FISDAP Operations Exam Practice Questions with Answers 2022/2023 (Answer Key at the end)

Operations Exam Practice Questions 1. What is your priority as the incident commander at a mass casualty incident? A. Ensuring safety of EMS personnel. B. Monitor incident organization. C. Directing extrication of casualties. D. Notification of the media. 2. You are the first ambulance to arrive on the scene of a school bus rollover. The fire department has stabilized the bus. What should you do? A. Have your partner begin triaging patients. B. Wait for your manager to arrive on scene. C. Begin filling out patient care reports. D. Load and transport the first patient you find. 3. A 43 year old male complains of a stiff neck, persistent cough, and fever for the past week. He states he has been in and out of homeless shelters for the past 5 months. What should you do? A. Apply oxygen by non-rebreather mask. B. Use gloves, gown, and HEPA mask. C. Put on eye protection and a surgical mask. D. Have the patient wear a HEPA mask. 4. What is your major concern when performing a scene size up? A. Safety of your crew. B. Bystander interference. C. Number of patients. D. Weather conditions. 5. You are the first to arrive at a scene of an industrial complex. You witness people running out of one buildings with rags over their mouths. An older gentleman falls clutching his chest. What should you do? A. Don a N95 mask and go to the gentleman that is suffering a possible MI. B. Establish a safety zone and and evaluate what additional resources are needed. C. Use your PA system and tell the people that can hear you to come to the sound of your voice. D. Roll down the window to smell to verify a toxic substance. 6. Your patient has a laceration to the face which aerosolizes blood each time the patient exhales. What items of personal protective equipment would you choose for this situation? A. Gloves only B. Mask and gown only C. Goggles and gown only D. Gloves, goggles, mask and gown 7. Which of the following has ultimate responsibility for the patient care aspects of an EMS system? A. Ambulance service director. B. Medical director. C. The operations officer. D. EMS battalion chief. 8. When gaining access to the driver in a vehicular collision, what is the access of choice? A. Door B. Windshield C. Roof D. Side window 9. You arrive at motor vehicle collision involving two cars and four patients. There is no entrapment and the scene is safe. Which command system should be utilized? A. START command B. Singular command C. Unified command D. NIMS command 10. What additional resources would you need at a motor vehicle accident with a trapped 22 year old female? A. Rescue Squad and the Fire Department. B. Second ambulance and the Fire Department. C. Second ambulance and additional State Police. D. Additional State Police and the Fire Department. 11. Which of the following is NOT necessary during an ambulance inspection? A. Checking an inventory of medical equipment carried in the vehicle used in the care of patients B. Checking the ambulance for any exterior damage to the vehicle body that may interfere with operations. C. Checking the ambulance on-board oxygen system to ensure you have adequate oxygen available. D. Checking the ambulance with the engine off when evaluating guages, brakes, and warning lights. 12. Which of the following statements is TRUE concerning protection by the good Samaritan laws? A. Agood Samaritan law allows an EMT to exceed the scope of practice, if necessary, when providing emergency care off duty. B. An EMT is expected to act as a lay person would act when providing emergency care off duty. C. The purpose of the good Samaritan laws is to protect people trying to help in an emergency. D. An EMT cannot be sued for negligence if the state in which he works has a good Samaritan law. 13. When you are caring for more than one trauma patient at a time, when should you change your gloves? A. Whenever they become soiled B. For each new patient C. For each new procedure D. Whenever time permits 14. A 26 year old female jumped from the second floor of her house. She states she was getting away from her abusive husband. What should you do? A. Obtain a set of vital signs. B. Asses for compression injury to the spine. C. Determine if the scene is safe. D. Check for bilateral ankle fractures. 15. Which process is LEAST used by EMS to ensure that equipment is clean? A. Inspection B. Disinfection C. Sterilization D. Decontamination 16. Your unit is the first on scene at a mass casualty incident. What should you do? A. Establish a treatment and transport area. B. Set up a command post and start triage. C. Start removing the patients from the scene. D. Treat the first patient with most life-threatening injury. 17. When should you check and restock any missing inventory on your vehicle? A. After each call throughout the day. B. After your first call. C. At the end of your shift. D. At the beginning of your shift. 