Chapter 15: Hazardous Materials

Descrição

Paramedic Care Principles and Practice; 6th Edition.
Jake Anderson
Quiz por Jake Anderson, atualizado 11 meses atrás
Jake Anderson
Criado por Jake Anderson 11 meses atrás
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Resumo de Recurso

Questão 1

Questão
Toxic substances being metabolized through the liver is a process​ called:
Responda
  • biotransformation
  • isolation
  • distribution
  • synergism

Questão 2

Questão
Signs and symptoms that a patient exhibits shortly after an exposure to a hazardous material are best described​ as:
Responda
  • the chronic effects of​ long-term exposure from hazardous chemicals.
  • the delayed effects of a hazardous material.
  • the potential effects of a toxin.
  • the acute effects of a hazardous material.

Questão 3

Questão
An information sheet that is required by law to be kept on the premises of a fixed facility that contains detailed information about specific hazardous substances being kept on site is​ called:
Responda
  • shipping papers.
  • a National Fire Protection Association​ (NFPA) 704 placarding system.
  • a safety data sheet​ (SDS).
  • a bill of lading.

Questão 4

Questão
When a person or equipment comes in direct contact with a hazardous​ substance, this is known​ as:
Responda
  • primary contamination.
  • ​cross-contamination.
  • direct exposure.
  • secondary contamination.

Questão 5

Questão
How many levels of hazmat training are available for emergency medical services​ (EMS) providers?
Responda
  • Five
  • Four
  • Three
  • Two

Questão 6

Questão
The paramedic who has completed the​ "technician level" of hazmat training for emergency medical services​ (EMS) providers has completed education on all of these topics​ EXCEPT:
Responda
  • how to serve as the incident commander​ (IC) on a hazmat scene.
  • decontamination procedures.
  • focus on personal protection.
  • perform care in the​ "warm zone."

Questão 7

Questão
The technician level of training in hazardous materials is equivalent​ to:
Responda
  • Emergency medical services​ (EMS) Level 3.
  • Emergency medical services​ (EMS) Level 1.
  • Emergency medical services​ (EMS) Level 2.
  • a hazardous materials operational level training.

Questão 8

Questão
You are a paramedic who maintains an EMS Level 1 in hazardous materials. The incident commander​ (IC) assigns you to immediately initiate lifesaving care for a patient who is in the warm zone who is being prepared for decontamination. You​ should:
Responda
  • have the IC repeat the​ order, and only then comply.
  • dress in the appropriate protective equipment and report to the leader of the warm zone.
  • refuse to follow the​ order, and report the infraction to your immediate supervisor.
  • advise the IC that you do not meet the training qualifications.

Questão 9

Questão
You and your partner have been dispatched by law enforcement to a report of several residents who have been exposed to the hazardous substances inside a confirmed meth lab. You​ should:
Responda
  • work with the fire department to set up a gross decontamination station.
  • transport contaminated patients to the nearest emergency department.
  • immediately don protective equipment before making patient contact.
  • begin immediate triage and treatment of affected victims.

Questão 10

Questão
At a hazmat​ incident, paramedics​ may:
Responda
  • perform both defensive and offensive hazmat functions.
  • activate the Incident Command System​ (ICS).
  • contain the hazardous materials.
  • control the spread of hazardous materials.

Questão 11

Questão
The single most important step for a paramedic to remember when functioning at any hazardous materials scene is​ to:
Responda
  • identify the hazardous substance.
  • remove critical victims from the hot zone.
  • function in the warm zone.
  • maintain a safe distance uphill and upwind of the scene until safe.

Questão 12

Questão
You have arrived on the scene of an MVA involving an automobile and a tractor trailer carrying a hazardous substance that appears to be leaking from a valve. You are staging at a safe distance uphill and upwind of the incident. You​ should:
Responda
  • order victims using the PA system on your ambulance to walk toward you if able.
  • attempt to identify the hazardous substance using binoculars.
  • make a decision to approach the scene carefully to rescue any critical victims.
  • Begin triaging victims and creating an evacuation plan.

