Question 1

The JumpSTART triage system is intended to be used for children younger than _____ years or who appear to weigh less than _____. Select one: A. 8; 100 lb B. 5; 50 lb C. 6; 70 lb D. 7; 90 lb

Accepted Answer

A. 8; 100 lb

Question 2

In preparing for a disaster, EMS systems should have enough supplies for at least a ______ period of self-sufficiency. Select one: A. 96-hour B. 48-hour C. 72-hour D. 24-hour

Accepted Answer

C. 72-hour

Question 3

The FIRST step in the START triage system is to: Select one: A. focus on the patients who are unconscious B. get a quick head count of all the patients involved C. scan the area for patients with severe bleeding D. move all walking patients to a designated area

Accepted Answer

D. move all walking patients to a designated area

Question 4

You are triaging four patients who were involved in a head-on motor vehicle crash. Which of the following patients should be assigned the highest (red) triage category? Select one: A. A 29-year-old male with bilaterally closed femur deformities B. A 50-year-old male with an open head injury and no pulse C. A 49-year-old female with diabetes and difficulty breathing D. A 36-year-old female with back pain and numb extremities

Accepted Answer

C. A 49-year-old female with diabetes and difficulty breathing

Question 5

The function of the National Incident Management System (NIMS) is to: Select one: A. prepare for the potential of a nuclear attack against the United States B. prepare for, prevent, respond to, and recover from domestic incidents C. facilitate a standard method of incident command for natural disasters D. educate city and county governments regarding foreign terrorist attacks

Accepted Answer

B. prepare for, prevent, respond to, and recover from domestic incidents

Question 6

The term used when individual units or different organizations make independent, and often inefficient, decisions regarding an incident is called: Select one: A. logistical chaos B. undermining C. single command D. freelancing

Accepted Answer

D. freelancing

Question 7

Upon arriving at the scene of a possible hazardous materials (HazMat) incident involving several patients, you should: Select one: A. carefully assess the situation B. rope off the entire perimeter C. divert traffic away from the scene D. retrieve all critical patients

Accepted Answer

A. carefully assess the situation

Question 8

As a triage supervisor, you: Select one: A. should communicate with area hospitals regarding their capabilities B. are responsible for providing initial treatment to all patients C. must not begin treatment until all patients have been triaged D. must prepare patients for transport before they leave the triage area

Accepted Answer

C. must not begin treatment until all patients have been triaged

Question 9

While triaging patients at the scene of a building collapse, you encounter a young child who is conscious, alert, and breathing; has bilateral radial pulses; and has a severely angulated leg, which is not bleeding. According to the JumpSTART triage system, you should: Select one: A. apply high-flow oxygen, obtain baseline vital signs, and continue triaging B. evacuate him to a designated area and assign him a minimal (green) category C. quickly bind his legs together to stabilize the fracture, and continue triaging D. assign him a delayed (yellow) category and continue triaging the other patients

Accepted Answer

D. assign him a delayed (yellow) category and continue triaging the other patients

Question 10

According to the START triage system, what should you do if a patient is found to have a respiratory rate of 24 breaths/min? Select one: A. Assess for bilateral radial pulses B. Administer high-flow oxygen C. Assess his or her neurologic status D. Triage the patient as delayed

Accepted Answer

A. assess for bilateral radial pulses

Question 11

What is the purpose of the incident command system (ICS)? Select one: B. Ensuring responder and public safety B. Achieving incident management goals C. Ensuring the efficient use of resources D. All of the above.

Accepted Answer

D. all of the above

Question 12

Upon arriving at a scene in which the incident command system has been activated, you should expect to: Select one: A. be passed from sector to sector, as needed, in between assignments. B. report directly to the incident commander in between assignments. C. be assigned a specific responsibility for the duration of the incident. D. be given general directions and allowed to function independently.

Accepted Answer

A. be passed from sector to sector, as needed, in between assignments.

Question 13

When EMS responds to a disaster, as part of their response within the ICS, EMS would start with a scene size-up. What is the next step for the first-responding units? Select one: A. Communicating with additional units B. Establishing command C. Caring for any injuries D. Stabilizing the incident

Accepted Answer

B. establishing command

Question 14

Which of the following statements BEST describes a mass-casualty incident? Select one: A. At least half of the patients are dead. B. Either a bus or an airplane has crashed. C. You have more than two critical patients. D. The patient count exhausts your resources.

Accepted Answer

D. The patient count exhausts your resources.

Question 15

Which of the following patients would have the HIGHEST treatment priority at the scene of a mass-casualty incident? Select one: A. 24-year-old man who is unconscious, has snoring respirations, and severe burns B. 32-year-old woman who is pulseless and apneic with an abdominal evisceration C. 29-year-old woman who is in full cardiac arrest with massive open chest trauma D. 32-year-old man with an open head injury, exposed brain matter, and no carotid pulse

Accepted Answer

A. 24-year-old man who is unconscious, has snoring respirations, and severe burns

Question 16

How does a disaster differ from a mass-casualty incident? Select one: A. Disasters may not involve personal injuries. B. In a disaster, EMS may be on the scene for days or weeks. C. Only an elected official can declare a disaster. D. All of the above.

