Assessment

Question 1

What is included in the Primary Assessment?

Answer 1

• Level of Consciousness
• Breathing Status
• Circulatory Status

If life-threatening condition is apparent. These must be treated immediately.

Question 2

Carotid pulse present with no radial pulse

Answer 2

Lay the patient flat and elevate his or her feet 8-12 inches.

Question 3

No Pulse

Answer 3

Begin CPR

Question 4

Shock

Answer 4

Lay patient flat, elevate his or her feet 8-12 inches, and administer oxygen at 15 L/min

Question 5

Bleeding

Answer 5

Apply pressure to control any bleeding

Question 6

Abnormal Breathing

Answer 6

Provide oxygen with a nonrebreather mask. Use a BVM if unresponsive

Question 7

Unresponsive

Answer 7

Ensure patent airway

Question 8

Secondary Assessment include;

Answer 8

• Vital Signs
• Further Questions
• Physical Examination
• Treat any life-threatening conditions immediately

Question 9

When is a reassessment performed?

Answer 9

After the Secondary Assessment at least every 5 minutes for unstable patients and 15 minutes for stable patients.

Question 10

Neonate (0-12mo) Vital Signs

Answer 10

H/R: 100 - 220
R: 30 - 40
B/P: Systolic 70 - 90

Question 11

Toddler (12-36mo) Vital Signs

Answer 11

H/R: 80 - 130
R: 20 - 30
B/P: Systolic 70 - 100

Question 12

Preschooler (3-5yo) Vital Signs

Answer 12

H/R: 80 - 120
R: 20 - 30
B/P: Systolic 80 - 110

Question 13

School Aged (6-12yo) Vital Signs

Answer 13

H/R: 70 - 110
R: 20 - 30
B/P: 80 - 120 / 60 - 80

Question 14

Adolescent (13-18yo) Vital Signs

Answer 14

H/R: 55 - 100
R: 12 - 20
B/P: 110 - 131 / 64 - 84

Question 15

Early Adult (19-40yo) Vital Signs
Middle Adult (41-60yo)
Late Adult (61+yo)

Answer 15

H/R: 600 - 100
R: 12 - 20
B/P: 120 / 80

Question 16

Glucose Reading Hypoglycemia Measurement

Answer 16

Below 70 mg/dL

Question 17

Glucose Reading Hyperglycemia Measurement

Answer 17

Above 160 mg/dL