Questão 13

Questão
You are responding to a report of numerous people sick with nausea and dyspnea. As you approach the​ facility, you observe the National Fire Protection Association​ (NFPA) 704 placard located on the exterior of the building that identifies the blue left segment of the placard with the number 3. You should​ suspect:
Responda
  • that any contact with the product within the facility will be lethal.
  • that exposure to a product within the facility may cause serious or permanent injury.
  • that there is no hazard beyond normal combustion.
  • that if the product is​ inhaled, there should not be any significant problems.

Questão 14

Questão
Structures of all types can contain hazardous substances. A visual recognition aid used to identify hazardous materials within a fixed facility​ is:
Responda
  • the bill of lading.
  • ​Computer-Aided Management of Emergency Operations​ (CAMEO).
  • U.S.Department of Transportation​ (DOT) Emergency Response Guidebook​ (ERG) and material safety data sheet​ (MSDS) papers.
  • the National Fire Protection Association​ (NFPA) 704 System.

Questão 15

Questão
Which National Fire Protection Association​ (NFPA) standard deals with the training standards for emergency medical services​ (EMS) personnel assigned to hazmat​ incidents?
Responda
  • NFPA 473
  • NFPA 472
  • NFPA 1006
  • NFPA 1561

Questão 16

Questão
What is the designated area at a hazardous materials incident where only the highest trained and equipped hazardous materials personnel are allowed to​ function?
Responda
  • Support zone
  • Spill control zone
  • Hot zone
  • Cold zone

Questão 17

Questão
In a hazardous materials​ incident, normal patient triage takes place in which​ zone?
Responda
  • Warm
  • Contamination reduction
  • Exclusionary
  • Cold

Questão 18

Questão
The hot​ zone, also referred to as the exclusionary​ zone, is best described​ as:
Responda
  • the area of contamination where only responders equipped with appropriate personal protective equipment​ (PPE) can enter to perform rescue operations.
  • the area that lies immediately adjacent to the hot zone where decontamination occurs.
  • the area where rescuers must dispose of contaminated gear before entering the warm zone.
  • the site where lifesaving emergency care is performed.

Questão 19

Questão
Which statement regarding the cold zone is most​ correct?
Responda
  • Once​ decontaminated, responders should remove their personal protective clothing in the cold zone.
  • Patient decontamination is conducted in the cold zone.
  • The cold zone should be free of any contamination.
  • Lifesaving care should be withheld until the patient reaches the cold zone.

Questão 20

Questão
The term boiling point refers​ to:
Responda
  • lowest temperature at which a liquid will give off enough vapors to support combustion it is slightly higher than flash point.
  • the temperature range in which a vapor concentration air will ignite and combust.
  • the lowest temperature at which a liquid will give off enough vapors to ignite.
  • the temperature at which a liquid becomes a gas.

Questão 21

Questão
What type of radiation is most damaging to human​ tissue?
Responda
  • Gamma radiation
  • Delta radiation
  • Beta radiation
  • Alpha radiation

Questão 22

Questão
While taking a paramedic refresher​ class, a local hazmat expert is discussing terms commonly used medical hazmat operations. To this​ end, what does ignition temperature refer​ to?
Responda
  • The lowest temperature at which a liquid will give off enough vapors to ignite.
  • Lowest temperature at which a liquid will give off enough vapors to support combustion.
  • The temperature at which a liquid becomes a gas.
  • The temperature range in which a vapor concentration air will ignite and combust.

