to act, breach of duty, injury/damages, and causation
D) Breach of duty, injury/damages, abandonment, and causation: C
25. You are dispatched to the residence of an Asian family for a child with a
high fever. When you assess the child, you note that he has numerous red marks on his back. The child's parents explain that these marks represent coining—a traditional Asian healing practice in which hot coins are rubbed on the back. You should:
A) advise the child's parents that this is a harmful practice and is considered
a form of child abuse in the United States.
B) acknowledge and respect this practice as a cultural belief, but advise the
child's parents that it has no healing power.
C) document this finding on your patient care report and advise the emer-
gency department staff of what the child's parents told you.
D) advise the emergency department physician that you feel as though the
child was intentionally abused by his parents.: C
26. Which type of communications equipment functions as a radio receiver
and searches across several frequencies?
A) Scanner
B) Duplex station
C) Simplex station
D) Mobile repeater: A
27. You are caring for a 52-year-old man who complains of chest discomfort.
The patient is a retired paramedic and is very anxious because he thinks he is having a heart attack. Which of the following statements would be appropriate?
A) "It is possible that you are experiencing a heart attack. I am going to give
you four baby aspirin to chew and swallow."
B) "I notice that you are a retired paramedic, so I'm sure you will understand
all of the things that we will be doing to you."
C) "This is nothing to worry about. Please try to stay calm. The physician at
the hospital will probably not find any signs of a heart problem."
D) "We need to take you to the ED stat. We will give you ASA and NTG en
the patient's refusal of care.
D) nothing more needs done. If the patient refuses care, you don't have to
document it.: C
29. The patient report commonly includes all of the following, EXCEPT:
A) a list of the patient's medications.
B) the patient's age and gender.
C) a brief history of the patient's current problem.
D) your estimated time of arrival.: A
30. You are caring for a very sick patient who is complaining of chest pain.
You have him on your cardiac monitor which is showing AF. Suddenly, the patient goes into VF, so you attach your AED and shock him. What do the abbreviations AF, VF and AED stand for?
A) atherosclerotic heart disease, ventricular tachycardia, automated external
defibrillator
B) acute myocardial infarction, ventricular fibrillation, automated external
defibrillator
C) atrial fibrillation, ventricular fibrillation, automated implantable cardiovert-
er defibrillator
D) atrial fibrillation, ventricular fibrillation, automated external defibrillator: D
31. A patient presents with severe erythema to his left lateral chest wall
and a ruptured spleen. Upon arrival at the hospital, the surgeon performs a splenectomy. The suffix "-ectomy" means:
A) surgical creation of an opening.
B) slowing or stopping of the normal flow of a fluid.
C) decline, disintegration, or destruction.
D) surgical removal of.: D
32. Your patient has been involved in an MVA. The term MVA stands for:
A) motor vehicle accident.
B) motor vehicle crash.
C) multiple vascular accidents.
D) mitral valve accumulation.: A
33. The suffix "-pathy" means:
A) enlargement.
37. Together, the right and left lungs contain how many lobes?
A) Three
B) Four
C) Five
D) Six: C
38. Deoxygenated blood from the abdomen, pelvis, and lower extremities is
returned to the right atrium via the:
A) common iliac vein.
B) coronary sinus vein.
C) inferior vena cava.
D) superior vena cava.: C
39. The fills the entire anteroposterior depth of the right upper
quadrant of the abdomen.
A) liver
B) spleen
C) pancreas
D) stomach: A
40. The major artery that supplies all other arteries with blood is the:
A) aorta.
B) carotid.
C) brachial.
D) femoral.: A
41. The carpal bones form the:
A) foot.
B) ankle.
C) hand.
D) wrist.: D
42. Hemoglobin is a molecule that attaches to and carries
oxygen.
A) monocytes
B) erythrocytes
C) leukocytes
45. Worn-out blood cells, foreign substances, and bacteria are filtered from
the blood by the:
A) liver.
B) spleen.
C) kidney.
D) pancreas.: B
46. The bones of the forearm are called the:
A) radius and ulna.
B) tibia and radius.
C) humerus and ulna.
D) radius and humerus.: A
47. Which set of nerves is responsible for carrying information from the body
to the central nervous system?
A) Motor
B) Cranial
C) Vertebral
D) Sensory: D
48. Which of the following signs of respiratory distress is typically unique to
infants and children?
A) Seesaw respirations
B) Unequal breath sounds
C) Unequal chest expansion
D) Irregular breathing pattern: A
49. Which of the following statements regarding plasma is correct?
A) Plasma transports the blood cells and nutrients.
B) Approximately 45% of the blood is composed of plasma.
C) Plasma has no role in the body's blood-clotting mechanism.
D) Most of the body's plasma is contained within the large veins.: A
50. The amount of air that remains in the lungs simply to keep them open is
called the:
A) tidal volume.
B) residual volume.
