Question 1

Immediately after giving a prehospital care report to the nurse in the emergency department, dispatch informs you that there are no more ambulances available and you must immediately leave the hospital to cover another portion of the county. Since your service uses a computerized documentation system and there is no time to complete your report, your best course of action should be to:

Accepted Answer

A)   give a verbal report to the ED physician.
B)   repeat your assessment findings and treatment to the nurse.
C)   complete an abbreviated transfer-of-care form.
D)   leave and return to complete the report as soon as possible.E) A) and B)
F) A) and C)

Question 2

Two days after a call, you realize that you forgot to document that you checked a patient's blood glucose prior to him refusing transport and signing the refusal form. At that time, you did contact medical direction and provide this information to the doctor, prior to him authorizing the patient to refuse. Which one of the following is now your best course of action?

Accepted Answer

A)   Complete a new refusal and return to the patient's residence to have him re-sign the refusal form.
B)   Add an addendum to the report with the correct information, current date, and the EMT's initials.
C)   Report the error to the State Department of the Emergency Medical Services.
D)   Disregard the mistake since the patient was not transported to the hospital and medical direction was aware of the blood glucose reading.E) B) and C)
F) A) and D)

Question 3

Consider the following narrative from a patient care report: "pt. restrained passenger involved in 2 car MVC; c/o left lower leg pain rated 2/10; LOC A/O to person, place, time, and event; BBS clear; abd. Soft with tenderness LLQ; hx of NIDDM with am glucose level of 133 mg/dL." Which of the following is true?

Accepted Answer

A)   The patient's abdomen appears uninjured.
B)   The patient is being tested for diabetes.
C)   The patient is confused following the accident.
D)   The patient's lungs sounds are clear and equal.E) None of the above
F) All of the above

Question 4

You have transported a confused 46-year-old male who overdosed on an unknown drug to a busy emergency department. After giving an oral report to the ED nurse, your partner informs you that he wants to hurry back to the station so that he can watch the end of the football game; therefore, he is going to complete the patient care report (PCR)  at a later time. How should you respond?

Accepted Answer

A)   "Make sure that you give the nurse the telephone number to the station so she can call if there are any questions about the patient or our care."
B)   "If you do not complete and leave the PCR, the ED staff may not otherwise have access to information contained in the PCR."
C)   "You really need to complete it before we leave. The hospital will not be able to get the patient's insurance information without the PCR."
D)   "If you do not leave the PCR, the emergency department staff will not know how to treat the patient."E) A) and B)
F) B) and C) B

Question 5

Consider the following narrative from a patient care report: "pt. transported 3 days ago for STEMI; pt. currently denies CP and SOB; PMH of HTN and CAD; pt. currently in NAD." Which of the following is true?

Accepted Answer

A)   The patient is short of breath.
B)   The patient suffers from hypotension.
C)   The patient has heart problems.
D)   The patient is in moderate distress.E) A) and B)
F) A) and C) C

Question 6

A prehospital care report reads: "GSW to torso (LLQ) ." Based on this, you should recognize that the patient sustained a(n) :

Accepted Answer

A)   gunshot to the left chest.
B)   injury to the left torso.
C)   bullet injury to the left chest.
D)   injury to the lower abdomen.E) All of the above
F) B) and C)

Question 7

Just before the end of their shift, EMTs transported a young male who bystanders state "passed out" and then had a seizure. Now, an hour later, the patient has been stabilized and the physician asks the nurse if she knows what the seizure looked like. To easily answer this question, she would:

Accepted Answer

A)   contact and question the bystanders.
B)   call the EMTs at home.
C)   question the patient.
D)   check the prehospital care report.E) B) and D)
F) B) and C)

Question 8

Which one of the following patients who refuse treatment must be transported to the hospital?

Accepted Answer

A)   16-year-old female who lives in her parents' house and has a child
B)   Alert and oriented 57-year-old male who is having chest pain and is diaphoretic
C)   A homeless man in his 50s who is dirty and disheveled and has a body-wide rash
D)   29-year-old female who attempted to cut her wrists earlier but now states it was an accident and she is not suicidalE) None of the above
F) All of the above D

Question 9

Which one of the following statements about PCRs is accurate?

Accepted Answer

A)   "The PCR is a public record that becomes part of the patient's permanent medical record."
B)   "Aside from providing a record of the care given, the PCR also may be used for education and research."
C)   "National standards allow the EMT to complete the PCR up to three days after the call as long as a verbal report was given to the physician."
D)   "The EMT should only document the direct care he or she provided and not the care by EMRs since their report will reflect this."E) All of the above
F) A) and D)

Question 10

You are involved in a lawsuit over a stabbing that occurred six months ago. Since you work in a busy EMS system and some time has passed, your recollection of the incident in spotty. In this situation, your best means of remembering what occurred would be to:

Accepted Answer

A)   review the prehospital care report.
B)   meet and discuss the incident with other witnesses.
C)   confer with your partner at the time.
D)   obtain and review the police report.E) A) and B)
F) All of the above

Question 11

Which item would the EMT place in the administrative information section of the prehospital care report?

Accepted Answer

A)   BLS Unit 51-20; Incident # 67-8971-90
B)   Patient: Henry, Steven M
C)   "Patient found supine on the porch."
D)   Blue State Insurance #425-22892; GRP# 456298E) None of the above
F) C) and D)

Question 12

When getting a refusal from a patient who does not want the services of EMS, it is critical for the EMT to do which one of the following?

Accepted Answer

A)   Make sure that the patient is under 65 years of age.
B)   Have the patient sign and date the refusal form.
C)   Make sure that the hospital is notified.
D)   Make sure the patient has another way to get to the hospital.E) A) and B)
F) None of the above

Question 13

A patient care report reads: "PMH includes ESRF and (+)  DNR; (+)  ASA pta of EMS." Regarding this description, which one of the following is true?

Accepted Answer

A)   The patient is alert and oriented.
B)   The patient has kidney disease.
C)   The patient desires resuscitation.
D)   EMS administered aspirin to the patient.E) A) and B)
F) A) and C)

Question 14

Your protocol reads: "O₂ via NC prn if asymptomatic for CP / SOB and SpO₂ >97%." To follow this order, you should do which one of the following?

Accepted Answer

A)   Call medical command to administer oxygen if the pulse oximeter reading is above 97%.
B)   Consider oxygen for a patient complaining of a runny nose and SpO₂ at 98%.
C)   Administer oxygen via face mask if the patient denies a complaint and has a pulse oximeter reading of 98%.
D)   Administer oxygen through a nasal cannula at three liters per minute if the pulse oximeter reads 96%.E) A) and B)
F) None of the above

Question 15

Which one of the following would be the best reason for a policy that requires all crew members to synchronize their watches with dispatch at the beginning of each shift?

Accepted Answer

A)   Ensures that all EMS staff is on time and ready for the shift
B)   Allows the supervisor to make sure that all EMTs have a watch
C)   Provides the best opportunity for the EMT to end the shift on time
D)   Promotes accurate system-wide time record keeping throughout the shiftE) A) and B)
F) B) and C)

Question 16

Which one of the following describes the EMT's most objective finding?

Accepted Answer

A)   Complaint of nausea
B)   Blood pressure 114/68 mmHg
C)   Patient rates pain as 10 out of 10
D)   Complaint of headache for past 12 hoursE) A) and B)
F) A) and C)

Question 17

The medical director for your service has put you in charge of designing a new prehospital care report form. He states that it must contain the "minimum data set" as set forth by the U.S. Department of Transportation. In doing so, you realize that incorporating this data into your report form will:

Accepted Answer

A)   increase EMS funding received from the federal and state governments.
B)   allow easier comparison of specific EMS data between various types of emergency systems.
C)   work toward creating a single report form for all EMS systems that handle emergency calls.
D)   permit easier tracking of motor-vehicle collisions so that hazardous roads and intersections can be identified.E) A) and D)
F) B) and C)

Question 18

Which one of the following describes an advantage of computerized documentation?

Accepted Answer

A)   A computerized reporting system is less expensive initially when compared to a system using handwritten PCRs.
B)   A computer system does not need special maintenance; a system using written run reports does.
C)   Large amounts of data can be stored and retrieved much easier than with the written PCR.
D)   There is much less documentation involved with electronic systems than with written reports.E) None of the above
F) B) and C)

Question 19

Last week, on a computer generated report, you accidentally documented that a patient suffered from hypertension when, in fact, he did not. Unfortunately, the report has been locked by the computer and cannot be changed; however, it can be printed. Your first action would be to:

Accepted Answer

A)   retype the entire report and include the change.
B)   print the report and draw a line through the error.
C)   contact the hospital and have them change it in the patient's medical record.
D)   notify the medical director so that she can fix the error.E) A) and D)
F) None of the above

Question 20

While moving a 67-year-old male complaining of dizziness from his residence on the stretcher, you stumble backward and knock a statue from a table, causing it to break. The patient and family are very upset with the damage. In the process, you hurt your ankle and are having a hard time walking. When completing the prehospital care report (PCR) , which of the following should be included?

Accepted Answer

A)   The fact that property damage occurred
B)   A factual account of your ankle injury
C)   The patient's insurance information
D)   An objective statement about the family displeasureE) A) and B)
F) None of the above

Exam 4: Documentation

Correct Answer
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B

Consider the following narrative from a patient care report: "pt. transported 3 days ago for STEMI; pt. currently denies CP and SOB; PMH of HTN and CAD; pt. currently in NAD." Which of the following is true?

