Question: Health care providers who infrequently work together can function effectively as a team if they work in an environment that supports and promotes:

Answer: collaboration.

Question: In contrast to a health care group, a health care team:

Answer: works interdependently.

Question: Which of the following is an example of closed loop communication?

Answer: The team leader assigns the EMT a task and the EMT repeats the request back to the team leader.

Question: During a resuscitation attempt, the team leader asks the EMT to ventilate the patient at a rate of 20 breaths/min, and the EMT replies, "Actually, sir, the correct ventilation rate is 10 breaths/min." This is an example of:

Answer: constructive intervention.

Question: While providing care to a patient, the EMT informs her partner that a shotgun is leaning against the wall in the corner of the room. In making this observation, the EMT has demonstrated:

Answer: situational awareness.

Question: Which of the following would MOST likely facilitate an accurate and effective verbal handoff report at the hospital?

Answer: Use of a mutually agreed-upon handoff format.

Question: After assuming care of a cardiac arrest patient from an EMT, the paramedic should remember that:

Answer: BLS efforts must continue throughout the patient care continuum.

Question: While preparing to intubate a patient, the paramedic asks the EMT to perform apneic oxygenation of the patient. This means that:

Answer: high-flow oxygen via nasal cannula is provided during intubation.

Question: The EMT is assisting the paramedic with endotracheal intubation. A 7.0-mm endotracheal tube has been prepared, and the BVM and suction devices are immediately available. Which of the following additional pieces of equipment would be the MOST important to have available?

Answer: Supraglottic airway device

Question: When positioning a patient for endotracheal intubation, the EMT should:

Answer: ensure that the patient's ear canal is level with the sternal notch.

Question: If the paramedic's intubation attempt is unsuccessful, the EMT should:

Answer: resume ventilation with a BVM.

Question: A drip set that delivers 1 mL for every ____ drops will allow for the MOST rapid delivery of intravenous fluid.

Answer: 10

Question: The process of using techniques and procedures to help ensure that pathogens are not introduced into the body during an invasive procedure is called:

Answer: aseptic technique.

Question: The concept of continuum of care is best demonstrated when:

Answer: providers work as a unified team.

Question: You are organizing a group of EMTs to provide triage in a mass-casualty exercise. In order for the group to be successful, it is essential that:

Answer: individuals have an understanding of how the group will accomplish its goals.

Question: You are at the scene of a patient in cardiac arrest. In order for the resuscitation team to work successfully:

Answer: each provider knows what is expected of him or her.

Question: You are at the scene of a motor vehicle collision with a critical trauma patient, and there are several EMS providers present. A system of Crew Resource Management (CRM) allows for:

Answer: the team leader to listen to critical information and incorporate it into his or her decision-making.

Question: You are attending to a patient who has fallen at a local sporting event. The patient appears to have sustained an injury to his lower left leg. You are met by a first responder at the scene who wishes to provide you with a patient care report. Your best course of action is to:

Answer: maintain eye contact and listen to the report.

Question: You are attending to an unresponsive trauma patient who was the driver of a vehicle involved in a motor vehicle collision. As you extricate the patient and immobilize her with a cervical collar and backboard, an Advanced Life Support (ALS) provider arrives on scene and the transfer of care is made. The decision is made to intubate the patient; however, the ALS provider cannot visualize the vocal cords and asks you to open the collar. Based on this information, you should:

Answer: open the collar and maintain cervical spine immobilization as required.

Question: You are attending to an elderly female patient complaining of chest pain. The patient is in a public park and there are several bystanders. As you begin your assessment and provide the patient with oxygen, another unit arrives and one of the other EMTs tells you that you should "forget all that stuff and just take her to the hospital." Your best course of action would be to:

Answer: acknowledge the comment and request that they discuss this further after the call.

Question: You are called to the scene of a 56-year-old female patient who was the driver of a car that struck a telephone pole. The patient is sitting in her vehicle with her seat belt on and the air bag has deployed. A bystander approaches as you arrive and informs you that he is an off-duty firefighter and was first on the scene. The bystander wishes to provide you with a patient care report. You should:A. ask your partner to perform the primary survey while you listen to the report.B. ask the bystander to wait and you will take their report after you have finished your assessment.C. listen to the report while you perform a primary survey and render care to the patient.D. ask the bystander for any formal identification and listen to the report once it is verified.

