Question 1

Why is it important that your radio report to the receiving facility be concise?

Accepted Answer

A)  The emergency department needs to know quickly and accurately the patient's condition. 
B)  You do not want to bore the nurse receiving your report. 
C)  You want to make sure the doctor approves your medical order request. 
D)  You want to appear professional. 
A)  The emergency department needs to know quickly and accurately the patient's condition. 
B)  You do not want to bore the nurse receiving your report. 
C)  You want to make sure the doctor approves your medical order request. 
D)  You want to appear professional.

Question 2

Which of the following BEST describes a mobile radio?

Accepted Answer

A)  A two-way radio that can be carried on a belt clip 
B)  A two-way radio that is mounted in a vehicle 
C)  A two-way radio at a fixed site 
D)  A device that receives and amplifies signals that must be sent over a long distance 
A)  A two-way radio that can be carried on a belt clip 
B)  A two-way radio that is mounted in a vehicle 
C)  A two-way radio at a fixed site 
D)  A device that receives and amplifies signals that must be sent over a long distance

Question 3

Which of the following is NOT an objective element of documented patient information?

Accepted Answer

A)  Position in which the patient was found 
B)  Patient's complaint of nausea 
C)  Patient's blood pressure 
D)  Patient's age 
A)  Position in which the patient was found 
B)  Patient's complaint of nausea 
C)  Patient's blood pressure 
D)  Patient's age

Question 4

Which of the following is NOT appropriate for inclusion in the radio report to the receiving hospital?

Accepted Answer

A)  Physical exam findings 
B)  The patient's mental status 
C)  Name of the patient's health insurance provider 
D)  Pertinent past illnesses 
A)  Physical exam findings 
B)  The patient's mental status 
C)  Name of the patient's health insurance provider 
D)  Pertinent past illnesses

Question 5

You are responding to a nursing home for an 85-year-old patient complaining of difficulty breathing.How would you initiate contact with this patient?

Accepted Answer

A)  Stand near the head of the bed and shout to make sure the patient can hear you. 
B)  Place yourself at eye-level, identify yourself, and ask the patient what she would like to be called. 
C)  Sit on the foot of the bed and ask the patient what's up. 
D)  Pick up the patient's wrist and begin taking her pulse. 
A)  Stand near the head of the bed and shout to make sure the patient can hear you. 
B)  Place yourself at eye-level, identify yourself, and ask the patient what she would like to be called. 
C)  Sit on the foot of the bed and ask the patient what's up. 
D)  Pick up the patient's wrist and begin taking her pulse.

Question 6

You are transporting a city councilman to the hospital after he injured his shoulder playing basketball at his gym.His left shoulder is swollen,deformed,and bruised.There is pain and tingling when the patient attempts to use his hand.He has a pulse of 92 per minute,a respiratory rate of 20 per minute,and a blood pressure of 132/88 mmHg.Which of the following should NOT be included in the radio report?

Accepted Answer

A)  The appearance of the shoulder 
B)  Notification that extra security is needed for a VIP 
C)  How the injury occurred 
D)  Vital signs 
A)  The appearance of the shoulder 
B)  Notification that extra security is needed for a VIP 
C)  How the injury occurred 
D)  Vital signs

Question 7

Which of the following agencies assigns and licenses radio frequencies?

Accepted Answer

A)  United States Department of Transportation 
B)  Transportation Security Administration 
C)  Federal Trade Commission 
D)  Federal Communications Commission 
A)  United States Department of Transportation 
B)  Transportation Security Administration 
C)  Federal Trade Commission 
D)  Federal Communications Commission

Question 8

You are on a call of a minor vehicle accident.Your patient is a 22-year-old male who was the driver of a moderate T-Bone collision.The patient was not wearing a seat belt and there was spidering of the windshield.The patient complains of neck pain and has a scalp laceration.After performing the primary assessment,you take vital signs and bandage the patient's scalp.When you tell him you need to backboard him,he refuses care and ambulance transport.Because the person is alert and oriented to time,place,and person,you have the patient sign the separate patient refusal form provided by your service.How should you document this incident in your EMS report?

Accepted Answer

A)  No report is needed because the patient refused transport and signed the refusal. 
B)  You should only document what treatment you performed before the patient refused treatment. 
C)  You should document everything including all patient care, all of your attempts to persuade the patient to go by ambulance, and who witnessed the patient refusal. 
D)  You should document your patient care and then simply document that the patient was informed of the risks prior to his refusal. Anything extra is unnecessary and wastes time. 
A)  No report is needed because the patient refused transport and signed the refusal. 
B)  You should only document what treatment you performed before the patient refused treatment. 
C)  You should document everything including all patient care, all of your attempts to persuade the patient to go by ambulance, and who witnessed the patient refusal. 
D)  You should document your patient care and then simply document that the patient was informed of the risks prior to his refusal. Anything extra is unnecessary and wastes time.

Question 9

Which of the following is a possible consequence of using medical terminology about which you are unsure of the meaning in your patient care report?

