2024-2025 West Coast EMT Block Exam #1 with Answers (222 Solved Questions)

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WestCoastEMTBlockExam#1100% VERIFIEDANSWERS 2024/2025American Heart Association protocols are based on __________.Select one:A. theories ready for field trialB. trends in the EMS communityC. opinions from a core group of cardiologistsD. evidence-based researchD. evidence-based researchAs an EMT, you may be authorized to administer aspirin to a patient with chestpain based on:Select one:A. medical director approval.B. the patient's condition.C. an order from a paramedic.D. the transport time to the hospital.A. medical director approval.National guidelines for EMS care are intended to __________.Select one:A. reduce expenses at the local and state levelsB. unify EMS providers under a single medical directorC. facilitate a national EMS labor groupD. provide more consistent delivery of EMS care across the United States

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D. provide more consistent delivery of EMS care across the United StatesOnline medical control requires __________.Select one:A. the presence of an advanced-level providerB. written protocols approved by medical controlC. a physician's presence on the scene of the callD. phone or radio contact with the medical directorD. phone or radio contact with the medical directorPrehospital patient care decisions should be based on __________.Select one:A. the experiences of EMTsB. the opinions of physiciansC. an EMS agency's fiscal resourcesD. EMS researchD. EMS researchThe ability to handle multiple tasks based on their priority is called __________.Selectone:A. patient empathyB. patient advocacyC. integrityD. time managementD. time managementThe ability to take appropriate action with little direction is known as __________.Select one:A. self-motivationB. diplomacy

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C. time managementD. self-confidenceA. self-motivationThe ability to understand others and have them understand you is known as__________.Select one:A. self-confidenceB. teamwork and diplomacyC. communicationD. scene leadershipC. communicationThe determination that prompt surgical care in the hospital is more importantthan performing time-consuming procedures in the field on a major traumapatient is based MOSTLY on:Select one:A. the lead EMT's decision.B. regional trauma guidelines.C. EMS research.D. local protocols.C.EMS research.The EMT is legally obligated to protect a patient's privacy according to_____________.Select one:A. APGARB. CQIC. HIPAAD. DCAP

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C. HIPAAWhat is an EMT's primary service area?Select one:A. The only area the EMT is certified to provide patient careB. The main area in which the EMS agency operatesC. The area serviced by the EMT's medical directorD. The location where the EMT provides essential care during a 9-1-1 callB. The main area inwhich the EMS agency operatesWhat should an EMT do to limit errors in the field?Select one:A. Contact medical direction before initiating any treatments.B. Carry an EMT text for reference at all times.C. Follow the agency's written protocols.D. Deviate from established standards when necessary.C. Follow the agency's written protocols.Which of the following courses requires about 150 hours of training?Select one:A. EMTB. EMRC. AEMTD. ParamedicA. EMTWhich of the following descriptions MOST accurately portrays emergencymedical services (EMS)?Select one:A. A team of paramedics and emergency physicians who are responsible forproviding emergency care to critically injured patients

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B. A team of health care professionals who are responsible for providingemergency care and transportation to the sick and injuredC. A vast network of advanced life support (ALS) providers who provide definitiveemergency care in the prehospital settingD. A system composed exclusively of emergency medical responders(EMRs) andemergency medical technicians (EMTs) who are responsible for providing care tosick and injured patientsB. A team of health care professionals who are responsible for providing emergencycare and transportation to the sick and injuredWhich ofthe following interventions is used by all levels of EMS providers?Select one:A. Automatic transport ventilatorsB. Automated external defibrillatorC. Needle decompressionD. Multilumen airwaysB. Automated external defibrillatorWhich of the followingis a specific example of the Mobile Integrated Healthcare(MIH) model?Select one:A. EMTs respond to a woman who complains of high feverB. Paramedics pick up a patient from an acute care clinicC. EMTs assess a patient whose lung disease is "acting up"D. The paramedic administers a patient's flu vaccinationD. The paramedic administers a patient's flu vaccinationWhich of the following statements regarding the Americans With Disabilities Act(ADA) of 1990 is correct?Select one:A. The minimum number ofhours required to successfully complete an EMT