Questão 23

Questão
What type of​ radiation, should an accident​ occur, does not require any decontamination of those​ exposed?
Responda
  • Gamma radiation
  • Beta radiation
  • Delta radiation
  • Alpha radiation

Questão 24

Questão
Which answer best explains the role of emergency medical services​ (EMS providers in preventing secondary contamination at a hazardous materials​ incident?
Responda
  • Rescuing patients from the hot zone
  • Taking initial actions to contain and isolate the hazardous material and patients
  • Creating a definitive plan of action for controlling the release of the hazard
  • Decontaminating patients

Questão 25

Questão
At the point of primary​ contamination, the​ contamination:
Responda
  • has traveled beyond the hot zone.
  • is in the cold zone.
  • is limited.
  • has spread to others.

Questão 26

Questão
What is a local effect of a chemical​ agent?
Responda
  • An effect occurring throughout the body
  • An effect involving multiple body systems
  • An effect involving the area around the immediate site of exposure
  • An effect that cannot be evaluated by standard criteria

Questão 27

Questão
Once substances enter the bronchial​ tree, they can be absorbed​ quickly, especially​ in:
Responda
  • ​oxygen-deficient atmospheres.
  • a confined space.
  • an open space.
  • ​oxygen-rich atmospheres.

Questão 28

Questão
In any situation involving chemical​ exposure, what should you do after ensuring your own​ safety?
Responda
  • Start all patients on oxygen.
  • Review the decontamination process.
  • See that all patients receive the necessary supportive measures.
  • Find a second source to agree on medication delivery.

Questão 29

Questão
A patient has been exposed to a pesticide through accidental ingestion. The primary treatment for this patient should​ be:
Responda
  • absorption
  • inducement of vomiting.
  • atropinization
  • dilution

Questão 30

Questão
A patient has ingested a​ corrosive, can​ swallow, and is not drooling. How should you treat this​ patient?
Responda
  • Administer sodium bicarbonate via intravenous​ (IV) push.
  • Administer furosemide.
  • Direct the patient to drink water.
  • Induce vomiting.

Questão 31

Questão
A patient with which type of primary exposure typically does not require​ decontamination?
Responda
  • CO exposure
  • Corrosive exposure
  • Organophosphate exposure
  • Hydrocarbon solvent exposure

Questão 32

Questão
What level of hazardous materials personal protective equipment provides chemically resistant splash​ protection, but not full​ encapsulation, and includes​ self-contained breathing apparatus​ (SCBA)?
Responda
  • Level B
  • Level C
  • Level D
  • Level A

Questão 33

Questão
Which protective ensemble offers the highest level of respiratory and splash protection against unknown​ substances?
Responda
  • Level D
  • Level A
  • Level C
  • Level B

Questão 34

Questão
In considering which type of personal protective equipment to use at a hazmat​ incident, you should base your decision​ on:
Responda
  • the chemical or substance involved.
  • the outside environmental conditions.
  • the cost of the ensemble.
  • the ease of donning and doffing the protective gear.

Questão 35

Questão
What is the universal decon​ method?
Responda
  • Vegetable oil
  • Water
  • Dry brush
  • Isopropyl alcohol

Questão 36

Questão
As a paramedic functioning on the scene of a hazardous materials incident at a fixed​ facility, you may be asked​ to:
Responda
  • perform preentry and postentry physical exams of the hazmat entry team.
  • conducting decontamination on the entry team personnel coming out of the hot zone.
  • assist the entry team in identifying the product.
  • research the properties of the hazardous substances.

Questão 37

Questão
As the hazmat entry team completes the decontamination​ process, they doff their personal protective equipment and move to the cold zone for you to conduct their postentry evaluation. Because the hazmat incident is occurring on a hot and humid July​ day, your greatest concern for the team members​ is:
Responda
  • abnormal heart rate.
  • respiratory distress.
  • nausea and vomiting.
  • environmental heat stress.

Questão 38

Questão
For prehydration of entry team​ personnel, sports​ drinks:
Responda
  • should be diluted with 50 percent water.
  • are inappropriate.
  • should be alternated with 8 to 16 ounces of water.
  • are most effective at full strength.

