Emergency Care, 13e (Limmer et al.)
1) Which of the following refers to a program or process for evaluating and improving the
effectiveness of an EMS system?
A) Quality improvement
B) System effectiveness management
C) Process Improvement Plan (PIP)
D) Total quality system
Objective: 1.1
2) Which of the following groups is credited with developing the earliest documented emergency
medical service?
A) The Spanish
B) The Egyptians
C) The Mayans
D) The French
Objective: 1.2
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3) In 1966 the National Highway Safety Act charged which of the following agencies with the
development of emergency medical service standards?
A) U.S. Department of Transportation
B) U.S. Department of the Interior
C) U.S. Department of Health Services
D) U.S. Department of Homeland Security
Objective: 1.3
4) Centralized coordination of emergency medical access, transportation, and care most refers to
which of the following?
A) Emergency preparedness plan
B) Trauma system
C) Resource management
D) Central deployment
Objective: 1.3
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5) Which of the following agencies is responsible for establishing EMS system assessment
programs?
A) Department of Health and Human Services (HHS)
B) National Transportation Safety Board (NTSB)
C) National Highway Traffic Safety Administration (NHTSA)
D) United States Health Services Agency (HSA)
Objective: 1.3
6) Which of the following BEST describes the purpose of the modern emergency medical
services (EMS) system?
A) To have trained personnel respond quickly and provide emergency care on the scene, during
transport, and at the hospital
B) To have trained personnel capable of assessing and caring for injured and ill patients on the
scene
C) To have trained personnel understand the limitations of their training and “do no harm,” while
providing prompt transport to the hospital
D) To have trained personnel knowledgeable in all aspects of prehospital care
Objective: 1.4
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7) What has the modern emergency medical services (EMS) system been developed to provide?
A) Prehospital care
B) Prompt emergency response
C) Safe emergency transportation
D) Trained medical personnel
Objective: 1.4
8) Which of the following is the most common gateway for hospital services for patients who
need emergency medical assistance?
A) Emergency department
B) Emergency medical services system
C) Surgical services department
D) Emergency medical dispatch center
Objective: 1.4
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9) Which of the following BEST describes a communication system capable of identifying the
number and location of the phone from which a caller is calling?
A) Data display 911
B) Priority dispatch 911
C) Enhanced 911
D) Advanced 911
Objective: 1.4
10) What is the minimum level of certification required of ambulance personnel responsible for
direct patient care?
A) Emergency Medical Technician
B) Emergency Medical Responder
C) Advanced EMT
D) Emergency Ambulance Driver
Objective: 1.5
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11) What BEST describes the level of EMS training that emphasizes activation of the EMS
system and provides immediate care for life-threatening problems?
A) Emergency Medical Dispatcher
B) Cardiac care responder
C) EMT
D) Emergency Medical Responder
Objective: 1.5
12) What BEST describes the level of EMS training that emphasizes use of advanced airway
devices and some prehospital medication administration?
A) Advanced EMT
B) Paramedic
C) Emergency Medical Responder
D) EMT
Objective: 1.5
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13) What level of emergency medical training provides the most advanced pre-hospital care?
A) Advanced EMT
B) Emergency Medical Responder
C) Emergency Medical Technician
D) Paramedic
Objective: 1.5
14) Which of the following is the primary responsibility of the EMT?
A) Protect and stabilize the patient
B) Communicate with other responders on the scene
C) Maintain personal health and safety
D) Provide emergency care
Objective: 1.6
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15) What BEST defines the evaluation of the patient’s condition in order to provide emergency
care?
A) Patient access
B) Patient assessment
C) Medical intervention
D) Patient advocacy
Objective: 1.6
16) Upon arrival at the hospital, the EMT advises hospital personnel of the patient’s condition,
observations from the scene, treatment rendered, and other pertinent data to assure continuity of
care. This process is known as which of the following?
A) Transfer of care
B) Breach of duty
C) Definitive care
D) End of tour
Objective: 1.6
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17) Which of the following is a component of patient advocacy?
A) Immobilizing the neck of a patient with a possible spinal injury
B) Granting patient wishes and not reporting spousal abuse to the authorities
C) Building rapport with the patient during transport to the hospital
D) Providing oxygen to a patient that is short of breath
Objective: 1.6
18) Who is responsible for on-scene safety of EMS providers?
A) Traffic director
B) Law enforcement
C) All crew members
D) Triage officer
Objective: 1.6
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19) Which of the following BEST describes a person who speaks up on behalf of the patient and
supports his cause?
A) Guardian
B) Assistant
C) Advocate
D) Representative
Objective: 1.7
20) To be compassionate and empathetic, to be accurate with interviews, and to inspire
confidence are all examples of which of the personal traits of a quality EMT?
A) Able to listen to others
B) Pleasant
C) Judgmental but fair
D) Emotionally stable
Objective: 1.7
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