Chapter 4 Pre/Post

Question 1

A pertinent positive finding when dealing with a gunshot victim would be the:

Answer 1

Location of bullet entry.

Question 2

Documentation of “Swelling to the left leg”.

Answer 2

Is too vague.

Question 3

If an EMS call is cancelled En Route, the paramedic should document:

Answer 3

The name of the cancelling authority.

Question 4

If you work three 12 - hour shifts in a row and wait a week to submit your patient care reports, you would likely:

Answer 4

Be reprimanded by your agency.

Question 5

The National Emergency Medical Services Information System (NEMSIS):

Answer 5

Collects relevant data from each state and uses it for research.

Question 6

Upon arriving to the scene of a car accident, you notice an off-duty physician performing CPR
on the patient. What is necessary to include in your PCR?

Answer 6

The name of the physician and the procedures performed.

Question 7

What would likely happen if a paramedic’s patient care reports is subjective, poorly written,
and incomplete?

Answer 7

Potential allegations of libel by the patient.

Question 8

What constitutes minimum data that must be included in every patient care report.

Answer 8

Chief complaint, level on consciousness, vital signs, assessment, and patient age and sex.

Question 9

What incident times is commonly documented on the patient care report?

Answer 9

Time of arrival at the hospital.

Question 10

What would be found both on the National Emergency Medical Service
Information System list and on any patient care report?

Answer 10

Time of dispatch.

Question 11

After assessing a 44YO female PT involved in a minor vehicle crash, you find that they sustained very minor injuries that do not warrant EMS transport. What should you do first?

Answer 11

Advise the dispatch center of the decision and document the event.

Question 12

After revising a PCR, you notice that the paramedic recorded the wrong dosage of fentanyl given to the PT. What should you do?

Answer 12

Ask the paramedic who recorded the wrong dosage to correct the error.

Question 13

During a multiple casualty incident, documentation often occurs initially:

Answer 13

On triage tags.

Question 14

During your assessment of a PT with chest pain, you observe difficulty breathing, absence of
diminished breath sounds, tachycardia, and weakness in the lower extremities. What findings would be classified as a pertinent negative?

Answer 14

Absence of diminished breath sounds.

Question 15

If a person refusing care has an obvious injury or medical condition that requires immediate
medical attention, what should you do first?

Answer 15

Involve online medical control for further guidance.

Question 16

If you transport a PT against their wishes, it is imperative that you:

Answer 16

Thoroughly document your reasoning for doing so.

Question 17

If your barrier devices fail or do not offer enough protection after being exposed to body fluids or other potentially toxic or infectious agents, you should complete a:

Answer 17

Occupational exposure report.

Question 18

On the way to the scene of an emergency, dispatch informs you that your emergency call
has been canceled, what should you do?

Answer 18

Document the cancelling authority and the time of cancellation.

Question 19

The budget of a typical EMS system is primarily dependent on:

Answer 19

Reimbursement.

Question 20

What is one of the main reasons for accurately documenting PT care?

Answer 20

To demonstrate continuity of care.

Question 21

What needs to be documented when revising a PCR?

Answer 21

The reason for the revision.

Question 22

When assessing a PT with an active TB infection, the PT coughs in your face before you are able to put your face mask on. What is your priority?

Answer 22

Contact your EMS Supervisor.

Question 23

When choosing details to include in a PCR, a paramedic should:

Answer 23

Provide accurate, complete details.

Question 24

When using the CHEATED charting method, which element would include the PT’s response to the care provided?

Answer 24

Evaluation.

Question 25

When using the SOAP format to organize a PT report, which information would you include in the objective data section?

Answer 25

Elevated blood glucose.

Question 26

Which is the last step in the CHART method?

Answer 26

Patient transport.

Question 27

What is included when using the CHART method to complete a PCR?

Answer 27

Transport.

Question 28

What is subjective data?

Answer 28

A complaint of chest pressure.

Question 29

What statement contains both objective and subjective information?

Answer 29

“the PT appeared confused and stated that he had a headache”

Question 30

What statement regarding revisions or corrections to a PCR is correct?

Answer 30

Only the person who wrote the original report can revise or correct it.