Questão 39

Questão
As the hazardous materials team prepares to make entry into the hot zone to mitigate an active​ leak, the process of the preentry physical should include documenting all of these bits of information​ except:
Responda
  • body temperature and weight.
  • ​pulse, blood​ pressure, and respirations.
  • current and past medical history.
  • Electrocardiogram​ (ECG) and​ mental/neurological status.

Questão 40

Questão
At which hazmat level should a paramedic be trained to before being able to function in the warm zone of a hazardous materials​ incident?
Responda
  • Hazmat operations level
  • Awareness level
  • Emergency medical services​ (EMS) Level 1
  • Emergency medical services​ (EMS) Level 2

Questão 41

Questão
At a hazmat incident involving a chemical​ spill, paramedics are least likely​ to:
Responda
  • evaluate decontamination methods.
  • treat and transport exposed patients.
  • neutralize and clean up the spilled chemicals.
  • perform medical monitoring of hazmat teams.

Questão 42

Questão
You are responding to a scene involving an overturned railway​ tanker, and you want to identify the material the tanker was transporting. Which is a disadvantage of relying on shipping papers for information about a hazardous​ material?
Responda
  • They do not carry the UN identification number of the substance.
  • They are not required to list the hazard class of the material.
  • Because they are kept onboard the​ vehicle, they may be inaccessible in the event of a spill.
  • They do not give information about the amount of the substance involved.

Questão 43

Questão
You are responding to a fire at a chemical factory involving an unknown substance. Your partner opens the copy of the Emergency Response Guidebook you have in the ambulance. In the Emergency Response​ Guidebook, what information is provided within this reference​ book?
Responda
  • A list of hazardous materials substance​ names, placard​ identification, and evacuation distances for most substances
  • Guidelines for cleaning up specific hazardous substances
  • Chemical compounds along with the periodical table
  • Treatment protocols for chemical exposure

Questão 44

Questão
Which statement regarding operations within the hot zone is most​ inaccurate?
Responda
  • Only personnel with appropriate personal protective equipment​ (PPE) will be allowed in the hot zone.
  • Only highly trained responders can operate within the hot zone.
  • The physical size of the hot zone is based on the magnitude of the contamination.
  • Patients in the hot zone found with compromised airways should be addressed before being moved to the warm zone.

Questão 45

Questão
During the postentry​ physical, you discover that an entry team member has an altered level of​ consciousness, hypotension, and tachycardia. You​ should:
Responda
  • check the team​ member's body weight before allowing reentry into the hot zone.
  • reevaluate the team​ member's vital signs in 15 minutes for improvement.
  • restrict the team member from being allowed to reenter the hot zone.
  • immediately assist the team member with drinking water or an energy drink.

Questão 46

Questão
The single most important step for a paramedic to remember when functioning at any hazardous materials in which a hazardous material spill is causing vapors to be released into the air is​ to:
Responda
  • remove critical victims from the hot zone.
  • function in the warm zone.
  • maintain a safe distance uphill and upwind of the scene until safe.
  • identify the hazardous substance.

Questão 47

Questão
While you are responding to a motor vehicle accident involving a tanker​ truck, the dispatcher notifies you that passing motorists are reporting that there are numerous bystanders experiencing acute respiratory distress. With this​ information, you​ should:
Responda
  • attempt to rescue the patients who are salvageable.
  • attempt to establish how many victims are affected and request additional resources.
  • stage at a safe distance​ off-site, uphill and upwind of the​ incident, and attempt to view the incident scene using binoculars.
  • activate the local​ multiple-casualty incident​ (MCI) protocol.

Questão 48

Questão
An emergency responder who may perform patient care in the warm zone on patients who still present a significant risk of secondary contamination​ describes:
Responda
  • an emergency medical services​ (EMS) Level​ 1, or the operations level responder.
  • a hazardous materials specialist level responder.
  • an awareness level responder.
  • an emergency medical services​ (EMS) Level​ 2, or the technician level responder.

