問題一覧
1
What type of patient packaging and preparing for transport is likely the most dangerous for an Emergency Medical Technician involved in the process?
When helping to package and transfer a patient to the helicopter with the flight crew
2
You and your partner have just been dispatched to the local children's hospital to pick up the neonatal transport team and the neonatal isolette so that you can transport them to a small community hospital 2 hours away and retrieve a neonate who is in distress. While driving to the children's hospital, which statement from your partner demonstrates he understands how to transport a patient within an isolette?
Once we get to the children's hospital, I will remove the wheeled cot so we can load the neonatal isolette."
3
You are at the scene of a motorcycle accident on a rural road. The Emergency Medical 80 Copyright © 2024 Pearson Education, Inc. Services (EMS) captain has set up a landing zone and the local helicopter EMS agency has just landed; the aircraft is still running with the main and tail rotors turning. Which observation would cause you to take immediate action?
You see a new Emergency Medical Technician (EMT) start walking toward the aircraft as if he or she is going to open a door.
4
While teaching a continuing education class on the lifting and moving of patients, which points would you constantly emphasize?
Maintaining a normal inward curve in the lower back while moving patients or equipment
5
The safest and most efficient way of using your body to gain mechanical advantage is:
Body mechanics.
6
You are moving a critically injured patient to a helicopter for rapid transport to a trauma center. The rotors are spinning so that the aircraft can immediately take off. As team leader, which instruction would you provide?
Will someone please securely cover the patient's eyes so that they are not struck with flying dirt?"
7
You are trying to convince the equipment committee to purchase a hydraulic power cot. When discussing advantages of this device over a more traditional stretcher, which point would you emphasize?
It will be easier to lift and lower when it is loaded with a patient.
8
A large female patient has fallen in a parking lot between two cars. She must be moved on the backboard to the waiting stretcher, which is located approximately 200 feet from your location. Four rescuers are present. How would they best be used to promote the safest movement of the patient?
One at the head, one at the feet, and the other two on opposite sides on the backboard
9
Which patient is appropriately positioned for transport?
An alert 67-year-old woman with nausea in a sitting position
10
You are correctly using the blanket drag to move a patient when you:
Secure the patient in a blanket and drag him head first toward you.
11
You have been called to assist a pediatric physician, a pediatric nurse, and a respiratory therapist in the transfer of a 2-week-old baby who is very sick. The baby is to be transferred in an isolette to a large metropolitan teaching hospital in a nearby city, where specialized care can be provided. The isolette is secured to the stretcher, and the stretcher is loaded into the ambulance. The physician, nurse, and respiratory therapist will provide all patient care. Prior to departing the hospital, it is essential that you:
Make sure the stretcher is secured in the ambulance.
12
You and your partner are preparing to move a trauma patient down a flight of stairs using a portable stretcher. As you begin the move, a third Emergency Medical Technician (EMT) shows up and asks to help. Which instructions would be most appropriate to ensure a safe move for both the patient and crew?
Please stand behind the EMT at the foot end and count steps for her."
13
A patient has developed chest pain while working in his basement wood shop. After Emergency Medical Technicians (EMTs) have assessed and provided care to the patient, the chest pain remains, although their vital signs are normal. To get them to the ambulance, the EMTs must first go up a short flight of stairs from the basement to the first floor, where the front door is located. Which action would be the safest for both the patient and crew?
The stronger of the EMTs takes the head of the portable stretcher, and the EMTs carry the patient up the stairs head first.
14
After providing spinal motion restriction to an elderly female patient who fell in her bathroom, you prepare to carry her down a flight of stairs on a backboard. Which verbal instructions would be most appropriate to give to your partner?
I can take the head if you want the foot end, and then we will carry her down the stairs feet first.
15
When reaching forward to perform a logroll procedure, the Emergency Medical Technician should:
Use the shoulder muscles.
16
When you must push an object, it is important to:
Push using muscles between your waist and your shoulders.
17
Which position would be most appropriate for an alert and oriented patient complaining of shortness of breath?
Supine with the head elevated
18
You are caring for a young male patient who has overdosed on an unknown medication and has a decreased level of consciousness. When positioning the patient on the stretcher, which instructions will you give to the Emergency Medical Responders assisting you?
When you move him to the stretcher, put him on his left side."
19
Your coworkers would like to purchase a scoop (orthopedic) stretcher with some grant money. Before the purchase can be authorized, you have been asked to inform the purchasing committee of how this piece of equipment will benefit the service as well as enhance patient care. Your response would be:
The scoop stretcher is good for moving patients from confined areas."