Answer: A. ask your partner to perform the primary survey while you listen to the report.

Question: Which of the following would indicate that the endotracheal tube is NOT in the trachea?A. Decreased resistance when ventilatingB. Absence of sounds over the epigastriumC. Steady increase in the oxygen saturationD. Absence of an end-tidal CO2 waveform

Answer: A. Decreased resistance when ventilating

Question: A team of EMTs is caring for a critically injured patient. The team leader advises the EMT that transport will not begin until the patient's closed forearm fracture is splinted. Utilizing the crew resource management model, the EMT should:A. repeat the request back to the team leader and then splint the patient's arm.B. ensure that the entire team is aware that transport will be delayed for splinting.C. disregard the team leader's request and contact medical control for guidance.D. advise the team leader that immediate transport is more important than splinting.

Answer: D. advise the team leader that immediate transport is more important than splinting.

Question: You are attending to a 46-year-old male patient complaining of chest pain. Shortly after you begin to render care, an ALS unit arrives and the transfer of care is made. The decision is made to start an intravenous line and administer medication. You should:A. clear space and, if necessary, explain the procedure to the patient.B. move out of the ALS provider's way and clear the scene.C. ensure that enough assessments have been done to justify the decision.D. acknowledge that it is no longer your patient and stand back, allowing the ALS provider to work.

Answer: A. clear space and, if necessary, explain the procedure to the patient.

Question: You are attending to a patient who was experiencing abdominal pain at a local shopping mall. The patient sitting on a bench and appears in moderate distress. You are met by a first responder at the scene who wishes to provide you with a patient care report. Your best course of action is to:A. move the responder out of the way and begin patient care.B. ask the responder to wait and take their report after you have completed a primary survey.C. listen to the report while you perform a primary survey and render care to the patient.D. listen to the responder while your partner performs a primary survey.

Answer: D. listen to the responder while your partner performs a primary survey.

Question: Which of the following would the EMT MOST likely be asked to do when assisting a paramedic with endotracheal intubation?A. Visualization of the vocal cordsB. Placement of the endotracheal tubeC. Suction under direct laryngoscopyD. Preoxygenation with a BVM

Answer: D. Preoxygenation with a BVM

Question: Hyperventilation during the preoxygenation phase of endotracheal intubation:A. will decrease the likelihood of aspiration.B. is acceptable if done for fewer than 2 minutes.C. can cause gastric distention and hypotension.D. provides a better oxygen reserve for the patient.

Answer: C. can cause gastric distention and hypotension.

Question: In dependent groups:A. each individual is responsible for his or her own area.B. everyone works together with shared tasksC. each individual is told what to do by his or her supervisor or group leader.D. individuals do not have to wait for their assignment before taking action.

Answer: C. each individual is told what to do by his or her supervisor or group leader.

Question: During the transfer of patient care:A. when possible, the team member giving the patient care report should hand off lifesaving care.B. both the team members giving and receiving the patient care report should focus on their own priorities.C. any lifesaving care should be done first and then any patient care reports can be done after the patient is transported.D. any lifesaving care should be completed quickly and only the relevant documentation of care need be transferred.

Answer: A. when possible, the team member giving the patient care report should hand off lifesaving care.

Question: Health care teams that infrequently train and work together:A. can create delays in patient care.B. need less-explicit verbal direction.C. often work better under pressure.D. are unable to accomplish their tasks.

Answer: A. can create delays in patient care.

Question: EMTs arrive at the scene of an ill person. The EMR, who arrived before the EMTs, advises that the patient had a syncopal episode. The patient is conscious and alert and remains so throughout transport. When transferring patient care to the emergency department nurse, the EMT should advise the nurse that:A. the patient had a reported syncopal episode.B. she should contact the EMR about the incident.C. the EMR was probably mistaken about the episode.D. there is no evidence to support the syncopal episode.

Answer: A. the patient had a reported syncopal episode.

Question: You are organizing a group of EMTs to provide triage in a mass-casualty exercise. In order for the group to be successful, it is essential that:A. individual goals are accomplished.B. individuals understand that their roles will all be accomplished the same way.C. individuals understand that this is a one-time exercise and that things will change in the field.D. individuals have an understanding of how the group will accomplish its goals.

