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Exam (elaborations)

EKG AND DYSRHYTHMIAS NCLEX QUESTIONS AND ANSWERS

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In the 1970s, where was the FIRESCOPE program developed and used for multiagency incidents? - Answer-The West Coast Whose role is it to focus on scene-specific operations? - Answer-The Incident Commander The division of the safety officer role was written into which NFPA standard? - Answer-NFPA 1521 The workers' compensation experience modifier is typically based on a _____-year loss experience. - Answer-3 Who is responsible for assigning the Type 1 and Type 2 incident management team (IMT) designations? - Answer-National Interagency Incident Management System (NIIMS) The number of injuries on the fireground is declining: - Answer-But Not As Quickly As The Number Of Fires. True or False: The appointment of an ISO does not absolve other firefighters or fire officers from the responsibility to have situational awareness and to act in a safe manner. - Answer-True All of the following are considered to be contributing factors to LODDs EXCEPT: - Answer-Modern Designs Of Apparatus. Most line-of-duty deaths (LODDs) are: - Answer-Stress (Cardiac Related) Which NFPA standard currently sets the ISO qualifications for NIMS safety officers? - Answer-NFPA 1561 A(n) _________ process is a process or operation that is part of a department's routine, but is not written out. - Answer-Informal __________ are thought to be more flexible, and therefore more usable, by line officers and incident commanders (ICs). - Answer-Standard Operating Guidelines True or False: In some cases, equipment designed to improve safety can actually lead to greater risk-taking. - Answer-True The definition of a well-written SOP is: - Answer-Firefighters Follow It. _________ is the process of learning and applying knowledge and skills. - Answer-Training The first step in developing a formal SOP is establishing: - Answer-An Administrative Process To Create, Edit, Alter, Or Delete Established Processes. All of the following are factors in the Operational Safety Triad EXCEPT: - Answer-Policies. What is the process for determining which procedures need to be written first? - Answer-Either A Or B All of the following are common, widely practiced concepts in risk reduction industries EXCEPT: - Answer-The Hazard Mitigation Model. All of the following are factors to be addressed in the personnel aspect of the Operational Safety Triad EXCEPT: - Answer-Observational Skills. The worst rule violations are classified by OSHA as: - Answer-Willful Disregard. National Institute for Occupational Safety and Health (NIOSH) is under which cabinet-level department? - Answer-Department Of Health And Human Services One legal principle that has a long history of minimizing fire department and firefighter liability is: - Answer-Discretionary Function. True or False: Most of NIOSH's published guides are downloadable and free. - Answer-True How many established groups are involved in creating guiding publications? - Answer-Hundreds, If Not Thousands What group has been funded by Congress to investigate all firefighter fatalities? - Answer-NIOSH The NFPA standards are often viewed by the courts as: - Answer-Common Practices. OSHA responsibilities include both the creation and ___________ of workplace law. - Answer-Enforcement Two good reasons to use "guiding publications" are to keep firefighters safe and: - Answer-To Avoid Litigation. The NFPA was established in 1896 to address a multitude of fire prevention issues and: - Answer-Fire Protection Issues. If there is a Mayday incident, who begins the accident documentation and investigation process? - Answer-The ISO In the case of specialty teams, which NFPA standards would address training needs for the safety officer? - Answer-NFPA 1006 And NFPA 472 What is the name for the situation in which an SOP exists that tells the IC that he or she shall delegate the safety function to a qualified ISO under certain conditions? - Answer-Automatic Delegation Once the span of control rises above ______, the IC should include an ISO. - Answer-Three An ISO shall meet the requirements of: - Answer-Fire Officer I. Which of the following is true? - Answer-Risks Are Usually Greater Early On In An Incident. One thing that can lessen the need for an ISO during mutual-aid incidents is: - Answer-Regular Training. All of the following descriptors of an incident would be a trigger to have an ISO present EXCEPT: - Answer-Typical True or False: While logic shows that the first 25 minutes of a residential fire are the most dangerous, there are no accurate data that suggest that firefighter deaths and injuries happen early at an incident. - Answer-True On the timeline, time zero is when: - Answer-Firefighters Arrive On Scene. Major fires present the threat of wall collapse if the building was built during which era? - Answer-Founders' Era A spreader is used to: - Answer-Support Walls That Are Collapsing Inward. A newly constructed high-rise would probably have a construction classification of: - Answer-Type I. There are three general types of connections: pinned, rigid, and: - Answer-Gravity. A newly constructed school would probably have a construction classification of: - Answer-Type II. In essence, mass is heat resistance, and heat resistance is: - Answer-Time. All of the following are characteristics of a building material EXCEPT: - Answer-Age Of Material. The preferred shape for columns is: - Answer-Square Or Circle. A newly constructed suburban strip mall would probably have a construction classification of: - Answer-Type II. The use of balloon framing was most prevalent during which era? - Answer-The Industrial Era Which letter in the acronym VVDC is best used as the predictor of how things are going to be? - Answer-Density True or False: Smoke volume by itself tells you quite a lot about a fire. - Answer-False Two forces cause smoke to pressurize in a building: smoke volume and: - Answer-Convection Heat. Increasing smoke speed can be a warning sign for: - Answer-Flame-Over. An item that is releasing a mix of particulates and aerosols as well as gases is referred to as: - Answer-Off-Aggregating. Sucking or puffing of smoke from an open door or window is a warning for: - Answer-Explosive Growth. Smoke at a building fire is created by: - Answer-Incomplete Combustion And Pyrolitic Decomposition. In which phase of a compartmentalized fire do conditions exist where open flaming decreases because smoke production displaces