Questão 49

Questão
A patient has accidentally ingested a hydrocarbon solvent and may have inhaled fumes from the solvent as well. Which statement about hydrocarbon solvents is most​ incorrect?
Responda
  • Primary effects of exposure to hydrocarbon solvents include​ dysrhythmias, pulmonary​ edema, and respiratory failure.
  • If the patient begins to present with​ seizures, consideration should be given to the administration of diazepam.
  • When the patient has ingested a​ solvent, you should give the patient ipecac syrup and induce vomiting.
  • In case of​ inhalation, maintain and support the​ airway, breathing, circulation​ (ABCs).

Questão 50

Questão
A patient who has undergone field decontamination prior to receiving medical treatment is best described as​ a:
Responda
  • semidecontaminated patient requiring a more invasive decon process.
  • patient who should not receive any care until he or she has been further decontaminated.
  • patient who is ready to be moved to the cold zone for initial treatment.
  • fully decontaminated patient not requiring any additional decontamination.

Questão 51

Questão
Where should an National Fire Protection Association​ (NFPA) 704 placard be expected to be found​ at?
Responda
  • A semitruck tanker carrying gasoline
  • A railroad tanker carrying liquid nitrogen
  • An outdoor storage tank holding liquid oxygen
  • Barrels of methyl alcohol on a towed barge

Questão 52

Questão
When approaching the scene of a potential hazardous materials incident that has a light whitish haze coming from​ it, you​ should:
Responda
  • use binoculars to make a visual inspection of the scene from a safe distance.
  • approach the scene and position as close as needed to visually read the placards with the naked eye if binoculars are not available.
  • approach the scene from a downwind and uphill direction.
  • establish a safety zone of initially 50 feet with the ability to increase it as necessary.

Questão 53

Questão
As you are performing a preentry physical on the assigned entry​ team, you assess a team member who is exhibiting abnormal vital signs that are outside of the allowable parameters of the​ department's standard operating procedures​ (SOPs). You should​ immediately:
Responda
  • overlook the findings if you are short entry team members.
  • advise the team member and report your findings to either the safety officer or the incident commander.
  • reassess the vital signs 5 minutes later.
  • allow for the entrant to don personal protective equipment​ (PPE) and enter into the hot zone.

Questão 54

Questão
The respirator designed for use in conjunction with Level C protective equipment that can be utilized during transport of patients with the potential of secondary contamination​ is:
Responda
  • a​ supplied-air breathing apparatus​ (SABA).
  • a​ self-contained breathing apparatus​ (SCBA).
  • an​ air-purifying respirator​ (APR).
  • an​ N-90 filter mask.

Questão 55

Questão
When hazardous materials are involved in or threatened by​ fire, the size of the danger zone​ is:
Responda
  • anywhere with flames or smoke from the fire.
  • dictated by the nature of the materials.
  • a​ 1-mile square area with the site of the fire at the center.
  • a​ 100-foot radius from the site of the fire.

Questão 56

Questão
In the case of topical​ absorption, a toxic substance has entered the​ body:
Responda
  • through inhalation.
  • by ingestion.
  • through the skin.
  • by injection.

Questão 57

Questão
What level of hazmat training for the emergency medical services​ (EMS) provider allows them to enter the​ "hot zone" at a hazmat​ incident?
Responda
  • EMS providers do not enter the​ "hot zone."
  • EMS Level 1
  • EMS Level 2
  • EMS Level 3

Questão 58

Questão
In terms of reducing your exposure to an alpha radioactive​ source, what is the best​ method?
Responda
  • A full protective suit with​ self-contained breathing apparatus​ (SCBA)
  • Several inches of lead
  • A concrete barrier
  • Standard precautions

Questão 59

Questão
When decontaminating a patient exposed to solid​ corrosives, first:
Responda
  • brush off dry particles.
  • flush the exposed area with large quantities of cold water.
  • rub the exposed area with a​ saline-moistened dressing.
  • flush the exposed area with a gallon of hot water.