18. What is the most common route of hazardous materials exposure? A. Absorption B. Injection C. Ingestion D. Inhalation 19. during your radio report to the hospital, which of the following pieces of information should not be relayed? A. Baseline vital signs B. Patient's name C. Patient's age D. Patient's status 20. An 27 year old male suffered a partial amputation of his foot in a farming accident. Bleeding is controlled. He is alert and oriented but refuses treatment. He speaks directly with online medical control but still refuses treatment and transportation. What should you do? A. Assume implied consent and transport the patient. B. Call social services and report suspicions of neglect. C. Carefully obtain and document the patient's refusal. D. Call law enforcement for an assisted transport. 21. On-scene safety of EMS providers is the responsibility of whom? A. All crew members. B. The patients family. C. The triage officer. D. Law enforcement. 22. A patient is trapped in a car with side to side rocking. What should you do? A. Extricate the patient B. Stabilize the car C. Remove the roof D. Remove the steering wheel 23. How should you dispose of dressings and bandages that are saturated with blood? A. In any normal garbage container B. A cardboard box and sealed with tape C. At a hospital ED trash container D. In a red bag with a bio hazard seal 24. A 22 year old female is HIV positive. She complains of left arm pain. What type of BSI should you use? A. Gloves and a gown B. Gloves only C. Face shield only D. Gloves, face shield, and gown 25. A patient with AIDS vomited blood during transport. How should you disinfect your ambulance? A. Replace the mattress and throw out the sheets. B. Soak the mattress pad for 20 minutes in disinfectant, then let the mattress stand for 6 hours before use. C. Place the ambulance out of service until a full OSHA cleaning can be completed. D. Using universal precautions, spray a bleach-based cleaning solution and carefully wipe down the stretcher. 26. What is a hazardous, odorless gas resulting from incomplete combustion? A. Nitrogen B. Carbon dioxide C. Carbon monoxide D. Sarin 27. You arrive at an extrication scene and need to stabilize a vehicle in an upright position. Using four step chocks, you place A. two behind the front tires and two in front of the rear tires. B. two in front of the front tires and two in front of the rear tires. C. two in front of the front tires and two behind the rear tires. D. two behind the front tires and two behind the rear tires. 28. Which of the following is the primary reason for changing gloves between contact with one patient and the next? A. To prevent spreading infection to the next patient. B. To minimize the possibility of latex allergy. C. To limit the chance for the gloves ripping. D. To properly account for the items charged to each patient's account. 29. During an air medical transport, you should always approach the helicopter: A. Only once the tail has stopped spinning. B. From the uphill side when on a slope. C. From the side of the aircraft. D. From behind the tail. 30. Besides checking patient care equipment, you need to check the entire ambulance unit, including A. floors, gloves, maps and radios. B. fuel, lights, fluid levels and tires. C. lights and sirens. D. tires, fluids, cot and radios. 31. After receiving an order from medical direction what should you do? A. Repeat the order back word for word. B. Refuse the order. C. Reply with "copy." D. Write the order down word for word. 32. A motor vehicle collided with an electrical pole resulting in downed power lines. A large crowd has gathered around the accident. Whom should you call for support? A. Volunteer Fire Department and Rescue Squad B. Local Power Company and Volunteer Fire Department C. Local Power Company and State Police D. Volunteer Fire Department and State Police 33. You respond to a call at a residence with a known bed bug infestation. What should you do? A. Contact Poison Control. B. Wear a protective suit. C. Contact county social services. D. Advise the emergency department. 34. How should materials with blood or body fluids present be considered? A. Contaminated and potentially infectious. B. Not contaminated but needing to be cleaned. C. Contaminated but not considered infectious. D. Contaminated but not infectious if the liquid is dried. 35. Which of the following is NOT a reason for an emergency move? A. Patient is unconscious and has agonal respirations. B. You can't assess the unconscious victim beside them. C. Your patient tells you they can't feel their legs. D. The car is smoking and flames are visible. 36. While treating a patient at a HAZMAT scene what must you remember? A. Patients in critical condition may die if you delay transport for full decontamination. B. The most serious injuries at HAZMAT scenes are from trauma. C. Patients should always be fully decontaminated before leaving the HAZMAT scene. D. Transporting contaminated patients decreases the size of the incident. 