CH 12: Primary Assessment Flashcards
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?
transport priority
What is a normal capillary refill time in a pediatric patient?
less than 2 seconds
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Part 1
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?
Open the patient’s airway using a head-tilt, chin-lift maneuver.
In the primary assessment, which of the following is not an acceptable method of assessing the patient’s circulatory status?
Taking a blood pressure reading
Which of the following differences should be expected when assessing a pediatric patient, as compared to an adult patient?
The normal respiratory rate is faster.
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Part 1
Which of the following questions will most likely elicit your patient’s chief complaint?
What made you call 911 this evening?
Which of the following is the proper position for maintaining the airway in a child with a decreased level of consciousness?
Placing the head and neck in a neutral position; using a folded towel under the shoulders if necessary
Which of the following patients is a high priority for transport?
Adult male with difficulty breathing
Adult male with a headache
Adult male with dull abdominal pain
Adult male with sharp lower back pain
Adult male with difficulty breathing
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:
suction the airway.
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?
Open the patient’s airway using a manual maneuver.
Which of the following best describes an EMS provider’s “sixth sense”?
Clinical judgment
In EMS, which of the following best describes the term intervention?
Taking steps to correct a problem
During the primary assessment of a responsive adult patient, where should the pulse be checked?
At the radial artery
Which of the following presentations would be considered normal during the breathing
Respiratory rate of 12 with adequate depth
You find a middle-aged unresponsive man lying prone on the ground near a ladder. You should:
manually immobilize his head.
Which of the following is true concerning the primary assessment?
The primary assessment begins by just observing the patient as you enter the room.
Which of the following is the purpose of the primary assessment?
To detect and treat immediately life-threatening problems
Which of the following describes the chief complaint?
Reason why the patient summoned EMS
You are approaching an adult female lying supine on the ground with snoring respirations. You should:
open her airway with a jaw-thrust maneuver.
Which of the following represents the correct order of assessment for the EMT during the primary assessment from start to end?
General impression, mental status, airway, breathing, circulation, patient priority
Which term refers to the EMT’s initial sense of the patient’s condition, based on immediate assessment of the patient’s environment, appearance, and chief complaint?
general impression
Which of the following is the most reliable means of determining whether a patient has any immediately life-threatening conditions?
Systematic approach to assessment
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:
respiratory distress.
Which of the following is a good indication of a partially occluded airway?
The patient has snoring respirations.
The mnemonic AVPU is used to evaluate which of the following?
Patient’s level of responsiveness
A patient whose mental status can be described as verbal is able to:
respond to speaking or shouting by opening the eyes.
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?
open the airway
In EMS, what does mental status refer to?
The patient’s level of awareness of his surroundings
For which of the following patients would capillary refill be a reliable sign of circulatory status?
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Part 1
24-year-old homeless man who has spent the night outside in the rain
3-year-old child with a fever and cough
92-year-old man complaining of weakness on his right side
50-year-old woman complaining of chest pain
3-year-old child with a fever and cough
