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Acute renal failure is MOST accurately defined as
a sudden decrease in filtration through the glomeruli.
The first part of EMS research is to:
Signs and symptoms of cumulative stress include:
Family members who are depressed following the loss of a loved one:
The MAIN benefit to online medical control is that it:
You arrive at a convenience store to find a middle-aged male in cardiac arrest. Your protocols provide for standing orders in this type of scenario. This means that you should:
A paramedic is considered a health care professional, and as such should:
The FIRST thing you should do if you think you are beginning to experience symptoms of burnout is:
From an injury prevention standpoint, the term “intervention” is defined as:
A critical incident is MOST accurately defined as:
The main purpose of research in EMS is to determine:
The fight-or-flight response is characterized by all of the following physiologic responses, EXCEPT:
Most unintentional injuries are the result of:
When faced with a situation that is not addressed in your EMS system's protocols, you should:
Which of the following statements regarding unintentional injuries and death is correct?
Which of the following would MOST likely encourage manufacturers to remove dangerous products from the market or make them safer?
Burnout is a consequence of:
When responding to an emergency scene, it is MOST important to:
If health care providers show up to work in shape:
The statement, “The bicycle safety program will increase the rate of helmet use by children younger than 18 years of age from 30% to 50% within the next 18 months,” is an example of a / an:
Records of your education, state or local credentials, and recertification are held by a recognized agency through a process called:
While caring for a woman with acute shortness of breath, your partner, a dedicated paramedic for many years, tells the patient that she should have driven herself to the hospital instead of calling EMS. Your partner's behavior is MOST consistent with:
Which of the following is the BEST example of a teachable moment?
While starting an IV on a patient complaining of abdominal pain, you inadvertently get stuck with the needle before you can place it in the sharps container. You should:
Dr. Eugene Nagel advanced emergency medical treatment in 1969 by:
Which of the following is NOT a typical function of the EMS medical director?
For the EMS provider, the process of collecting and analyzing data regarding injury prevention begins with:
A paramedic who is licensed in a particular state:
EMS providers who work 24-hour shifts are prone to poor nutritional habits on the job because:
In which order do MOST people progress through the stages of grieving?
In order to provide the best possible patient care, the paramedic must:
According to the Haddon matrix, which of the following is an example of a pre-event strategy used to prevent injury of a child who is riding in a motor vehicle?
Being empathetic toward a patient means that you:
When wearing gloves while taking care of a patient, you should:
With regard to injury prevention, effective educational techniques include all of the following, EXCEPT:
The BEST way for a paramedic to sustain energy is to:
To protect your back when lifting, you should:
The BEST example the paramedic can set with regard to injury prevention is:
EMS protocol development, training methodologies, and equipment use decisions are based mainly on:
Peer review can be a good learning experience if:
If the receiving facility does not have adequate resources to take care of your patient, you should next determine whether:
Which of the following results in the MOST years of potential life lost?
As a paramedic, your priority is to:
You and your team are attempting to resuscitate a 50-year-old man in cardiac arrest when his wife returns home. She immediately goes into a blind panic and begins screaming and crying. You should:
Many veteran EMS providers have embraced a leadership role in primary injury prevention after:
The EMS network begins:
You are moving from one state to another and plan to continue your career in EMS. The state to which you are moving will MOST likely require that you:
A paramedic's actions are considered to be grossly negligent if he or she:
The MOST significant problem associated with making up your own medical abbreviations and documenting them on the patient care report is:
Which of the following statements includes a pertinent negative?
HIPAA mandates that:
If you receive another call before completing the patient care report accurately for the previous call:
The first rule of medical practice is to:
The concept of consent refers to all of the following, EXCEPT the:
A poorly written patient care report:
If a patient is unable to tell you who he or she is, where he or she is, and what day of the week it is:
The FIRST principle of communicating by radio is:
Eye-to-eye contact with a patient reinforces:
The initial complaint filed against a paramedic or EMS system by a dissatisfied patient:
A person wishes to be an organ donor. He or she must:
Biotelemetry is MOST accurately defined as:
According to HIPAA, it is acceptable and permissible for hospitals to:
If an EMS agency's call volume is too heavy to allow response within an appropriate time frame:
The husband of a terminally ill woman called 9-1-1 because he thinks his wife is about to die. The patient has a valid living will and an out-of-hospital DNR order. You should:
Which of the following statements is an example of providing false reassurance?
Which aspect of the HIPAA is MOST pertinent to the paramedic?
You deliver a 61-year-old man with abdominal pain to a busy emergency department. A staff nurse instructs you to take the patient to the triage area where he will be tended to later. She further tells you that after you leave a copy of your patient care report with the clerk, you are free to leave. You should:
The term “frequency,” as it applies to radio communications, is MOST accurately defined as:
An advance directive is MOST accurately defined as a:
Ethics is MOST accurately defined as:
If a paramedic receives an order from a physician that he or she feels is detrimental to the patient's best interests, the paramedic should:
Every decision regarding patient care that a paramedic makes should be based on the:
Which of the following documentation styles would likely be MOST difficult and time-consuming to apply in EMS?
