1. Handwashing is not required:

• a. When you wear gloves during patient care.
• b. When you use a liquid disinfectant because soap and water are unavailable.
• c. When you believe you were not exposed to bodily fluids.
• d. Before patient contact.

2. Eye protection should be worn:

• a. Unless you are already wearing a mask.
• b. Unless you wear prescription eyeglasses.
• c. Both before and after patient care.
• d. In highly contaminated situations.

3. EMTs should put on their respirator mask:

• a. Only after placing one on the patient.
• b. To protect themselves from blood or other bodily fluids.
• c. Solely to protect themselves from airborne or infectious diseases.
• d. Before placing one on the patient.

4. In a Hazmat situation, your first priority should be:

• a. Protecting the public.
• b. Protecting other rescue personnel.
• c. Identifying the hazardous material.
• d. Protecting self.

5. In a Hazmat situation, an EMT may:

• a. Enter a hot zone if a patient requires treatment.
• b. Never enter a hot zone.
• c. Enter a hot zone, but only with the Hazmat team.
• d. Enter a hot zone to treat the patient after the patient has been decontaminated.

6. When bystanders or family members interfere with patient care in a potentially violent manner, you should:

• a. Try to calm them.
• b. Call in law enforcement immediately.
• c. Begin treatment immediately, regardless of the danger.
• d. Call medical direction for guidance.

7. In a scene of domestic violence, you should:

• a. Begin treatment if someone on the scene asserts that it is safe.
• b. Respect the family's wishes if they ask you not to call police.
• c. Be prepared to retreat if faced with a threat to your personal safety.
• d. Try to negotiate with the parties to find a peaceful resolution.

8. Medical direction refers to:

• a. The highest ranking member of the responding team.
• b. The process of physicians overseeing patient care.
• c. Staying upwind as you transport in the direction of the hospital.
• d. Permission to use pharmaceuticals in the prehospital setting.

9. The medical director in an EMS system:

• a. Has the same responsibilities in every state.
• b. Is responsible for quality patient care but not for the safety of EMTs.
• c. Cannot require EMTs to provide documentation and audits.
• d. Oversees clinical care by EMS personnel.

10. The medical director is responsible for all of the following except:

• a. Protocols and standing orders.
• b. Oversight of care provided by EMS personnel.
• c. Being on scene for all situations that need CPR.
• d. Providing updated continuing education and training programs.

11. The medical director can:

• a. Direct the EMT both on-line and off-line.
• b. Give the EMT guidance but cannot tell the EMT how to treat the patient.
• c. Only direct the EMT on-line, by telephone or radio.
• d. Only direct the EMT off-line, by protocols and standing orders.

12. In the power lift, you:

• a. Relax your core and use your legs for lifting.
• b. Straddle the person or object and bend your knees slightly.
• c. Keep your knees as straight as possible to maximize leg strength.
• d. Hold the person or object about 22 inches away from your own body.

13. If you notice the warning signs of stress in your partner:

• a. Keep it to yourself to avoid retaliation from your partner or co-workers.
• b. Understand this normal reaction and try to compensate for your partner's behavior.
• c. Request confidential help from your employee assistance program for both of you.
• d. Keep the matter between you and your partner to avoid violating a trust.

14. A critical incident stress debriefing (CISD) should include:

• a. Any bystanders who witnessed the incident.
• b. Any caregivers and public safety personnel who were involved in the incident.
• c. Members of the media who can attest to what happened.
• d. The mayor and the chief of police.

15. If you are called to care for a violent offender or the perpetrator of a crime:

• a. Avoid being judgmental and treat the patient appropriately.
• b. Refuse to treat the patient if you find the conduct morally reprehensible.
• c. Treat the patient regardless of threatening bystanders.
• d. Ignore offenders' right of confidentiality if they are in police custody.

16. If a patient is unconscious and there is no family member present, you may proceed with treatment under the assumption of:

• a. Implied consent.
• b. Expressed consent.
• c. Advised consent.
• d. Direct consent.

17. Expressed consent is required:

• a. From a patient of any age who is conscious and capable of making a rational decision.
• b. From a patient of legal age without regard for mental capability.
• c. From every patient no matter the age.
• d. From a parent or guardian of a minor unless the patient is emancipated or a life-threatening situation exists and the parent or guardian cannot be located.

18. Your patient is entitled to confidentiality:

• a. Unless the patient refuses to be transported to the hospital.
• b. As to treatment, but not to your patient interview, assessment, or findings.
• c. Only if the patient is a mentally competent adult.
• d. Unless state law requires you to report an incident.

19. You arrive to find that your patient is terminally ill. The family tells you that there was a do not resuscitate (DNR) order. What do you do?

• a. Withhold basic life support and trust that the family will produce the document later.
• b. Withhold basic life support even though the DNR has probably expired.
• c. Provide basic life support and transport to the closest hospital, unless the family can produce the required written DNR document.
• d. Disregard the DNR and begin resuscitative efforts based on your religious beliefs.