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course is less for candidates who are disabled.B. According to the ADA, EMT candidates with a documented disability areexempt from taking the NREMT exam.C. The ADA applies only to individuals with a diagnosed and well-documentedphysical disability.D. The ADA prohibits employers from failing to provide full and equalemployment to those who are disabled.D. The ADA prohibits employers from failing to provide full and equal employment tothose who are disabled.Which of the following statements regarding the NREMT is correct?Select one:A. The NREMT is a governmental agency that certifies EMTs.B. EMS training standards are regulated by the NREMT.C. The NREMT is the exclusive certifying body for EMTs.D. The NREMT provides a national standard for EMS testing.D. The NREMT provides a national standard for EMS testingYou are caring for a driver who struck a light pole. She admits to drinking alcoholbut orders you not to tell anyone. You should report the information to__________.Select one:a. the state motor vehicle departmentb. your medical directorc. the receiving nurse or doctord. law enforcement personnelc. the receiving nurse or doctorYou are encouraging a patient to go to the hospital by ambulance. You know thata transport will keep you on duty several hours after your regular quitting time.This is an example of __________.

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Select one:A. abuse of authorityB. scope of practiceC. undue hardshipD. patient advocacyD. patient advocacyAfter assessing a patient's blood glucose level, you accidentally stick yourselfwith the contaminated lancet. You should:Select one:A. get immunized against hepatitis as soon as possible.B. report the incident to your supervisor after the call.C. discontinue patient care and seek medical attention.D. immerse your wound in an alcohol-based solution.B. report the incident to your supervisor after the call.At the scene of an automobile crash, a utility pole has been broken and powerlines are lying across the car. The patients inside the car are conscious. Youshould:Select one:A. mark off a danger zone around the downed lines.B. proceed with normal extrication procedures.C. advise the patients to carefully get out of the car.D. remove the lines with a nonconductive object.A. mark off a danger zone around the downed lines.Common factors that influence how a patient reacts to the stress of an illness orinjury include all of the following, EXCEPT:Select one:A. mental disorders.B. fear of medical personnel.

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C. history of chronic disease.D. assessment by the EMT.D. assessment by the EMT.General adaptation syndrome is characterized by which of the following phases?Select one:A. Delayed reaction, alarm response, and physical recoveryB. Immediate reaction, psychological exhaustion, and recoveryC. Alarm response, reaction and resistance, and recoveryD. Reaction and resistance, euphoria, and physical exhaustionC. Alarm response, reaction and resistance, and recoveryGloves, a mask, eye protection, and a face shield should be used:Select one:A. whenever you touch nonintact skin.B. during routine cleaning of the ambulance.C. while handling needles or other sharps.D. when performing endotracheal intubation.D. when performing endotracheal intubation.Quid pro quo, a type of sexual harassment, occurs when the harasser:Select one:A. touches another person without his or her consent.B. stares at certain parts of another person's anatomy.C. requests sexual favors in exchange for something else.D. makes rude remarks about a person's body parts.C. requests sexual favors in exchange for something else.The EMT's first priority is __________.Select one:A. personal safety

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B. rapid responseC. treatment and transportD. empathy for all patientsA. personal safetyThe MOST serious consequence of drug or alcohol abuse among EMS personnelis:Select one:A. punitive action and the loss of a job.B. low morale and frequently missed shifts.C. substandard or inappropriate patient care.D. tension among coworkers and supervisors.C. substandard or inappropriate patient care.The simplest, yet most effective method of preventing the spread of an infectiousdisease is to:Select one:A. wash your hands in between patient contacts.B. undergo an annual physical examination.C. ensure that your immunizations are up-to-date.D. undergo annual testing for tuberculosis and hepatitis.A. wash your hands in between patient contacts.Upon arriving at the scene of a motor vehicle crash, you note that two small carscollided head-on; the occupants are still in their vehicles. The fire department isin the process of stabilizing the vehicles and law enforcement personnel aredirecting traffic. After parking the ambulance at a safe distance, you and yourpartner should:Select one:A. put on high-visibility safety vests.B. assist with vehicle stabilization.

