Chapter 39 Quiz

Question 1

An area near a hazardous materials incident that is upwind from the incident and on the same level is a good location for a:
Select one:

A.
danger zone.

B.
treatment zone.

C.
safe zone.

D.
hot zone.

Answer 1

C.
safe zone.

Question 2

EMS operations generally include which six areas?
Select one:

A.
Extrication, Staging, Logistics, Triage, Operations, and Transportation

B.
Extrication, Staging, Triage, Treatment, Transportation, and Rehabilitation

C.
Extrication, Operations, Logistics, Triage, Finance, and Transportation

D.
Extrication, Staging, Triage, Air operations, Transportation, and Rehabilitation

Answer 2

B.
Extrication, Staging, Triage, Treatment, Transportation, and Rehabilitation

Question 3

You are just leaving the scene of a multiple-casualty incident with two Priority 1 patients. Which of the following is appropriate regarding communication?
Select one:

A.
Notify the receiving facility by radio of the nature of the patients’ injuries.

B.
Notify the receiving hospital by cellular phone of the nature of the patients’ injuries.

C.
Allow the transportation supervisor to notify the receiving facility.

D.
Have dispatch relay your patient reports to the receiving facility.

Answer 3

C.
Allow the transportation supervisor to notify the receiving facility.

Question 4

In which of the following settings should the EMT be alert to the possibility of hazardous materials emergencies?
Select one:

A.
Manufacturing industries

B.
Farm service agencies

C.
Shipping ports

D.
All of these

Answer 4

D.
All of these

Question 5

Which of the following is the most common type of multiple-casualty incident that EMS providers will respond to?
Select one:

A.
Structure fires

B.
Hazardous materials incidents

C.
Outbreaks of influenza

D.
Automobile collisions

Answer 5

D.
Automobile collisions

Question 6

Which of the following is a function of the rehabilitation area in a hazardous materials incident?
Select one:

A.
Providing for hydration of rescue crews

B.
Taking baseline vital signs before rescuers enter the operations area

C.
Performing medical assessment of rescue crews

D.
All of these

Answer 6

D.
All of these

Question 7

You are called to a garden center where four shoppers have collapsed after a section of shelving fell and dumped hazardous products on the floor. When you arrive on the scene, you should:
Select one:

A.
recognize a HAZMAT incident, dress in a Tyvek suit, access the scene to identify the spilled product, secure the MSDS sheets, and remove victims to fresh air.

B.
secure the scene quickly, triage each patient, and move to fresh air.

C.
recognize a HAZMAT incident, secure the scene by limiting access, isolate the possible contaminated from the noncontaminated, and request HAZMAT response.

D.
recognize a HAZMAT incident, dress in a Tyvek suit, secure the scene by limiting access, isolate the possible contaminated from the noncontaminated, and request HAZMAT response.

Answer 7

C.
recognize a HAZMAT incident, secure the scene by limiting access, isolate the possible contaminated from the noncontaminated, and request HAZMAT response.

Question 8

When grossly decontaminating a patient who is not wearing personal protective equipment in a hazardous materials incident, which of the following techniques should be used?
Select one:

A.
Sponging with a dilute solution of water and white vinegar

B.
Using a high pressure water jet system

C.
Scrubbing with a long-handled brush

D.
Taking a low-pressure decontamination shower

Answer 8

D.
Taking a low-pressure decontamination shower

Question 9

Which of the following actions may need to be taken by the EMT when treating and transporting a patient who was exposed to, and contaminated by, a hazardous material?
Select one:

A.
Wearing a gown, mask, and goggles to prevent secondary contamination

B.
Disposing of patient care equipment such as blood pressure cuffs and backboards

C.
Placing towels on the floor of the ambulance to soak up contaminated runoff water

D.
Wearing heavy cloth gloves

Answer 9

B.
Disposing of patient care equipment such as blood pressure cuffs and backboards

Question 10

Where is the decontamination corridor located where patients, personnel, and equipment are decontaminated?
Select one:

A.
Cold zone

B.
Warm zone

C.
Cool zone

D.
Hot zone

Answer 10

B.
Warm zone

Question 11

You arrive on the scene where a school bus has been hit by a train. The bus was in its early stages of picking up students and you have 5 patients. Your closest unit is 30 minutes away. Triage this patient based on this scenario:
Patient #1 is a 16-year-old female with the following vital signs: respirations 28, pulse 132, and altered mental status with cool clammy skin.
Select one:

A.
Priority 2, yellow tag

B.
Priority 4, black tag

C.
Priority 3, green tag

D.
Priority 1, red tag

Answer 11

D.
Priority 1, red tag

Question 12

Using START triage guidelines, a patient on the scene of a mass-causality incident who is not breathing initially, but begins breathing when the airway is open, is deemed a ________ patient.
Select one:

A.
Priority 0

B.
Priority 1

C.
Priority 2

D.
Priority 3

Answer 12

B.
Priority 1

Question 13

Which of the following is a feature of a good disaster plan?
Select one:

A.
It is specific to the geographical location.

B.
It has been practiced in mock disasters.

C.
It is based on the availability of resources in a particular area.

D.
All of these

Answer 13

D.
All of these

Question 14

You are an EMT on the scene of a mass-casualty incident in which there are 50 patients from a bus roll-over. Incident Command has been established and EMS, law enforcement, and rescue sectors are established. You have just discovered that one of the bus passengers was carrying a suspicious package that is now leaking a white powdery substance. Which of the following entities should you contact about this?
Select one:

A.
Dispatch

B.
Rescue officer

C.
Incident Commander

D.
EMS officer

Answer 14

D.
EMS officer

Question 15

As it pertains to hazardous materials, the Occupational Safety and Health Administration requires employers to:
Select one:

A.
ensure there is at least one person on-site trained at the technician level.

B.
document the appropriate level of training for each employee.

C.
train employees to handle any type of hazardous materials incident.

D.
have knowledge of all hazardous materials on the premises.

Answer 15

B.
document the appropriate level of training for each employee.

Question 16

You are beginning triage at the scene of a mass-casualty incident in which a commuter train has derailed. Which of the following should you do first?
Select one:

A.
Announce that everyone who can get up and walk needs to go to the parking lot of a nearby building.

B.
Identify all Priority 1 patients.

C.
Check the airway status of all patients who do not appear to be moving.

D.
Do a quick pulse check on all patients at the scene.

Answer 16

A.
Announce that everyone who can get up and walk needs to go to the parking lot of a nearby building.

Question 17

You arrive on the scene where a school bus has been hit by a train. The bus was in its early stages of picking up students and you only have 5 patients. Your closest unit is 30 minutes away. Triage this patient based on this scenario:
Patient #4 is a 13-year-old female with the following vital signs: respirations 8, pulse 124, and nonresponsive with blood from the ears and nose.
Select one:

A.
Priority 3, green tag

B.
Priority 2, yellow tag

C.
Priority 4, black tag

D.
Priority 1, red tag

Answer 17

D.
Priority 1, red tag

Question 18

Which of the following is not a mechanism of decontamination from hazardous materials?
Select one:

A.
Deodorization

B.
Emulsification

C.
Disinfection

D.
Disposal

Answer 18

A.
Deodorization

Question 19

Which of the following is not an acceptable way of attempting to identify a hazardous material?
Select one:

A.
Checking the safety data sheet

B.
Asking the driver of the tractor-trailer truck involved in the incident

C.
Collecting a sample of the material for laboratory analysis

D.
Using binoculars to obtain information from the placard on a container

Answer 19

C.
Collecting a sample of the material for laboratory analysis

Question 20

Which of the following is not the role of the first arriving EMT at the scene of a possible hazardous materials emergency?
Select one:

A.
Requesting special resources to respond

B.
Rescuing any victims still in the area of the spill

C.
Establishing a safe zone

D.
Recognizing a hazardous materials emergency

Answer 20

B.
Rescuing any victims still in the area of the spill

Question 21

What source will provide first aid information about hazardous materials for employees at a work site?
Select one:

A.
Shipping manifest

B.
Bill of lading

C.
Placard

D.
Safety Data Sheets

Answer 21

D.
Safety Data Sheets

Question 22

At 0330, you respond to the scene of an overturned tanker truck. What organization could you contact to obtain information about the liquid the truck is carrying?
Select one:

A.
CHEMTREC

B.
Regional poison control center

C.
Environmental Protection Agency (EPA)

D.
CHEM-TEL

Answer 22

A.
CHEMTREC

Question 23

Using START triage guidelines, a patient on the scene of a mass-causality incident who is alert and able to walk is deemed a ________ patient.
Select one:

A.
Priority 0

B.
Priority 1

C.
Priority 2

D.
Priority 3

Answer 23

D.
Priority 3

Question 24

Which of the following personal protective items must be used by EMS personnel caring for patients in a hazardous materials emergency?
Select one:

A.
Tyvek or other chemical impermeable coveralls

B.
Chemical permeable gloves

C.
Structural firefighting gear

D.
HEPA mask

Answer 24

A.
Tyvek or other chemical impermeable coveralls

Question 25

When transporting patients from the scene of a mass-casualty incident, who should be responsible for contacting the receiving hospital? Select one: A. Incident commander B. Transporting EMT C. Transportation supervisor D. Triage officer

Answer 25

C. Transportation supervisor

Question 26

To respond to a hazardous materials incident, the EMT should be trained at which level? Select one: A. Awareness B. Technician C. Operations D. Specialist

Answer 26

A. Awareness

Question 27

You arrive on the scene where a school bus has been hit by a train. The bus was in its early stages of picking up students and you only have 5 patients. Your closest unit is 30 minutes away. Triage this patient based on this scenario: Patient #3 is a 38-year-old female with the following vital signs: respirations 0, pulse 0, and nonresponsive. Select one: A. Priority 2, yellow tag B. Priority 4, black tag C. Priority 3, green tag D. Priority 1, red tag

Answer 27

B. Priority 4, black tag

Question 28

Signs that identify the hazardous material contained within a transport vehicle are called: Select one: A. panels. B. warnings. C. indicators. D. placards.

Answer 28

D. placards.

Question 29

________ is the response agency, established in Washington, DC, as a service of the Chemical Manufacturers Association that can provide either you or your dispatcher with information about the hazardous material and contact the shipper to provide you with information about the material. Select one: A. ERG B. OSHA C. CHEMTREC D. EPA

Answer 29

C. CHEMTREC

Question 30

When seeking expert advice on how to proceed at a hazardous materials incident, which of the following information is important to provide? Select one: A. An estimate of the amount of the substance involved B. Your level of EMS certification C. Your background in chemistry D. Both An estimate of the amount of the substance involved and Your level of EMS certification

Answer 30

A. An estimate of the amount of the substance involved

Question 31

With START triage, when you arrive on the scene, you ask all the patients who can walk to move to one area. These patients are categorized as: Select one: A. red tagged. B. Priority 4 walking wounded. C. yellow tagged. D. Priority 3 walking wounded.

Answer 31

D. Priority 3 walking wounded.

Question 32

When responding to a multiple-casualty incident, staging refers to which of the following? Select one: A. Waiting in a designated location until called upon by the designated section officer B. Staying on station until called upon to receive a patient C. Keeping a log of all patients transported D. Setting up a triage center from the back of your ambulance

Answer 32

A. Waiting in a designated location until called upon by the designated section officer

Question 33

ICS recognizes that the manageable span of control is: Select one: A. 24 people. B. 12 people. C. 7 people. D. 18 people.

Answer 33

C. 7 people.

Question 34

Johnny is an EMT with a local ambulance service. As part of his job, he is trained to recognize the existence of a potentially dangerous scene involving hazardous materials and know when to request a HAZMAT response. Johnny's level of hazardous materials training is at the ________ level. Select one: A. Hazardous Materials Specialist B. First Responder Operations C. First Responder Awareness D. Hazardous Materials Technician

Answer 34

C. First Responder Awareness

Question 35

Eduardo is an EMT for a major metropolitan fire department. He is assigned to a station within an industrial complex. On the scene of a hazardous materials incident, Eduardo functions on a team where he plugs a leaking drum. Eduardo's level of hazardous materials training is at the ________ level. Select one: A. First Responder Operations B. Hazardous Materials Technician C. Hazardous Materials Specialist D. First Responder Awareness

Answer 35

B. Hazardous Materials Technician

Question 36

In which of the following zones is the EMT expected to be staged at the scene of a hazardous materials incident? Select one: A. Warm zone B. Cold zone C. Ground zero D. Hot zone

Answer 36

B. Cold zone

Question 37

You are called to a local hardware store for a male patient complaining of difficulty breathing. As you pull into the parking lot, you notice several people in front of the building coughing and in obvious distress. What would be an appropriate course of action at this point? Select one: A. Request a hazardous materials incident response and begin treating all patients displaying respiratory difficulties. B. Evaluate the scene further for indications of a hazardous environment and request a hazardous materials response. C. Move the people with respiratory difficulties to a distant corner of the parking lot and set up a treatment sector. D. Locate the patient for whom you were requested and begin treatment while another ambulance is en route for the other patients.