and limits available combustion air, although heating continues to produce smoke? - Answer-Ventilation-Limited Phase In revising the classic four stages of fire development, the phase that has been expanded upon is: - Answer-Growth. Turbulent smoke flow that has filled a compartment can be a warning sign for: - Answer-Flashover. Determining the appropriateness of risk-taking is often based on: - Answer-Local Liability Standards. NFPA 1561 states that the "__________ shall monitor conditions, activities, and operations to determine if they fall within the criteria [of acceptable risk-taking] as defined in the department's risk management plan." - Answer-Safety Officer If you are "comprehending the situation," you are at what level of situational awareness? - Answer-Level 2 True or False: The ISO needs to gauge whether the loss of SA by the working responders is leading to a trap, unacceptable risk-taking, or both, but must also remember that the urgency of task completion is essential. - Answer-False As former fire chief Dave Daniels characterized firefighting, "Firefighting isn't ________; it's merely risky." - Answer-Dangerous Personal values regarding situational awareness can be improved through: - Answer-Educational Endeavors. What kind of learning can be described as the process of observing others to develop knowledge, skill, or an experience base? - Answer-Vicarious Learning By comparing the department's incident action plans to what are considered commonplace and accepted risk management practices, the ISO can: - Answer-Build A Foundation For Risk Decision Making. Valued property can be described as: - Answer-Physical Property Whose Loss Will Cause Harm To The Community. True or False: The reoccurring recommendation from numerous reports from the National Institute for Occupational Safety and Health states that Incident Commanders need to continually evaluate risk vs. gain and adjust the action plan accordingly. - Answer-True The integrity of electrical systems is based on their being properly grounded, _________, and circuit protected. - Answer-Insulated A no-entry zone around a fire on a utility pole should be at least: - Answer-10 Feet (3 M). The number one rule concerning downed power lines is: - Answer-Treat All Downed Power Lines As If They Are Energized. To be an effective and efficient ISO, you must front-load your understanding of hazardous energy forms so that you can better identify sources, predict the energy's release potential, and: - Answer-Intervene Appropriately To Protect Fellow Responders. Solar electrical generation systems include arrays of what to produce an electric current? - Answer-Photovoltaic Panels Which of the following is a unit of measure for the amount of energy a specific appliance uses? - Answer-Watt In the acronym BLEVE, the B stands for: - Answer-Boiling. The lines on the top of power poles usually carry primary voltage in excess of: - Answer-4,800 Volts. A typical residence aboveground propane tank of 500 gallons (1,893 liters) would need a minimum water-cooling rate of: - Answer-100-150 GPM (379-568 LPM). What is the FORCE that causes the flow of electricity? - Answer-Voltage/Volt At 90°F (32°C) and 70% humidity, the NOAA Heat Stress Index Chart would consider that to be in which category for its likelihood of heat disorders with prolonged exposure or strenuous activity? - Answer-Danger Of the following, which food has a high glycemic index rating? - Answer-Bananas The three stressors that influence overexertion are related to the environment, human physiology, and the quality of: - Answer-Rehabilitation Efforts. Cell performance is really as simple as providing the cell with three essential ingredients: oxygen, water, and: - Answer-Fuel. Which NFPA standard requires the ISO to establish a rehabilitation area? - Answer-NFPA 1561 In the physical setting, one thing that is essential for safe operations is: - Answer-Secure Footing. What is the number one cause of deaths at incidents? - Answer-Overexertion An underused acclimation strategy at an incident is to have crews: - Answer-Perform Simple Stretching And Warm-Up Exercises. __________ is an injury marked by painful muscle spasms. In simple terms, this injury is a warning that the body's electrolytes are not balanced; dehydration may also play a role, and medical attention is warranted. - Answer-A Heat Cramp Studies by the International Association of Fire Fighters (IAFF), Toronto Fire Services, and Orange County (CA. Fire Authority have all shown that firefighters engaged in operations wearing full structural PPE will have average elevated core temperatures of _________ after 20 minutes? - Answer-101.5°F (39°C) Always participating in established accountability systems and personnel accountability reports (PARs) is an example of what kind of safety trigger? - Answer-Setting An Example An order from the ISO to immediately evacuate a building or area should be prefaced by: - Answer-Emergency Traffic. Safety issues requiring direct intervention can be classified as a(n): - Answer-Both 1 And 2. Every radio communication needs to end with: - Answer-An Acknowledgment. Wearing bright green armbands on each sleeve would be an example of what kind of safety trigger? - Answer-Being Visible If PPE issues keep resurfacing at incidents: - Answer-The Department Values And Standard Operating Procedure (SOP) Enforcement Are Delinquent. The ISO's role in supporting ICS communications is twofold: use various communication methods to maintain contact with the IC and working crews, and _________ overall radio communications. - Answer-Monitor During an incident, the preferred identifier would be: - Answer-By Functional Assignment. The successful ISO has _________ options to deliver the safety message to working crews. - Answer-Many If there is no IAP when the ISO is appointed, the ISO should: - Answer-Immediately Initiate The Conversation With The IC For An IAP. All of the following are proactive actions EXCEPT: - Answer-IAP Adjustment. Who is responsible for managing the personnel accountability system? - Answer-Whomever It Is Assigned To The last step in the arrival process is: - Answer-Checking Into The Accountability System. "Our linear thinking tends to _________ hazards, particularly if the hazard is increasing at an exponential rate." - Answer-Underestimate True or False: The Dodson/Vavra ISO (DVISO) action mode meets the specific ISO functions/duties that are outlined in various standards and laws. - Answer-False Experienced ISOs typically develop what kind of