Chapter 9 Test Questions Flashcards
The general impression of your patient will allow you to obtain all of the following information EXCEPT for the:
A. Patient’s gross mental status.
B. Rate and regularity of the pulse.
C. Presence of cyanosis or pallor.
D. Degree of breathing difficulty.
B. Rate and regularity of the pulse.
Your rapid assessment (rapid body scan) of an injured patient reveals pelvic deformity and a rigid, distended abdomen. After applying high-flow oxygen and immobilizing the patient’s spine, you should:
A. Perform a secondary assessment and transport immediately.
B. Obtain vital signs, initiate an IV line, and transport promptly.
C. Establish an IV line, obtain a SAMPLE history, and transport.
D. Transport promptly and initiate IV therapy en route to the hospital.
D. Transport promptly and initiate IV therapy en route to the hospital.
When auscultating the breath sounds of a patient with respiratory distress, you hear a high-pitched whistling sound during expiration. This suggests:
A. Mild laryngeal swelling.
B. Upper respiratory infection.
C. Lower airway obstruction.
D. Fluid in the smaller airways.
C. Lower airway obstruction.
When reassessing a patient during transport, you should:
A. Take the patient’s blood pressure at least every 5 minutes.
B. Monitor treatment interventions and modify them as necessary.
C. Begin by repeating the focused history and physical examination.
D. Complete your patient care form and document all treatment given.
B. Monitor treatment interventions and modify them as necessary.
The soft, breezy, and lower pitched sounds found at the midclavicular line are known as ____ sounds.
A. vesicular
B. adventitious
C. bronchovesicular
D. bronchial or tracheal
C. bronchovesicular
When is it appropriate to palpate a trauma patient’s pelvis?
A.. When a spinal injury is not suspected
B. If he or she presents with signs of shock
C. Only if there is gross evidence of injury
D. When he or she does not report pelvic pain
D. When he or she does not report pelvic pain
The amount of force applied to the body during a motor-vehicle crash is directly related to:
A. the weight and height of the patient.
B. the gross weight of the patient’s vehicle.
C. whether or not the patient was restrained.
D. the speed of the vehicle at the time of impact.
D. the speed of the vehicle at the time of impact.
Which of the following statements regarding a patient with traumatic cardiac arrest is correct?
A. You should initiate CPR, apply an AED as soon as possible, and begin rapid IV fluid replacement.
B. The patient’s cardiac rhythm must be assessed, as soon as possible, with a manual cardiac monitor/defibrillator.
C. IV fluid replacement has priority over defibrillation for patients with traumatic cardiac arrest.
D. Cardiac monitoring is not necessary since most traumatic cardiac arrest victims do not require defibrillation.
B. The patient’s cardiac rhythm must be assessed, as soon as possible, with a manual cardiac monitor/defibrillator.
When performing your assessment of a 22-year-old male with hypoglycemia, you note that his mental status has improved and he is now verbally responsive. You should:
A. discontinue the oxygen.
B. administer oral glucose.
C. reassess his vital signs.
D. give an IV fluid bolus.
C. reassess his vital signs.
The need to perform a detailed physical exam on a patient is based on:
A. your transport distance to the closest hospital.
B. the nature of illness or mechanism of injury.
C. the patient’s response to initial management.
D. whether or not a focused exam was performed.
B. the nature of illness or mechanism of injury.
Upon arriving at the scene of a motor-vehicle crash involving two cars, you see an unconscious patient still in his vehicle, but cannot see the occupant of the other car. Your MOST appropriate initial action should be to:
A. gain access to the unconscious patient.
B. request at least one additional ambulance.
C. locate all patients before requesting assistance.
D. notify law enforcement to search for another patient.
B. request at least one additional ambulance.
You are called to a grocery store where a clerk has found an unresponsive female in one of the aisles. There were no witnesses to the event. You should immediately:
A. assess the rate and regularity of the patient’s respiratory effort.
B. assist ventilations with a bag-mask device attached to 100% oxygen.
C. stabilize her head and open her airway with the jaw-thrust maneuver.
D. open her airway with a head-tilt chin lift maneuver and apply oxygen.
C. stabilize her head and open her airway with the jaw-thrust maneuver.
When a section of the ribs has been fractured, the injured section falls during inspiration and bulges during expiration. This is called:
A. apical chest movement.
B. paradoxical chest movement.
C. asymmetrical chest movement.
D. symmetrical chest movement.
B. paradoxical chest movement.
A 56-year-old female called EMS because of shortness of breath. During your assessment, she tells you that this began four days ago. Which of the following questions would be MOST appropriate to ask her regarding the duration of her chief complaint?
A. Why haven’t you called your physician?
B. Why is this suddenly an emergency today?
C. Why didn’t you call EMS when this began?
D. What prompted you to call EMS today?
D. What prompted you to call EMS today?
Which of the following questions would allow you to assess the “P” in the SAMPLE history?
A. Has this ever happened to you before?
B. Do you take any prescription medications?
C. Are there any medications you cannot take?
D. What were you doing when this episode began?
A. Has this ever happened to you before?
