CH 12: Primary Assessment

Question 1

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?

Answer 1

transport priority

Question 2

What is a normal capillary refill time in a pediatric​ patient?

Answer 2

less than 2 seconds

Question 3

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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?

Answer 3

Open the​ patient’s airway using a​ head-tilt, chin-lift maneuver.

Question 4

In the primary​ assessment, which of the following is not an acceptable method of assessing the​ patient’s circulatory​ status?

Answer 4

Taking a blood pressure reading

Question 5

Which of the following differences should be expected when assessing a pediatric​ patient, as compared to an adult​ patient?

Answer 5

The normal respiratory rate is faster.

Question 6

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Part 1
Which of the following questions will most likely elicit your​ patient’s chief​ complaint?

Answer 6

What made you call 911 this​ evening?

Question 7

Which of the following is the proper position for maintaining the airway in a child with a decreased level of​ consciousness?

Answer 7

Placing the head and neck in a neutral​ position; using a folded towel under the shoulders if necessary

Question 8

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

Answer 8

Adult male with difficulty breathing

Question 9

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:

Answer 9

suction the airway.

Question 10

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?

Answer 10

Open the​ patient’s airway using a manual maneuver.

Question 11

Which of the following best describes an EMS​ provider’s “sixth​ sense”?

Answer 11

Clinical judgment

Question 12

In​ EMS, which of the following best describes the term intervention​?

Answer 12

Taking steps to correct a problem

Question 13

During the primary assessment of a responsive adult​ patient, where should the pulse be​ checked?

Answer 13

At the radial artery

Question 14

Which of the following presentations would be considered normal during the breathing

Answer 14

Respiratory rate of 12 with adequate depth

Question 15

You find a​ middle-aged unresponsive man lying prone on the ground near a ladder. You​ should:

Answer 15

manually immobilize his head.

Question 16

Which of the following is true concerning the primary​ assessment?

Answer 16

The primary assessment begins by just observing the patient as you enter the room.

Question 17

Which of the following is the purpose of the primary​ assessment?

Answer 17

To detect and treat immediately​ life-threatening problems

Question 18

Which of the following describes the chief​ complaint?

Answer 18

Reason why the patient summoned EMS

Question 19

You are approaching an adult female lying supine on the ground with snoring respirations. You​ should:

Answer 19

open her airway with a​ jaw-thrust maneuver.

Question 20

Which of the following represents the correct order of assessment for the EMT during the primary assessment from start to​ end?

Answer 20

General​ impression, mental​ status, airway,​ breathing, circulation, patient priority

Question 21

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?

Answer 21

general impression

Question 22

Which of the following is the most reliable means of determining whether a patient has any immediately​ life-threatening conditions?

Answer 22

Systematic approach to assessment

Question 23

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:

Answer 23

respiratory distress.

Question 24

Which of the following is a good indication of a partially occluded​ airway?

Answer 24

The patient has snoring respirations.

Question 25

The mnemonic AVPU is used to evaluate which of the​ following?

Answer 25

​Patient’s level of responsiveness

Question 26

A patient whose mental status can be described as verbal is able​ to:

Answer 26

respond to speaking or shouting by opening the eyes.

Question 27

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?

Answer 27

open the airway

Question 28

In​ EMS, what does mental status refer​ to?

Answer 28

The​ patient’s level of awareness of his surroundings

Question 29

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

Answer 29

3-year-old child with a fever and cough