approach, which is applicable to many types of incidents? - Answer-A Uniform Approach True or False: All fire departments use a formal personnel accountability system. - Answer-False At the benchmark, "360 complete," what would happen? - Answer-The IC Establishes The Risk Profile. It is imperative that ISOs create an environment in which they can stay open to multiple inputs and maintain a high degree of situation scanning and awareness—also known as ______ thinking. - Answer-Cyclic If the duty ISO should arrive at the incident scene first, he or she should: - Answer-Take On The Role Of Initial IC If The Situation Warrants. A four-person crew completes essential fireground tasks, such as attack, search, and ventilation, how much faster than a three-person crew? - Answer-25% For an apartment fire, how many engines are recommended to be on scene? - Answer-Three Spaces or areas where conditions are simply not survivable have a __________. The most obvious indicator of unsurvivable space is a fully developed fire within the space (post-flashover) that has floor-level temperatures over 300°F (149°C; beyond human life thresholD.. - Answer-Zero Rescue Profile A four-person crew can put "water on the fire" how much quicker than a two-person crew? - Answer-16% Of all the calls a modern fire department responds to, the riskiest is: - Answer-Structure Fires. Staffing guidelines for initial fireground operations would recommend how many responders for a school? - Answer-42 True or False: The primary role of the ISO is to always be monitoring/evaluating and devising ways to make response efforts safer. - Answer-True The monitoring-evaluation relationship helps the ISO assess risk-taking and can be expressed by the formula: - Answer-Principal Hazards ± Integrity + Other Hazards ± Resource Effectiveness = Risk-Taking. True or False: Some fire departments mandate PARs every 30 minutes while firefighters are working in an IDLH environment or other high-risk environments. - Answer-False In cases where the personnel accountability report is incomplete, what is the next step? - Answer-A RIC Should Be Deployed To Find Responders Who Are Unaccounted For. A __________ is water or a water agent sprayed on the ground as a temporary control line from which to ignite or stop a low-intensity fire. - Answer-Wet Line Defining environmental _________ involves the consideration of factors such as weather, smoke, flame spread, and hazardous energy. - Answer-Integrity __________ is the burning of the foliage of a single tree, or small bunch of trees, from the bottom up (sometimes called "candling"). - Answer-Torching All of the following are usually considered a principal hazard EXCEPT: - Answer-Very Dry Conditions. The effective ISO understands the concerns and works with the IC to achieve a "calculated" risk-taking environment that favors firefighter safety and is still aggressive in fire control efforts. This is known as: - Answer-Intellectual Aggressiveness. Staffing for support functions such as accountability, staging, and rehab at wildland incidents must be: - Answer-Increased. A wildfire is designated as contained based on: - Answer-The Percentage Of Fire That Has Been Put Out. True or False: If an elevated feature near the heel or flanks or a position upwind of the fire affords a good sight line, take advantage of it as long as there is ZERO possibility that the fire will go there. - Answer-True __________ includes factors such as slope (degree), aspect (relationship to the sun), and physical features (chimneys, saddles, barriers, etc.) that all influence wildland fire behavior. - Answer-Topography Accountability at wildfire incidents is most likely accomplished by: - Answer-Roll Calls And CAN Reports. The assignment of an ISO at a hazmat technician-level incident is: - Answer-Required By Law. The best way to measure the effectiveness of the operation is by: - Answer-The Judgement Of The ASO-HM. For hazmat incidents, medical monitoring begins: - Answer-Before Stabilization Efforts. Hazmat technician crews preplan rapid withdrawal paths and escape areas that are specific to a given incident because: - Answer-It Is Required By Law. Which of the following is the correct formula for risk-taking at a hazardous material incident? - Answer-Chemical Properties ± Integrity + Other Hazards ± Resource Effectiveness = Risk-Taking At a hazmat incident, the ISO should have the professional competencies for the level of incident involved. - Answer-True To gauge operational effectiveness, the ISO would use recon observations from the surrounding environment and support responders combined with CAN reports from: - Answer-The ASO-HM. It is not unusual for the accountability system to be divided into ______ different systems. However, the ISO should make sure they cross-communicate. - Answer-Two Operations that are taking place well within a building are considered how far away? - Answer-Over 300 Feet (91 M) When is it necessary to classify the weather according to the standard stable/unstable criteria? - Answer-Always The competencies for confined space, trench, and cave-ins are defined in various chapters of which NFPA standard? - Answer-NFPA 1670 A small, modern five-story office building collapses. This could be considered which type of collapse? - Answer-Heavy Collapse Using the USAR marking system, an open box would indicate: - Answer- Marked Answer - Answer-Relatively Safe For Search." In order to not tie up normal radio frequencies, some technical rescue teams do what instead? - Answer-Use Small, Talk-Around Radios The USAR task force structural assessment system uses what color paint? - Answer-Orange In a __________ collapse, the victims are easily accessible and trapped by surface debris, loads are minimal and easily removed by rescuers, and the threat of secondary collapse is minimal. - Answer-Basic/Surface A two-story residential structure under construction collapses from an engineering error. This could be considered which type of collapse? - Answer-Moderate Collapse A landing zone for a helicopter should have a clear zone diameter that is how big? - Answer-100 Feet (30 M) When the ISO does not have technician-level training and/or certification, what would the next step be? - Answer-Appoint An Assistant Safety Officer-Rescue Technician (ASO-RT) Where there is regulation, legal liability exists. These two challenges have led fire departments to develop technical rescue response systems that address procedures, training, equipment, and _________ elements. - Answer-Command An accident