Questão 60

Questão
A patient inhales​ chlorine, which causes the patient to develop pulmonary edema. What is a specific means of treating this pulmonary edema​ (select the most correct​ answer)?
Responda
  • Establishing an intravenous​ (IV) and administering fluids to dilute the irritants
  • Administering furosemide​ (Lasix)
  • Completing a primary decontamination
  • Maintaining and supporting the​ airway, breathing, circulation​ (ABCs)

Questão 61

Questão
As you arrive on scene of a motor vehicle incident involving a package delivery​ truck, you observe liquids dripping from the rear of the truck and forming a visible vapor as they hit the ground. With this​ information, you would​ suspect:
Responda
  • that it is highly unlikely that any hazardous materials are being carried in the truck.
  • if you work​ quickly, you and your partner can perform a rescue of the driver before you are affected by any potential harmful vapors.
  • that this could involve hazardous materials because not all delivery trucks are required to display placards.
  • that there may be shipping papers that you could access in the cab that list the contents of the truck.

Questão 62

Questão
Your ambulance has just arrived at a hazmat scene where incident command has established​ hot, warm, and cold zones. Both you and your partner are hazmat awareness level trained. Your most likely duty assignment will​ be:
Responda
  • to perform lifesaving patient care in the warm zone.
  • to move critical patients from the hot zone to your ambulance for transport.
  • to conduct decontamination of potentially injured patients.
  • to perform triage and treatment in the cold zone.

Questão 63

Questão
You and your partner respond to a scene at which multiple people are presenting with​ choking, coughing, and vomiting that seem to be related to the release of a chemical agent in the area. You should expect​ that:
Responda
  • the response to this event will involve multiple agencies and jurisdictions.
  • you will need law enforcement involvement only if the chemical agent was released as part of an attack.
  • the agent will already have​ dissipated, and its effects will be contained to these patients.
  • these patients have been contaminated but are not a contamination risk themselves.

Questão 64

Questão
Which configuration of protective equipment offers the least amount of protection to hazardous materials​ exposure?
Responda
  • Nonpermeable​ suit, boots,​ gloves, and eye protection along with an​ air-purifying respirator
  • Fully​ encapsulated, impermeable chemical suit with​ self-contained breathing apparatus​ (SCBA)
  • Nonencapsulating​ chemical-resistant suit,​ boots, gloves, and eye and respiratory protection
  • Structural firefighting gear

Questão 65

Questão
You are called to care for a man who is having pain when gasoline got into his eyes. He stated he was refueling his lawn​ mower, and the gas had been sitting outside in the sun with the cap on tightly. When he removed the gas can​ lid, gas vapor rapidly expelled and got into his eyes and is now burning. The increase in the pressure inside the can was caused​ by?
Responda
  • Elevated vapor density
  • Increased specific gravity
  • Decreased water solubility
  • Increased vapor pressure

Questão 66

Questão
What is CHEMTREC?
Responda
  • A guidebook for identifying hazardous materials
  • An organization with a 24-hour information hotline regarding hazardous materials
  • The set of laws governing the transport of hazardous materials
  • The acronym for the levels of training for hazmat providers

Questão 67

Questão
An incident involving which of the following types of vehicles may result in a hazardous materials incident?
Responda
  • Cars powered by alternative fuels
  • Tractor-trailers
  • Tanker trucks
  • All of the above

Questão 68

Questão
Each year in the United States, an estimated ________ of hazardous materials are shipped via road, rail, and pipelines.
Responda
  • 8 million tons
  • one hundred thousand pounds
  • 4 billion tons
  • 2 billion pounds

Questão 69

Questão
You have responded to a ranch where three adult male patients are complaining of abdominal cramping, vomiting, and diarrhea. They state they were applying chemicals to a field when they became ill. Based on this, which of the following should you suspect?
Responda
  • They have heatstroke.
  • They became contaminated with organophosphates.
  • They have been exposed to anhydrous ammonia.
  • They have been exposed to anthrax.

