SOLVED

11) Which of the following best describes the necessity of paramedics wearing gloves when providing patient care at a crime scene? 1. To avoid exposure to blood and body fluids 2. To avoid leaving fingerprints during patient care 3. To be able to handle objects at the scene without leaving fingerprints 4. To avoid getting gunshot residue on their hands 5. To avoid leaving DNA at the scene A) 1, 2, 3, 4, and 5 B) 1 and 2 C) 1, 3, and 5 D) 1, 2, 4, and 5 12) When you are caring for a patient in a crowd situation, which of the following should alert you to potential danger? A) The crowd becomes ominously silent B) There are family members of the patient in the crowd C) A rapid increase in the size of the crowd D) There are more males than females in the crowd 13) Which of the following is a benefit of computer-aided dispatch in preventing violence against EMS personnel? A) Running the caller through the National Crime Information Computer (NCIC) for a match before EMS personnel arrive on the scene B) Collecting data such as location, caller’s age, and time of day to generate a statistical likelihood of violence on a given call C) Preventing EMS personnel from being dispatched to addresses with a history of violence against public safety personnel D) Notifying EMS and law enforcement that the dispatch address has a history of violent occurrences 14) You have responded to a report of an unresponsive person in a vehicle on a dark city street. On arrival, you note the vehicle described by dispatch, but there is no one around it. Which of the following applies in this situation? A) Park with the ambulance facing the front of the vehicle so you can illuminate the interior and easily survey for potential danger. B) Park behind the vehicle and approach from the rear on the passenger’s side while your partner remains behind the wheel of the ambulance. C) Have your partner illuminate you with the spotlight so the vehicle occupant(s) can identify you as an EMS provider. D) Park behind the vehicle and approach from the rear on the passenger’s side while your partner approaches from the rear on the driver’s side. 15) When using a flashlight to approach a scene at night, which of the following is the best way to position the flashlight for safety? A) Switch the flashlight from hand to hand as you approach the scene B) Off to one side of your body C) In front of you, sweeping the beam from side to side D) With your arm extended above your head 16) You are transporting a patient with a gunshot wound to the hospital and are being accompanied in the patient compartment by a police officer. Just before going into cardiac arrest, the patient says, “It was Joey. Joey did this to me.” The patient cannot be resuscitated and is pronounced dead in the emergency department. Which of the following is TRUE regarding the patient’s dying declaration? A) You should write a narrative account of the incident, including the patient’s statement, and keep it for your personal records. B) You should record the patient’s statement verbatim in your prehospital care report. C) It is not necessary for you to document it, because the patient technically did not die in the back of the ambulance. D) It is not necessary for you to document it, because it was witnessed by law enforcement. 17) Which of the following may lessen the likelihood of EMS providers being mistaken for law enforcement officers? A) Not cooperating with law enforcement B) Wearing a uniform that does not resemble that of area law enforcement C) Wearing an EMS badge on the uniform D) Responding with lights, but not a siren 18) Which of the following is the most important consideration when dealing with a patient who has a behavioral emergency? A) Differentiating between emotional distress and psychiatric illness B) Having enough personnel to restrain the patient C) Making sure you can get away from the patient if needed D) Obtaining emergency detention orders if the patient refuses treatment and transportation 19) You have started an IV at the scene of a crime and left some blood on the floor. Which of the following best describes the reason why you should notify police? A) They need to protect themselves against bloodborne pathogens during their investigation. B) It is not necessary to inform the police of this unless there is more than one victim. C) There may be trace evidence underneath the blood. D) The blood may confound the investigation of blood-splatter evidence. 20) Which of the following guidelines should paramedics follow to protect themselves from physical violence? A) Obtain a permit and carry a firearm. B) Wear body armor when dispatched on suspicious calls. C) Retreat from the scene if threatened, even if it means leaving the patient behind. D) Learn techniques of self-defense. 21) When caring for a victim of domestic violence, which of the following should you keep in mind? A) Other than the physical injuries, it is a personal problem and not the concern of EMS personnel. B) The patient is usually not an innocent victim and likely provoked the abuser in some way. C) It is necessary to question the abuser regarding the mechanism of injury. D) EMS personnel may become a target of the abuser’s anger and violence. 22) You are on the scene of a patient with a gunshot wound to the chest. Which of the following describes the best action for dealing with the victim’s shirt? A) Cut around any bullet holes, put the shirt in a plastic bag with the patient’s other personal items, and transport it to the emergency department with the patient. B) If you must leave the scene with the patient before police arrive, leave the shirt with a family member or bystander, and tell that person to give it to the police. C) It is not necessary to preserve the bullet holes. Simply discard the shirt in a biohazard bag. D) Cut around any bullet holes and give the shirt to police at the scene. 23) You are on the scene of a call for an injured woman. Your scene size-up did not reveal any indications of danger. On assessing the patient, she tells you that she was beaten with a telephone receiver by her estranged husband. Before you can request law enforcement assistance, the husband returns with a baseball bat and threatens to kill you if you don’t leave the house and states, “She’s staying here,” in reference to the patient. The assailant is standing with the bat held above his shoulder, ready to swing. Which of the following is the best course of action? A) Try to reason with the husband, using the techniques you learned for dealing with behavioral emergencies, while your partner goes outside to request law enforcement. B) Retreat from the residence, leaving the patient behind, move your vehicle away from the address, and request law enforcement. C) Carry out the “take-down” approach you and your partner have practiced for such a situation. D) Inform the assailant that you will leave but that you have to take the patient with you. 24) You arrive at a residence for a call for an unknown problem. Outwardly, the scene appears safe. When you knock on the door, a distraught school-age child opens the door and says his father is holding his teenage sister and his mother hostage in a bedroom. Which of the following is the best course of action? A) See if the child can get his father to agree to allow you to assess the hostages so you can inform law enforcement whether or not they have been harmed. B) Retreat with the child, request law enforcement, and stage around the corner from the residence until law enforcement notifies you that the scene is secure. C) Shout up the stairs that you are there to help in any way you can and see if you can talk the father down. D) Find out from the child what kind of weapon is being used so you can decide if it is reasonable to overpower and restrain the father until law enforcement arrives. 25) Tactical EMS requires special training and authorization. All of the below items are ways that TEMS differ from routine EMS EXCEPT: A) They treat more medical patients than trauma patients B) Treatment must be coordinated with an incident commander C) The main priority is removing the patient from the hot zone