44) Critical Incident Stress Debriefings (CISDs):
A) are always recommended.
B) are now less common than they once were.
C) must be held from 2 to 4 hours following an incident to be effective.
D) have been replaced with “defusings.”
Objective: 2.14
45) While transporting a patient to the hospital who has a history of terminal brain cancer, the
patient says, “I know I’m going to die, but first I want to see my grandson graduate from high
school.” What stage of death and dying describes this patient’s current condition?
A) Bargaining
B) Denial
C) Anger
D) Depression
Objective: 2.15
21
46) When responding to the scene of a patient who was discovered to be unresponsive, not
breathing, and without a pulse, family members state that the patient has been suffering from
cancer for several years. One of his sons is cursing at you and your partner, saying that you are
not moving fast enough. Which stage of grief is the patient’s son experiencing in response to his
father’s death?
A) Denial
B) Depression
C) Anger
D) Acceptance
Objective: 2.15
47) A family member who keeps pleading with a deceased loved one to “wake up” is
experiencing which reaction to death and dying?
A) Anger
B) Rejection
C) Projection
D) Denial
Objective: 2.15
22
48) You have just worked a cardiac arrest call on a 48-year-old father of three. Despite your best
efforts, the patient died in the emergency department. As you are getting your ambulance in
service, the patient’s wife rushes out of the emergency department. She finds you and begins
screaming at you that her husband’s death is your fault. She blames you for not getting on the
scene fast enough, taking too long at the house, and not shocking her husband back to life like
she has seen on television. What response should you have to her anger?
A) Recognize that she is in the denial stage of grief and interrupt her hysterical behavior pattern
by getting her attention and helping her calm down.
B) Reassure her that you did everything you could and that everything will be okay.
C) Correct her misconceptions and remind her that television shows are fiction, so she will not
sue you in the future.
D) Listen empathetically to all of her complaints and let her know she can contact you for any
additional assistance.
Objective: 2.16
49) You observe a coworker telling a terminal cancer patient and her family, “Everything will be
okay.” Making false reassurances is considered:
A) naive and uncompassionate.
B) caring and supportive.
C) professional and discreet.
D) ambiguous and uncertain.
Objective: 2.16
23
50) Which of the following behaviors would demonstrate that an EMT understands reactions to
death and dying?
A) Being tolerant of angry reactions by patients and family members
B) Giving a dying patient hope that a cure can be found before the patient dies
C) Providing spiritual guidance to patients who express anger at God
D) Being firm with grieving family members and telling them they need to accept what has
happened
Objective: 2.16
51) Which three “Rs” are essential for the EMT to practice when reacting to danger?
A) Retreat, radio, reevaluate
B) Remember, respect, respond
C) Ricochet, recover, re-entry
D) Realize, react, reassess
Objective: 2.17
24
52) What is the EMT‘s highest priority at the scene of a hazardous materials incident?
A) Personal safety
B) Identification of hazardous materials
C) Patient care
D) Safety of bystanders
Objective: 2.18
53) What reference provides important information regarding hazardous materials, emergency
care, and procedures in case of accidental fire or release; supplies definitions of placard colors
and identification numbers; and should be standard issue on-board all ambulances and rescue
units?
A) Accidental Exposure and Contamination Guide
B) Emergency Response Guidebook
C) Emergency Preparedness and Response Plan
D) Safety Data Sheets
Objective: 2.18
25
54) You are dispatched to the staging area of a terrorist-related chemical exposure. The incident
commander asks you to stand by while hazmat personnel bring patients to the cold zone. As an
EMT on-board an ambulance, what statement BEST describes your role?
A) Triage patients to be decontaminated.
B) Transport decontaminated patients.
C) Coordinate hazmat response.
D) Transport patients to be decontaminated.
Objective: 2.18
55) You are first on the scene of a vehicle collision where a vehicle has gone off a bridge and is
partially submerged. You are told that a person is still trapped in the vehicle. Your partner starts
to take off his shoes and prepares to go in to save the victim. You stop your partner and tell him it
is too dangerous. He tells you he is prepared to die to save a life. What is the best response to
him?
A) He is not only putting his life at risk, but also placing the lives of the professional rescuers
unnecessarily at risk.
B) His family will not receive any benefits if he is not trained in rescue and dies while attempting
a rescue.
C) The patient’s family may sue him if he is not successful in rescuing him.
D) He will force additional fire units to come to his aid unnecessarily and waste taxpayer money.
Objective: 2.18
26
56) You are dispatched to a female with altered mental status. Once inside the home, you find a
female who appears to have been beaten unconscious. A man, who smells of alcohol, says that
she is his wife and that he does not know what happened: “I just found her this way!” The
husband is behaving suspiciously, appears paranoid, and is pacing erratically around the room.
What would be the safest course of action?
A) Continue to question the man and begin treating the patient.
B) Evacuate the patient and begin treatment.
C) Leave the house and call for law enforcement.
D) Have your partner call for help while you stay with the patient.
Objective: 2.18
57) You are on the scene of an “unknown medical” call. The patient is a 26-year-old, 250-pound
male patient who suddenly becomes violently angry. Everything you say to the patient only
makes him angrier. Offended by your questions, he screams that he is going to “cut your tongue
out” and hurries into the kitchen. What should you do?
A) Radio for police and then calmly walk out of the house, being sure to take all of your medical
equipment.
B) Tackle the patient before he can get a kitchen knife to stab you.
C) Radio for police and relay to dispatch important scene information until they arrive.
D) Leave immediately to a safe area and then call for police assistance.
Objective: 2.19
27
58) You are dispatched to a “man down” with no further information. As your unit arrives on-
scene, you see a crowd of bystanders looking at a man lying in an alleyway. The bystanders
begin screaming to you, “Help him, he’s been shot! He’s bleeding real bad!” What would be the
best course of action?
A) Move bystanders aside since the patient will die without treatment.
B) Tell law enforcement investigators to meet your unit at the ER.
C) Dispatch law enforcement and wait until the scene is secure.
D) Load and go, because you’re already on-scene.
Objective: 2.19
59) You are approaching the scene of a motor vehicle crash. Which of the following would be the
first way to safeguard your well-being as an EMT?
A) Take personal protective equipment (PPE) precautions.
B) Request additional resources.
C) Ensure scene safety.
D) Utilize DOT-approved reflective safety clothing.
Objective: 2.19
28
60) Which of the following pathogens is transmitted through contact with open wounds or sores?
A) Pertussis
B) Staphylococcus
C) Rubella
D) Meningitis
Objective: 2.20
61) What is a simple step EMTs can perform to help prevent the spread of flu in the prehospital
environment?
A) Place a surgical mask on suspected flu patients.
B) Transport all patients with coughs to negative pressure rooms.
C) Notify the CDC and local health department of flu cases.
D) Encourage patients to get their H1N1 antivirals early in the flu season.
Objective: 2.20
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62) Which of the following provides the greatest personal safety for an EMT working at a motor
vehicle collision?
A) Nonslip footwear
B) Reflective outer clothing
C) Portable radio
D) Flashlight
Objective: 2.21
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