Chapter 39 Hazardous Materials, Multiple-Casualty Incidents, and Incident Management PreTest

2. Which warning placard is diamond-shaped and divided into four smaller diamonds? A. Material data safety sheet (MSDS) B. DOT hazard label C. UN Globally Harmonized System D. NFPA 704 System

D. NFPA 704 System

20. Which of the following statements regarding a disaster plan is false? A. A disaster plan should be written to address any conceivable incident. B. A disaster plan should be rehearsed. C. A disaster plan should be realistic. D. A disaster plan should be well-publicized.

A. A disaster plan should be written to address any conceivable incident.

25. Which of the following settings should most make the EMT consider the likelihood of a hazardous materials incident? A. A car B. A warehouse C. A residential house D. An apartment

B. A warehouse

15. Which of the following statements best describes primary triage? A. An assessment of the scene for mechanism of injury B. An initial determination of each patient's priority for treatment and transport C. A process of setting tactical objectives for the MCI D. An initial determination of the number of patients involved

B. An initial determination of each patient's priority for treatment and transport

24. Which of the following statements about primary triage when resources are limited is true? A. It is inappropriate for EMTs to assign "walking wounded" patients to assist more seriously injured patients. B. You should open a patient's airway and control severe bleeding. C. No interventions are performed during primary triage. D. 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.

30. Identification of chemical hazards starts with: A. seeing fumes in the air at the incident scene. B. awareness and knowledge of what exists in the community. C. being alerted to the presence of hazardous materials by dispatch. D. identification of hazardous materials placards.

B. awareness and knowledge of what exists in the community.

12. A decontamination corridor would be established in the: A. hot zone. B. warm zone. C. dead zone. D. cold zone.

B. warm zone.

7. 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. Preventing uncoordinated or undirected activity at the scene B. Controlling on-scene communication as help arrives C. Making a sweep to determine what needs must be met D. Making an initial scene report to the communications center

C. Making a sweep to determine what needs must be met

3. Which of the following statements about decisions made by the transportation unit at an MCI is true? A. High-priority patients should all be transported to the same hospital. B. Each ambulance should radio the receiving hospital with a detailed patient report. C. Priority 1 patients should be transported first, immediately after treatment. D. Ambulatory patients may be sent to a hospital on a bus without EMS personnel.

C. Priority 1 patients should be transported first, immediately after treatment.

17. Which of the following must be assessed on a HAZMAT team member before that member enters the hot zone? A. Height and weight B. Allergies C. Task assignment D. Baseline vitals

D. Baseline vitals

22. Which of the following is a 24-hour resource operated by the Chemical Manufacturers Association? A. CHEMTRANS B. MSDS C. HAZTECH D. CHEMTREC

D. CHEMTREC

1. Flammable solids, substances that are dangerous when wet, and spontaneously combustible materials are: A. Class 1 materials. B. Class 2 materials. C. Class 3 materials. D. Class 4 materials.

D. Class 4 materials.

5. While other patients are waiting for triage, what is an appropriate treatment measure that can be performed during the ongoing triage process? A. Performing bag-valve-mask ventilations B. Applying a cervical collar C. Placing a patient on a backboard D. Controlling severe bleeding

D. Controlling severe bleeding

6. To command activities at a hazardous materials incident site, the minimum level of training necessary is: A. Hazardous Materials Technician. B. Hazardous Materials Specialist. C. First Responder Operations. D. On-Scene Incident Commander.

D. On-Scene Incident Commander.

23. If an EMS unit is the first to respond to a multiple-casualty incident, which role does the most senior EMT assume? A. Incident commander B. Ground chief C. Scene leader D. Section coordinator

A. Incident commander

8. Which of the following best describes the use of secondary triage? A. To reevaluate the treatment priorities designated during primary triage B. To be used when there are too many casualties to be categorized during the primary triage C. To categorize patients who are found after all of the other patients have been triaged D. To treat EMS workers who were injured while assisting in the first phase of the rescue operation

A. To reevaluate the treatment priorities designated during primary triage

11. A multiple-casualty incident is: A. any medical or trauma incident involving multiple patients. B. any medical or trauma incident that requires extensive rescue efforts. C. any trauma incident involving a patient with multisystem injuries. D. any trauma incident involving five or more critically injured patients.

A. any medical or trauma incident involving multiple patients.

13. What does the triage mnemonic START stand for? A. Simultaneous transport and rapid treatment B. Simple triage and rapid treatment C. Simple treatment and rapid transport D. Simultaneous triage and rapid treatment

B. Simple triage and rapid treatment

18. Priority 3 patients are also known as: A. walking wounded. B. deceased. C. immediate. D. delayed.

A. walking wounded.

16. Which of the following should immediately increase your suspicion of a hazardous materials incident? A. Smoke coming from the driver area of a vehicle involved in a head-on collision B. Emergency site at a factory C. Fire that starts on the lowest level of a residential structure D. An out-of-control wildfire in a wooded area

B. Emergency site at a factory

31. The characteristics of a rehab area include all of the following except which one? A. Free from exhaust fumes B. Large enough to accommodate a single crew C. Easily accessible to EMS units D. Located in the cold zone

B. Large enough to accommodate a single crew

19. Which of the following is the best description of a safety data sheet (SDS)? A. A resource book published by the U.S. Department of Transportation for referencing hazardous materials B. Papers that must accompany hazardous materials during transport C. A placard that must be attached to a fixed container of hazardous materials D. Papers kept on site with hazardous chemicals

B. Papers that must accompany hazardous materials during transport

27. In which of the following areas at a HAZMAT incident are normal triage, stabilization, and treatment performed? A. Command post B. Temperate zone C. Cold zone D. Warm zone

C. Cold zone

9. It is characteristic of a disaster plan to be all of the following except which one? A. Specific B. Efficient C. Impractical D. Predefined

C. Impractical

29. Which of the following has the highest priority at a hazardous materials incident? A. Decontaminating clothing, equipment, and the vehicle B. Providing patient care C. Protecting the safety of all rescuers and patients D. Immediately removing patients from a hazardous area

C. Protecting the safety of all rescuers and patients

21. Hazardous material is: A. any material that is explosive or flammable. B. any material that is poisonous if ingested. C. any material that poses an unreasonable risk to life, health, or property. D. any material that is radioactive.

C. any material that poses an unreasonable risk to life, health, or property.

4. To be classified as "walking wounded" in primary triage, a patient: A. must have burns without airway problems. B. must be in arrest. C. must have only minor musculoskeletal or soft tissue injuries. D. must have major or multiple bone or joint injuries.

C. must have only minor musculoskeletal or soft tissue injuries.

28. The plan for a large-scale MCI: A. must be planned for an incident involving a very specific number of people. B. is unnecessary unless an MCI involves at least 20 patients. C. should be a logical extension of the plan for a small-scale MCI. D. is completely different from the plan for a small-scale MCI.

C. should be a logical extension of the plan for a small-scale MCI.

14. 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.

C. staging area.

26. Psychological first aid involves: A. telling distressed patients anything that will calm them down. B. ordering any emotionally overwhelmed patients out of the treatment area. C. ordering patients in emotional distress to tend to other patients and work off the stress. D. caring, honest engagement with patients in emotional distress.

D. caring, honest engagement with patients in emotional distress.

10. 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.

D. may not return to duty even after they have rested.