Answer 37

B. Evaluate the scene further for indications of a hazardous environment and request a hazardous materials response.

Question 38

Which of the following is a principle of effective Incident Command? Select one: A. Command is most effective when one person is responsible for no more than seven other people. B. The command location must not be revealed to anyone on the scene. C. Police, fire, and EMS must establish separate command locations. D. None of these

Answer 38

A. Command is most effective when one person is responsible for no more than seven other people.

Question 39

What constitutes a multiple-casualty incident (MCI)? Select one: A. Any event that requires additional ambulances to adequately transport the patients from the scene B. An event that places a great demand on EMS equipment and personnel resources C. An event that unfolds over a long period of time and requires federal, state, and local response D. An incident with 3 to 15 patients that the service handles without calling for additional resources

Answer 39

B. An event that places a great demand on EMS equipment and personnel resources

Question 40

The senior EMT on the first vehicle that arrives on a scene with multiple patients should assume which of the following roles until relieved by a senior official? Select one: A. Incident Command of the scene B. Triage supervisor C. Transportation supervisor D. Commander of the entire incident

Answer 40

A. Incident Command of the scene

Question 41

Which of the following should be considered during the scene size-up of a hazardous materials emergency? Select one: A. Potential for spread of the substance B. The properties and potential dangers of the substance C. Identification of the substance D. All of these

Answer 41

D. All of these

Question 42

What is the process that removes the biological (etiological) contamination hazards because it destroys microorganisms and their toxins? Select one: A. Absorption B. Disinfection C. Emulsification D. Dilution

Answer 42

B. Disinfection

Question 43

You are on the scene of a mass-casualty incident in which the grandstand at a race track has collapsed. As the triage officer, you have encountered a 14-year-old male whose leg has been amputated above the knee. He is responsive to verbal stimuli, and he has an open airway, shallow rapid breathing, and a weak, rapid carotid pulse. This patient would be classified as a Priority ________ for treatment and transport. Select one: A. 4 B. 3 C. 2 D. 1

Answer 43

D. 1

Question 44

You arrive on the scene where a school bus has been hit by a train. The bus was in its early stages of picking up students and you only have 5 patients. Your closest unit is 30 minutes away. Triage this patient based on this scenario: Patient #5 is a 17-year-old male with the following vital signs: respirations 18, pulse 104, alert, crying, and wanting his mother; he is ambulatory. Select one: A. Priority 1, red tag B. Priority 2, yellow tag C. Priority 4, black tag D. Priority 3, green tag

Answer 44

D. Priority 3, green tag

Question 45

When several agencies work independently but cooperatively, rather than one agency exercising control over the others, this is called: Select one: A. single incident command. B. unified command. C. NIMS. D. ICS.

Answer 45

B. unified command.

Question 46

Which of the following is not a responsibility of an EMT at the scene of a hazardous materials emergency? Select one: A. Rehabilitating the HAZMAT team B. Staying in the cold zone C. Treating injured patients D. Decontaminating injured victims

Answer 46

D. Decontaminating injured victims

Question 47

Disaster plans are a predefined set of instructions that should be written to address the events that are conceivable for a particular location. They should also be: Select one: A. written, realistic, and rehearsed. B. well publicized, realistic, and rehearsed. C. well publicized, multijurisdictional, and rehearsed. D. written, multijurisdictional, and rehearsed.

Answer 47

B. well publicized, realistic, and rehearsed.

Question 48

Which of the following is not a desirable characteristic of the rehabilitation area of a hazardous materials incident? Select one: A. It is large enough to accommodate multiple rescue crews. B. It is protected from weather elements. C. It is located in the warm zone. D. It allows for rapid reentry to the emergency operation.