Answer: D. individuals have an understanding of how the group will accomplish its goals.

Question: You are attending to a 68-year-old female patient in cardiac arrest. An ALS provider arrives shortly after you do and the transfer of care is made. The ALS provider asks that you assist in the endotracheal intubation. As part of this process, you may be required to:A. ventilate and preoxygenate the patient but not handle any of the equipment required for the intubation.B. visualize the airway and look for any potential complications in advance of the intubation.C. help position the patient for a better view of the airway during the procedure.D. perform the intubation with assistance.

Answer: C. help position the patient for a better view of the airway during the procedure.

Question: After spiking a bag of IV fluid for the paramedic, the EMT notices that the drip chamber is too full. The EMT should:A. let the IV flow rapidly for 20 to 30 seconds.B. replace the administration set with a new one.C. invert the IV bag and squeeze the drip chamber.D. squeeze the IV bag to force fluid into the tubing.

Answer: C. invert the IV bag and squeeze the drip chamber.

Question: The effectiveness of pit crew CPR is dependent on:A. defining clear roles and responsibilities before the call is received.B. protocols that allow the EMT to function without medical control.C. a team leader who is capable of performing all of the patient care tasks.D. rapidly assessing the patient before assigning roles and responsibilities.

Answer: A. defining clear roles and responsibilities before the call is received.

Question: When the EMT assists a paramedic with an advanced intervention, he or she should recall that the focus of the intervention is on:A. following local protocol.B. solving a clinical problem.C. completing the procedure.D. learning to perform the skill.

Answer: B. solving a clinical problem.

Question: If a problem with a team member is not directly or immediately impacting patient care, the team leader should:A. engage the team member at once.B. discuss the problem after the call.C. contact the medical director at once.D. ignore the problem to avoid conflict.

Answer: B. discuss the problem after the call.

Question: You are attending to a 66-year-old male patient in cardiac arrest. As you gather history and begin the resuscitation, an Advanced Life Support (ALS) provider arrives on scene. You should:A. ensure that CPR is ongoing by the other providers present and then provide a patient care report off to the side.B. stay focused on the resuscitation and allow the ALS provider to make his or her own assessment.C. pause the resuscitation and provide a patient care report as quickly as possible.D. continue the resuscitation and provide a patient care report while you work.

Answer: A. ensure that CPR is ongoing by the other providers present and then provide a patient care report off to the side.

Question: Assisting with vascular access may include:A. visualization of the vocal cords.B. inserting the needle at a 45-degree angle.C. spiking the IV bag.D. ensuring that the equipment is handled only by the ALS provider and not by you.

Answer: C. spiking the IV bag.

Question: You are at a mass-casualty scene and in the process of organizing a group to be responsible for ongoing patient care. In order for the group to be successful:A. individual goals are accomplished.B. individuals have an understanding of how the group will accomplish its goals.C. individuals see this as a one-time exercise and that the group may change.D. all individuals have the same roles.

Answer: B. individuals have an understanding of how the group will accomplish its goals.

Question: The Microdrip administration delivers 1 mL of fluid for every ____ drops.A. 10B. 15C. 45D. 60

Answer: D. 60

Question: When working as an independent health care group member, the EMT should expect that he or she:A. will receive no support or guidance from an EMS supervisor.B. will be specifically instructed on how to perform a specific task.C. does not have to wait for an assignment before performing a task.D. will rely on the group leader for making virtually all decisions.

Answer: C. does not have to wait for an assignment before performing a task.

Question: In order for a team to function effectively:A. all members are trained to the same level.B. only one member of the team speaks and provides direction.C. team member remains committed to their individual goals.D. each member knows what is expected of him or her.

Answer: D. each member knows what is expected of him or her.

Question: The concept of consistent care across the entire health care team from first patient contact to patient discharge is called:A. the standard of care.B. the continuum of care.C. patient care advocacy.D. the scope of practice

Answer: B. the continuum of care.

Question: Assisting with endotracheal intubation may include:A. visualization of the vocal cords.B. ventilation and preoxygenation.C. inserting a supraglottic airway should the intubation attempt be unsuccessful.D. providing deep suctioning via the ET tube.

Answer: B. ventilation and preoxygenation.