Ch 8 questions Flashcards
The scene size-up consist of all the following EXCEPT:
A. Determine the mechanism of injury
B. Requesting additional assistance
C. Determining the level of responsiveness
D. Personal protective equipment (PPE)/standard precautions
Determining the level of responsiveness
Your primary safety concern is for:
A. Yourself
B. Your partner
C. Your patient
D. Bystanders
Yourself
With __________, the force of the injury occurs over a broad area, and the skin is usually not broken.
A. Motor vehicle collisions
B. Blunt trauma
C. Penetrating trauma
D. Gunshot wounds
Blunt trauma
With _________, the force of the injury occurs at a small point of contact between the skin and the object piercing the skin.
A. Motor vehicle collisions
B. Blunt trauma
C. Penetrating trauma
D. Falls
Penetrating trauma
__________ is the measure of the amount of air that is moved into and out of the lungs in one breath.
A. Residual volume
B. Tidal volume
C. Vital capacity
D. Minute volume
Tidal volume
The physical examination consists of all of the following EXCEPT:
A. Puncture
B. Inspection
C. Palpation
D. Auscultation
Inspection
When determining the initial general impression, you should note all of the following EXCEPT:
A. The patient’s age
B. The level of distress
C. The events leading up to the incident
D. The patient’s sex
The events leading up to the incident
When considering the need for additional resources, which of the following is NOT a question you should ask.
A. How many patients are there?
B. Is it raining?
C. Who contacted EMS?
D. Does the scene pose a threat to you or patients safety?
Is it raining?
The primary assessment includes evaluation of the following EXCEPT:
A. Mental status
B. Pupils
C. Airway
D. Circulation
Pupils
The best indicator of brain function is the patient’s:
A. Pulse rate
B. Papillary response
C. Mental status
D. Respiratory rate and depth
Mental status
What does the “P” on the AVPU scale represent?
A. Responsive to palpation
B. Responsive to pain
C. Responsive to provocation
D. Responsive to palliation
Responsive to pain
A normal respiratory rate for an adult is typically:
A. 5 to 10 breaths per minute
B. 12 to 20 breaths per minute
C. 15 to 30 breaths per minute
D. 20 to 30 breaths per minute
12 to 20 breaths per minute
For children younger than 1 year old, you should palate the ___________ artery when assessing the pulse.
A. Carotid
B. Radial
C. Femoral
D. Brachial
Brachial
The automated external defibrillator (AED) should be used on pediatric medical patients who are at least ____________ year(s) old and who have been assessed to be unresponsive, apneic, and pulseless.
A. 1
B. 8
C. 9
D. 10
8
When there are low levels of oxygen in the blood, the lips and mucous membranes appear blue or gray. This condition is called:
A. Cyanosis
B. Pallor
C. Jaundice
D. Ashen
Cyanosis
Your first consideration when assessing a pulse is to determine:
A. How fast the rate is
B. The quality
C. If one is present
D. If the rhythm is regular
If one is present
To obtain the pulse rate in most patients, you should count the number of pulses felt in a _________ period and then multiple by two.
A. 15-second
B. 20-second
C. 25-second
D. 30-second
30-second
In deeply pigmented skin, you should look for changes in color in areas of the skin that have less pigment, including:
A. The sclera
B. The conjunctiva
C. The mucous membranes of the mouth
D. All of the above
All of the above
All of the following are conditions not tell related to the body’s circulation that may slow capillary refill EXCEPT:
A. Local circulatory compromise
B. Hypothermia
C. Age
D. Abdominal pain
Abdominal pain
Which of the following is NOT considered a method for controlling external bleeding?
A. Direct pressure
B. Tourniquet
C. Cold water
D. Elevation
Cold water
The ___________ is/are the most serious thing that the patient is concerned about; the reason why they called 9-1-1.
A. Chief complaint
B. Pertinent negatives
C. Severity
D. Past medical history
Chief complaint
The four items to assess the orientation of a patient’s mental status include all the following EXCEPT:
A. Person
B. Place
C. History
D. Events
History
An integral part of the rapid scan is evaluation using the mnemonic:
A. AVPU
B. DCAP-BTLS
C. OPQRST
D. SAMPLE
DCAP-BTLS
In the absence of light, the pupils will:
A. Constrict
B. Stay fixed
C. Dilate
D. Become unequal
Dilate
_____________ cause the pupils top constrict to a pinpoint.
A. Opiates
B. Antidepressants
C. Antihypertensive medications
D. Diabetic medications
Opiates
When assessing breathing, you should obtain all of the following EXCEPT:
A. Respiratory rate
B. Depth of breathing
C. Quality/character of breathing
D. Breath odor
Breath odor
Which of the following statements regarding assessment of the airway is TRUE?
A. The body will not be supplied the necessary oxygen if the airway is not managed
B. You should use the head tilt-chin lift maneuver to open the airway in trauma patients
C. The tongue is generally not a cause of airway obstruction
D. A conscious patient who cannot speak or cry is most likely hyperventilating
The body will not be supplied the necessary oxygen if the airway is not managed
Which of the following is NOT considered a type of breath sound?
