Ch7 Practice Questions Pt.1 Flashcards

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1
Q

Which of the following lists presents the order in which an OEC technician should assess a patient in a field setting?

A) Primary assessment, reassessment, secondary assessment

B) Scene size-up, secondary assessment, primary assessment

C) Scene size-up, primary assessment, secondary assessment

D) Scene size-up, history, secondary assessment, primary assessment

A

Which of the following lists presents the order in which an OEC technician should assess a patient in a field setting?
A) Primary assessment, reassessment, secondary assessment
B) Scene size-up, secondary assessment, primary assessment
C) Scene size-up, primary assessment, secondary assessment
D) Scene size-up, history, secondary assessment, primary assessment

Ans: C

Complexity: Easy 
Ahead: Patient Assessment
Subject: Chapter 7
Title: Patient Assessment
Feedback: 144
Objective: 7-1
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2
Q

Which of the following statements would indicate that an OEC technician is ready to begin the first phase of a patient assessment?

A) “I have placed an oral airway in the patient.”

B) “The scene is safe and appears to be free of hazards.”

C) “Blood pressure is 124/80 mmHg.”

D) “Can you tell me why you called for help?”

A

Which of the following statements would indicate that an OEC technician is ready to begin the first phase of a patient assessment?
A) “I have placed an oral airway in the patient.”
B) “The scene is safe and appears to be free of hazards.”
C) “Blood pressure is 124/80 mmHg.”
D) “Can you tell me why you called for help?”

Ans: B

Complexity: Moderate
Ahead: Scene Size-Up
Subject: Chapter 7
Title: Patient Assessment
Feedback: 146
Objective: 7-1
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3
Q

Which of the following things does not indicate a possible safety issue during a scene size-up?

A) Downed wires
B) Ice or mud
C) Wild animals
D) ABCDs

A
Which of the following things does not indicate a possible safety issue during a scene size-up? 
A) Downed wires
B) Ice or mud
C) Wild animals
D) ABCDs

Ans: D

Complexity: Easy
Ahead: Scene Size-Up
Subject: Chapter 7
Title: Patient Assessment
Feedback: 146
Objective: 7-1
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4
Q

You have been dispatched to an 89-year-old female with an unspecified complaint. When assessing this patient, which one of the following will the OEC technician do as quickly as possible to develop a better understanding of the emergency?

A) Obtain the patient’s vital signs and current medications

B) Gather a medical history, including information on allergies

C) Contact medical direction for advice

D) Determine if the chief complaint is medical (NOI) or trauma related (MOI)

A

You have been dispatched to an 89-year-old female with an unspecified complaint. When assessing this patient, which one of the following will the OEC technician do as quickly as possible to develop a better understanding of the emergency?
A) Obtain the patient’s vital signs and current medications
B) Gather a medical history, including information on allergies
C) Contact medical direction for advice
D) Determine if the chief complaint is medical (NOI) or trauma related (MOI)

Ans: D

Complexity: Moderate
Ahead: Scene Size-Up
Subject: Chapter 7
Title: Patient Assessment
Feedback: 147
Objective: 7-1
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5
Q

You are interviewing a prospective candidate for the position of OEC technician with your service. During the interview, you ask the applicant to describe the purpose of the primary assessment. Which of the following best describes that purpose?

A) To establish a chief complaint and gather an extensive medical history

B) To determine if the patient’s vital signs are stable

C) To identify and treat life-threatening conditions

D) To perform a comprehensive exam focused on the patient’s chief complaint

A

You are interviewing a prospective candidate for the position of OEC technician with your service. During the interview, you ask the applicant to describe the purpose of the primary assessment. Which of the following best describes that purpose?
A) To establish a chief complaint and gather an extensive medical history
B) To determine if the patient’s vital signs are stable
C) To identify and treat life-threatening conditions
D) To perform a comprehensive exam focused on the patient’s chief complaint

Ans: C

Complexity: Easy 
Ahead: Patient Assessment
Subject: Chapter 7
Title: Patient Assessment
Feedback: 148
Objective: 7-1
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6
Q

You have been dispatched for an elderly male complaining of shortness of breath. When should you start the process of forming a general impression about this patient?

