Chapter 12 Assessment
Unlock all answers in this set
Unlock answersquestion
A patient whose mental status can be described as \"verbal\" is able to: A. talk spontaneously and respond to the EMT's questions. B. respond only to a stimulus such as the EMT rubbing his sternum with his knuckles. C. tell you his or her name, his or her location, and what day it is. D. respond to speaking or shouting by opening the eyes.
answer
D
question
Which of the following presentations would be considered normal during the \"Breathing\" phase of the primary assessment? A. Respiratory rate of 12 with adequate depth B. Respiratory rate of 28 with adequate depth C. Respiratory rate of 6 with shallow depth D. Respiratory rate of 16 with altered mental status
answer
A
question
Which of the following is the proper position for maintaining the airway in a child with a decreased level of consciousness? A. Using a cervical collar to keep the chin elevated B. Flexing the neck to place the chin on the chest C. Hyperextension of the neck D. Placing the head and neck in a neutral position
answer
D
question
You care caring for a patient that looks at you as you approach. Which of the following represents the correct order of assessment for the EMT during the primary assessment from start to end? A. Patient priority, general impression, mental status, airway, breathing, circulation B. General impression, mental status, airway, breathing, circulation, patient priority C. Mental status, general impression, airway, breathing, circulation, patient priority D. None of the above
answer
B
question
In the primary assessment, which of the following is NOT an acceptable method of assessing the patient's circulatory status? A. Taking a blood pressure reading B. Assessing the patient's skin color C. Checking a radial pulse D. Looking for serious bleeding
answer
A
question
You are approaching a young adult male lying supine on the ground with his eyes closed. You should FIRST: A. expose his chest. B. feel for a pulse. C. open his airway. D. ask him if he is okay.
answer
D
question
Which of the following is completed first during the primary assessment? A. Assessing mental status B. Opening the airway C. Determining transport priority D. Forming a general impression
answer
D
question
The mnemonic AVPU is used to evaluate which of the following? A. Patient's transport priority B. Patient's level of responsiveness C. EMT's general impression of the patient's condition D. Patient's chief complaintQ
answer
B
question
Which of the following findings is generally NOT used to assess an adult's circulation? A. Evaluation for bleeding B. Patient's skin color, temperature, and condition C. Patient's distal pulse rate D. Patient's capillary refill time
answer
D
question
Your partner is assessing a 55-year-old man who was found sitting on the tailgate of his truck after being involved in a motor vehicle collision. You should FIRST: A. lay the patient down in the truck bed. B. instruct the patient to stand up. C. assist the patient to the stretcher. D. manually immobilize the cervical spine.
answer
D
question
Which of the following is the purpose of the primary assessment? A. To detect and treat immediately life-threatening problems B. To find all of the patient's signs and symptoms C. To discover trends of improvement or deterioration in the patient's condition D. To detect dangers to the patient and/or EMS crew
answer
A
question
Which of the following is NOT assessed during the \"Breathing\" phase of the primary assessment? A. Obtaining a pulse oximetry reading B. Determining the presence of respirations C. Counting the respiratory rate D. Determining the depth of respiration
answer
A
question
Your patient is a 72-year-old female who has \"twisted her ankle\" coming down some steps. She is alert and complaining of pain in her right ankle, but she jokes about her \"clumsiness.\" Which of the following should you do next? A. Administer high-concentration oxygen by nonrebreather mask. B. Determine the presence of a carotid pulse. C. Ask if the patient has pain anywhere besides her ankle. D. Take immediate manual control of the patient's cervical spine.
answer
C
question
You are approaching an adult female lying supine on the ground with snoring respirations. You should FIRST: A. insert an oropharyngeal airway. B. ventilate with a bag-valve mask. C. open her airway with a jaw-thrust maneuver. D. insert a nasopharyngeal airway.
answer
C
question
Which of the following describes the chief complaint? A. Reason why the patient summoned EMS B. Events immediately preceding the call for EMS C. Overall impression of the patient's condition D. All of the above
answer
A
question
In EMS, what does mental status refer to? A. Any history of mental illness that the patient may have B. Patient's level of awareness of his surroundings C. Patient's general level of intelligence D. None of the above
answer
B
question
Which of the following is true concerning the primary assessment? A. Manual airway maneuvers must be performed on all patients. B. External bleeding will be obvious as you enter the room and initially see the patient. C. The EMT should perform a sternal rub on all patients to test for response to painful stimuli. D. The primary assessment begins by just observing the patient as you enter the room.
answer
D
question
Your patient is a 33-year-old man who has been ejected from his vehicle during a high-speed collision. During your primary assessment it is discovered that he is not moving, does not appear to have adequate respirations, and has suffered moderate external bleeding. Which of the following should be done first? A. Open the airway. B. Control the bleeding with direct pressure. C. Begin bag-valve-mask ventilations. D. Check the patient's carotid pulse.
answer
A
question
Your patient is a 42-year-old woman who fell two feet from a ladder and is complaining of pain in her ankle. Which of the following are you unable to determine from the information given? A. Airway status B. Chief complaint C. Transport priority D. General impression
answer
C
question
Your patient is a middle-aged man who appears to be in distress and is clutching his chest. These observations lead you to suspect which type of problem? A. Anaphylaxis B. Choking C. Cardiac D. Digestive
answer
C
question
Which of the following is the correct manner for checking for responsiveness in an apparently unresponsive infant? A. Shaking the child B. Rubbing the sternum with your knuckles C. Pinching the earlobe D. Flicking the soles of the feet
answer
D
question
Which of the following techniques is used when formulating the general impression? A. Detecting odors B. Listening for unusual sounds C. Looking for visual clues D. All of the above
answer
D
question
Which of the following differences should be expected when assessing a pediatric patient, as compared to the adult patient? A. The normal respiratory rate is faster. B. An adult's tongue is proportionally larger than that of a child and should always be considered as a potential airway obstruction. C. The normal pulse rate is slower. D. Capillary refill is not as reliable an indicator of circulatory status.
