Chapter 42

Which of the following actions is recommended when driving in​ fog? A. Keep your headlights​ on, using high beams. B. Be prepared for drivers in front of you to make sudden stops. C. Keep one foot on the brake pedal at all times. D. Turn on the air conditioning unit to keep the windshield clear.

be prepared for drivers in front of you to make sudden stops

Although you may encounter an intoxicated driver at any time of​ day, during which time period should you be particularly alert to indications that the driver of another vehicle is​ intoxicated? A. ​8:00 p.m. and​ 1:00 a.m. B. ​4:00 p.m. and​ 10:00 p.m. C. ​11:00 p.m. to​ 3:00 a.m. D. ​6:00 p.m. to​ 12:00 a.m.

11p to 3a

How far ahead of the vehicle can​ low-beam headlights illuminate the​ road? A. 150 feet B. 100 feet C. 200 feet D. 50 feet

150 feet

Which of these solutions is used for​ low-level disinfection? A. Hydrogen peroxide B. Soap and water C. Isopropyl alcohol D. ​1:100 bleach solution

1:100 bleach solution

When driving at night with​ high-beam headlights, at what distance should you switch to low beams for an approaching​ vehicle? A. 150 feet B. 300 feet C. ​1,000 feet D. 500 feet

500 feet

With worn​ tires, what is the lowest speed at which you should anticipate hydroplaning with wet road​ conditions? A. Ambulances are too heavy to​ hydroplane, regardless of speed or tire condition B. 50 mph for Type I and III​ ambulances, 45 mph for Type II ambulances C. 35 mph for any vehicle D. 50 mph for​ heavy-duty ambulances, 45 mph for other types of ambulances

35mph for any vehicle

When you are driving 55 mph at night with your​ high-beam headlights​ on, how many seconds does that allow you to see​ ahead? A. 6 seconds B. 4.5 seconds C. 10 to 12 seconds D. 15 seconds

4.5 seconds

Which of these figures represents the increase in stopping distance while driving on ice or​ sleet? A. Seven times B. Five times C. Three times D. Two times

5 times

Using the analogy of a clock​ face, where should you position your hands on the steering wheel when driving an​ ambulance? A. Left hand at​ 8:00 and right hand at​ 4:00. B. Left hand at​ 9:00 and right hand at​ 3:00. C. Left hand at​ 10:00 and right hand at​ 4:00. D. Left hand at​ 1:00 and right hand at​ 11:00.

9 and 3

Which of the following is a core element for establishing a culture of​ safety? A. Current culture B. Reduction of safety standards C. Limited reporting and investigation D. EMS education initiatives

EMS education initiatives

Which of the following is a guideline established by the National Association of Emergency Medical Technicians to ensure safety and security​ measures? A. Vehicles should only be left running while at a hospital. B. Security briefings should occur at the end of each shift. C. Management should develop operational security measures. D. EMS vehicles should be tracked.

EMS vehicles should be tracked

Which of these is a common cause of​ ambulance-involved intersection​ collisions? A. A motorist has the green​ light, does not see or hear​ you, and enters the​ intersection, colliding with you. B. A motorist enters the intersection on the yellow light to attempt to beat the red light. C. Two emergency vehicles responding to the same call meet at an intersection and collide with each other. D. A motorist collides with another vehicle while attempting to get out of your way.

a motorist enters the intersection on the yellow light to attempt to beat the red light

Which feature of personnel identification badges is encouraged to deter impersonation of EMS​ personnel? A. A photo of the employee on the identification badge B. The​ employee's social security number should be on the identification badge C. The identification badge should have a Star of Life on it D. The identification badge should be laminated

a photo of the employee on the identification badge

Which of the following is a basic guideline for safe​ driving? A. Wearing a seat belt except when you are in the back of the ambulance. B. Simultaneously driving and operating the radio. C. Adjusting your speed to allow for decreased visibility at night or in fog. D. Selecting the shortest route of travel.

adjusting your speed to allow for decreased visibility at night or in fog

Which of these is LEAST likely to result in an emergency vehicle collision at an​ intersection? A. Two emergency vehicles approaching the intersection at the same time. B. Vehicles obstructing your view of the pedestrian crosswalk. C. An ambulance coming to a full stop before entering the intersection on a yellow light. D. A vehicle entering the intersection on the yellow light.

an ambulance coming to a full stop before entering the intersection on a yellow light