A) While you and your partner are approaching him
B) After completing a primary assessment
C) As soon as you obtain his chief complaint
D) After you have taken his vital signs

A

You have been dispatched for an elderly male complaining of shortness of breath. When should you start the process of forming a general impression about this patient?
A) While you and your partner are approaching him
B) After completing a primary assessment
C) As soon as you obtain his chief complaint
D) After you have taken his vital signs

Ans: A

Complexity: Easy
Ahead: Primary Patient Assessment
Subject: Chapter 7
Title: Patient Assessment
Feedback: 148
Objective: 7-1
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7
Q

Forming a general impression is done before which phase of patient assessment?

A) Reassessment
B) Secondary assessment
C) Primary assessment
D) Communication and documentation

A
Forming a general impression is done before which phase of patient assessment?
A) Reassessment
B) Secondary assessment
C) Primary assessment
D) Communication and documentation

Ans: C

Complexity: Easy
Ahead: Primary Patient Assessment
Subject: Chapter 7
Title: Patient Assessment
Feedback: 148
Objective: 7-1
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8
Q

You arrive at the scene of a fall, where a 42-year-old woman fell backward off a stepladder while cleaning windows. She is lying on the ground, complaining of pain to her ankle. She tells you, “If I had just been more careful and moved the ladder instead of reaching, this never would have happened!” Based on this information, which of the following can you conclude?

A) She has an open airway, is breathing, and has circulating blood to her brain.

B) Her pulse rate is within normal limits.

C) She does not require rapid transport.

D) She does not have any other injuries.

A

You arrive at the scene of a fall, where a 42-year-old woman fell backward off a stepladder while cleaning windows. She is lying on the ground, complaining of pain to her ankle. She tells you, “If I had just been more careful and moved the ladder instead of reaching, this never would have happened!” Based on this information, which of the following can you conclude?
A) She has an open airway, is breathing, and has circulating blood to her brain.
B) Her pulse rate is within normal limits.
C) She does not require rapid transport.
D) She does not have any other injuries.

Ans: A

Complexity: Easy 
Ahead: Primary Patient Assessment
Subject: Chapter 7
Title: Patient Assessment
Feedback: 150
Objective: 7-1
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9
Q

A 36-year-old patient on the AVPU scale who has overdosed on an unknown drug is breathing and will not open his eyes, even when his name is loudly called. Which one of the following should the OEC technician do next?

A) Check the patient’s vital signs
B) Perform a shoulder pinch
C) Assess the patient for a radial pulse
D) Identify what drug the patient took

A
A 36-year-old patient on the AVPU scale who has overdosed on an unknown drug is breathing and will not open his eyes, even when his name is loudly called. Which one of the following should the OEC technician do next?
A) Check the patient’s vital signs
B) Perform a shoulder pinch
C) Assess the patient for a radial pulse
D) Identify what drug the patient took

Ans: B

Complexity: Moderate 
Ahead: Primary Patient Assessment
Subject: Chapter 7
Title: Patient Assessment
Feedback: 150
Objective: 7-1
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10
Q

The “P” in “AVPU” stands for what?

A) Potential
B) Pain
C) Possible
D) Probe

A
The "P" in "AVPU" stands for what? 
A) Potential
B) Pain
C) Possible
D) Probe

Ans: B

Complexity: Easy
Ahead: Primary Patient Assessment
Subject: Chapter 7
Title: Patient Assessment
Feedback: 150
Objective: 7-1
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11
Q

If you have to clap your hands loudly in a patient’s face to get some response, what letter is scored on AVPU?