investigation is a critical step to: - Answer-Avoid Future Injuries And Deaths. All of the following involve something that should normally be documented EXCEPT: - Answer-Summary Of Meetings With The IC. __________ refers to a formal and/or informal reflective discussion that fire departments use to summarize the successes and the areas requiring improvement discovered from a given incident. - Answer-Postincident Analysis If an incident results in the death or serious injury of a firefighter and other agencies become involved in investigating the incident, the ISO role will become that of: - Answer-A Witness. The best approach to starting the conversation about the event is by: - Answer-Asking Open-Ended Questions. In an accident chain, all of the following are components of the human factor EXCEPT: - Answer-Barriers. At the conclusion of an incident, the adrenaline rush is over and the firefighters' metabolisms return to a "________" state; this reaction also causes a mental slowdown that can lead to unclear thinking and injuries. - Answer-Repair True or False: The ISO needs to capture observations and be prepared to contribute to any PIAs in a positive manner. - Answer-True __________ is an unintentional, unsafe occurrence that could have produced an injury, fatality, or property damage; only a fortunate break in the chain of events prevented the undesirable outcome. - Answer-A Close Call The National Firefighter Near-Miss System is an anonymous system for firefighters to generate a database that can be used to do all of the following EXCEPT: - Answer-Identify Officers Who Are Excessively Risky. Training and drills might not be as safe as we want them to be; over the past 10 years, there has been an average of _____ training-related LODDs per year. - Answer-10 If court case history is any indication, the liability for injury or loss resulting from a live-fire training incident will fall directly on: - Answer-Both The IIC And SO. For routine training (not live-fire, full-scale or multi-agency events), how much time should the SO use to prepare? - Answer-A Few Of Hours Before The Event With The IIC In 2004, 8.9% of all firefighter injuries were related to training activities; by 2013, the number had changed to: - Answer-11.79%. Training should only take place in environments that can be quickly controlled through preplanned and _________ protective measures. - Answer-Communicated At multi-agency drills, who would take the lead in facilitating the planning and preparation? - Answer-The Fire Department's Emergency Manager All of the following are common reasons for the SO to intervene during a multi-agency event EXECPT: - Answer-An Injury. The MEDIC mnemonic should be practiced during a training event like you would use it an actual incident. Remember that the M stands for: - Answer-Monitor. What training concept places the trainee in the hot seat to perform ISO functions? - Answer-Coaching The key to a successful no-notice drill is to: - Answer-Have Simple, Preestablished Guidelines. Which historical event prompted emergency service providers to increase their preparedness levels like never before? - Answer-The September 11, 2001 Terrorist Attacks. The __________ the population protected by a fire service, the ________ the number of fireground injuries per 100 fires. - Answer-Higher; Higher A study of 200 rapid intervention drills in Phoenix, Arizona, showed that 1 in _____ rapid intervention team members will get into trouble during a mission. - Answer-5 According to the 2012 NFPA Firefighter Injury Report, fire fighters sustained the most injuries______________. - Answer-At The Fireground Which piece of landmark legislation ensures safe and healthy working conditions for workers by enforcing a series of standards and by providing education and training in the field, among other services? - Answer-Occupational Safety And Health Act Several agencies collect data on the occurrences of injury and death among those in emergency occupations. Fire departments are legally obligated to supply data to____ for its surveys. - Answer-NFPA Which standard was responsible for setting the safety and health movement for emergency responders in motion? - Answer-NFPA 1500 As a trend, the number of fire fighter fatalities per year is __________ compared to a decade ago. - Answer-Dropping The annual NFPA Firefighter Injury Report classifies injuries according to ____ types of injuries. - Answer-10 Each year, you are responsible for creating a year-end report on the safety of your local fire program and how its safety record compares to national statistics. In years past, you have rigorously researched total national fire fighter deaths; this year, you realize that a statistical comparison based on a sample could be a viable resource for your report. Which available resource will best suit this need? - Answer-NFPA Annual Death Survey OSHA regulations are part of: - Answer-Title 29 CFR. Which of the following NFPA standards on protective gear focuses primarily on vapor-protective ensembles? - Answer-1991 Compared to the standard of care in the 21st century, the standard of care practiced in the 1960s is: - Answer-Unacceptable. You have recently been appointed the safety and health officer of your town's volunteer fire department. To get up to speed on the standards, it makes the most sense for you to begin by reviewing: - Answer-NFPA 1720. NFPA _________ focuses on the operational requirements for services provided by career fire departments. - Answer-1710 For departments that do not have state OSHA plans, the EPA's ______________is a stand-in. - Answer-40 CFR 311 Which of the following is a consensus organization that establishes standards? - Answer-ASTM ___________ do not mandate compliance. - Answer-Standards You have recently been appointed the safety and health officer of your town's volunteer fire department. As such, you will have greater involvement in preincident planning. Which of the following NFPA standards will be most helpful as you learn about preincident planning? - Answer-NFPA 1620 Last month, a new set of standards was issued by the state's fire marshal. After reviewing the standards carefully, your department has decided not to adopt them. Who will be responsible for enforcing the standards? - Answer-Enforcement Is Not An Issue Because The Standard Will Not Be Mandatory. Reading trade journals and attending conferences and seminars are two ways professionals can: - Answer-Identify Emerging Risk Trends. A fire fighter in your department sustained a back