ch.10 patient assessment exam review questions Flashcards
When you assess capillary refill time in an infant, normal color to the tested area should return within
2 second
which of the following patient responses would establish the “E” in the SAMPLE history?
I was mowing the lawn when the pain began
When you inspect a patient’s pupils with a pen light, the pupils should normally react to the light by:
Constricting
When using the pulse oximeter as part of your assessment of a patient, it is important to remember that
any situation that cause vasoconstriction or loss of red blood cells, such as anemia or bleeding may result in an inaccurate or misleading value
Cyanosis of the skin is caused by:
Decreased blood oxygen
when assessing the skin of an unresponsive patient , you note that it has a bluish tint to it. This finding is called:
Cyanosis
Which of the following assessments would be the most useful in determining the possible cause of a patient’s altered mental status?
Blood glucose level
When you use the palpation method to obtain a blood pressure the measurement you obtain is the:
Systolic blood pressure
Which of the following statements regarding stridor is correct?
It has a high-pitched, crowning upper airway sound
Which of the following medical history questions would be of least pertinent in an acute situation?
Does your mother have diabetes
With regard to the assessment of a patient’s cardiovascular status, capillary refill time is most reliable in:
Patients who are 6 years old or younger
Which of the following is the most accurate guide to palpating a pulse?
Place the tips of your index and long fingers over the pulse point
Capnography is used to:
Determine how much carbon dioxide is being exhaled
Pain that moves from its point of origin to another body location is said to be:
Radiating
Clinical signs of labored breathing include all of the following except:
Shallow chest movements
In responsive patients, who are older than 1 year of age, you should palpate the pulse at the __________ artery.
Radial
The goal of the systemic head to toe exam that is performed during the secondary assessment is to:
Locate the injuries not found in the primary assessment
The systemic head to toe assessment should be performed on:
Patients with significant MOI and unresponsive medical patients
The diastolic blood pressure represents the :
Minimum amount of pressure that is always present in the arteries
When a patient’s respirations are shallow:
Tidal volume is markedly reduced.
An adult patient who is NOT experiencing difficulty breathing will:
Be able to speak in complete sentences without unusual pulses
The “golden hour” begins when an injury occurs and ends when:
The patient receives definitive care
A patient who does not respond to your questions, but moves or cries out when his or her trapezius is pinched, is said to be:
Responsive to painful stimuli
A 29 year old male with a head injury opens his eyes when you speak to him, is confused as to the time and date, and is able to move all of his extremities on command. His Glasgow come scale score is:
13
a patient is sitting in a chair, leaning forward on his outstretched arms. His head and chin are thrust forward, This position indicates that he:
is experiencing difficulty breathing
When assessing a 62 year old patient, with crushing chest pain, you note that her pulse is rapid and irregular. You should administer supplemental oxygen if needed and then:
Transport at once and consider requesting a paramedic unit
A patient with high blood pressure would be expected to have skin that is
flushed and red
for an adult, the normal resting pulse should be between:
60 to 100 beats/min
after performing a head-tilt chin lift maneuver to open the airway of an unresponsive patient who has a pulse you should:
suction as needed and insert an airway adjunct
a patient with profuse sweating is referred to as being:
Diaphoretic
A 40 year old male crashed his motorcycle into a tree. He is semiconscious has snoring respirations, and has a laceration to the forearm with minimal bleeding you should:
open his airway with the jaw-thrust maneuver.
After performing a primary assessment, a rapid exam of the body should be performed to:
Identify less obvious injuries that require immediate treatment
When palpating a patient’s pulse, you note that there is a short internal between pulsations. This indicates that the pulse is:
Rapid
During a 30 minute transport of a stable patient, you should reassess him or her at least ______times.
2
Which of the following would the EMT likely not perform on a responsive patient with a headache and no apparent life threatening conditions.
systemic head to toe examination
a pulse with a consistent pattern is considered to be
regular
A crackling sound produced by air bubbles under the skin is called:
Subcutaneous emphysema
When assessing a patient’s abdomen, you will evaluate for all of the following except:
subcutaneous emphysema
A blood pressure cuff that is too small for a patient’s arm will give a:
Falsely high systolic and diastolic reading