A) A
B) V
C) P
D) U

A
If you have to clap your hands loudly in a patient's face to get some response, what letter is scored on AVPU?
A) A
B) V
C) P
D) U

Ans: B

Complexity: Moderate
Ahead: Primary Patient Assessment
Subject: Chapter 7
Title: Patient Assessment
Feedback: 150
Objective: 7-1
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12
Q

Which describes a patient scoring U on AVPU?

A) Lurches in response to loud noise
B) Jerks when a light shines directly at the pupil
C) Moans when a painful stimulus is applied
D) Does not respond to pain

A

Which describes a patient scoring U on AVPU?
A) Lurches in response to loud noise
B) Jerks when a light shines directly at the pupil
C) Moans when a painful stimulus is applied
D) Does not respond to pain

Ans: D

Complexity: Moderate 
Ahead: Primary Patient Assessment
Subject: Chapter 7
Title: Patient Assessment
Feedback: 150
Objective: 7-1
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13
Q

You are by the side of a patient who is unresponsive and has a history of heart failure. When assessing the airway, which one of the following observations best indicates an open airway?

A) You can hear normal respirations and see the chest rise and fall.

B) She has a pulse of 80 per minute.

C) Her mouth is open and you can hear gurgling sounds.

D) You can see that her tongue has fallen back where it appears to be blocking the airway.

A

You are by the side of a patient who is unresponsive and has a history of heart failure. When assessing the airway, which one of the following observations best indicates an open airway?
A) You can hear normal respirations and see the chest rise and fall.
B) She has a pulse of 80 per minute.
C) Her mouth is open and you can hear gurgling sounds.
D) You can see that her tongue has fallen back where it appears to be blocking the airway.

Ans: A

Complexity: Easy 
Ahead: Primary Patient Assessment
Subject: Chapter 7
Title: Patient Assessment
Feedback: 152
Objective: 7-4
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14
Q

How should an OEC technician best determine the adequacy of a patient’s breathing during a primary assessment?

A) Determine the patient’s mental status.

B) Compare the patient’s blood pressure and pulse rates.

C) Assess the patient’s ability to raise their shoulders.

D) Look for the rise and fall of the patient’s chest.

A

How should an OEC technician best determine the adequacy of a patient’s breathing during a primary assessment?
A) Determine the patient’s mental status.
B) Compare the patient’s blood pressure and pulse rates.
C) Assess the patient’s ability to raise their shoulders.
D) Look for the rise and fall of the patient’s chest.

Ans: D

Complexity: Easy 
Ahead: Primary Patient Assessment
Subject: Chapter 7
Title: Patient Assessment
Feedback: 152
Objective: 7-4
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15
Q

Which of the following statements indicates that an OEC technician correctly understands capillary refill?

A) “Capillary refill is a reliable sign of perfusion in adults, but not as reliable in infants and children.”

B) “Flushed skin in an adult is a normal finding when assessing capillary refill.”

C) “A capillary refill of four or more seconds in a patient of any age indicates that the patient is well
oxygenated.”

D) “For a capillary refill test to be normal, it must be assessed at room temperature and be less than two seconds.”

A

Which of the following statements indicates that an OEC technician correctly understands capillary refill?
A) “Capillary refill is a reliable sign of perfusion in adults, but not as reliable in infants and children.”
B) “Flushed skin in an adult is a normal finding when assessing capillary refill.”
C) “A capillary refill of four or more seconds in a patient of any age indicates that the patient is well oxygenated.”
D) “For a capillary refill test to be normal, it must be assessed at room temperature and be less than two seconds.”

Ans: D

Complexity: Moderate
Ahead: Primary Patient Assessment
Subject: Chapter 7
Title: Patient Assessment
Feedback: 153
Objective: 7-4
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16
Q

A chief complaint is defined as the:

A) findings from a primary survey.
B) primary reason the person is seeking medical care.
C) findings from a secondary survey.
D) findings from a SAMPLE interview.

A
A chief complaint is defined as the:
A) findings from a primary survey.
B) primary reason the person is seeking medical care.
C) findings from a secondary survey.
D) findings from a SAMPLE interview.