Accepted Answer

A)  Loss of credibility 
B)  Embarrassment 
C)  Negative impact on patient care 
D)  All of the above 
A)  Loss of credibility 
B)  Embarrassment 
C)  Negative impact on patient care 
D)  All of the above

Question 10

Which of the following is NOT an appropriate way of dealing with a patient who does not speak the same language as you do?

Accepted Answer

A)  Avoid communicating with the patient so there is no misunderstanding of your intentions. 
B)  Use an interpreter. 
C)  Contact dispatch for assistance in finding a translator. 
D)  Use a manual that provides translation. 
A)  Avoid communicating with the patient so there is no misunderstanding of your intentions. 
B)  Use an interpreter. 
C)  Contact dispatch for assistance in finding a translator. 
D)  Use a manual that provides translation.

Question 11

Which of the following is NOT appropriate to document on your patient care report?

Accepted Answer

A)  Patient's attitude 
B)  Patient's mental status 
C)  Patient's race 
D)  All should be documented 
A)  Patient's attitude 
B)  Patient's mental status 
C)  Patient's race 
D)  All should be documented

Question 12

Which of the following BEST describes a repeater?

Accepted Answer

A)  A two-way radio that is mounted in a vehicle 
B)  A two-way radio that can be carried on a belt clip 
C)  A device that receives and amplifies a signal that must be carried over long distances 
D)  A two-way radio at a fixed site 
A)  A two-way radio that is mounted in a vehicle 
B)  A two-way radio that can be carried on a belt clip 
C)  A device that receives and amplifies a signal that must be carried over long distances 
D)  A two-way radio at a fixed site

Question 13

Which of the following is the correct manner for making a correction on a patient care report?

Accepted Answer

A)  Get a credible witness to co-sign your patient care report. 
B)  Draw a single line through the error and initial it. 
C)  Use typing correction fluid to cover up the error and write over it. 
D)  Blacken out the entire error and draw an arrow to the correct information. 
A)  Get a credible witness to co-sign your patient care report. 
B)  Draw a single line through the error and initial it. 
C)  Use typing correction fluid to cover up the error and write over it. 
D)  Blacken out the entire error and draw an arrow to the correct information.

Question 14

Which of the following is NOT an appropriate use of patient care report (PCR)information?

Accepted Answer

A)  To conduct research 
B)  To provide EMS personnel with education and quality assurance 
C)  For billing and insurance purposes 
D)  For referral to Alcoholics Anonymous or similar social services 
A)  To conduct research 
B)  To provide EMS personnel with education and quality assurance 
C)  For billing and insurance purposes 
D)  For referral to Alcoholics Anonymous or similar social services

Question 15

Which of the following pieces of legislation applies to use of information on a patient care report?

Accepted Answer

A)  FERPA (Family Educational Rights and Privacy Act) 
B)  EMTALA (Emergency Medical Treatment and Labor Act) 
C)  COBRA (Consolidated Omnibus Budget Reconciliation Act) 
D)  HIPAA (Health Insurance Portability and Accountability Act) 
A)  FERPA (Family Educational Rights and Privacy Act) 
B)  EMTALA (Emergency Medical Treatment and Labor Act) 
C)  COBRA (Consolidated Omnibus Budget Reconciliation Act) 
D)  HIPAA (Health Insurance Portability and Accountability Act)

Question 16

Which of the following information does NOT need to be provided to the dispatcher?

Accepted Answer

A)  Estimated time of arrival at the hospital 
B)  Which hospital you are transporting to 
C)  When you depart from the hospital 
D)  When you arrive at the hospital 
A)  Estimated time of arrival at the hospital 
B)  Which hospital you are transporting to 
C)  When you depart from the hospital 
D)  When you arrive at the hospital

Question 17

While on the scene with an elderly chest pain call,you notice that your partner gets on one knee when talking to the seated patient.What is the best reason for an EMT to kneel down beside the patient?

Accepted Answer

A)  The younger EMT is acknowledging that the older patient is his elder. 
B)  The EMT is kneeling to protect himself. 
C)  The EMT can examine the patient's chest better. 
D)  The EMT does not want to appear threatening or intimidating to the patient. 
A)  The younger EMT is acknowledging that the older patient is his elder. 
B)  The EMT is kneeling to protect himself. 
C)  The EMT can examine the patient's chest better. 
D)  The EMT does not want to appear threatening or intimidating to the patient.

Question 18

The QI manager calls your partner into his office after your shift.He pulls out his EMS report on a call he ran last month on a 45-year-old driver of a single-vehicle motor vehicle collision.There were several empty beer cans in the patient's vehicle and the EMT detected an odor of alcoholic beverages on the patient's breath.The QI manager,however,critiques your partner about calling the patient an alcoholic and giving opinions in the report.He tells your partner to never write opinions in the EMS report.Your partner is confused because he is sure the patient was drunk,and he was actually arrested for suspicion of driving while intoxicated.Your partner believes his assessment is supported by facts and not just his opinion.How can you help your partner understand the QI manager's concerns?