Questão 70

Questão
A substance that may be an acid or an alkali and that can damage the skin and other tissues best describes a(n):
Responda
  • solvent
  • corrosive
  • irritant
  • desiccant

Questão 71

Questão
Unless specially trained, EMS personnel operate in which of the following zones of a hazardous materials incident?
Responda
  • Green
  • Orange
  • Yellow
  • Red

Questão 72

Questão
On the scene of a hazardous materials emergency, which of the following individuals is best suited to serve as incident commander?
Responda
  • Fire service rescue technician
  • Paramedic
  • Hazardous materials technician
  • Hazmat specialist

Questão 73

Questão
You have just completed hazmat EMS level 2 training. This means that you are now trained to:
Responda
  • contain hazardous material spills
  • evacuate patients from the hot zone.
  • provide patient care in the warm zone.
  • clean up hazardous materials safely.

Questão 74

Questão
Which one of the following statements shows that the paramedic has a proper understanding of basic operations at the scene of a hazardous materials emergency?
Responda
  • "Life or health should never be risked if the threat is only to the environment."
  • "The most important thing is to identify the exact material involved in the incident."
  • "Olfactory clues are the most reliable way to identify a hazardous material incident."
  • "Identification of the material is not important, as the approach is the same for all materials."

Questão 75

Questão
As you approach the scene of a motor vehicle collision, you realize that there is a tanker truck involved and that it has tipped over. Which of the following actions is appropriate?
Responda
  • Stop a safe distance away, use binoculars to locate any placards on the tanker, and reference the Emergency Response Guide.
  • Stop a safe distance from the scene, use binoculars to locate any placards on the tanker, and reference the safety data sheet.
  • When you reach the scene, look for the NFPA 704 label and reference the safety data sheet.
  • When you reach the scene, look for any placards on the tanker and reference the Emergency Response Guide.

Questão 76

Questão
During transport of a patient exposed to a hazardous material, which of the following types of glove provides the paramedic with the best protection during patient care?
Responda
  • Leather
  • Reinforced mesh cloth
  • Latex
  • Nitrile

Questão 77

Questão
When providing medical monitoring of hazardous materials personnel, for which of the following should you keep a high index of suspicion?
Responda
  • Heat stress
  • Atrial fibrillation
  • Myocardial ischemia
  • Hypoglycemia

Questão 78

Questão
Which of the following would raise the most suspicion of a hazardous materials incident?
Responda
  • A pair of landfill workers with symptoms of sore throat and fever
  • Multiple patients at a factory with respiratory complaints
  • Rising incidence of suicide in a rural county
  • Multiple patients at an outdoor event complaining of "heatstroke"

Questão 79

Questão
The most accurate information about a transported substance can be found in which of the following?
Responda
  • NFPA 704 system
  • Safety data sheet
  • Shipping papers
  • Emergency Response Guide

Questão 80

Questão
Which of the following regarding hazardous materials is provided by the Emergency Response Guide?
Responda
  • A different UN for every material listed
  • Special information regarding long-term health and environmental hazards for each material
  • Specific decontamination and treatment information for each material listed
  • Evacuation distances for the most hazardous materials

Questão 81

Questão
Which of the following is used to identify hazardous materials in fixed facilities?
Responda
  • DOT placards
  • SDS
  • CAMEO tags
  • NFPA 704 system

Questão 82

Questão
You have entered a manufacturing setting on a call and note a large storage container with a diamond-shaped label. The left side of the label is blue and contains the number 4. The top portion of the label is red and contains the number 1. What does this mean?
Responda
  • The substance is highly hazardous to health, but does not pose a significant fire risk.
  • The substance is highly flammable, but does not pose a significant health risk.
  • The substance is highly hazardous to health, but does not pose a significant risk of reactivity.
  • The substance is highly reactive, but does not pose a significant health risk.