Ans: B

Complexity: Easy
Ahead: Primary Patient Assessment
Subject: Chapter 7
Title: Patient Assessment
Feedback: 155
Objective: 7-1
17
Q

A 44-year-old male was on a ladder cutting limbs from a tree when he fell. He is found to be unresponsive with normal respirations. His breathing is adequate at a rate of 12 per minute and his carotid pulse is strong at 88 per minute. During the primary assessment and initial management, which one of the following actions will the OEC technician attempt to complete?

A) Get a medical history from a family member

B) Start positive pressure ventilation with a bag-valve mask

C) Place an oral airway and put a cervical collar on the patient

D) Perform a jaw-thrust maneuver to open the airway

A

A 44-year-old male was on a ladder cutting limbs from a tree when he fell. He is found to be unresponsive with normal respirations. His breathing is adequate at a rate of 12 per minute and his carotid pulse is strong at 88 per minute. During the primary assessment and initial management, which one of the following actions will the OEC technician attempt to complete?
A) Get a medical history from a family member
B) Start positive pressure ventilation with a bag-valve mask
C) Place an oral airway and put a cervical collar on the patient
D) Perform a jaw-thrust maneuver to open the airway

Ans: A

Complexity: Difficult
Ahead: Primary Patient Assessment
Subject: Chapter 7
Title: Patient Assessment
Feedback: 155
Objective: 7-1
18
Q

An OEC technician should obtain the medical history of an alert and oriented trauma patient prior to the:

A) primary assessment.
B) scene size-up.
C) secondary assessment.
D) reassessment.

A
An OEC technician should obtain the medical history of an alert and oriented trauma patient prior to the:
A) primary assessment.
B) scene size-up.
C) secondary assessment.
D) reassessment.

Ans: C

Complexity: Easy
Ahead: History Taking
Subject: Chapter 7
Title: Patient Assessment
Feedback: 156
Objective: 7-1
19
Q

An OEC technician identifies the medications a patient takes during which portion of a patient assessment?

A) The primary assessment
B) The OPQRST exam
C) The chief complaint
D) The medical history

A
An OEC technician identifies the medications a patient takes during which portion of a patient assessment?
A) The primary assessment
B) The OPQRST exam
C) The chief complaint
D) The medical history

Ans: D

Complexity: Easy
Ahead: History Taking
Subject: Chapter 7
Title: Patient Assessment
Feedback: 156
Objective: 7-1
20
Q

An OEC technician identifies the medications a patient takes during which portion of a patient assessment?

A) The primary assessment
B) The OPQRST exam
C) The chief complaint
D) The medical history

A
An OEC technician identifies the medications a patient takes during which portion of a patient assessment?
A) The primary assessment
B) The OPQRST exam
C) The chief complaint
D) The medical history

Ans: D

Complexity: Easy
Ahead: History Taking
Subject: Chapter 7
Title: Patient Assessment
Feedback: 156
Objective: 7-1
21
Q

Which of the following findings is a sign, not a symptom?

A) An open leg fracture
B) An upset stomach
C) A sharp headache
D) Chest pain

A
Which of the following findings is a sign, not a symptom?
A) An open leg fracture
B) An upset stomach
C) A sharp headache
D) Chest pain

Ans: A

Complexity: Easy
Ahead: History Taking
Subject: Chapter 7
Title: Patient Assessment
Feedback: 156
Objective: 7-5
22
Q

Which of the following findings is a symptom?

A) A deep laceration
B) Hives resulting from an allergic reaction
C) High blood pressure
D) Ringing in the ears

A

Which of the following findings is a symptom?
A) A deep laceration
B) Hives resulting from an allergic reaction
C) High blood pressure
D) Ringing in the ears

Ans: D

Complexity: Moderate
Ahead: History Taking
Subject: Chapter 7
Title: Patient Assessment
Feedback: 156
Objective: 7-5