Correct Answer
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C

A prehospital care report reads: "GSW to torso (LLQ) ." Based on this, you should recognize that the patient sustained a(n) :

Correct Answer
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Just before the end of their shift, EMTs transported a young male who bystanders state "passed out" and then had a seizure. Now, an hour later, the patient has been stabilized and the physician asks the nurse if she knows what the seizure looked like. To easily answer this question, she would:

Correct Answer
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Which one of the following patients who refuse treatment must be transported to the hospital?

Correct Answer
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D

Which one of the following statements about PCRs is accurate?

Correct Answer
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You are involved in a lawsuit over a stabbing that occurred six months ago. Since you work in a busy EMS system and some time has passed, your recollection of the incident in spotty. In this situation, your best means of remembering what occurred would be to:

Correct Answer
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Which item would the EMT place in the administrative information section of the prehospital care report?

Correct Answer
verified

When getting a refusal from a patient who does not want the services of EMS, it is critical for the EMT to do which one of the following?

Correct Answer
verified

A patient care report reads: "PMH includes ESRF and (+) DNR; (+) ASA pta of EMS." Regarding this description, which one of the following is true?

Correct Answer
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Your protocol reads: "O₂ via NC prn if asymptomatic for CP / SOB and SpO₂ >97%." To follow this order, you should do which one of the following?

Correct Answer
verified

Which one of the following would be the best reason for a policy that requires all crew members to synchronize their watches with dispatch at the beginning of each shift?

Correct Answer
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Which one of the following describes the EMT's most objective finding?

Correct Answer
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The medical director for your service has put you in charge of designing a new prehospital care report form. He states that it must contain the "minimum data set" as set forth by the U.S. Department of Transportation. In doing so, you realize that incorporating this data into your report form will:

Correct Answer
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Which one of the following describes an advantage of computerized documentation?

Correct Answer
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Last week, on a computer generated report, you accidentally documented that a patient suffered from hypertension when, in fact, he did not. Unfortunately, the report has been locked by the computer and cannot be changed; however, it can be printed. Your first action would be to:

Correct Answer
verified

Correct Answer
verified

Exam 4: Documentation

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

Correct AnswerverifiedB

Consider the following narrative from a patient care report: "pt. transported 3 days ago for STEMI; pt. currently denies CP and SOB; PMH of HTN and CAD; pt. currently in NAD." Which of the following is true?

Correct AnswerverifiedC

A prehospital care report reads: "GSW to torso (LLQ) ." Based on this, you should recognize that the patient sustained a(n) :

Correct AnswerverifiedShow Answer

Just before the end of their shift, EMTs transported a young male who bystanders state "passed out" and then had a seizure. Now, an hour later, the patient has been stabilized and the physician asks the nurse if she knows what the seizure looked like. To easily answer this question, she would:

Correct AnswerverifiedShow Answer

Which one of the following patients who refuse treatment must be transported to the hospital?

Correct AnswerverifiedD

Which one of the following statements about PCRs is accurate?

Correct AnswerverifiedShow Answer

You are involved in a lawsuit over a stabbing that occurred six months ago. Since you work in a busy EMS system and some time has passed, your recollection of the incident in spotty. In this situation, your best means of remembering what occurred would be to:

Correct AnswerverifiedShow Answer

Which item would the EMT place in the administrative information section of the prehospital care report?

Correct AnswerverifiedShow Answer

When getting a refusal from a patient who does not want the services of EMS, it is critical for the EMT to do which one of the following?

Correct AnswerverifiedShow Answer

A patient care report reads: "PMH includes ESRF and (+) DNR; (+) ASA pta of EMS." Regarding this description, which one of the following is true?

Correct AnswerverifiedShow Answer

Your protocol reads: "O₂ via NC prn if asymptomatic for CP / SOB and SpO₂ >97%." To follow this order, you should do which one of the following?

Correct AnswerverifiedShow Answer

Which one of the following would be the best reason for a policy that requires all crew members to synchronize their watches with dispatch at the beginning of each shift?

Correct AnswerverifiedShow Answer

Which one of the following describes the EMT's most objective finding?

Correct AnswerverifiedShow Answer

The medical director for your service has put you in charge of designing a new prehospital care report form. He states that it must contain the "minimum data set" as set forth by the U.S. Department of Transportation. In doing so, you realize that incorporating this data into your report form will:

Correct AnswerverifiedShow Answer

Which one of the following describes an advantage of computerized documentation?

Correct AnswerverifiedShow Answer

Last week, on a computer generated report, you accidentally documented that a patient suffered from hypertension when, in fact, he did not. Unfortunately, the report has been locked by the computer and cannot be changed; however, it can be printed. Your first action would be to:

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

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B

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C

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D

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