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LANHAM EMT NEW EXAM WITH COMPLETE SOLUTIONS
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The primary personal threat to a person with AIDS is: - ANSWER Infection
To ensure your own safety and the safety of your crew, you should: - ANSWER Evaluate every scene for danger before entering
A tornado ripped through a small town, killing 5 people and seriously injuring 21, including several young children. At a defusing session, which action is most appropriate? - ANSWER Allow the rescuers to vent their emotions
You are treating a patient with active tuberculosis. What will afford you the best protection from the disease while you care for the patient? - ANSWER High-efficiency particulate aspirator mask
In the field setting, the best way to avoid becoming infected with human immunodeficiency virus (HIV) is - ANSWER Use the appropriate protective personal equipment
You have been called to transport a patient from one medical facility to another. The patient is infected with vancomycin-resistant enterococci (VRE), but does not have any open wounds and is medically stable. Given this information, which action is most appropriate? - ANSWER Use the appropriate personal protective equipment and handwashing
You have just transferred care of a patient to an emergency department nurse. There is no blood, fluid, or dirt on your gloves. After taking them off, your best action would be to:
- ANSWER Wash your hands with soap and water
A patient informs you that he was recently diagnosed with the human immunodeficiency
virus (HIV) infection, but has yet to develop AIDS. Given this information, which statement is true? - ANSWER Gloves and eye protection will be enough protection under most conditions unless body fluids are present
What is the single best technique that the EMT can use to prevent the spread of infection? - ANSWER Washing hands
Which organism is classified as multi-drug resistant? - ANSWER Methicillin/oxacillin-resistant Staphylococcus aureus
A reference tool that should be placed in every emergency vehicle for use when responding to a possible "hazmat" incident is: - ANSWER The Emergency Response Guidebook
You would be concerned about cumulative stress when an EMS provider informs you that she: - ANSWER Drinks a small amount of alcohol every night to help her sleep
A patient with terminal lung cancer has called EMS for shortness of breath. At the request of your paramedic partner, you are obtaining 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 early?" Your best reply would be: - ANSWER "I know that this is tight and uncomfortable, but I am almost done now."
As an EMT, you would recognize what situation as having the greatest potential for causing emotional stress? - ANSWER Caring for a child whose parents have appeared to have neglected him
You are by the side of a patient whom you suspect has severe acute respiratory syndrome (SARS). What is an effective way to prevent transmission of the disease from the patient to you? - ANSWER Place a surgical mask on the patient
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. When you tell his wife that there is
has been ejected and is lying prone in the middle of the road. In this situation, which type of protective clothing is it most essential that you don prior to making patient contact? - ANSWER Reflective vest
An EMT is correct when he describes a communicable disease as: - ANSWER A disease that can be spread from one person to another
The EMT is correctly performing routine handwashing when she: - ANSWER Lathers and scrubs with plain soap for 20 seconds
Regarding "burnout" and the emergency medical services, what statement is most accurate? - ANSWER Burnout can diminish an EMT's ability to provide competent care
You are accidentally stuck with a needle used to administer a medication to a patient with a known history of hepatitis B. You have already completed your hepatitis B vaccine series. In this case, which statement is true? - ANSWER You need to report the needle stick to your supervisor as soon as possible
Organisms that cause diseases are called: - ANSWER Pathogens
A patient with human immunodeficiency virus (HIV) infection is complaining of chest pain. In this situation, which personal protective equipment, at a minimum, is required to be donned prior to contact with the patient? - ANSWER Gloves and eyewear
While you are assessing a patient with abdominal pain, the patient informs you that he is a chronic carrier of hepatitis B. His skin is not jaundiced, nor does he have a fever. As an EMT, you realize: - ANSWER The patient's blood and body fluids are infectious
You have worked with the same partner for several years and know him well. Over the past three months, the two of you have had four horrific pediatric calls with death as the outcome of each. Which observation would make you the most suspicious that your partner is experiencing a possible stress reaction that might encumber his ability to work as an EMT? - ANSWER Excessive and uncharacteristic irritability
A reaction to death or dying where the patient asserts "Not me!" is recognized as which stage of grieving? - ANSWER Denial
A 38-year-old male is complaining of generalized weakness and fatigue. Assessment findings include abdominal pain, fever, and yellowing of the eyes. Given these signs and symptoms, you would be suspicious of: - ANSWER Hepatitis
A shooting at a public mall leaves three people dead and nine injured, several critically. As operations wind down, many rescuers are physically and emotionally upset. Which event may be most appropriate at this specific time? - ANSWER A gathering that allows the rescuers to vent their emotions
The hospital staff has just returned the long spine board that you used to immobilize a patient from a minor motor vehicle collision. There is no blood on the board, but your service policy states that all equipment is to be disinfected anytime that it is used. To properly disinfect the long spine board, which type of product should you use? - ANSWER Germicidal solution
A coworker is suffering from posttraumatic stress. Which statement made by you would be the most appropriate and beneficial to the coworker - ANSWER "I think that it would be best if you saw a mental health professional."
You are transporting a 58-year-old female with terminal breast cancer. While in the ambulance, she becomes tearful yet agitated, and repeatedly asks, "Why me?" As a knowledgeable EMT, you recognize that she is in which stage of grieving? - ANSWER Anger
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 resuscitation. Which statement indicates the most appropriate thing you could say to the parents as you begin? - ANSWER "If you feel comfortable, it's okay to stay and watch how we care for your daughter."
After 20 minutes of performing CPR on a 65-year-old female with end-stage multiple
control plan
Your friend and coworker got married a little more than a year ago, and then shortly thereafter she became an EMT and started working with you. On your shifts, she complains that her new husband doesn't like the fact she is an EMT, saying that the job is "too risky." Which bit of advice could you provide to your partner to help her calm the nerves of her new husband? - ANSWER Let the husband know about all the training EMTs have to complete and which types of safety precautions they take on each call
Which statement made by an EMT demonstrates that he has an accurate understanding of hepatitis C? - ANSWER "Wearing gloves and washing hands are the best means by which to prevent the transmission of hepatitis C to health care workers."
The EMT practice of protecting oneself from disease transmission through exposure to blood and other body fluids is referred to as: - ANSWER Standard Precautions
Your supervisor has assigned you the task of designing a program that provides for stress management and health promotion within the department. Which program would accomplish this task in the best way? - ANSWER Complementary passes to a local fitness center
You and your partner were among several rescuers on a call involving a house fire in which a 4-year-old girl died. That night, your partner states that he did not sleep well and is extremely bothered by the little girl's death. The next day he calls you and states that he is so upset that he is now having chest pain. What is the most appropriate response? - ANSWER "You really need to get yourself to the emergency department to get checked out."
A prospective student is interested in becoming an EMT, but is unsure how it will affect his family. He says that his wife is very worried about the danger associated with EMS and has never had to deal with him being gone for 24 hours at a time. What is the most appropriate response? - ANSWER "It may help to bring your wife here so she can see what we do and the safety precautions
You are at a long-term care facility at the bedside of an 89-year-old female with an
infected area on her back. The staff members state that they are fearful that the patient has a MRSA infection, so they have requested transport to the emergency department for further evaluation. To decrease your chance of acquiring MRSA, what should you, as an EMT, do? - ANSWER Wash your hands following patient contact
Which rationale best explains the reason for wearing a high-visibility safety vest at the scene of a motor vehicle collision? - ANSWER The use of the vest can increase your visibility to passing drivers at the scene of an accident