Questão 83

Questão
You have arrived on the scene of a chemical leak at laboratory. The placard has a "1" in the blue diamond and a "4" in the red diamond, which means the material is:
Responda
  • flammable, but represents a low health hazard.
  • explosive with a high associated health hazard.
  • a solid that is very flammable.
  • a flammable liquid with radioactive properties.

Questão 84

Questão
On the National Fire Protection Association hazardous materials classification placard, the blue diamond represents:
Responda
  • reactivity
  • health hazard.
  • specific hazard
  • fire hazard.

Questão 85

Questão
You are working the scene of a collision involving a tractor-trailer that is hauling an unknown chemical. Because no material is leaking from the truck and the scene is safe, the incident commander asks you to get the truck's shipping papers. Where would these most likely be located?
Responda
  • Shipping vault on the trailer
  • Cab of the truck
  • Rear compartment on the tanker
  • Electrical box between the tractor and trailer

Questão 86

Questão
It has been determined that the concentration of a substance is at IDLH. This means that patients exposed to the area:
Responda
  • are at risk for adverse effects or death as soon as they are exposed
  • will suffer no adverse effects if they have been exposed for less than 15 minutes
  • have a 50 percent likelihood of dying.
  • require transport and inpatient hospitalization.

Questão 87

Questão
In a hazardous materials incident, decontamination begins in the ________ zone.
Responda
  • central
  • cold
  • warm
  • hot

Questão 88

Questão
At the scene of a hazardous materials emergency, you have been assigned to the cold zone. In this zone, which one of the following would you perform?
Responda
  • Initial decontamination
  • Initial triage
  • Removal of contaminated rescue gear
  • Obtaining vital signs

Questão 89

Questão
When working in the warm zone, the paramedic should remember that:
Responda
  • the area is actively contaminated.
  • there is no danger of contamination.
  • protective gear must be worn.
  • patient care is not performed

Questão 90

Questão
Which of the following is the most common route of exposure to hazardous materials?
Responda
  • Injection
  • Ingestion
  • Inhalation
  • Absorption

Questão 91

Questão
The highest level of respiratory and splash protection from hazardous materials exposure is provided by level ________ protective equipment.
Responda
  • A
  • B
  • C
  • D

Questão 92

Questão
Firefighter "turnout" gear is considered what level of protective equipment
Responda
  • A
  • B
  • D
  • C

Questão 93

Questão
Which of the following is the universal decontamination agent for hazardous materials exposure?
Responda
  • A low-sudsing detergent
  • Water
  • Activated charcoal
  • Tincture of green soap

Questão 94

Questão
Which of the following is NOT recommended in managing patients exposed to carbamate pesticides?
Responda
  • Using tincture of green soap in the decontamination process
  • Administering pralidoxime
  • Decontaminating with water
  • Administering atropine

Questão 95

Questão
The driver of a truck carrying a caustic substance in powder form has accidentally come into contact with the material. You are first on the scene, and a quick observation indicates that he has powder on his arms. Your immediate action would be to:
Responda
  • brush off the powder, then rinse the area with water.
  • place the patient in the ambulance, but avoid touching his arms.
  • instruct the patient to remain still and wait for the incident safety officer.
  • wrap the arms in dry, sterile dressings.

Questão 96

Questão
You have been cleared by the incident commander at a hazmat incident to prepare to go off duty. After completing decontamination, which of the following should be your FIRST action?
Responda
  • Return to the ambulance and drive to your station.
  • Inform dispatch that you are off duty and leave the scene.
  • Report directly to EMS for post-entry monitoring.
  • Remove and bag your uniform.

Questão 97

Questão
Which of these is required for those who may perform patient care in the cold zone on patients who do not present a significant risk of secondary contamination?
Responda
  • EMS Level 1 training
  • EMS Level 2 training
  • Awareness Level
  • Multiple Casualty training

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