injury while lifting a hose out of an improper storage location on the apparatus. This is an example of the _________ factor in the accident sequence. - Answer-Injury You have just been named the safety and health officer for your fire department. In reviewing the injury data for your new department, you are surprised to find that most of the injuries are occurring on the fireground and are related to burns. In the Haddon matrix, which of the following would be an energy vector for the burns? - Answer-Heat And Steam From The Fire Risk reduction is part of the risk ____________ component of the risk management process. - Answer-Control ______________ is a direct cost related to the severity of a risk. - Answer-Costs For Medical Treatment Which of the following sources of information can provide useful insights into identifying safety and health risks? - Answer-OSHA Illness/Injury Logs Your city has seen a series of recent civil disturbances related to police brutality. Mistaking the fire station for a police station, vandals threw rocks and bottles through station windows. Several fire fighters were checking storage on the apparatus when they were hit by the projectiles. Which type of insurance will cover the injuries to the fire fighters? - Answer-Workers Compensation The new safety and health manager has noticed that the department has a relatively high frequency of back injuries. In an attempt to prevent these injuries and minimize the risks, the manager is examining the injury process as a series of interruptible events. The manager notices that injuries are exacerbated because injured fire fighters are reluctant to ask for help. This is an example of the _________ factor in the accident sequence. - Answer-Social Environment To determine if a department's equipment is contributing to a risk for injury, the organization should conduct: - Answer-A Safety Audit. Which of the following situations would cause the highest organizational impact? - Answer-In A Department Of 10 People, Having Two Fire Fighters Take Jobs In Another City As the new leader of the safety and health program in your department, you have been working with your safety committee to outline the goals of the program. The next step in the process is to: - Answer-Outline Objectives. You have recently been named the head of your department's safety and health program. What is the best way for you to begin development of the program? - Answer-Start By Getting Commitment From Top Management When developing a safety and health program: - Answer-Start With Low-Cost Elements, Then Seek Funding For Expensive Elements. Which organization publishes "A Guide to Developing Effective Standard Operating Procedures for Fire and EMS Departments"? - Answer-USFA Not all safety initiatives can be undertaken at once. At minimum, however, a safety and health program needs: - Answer-Top Management Support. Cost-benefit analysis includes which of the following? - Answer-Cost-Benefit Analysis Includes All Of These. Developing goals and objectives is best described as a ______________ process. - Answer-Dynamic The safety committee in your department has identified a problem with the frequency of twisted ankles when climbing down from the apparatus. The committee has articulated the ____________ of developing a safety program to reduce the number of twisted ankles by 50% within the first nine months of implementation. - Answer-Goal Which of the following Firefighter Life Safety Initiatives is related to the development and management of a safety and health program? - Answer-Thoroughly Investigate All Fire Fighter Fatalities, Injuries, And Near Misses. Training and safety are: - Answer-Closely Related. The fire station where you work was built in the 1970s and is in need of renovations for comfort, effective operational use, and safety. For example, one of the existing bays needs a new exhaust system that uses the latest technology. In terms of station safety, replacing the exhaust system would be what type of station safety issue? - Answer-Safety Regulations Your community has just passed a tax levy that will allow the fire department to build a state-of-the-art facility. According to OSHA, one element that the new station must include is: - Answer-An Area Specifically For Cleaning Items Contaminated With Bloodborne Pathogens. An important part of preincident planning to ensure response safety involves documenting the location of all ______________ railroad crossings. - Answer-Noncontrolled Which of the following is required before a driver can be licensed to operate a fire apparatus? - Answer-Medical Exam Not surprisingly, the fire station should undergo a complete ___________each year. - Answer-Fire Inspection The NFPA 1915 standard requires the organization to develop and implement a service and maintenance schedule for fire apparatus based on which of the following? - Answer-All Of The Choices Listed Are Correct. Which of the following is true regarding the concept of unified command? - Answer-Incident Commanders From Each Law Enforcement And Emergency Response Agency On The Scene Work To Bring An Incident To A Safe Conclusion. The suite of standards governing digital radio communications during an incident is used by ______________ public safety agencies in North America. - Answer-All Of The Choices Listed Are Correct How frequently should fire stations undergo safety inspections? - Answer-At Each Shift Change A preincident plan should include: - Answer-All Of The Choices Listed Are Correct Which of the following hazards are associated with residential 1- and 2-family structures? - Answer-Flashover In a recent review of your department's incident management system, it became obvious that some revisions were needed. As you and the safety committee go through the existing documentation, you notice that several improvements can be made to make the IMS more effective, such as: - Answer-Maintaining A Manageable Span Of Control. ______________fires account for the majority of fires that cause injury and death to firefighters. - Answer-Structure The number of RIC personnel needed at an incident varies with the ______________of the incident. - Answer-Complexity A key requirement of an incident management system is to ______________ safety at the fire scene. - Answer-Maximize For which type of fires does the incident management system need to make long-term plans for logistical needs, such as food and adequate rehabilitation of fire fighters? - Answer-Wildland It's your first alarm as the department's incident