Free Practice Quiz Question List

4 Destination Decisions and Transport Planning Online Quiz Questions

Use this free practice quiz with 20 questions to review 4 Destination Decisions and Transport Planning, test your knowledge, and prepare for your next test or exam.

20 questions

True or false

1 point

True or false: The nearest hospital is not always the most appropriate destination for a patient.

A
True
B
False

Choose one

1 point

An EMS crew finds that a model guideline differs from its current local destination protocol. Which approach should the crew take?

A
Treat model guidelines as binding rules even when they differ from local protocols
B
Use current state, regional, and local EMS protocols; treat model guidelines as references
C
Choose the destination solely by which facility is closest
D
Always transport to a specialty center regardless of added travel time

Fill in the blank

1 point

The goal of destination planning is to deliver a patient to a facility able to provide the care they are likely to need, without adding avoidable or risk.

Written response

1 point

When comparing travel to definitive specialty care with the need for stabilization, what risk should EMS weigh?

True or false

1 point

True or false: The 2021 national field-triage guideline is intended to guide routine injured-patient destination decisions, not mass-casualty triage.

A
True
B
False

Fill in the blank

1 point

In some systems, direct transport for a patient with suspected stroke to a hospital capable of may be appropriate.

Choose all

1 point

Which items belong in a concise handoff to the receiving facility? Select all that apply.

A
Reason for destination selection
B
Crew members’ personal opinions about the destination
C
Key findings and trends
D
Interventions and the patient’s response
E
A detailed account of every scene task, whether relevant or not
F
Estimated arrival time

Written response

1 point

Name the two-word capability that may affect destination choice as a special consideration for injured patients.

Choose all

1 point

A crew is comparing realistic transport and system factors before choosing a destination. Which factors should it consider? Select all that apply.

A
Actual transport time
B
Access and weather conditions
C
The number of hospital buildings visible from the scene
D
Availability of specialty services
E
Regional routing or capacity direction
F
Distance alone, without regard to patient stability

Choose one

1 point

A patient has suspected stroke, and the local system has a thrombectomy-capable hospital farther away. Which approach best supports destination selection?

A
Always choose the nearest hospital, regardless of local stroke resources
B
Always bypass other hospitals for a thrombectomy-capable hospital
C
Apply local stroke-triage criteria and consider how the local system supports rapid treatment and transfer
D
Use the same stroke route in every region

Choose one

1 point

A patient with a high-risk traumatic injury meets regional field-triage criteria for a trauma center, but is critically unstable and needs immediate stabilization. What is the most appropriate decision approach?

A
Choose the farther trauma center whenever one exists, regardless of patient condition
B
Transport to the nearest hospital in every case because it minimizes travel
C
Choose based only on the patient’s preference, without applying protocol
D
Apply regional criteria and compare the added travel with stability and need for definitive care; a patient in extremis may need the closest hospital first

Choose one

1 point

A patient has a time-critical condition and needs rapid definitive care. Which action best balances preparation with avoiding delay?

A
Complete all possible scene tasks before beginning transport
B
Begin indicated stabilization and transport preparation, but do not let nonessential scene tasks delay departure when rapid definitive care is needed
C
Wait for a specialty center to confirm acceptance before addressing immediate threats
D
Transport to the nearest facility in every case, without assessing likely care needs

Choose one

1 point

A patient deteriorates during transport after the crew has selected a destination. What should the crew do?

A
Reassess the patient and follow protocol to update the destination or seek direction
B
Continue to the original destination without reassessment
C
Change the destination based solely on whichever hospital is closest at that moment
D
Wait until arrival to notify anyone of the deterioration

Open ended

1 point

A patient has signs of a potentially severe injury. A closer hospital is available, while a farther facility has the relevant trauma capability. Explain how the crew should decide between them, including how the decision could change if the patient is critically unstable and needs immediate stabilization.

True or false

1 point

True or false: EMS should always choose the nearest hospital, regardless of the patient's likely care needs and the local destination protocol.

A
True
B
False

Choose one

1 point

A patient has an unstable airway and may need rapid definitive care. Which action best follows the destination-planning sequence?

A
Complete every possible nonessential scene task before preparing to leave.
B
Begin indicated stabilization and prepare for transport, avoiding nonessential delays.
C
Choose a specialty destination before assessing immediate threats.
D
Wait to identify the patient's likely care needs until after arrival.

Choose one

1 point

A crew is determining whether a patient may need specialty care. Which approach best identifies the likely care requirement?

A
Use the patient's distance from each hospital as the only indicator.
B
Select the facility based only on the patient's preference.
C
Consider the patient's condition, findings, history, and response to treatment.
D
Choose the facility with the largest general emergency department.

Choose one

1 point

Two destination options appear clinically reasonable. What should the crew compare before choosing between them?

A
Compare realistic travel conditions and system factors with the benefit of specialty care and the risk of delay.
B
Compare only the straight-line distance to each hospital.
C
Assume specialty services are available whenever a hospital has an emergency department.
D
Ignore regional routing direction if a specialty center is farther away.

Written response

1 point

In addition to the reason for destination selection and the patient's key findings, what time-related item should the crew include in its handoff?

Written response

1 point

A patient deteriorates during transport. According to the destination-planning sequence, what should the crew do about the destination?