Answer 48

C. It is located in the warm zone.

Question 49

You are on the scene of a riot following a decision in a controversial court case. A large group of people have set fire to vehicles, broken windows, and assaulted people in the area. Which of the following would be the best method of incident command? Select one: A. Single incident command by law enforcement B. Unified command by police, fire, and EMS C. Single incident command by EMS D. Single incident command by fire service

Answer 49

B. Unified command by police, fire, and EMS

Question 50

Which of the following agencies have developed regulations for dealing with hazardous materials emergencies? Select one: A. OSHA and EPA B. NAEMT and NHTSA C. DOT and FCC D. NHTSA and NRC

Answer 50

A. OSHA and EPA

Question 51

You are on the scene of a church bus roll-over collision. There are 30 passengers involved. As triage officer, which one of the following patients should you assign the highest priority? Select one: A. 30-year-old man with multiple lower extremity fractures who is awake, has a strong radial pulse, and is complaining of severe pain B. 70-year-old woman who is awake but having difficulty breathing and has absent lung sounds on the right side C. 35-year-old pregnant woman with a cut on her head, neck pain, and numbness and tingling in her arms D. Unresponsive 9-year-old male with an open skull fracture who is in cardiac arrest

Answer 51

B. 70-year-old woman who is awake but having difficulty breathing and has absent lung sounds on the right side

Question 51

Using START triage guidelines, a patient on the scene of a mass-causality incident who has no pulse is deemed a ________ patient. Select one: A. Priority 0 B. Priority 1 C. Priority 2 D. Priority 3

Answer 51

A. Priority 0

Question 52

You arrive on the scene where a school bus has been hit by a train. The bus was in its early stages of picking up students and you only have 5 patients. Your closest unit is 30 minutes away. Triage this patient based on this scenario: Patient #2 is an 8-year-old male with the following vital signs: respirations 22, pulse 102, and alert mental status with warm dry skin. Select one: A. Priority 3, green tag B. Priority 2, yellow tag C. Priority 1, red tag D. Priority 4, black tag

Answer 52

A. Priority 3, green tag

Question 53

You are in charge of your department's personnel at the scene of a mass-casualty incident. As the incident progresses, you request additional resources, and a neighboring department assists you. As part of this department's response, a battalion chief responds to oversee operations. At the command post, you and the battalion chief work together to manage the incident. This cooperative management effort is known as: Select one: A. redundant command. B. dual command. C. unified command. D. incident command.

Answer 53

C. unified command.

Question 54

Simple Triage and Rapid Treatment (START) is a system that relies on some simple commands and what three physiologic parameters? Select one: A. Respiration, pulse, and mental status B. Circulation, sensory, and motor status C. Respiration, sensory, and motor status D. Respiration, pain, and mental status

Answer 54

A. Respiration, pulse, and mental status

Question 55

Which of the following is a resource for specific actions to be taken by personnel dealing with a hazardous materials incident? Select one: A. Medical protocols B. Emergency Response Guidebook C. Medical dictionary D. Food and Drug Administration (FDA) toll-free hotline

Answer 55

B. Emergency Response Guidebook

Question 56

Soraya is an EMT who volunteers for a local fire department. On the scene of a hazardous materials incident, she helps prevent the incident from becoming larger and ensures bystanders remain safe. Soraya's level of hazardous materials training is at the ________ level. Select one: A. Hazardous Materials Specialist B. First Responder Awareness C. Hazardous Materials Technician D. First Responder Operations

Answer 56

D. First Responder Operations

Question 57

Andrea is an EMS supervisor with a combined EMS/Fire department. On the scene of a hazardous materials incident, she acts as a liaison with federal, state, and local authorities. Andrea's level of hazardous materials training is at the ________ level. Select one: A. Hazardous Materials Technician B. First Responder Awareness C. First Responder Operations D. Hazardous Materials Specialist

Answer 57

D. Hazardous Materials Specialist

Question 58

Who is the person in charge of tracking the patient's final destination? Select one: A. Treatment officer B. Transportation supervisor C. Incident Commander D. Staging officer

Answer 58

B. Transportation supervisor

Question 59

Which of the following are desirable characteristics of the "safe or cold zone" in a hazardous materials incident? Select one: A. Downwind, uphill from the spill B. Upwind, on the same level as the spill C. Downwind, downhill from the spill D. Upwind, uphill from the spill

Answer 59

B. Upwind, on the same level as the spill