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Prehospital Emergency Care Practice Test: Basics of Communication
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Prehospital Emergency Care Practice Test: Basics of Communication
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25 Questions

1. Currently, there is a debate within your organization regarding the use of codes in your medical communications and radio traffic. As you are in favor of using plain English and doing away with codes, a strong argument to justify this position would be:
2. A patient who was complaining of a headache is being transported to the hospital. After you provide a report to the emergency department, the patient begins to unexpectedly seize. The seizure lasts for 1-2 minutes and then stops, but now you notice the patient's eyes have become unequal in size. You are still 5 minutes from the hospital. After providing care for the seizure, your next action should be to:
3. A 31-year-old female with a history of depression took some pills in a suicide attempt. Her husband is visibly upset and her three young children are crying as you place her into the ambulance. The patient is conscious and stable as you transport her to the hospital. During the transport, she tearfully states she did not mean to take the pills and asks if she is going to die. In regard to therapeutic communication, what would be your best response?
4. Which phrase best illustrates the EMT using the summary technique of therapeutic communication with a patient experiencing depression?
5. As your ninth emergency call during a 12-hour shift, you are summoned to a dance club at 0215 hours for a 'drunk person.' While on scene, your partner stands with arms crossed, looking down at the floor, and shaking her head negatively as you try to gather the SAMPLE history. Her nonverbal behavior may be interpreted by the patient or bystanders as:
6. Your portable radio was accidently dropped at the scene of a car wreck and has become soiled with dirt and mud. How should you clean the portable prior to putting it back into service?
7. As you drive the ambulance with lights and sirens activated to the hospital, the paramedic asks you to notify the receiving hospital since he is busy caring for the patient, who is critical. The paramedic tells you to specifically let the emergency department know that the patient's blood sugar is 15 mg/dL (very low). There is no history of diabetes. How should you state this information to the hospital?
8. Medical direction has advised you to place a patient who is obese and extremely short of breath in a supine position. Knowing that doing so may cause the patient to become even more short of breath, your best action would be to:
9. You have arrived at the scene of a medical emergency. As you enter the room where the patient is located, you note that he is sitting up and talking without difficulty. Emergency Medical Responders (EMRs) are on scene and providing basic care for the patient. What should you do first?
10. In which situation should the EMT honor the wishes of the patient's family rather than the patient's wishes regarding treatment and transport decisions?
11. During which situation is it typically NOT necessary for the EMT to contact dispatch first with a request or question?
12. You pull up to the scene of a one-car motor vehicle collision and find an off-duty emergency department physician from a local hospital treating the patient. What is the best way to initially communicate with the doctor?
13. Why is using a standard format for relaying medical information to the emergency department important?
14. A 42-year-old female complains of shortness of breath. Which question would best assist you in getting additional information about the patient's chief complaint?
15. Haptics is the study of:
16. Which statement is most appropriate to start with when transferring a patient to the emergency department and giving the oral report?
17. What role does the Federal Communications Commission (FCC) play in EMS?
18. Which statement is most appropriate to relay after establishing radio contact with the destination emergency department to which you are transporting a patient?
19. When interviewing a patient with a medical emergency, the EMT is using the technique of summary when she says:
20. Your ambulance was dispatched for a patient complaining of shortness of breath at 1512. You arrived on scene at 1523 and left at 1538. You arrived at the hospital with the patient at 1557 and were back in service at 1622. Given this information, which is true?
21. While reviewing patient care reports as part of a quality assurance program, which trip time documented by an EMT would indicate that the EMT needs refresher education regarding proper military time utilization?
22. Which of following is a disadvantage in using a cell (or mobile) phones as an emergency backup communication system?
23. While you are returning from lunch, a frantic woman flags you down and states that she just found a young child on the roadside who appears to have been hit by a car. She is not sure if the child is breathing. You should immediately:
24. Which important piece of information has been omitted from the following report: 'Salem Community Hospital, we are en route with a 61-year-old male complaining of generalized weakness. He states that he was cutting the grass when he suddenly became hot and weak, forcing him to sit down. He has a history of diabetes and prostate cancer, but takes no medications. Right now he is alert and oriented and has the following vital signs: pulse 96, respirations 18, and blood pressure 156/82 mmHg, and room-air pulse ox was 92%. We have placed him on 2 liters of oxygen by nasal cannula and are transporting in semi-Fowler position. He states that the weakness is starting to resolve. Do you have questions or orders?'
25. When relying on a cell (mobile) phone for medical communications, the EMT realizes that: