EMT Chapter 37 Hazmat Study Guide
Which of the following has the HIGHEST priority at a hazardous materials incident? A. Protecting the safety of all rescuers and patients Your answer is correct. B. Immediately removing patients from a hazardous area C. Decontaminating clothing, equipment, and the vehicle D. Providing patient care
A
Which of the following hazards is represented by the yellow area on an NFPA placard? A. Reactivity Your answer is correct. B. Health C. Oxidation D. Flammability
A
Which of the following is required on the exterior of a tanker truck that is carrying hazardous cargo? A. A DOT hazard placard Your answer is correct. B. An NFPA 704 placard C. A cargo manifest D. A safety data sheet
A
A hot zone is: A. an area where the support functions for an incident response are located. B. the area immediately surrounding a hazmat incident. Your answer is correct. C. an area where personnel and equipment are decontaminated. D. immediately identifiable with placards.
B
All patients leaving the site of a hazardous materials incident should be considered: A. cleared for transport. B. contaminated. Your answer is correct. C. low priority. D. stable.
B
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. Your answer is correct. C. asking the patient to consider the possibility he is in denial. D. directing the patient to begin providing care to less critical patients.
B
A large-scale MCI creates a situation that: A. is routine for EMTs to handle. B. tests the capabilities of even the best-trained EMTs. Your answer is correct. C. can typically be managed by two to three ambulance units. D. involves the release of and exposure to hazardous materials.
B
Hazardous material is: A. any material that is poisonous if ingested. B. any material that poses an unreasonable risk to life, health, or property. Your answer is correct. C. any material that is radioactive. D. any material that is explosive or flammable.
B
Which of the following is the BEST description of a safety data sheet (SDS)? A. Papers kept on site with hazardous chemicals This is the correct answer. B. A resource book published by the U.S. Department of Transportation for referencing hazardous materials Your answer is not correct. C. Papers that must accompany hazardous materials during transport D. A placard that must be attached to a fixed container of hazardous materials
A
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. Staging Your answer is correct. B. Command C. Transportation D. Supply
A
Which of the following settings should MOST make the EMT consider the likelihood of a hazardous materials incident? A. A warehouse Your answer is correct. B. A car C. A residential house D. An apartment
A
Which of the following statements BEST describes primary triage? A. An initial determination of each patient's priority for treatment and transport Your answer is correct. B. An initial determination of the number of patients involved C. An assessment of the scene for mechanism of injury D. A process of setting tactical objectives for the MCI
A
Identification of chemical hazards starts with: A. identification of hazardous materials placards. B. awareness and knowledge of what exists in the community. Your answer is correct. C. seeing fumes in the air at the incident scene. D. being alerted to the presence of hazardous materials by dispatch.
B
If arriving units are not needed right away, they should wait in the: A. triage area. B. staging area. Your answer is correct. C. treatment area. D. transportation area.
B
The area in which secondary triage takes place at a multiple-casualty incident is the: A. treatment area. B. triage area. Your answer is correct. C. warm zone. D. transportation area.
B
To be classified as "walking wounded" in primary triage, a patient: A. must be in arrest. B. must have only minor musculoskeletal or soft-tissue injuries. Your answer is correct. C. must have major or multiple bone or joint injuries. D. must have burns without airway problems.
B
What does the triage mnemonic START stand for? A. Simple treatment and rapid transport B. Simple triage and rapid treatment Your answer is correct. C. Simultaneous transport and rapid treatment D. Simultaneous triage and rapid treatment
B
What is the highest level of training for hazmat incidents under OSHA regulations? A. Hazardous Materials Director B. Hazardous Materials Specialist Your answer is correct. C. First Responder Operations D. Material Safety Data Sheet Coordinator
B
When you call an emergency response hotline regarding hazardous materials, which information is LEAST relevant? A. Injuries and exposures B. How long ago you believe the incident might have begun Your answer is correct. C. Estimate of the quantity of material transported and released D. Nature and location of the problem
B
Which of the following is MOST likely to indicate the presence of released hazardous material? A. Black smoke B. Sudden irritation of the eyes Your answer is correct. C. An unbreathing patient D. Fire
B
Which of the following is needed for effective response to an MCI? A. Public participation B. Requesting and managing necessary resources Your answer is correct. C. Media coverage D. On-scene physicians
B
Which of the following statements regarding a disaster plan is FALSE? A. A disaster plan should be rehearsed. B. A disaster plan should be written to address any conceivable incident. This is the correct answer. C. A disaster plan should be well-publicized. Your answer is not correct. D. A disaster plan should be realistic.
B
Which warning placard is diamond-shaped and divided into four smaller diamonds? A. UN Globally Harmonized System B. NFPA 704 System This is the correct answer. C. DOT hazard label Your answer is not correct. D. Material data safety sheet (MSDS)
B
You are assigned to the triage unit at an MCI, and you are going from patient to patient, assigning triage categories. Which of the following interventions is acceptable in this phase of the process? A. Performing bag-valve mask ventilations B. Opening the airway Your answer is correct. C. Splinting fractures D. Performing spinal immobilization
B
You are directed to establish a rehab area at a hazmat incident. You know that this area must be: A. away from the media and the public. B. easily accessible to EMS units. Your answer is correct. C. at least a quarter of a mile from the hot zone. D. established within the warm zone.
B
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. immediately act to save the patients. B. call out to the patients to see if any can leave the area of the accident. C. approach cautiously. D. take a command position. Your answer is correct.
D
You have been assigned to the transport unit at an MCI. In what area will you wait while awaiting your assigned patient? A. Triage B. Treatment C. Base camp D. Staging
D
Psychological first aid involves: A. ordering any emotionally overwhelmed patients out of the treatment area. B. ordering patients in emotional distress to tend to other patients and work off the stress. C. caring, honest engagement with patients in emotional distress. Your answer is correct. D. telling distressed patients anything that will calm them down.
C
What is the number of patients that generally serves as the lowest possible threshold for a multiple-casualty incident? A. 10 B. 15 C. 3 Your answer is correct. D. 2
C
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 Your answer is correct. D. To assess patients who were not immediately found in the initial response
C
What should responders do with any clothing that is worn in the warm or hot zones of a hazardous incident? A. On returning to station, remove the clothing and launder it in hot water for two cycles. B. Red bag the items, and place them in regular hospital biohazard containers. C. Leave it at the scene. Your answer is correct. D. Change into scrubs on arriving at the hospital and place the clothing in hospital laundry.
C
Which of the following BEST describes the use of secondary triage? A. To categorize patients who are found after all of the other patients have been triaged B. To treat EMS workers who were injured while assisting in the first phase of the rescue operation C. To reevaluate the treatment priorities designated during primary triage Your answer is correct. D. To be used when there are too many casualties to be categorized during the primary triage
C
Which of the following events is LEAST likely to create a multiple-casualty incident? A. An apartment complex fire with confirmed entrapment B. An outdoor stage collapse during a show at a state fair C. A motorcycle collision with a guardrail Your answer is correct. D. A high-speed impact between a minivan and a sedan
C
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 Your answer is correct. D. Hazardous Materials Technician
C
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. An out-of-control wildfire in a wooded area C. Emergency site at a factory Your answer is correct. D. Smoke coming from the driver area of a vehicle involved in a head-on collision
C
Which of the following must be assessed on a hazmat team member before he or she enters the hot zone? A. Height and weight B. Task assignment Your answer is not correct. C. Allergies D. Baseline vitals
D
Which of the following must be identified in hazardous materials shipping papers? A. The specific gravity of the chemical B. The specific health hazards of the material C. The temperature at which the material vaporizes D. The origin of the shipment Your answer is correct.
D
Which of the following statements BEST describes the purpose of triage? A. To treat the youngest, healthiest patients first B. To treat all serious illnesses and injuries as they are discovered C. To find and treat all of one patient's injuries before moving on to the next patient D. To prioritize patients in an MCI
D
Which of the following zones designates where the hazardous materials contamination is actually present? A. Contamination zone B. Cold zone C. Warm zone D. Hot zone Your answer is correct.
D
While other patients are waiting for triage, what is an appropriate treatment measure that can be performed during the ongoing triage process? A. Placing a patient on a backboard B. Applying a cervical collar C. Performing bag-valve mask ventilations D. Controlling severe bleeding
D
Which of the following is represented by the blue area of the NFPA 704 placard? A. Instability hazards B. Flammability hazards C. Special hazards D. Health hazards
D
At a hazardous materials incident, which of the following areas is used for triaging patients, performing necessary treatment, and stabilizing patients before transport? A. Cold zone Your answer is correct. B. Warm zone C. Decon zone D. Hot zone
A
At what point should transport of the injured begin at an MCI? A. After triage has identified "immediate" category patients and transport has been coordinated through the treatment and transport units Your answer is correct. B. After all patients have been triaged C. As soon as the first ambulance arrives D. After all "minor" patients have been directed to a treatment area to relieve congestion at the scene
A
A multiple-casualty incident is: A. any medical or trauma incident involving multiple patients. Your answer is correct. B. any trauma incident involving a patient with multisystem injuries. C. any medical or trauma incident that requires extensive rescue efforts. D. any trauma incident involving five or more critically injured patients.
A
EMS providers who become emotionally incapacitated during an MCI should be: A. treated as patients. Your answer is correct. B. assigned to noncritical patients. C. sent home immediately. D. disciplined for shift abandonment.
A
Field decontamination takes place in the: A. warm zone. Your answer is correct. B. hot zone. C. cold zone. D. safe zone.
A
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. Make a sweep to determine what needs must be met. This is the correct answer. B. Make an initial scene report to the communications center. Your answer is not correct. C. Prevent uncoordinated or undirected activity at the scene. D. Control on-scene communication as help arrives.
A
In which of the following areas at a hazmat incident are normal triage, stabilization, and treatment performed? A. Cold zone Your answer is correct. B. Warm zone C. Temperate zone D. Command post
A
No minimum training hours are required for which level of training? A. First Responder Awareness Your answer is correct. B. Hazardous Materials Technician C. Hazardous Materials Specialist D. First Responder Operations
A
Priority 3 patients are also known as: A. walking wounded. Your answer is correct. B. delayed. C. deceased. D. immediate.
A
The characteristics of a rehab area include all of the following EXCEPT which one? A. Large enough to accommodate a single crew Your answer is correct. B. Located in the cold zone C. Easily accessible to EMS units D. Free from exhaust fumes
A
The plan for a large-scale MCI: A. should be a logical extension of the plan for a small-scale MCI. Your answer is correct. B. must be planned for an incident involving a very specific number of people. C. is unnecessary unless an MCI involves at least 20 patients. D. is completely different from the plan for a small-scale MCI.
A
To command activities at a hazardous materials incident site, the minimum level of training necessary is: A. Hazardous Materials Specialist. Your answer is correct. B. First Responder Operations. C. First Responder Awareness. D. Hazardous Materials Technician.
A
Which of the following BEST describes the required contents of shipping papers associated with hazardous materials? A. Name of the substance, quantity, origin, and destination Your answer is correct. B. The levels of toxicity, flammability, and reactivity C. Route of exposure, signs and symptoms, classification, and chemical structure D. Health hazards, flammability hazards, explosion hazards, and special hazards
A
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. This is the correct answer. B. Ambulatory patients may be sent to a hospital on a bus without EMS personnel. C. High-priority patients should all be transported to the same hospital. D. Each ambulance should radio the receiving hospital with a detailed patient report. Your answer is not correct.
A
If an EMS unit is the first to respond to a multiple-casualty incident, which role does the most senior EMT assume? A. Scene leader Your answer is not correct. B. Ground chief C. Incident commander This is the correct answer. D. Section coordinator
C
It is characteristic of a disaster plan to be all of the following EXCEPT which one? A. Predefined B. Efficient C. Impractical Your answer is correct. D. Specific
C
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. No interventions are performed during primary triage. C. You should open a patient's airway and control severe bleeding. This is the correct answer. D. It is inappropriate for EMTs to assign "walking wounded" patients to assist more seriously injured patients.
C
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. Talk to the EMT with calm empathy until he feels better enough to return to duty. C. Direct the EMT to treat only Priority 3 patients. D. Treat the EMT as a patient and remove him to a place of rest.
D
A decontamination corridor would be established in the: A. hot zone. B. cold zone. C. dead zone. D. warm zone.
D
A hazardous material incident would be LEAST likely to take place: A. on the highway. B. along a railroad. C. in a factory D. at a school.
D
Emotionally incapacitated EMTs: A. must observe on scene without providing treatment. B. may rest until they are ready to return to duty. C. must leave the area, clock out, and go home. Your answer is not correct. D. may not return to duty even after they have rested.
D
Flammable solids, substances that are dangerous when wet, and spontaneously combustible materials are: A. Class 3 materials. Your answer is not correct. B. Class 1 materials. C. Class 2 materials. D. Class 4 materials.
D
In which type of incident would unified command be MOST appropriate? A. An incident that involves only EMS B. An incident that involves only fire/rescue C. More than three patients at a scene D. Involvement of different branches of public safety
D
Organization for a smaller MCI would involve: A. treatment and transportation supervisors. B. site operations. C. aides to the triage supervisor. D. command and a triage supervisor.
D
Which of the following is a 24-hour resource operated by the American Chemistry Council? A. MSDS B. CHEMTRANS C. HAZTECH D. CHEMTREC
D