Accepted Answer

D. All of the above

Question 17

A large tanker truck has overturned on a highway. When you arrive, you see a clear liquid leaking from the rear of the tanker. The driver, who appears to be unconscious, is still in the vehicle and is bleeding heavily from the face. You should: Select one: A. immediately notify law enforcement for traffic control. B. fully assess the situation and request the appropriate assistance. C. put on gloves, a gown, and a mask and quickly remove the driver. D. go to the rear of the tanker and determine what type of fluid is leaking.

Accepted Answer

B. fully assess the situation and request appropriate assistance.

Question 18

Which of the following situations MOST likely involves a hazardous material? Select one: A. Milk truck that overturned and is leaking fluid B. Tractor-trailer rig that is emitting a visible cloud C. Moving van that collided head-on with a small car D. Pickup truck from the gas company that struck a tree

Accepted Answer

B. Tractor-trailer rig that is emitting a visible cloud

Question 19

When dealing with a hazardous materials incident, where should you set up your decontamination area? Select one: A. Inside the hazard zone B. Inside the treatment area C. Between the hazard zone and treatment area D. Between the treatment and transportation zone

Accepted Answer

C. Between the hazard zone and treatment area

Question 20

Which toxicity level would you assign a hazardous material spill that could cause a person temporary damage or residual injury unless prompt medical treatment is given? Select one: A. level 1 B. level 2 C. level 3 D. level 4

Accepted Answer

B. level 2

Question 21

Which of the following statements regarding transport of patients from a multiple-casualty incident or disaster site is correct? A. Delayed-priority patients should be transported five at a time. B. Immediate-priority patients should be transported two at a time. C. Walking wounded patients should be taken to the closest hospitals. D. Patients who are in cardiac arrest should clearly be transported first.

Accepted Answer

B. Immediate-priority patients should be transported two at a time.

Question 22

As the first-arriving senior EMT at the scene of an incident, you should perform a scene size-up and then: A. establish command. B. begin the triage process. C. call for additional resources. D. quickly identify the walking wounded.

Accepted Answer

A. establish command.

Question 23

Which of the following is NOT a common role of the EMT at the scene of a HazMat incident? A. Rehabilitation B. Decontamination C. Transportation D. Triage and treatment

Accepted Answer

B. Decontamination

Question 24

The process of removing or neutralizing and properly disposing of a hazardous material is called: A. neutralization. B. decontamination. C. antidotal treatment. D. chemical containment.

Accepted Answer

B. decontamination.

Question 25

During a motor vehicle collision involving multiple patients, the incident commander would MOST likely: A. delegate all of the command functions to the appropriate personnel. B. maintain responsibility for all of the command functions. C. designate a safety officer, but retain other command functions. D. relinquish command when a senior EMS provider arrives at the scene.

Accepted Answer

C. designate a safety officer, but retain other command functions.

Question 26

Interoperability, an important feature of the NIMS, refers to the ability of: A. EMS systems and fire departments in the same jurisdiction to effectively work as a team. B. agencies of different types or from different jurisdictions to communicate with each other. C. the federal government to intervene during any large- or small-scale incident involving terrorism. D. county and state law enforcement agencies to acquire information and pass it along to EMS personnel.

Accepted Answer

B. agencies of different types or from different jurisdictions to communicate with each other.

Question 27

A 49-year-old man has been removed from his overturned tanker, which was carrying a hazardous material. The tank ruptured and he was exposed to the material. When rescue personnel bring him to the decontamination area, they note that he is unconscious and has slow, shallow breathing. They should: A. decontaminate the patient as they would any other patient and then move him to the area where EMTs are waiting. B. defer the decontamination procedure and bring the patient directly to awaiting EMS personnel for immediate treatment. C. request that EMS personnel don standard precautions, enter the warm zone, and begin immediate treatment of the patient. D. cut away all of the patient's clothing and do a rapid rinse to remove as much of the contaminating matter as they can.

Accepted Answer

D. cut away all of the patient's clothing and do a rapid rinse to remove as much of the contaminating matter as they can.

Question 28

According to the JumpSTART triage system, infants or children not developed enough to walk or follow commands, including children with special needs: A. are treated immediately in the primary triage area and then transported. B. are the first to be transported, regardless of the severity of their injuries. C. are initially triaged on the basis of whether or not they have distal pulses. D. should be taken to the treatment area for immediate secondary triage.

Accepted Answer

D. should be taken to the treatment area for immediate secondary triage.

Question 29

The reference used as a base for your initial actions at a HazMat incident is: A. The bill of lading B. Your local EMS protocols C. The material safety data sheet (MSDS) D. The emergency response guidebook

Accepted Answer

D. The emergency response guidebook

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Chapter 40 - Incident Management Flashcards

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