safety officer. The call is to a full-blown fire in a multistory residential building. You will likely not need to worry about: - Answer-Explosions. After fighting a particularly challenging fire, the fire fighters on the incident scene are exhausted and ready to remove their weighty PPE during overhaul operations. As the department safety and health officer, what do you do? - Answer-Require Them To Wear SCBA Until The Atmosphere Is Cleared By Air Monitoring. Which of the following structure types does not face a substantial risk of long operations that necessitate rehabilitation? - Answer-Residential 1- And 2-Family Structures The incident safety officer is part of the ______________staff. - Answer-Command Any time vehicle rescue operations are being performed, ______________ should be present. - Answer-Fire Suppression Capabilities For which task is a mask not included as recommended PPE? - Answer-Starting An Intravenous Line Ebola Zaire is transmitted through bodily fluids. Which of the following best exemplifies a means of indirectly contracting Ebola Zaire? - Answer-Touching The Rim Of A Cup Used To Give An Infected Person A Drink Which of the following are concerns at a roadway incident scene? - Answer-All Of The Choices Listed Are Correct. One of the best ways to interrupt the disease process is to: - Answer-Prevent Transmission. Law enforcement should be used at an emergency incident scene: - Answer-All Of The Choices Listed Are Correct. What is the first tactical concern when responding to a roadway incident scene? - Answer-Where To Safely Locate The Response Vehicle(S) Why is it important for responders to conduct practice drills related to active assailant incidents? - Answer-Because Responders Need To Work Closely With Law Enforcement During an active assailant incident, ______________is the responsibility of law enforcement. - Answer-Securing The Hot Zone Upon arriving at the incident scene, where should responders park the EMS vehicle? - Answer-In A Safe But Accessible Location Which of the following organizations has standards or regulations governing hazardous materials incidents? - Answer-All Of The Choices Listed Are Correct, What is one of the primary risks associated with massive piles of construction debris at the scene of a natural disaster where buildings have sustained damage or collapsed? - Answer-Traumatic Injuries Such As Falls Which of the following best describes natural disaster operations? - Answer-Long Term And Widespread Compared to hazardous materials technicians, backup teams should have ______________level of protection. - Answer-The Same When should police protection of EMS responders during a civil disturbance be planned? - Answer-Well In Advance Who is usually the first to respond to a natural disaster event? - Answer-Emergency Responders Which of the following statements about transporting hazardous materials is true? - Answer-Placards With Four-Digit Identification Numbers Allow The Contents Of The Container To Be Accurately Identified. During a particularly severe medical response incident, your team called for a helicopter to transport critically injured patients to the hospital best equipped to handle trauma. Upon arrival, the helicopter lands and responders jump out and beckon your team to bring the patient over to the aircraft. What do you do? - Answer-Wait For The Pilot's Signal That It Is Okay To Bring The Patient To The Aircraft During which phase of the RAID method should responders be looking for environmental clues such as colored smoke or vapor clouds? - Answer-Approach During the approach phase, what should the attitude of the responders be? - Answer-Cautious What documentation should be included in the PIA for comparison of actions taken to actions required? - Answer-Departmental SOPs What is an important element of the formal debriefing phase of CISM? - Answer-All Those Involved Should Attend When and how each organization accesses CISM is determined by: - Answer-Each Organization Itself. To increase the safety of exhausted crews, some teams use ______________ to facilitate demobilization. - Answer-Fresh Crews A rationale for using fresh crews for demobilization is that they are more likely to: - Answer-Be Mindful Of Hazards. The use of ______________ can facilitate demobilization. - Answer-Standardized Apparatus A useful tool for conducting the postincident analysis is ______________ of the incident. - Answer-Graphic Which of the following situations is NOT considered a critical incident? - Answer-An Event With Multiple Minor Injuries Of Civilians And Responders Crews should be aware of safety considerations: - Answer-All Of The Choices Listed Are Correct. The formal postincident analysis is often called and run by the: - Answer-Incident Commander. A key responsibility of the first-line supervisor is to: - Answer-All Of These Choices Are Correct. The best way for an incident safety officer to record the events and actions at the incident scene is by using a: - Answer-Worksheet Created Specifically For The Type Of Incident. The incident safety officer should be which personnel at the incident scene? - Answer-All Of The Choices Listed Are Correct The first action the incident safety officer should perform upon arriving at the scene of an incident is to: - Answer-Perform A 360-Degree Evaluation. Which of the following attitudes among responders represents strong resistance to the safety and health program? - Answer-It Can Never Happen To Me. How frequently should a safety committee meet? - Answer-At Least Quarterly ______________is probably the most important factor when determining the success of the safety and health program overall. - Answer-The Cultural Attitude Of The First Responders Which of the following positions can be a first-line supervisor? - Answer-All Of The Choices Listed Are Correct. The best way for an emergency services manager to communicate a commitment to safety and health is to tell the team that the reason for a particular program is to: - Answer-Improve The Safety Of The Team. Which of the following best describes the position of emergency services management? - Answer-Top Management Last year, the safety and health officer in your department noticed that the department personnel needed a great deal of time for rehabilitation. He suspected that lower fitness levels were in part responsible, so he purchased some new fitness equipment and trained the fire fighters on its use. This year, he is compiling data about how frequently fire fighters used the new equipment over the