Patient autonomy is MOST accurately defined as the:
If a patient provides a confusing or disorganized response to your question, you should:
A legal obligation of public and certain other ambulance services to respond to a call for help in their jurisdiction is called:
Before you begin to transmit over the radio, you should check the volume and then:
While caring for an 80-year-old man with a possible fractured arm, you discover other injury patterns that are suggestive of abuse. The patient is conscious and alert. You should:
If a volunteer paramedic has signed up to work a shift for an EMS system:
Ethics related to the practice and delivery of health care is called:
A 17-year-old woman presents with acute abdominal pain while at a party with her husband. You arrive at the scene, assess the patient, and advise her of the need for EMS treatment and transport. However, the patient, who is conscious and alert, refuses EMS treatment and transport and states that her husband will transport her in his car. You should:
If a patient mentions something in passing or avoids answering a specific question, you should:
Which of the following patients is NOT an emancipated minor?
You arrive at the scene of a motor-vehicle-versus-pedestrian accident. The patient is a 12-year-old girl who was struck by a car while riding her bike. She is conscious but combative. She has a large hematoma on her leg and several hematomas to her forehead. As a police officer attempts to contact the child's parents, you should:
Which of the following is an example of a protocol?
Maintaining eye contact with a patient enables the paramedic to:
Abandonment occurs when:
Patients with decision-making capacity:
Which of the following is an example of slander?
A DNR order is MOST accurately defined as a:
Which of the following words would be the MOST difficult to hear over the radio?
Informed consent involves:
Stimulation of alpha-2 receptors:
Compared to succinylcholine, rocuronium:
At 5 to 10 μg/kg/min, dopamine:
Medication X is given to increase the effects of medication Y, which provides more relief than if medication Y were given alone. This is an example of:
A drug is assigned a pregnancy category “A” if:
The midbrain, pons, and medulla oblongata collectively form the:
Choose one answer.
Relative to the wrist, the elbow is:
A patient with orthopnea:
experiences worsened dyspnea while lying down.
Haloperidol (Haldol) would be expected to antagonize the effects of:
IV fluids introduced into the circulatory system:
When assessing an older adult's pupils and ocular movements, you should recall that:
By definition, infancy begins at:
Atenolol is indicated for all of the following conditions, EXCEPT:
An infant's fontanelles are typically fused together by the age of:
In contrast to an antiseptic, a disinfectant is:
Fentanyl citrate (Sublimaze) is a(n):
A hypertonic solution has an osmolarity higher than that of serum, meaning that the solution:
Relative to younger adults, older adults generally have a harder time breathing because the:
Levalbuterol (Xopenex) is classified as a(n):
Contraindications to fibrinolytic therapy include:
Nitroglycerin is indicated for patients with __________ chest pain.
Medical asepsis is MOST accurately defined as:
The maximum total dose of atropine for a 190-pound patient is:
If a 10-mL vial contains 1 mg of a drug, how many mg/mL are present?
The decline in cardiac function associated with aging is largely related to:
Clopidogrel (Plavix) is a(n):
After observing a flash of blood in the IV catheter's flash chamber, you should:
Pyrogenic reactions can be largely avoided by:
IO cannulation is contraindicated in all of the following situations, EXCEPT:
Epinephrine is deactivated by:
Contraindications for nitroglycerin include:
A 130-lb patient weighs ____ kg.
Phenobarbital is classified as a:
Glucagon increases the blood glucose level by:
The antidiuretic hormone (ADH) prevents the loss of water from the kidneys during the process of:
1 mg is equal to ______ µg.
Blood tubing is a:
Albuterol is a(n):
Major cations of the body include all of the following, EXCEPT:
A microdrip administration set:
Approximately ___% of an adult male's weight is constituted by water.
Aspirin is relatively contraindicated in patients with:
Indications for magnesium sulfate include:
Cations are electrolytes that have an overall __________ charge, and anions are electrolytes that have an overall ___________ charge.
Diphenhydramine is primarily used for patients with:
All of the following are peripheral veins, EXCEPT the:
For the first year of life, an infant has naturally acquired passive immunities because:
Osmosis occurs when:
The first sign(s) of IV occlusion is/are:
A nonhypovolemic patient is severely hypotensive and requires a dopamine infusion at 5 µg/kg/min. The patient's estimated weight is 190 lb. You add 800 mg of dopamine to a 500-mL bag of normal saline and are using a microdrip administration set. At how many drops per minute (gtts/min) will you set the IV flow rate?
After starting an IV in an arm vein of a patient with chest pain and properly securing the catheter in place, you note that the IV is not flowing. You should:
Lactated Ringer's (LR) solution may be beneficial to patients who have lost large amounts of blood because:
You would MOST likely see an increased end-tidal CO2 reading in an otherwise healthy older adult because:
During cardiac arrest, sodium bicarbonate must be used in conjunction with:
If an initial dose of adenosine is ineffective for a 130-pound patient, you should:
Solutes are defined as:
100 mL is equal to:
Dextrose is classified as a(n):
Diltiazem is commonly used for patients with: