Chapter 11 Test

An EMT is responding to a call involving a truck that collided with the side of a building. The driver is unconscious. There is some spilled fuel but no fire. Bystanders are approaching the scene from all directions. The truck is carrying canisters of material the EMT cannot​ identify, some of which has spilled out. When should the EMT evaluate the need for Standard​ Precautions? A. An evaluation should be made throughout the call. B. No evaluation is ever needed because the precautions are the same for every call. C. An evaluation should be made once a general impression of the patient has been formed. D. An evaluation should be made before arrival​ on-scene.

A. An evaluation should be made throughout the call.

At the scene of a vehicle collision in which there are no apparent​ hazards, which of the following guidelines should be followed for establishing a danger​ zone? A. The danger zone should be 50 feet in all directions. B. There is no need to establish a danger zone when there are no apparent hazards. C. The danger zone should be 15 feet in all directions. D. The danger zone should be 150 feet in all directions

A. The danger zone should be 50 feet in all directions.

Which of the following will deliver a​ medium-velocity impact? A. Ice pick B. Bullet from a handgun C. Bullet from an assault rifle D. Butcher knife

B. Bullet from a handgun

Which of the following is NOT a consideration that should be used by the EMT in establishing the size of the danger​ zone? A. Presence of hazardous materials B. Wind direction C. Amount of equipment needed D. Fire

C. Amount of equipment needed

You are on the scene of an explosion at a suspected methamphetamine manufacturing operation. You and your partner are the first to arrive and note two​ middle-aged men and a woman on the front lawn with burns and cuts on their faces and arms. The fire department and the police are en route. What should indicate potential for​ violence? A. The explosion B. The burns and cuts C. The scene being a suspected meth production operation D. The police being en route

C. The scene being a suspected meth production operation

As you are assessing a​ 32-year-old asthmatic woman who has called EMS due to difficulty​ breathing, her husband enters the home through a back door and​ shouts, "Get your hands off​ her! She​ doesn't need your help. She needs to be taught a lesson about her smart​ mouth." Which of the following is the best course of​ action? A. Let the husband know that his behavior is​ inappropriate, and if it continues you will call for the police. B. Continue assessment and respond that the patient is sick and needs medical attention. C. Attempt to remove the patient from the home and continue treatment en route to the hospital. D. Request police backup immediately and consider leaving the scene.

D. Request police backup immediately and consider leaving the scene.

Which of the following situations should MOST indicate a hazard to the EMT during scene​ size-up? A. A bystander who is smoking a cigarette at the scene of an assault at a local park. B. A news media helicopter arrives and hovers overhead at the scene of a vehicle collision. C. A vehicle collision where bystanders are recording video on their phones. D. The sound of a barking and growling dog upon approaching the door to a residence.

D. The sound of a barking and growling dog upon approaching the door to a residence.

An index of suspicion​ is: A. an awareness that there may be injuries. B. recognition of potential threats based on previous experiences. C. the need to constantly monitor a scene for new dangers. D. reason to believe a crime has been committed.

A. an awareness that there may be injuries.

Which of the following is true concerning the potential for violence at the scene of an EMS​ call? A. The chance for violence is very low at emergency scenes. B. An unusual lack of activity at the scene may signal impending violence against the EMT. C. You do not need to worry about violence at an emergency scene once the police have secured it. D. Signs of impending violence are obvious if you know what to look for.

B. An unusual lack of activity at the scene may signal impending violence against the EMT.

Which of the following situations is LEAST likely to require additional resources at the​ scene? A. A​ 300-pound woman complaining of back pain B. A call to a manufacturing plant where a worker has his hand caught in a machine C. A patient with emphysema who is on oxygen therapy at home D. A call for a sick person at home during which an odor of natural gas is detected

C. A patient with emphysema who is on oxygen therapy at home

You are dispatched to a local bar for the report of an unresponsive female patient found in the bathroom. As you approach the​ scene, you notice a large crowd outside the front door holding beer bottles. The group has pulled the patient outside. As you approach the​ scene, people from the group start​ yelling, "Do​ something! She's not​ breathing." What concerns you the most about this​ scene? A. The possibility that the patient may be intoxicated B. The fact that the patient has been moved from where she was found C. The large crowd that has been drinking and is now yelling at you D. The crowd stating the patient is not breathing