37. You can treat an unconscious patient under what type of consent? A. Informed consent B. Special consent C. Expressed consent D. Implied consent 38. You are the senior EMT at the scene of a MCI. What is your primary responsibility? A. As a safety sector officer until relieved. B. As an incident command officer until relieved. C. As a staging officer until relieved. D. As a triage sector officer until relieved. 39. What is mandatory of victims of hazardous material exposure? A. They must move from the cold zone to the warm zone due to contamination B. They must be allowed to wander between the hot and warm zone. C. They must be moved to the cold zone if they can walk on their own. D. They need to be decontaminated before moving them out of the hot zone. 40. For which of the following patients should you call air rescue? A. A 68 year old female with a history of dementia and a Glasgow Coma Scale of 12. B. A 26 year old male with a coup contrecoup head injury and dilated pupils. C. A 3 year old toddler with an index finger amputation. D. A 43 year old male with a 7 inch rod that has penetrated through his left leg. 41. You arrive at the scene of a motor vehicle collision. There is no fire, leaking fluid, or fumes. How far from the wreckage should you park? A. 150 feet B. 15 feet C. 50 feet D. 100 feet 42. What is an example of defensive driving? A. Never exceeding the posted speed limit. B. Reducing speed in hazardous road conditions. C. Wearing a seatbelt at all times. D. Running red lights only with your sirens on. 43. Which of the following is the most common type of rescue across the United States? A. Water rescue B. Vehicle rescue C. Farm rescue D. Hazardous materials response 44. In a situation where the DNR documentation is not available, you should A. Attempt resuscitation. B. Examine the patient and make a “best guess” if resuscitation will be successful. C. Give the family no more than 8 minutes to locate the documentation. D. Request a supervisor to come to the scene to handle the issue. 45. When you arrive to the scene of a car crash and realize there are multiple patients what should you do? A. Secure the scene. B. Assess which patient needs immediate care. C. Call for additional EMS assistance. D. Put on your personal protective equipment. 46. You and your partner arrive on scene of a motor vehicle collision with smoke coming from the engine. What is your primary concern? A. The bystanders' safety. B. Your own safety. C. Your partner's safety. D. The patient's safety. 47. Which of the following statements is NOT true regarding the transfer of the patient to the ambulance? A. Choose the method for moving a patient based on the specific illness or injury. B. When transferring the patient, always be sure you are not compromising the quality of patient care. C. The best position for transport is always sitting up. D. As you complete your on-scene patient care, prepare the patient for transfer to the ambulance. 48. While extricating a patient at the scene of an accident you notice gas leaking from the patient's vehicle, what should you do? A. Demand that firefighters spray down the car with water. B. Abandon all extrication efforts and retreat to safety. C. Notify the safety officer and continue with extrication. D. Attempt to rapidly extricate the patient. 49. Which of the following is the EMT's primary responsibility at a crime scene? A. Preservation of evidence. B. Identifying any potential suspects encountered at the scene. C. Taking notes that may be needed later during court testimony. D. His or her own safety. 50. At a mass gathering several hundred people suddenly began to experience severe salivation, lacrimation, urination, and vomiting. What should you do? A. Alert the Center for Disease Control. B. Set up a command post and ensure scene safety. C. Contact the Department of Homeland Security. D. Evacuate all of the patients from the premises. 51. What patient would NOT be triaged as a red? A. A patient in decompensated shock. B. A patient with a sucking chest wound. C. A patient with a 4 inch thigh laceration. D. A patient with an obstructed airway. 52. Where should you position your vehicle at a motor vehicle collision on the highway? A. In front of the patient's vehicle B. 500 feet behind the patient's vehicle C. At a location determined by law enforcement D. At a staging area 53. What are TWO patient care issues to address at HAZMAT incidents? A. Need to set up the decontamination area first and then get a baseline set of vital signs. B. Need to ventilate with bag-valve mask and quick application of the antidote. C. Sending the HAZMAT techs in with splints and having paramedics provide care. D. Mechanism of trauma and injuries from exposure to hazardous substances 54. A 54 year old man refuses your care and treatment despite his wife's pleas. He refuses to sign a refusal of care form. Now he is telling you to leave his house immediately. A. Contact medical direction for permission to cease care without a signed refusal of care form. B. Leave the scene after asking his wife to sign the refusal form as a witness. C. Call police to the scene for possible intervention. D. Leave the scene, documenting in your reports his refusal of care. 55. A car rolled down an embankment and landed on its roof. There is an unconscious person inside the vehicle. What should you do? A. Stabilize the inverted vehicle. B. Remove the patient from the wreckage. C. Perform an initial patient assessment. D. Gain access to the patient. 