You are on the scene of a motor vehicle collision and must look for an area to land a medical helicopter. Which option would be the best​ choice? A. A​ flat, sloped square area 40 times 40 feet free of debris B. A​ small, flat, concrete lot with light posts on all sides C. A level and​ well-maintained parking lot that remains​ half-filled with cars D. An open field that is level and preferably 150 feet from the accident

an open field that is level and preferably 150 feet from the accidnet

You are driving an ambulance with antilock brakes. A deer darts out in front of the ambulance. Your most appropriate action would be​ to: A. Apply the brakes for 3​ seconds, and then release B. Swerve into the opposite lane C. Gently pump the brakes D. Apply constant and firm pressure to the brakes

apply constant and firm pressure to the brakes

Which of these actions must be AVOIDED when assisting at a medical helicopter landing​ zone? A. Approach the helicopter from the front. B. Approach the helicopter from the uphill side of the landing zone. C. Direct the pilot to land the aircraft facing into the wind. D. Wait to approach until directed to do so by the pilot.

approach the helicopter from the uphill side of the landing zone

Which of the following is an appropriate use of an escort during emergency​ driving? A. When the need for law enforcement at the scene is anticipated. B. When transporting a government​ official, foreign​ dignitary, or celebrity. C. As a last resort in cases where you are not familiar with the location of the call or hospital. D. When the patient you are transporting is under arrest.

as a last resort in cases where you are not familiar with the location of the call or hospital

As an instructor for safe ambulance​ operations, which statement should you make to new EMTs about responding with lights and sirens through curves in the​ road? A. ​"To be​ safe, maintain a steady speed through the entire​ curve." B. ​"It is best to start braking after entering the​ curve." C. ​"It is easier to control the ambulance when you accelerate just before entering the​ curve." D. ​"At night, turn your high beams off prior to entering the​ curve."

at night, turn your high beams off prior to entering the curve

You are performing a​ "stand-by" along with the fire department at a local county fair. Since it is fall and the temperature is​ cool, the emergency crews are sitting in their ambulances. Given this​ situation, what would contribute to an increase in the carbon monoxide levels in your​ ambulance? A. Having an exhaust system that discharges beyond the side of the ambulance B. Having had the ambulance​ tuned-up a week prior C. Being parked too close to a fire engine that is also running D. Keeping the heater running while you are inside the ambulance

being parked too close to a fire engine that is also running

At the end of a long day of doing​ "stand-by" duty at a county​ fair, you find that you have a headache and you are nauseous. You also feel very tired and you are yawning excessivelylong dashwhich is unusual since you slept well last night and you had no emergency calls during the​ 12-hour shift. All you really did was sit in the ambulance with the engine running as the temperature outside was cool. In​ actuality, you may be suffering​ from: A. A low blood sugar level B. Carbon dioxide poisoning C. Carbon monoxide poisoning D. Nitrogen narcosis

carbon monoxide poisoning

Which of these is done during the daily vehicle​ inspection? A. Checking door closing and latching mechanisms. B. Rotating the tires. C. Changing the oil. D. Using a diagnostic code reader to detect mechanical problems.

checking door closing and latching mechanisms

Which of these is included in the daily inspection of the​ ambulance? A. Changing the engine oil. B. Checking the turn signals. C. Recharging the fire extinguishers. D. Rotating the tires.

checking the turn signals

Which class of garment is designed for traffic moving at 25 miles per hour or​ faster? A. Class 3 B. Class 2 C. Class 1 D. Class 4

class 2

Which of the following safety garments should be worn by workers who are at serious risk and whose attention is diverted from the​ roadway? A. Class 4 B. Class 3 C. Class 2 D. Class 1

class 3

What is a key to eliminating misunderstandings that lead to​ mistakes? A. Traditional management B. Current culture C. ​Two-leg communication D. Communication

communication

At the scene of a motor vehicle​ collision, a police car or fire vehicle should be parked to A. create a physical barrier between traffic and your ambulance B. ahead of the collision site to avoid blocking traffic C. immediately behind the vehicle where your patients are to block the view of those driving by D. in the median or off the side of the road

create a physical barrier between traffic and your ambulance

According to crew resource​ management, the team leader​ should: A. use​ open-loop communication. B. rely on team members to maintain situation awareness. C. communicate with team members based on rank. D. create an action plan.

create an action plan

Which of the following creates a climate in which it is okay to respectfully question authority when what is happening is less effective than what should be​ happening? A. Incident management system B. Crew resource management C. Hierarchy management D. Paramilitary management

crew resource management

In which of the following road conditions is it recommended that you use​ high-beam headlights? A. Mist or rain B. Dense fog C. Heavy smoke or dust storm D. Dark conditions with little traffic

dark conditions with little traffic

Which of these​ climate-control options will help keep your windshield free of condensation in foggy​ conditions? A. Keep the windows down B. Air conditioning C. Defroster D. Direct heat toward the​ floor, only

defroster

Which of these is allowed of EMTs driving an emergency ambulance in MOST​ states? A. Proceed through a red light without slowing. B. Pass other vehicles on the right side. C. Travel 10 miles an hour over the posted speed limit in the nonemergency mode. D. Drive the wrong way down a​ one-way street.

drive the wrong way down a one way street

Which of these actions will improve your control of a vehicle at higher​ speeds? A. Use a higher gear when going down a long hill. B. Brake after you enter a curve to slow down to a safe speed. C. Quickly accelerate as you leave a curve. D. Enter a curve at the​ outside, and start turning as early as possible.

enter a curve at the outside, and start turning as early as possible

Which of the following is a disadvantage of air medical​ transport? A. Access B. Limited skills C. Time D. Expense

expense

How can you help prevent the entrance of carbon monoxide from the ambulance exhaust into the​ unit? A. Do not operate the unit in heavy traffic B. Keep operating generators away from the ambulance C. Use exhaust fans D. Extend the exhaust and leave the rear windows closed

extend the exhaust and leave the rear windows closed

Which of these actions should be taken to maintain control of the ambulance if you must enter an area of standing​ water? A. Apply the parking brake slightly to avoid causing the rear wheels of the ambulance from locking up. B. Turn on the windshield wipers as soon as you exit the water. C. If you need to​ brake, pump gently on the brakes to avoid sliding. D. Brake hard as you enter the water.

if you need to brake, pump gently on the brakes to avoid sliding

You are approaching a collision in the southbound lanes of an interstate from the north. You see one of the vehicles in the​ median, and one of the vehicles parallel to​ it, across the​ right-hand lane. Which of these is the BEST place to park your vehicle at the​ scene? A. In the​ median, behind the vehicle B. On the berm or​ shoulder, behind the vehicle on the right C. In the safe zone of other blocking vehicles with loading area away from the closest lane of traffic D. Between the two vehicles

in the safe zone of other blocking vehicles with loading area away from the closest lane of traffic

Which of the following is a benefit of crew resource​ management? A. Increases situation awareness B. Ranks the value of each team member C. Improves the safety of dispatchers D. Reinforces the hierarchy structure

increases situation awareness

Which of the following has been shown to be an effect on emergency vehicle drivers as a result of using the siren while​ driving? A. Loss of 15 degrees of peripheral vision B. Increasing their driving speed C. Decreased recall of events associated with the call D. Experiencing posttraumatic stress disorder

increasing their driving speed

According to the National Association of Emergency Medical​ Technicians, which of the following is an acceptable form of security​ briefing? A. Text messages B. Web postings C. Radio messages D. Information sheets

information sheets

The medical director for EMS is discussing accountability and reporting mistakes without fear of retribution. Which term best describes this​ concept? A. Just culture B. Crew resource management C. Education initiatives D. Safety data system

just culture

Which of these measures should be taken to prevent carbon monoxide poisoning in​ ambulances? A. Keep the heater or air conditioner on. B. Always drive with the rear windows partially open. C. Use ventilation exhaust fans or static roof vents. D. Have an exhaust system that discharges to the side of the vehicle.

keep the heater or air conditioner on

How can the EMT lower the risk of CO poisoning in older ambulances that are still in​ service? A. Open one of the rear windows a bit to draft in fresh air. B. Do not use the​ air-conditioner or heater in the back. C. Keep the windows shut in the patient compartment. D. Shut the window or door that separates the cab from the patient compartment.

keep the windows shut in the patient compartment

Concerning traffic​ congestion, which of these situations should you MOST​ anticipate? A. Decreased traffic in urban areas on Monday mornings. B. More traffic to and from resort areas on Fridays and Sundays. C. Increased traffic around malls and shopping centers on weekday mornings. D. Increased traffic in urban areas during weekend days.

more traffic to and from resort areas on fridays and sundays

Which of these guidelines should you follow for safety at roadway​ incidents? A. Park so that the loading doors are toward oncoming traffic. B. Wear a uniform that has a reflective strip across the back of the shirt and down the outside of each pant leg. C. Park with your headlights directed toward upstream traffic on nighttime calls. D. Never trust approaching traffic.

never trust approaching traffic

Which of these actions is taken first upon arriving at the receiving hospital​ facility? A. Leave the ED as soon as you have turned your patient over to the staff so you are available for another call. B. Notify dispatch of your arrival and make an official transfer of care to an appropriate health care provider at the facility. C. Complete your written report and leave a copy at the emergency department before you go. D. Report back in service as soon as you reach the facility.

notify dispatch of your arrival and make an official transfer of care to an appropriate health care provider at the facility

What is the estimated proportion of vehicle fatalities that occur at​ night? A. ​Two-thirds B. ​One-quarter C. ​One-third D. ​One-half

one half

Which of these concepts should you always keep in mind when operating an emergency​ vehicle? A. Other​ drivers' reactions to lights and sirens can be unpredictable. B. It is permissible to use lights and sirens during nonemergency driving in order to facilitate returning to your station or posting. C. You should report any driver who does not yield to you while you are using lights and sirens. D. If a vehicle does not yield to your lights and sirens on a​ two-way street and there is oncoming​ traffic, pass the vehicle on the right.

other drivers' reactions to lights and sirens can be unpredictable

Which of these is an appropriate infection control measure to be taken at the completion of a​ call? A. Use​ high-level disinfection for all ambulances surfaces. B. Use gel hand sanitizer to clean your hands. C. Place soiled linens in an approved dirty linen bag or hamper. D. Place​ blood-saturated dressings and disposable items in regular hospital waste containers.

place soiled linens in an approved dirty linen bag or hamper

Which type of headlights is recommended to provide the BEST visibility for night​ driving? A. Incandescent B. ​Pencil-beam C. ​Quartz-halogen D. LED

quartz halogen

Which of these types of headlights should an ambulance have to allow the BEST visibility at​ night? A. ​Quartz-halogen B. Mercury vapor C. Incandescent D. LED

quartz-halogen

According to the National Association of Emergency Medical​ Technicians, prior to selling an ambulance to persons other than EMS​ organizations, the agency​ must: A. provide a mileage notification. B. perform brake maintenance. C. provide a collision report. D. remove EMS markings.

remove EMS markings

Which of these statements concerning braking while driving an ambulance is​ CORRECT? A. Pump the brake pedal when using antilock brakes. B. Rest your foot lightly on the brake pedal while decelerating to decrease your stopping distance. C. Apply​ steady, heavy pressure to the brake pedal in vehicles without antilock brakes. D. Begin to brake about halfway through a curve.

rest your foot lightly on the brake pedal while decelerating to decrease your stopping distance

Which of these guidelines should you adhere to when setting up a landing zone for a small helicopter at​ night? A. Select an area that is a flat square with​ 100-foot sides. B. Keep spectators 50 to 100 feet from the landing zone. C. Make sure the landing zone is 50 to 75 feet from crashed vehicles. D. Direct a beam of light upward to help the pilot find the area.

select an area that is a flat square with 100-foot sides

Prior to passing while driving an ambulance in an​ emergency, you should​ first: A. slow down. B. flash your headlights. C. signal. D. speed up.

signal

There are​ _____ core elements for advancing a culture of safety. A. five B. six C. four D. three

six

If an EMT is concerned that exhaust fumes may be entering the patient compartment of an​ ambulance, what would be a simple test to perform to determine whether any leaks exist around the doors or​ windows? A. Place a room humidifier in the back of the ambulance. If the water vapor will not cling to the walls or​ ceilings, then carbon monoxide is present. B. Spray the doors and windows with a​ high-pressure water stream from a hose. C. Light a match in the back of the ambulance to see whether there is enough oxygen to support combustion. D. Sit in the back of the ambulance with a CO oximetry device applied to your finger and interpret the level of CO found in your body.

spray the doors and windows with a high-pressure water stream from a hose

Which of the following is accurate regarding emergency vehicle​ operation? A. Every jurisdiction allows for driving on the wrong side of the road. B. Statutes vary by state. C. It is regulated by the federal government. D. There is no need to stop at a red light.

statutes vary by state

Which of these is a proper infection control​ measure? A. Using​ intermediate-level disinfection for reusable instruments that come into contact with mucous membranes. B. Sterilizing equipment that will be used invasively. C. The use of​ high-level disinfection for routine housekeeping on surfaces such as floors and ambulance seats. D. The use of simple cleaning for surfaces that come in contact with intact​ skin, such as stethoscopes and blood pressure cuffs.

sterilizing equipment that will be used invasively

While responding to an emergency​ call, what should you do if you encounter a school bus unloading students with its red lights​ flashing? A. Slow down and carefully proceed past the school bus B. Continue responding as you​ were, since you have the right of way C. Stop and determine an alternative route to the emergency D. Stop and wait for all children to cross the road safely

stop and wait for all children to cross the road safely

Which statement is true regarding driving in inclement​ weather? A. Roadways typically freeze over sooner than do bridges and overpasses B. Roads are most hazardous in terms of traction near the end of a rainstorm C. It is best to accelerate when attempting to drive through a large standing puddle D. Stopping on wet pavement takes approximately twice the distance as stopping on dry pavement

stopping on wet pavement takes approximately twice the distance as stopping on dry pavement

What would cause you to start transporting a critically injured patient to a local hospital​ (not equipped for major​ trauma) instead of waiting on a helicopter for rapid transport to a trauma center 50 miles​ away? A. The​ patient's statement that he cannot afford the cost of a trauma center B. A request by the family to go to the local hospital C. A sudden drop in​ patient's pulse oximeter reading while you are providing supplemental oxygen D. The beginning of lightning and poor weather conditions

the beginning of lightning and poor weather conditions

Which of the following is a legitimate reason for requesting air medical transport of a critical​ patient? A. The facility capable of caring for the patient is 45 minutes away by ground. B. You do not feel comfortable with critical patients. C. The patient has health care insurance that will pay for air medical transport. D. The weather is too bad for ground transportation.

the facility capable of caring for the patient is 45 minutes away by ground

When driving in winter​ weather, which of these safety guidelines should you keep in​ mind? A. Heavily traveled surfaces freeze before side roads. B. Tire chains best minimize skidding. C. If the vehicle begins to​ skid, turn the wheel toward the direction the front of the vehicle is skidding. D. Maintaining highway speeds best prevents hydroplaning.

tire chains best minimize skidding

Which of these statements BEST explains the rationale for performing daily vehicle maintenance and following a routine maintenance​ schedule? A. To maintain the validity of the​ vehicle's warranty B. To increase patient safety and efficiency of response and transport C. Lowered liability insurance rates for your employer D. To avoid disciplinary action and maximize chances of merit raises

to increase patient safety and efficiency of response and transport

Most states allow the emergency vehicle operator​ to: A. pass other emergency vehicles. B. pass in a​ no-passing zone on a curve. C. turn in any direction at an intersection. D. proceed quickly through red traffic signals.

turn in any direction at an intersection

By which of the following figures is stopping time increased on wet​ pavement? A. Four times B. Three times C. Five times D. Two times

two times

Which of these actions should you take when selecting a place to park the ambulance at the scene of a roadway​ incident? A. Park downwind of any vehicle that is​ smoking, emitting​ vapors, or leaking liquid. B. Seek a volunteer bystander to stand between the scene and oncoming traffic to redirect traffic. C. Use all available warning​ lights, scene​ lights, and headlights when working at night. D. Upon initial arrival at the​ scene, use law enforcement or firefighting vehicles to slowdown and redirect traffic.

upon initial arrival at the scene, use law enforcement or firefighting vehicles to slowdown and redirect traffic

Which of these methods BEST describes the proper care of a soiled​ uniform? A. Wash for two​ heavy-duty wash cycles in hot water with one cup of chlorine bleach and the recommended amount of laundry detergent. B. Wash the uniform according to its label instructions. C. Wash in any temperature​ water, using chlorine bleach with laundry detergent. Do not use fabric softener. Dry on very high heat for a minimum of 60 minutes. D. Add a​ hospital-grade disinfectant to a​ cold-water wash with your regular laundry detergent and fabric softener.

wash the uniform according to its label instructions

Which of the following actions is CORRECT when you are assigned to assist with a medical helicopter landing at a​ scene? A. Mark the landing zone with spotlights aimed upward. B. Always approach the aircraft from the tail rotor. C. Allow a vertical height of at least 6 feet to safely approach under the main rotor. D. Wear eye and hearing protection.

wear eye and hearing protection

Which of the following information is NOT part of the information provided when a call is​ dispatched? A. Weather conditions B. Location of the call C. Nature of the problem D. Time of the call

weather conditions

Which color emergency light is visible at the greatest​ distance? A. White B. Yellow C. Red D. Blue

white