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C. quickly begin the triage process.D. report to the incident commander.A. put on high-visibility safety vests.Vaccination against the hepatitis A virusis unnecessary if you:Select one:A. have been infected with hepatitis in the past.B. have a weak immune system.C. received a hepatitis B vaccination.D. are older than 35 years of age.A. have been infected with hepatitis in the past.Vector-borne transmission of an infectious organism occurs via:Select one:A. animals or insects.B. direct contact.C. smoke or dust.D. inanimate objects.A. animals or insects.When decontaminating the back of your ambulance after a call, you should:Select one:A. spray the contaminated areas and then immediately wipe them dry with atowel.B. use a bleach and water solution at a 1:2 dilution ratio to thoroughly wipe allsurfaces.C. clean all surfaces and patient contact areas with a mixture of alcohol andwater.D. allow surfaces to air dry unless otherwise indicated in the product directions.D. allow surfaces to air dry unless otherwise indicated in the product directions.

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Which of the following is an effective stress management strategy?Select one:A. Requesting overtime to occupy your mindB. Developing a social network outside of EMSC. Frequently reflecting on troublesome callsD. Modestly increasing caffeine consumptionB. Developing a social network outside of EMSWhich of the following scenarios MOST accurately depicts a posttraumatic stressdisorder (PTSD) reaction?Select one:A. An EMT is emotionally exhausted and depressed after a school bus crashinvolving critical injuries and the death of several children.B. A newly certified EMT becomes extremely nauseated and diaphoretic at thescene of an incident involving grotesque injuries.C. An EMT with many years of field experience becomes irritable with hercoworkers and experiences headaches and insomnia.D. An EMT becomes distracted at the scene of a motorvehicle crash involving thesame type of car in which a child was previously killed.D. An EMT becomes distracted at the scene of a motor vehicle crash involving thesame type of car in which a child was previously killed.Which of the following statementsregarding HIV is correct?Select one:A. HIV is easily transmittable in the EMS field.B. HIV is transmitted exclusively via blood.C. HIV is far more contagious than hepatitis B.D. There is no vaccine against HIV infection.D. There is no vaccine against HIV infection.

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Which of the following statements regarding the different stages of the grievingprocess is correct?Select one:A. The stages of the grieving process may occur simultaneously.B. It is rare that people will jump back and forth between stages.C. Bargaining is the most unpleasant stage of the grieving process.D. The grieving process typically begins with severe depression.A. The stages of the grieving process may occur simultaneously.Which of the following would provide the EMT with the BEST cover in a situationinvolving active gunfire?Select one:A. A concrete barricadeB. Behind a car doorC. A large cluster of shrubsD. Stacked empty barrelsA. A concrete barricadeWhile providingcare to a patient, blood got onto the ambulance stretcher.Because the stretcher was not properly cleaned afterward, a virus wastransmitted to another emergency medical technician (EMT) several days later.Which route of transmission does this scenario describe?Select one:A. Direct contactB. Airborne transmissionC. Indirect contactD. Vector-borne transmissionC. Indirect contactYou are transporting an elderly woman who has possibly experienced a stroke.She is obviously scared but is unable to talkand cannot move the entire right

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side of her body. In addition to providing the medical care that she needs, youshould:Select one:A. reassure her that after proper treatment in the hospital, she will regain herspeech in time.B. maintain eye contact atall times and tell her that there is no need for her to bescared.C. acknowledge that she is scared and tell her that you will take good care of her.D. tell her that you understand why she is scared and that everything will likely beokay.C. acknowledge that she is scared and tell her that you will take good care of her.As an EMT, the standards of emergency care are often partially based on:Select one:A. locally accepted protocols.B. the wishes of the general public.C. a consensus among paramedic supervisors.D. the priorities of the medical director.A. locally accepted protocols.During your monthly internal quality improvement (QI) meeting, you reviewseveral patient care reports (PCRs) with the staff of your EMS system. Youidentify the patient's name, age, and sex, and then discuss the treatment that wasprovided by the EMTs inthe field. By taking this approach to the QI process, you:Select one:A. are in violation of HIPAA because you did not remove the PHI from the PCRbeforehand.B. violated the patient's privacy because you should have discussed theinformation only with the EMTs involved.C. acted appropriately but must have each EMT sign a waiver stating that he orshe will not discuss the cases with others.