answer
A
question
Which of the following is a good indication of an occluded airway? A. The patient is crying loudly. B. The patient has snoring respirations. C. The patient is alert. D. The patient is speaking clearly.
answer
B
question
What BEST defines the immediate sense of the patient's degree of distress, formulated from the patient's immediate environment, appearance, and chief complaint? A. Scene size-up B. Secondary assessment C. Primary assessment D. General impression
answer
D
question
Which of the following indicates a possible circulatory problem? A. Weak, thready pulse that is normal in rate B. Slow pulse C. Rapid pulse D. All of the above
answer
D
question
You enter a room to find a 16-year-old female sitting upright in a chair with her back straight, leaning forward, and her arms supporting her. She is having a hard time talking to you. You should suspect: A. abdominal pain. B. respiratory distress. C. allergic reaction. D. chest discomfort.
answer
B
question
You are at the scene where a 19-year-old female college student has been drinking large quantities of alcohol throughout the evening. On your arrival, the patient is lying on her back with no signs of trauma, has vomited, and has slow, wet sounding respirations. Which of the following should you do next? A. Check for carotid and radial pulses. B. Open the patient's airway using a head-tilt, chin-lift maneuver. C. Assist respirations with a bag-valve-mask device. D. Determine the respiratory rate.
answer
B
question
Which of the following questions will most likely illicit your patient's chief complaint? A. What made you call 911 this evening? B. Do you have any medical problems? C. How have you been feeling lately? D. Have you been drinking today?
answer
A
question
In EMS, which of the following BEST describes the term intervention? A. Taking steps to correct a problem B. Determining if there is a problem C. Decreasing the EMT's liability for negligence D. Creating a permanent record of patient care
answer
A
question
You are approaching a 16-year-old male with bright red spurting blood coming from his leg. He is screaming, and he begs you to help him. You should FIRST: A. assess his airway. B. control the bleeding. C. apply oxygen. D. ask him to calm down.
answer
B
question
Which of the following BEST describes an EMS provider's \"sixth sense\"? A. Scene safety B. Diagnostic ability C. General impression D. Clinical judgment
answer
D
question
You find a teenage male lying supine in his bedroom. You hear gurgling sounds from the patient's mouth and see vomit with pill fragments on the floor. You should FIRST: A. suction the airway. B. ventilate with oxygen. C. perform chest thrusts. D. identify the pills.
answer
A
question
Which of the following is true regarding a patient who has a mental status of less than \"alert\"? A. His brain may not be getting enough oxygen. B. His condition does not indicate the need for oxygen. C. He is likely in a state of REM sleep. D. He has adequate circulation.
answer
A
question
Which of the following is NOT performed during the \"Airway\" phase of the primary assessment? A. Insertion of an oropharyngeal airway B. Head-tilt, chin-lift maneuver C. Obtaining the respiratory rate D. Suctioning
answer
C
question
Which of the following is NOT part of the general impression? A. Position in which the patient is found B. Patient's age and race C. Patient's facial expression D. Patient's past medical history
answer
D
question
For which of the following patients would capillary refill be a reliable sign of circulatory status? A. 92-year-old man complaining of weakness on his right side B. 24-year-old homeless man who has spent the night outside in the rain C. 3-year-old child with a fever and cough D. 50-year-old woman complaining of chest pain
answer
C
question
What is a normal capillary refill time in a pediatric patient? A. 1 minute B. less than 2 seconds C. 3 seconds D. 5 seconds
answer
B
question
You have arrived on the scene at a high school football field where a 17-year-old male is lying on the ground. He is unresponsive and cyanotic, and he is making obvious respiratory effort without moving adequate amounts of air. Which of the following should be done first? A. Insert a nasopharyngeal or oropharyngeal airway. B. Open the patient's airway using a manual maneuver. C. Assist ventilations with a bag-valve-mask device and supplemental oxygen. D. Apply high-concentration oxygen by nonrebreather mask.
answer
B
question
During the primary assessment of a responsive adult patient, where should the pulse be checked? A. At the brachial artery B. At the femoral artery C. At the carotid artery D. At the radial artery
answer
D
question
Which of the following is the most reliable means of determining whether a patient has any immediately life-threatening conditions? A. Obtaining a detailed medical history B. Use of intuition C. Systematic approach to assessment D. Thorough scene size-up
answer
C
question
You find a middle-aged unresponsive man lying prone on the ground near a ladder. You should FIRST: A. manually immobilize his head. B. move the ladder out of the way. C. pick him up with a scoop stretcher. D. roll him over to a supine position.
answer
A
question
During the primary assessment of an unresponsive two-month old infant, which pulse should be palpated? A. Brachial B. Radial C. Umbilical D. Carotid
answer
A
question
Which of the following patients is a high priority for transport? A. Pediatric patient with abrasions to both knees from a fall B. High school student with dizziness after giving blood C. Adult female with knee pain D. Adult male with difficulty breathing
answer
D