Chapter 37 Pre/Post test
Which of the following events is LEAST likely to create a multiple-casualty incident? A. A high-speed impact between a minivan and a sedan B. A motorcycle collision with a guardrail C. An apartment complex fire with confirmed entrapment D. An outdoor stage collapse during a show at a state fair
A motorcycle collision with a guardrail
What is the highest level of training for hazmat incidents under OSHA regulations? A. Hazardous Materials Director B. Hazardous Materials Specialist C. Material Safety Data Sheet Coordinator D. First Responder Operations
Hazardous Materials Specialist
To command activities at a hazardous materials incident site, the minimum level of training necessary is: A. First Responder Operations. B. Hazardous Materials Technician. C. First Responder Awareness. D. Hazardous Materials Specialist.
Hazardous Materials Specialist.
Which of the following is represented by the blue area of the NFPA 704 placard? A. Health hazards B. Special hazards C. Flammability hazards D. Instability hazards
Health hazards
When you call an emergency response hotline regarding hazardous materials, which information is LEAST relevant? A. Nature and location of the problem B. Injuries and exposures C. Estimate of the quantity of material transported and released D. How long ago you believe the incident might have begun
How long ago you believe the incident might have begun
Which of the following must be assessed on a hazmat team member before he or she enters the hot zone? A. Baseline vitals B. Task assignment C. Height and weight D. Allergies
Baseline vitals
If an EMS unit is the first to respond to a multiple-casualty incident, which role does the most senior EMT assume? A. Section coordinator B. Scene leader C. Incident commander D. Ground chief
Incident commander
In which type of incident would unified command be MOST appropriate? A. Involvement of different branches of public safety B. More than three patients at a scene C. An incident that involves only EMS D. An incident that involves only fire/rescue
Involvement of different branches of public safety
The characteristics of a rehab area include all of the following EXCEPT which one? A. Large enough to accommodate a single crew B. Easily accessible to EMS units C. Located in the cold zone D. Free from exhaust fumes
Large enough to accommodate a single crew
If your crew is the first to arrive on the scene of a major MCI, what will be a major aspect of your scene size-up? A. Prevent uncoordinated or undirected activity at the scene. B. Make an initial scene report to the communications center. C. Control on-scene communication as help arrives. D. Make a sweep to determine what needs must be met.
Make a sweep to determine what needs must be met.
Which warning placard is diamond-shaped and divided into four smaller diamonds? A. UN Globally Harmonized System B. Material data safety sheet (MSDS) C. DOT hazard label D. NFPA 704 System
NFPA 704 System
Which of the following BEST describes the required contents of shipping papers associated with hazardous materials? A. The levels of toxicity, flammability, and reactivity B. Health hazards, flammability hazards, explosion hazards, and special hazards C. Name of the substance, quantity, origin, and destination D. Route of exposure, signs and symptoms, classification, and chemical structure
Name of the substance, quantity, origin, and destination
A hot zone is: A. immediately identifiable with placards. B. the area immediately surrounding a hazmat incident. C. an area where personnel and equipment are decontaminated. D. an area where the support functions for an incident response are located.
the area immediately surrounding a hazmat incident.
The area in which secondary triage takes place at a multiple-casualty incident is the: A. warm zone. B. transportation area. C. treatment area. D. triage area.
triage area.
Field decontamination takes place in the: A. warm zone. B. safe zone. C. cold zone. D. hot zone.
warm zone
A decontamination corridor would be established in the: A. dead zone. B. hot zone. C. cold zone. D. warm zone.
warm zone.
Which of the following is the BEST description of a safety data sheet (SDS)? A. A placard that must be attached to a fixed container of hazardous materials B. Papers kept on site with hazardous chemicals C. Papers that must accompany hazardous materials during transport D. A resource book published by the U.S. Department of Transportation for referencing hazardous materials
Papers kept on site with hazardous chemicals
Which of the following statements BEST describes the purpose of triage? A. To find and treat all of one patient's injuries before moving on to the next patient B. To prioritize patients in an MCI C. To treat the youngest, healthiest patients first D. To treat all serious illnesses and injuries as they are discovered
To prioritize patients in an MCI
What is the purpose of secondary triage? A. To perform START triage B. To conduct a comprehensive examination of all patients C. To reevaluate each patient's priority for treatment and transport D. To assess patients who were not immediately found in the initial response
To reevaluate each patient's priority for treatment and transport
Hazardous material is: A. any material that poses an unreasonable risk to life, health, or property. B. any material that is poisonous if ingested. C. any material that is radioactive. D. any material that is explosive or flammable.
any material that poses an unreasonable risk to life, health, or property.
A multiple-casualty incident is: A. any trauma incident involving a patient with multisystem injuries. B. any medical or trauma incident that requires extensive rescue efforts. C. any trauma incident involving five or more critically injured patients. D. any medical or trauma incident involving multiple patients.
any medical or trauma incident involving multiple patients.
To be classified as "walking wounded" in primary triage, a patient: A. must have burns without airway problems. B. must have major or multiple bone or joint injuries. C. must have only minor musculoskeletal or soft-tissue injuries. D. must be in arrest.
must have only minor musculoskeletal or soft-tissue injuries.
If arriving units are not needed right away, they should wait in the: A. treatment area. B. transportation area. C. staging area. D. triage area.
staging area.
You arrive at the scene of a potential hazardous materials incident and see several patients lying on the ground next to an overturned truck with what looks like chemicals leaking out of it in all directions. You should: A. call out to the patients to see if any can leave the area of the accident. B. immediately act to save the patients. C. approach cautiously. D. take a command position.
take a command position.
What is the number of patients that generally serves as the lowest possible threshold for a multiple-casualty incident? A. 10 B. 2 C. 15 D. 3
3
Which of the following is required on the exterior of a tanker truck that is carrying hazardous cargo? A. A DOT hazard placard B. A cargo manifest C. A safety data sheet D. An NFPA 704 placard
A DOT hazard placard
Which of the following statements regarding a disaster plan is FALSE? A. A disaster plan should be well-publicized. B. A disaster plan should be realistic. C. A disaster plan should be rehearsed. D. A disaster plan should be written to address any conceivable incident.
A disaster plan should be written to address any conceivable incident.
At what point should transport of the injured begin at an MCI? A. After all "minor" patients have been directed to a treatment area to relieve congestion at the scene B. After all patients have been triaged C. After triage has identified "immediate" category patients and transport has been coordinated through the treatment and transport units D. As soon as the first ambulance arrives
After triage has identified "immediate" category patients and transport has been coordinated through the treatment and transport units
Which of the following is a 24-hour resource operated by the American Chemistry Council? A. CHEMTRANS B. HAZTECH C. MSDS D. CHEMTREC
CHEMTREC
Flammable solids, substances that are dangerous when wet, and spontaneously combustible materials are: A. Class 1 materials. B. Class 3 materials. C. Class 2 materials. D. Class 4 materials.
Class 4 materials.
At a hazardous materials incident, which of the following areas is used for triaging patients, performing necessary treatment, and stabilizing patients before transport? A. Decon zone B. Cold zone C. Hot zone D. Warm zone
Cold zone
In which of the following areas at a hazmat incident are normal triage, stabilization, and treatment performed? A. Cold zone B. Temperate zone C. Warm zone D. Command post
Cold zone
Which of the following should immediately increase your suspicion of a hazardous materials incident? A. Fire that starts on the lowest level of a residential structure B. Smoke coming from the driver area of a vehicle involved in a head-on collision C. An out-of-control wildfire in a wooded area D. Emergency site at a factory
Emergency site at a factory
No minimum training hours are required for which level of training? A. First Responder Operations B. Hazardous Materials Technician C. First Responder Awareness D. Hazardous Materials Specialist
First Responder Awareness
Which of the following hazmat training levels requires at least eight hours of training? A. Hazardous Materials Specialist B. First Responder Awareness C. First Responder Operations .D. Hazardous Materials Technician
First responder operations
Which of the following statements about decisions made by the transportation unit at an MCI is TRUE? A. Priority 1 patients should be transported first, immediately after treatment. B. Ambulatory patients may be sent to a hospital on a bus without EMS personnel. C. Each ambulance should radio the receiving hospital with a detailed patient report. D. High-priority patients should all be transported to the same hospital.
Priority 1 patients should be transported first, immediately after treatment.
Which of the following has the HIGHEST priority at a hazardous materials incident? A. Immediately removing patients from a hazardous area B. Decontaminating clothing, equipment, and the vehicle C. Protecting the safety of all rescuers and patients D. Providing patient care
Protecting the safety of all rescuers and patients
Which of the following sector officers or supervisors is responsible in large-scale incidents for the provision of restrooms and meals and rotation of crews? A. Transportation B. Command C. Staging D. Supply
Staging
Which of the following is MOST likely to indicate the presence of released hazardous material? A. Sudden irritation of the eyes B. An unbreathing patient C. Black smoke D. Fire
Sudden irritation of the eyes
What should be done with an EMT who has become emotionally incapacitated at an MCI? A. Review the EMT's performance to identify what went wrong. B. Direct the EMT to treat only Priority 3 patients. C. Talk to the EMT with calm empathy until he feels better enough to return to duty. D. Treat the EMT as a patient and remove him to a place of rest.
Treat the EMT as a patient and remove him to a place of rest.
Which of the following statements about primary triage when resources are limited is TRUE? A. CPR is begun on patients without breathing and a pulse if there are no injuries that are obviously incompatible with life. B. You should open a patient's airway and control severe bleeding. C. It is inappropriate for EMTs to assign "walking wounded" patients to assist more seriously injured patients. D. No interventions are performed during primary triage.
You should open a patient's airway and control severe bleeding.
Which of the following settings should MOST make the EMT consider the likelihood of a hazardous materials incident? A. A residential house B. A warehouse C. An apartment D. A car
a warehouse
An example of psychological first aid for a patient at an MCI is: A. telling the patient that despite how it looks, everyone at the scene will be okay. B. assuring the patient that everything he feels is normal and that responders are doing everything they can. C. asking the patient to consider the possibility he is in denial. D. directing the patient to begin providing care to less critical patients.
assuring the patient that everything he feels is normal and that responders are doing everything they can.
A hazardous material incident would be LEAST likely to take place: A. on the highway. B. in a factory C. at a school. D. along a railroad.
at a school
Identification of chemical hazards starts with: A. seeing fumes in the air at the incident scene. B. identification of hazardous materials placards. C. being alerted to the presence of hazardous materials by dispatch. D. awareness and knowledge of what exists in the community.
awareness and knowledge of what exists in the community.
Organization for a smaller MCI would involve: A. aides to the triage supervisor. B. command and a triage supervisor. C. site operations. D. treatment and transportation supervisors.
command and a triage supervisor.
All patients leaving the site of a hazardous materials incident should be considered: A. contaminated. B. cleared for transport. C. stable. D. low priority.
contaminated.
You are directed to establish a rehab area at a hazmat incident. You know that this area must be: A. established within the warm zone. B. at least a quarter of a mile from the hot zone. C. away from the media and the public. D. easily accessible to EMS units.
easily accessible to EMS units.
Which of the following zones designates where the hazardous materials contamination is actually present? A. Warm zone B. Contamination zone C. Hot zone D. Cold zone
hot zone
It is characteristic of a disaster plan to be all of the following EXCEPT which one? A. Impractical B. Efficient C. Predefined D. Specific
impractical
Emotionally incapacitated EMTs: A. must leave the area, clock out, and go home. B. must observe on scene without providing treatment. C. may rest until they are ready to return to duty. D. may not return to duty even after they have rested.
may not return to duty even after they have rested.
Psychological first aid involves: A. ordering patients in emotional distress to tend to other patients and work off the stress. B. caring, honest engagement with patients in emotional distress. C. ordering any emotionally overwhelmed patients out of the treatment area. D. telling distressed patients anything that will calm them down.
caring, honest engagement with patients in emotional distress.