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D. adequately safeguarded the patient's PHI because the cases were discussedinternally.A. are in violation of HIPAA because you did not remove the PHI from the PCRbeforehand.In which of the following circumstances can the EMT legally release confidentialpatient information?Select one:A. A police officer requests a copy to place on fileB. The family requests a copy for insurance purposesC. A media representative inquires about the patientD. The patient is competent and signs a release formD. The patient is competent and signs a release formIn which of the following situations does a legal duty to act clearly exist?Select one:A. The EMT hears of a cardiac arrest after his or her shift ends.B. The EMT witnesses a vehicle crash while off duty.C. A bystander encounters a victim who is not breathing.D. A call is received 15 minutes prior to shift change.D. A call is received 15 minutes prior to shift change.Maintaining the chain of evidence at the scene of a crime should include:Select one:A. quickly moving any weapons out of the patient's sight.B. placing the patient in a private area until the police arrive.C. making brief notes at the scene and then completing them later.D. not cutting through holes in clothing that were caused by weapons.D. not cutting through holes in clothing that were caused by weapons.

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Putrefaction is defined as:Select one:A. profound cyanosis to the trunk and face.B. blood settling to the lowest point of the body.C. separation of the torso from the rest of the body.D. decomposition of the body's tissues.D. decomposition of the body's tissues.The EMT's scope of practice within his or her local response area is defined bythe:Select one:A. medical director.B. EMS supervisor.C. state EMS office.D. local health district.A. medical director.To help protect patients, EMS agencies are required to have __________.Select one:A. online access to patient recordsB. public forums with their medical directorC. an anonymous reporting systemD. a privacy officer to answer questionsD. a privacy officer to answer questionsWhen is forcible restraint permitted?Select one:A. When the patient poses a significant threat to self or othersB. Only if law enforcement personnel have witnessed threatening behaviorC. Anytime that the EMT feels threatenedD. Only if consent to restrain is given by a family member

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A. When the patient poses asignificant threat to self or othersWhen performing his or her duties, the EMT is generally expected to:Select one:A. exercise reasonable care and act prudently.B. function above his or her scope of practice.C. contact medical control on every EMS call.D. consistently exceed the standard of care.A. exercise reasonable care and act prudently.Where would you MOST likely find information regarding a patient's wishes to bean organ donor?Select one:A. Insurance cardB. Social Security cardC. Voter registration cardD. Driver's licenseD. Driver's licenseWhich aspect of the Health Insurance Portability and Accountability Act (HIPAA)MOST affects EMS personnel?Select one:A. Preventing insurance fraudB. Controlling insurance costsC. Protecting patient privacyD. Ensuring access to insuranceC. Protecting patient privacyWhich of the following components are needed to prove negligence?Select one:A. Duty to act, breach of duty, injury/damages, and causation

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B. Abandonment, breach of duty, damages, and causationC. Duty to act, abandonment, breach of duty, and causationD. Breach of duty, injury/damages, abandonment, and causationA. Duty to act, breach of duty, injury/damages, and causationWhich of the following general statementsregarding consent is correct?Select one:A. A patient can consent to transport but can legally refuse to be treated.B. Patients who are intoxicated are generally allowed to refuse treatment.C. All patients older than 18 years can legally refuse treatment or transport.D. Expressed consent is valid only if given in writing by a family member.A. A patient can consent to transport but can legally refuse to be treated.Which of the following statements about the patient care report is correct?Select one:a. It is difficult to prove actions were performed if they are not included on thereport.b. EMTs are not liable for any actions that are accurately documented.c. Patient care cannot be discredited based on poor documentation.d. Incomplete reports are common and accepted in EMS.a. It is difficult to prove actions were performed if they are not included on the report.Which type of consent is involved when a 39-year-old mentally competent femalewith a severe headache asks you to take her to the hospital?Select one:A. FormalB. ImpliedC. ExpressedD. InformedC. Expressed

