21) You have received an order from medical direction that you feel would be detrimental to
your patient. Which of the following should you do?
A) Politely question the physician.
B) Carry out the order but document that you disagreed with it.
C) Contact your supervisor for advice.
D) Call a different hospital for orders.
Objective: 15.7
22) Medical direction has requested that you administer 70 grams of activated charcoal to an
overdose patient. Which of the following should you do next?
A) Document the order in writing before carrying it out.
B) Repeat the order back to the physician to make sure you understood correctly.
C) Administer the medication without delay.
D) Prepare the medication and then call the hospital back to re-confirm the order.
Objective: 15.7
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23) Which of the following describes the importance of effective communication of patient
information in the verbal report?
A) Patient treatment can be based on this information.
B) Additional information that was not given in the radio report can be provided.
C) Changes in the patient’s condition can be communicated.
D) All of the above
Objective: 15.8
24) When you arrive at the receiving facility, the nurse asks your partner for a verbal report of
the patient’s condition. This is in addition to the radio report your partner gave to the hospital en
route. Afterwards, you ask your partner why you must give a second verbal report and a written
report to the receiving nurse. What is the best reason to provide both reports?
A) The nurse may not have heard the first radio report.
B) The nurse may have to perform critical interventions on the patient before you complete your
written report.
C) The patient’s condition may have changed since the first radio report.
D) The nurse may be too busy to read the written report.
Objective: 15.8
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25) Which of the following BEST describes the position you should take when dealing with a
cooperative patient who is sitting in a chair?
A) Sit or kneel at the same level as the patient.
B) Stand behind the patient’s chair.
C) Stand next to the chair.
D) Sit on the floor at the patient’s feet.
Objective: 15.9
26) You are treating a patient with a possible fractured ankle. The patient appears to be in a lot of
pain and is uneasy. As you are getting ready to splint the patient‘s leg, he asks you if it is going to
hurt. Which of the following is the BEST response?
A) “If you’re stressed out like this, it’s going to hurt a lot more.”
B) “Relax, this is not a painful procedure.”
C) “I will do my best, but it may hurt while we put the splint on.”
D) “It doesn’t matter, we have to do it anyway.”
Objective: 15.9
13
27) You are attempting to place a nonrebreather mask on a patient who is experiencing difficulty
breathing. The patient is anxious and does not want the mask on his face. Which of the following
is the BEST course of action?
A) Tell the patient the mask is for his benefit and you will restrain him if necessary to place it on
him.
B) Explain the importance of oxygen and ask the patient to at least try to leave the mask on, but
that if he can’t tolerate it you can try another method.
C) Tell the patient he will soon become unconscious without the mask and then you will be able
to place it on him.
D) Document that the patient was uncooperative and refused oxygen.
Objective: 15.9
28) You are treating a 32-year-old man who is deaf. You need to find out why he called for an
ambulance. What is the BEST way to communicate with this patient?
A) Use hand gestures to act out what you are trying to say.
B) Make sure the patient can see your lips when you speak.
C) Call for an interpreter to meet you at the hospital.
D) Speak very loudly in case he has a little hearing.
Objective: 15.9
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29) While on the scene with an elderly chest pain call, you notice that your partner gets on one
knee when talking to the seated patient. What is the best reason for an EMT to kneel down beside
the patient?
A) The younger EMT is acknowledging that the older patient is his elder.
B) The EMT is kneeling to protect himself.
C) The EMT can examine the patient’s chest better.
D) The EMT does not want to appear threatening or intimidating to the patient.
Objective: 15.10
30) What is the best way to communicate with a young pediatric patient?
A) Only talk with the parents. The child is too young to know his or her medical history.
B) Sit at the level of the child, if possible, and always be honest.
C) Do not tell the child that a procedure will hurt beforehand because the child will become
terrified.
D) Tell the child the procedure will hurt much more than it actually will so he or she will be
pleasantly surprised when the procedure is over.
Objective: 15.10
15
31) You are responding to a nursing home for an 85-year-old patient complaining of difficulty
breathing. How would you initiate contact with this patient?
A) Stand near the head of the bed and shout to make sure the patient can hear you.
B) Place yourself at eye-level, identify yourself, and ask the patient what she would like to be
called.
C) Sit on the foot of the bed and ask the patient what’s up.
D) Pick up the patient’s wrist and begin taking her pulse.
Objective: 15.10
32) Which of the following is NOT an appropriate way of dealing with a patient who does not
speak the same language as you do?
A) Avoid communicating with the patient so there is no misunderstanding of your intentions.
B) Use an interpreter.
C) Contact dispatch for assistance in finding a translator.
D) Use a manual that provides translation.
Objective: 15.10
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33) Your elderly male patient tells you his name is Joe Smith. Which of the following is the
BEST way to address him?
A) Joe
B) Smitty
C) Mr. Smith
D) Sir
Objective: 15.10
34) Which of the following statements regarding eye contact with a patient is NOT true?
A) It shows you are confident.
B) It shows you are attentive.
C) It shows you are interested in the patient.
D) Eye contact is always appropriate.
Objective: 15.10
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35) Which of the following can be correctly noted as a chief complaint?
A) The patient had a respiratory rate of 44.
B) The patient was confused.
C) The patient stated that she felt sick.
D) The patient was found sitting in the driver’s seat of a full-size sedan.
Objective: 15.11
36) Which of the following information on a patient care report is NOT considered run data?
A) Chief complaint
B) Other EMS units on the scene
C) Location of the call
D) Time of arrival at the receiving facility
Objective: 15.11
37) An objective statement made in a prehospital patient care report meets all of the following
criteria except which one?
A) Verifiable
B) Observable
C) Measurable
D) Biased
Objective: 15.11
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38) The portion of the patient care report in which the EMT writes his description of the patient’s
presentation, assessment findings, treatment, and transport information is called the:
A) text.
B) data set.
C) deposition.
D) narrative.
Objective: 15.11
39) Which of the following should be placed in quotes in the patient care report?
A) Patient’s expressed consent
B) Chief complaint
C) List of patient’s medications
D) Mechanism of injury
Objective: 15.11
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40) You are on the scene of an unresponsive adult female patient. You find an empty pill bottle
lying next to her bed. You look up the medication in your field guide and discover the medication
is a powerful sedative. The prescription on the bottle is for the patient’s husband, who is not
present to answer questions about the medication. What should you do?
A) Document the empty pill bottle. It may provide important clues to the patient’s condition.
B) Do not document the empty pill bottle. It does not belong to the patient.
C) Document the empty pill bottle. It is obvious that she took the pills.
D) Do not document the empty pill bottle. You cannot prove that she took the pills and could lead
the doctor to make a false diagnosis.
Objective: 15.11
41) Which of the following should NOT be included in a patient care report?
A) Patient’s subjective statements
B) Radio codes
C) Pertinent negative findings
D) Chief complaint
Objective: 15.11
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