course of the year. The safety and health officer is focused on ______________ evaluation. - Answer-Process In basic terms, the evaluation of the safety and health program: - Answer-Compares Statistics. Which of the following Firefighter Life Safety Initiatives is related to the evaluation of the safety and health program? - Answer-Thoroughly Investigate All Fire Fighter Fatalities, Injuries, And Near Misses. Process evaluation can be used to measure results against ______________ to determine what changes need to be made. - Answer-Outcomes How frequently do external evaluators find areas of improvement that are not obvious to internal evaluators? - Answer-Very Often Which of the following evaluations can be an almost continuous process? - Answer-Process Evaluation How soon after a program is implemented should outcome evaluation occur? - Answer-After The Program Has Been In Effect For Some Time Process evaluation involves which of the following? - Answer-All Of These Choices Are Correct. ______________ evaluation is an analysis of program results. - Answer-Outcome The form of a safety and health program evaluation depends on the: - Answer-Goal Or Objective Being Evaluated. How should organizations outside of OSHA jurisdictions proceed when it comes to reporting? - Answer-Contact Their State Agencies To Determine State Requirements For Similar Reporting Which section of the health and safety report answers the question "Where are we going?" - Answer-Goals For The Next Reporting Year When organization personnel sustain a work-related injury, the safety and health officer can be legally required to send the data to: - Answer-OSHA. Which of the following types of data would be part of a department's internal data collection? - Answer-Exposure Records Which of the following recipients of external data is also able to return a customized summary report to the department for use in its program evaluation? - Answer-Worker's Compensation Insurance Agency According to the book, which of the following is a disadvantage to Internet research? - Answer-There Is No Guarantee That The Information Is Factual. Which of the following agencies uses external data it collects as part of a fire fighter fatality prevention program? - Answer-NIOSH The Internet can provide access to: - Answer-All Of These Choices Are Correct. What is the most common way to collect the data required for regular reports? - Answer-Standardized Forms According to OSHA requirements, which of the following constitutes a recordable injury? - Answer-All Of These Choices Are Correct. Conscious violation of the law which results in harm to another person is a cause of ______________ liability. - Answer-Intentional Which type of issue is irrelevant to the safety and health program manager? - Answer-Supply Chain According to the Americans with Disabilities Act, employers can ask job applicants about: - Answer-Their Ability To Perform Specific Job Functions. A department that does not test fit SCBA masks to its employees could be guilty of ______________ liability. - Answer-Strict A necessary ingredient for all tort liability is that the action in question ______________ another person or group of people. - Answer-Harms Which type of tort liability involves a failure to deliver the promised level of service? - Answer-Warrant The Keystone pipeline is planned to pass through the rural region served by your department. Even though the pipeline is not currently under construction, the fire chief wants to be sure that the department is prepared should the pipeline project get underway soon. He has asked your department to seek out grant sources to provide funding for specialized equipment for responding to damage of the pipeline. Which grant program is most likely to fund your department's specialized needs? - Answer-HMEP According to the Americans with Disabilities Act, for a person to be considered disabled, the person must have a record of having a: - Answer-Physical Or Mental Impairment That Substantially Limits One Or More Major Life Activities. Grant funding opportunities are generally available from______________sources. - Answer-All Of These Choices Are Correct. What role does the safety and health officer play during the annual budget process? - Answer-Salesperson According to 69A-62 Firefighter Employment Standards, the firefighter employer shall inspect firefighter places of employment at least______? - Answer-Quarterly According to 69A-62 Firefighter Employment Standards, the division shall issue a Notice of Violation prescribed in Rule ___________, F.A.C., for each violation identified by the division during an inspection or investigation at the completion of the inspection or investigation. - Answer-69A-62.034 According to 69A-62 Firefighter Employment Standards, the firefighter employer shall notify the Division of any fatality or serious on-duty injury that required a hospitalization period greater than ________ hours. The employer shall notify the Divisions' 24-hour phone number (352) 369 2813 within ______ hours of the occurrence - Answer-24 And 4 According to 69A-62 Firefighter Employment Standards, the term "Severe Injury" means a line of duty injury that includes all of the following except? - Answer-Small Cut To The Finger According to 69A-62 Firefighter Employment Standards, any safety and health hazards identified during an inspection of firefighter employee places of employment, the inspections shall be reported to the firefighter employer workplace_____________. - Answer-Both A And B Are Correct According to 69A-62 Firefighter Employment Standards, the division may at any time, enter the workplace when the division is advised that a condition or practice that creates an "imminent danger" to the safety and health of workers. - Answer-FALSE According to 69A-62 Firefighter Employment Standards, the term "Two-in, tow-out rule" means and refers to _____________, Including Notes One and Two, as modified by Section 633.508(3), F.S. - Answer-29 C.F.R. 1910.134(G)(4) According to 69A-62 Firefighter Employment Standards, (a) it is strongly recommended for the employer to develop a policy that prohibits components of protective ensemble that are contaminated from being allowed in sleeping/living areas and patient compartments. (b) A firefighter employer shall take reasonable measures to prevent contaminated equipment from being carried in crew passenger areas. - Answer-(A) Is False. (B) Is True According to F.A.C. 69A-62 Firefighter Employment Standards, the term "firefighter employee" means a