C. The large crowd that has been drinking and is now yelling at you

You determine that a patient involved in a vehicular collision has sustained only​ blunt-force trauma. Which of the following BEST describes​ blunt-force trauma? A. The object penetrates soft​ tissue, but it cannot penetrate bone. B. A rounded object impacts the body tissues. C. The object is not​ sharp, but it penetrates the body when enough force is used. D. An object strikes the​ body, but it does not penetrate the body tissues.

D. An object strikes the​ body, but it does not penetrate the body tissues.

At which of the following points should you begin your scene​ size-up? A. After exiting the​ ambulance, but before making patient contact B. When you arrive on the​ scene, but before exiting the ambulance C. When the patient or family member opens the door to the residence D. As you approach the scene in the ambulance

D. As you approach the scene in the ambulance

At what point is the scene​ size-up complete? A. When crashed vehicles have been stabilized B. When the number of patients has been determined C. Upon stabilization of the​ c-spine D. At the end of the call

D. At the end of the call

What law of physics explains why a​ patient's liver can be injured from the impact of his car with a​ tree? A. Second law of motion B. Law of inertia C. Law of kinetic energy D. ​Newton's law of universal gravitation

B. Law of inertia

A patient you are treating after a car wreck has been lacerated in multiple places by broken glass and debris. Injuries such as these lacerations are known as which of the​ following? A. Cavitating trauma B. Penetrating trauma C. Internal injuries D. ​Blunt-force trauma

B. Penetrating trauma

You have just arrived on the scene of a motor vehicle collision in which a compact car was struck from behind by a delivery truck. The driver of the delivery truck is standing outside his vehicle talking to police when you​ arrive, but the driver of the car is still seated in the​ driver's seat. You have noted moderate damage to the rear of the car. For which of the following injuries should you have the highest level of​ suspicion? A. Chest injury B. Neck injury C. Fractures of the lower extremities D. Abdominal injuries

B. Neck injury

Your patient fell out of a tree while putting the roof on a tree house. A​ 15-foot ladder is required to enter the tree house and there is enough room for an adult to stand up inside. Your patient should be transported​ to: A. a trauma center. B. the closest hospital. C. an urgent care center. D. a neurosurgery center.

A. a trauma center.

In which of the following situations should the EMT consult the Emergency Response Guidebook​? A. Downed power lines at the scene of a vehicle collision B. Chlorine gas leak at a public swimming pool C. Patient with a suspected infectious disease D. Domestic disturbance with the potential for violence

B. Chlorine gas leak at a public swimming pool

As you approach the scene of a motorcycle​ accident, you see an EMR trying to stop the bleeding on the​ patient's left arm. You notice that the EMR has blood covering the front of his shirt and running down his arms. Other than simple​ protocol, what factor MOST indicates the need for Standard​ Precautions? A. It is unclear whether the EMR has already taken Standard Precautions. B. The patient is bleeding and the EMR is covered in blood. C. You​ haven't established a danger zone around the patient. D. The accident involved a motorcycle.

B. The patient is bleeding and the EMR is covered in blood.

You and your partner are en route to a motor vehicle crash involving a tanker truck on a rural road. Dispatch informs you that fluid is leaking from the​ truck, that there are several bystanders passed out on the ground near the cab of the​ truck, and that a caller has reported the code that appears on a placard attached to the tanker truck. You​ should: A. park about 50 feet from the truck. B. consult the Emergency Response Guidebook. C. park downwind from the tanker truck. D. remove the bystanders from the scene.

