Chapter 7: Field Assessment

Question 0

What statement best describes proper history-taking technique in the assessment of a major trauma patient?

Answer 0

complete a rapid history by using the SAMPLE acronym

Question 1

What is the sequence of steps when assessing a major trauma patient?

Answer 1

primary, reconsider MOI, secondary, vitals, history

Question 2

evaluation of the pelvis in the rapid trauma assessment includes pressing on the symphysis pubis in which direction?

Answer 2

posteriorly

Question 3

special emphasis should be placed on what during your rapid secondary assessment?

Answer 3

areas suggested by the chief complaint

Question 4

what best describes why a focused history is important in responsive medical patients?

Answer 4

it helps to formulate a field diagnosis

Question 5

what may indicate either a cardiac tamponade or a tension pneumothorax?

Answer 5

distended neck veins

Question 6

the careful, thorough process of eliciting a patient’s history and conducting a physical exam is known as the:

Answer 6

secondary assessment

Question 7

reassessment should include:

Answer 7

assess effects of interventions, check vitals, assess skin condition, check airway patency

Question 8

a patient is complaining of abdominal pain, nausea, and vomiting. What will provide you most immediately with useful information?

Answer 8

asking about the presence of coffee-grounds emesis

Question 9

one of the best ways to minimize patient anxiety during a physical exam is to:

Answer 9

use a calm, professional approach

Question 10

trending vital signs is best accomplished by:

Answer 10

taking multiple sets of vitals

Question 11

Your patient remains unresponsive after a painful stimulus is applied. The family reports that the patient was found unconscious in bed after complaining of a terrible headache. What is the correct sequence of actions for you to take?

Answer 11

primary, rapid secondary, brief history from the family, vital signs

Question 12

after the primary assessment of an unresponsive medical patient with stable vitals, what position should they be placed in?

Answer 12

lateral recumbent

Question 13

rebound tenderness in the abdomen is a sign of potential:

Answer 13

peritoneal irritation

Question 14

After considering the information you have collected, you determine the most likely cause of your patient’s condition. This step in the critical decision-making process is called:

Answer 14

interpreting the data

Question 15

the first step in critical thinking is to:

Answer 15

form a concept

Question 16

using knowledge and experience to diagnose patients and plan their treatment is called clinical:

Answer 16

judgment

Question 17

critical thinking is a thought process used to:

Answer 17

analyze and evaluate

Question 18

paramedics treat patients with the same techniques as other clinicians, except that they:

Answer 18

perform these procedures in uncontrollable and unpredictable environments

Question 19

what characteristic is most similar between the prehospital setting and other medical care environments?

Answer 19

the need to establish an airway early in patient care

Question 20

with your field diagnosis in mind, you develop a treatment plan for your patient. This is part of the critical decision-making process called:

Answer 20

applying principles

Question 21

what is the correct sequence of steps in critical decision-making?

Answer 21

forming a concept, interpreting the data, applying the principles, evaluating results, reflecting on the incident