19 Primary Assessment

Question 1

What is an aspect of the scene size-up?
A.
Determining a general impression
C.
Controlling bleeding
B.
Beginning triage
D.
Managing the airway

Answer 1

B

Question 2

What is the paramedic’s first priority?
A.
Personal safety
C.
Crew safety
B.
Airway management
D.
Bleeding control

Answer 2

A

Question 3

When must the paramedic wash his or her hands?
A.
After every EMS call
C.
Before every EMS call
B.
Before and after each patient contact
D.
Only when visibly soiled

Answer 3

B

Question 4

What aspect is included in the scene size-up?
A.
Determining a mass casualty incident
C.
Transport to the hospital
B.
Endotracheal intubation
D.
Rapid trauma exam

Answer 4

A

Question 5

The paramedic should don personal protective equipment (PPE) at which point?
A.
During the scene size-up
C.
While transporting
B.
At the primary survey
D.
PPE is not required

Answer 5

A

Question 6

What is the primary survey’s main objective?
A.
Assess for scene hazards.
C.
Decide the nature of illness.
B.
Summon additional ALS units.
D.
Determine life threats.

Answer 6

D

Question 7

The paramedic approaches a 66-year-old male exhibiting accessory muscle usage. When would the paramedic gain this information?
A.
At the general impression
C.
After the airway is secured
B.
During the scene size-up
D.
When exposing the patient

Answer 7

A

Question 8

Which patient is considered a “priority” patient?
A.
A 25-year-old with an open humerus fracture
B.
A 76-year-old who is pale and complaining of chest pain
C.
A 59-year-old with pink skin experiencing abdominal pain
D.
A 68-year-old complaining of chronic back pain

Answer 8

B

Question 9

The paramedic determines that a patient in respiratory failure requires intubation. During which phase should this determination take place?
A.
Scene size-up
C.
Transport
B.
Ongoing assessment
D.
Primary survey

Answer 9

D

Question 10

Paramedics approach a patient lying supine on the pavement after being ejected during a motor vehicle collision and note cyanosis. What is the next step on the primary survey?
A.
Determine airway status.
C.
Verify level of consciousness.
B.
Establish circulatory condition.
D.
Assess neurological standing.

Answer 10

C

Question 11

The paramedic palpates a weak and thready pulse for a 65-year-old male having chest pain. During which point would the paramedic establish this information?
A.
Level of consciousness
C.
Breathing status
B.
Circulatory status
D.
Neurological check

Answer 11

B

Question 12

Which is a life-threatening respiratory abnormality?
A.
Wheezing
C.
Low oxygen saturation
B.
Crackles
D.
Distended neck veins

Answer 12

C

Question 13

Paramedics arrive on scene of a gunshot wound and find a 45-year-old male who has been shot in the neck lying supine. What action should the paramedic perform first?
A.
Take cervical spine precautions.
C.
Control the patient’s airway.
B.
Perform detailed trauma exam.
D.
Start an intravenous line.

Answer 13

A

Question 14

Which treatment should be performed en route to the trauma hospital for a patient with massive head trauma?
A.
Spinal immobilization
C.
Intravenous therapy
B.
Oxygen administration
D.
Endotracheal intubation

Answer 14

C

Question 15

A 23-year-old presents unresponsive after overdosing on heroin. Cyanosis and bradypnea are noted. What action should the paramedic implement next?
A.
Prepare the patient for transport.
C.
Check circulatory status.
B.
Provide bag-mask ventilations.
D.
Assess the status of the airway.

Answer 15

D

Question 16

The paramedic is unable to palpate a carotid pulse on a 39-year-old male. What is the next appropriate measure?
A.
Perform a head-tilt chin-lift.
B.
Initiate chest compressions.
C.
Attach an automated external defibrillator.
D.
Administer bag-mask ventilations.

Answer 16

B

Question 17

Which patient should be exposed?
A.
A 19-year-old involved in a rollover multiple vehicle crash complaining of chest pain
B.
A 28-year-old complaining of shortness of breath after a fight with her boyfriend
C.
A 39-year-old experiencing abdominal pain with a history of gastritis
D.
A 45-year-old ambulatory at the scene of an multiple vehicle crash complaining of neck pain

Answer 17

A

Question 18

During the disability aspect of the primary survey, what portion should be assessed?
A.
Blood pressure
C.
Pupil size and reactivity
B.
Breathing status
D.
Capillary refill

Answer 18

C

Question 19

Determining whether the patient is alert and orientated to person, place, and time should be established during which part of the primary survey?
A.
Airway assessment
C.
Patient exposure
B.
Level of consciousness
D.
Disability

Answer 19

D

Question 20

The paramedic should be on the scene of a critical trauma patient for no more than \_\_\_\_\_ minutes.
A.
10
C.
20
B.
15
D.
25

Answer 20

A