A. Rhonchi
B. Vibration
C. Wheeze
D. Stridor
Vibration
The MOST important thing to consider in patients with multiple injuries in various stages of healing is that:
A. This patient is rather clumsy
B. The patient could have an underlying cancer
C. The patient might be a victim of abuse
D. The patient probably had a high tolerance for pain
The patient might be a victim of abuse
Which of the following questions should you ask yourself when dealing with a patient who is not answering your questions?
A. Is the patient hungry?
B. Is there a language problem?
C. Is the patient tired?
D. Is the patient angry with me?
Is there a language problem?
_____________ is an assessment tool used to evaluate the effectiveness of oxygenation.
A. Capnography
B. Capnometry
C. Pulse oximetry
D. Blood glucose
Pulse oximetry
The pressure felt along the wall of the artery when the ventricles of the heart contract is referred to as the:
A. Asystolic pressure
B. Diastolic pressure
C. Idiopathic pressure
D. Systolic pressure
Systolic pressure
A blood pressure cuff that’s too large for the patient:
A. May result in a falsely low reading
B. May result in a falsely high reading
C. Will not affect the reading
D. Should be used in patients with arm pain
May result in a falsely low reading
When examining the abdomen, you should palate for all of the following EXCEPT:
A. Guarding
B. Crepitation
C. Tenderness
D. Regidity
Crepitation
Crackling sounds produced by Air bubbles under the skin are known as:
A. Subcutaneous ecchymosis
B. Subcutaneous emphysema
C. Subcutaneous erythema
D. Subcutaneous emboli
Subcutaneous emphysema
Unstable patients should be reassessed every __________ minutes.
A. 5
B. 10
C. 15
D. 20
5
In the ___________ position, the patient shuts leaning forward on outstretched arms with the head and chin thrust slightly forward.
A. Fowler’s
B. Tripod
C. Sniffing
D. Lithotomy
Tripod
In an unresponsive adult patient, the primary location to assess the pulse is the _____________ artery.
A. Carotid
B. Femoral
C. Radial
D. Brachial
Carotid
Liver disease or dysfunction may cause _________, resulting in the patient’s skin and sclera turning yellow.
A. Cyanosis
B. Jaundice
C. Diaphoresis
D. Lack of perfusion
Jaundice
When obtaining a blood pressure by palapation in the arm, you should place your fingertips on the ____________ artery.
A. Carotid
B. Brachial
C. Radial
D. Posterior tibial
Radial
The first set of vitals obtain is called the:
A. Original vital signs
B. Baseline vital signs
C. Actual vital signs
D. Real vital signs
Baseline vital signs
Which of the following is NOT considered a sign?
A. Dizziness
B. Marked deformities
C. External bleeding
D. Wounds
Dizziness
When blood pressure drops, the body compensates to maintain perfusion to the vital organs by:
A. Decreasing the pulse rate
B. Dilating the arteries
C. Decreasing respiratory rate
D. Decreasing the blood flow to the skin and extremities
Decreasing the blood flow to the skin and extremities
When assessing and treatment a patient who is visually impaired, it is important that you do all of the following EXCEPT:
A. Speak loudly into the patients ear, because he or she can’t hear you
B. Announce yourself when entering the residence
C. Put items that were moved back into their previous position
D. Explain to the patient what is happening
Speak loudly into the patients ear, because he or she can’t hear you
Which of the following statements is FALSE regarding the assessment of patients with a language barrier?
A. You should find an interpreter
B. Determine whether the patient understands you
C. Questioning should be lengthy and complex
D. Be aware of the language diversity in your community
Questioning should be lengthy and complex
A(n) _________ is an objective condition that you can observe about the patient.
Sign
________ __________ are protective measures for dealing with blood and bodily fluids.
Standard precautions
When there are multiple patients, you should use the __________ __________ ___________ to help organize the triage, logistics, and treatment of patients.
Incident command system
________ ___________ _________ should be requested for patients with severe injuries or complex medical problems.
Advanced life support
Identifying and initiating treatment of immediate potentially life-threatening conditions is the goal of __________ __________.
Primary assessment
You should think of the __________ ________ as a visual assessment, gathering information as you approach the patient.
General impression
________ is the circulation of blood within an organ or tissue.
Perfusion
________ tests the mental status of the pateint by checking memory and thinking ability.
Orientation
When light is shined into the eyes, the pupils should _________.
Constrict
A brassy, crowing sound that is prominent on inspiration, suggesting a mildly occluded airway, is referred to as __________.
Stridor
If there is a potential for trauma, use the modified ___________ to open the airway.
Jaw-thrust
During _________ the chest muscles relax and air is released out of the lungs.
Exhalation
If a patient seems to develop difficulty breathing after your primary assessment, you should immediate reevaluate the __________.
Airway
If you hear fluid in the airway during your assessment, you should immediately ________ the airway to prevent aspiration.
Suction
A pateint who coughs up thick, yellowish or greenish sputum most likely has a(n) __________ __________.
Respiratory infection
_______ _______ and see-saw breathing in a pediatric patient indicate inadequate breathing.
Nasal flaring
Skin that is cool, clammy, and plae in your primary assessment typically indicates __________.
Hypoperfusion
When the skin is bathed in sweat, it is described as _______.
Diaphoric
A rapid scan to identify immediate threats should take ______ to _________ second(s).
60;90