firefighter, volunteer firefighter, or individual providing support services who____________. - Answer-Is Engaged In Employment, Public Or Private, Under Any Appointment Or Contract Of Hire Or Appreticeship, Express Or Implied, Oral Or Written, Whether Lawfully Or Unlawfully Employed, Responding Or Assisting With Fire Or Medical Emergencies, Regardless Of Wheter On Duty, Except Those Appointed Under S. 590.02(1)(D) In the term "IDLH", the term "I" stands for? - Answer-Immediately Safety Officers should remain current on NFPA standards and issues affecting firefighter safety. - Answer-True Anyone can be sued at anytime. - Answer-True A felony is punishable by jail sentence of one year or less and fines of $500 to $1,000. - Answer-False Tort claims acts include all of the following except? - Answer-Establishing Grounds As A Legal Doctrine By Which The Sovereign Or State Cannot Commit A Legal Wrong Case law is a source of law that is compared with statutes. - Answer-True Civil law is designed to: - Answer-Compensate Someone Who Has Been Injured Or Wronged By The Wrongdoer The term Model Penal Code recognizes the following basic criminal mental states except? - Answer-Malice Federal criminal laws deal with issues covered by the United States Constitution to include: - Answer-All Of The Above Crimes are made up of all of the following elements except? - Answer-Loss Of Privileges Officers are responsible for all of the following except? - Answer-Ensuring That The Fire Apparatus Is Equipped With An Opticom Device Injury investigations are not intended to address? - Answer-All Of The Above The investigator conducting the interview should do so on neutral grounds to: - Answer-All Of The Above Investigator training should focus on the purpose of the investigation; as well as - Answer-All Of The Above All of the following are components of an investigation except? - Answer-Apprehending A Suspect Environmental conditions regarding a Controlled Question include all of the following except? - Answer-The Disaster Area Primary goal of investigation is to improve the safety of the firefighting profession. - Answer-True Witnesses who are asked to complete a questionnaire form as a written statement tend to answer the questions using the space allocated on the form. - Answer-True Less experienced witnesses tend to have difficulty recalling specific details. - Answer-True Garrity vs. NJ was based on which Constitutional Amendment? - Answer-Fifth Tips and techniques for interviewing a witness include all of the following except? - Answer-Tricking The Witness Into Answering Questions The Way You Want Them To All of the following are general guidelines that should be followed when writing an SOP except? - Answer-Should Be Task Oriented Florida requires that all Safety Officers at a live fire training must be - Answer-Certified As A Live Fire Training Instructor I When gathering information and identifying alternatives, each alternative should be dissected to see if it is: - Answer-Feasible And Realistic The Fire Chief and agency heads are ultimately responsible for SOPs. - Answer-True If SOPs are not implemented properly, more serious consequences may follow? - Answer-True The Training Safety Officer is responsible to ensure that training is compliant to established: - Answer-All Of The Above Before writing an SOP, you should: - Answer-All Of The Above SOPs should include which of the following: - Answer-All Of The Above Fire department personnel are required to make complex and controversial decisions during emergencies. - Answer-True Identify the fourth step when writing the SOP. - Answer-Review And Test The SOP

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EKG AND DYSRHYTHMIAS NCLEX QUESTIONS AND
ANSWERS

Answer: D. A pulse would be assessed for first. Then the patient will be defibrillized and
chest compressions will begin immediately.
Answer: D. A pulse would be assessed for first. Then the patient will be defibrillized and
chest compressions will begin immediately.

ventricular tachycardia




Answer: C. Anemia can contribute to sinus tachycardia.
The nurse sees the following rhythm on the monitor. Which of the following lab values
does the nurse identify as being most likely to have caused this dysrhythmia?
a) K 3.0
b) Ca 10.5
c) Hgb 9
d) Magnesium 2.1




Answer: A. Following defibrillation, CPR is immediately initiated if a perfusable rhythm is
not initiated. The client may need to be shocked again, but chest compressions must
begin first.

ventricular fibrillation
The patient who has recently been experiencing runs of ventricular tachycardia
suddenly loses consciousness. The patient is defibrillated, and the rate returns as the
following. What should the nurse do first?
A) Begin compressions
B) Shock the client again immediately

, C) Prepare for intubation
D) Administer adenosine




Answer: B. Antiarrhythmic medications are prescribed with the use of an ICD in order to
prevent the tachycardic (or other deadly arrhythmia) from occurring in the first place.
This makes sure that the ICD is used only when absolutely necessary.
A patient with cardiomyopathy has been given an ICD. Which of the following
medications would the nurse expect to see in the MAR for this patient?
A) Warfarin
B) Cardizem
C) Nitroglycerin
D) Digoxin
Answer: B. Atrial flutter places the client at high risk for development of clot formation in
the atria. Because the client is stable at this time, cardioversion or adenosine would not
be performed at this time. Before cardioversion can occur in a patient, anticoagulant
therapy should be begun at least 48 hours beforehand if possible.
The patient with a history of hypertension and diabetes has the following rhythm strip.
The patient's vitals are as follows: BP 145/89, HR 90, SpO2 95%, RR 19. Which of the
following does the nurse expect to do at this time?
a) Prepare the client for cardioversion STAT
b) Begin administering anticoagulants
c) Grab the crash cart for administration of adenosine
d) Teach the client about possibility of pacemaker installation




Answer: A, B, and D. Adenosine is administered as a very quick IV push. The physician
must be present in the room and the crash cart must be on hand. An ekg monitor should
be in the room to monitor the effectiveness of the medication.
The nurse is preparing to administer adenosine to the patient with the following rhythm
which is symptomatic. What should the nurse plan on having in the patient room? select
all that apply
a) Physician

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