B. consult the Emergency Response Guidebook.

When assessing along the path of the​ energy, where should the EMT assess for injury first when caring for a patient who had a​ two-story fall and landed square on his​ feet? A. Upper and lower extremities B. ​Feet, ankles, and legs C. Head and neck D. Upper and lower back

B. ​Feet, ankles, and legs

You respond to the scene of a vehicle collision. You see no smoke or​ fumes, but you do see what appears to be liquid beneath the vehicles that have​ collided, which are in the center of the road with skid marks that seem relatively even. What should you MOST suspect as potential​ hazards? A. No apparent hazards B. Downed power lines or damaged utility poles C. Spilled fuel​ and/or hazardous materials D. Vehicle on fire or hazardous materials threatened by fire

C. Spilled fuel​ and/or hazardous materials

When determining possible injuries suffered from a gunshot​ wound, which of the following is​ true? A. The EMT must determine the caliber of ammunition involved. B. The EMT must ask the patient or bystanders exactly where the shooter was standing. C. The EMT must be aware that bullets cause damage in more than one way. D. Bullets pass in a straight line through the body from the point of entry to the exit wound.

C. The EMT must be aware that bullets cause damage in more than one way.

Your​ patient, a​ 29-year-old female, was the front seat passenger in a vehicle that was struck in the​ passenger's side door by another vehicle that ran a red light. Which of the following is MOST likely to have​ occurred? A. The patient impacted the steering wheel with her​ chest, causing a fracture of the sternum. B. The patient took the​ "up and​ over" pathway, striking her head on the windshield. C. The​ patient's body was pushed forcefully out from under her​ head, causing injury to the cervical spine. D. The patient took the​ "down and​ under" pathway, causing trauma to her lower extremities.

C. The​ patient's body was pushed forcefully out from under her​ head, causing injury to the cervical spine.

As you arrive at the scene of a house​ fire, you see a police officer and a distraught man in the​ yard, both of whom signal for your attention. You​ should: A. call out to the officer to approach you. B. approach the distraught man. C. size up the scene before acting. D. approach the police officer.

C. size up the scene before acting.

When considering the potential for injury from a​ fall, which of the following is LEAST​ important? A. Height of the fall B. Type of surface onto which the patient fell C. ​Patient's weight D. Whether the patient struck anything with his body on the way down

C. ​Patient's weight

You are responding to the scene of a rollover collision. You should have a keen awareness that there may be injuries based on your scene​ size-up. This is known as which of the​ following? A. Mechanism of injury B. Nature of illness C. Law of inertia D. Index of suspicion

D. Index of suspicion

You are on the scene of a tanker truck versus passenger vehicle collision on a rural highway. The vehicles are just beyond a curve in the roadway and there is a distinct odor of diesel fuel. It is dark and there is little traffic. Which of the following should be used to alert oncoming traffic to the​ situation? A. Flashing lights on the ambulance B. Yellow crime scene tape C. Flares D. Reflective triangles

D. Reflective triangles

Which of the following is TRUE concerning scene​ size-up? A. Determining the number of patients is not important on a medical call. B. Information from bystanders is not important on trauma calls. C. Scene​ size-up does not play a role in determining the nature of the illness. D. The need for additional resources must be determined on both medical and trauma calls.

D. The need for additional resources must be determined on both medical and trauma calls.

A patient who has sustained a fall is unconscious and lying face upward. He fell at a construction​ site, and you cannot determine the distance of the fall or how the patient landed on impact with the ground. You​ should: A. assess the mechanism of injury as a fall flat on the back. B. assess the mechanism of injury as a fall on the head. C. assess the mechanism of injury as a fall squarely on the feet. D. prioritize the patient for rapid packaging and immediate transport.

D. prioritize the patient for rapid packaging and immediate transport.

You are a block away from arriving on the scene of an emergency. What should be LEAST important to you at this time​ is: A. a glimpse of smoke that appears to be above the emergency scene. B. a lack of opposing traffic flow. C. the sound of other emergency vehicles approaching the scene. D. the condition of the buildings you pass.

D. the condition of the buildings you pass.

You and your partner respond to a residence for a fall. You arrive to find a group of approximately 30 adults surrounding a​ middle-aged man who appears to be unconscious. A police car pulls in behind you. You​ should: A. have the police officer drag the victim over to the ambulance. B. enter the scene ahead of the police officer to provide care. C. leave the area and stage until the scene is cleared of people. D. wait for the police officer to assess the safety of the scene.

D. wait for the police officer to assess the safety of the scene.