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You and your partner arrive at the scene of a major motor vehicle crash. Thedriver, a young male, is severely entrapped in his car. He has an open head injuryand massive facial trauma. He is unresponsive, is not breathing, and does nothave a palpable carotid pulse. You should:Select one:A. ventilate the patient for 5 minutes and then stop if there is no response.B. stop any active bleeding and advise dispatch to send a paramedic crew.C. have your partner check for a pulse to confirm that the patient is deceased.D. request the fire department to extricate the patient so you can begin CPR.C. have your partner check for a pulse to confirm that the patient is deceased.You are called to attend to an elderly patient with an extensive medical historywho is now in cardiac arrest. The patient's family tells you that the patient has aDNR order. There is no paperwork available but the patient does have aMedicAlert bracelet indicating DoNot Resuscitate. You should:Select one:A. initiate resuscitation in the absence of paperwork.B. transport with minimal care.C. confirm the patient identity and then confirm the DNR by calling the MedicAlertFoundation number on the bracelet.D. confirm the patient's identity and honor the DNR order.C. confirm the patient identity and then confirm the DNR by calling the MedicAlertFoundation number on the bracelet.You arrive at the scene of a motor vehicle-versus-pedestrian accident. Thepatient, a 13-year-old male, is unconscious and has multiple injuries. As you aretreating the child, a law enforcement officer advises you that the child's parentswill be at the scene in approximately 15 minutes. What should you do?Select one:A. Withhold treatmentuntil the parents arrive and give you consent for treatment.B. Transport the child immediately and have the parents meet you at the hospital.

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C. Begin transport at once and have the parents meet you en route to thehospital.D. Treat the child at the scene and wait for the parents to arrive and give consent.B. Transport the child immediately and have the parents meet you at the hospital.You respond to the home of a 59-year-old man who is unconscious; has slow,shallow breathing; and has a weak pulse. Thefamily states that the patient hasterminal brain cancer and does not wish to be resuscitated. They further statethat there is a DNR order for this patient, but they are unable to locate it. Youshould:Select one:A. decide on further action once the DNR order is produced.B. honor the patient's wishes and withhold all treatment.C. transport the patient without providing any treatment.D. begin treatment and contact medical control as needed.D. begin treatment and contact medical control as needed.A 4-year-old boy had an apparent seizure. He is conscious and calm and is sittingon his mother's lap. His father is sitting in a nearby chair. The child's mothersuddenly begins crying uncontrollably, which causes the child to start crying.You should:Select one:A. attempt to calm the child's mother, but avoid separating her from her childbecause this will increase her anxiety.B. ask the father to hold the child so you can assess him while your partner triesto calm the mother.C. reassure the child's mother that seizures in children are very common and thatthere is nothing to worry about.D. give the child a favorite toy or blanket to hold onto and perform yourassessment to the best of your ability.

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B. ask the father to hold the child so you can assesshim while your partner tries to calmthe mother.As you are wheeling your patient through the emergency department doors, youreceive another call for a major motor vehicle crash. You should:Select one:A. place the patient in a high-visibility area and then respond to the call.B. leave a copy of the run form with a nurse and then respond to the call.C. inform the admissions clerk of the situation and then respond at once.D. respond only after giving a verbal patient report to a nurse or physician.D. respond only after giving a verbal patient report to a nurse or physician.Communicating with patients who are deaf or hard-of-hearing can be facilitatedby doing all of the following, EXCEPT:Select one:A. shining a light on your face when you are in a darkened environment.B. placing yourself in a position to ensure that the patient can see your lips.C. providing pen and paper if the patient prefers to write his or her response.D. elevating the tone of your voice and exaggerating word pronunciation.D.elevating the tone of your voice and exaggerating word pronunciation.During your assessment of a 20-year-old man with a severe headache andnausea, you ask him when his headache began, but he does not answer yourquestion immediately. You should:Select one:A. allow him time to think about the question and respond to it.B. tell him that you cannot help him unless he answers your questions.C. repeat your question because he probably did not hear you.D. ask him if he frequently experiences severe headaches and nausea.A. allow him time to think about the question and respond to it.

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