Before beginning patient care, EMS should make the scene safe and identify how many patients need care.
5 Emergency Decision-Making Practice Cases Online Quiz Questions
Use this free practice quiz with 20 questions to review 5 Emergency Decision-Making Practice Cases, test your knowledge, and prepare for your next test or exam.
A patient suddenly develops difficulty speaking and weakness on one side. What condition should EMS suspect?
During an approved stroke assessment, which additional check should EMS perform if available under protocol?
- A
Check for an external head wound
- B
Check glucose if available under protocol
- C
Determine whether the patient has hives
- D
Assess for pelvic deformity
Transport priority and destination are separate decisions: one concerns urgency, while the other concerns which facility can provide needed care.
- A
True
- B
False
After interventions and during transport, reassess the patient's , , and .
A 76-year-old taking an anticoagulant has fallen and struck their head. They are awake, report a headache, and have stable vital signs. What is the most appropriate overall approach?
- A
Treat the fall as minor because the patient is awake and vital signs are stable
- B
Delay transport until clear external signs of injury appear
- C
Arrange prompt transport for evaluation and repeat assessments for deterioration
- D
Select a destination based only on which hospital is nearest
A patient removed from a high-speed crash is confused, pale, hypotensive, and has a deformed pelvis. What transport priority is most appropriate?
- A
Routine transport because there is no major external bleeding
- B
Delayed transport while completing nonessential procedures
- C
Highest urgency, with prompt transport
- D
Transport only after additional resources arrive
In a suspected stroke, what time reference should EMS establish as accurately as possible?
When selecting a destination for a suspected stroke, which factors may matter under the regional stroke-triage pathway? Select all that apply.
- A
Stroke severity
- B
Travel time
- C
Whether the patient lives alone
- D
Hospital capabilities and the reliability of transfer pathways
A patient develops widespread hives, facial swelling, noisy breathing, and light-headedness after a suspected allergen exposure. Which actions are appropriate? Select all that apply.
- A
Request advanced support if available
- B
Provide airway and breathing support
- C
Administer indicated emergency treatment within scope and local protocol
- D
Reassess continuously
National model guidelines are intended to inform, not replace .
For a patient with suspected serious blunt trauma, which communication step is recommended in addition to prompt transport?
- A
Wait until arrival to share the patient's condition
- B
Notify the receiving facility early
- C
Contact a facility only if external bleeding is visible
- D
Delay departure until the receiving facility confirms a bed
During transport, a patient's mental status and breathing worsen. What should EMS do about the transport plan?
- A
Keep the original priority and destination unchanged
- B
Change destination only if the patient requests it
- C
Reassess only after arriving at the hospital
- D
Reassess and adjust urgency and destination when the patient's condition warrants it
A seriously injured patient may need a higher level of trauma care than the nearest hospital can provide. Explain why the nearest facility is not automatically the best destination, and identify factors EMS should consider when selecting an appropriate destination.
You arrive at an emergency scene where hazards may still be present and more than one person may need care. What should you do first?
- A
Begin treatment immediately, then check whether the scene is safe.
- B
Make the scene safe and identify how many patients need care.
- C
Choose a destination before approaching the patient.
- D
Request additional resources before assessing the scene.
National model EMS guidelines are intended to inform local protocols, not replace them.
- A
True
- B
False
A 76-year-old taking an anticoagulant struck their head in a fall. They are awake, report a headache, and have stable vital signs. Which approach is most appropriate?
- A
Treat the fall as minor and end the assessment if the patient remains awake.
- B
Wait for visible external injury before arranging transport.
- C
Arrange prompt transport for evaluation and repeat assessments for deterioration.
- D
Use the fall height alone to decide that hospital evaluation is unnecessary.
What should EMS do after interventions and during transport to check for changes in a patient's condition?
A patient develops widespread hives, facial swelling, noisy breathing, and light-headedness after a suspected allergen exposure. They can speak only a few words at a time. What is the most appropriate response?
- A
Observe for further symptoms before requesting help or transport.
- B
Provide indicated airway and breathing support and treatment within protocol, and begin immediate high-priority transport.
- C
Transport only if the patient loses consciousness.
- D
Wait for the symptoms to resolve before notifying the receiving facility.
Name the two decisions EMS should make separately: how urgently the patient needs transport and which facility should receive them.