56. While driving an emergency response vehicle, when should you exercise due regard for others? A. While traffic is heaviest. B. At all times. C. While responding non emergently. D. While responding emergently. 57. A patient is trapped in a car which has rolled down an embankment. What should you do? A. Stabilize the vehicle. B. Establish an airway. C. Gain access to the patient. D. Rapidly extricate the patient. 58. While responding to an emergency call using lights and sirens what should you do? A. Slow down only at intersections with traffic. B. Drive through each intersection fast and on the right of traffic. C. Pass only on the right-hand side of the road. D. Drive with due regard to state traffic laws. 59. You are at the scene of a shooting. Police have the room secured but are unsure of where the shooter is. They request that you see if the patient is dead. What should you do? A. Explain that you are not qualified to determine the death of a patient. B. Ask your partner to scan for danger while you examine the patient. C. Enter the scene carefully and begin the patient assessment. D. Immediately go to the patient, and determine if he is alive. 60. What are established interventions that can be performed without calling medical direction? A. Standing orders B. Advanced directives C. Scope of practice D. Protocols 61. The termination of resuscitation efforts in the pre-hospital setting is based on which one of the following? A. Medical Director's instruction B. Patient's past medical history C. Events surrounding the cardiac arrest D. Presence of family to state the patient's wishes 62. You are treating a patient who has potentially been exposed to a hazardous material. Prior to transporting your patient, you must call the hospital to inform them of your arrival and the situation. What else must you do prior to transport? A. Ensure that the patient's family has been notified by the on scene commander. B. Ensure that at least one Hazardous Material Technician accompanies you to the hospital. C. Ensure that the patient has been decontaminated. D. Ensure that the patient is secured to a backboard for transport. 63. You respond to a call when you see a stopped school bus with its red lights flashing. What should you do? A. Stop and proceed only after the flashing lights are off. B. Call dispatch and request the response of another ambulance. C. Slow down and be alert for any children who may be crossing. D. Select an alternate route that is both safe and quick. 64. Which sector coordinates operations with the staging officer and routes patients to the hospital? A. Command B. Triage C. Transportation D. Communications 65. A 4 year old male is showing signs of hypovolemic shock. The parents advise you to transport the child to the family doctor's office just down the street. What should you do? A. Do as the parents have requested. B. Tell the parents you're going to the doctor's office but take the child to the Emergency Room instead. C. Explain to the parents that you are in charge of the child and will decide where to take the child. D. Convince the parents that the child may need a higher level of care than the doctor's office can provide. 66. When you arrive on the scene of a patient who has recently deceased, the family is divided about whether you should start resuscitation. There is a valid DNR. You should A. Request a police mediator to help the family decide. B. If in doubt, begin resuscitation. C. Exit the scene until the family comes to a decision. D. Set up your equipment slowly to give them time to decide. 67. In the Incident Management System, what is the Liaison Officer is responsible for? A. Collecting data from the incident and releases it to the press. B. Coordinating all operations involving outside agencies. C. All of the on scene actions. D. Supporting incident operations. 68. Who is the initial Incident Commander of an EMS incident? A. First Fire Lieutenant on the scene. B. First Senior EMS provider on the scene. C. First Police Officer to arrive on the scene. D. Chief of the department when he gets there. 69. You will be on scene for more than 10 minutes because you must wait for an extrication team. To whom should you report the delay? A. The police department. B. The fire department. C. The department of transportation. D. The receiving hospital.