Accepted Answer

A)  Calling the patient an alcoholic is not polite, even if it is true. 
B)  The QI manager is afraid the patient will sue the EMS service for libel. 
C)  Documenting that the patient is an alcoholic gives an incorrect opinion of the patient that is not supported by facts, and could negatively influence other medical providers. 
D)  The patient is assumed to be innocent until proven guilty. He is not an alcoholic until he is convicted of drinking and driving by a court of law. 
A)  Calling the patient an alcoholic is not polite, even if it is true. 
B)  The QI manager is afraid the patient will sue the EMS service for libel. 
C)  Documenting that the patient is an alcoholic gives an incorrect opinion of the patient that is not supported by facts, and could negatively influence other medical providers. 
D)  The patient is assumed to be innocent until proven guilty. He is not an alcoholic until he is convicted of drinking and driving by a court of law.

Question 19

You are on the scene of an unresponsive adult female patient.You find an empty pill bottle lying next to her bed.You look up the medication in your field guide and discover the medication is a powerful sedative.The prescription on the bottle is for the patient's husband,who is not present to answer questions about the medication.What should you do?

Accepted Answer

A)  Document the empty pill bottle. It may provide important clues to the patient's condition. 
B)  Do not document the empty pill bottle. It does not belong to the patient. 
C)  Document the empty pill bottle. It is obvious that she took the pills. 
D)  Do not document the empty pill bottle. You cannot prove that she took the pills and could lead the doctor to make a false diagnosis. 
A)  Document the empty pill bottle. It may provide important clues to the patient's condition. 
B)  Do not document the empty pill bottle. It does not belong to the patient. 
C)  Document the empty pill bottle. It is obvious that she took the pills. 
D)  Do not document the empty pill bottle. You cannot prove that she took the pills and could lead the doctor to make a false diagnosis.

Question 20

In which of the following circumstances is a fully documented patient care report NOT necessary?

Accepted Answer

A)  A patient is treated but not transported. 
B)  Multiple patients come from an office building evacuation. 
C)  A patient says that someone else called EMS and he does not want any assistance. 
D)  A fully documented patient care report is required for all of the above. 
A)  A patient is treated but not transported. 
B)  Multiple patients come from an office building evacuation. 
C)  A patient says that someone else called EMS and he does not want any assistance. 
D)  A fully documented patient care report is required for all of the above.

Exam 15: Communication and Documentation

Why is it important that your radio report to the receiving facility be concise?

Which of the following BEST describes a mobile radio?

Which of the following is NOT an objective element of documented patient information?

Which of the following is NOT appropriate for inclusion in the radio report to the receiving hospital?

You are responding to a nursing home for an 85-year-old patient complaining of difficulty breathing.How would you initiate contact with this patient?

Which of the following agencies assigns and licenses radio frequencies?

Which of the following is a possible consequence of using medical terminology about which you are unsure of the meaning in your patient care report?

Which of the following is NOT an appropriate way of dealing with a patient who does not speak the same language as you do?

Which of the following is NOT appropriate to document on your patient care report?

Which of the following BEST describes a repeater?

Which of the following is the correct manner for making a correction on a patient care report?

Which of the following is NOT an appropriate use of patient care report (PCR)information?

Which of the following pieces of legislation applies to use of information on a patient care report?

Which of the following information does NOT need to be provided to the dispatcher?

While on the scene with an elderly chest pain call,you notice that your partner gets on one knee when talking to the seated patient.What is the best reason for an EMT to kneel down beside the patient?

In which of the following circumstances is a fully documented patient care report NOT necessary?

Introduction to Emergency Medical Care

The Well-Being of the Emt

Lifting and Moving Patients

Medicallegal and Ethical Issues

Medical Terminology

Anatomy and Physiology

Ventilation, perfusion, and Shock: Understanding Pathophysiology

Life Span Development

Airway Management

Respiration and Artificial Ventilation

Scene Size-Up

The Primary Assessment

Vital Signs and Monitoring Devices

The Secondary Assessment

General Pharmacology

Respiratory Emergencies

Cardiac Emergencies

Diabetic Emergencies and Altered Mental Status

Allergic Reaction

Poisoning and Overdose Emergencies

Abdominal Emergencies

Behavioral and Psychiatric Emergencies and Suicide

Hematologic and Renal Emergencies

Bleeding and Shock

Soft-Tissue Trauma

Chest and Abdominal Trauma

Musculoskeletal Trauma

Trauma to the Head, neck, and Spine

Multisystem Trauma

Environmental Emergencies

Obstetric and Gynecologic Emergencies

Pediatric Emergencies

Geriatric Emergencies

Emergencies for Patients With Special Challenges

Ems Operations

Hazardous Materials, multiple-Casualty Incidents,

Highway Safety and Vehicle Extrication

Ems Response to Terrorism

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