20
Which observation demonstrates that the Emergency Medical Technicians and Emergency Medical Responders are correctly using the stair chair?
The patient is carried down the stairs feet first.
21
You and two other Emergency Medical Technicians (EMTs) are preparing to move a patient down several flights of stairs using a stair chair. After assigning one rescuer to hold the chair at the head and another to hold the chair at the foot facing the patient, you should:
Spot" by standing behind the EMT at the feet.
22
One advantage of using the wheeled stretcher is given below:
It can be adjusted to different positions or heights.
23
An elderly patient is being cared for at home by family members and lies in a hospital-type bed in the living room. After providing necessary care, you prepare to move her from the bed to the stretcher. There is no mechanism that suggests a head, neck, or spinal injury. Which method would be most appropriate in this situation?
Draw sheet method
24
An Emergency Medical Technician (EMT) would perform an urgent move when: A) The patient exhibits no problems with the airway, breathing, or circulation.
The patient has a life-threatening injury.
25
Under what type of transport situation is it very important for the Emergency Medical Services providers to ensure all blankets and equipment are either strapped or taped down securely prior to transport?
When transporting a patient by helicopter
26
A patient must be removed immediately from a structure that is on the verge of collapse following an explosion. He is lying on the ground and dressed in shorts and a T-shirt. You are by yourself and have no other supplies or equipment. Which type of move would be most appropriate in this situation?
The armpit-forearm drag
27
A small car and a tanker truck loaded with gasoline have collided. The car is lodged under the tanker, the car engine is smoking, and the threat of fire is significant. After being waved in by the fire department, assessment reveals the patient to be unresponsive with a patent airway but breathing with difficulty at 8 times per minute. You have elected to perform a rapid extrication procedure. In caring for this patient, your immediate action should be to:
Rapidly extricate the patient and provide care away from the wreckage.
28
A patient has fallen in their upstairs bathroom and is lying on the floor. Assessment indicates no life threats to the airway, breathing, or circulation; however, the patient does have pain, deformity, and bruising to their right hip. In this situation, the Emergency Medical Technician should recognize the need for which type of move?
Nonurgent
29
When an Emergency Medical Technician places their palm and all fingers in contact with the object being lifted, they are using the:
Power grip.
30
Which set of instructions would you give to a new Emergency Medical Technician who is preparing to use a squat lift to raise a patient secured to a stretcher?
Make sure that you push yourself up with your stronger leg."
31
When lifting the stretcher with a patient secured to it using the squat lift, the Emergency Medical Technician must avoid which action?
Bending over at the waist
32
You have been charged with writing a policy regarding reaching for equipment. In that policy, you indicate that the maximum distance an Emergency Medical Technician should reach is no more than:
15 to 20 inches in front of her body.
33
When carrying equipment in the right hand, the Emergency Medical Technician should:
Keep his or her back straight as best possible.
34
When lifting or moving any patient, the Emergency Medical Technician must remember to primarily use the muscles of his or her:
Legs.
35
A large patient has been placed on the stretcher, and you and your partner are preparing to raise the stretcher using the power lift. Which observation of your partner would cause you to pause the lift to correct his technique?
Both feet are positioned closely together.
36
In preparing the schedule, you have been instructed to pair Emergency Medical Technicians (EMTs) in a way that decreases the chance of injury when lifting and moving patients. Given this directive, who would make the best partner for a tall and very strong EMT?
A tall and very strong EMT
37
An obese patient cannot ambulate and must be carried down several flights of stairs. Carrying the patient alone exceeds your physical capabilities; however, your partner is very strong and physically fit. Which statement, made by you, indicates the best means to safely lift and move the patient as well as minimize the likelihood of either of you suffering an injury?
We must call for assistance to get the patient from this location."
38
To improve your physical fitness and decrease the risk of injury when lifting and moving patients, you should combine proper body mechanics with:
Proper nutrition.
39
You have been asked to present a continuing education session on body mechanics and posture in order to prevent injuries to Emergency Medical Services providers. In your presentation, you would advise the participants that proper posture is achieved when your:
Ears, shoulders, and hips are vertically aligned when standing.
40
Kyphosis is best described as:
An exaggerated forward curvature of the thoracic spine
41
When transferring a patient from a bed to a wheeled stretcher, an Emergency Medical Technician uses proper body mechanics when he or she:
Aligns his or her shoulder, hips, and feet when moving the patient.
42
Which statement accurately describes the concept of body mechanics?
Body mechanics refers to methods that promote using your body in the safest and most efficient way when moving objects or patients.