PT ASSESSMENT 126-150

Question 1

EMS providers who read off a list of questions to the patient to fill in all the blanks on the run report:
Choose one answer.
A. usually provide the most competent patient care.
B. tend to make little or no eye contact with the patient.
C. are in the best position to establish good patient rapport.
D. are reassuring the patient that he or she is not being ignored

Answer 1

B

Question 2

Before asking a patient about any mental health issues, the paramedic should:
Choose one answer.
A. speak privately with a family member or trusted friend.
B. move the patient to the ambulance, where it is more private.
C. ask questions relating to his or her physical health.
D. perform a comprehensive head-to-toe assessment.

Answer 2

C

Question 3

Working to ensure a patient’s privacy, confidentiality, and comfort level will:
Choose one answer.
A. make the patient feel comfortable in disclosing personal information to you.
B. leave no doubt in the patient’s mind that you are truly a professional caregiver.
C. establish positive patient rapport and encourage honest, open communication.
D. help you gain the trust of the patient’s family more than the trust of the patient.

Answer 3

C

Question 4

If a patient’s family member is hostile and begins shouting at you, you should:
Choose one answer.
A. remain professional and ignore the family member so that you can provide appropriate patient care.
B. tell the person that if he or she continues to shout, you will not feel safe and will need to call law enforcement.
C. have your partner physically remove the family member from the patient care area and continue your assessment.
D. firmly tell the patient that his or her behavior is unacceptable and childish, and that he or she is worsening the situation.

Answer 4

B

Question 5

When assessing a trauma patient’s chest, you should remember that:
Choose one answer.
A. the presence of hyporesonance to percussion is an indicator of air trapping in the pleural space.
B. paradoxical movement may not be grossly apparent due to the splinting effect of chest muscle spasms.
C. breath sounds should be assessed routinely in at least two fields prior to visual or tactile assessment.
D. a structurally non-intact chest wall should be stabilized by circumferentially wrapping the chest with bandages.

Answer 5

B

Question 6

Other than overall patient appearance, the patient's \_\_\_\_\_\_\_\_\_\_ is/are the MOST objective data for determining his or her status.
Choose one answer.
	 A. vital signs  	
	 B. medications  	
	 C. chief complaint  	
	 D. medical history

Answer 6

A

Question 7

When assessing any patient, the paramedic should remember that:
Choose one answer.
A. the past medical history is of even greater importance if the patient has a traumatic injury.
B. it is extremely common for patients with a medical complaint to have an underlying injury.
C. some patients with a traumatic injury could also have an underlying medical component.
D. the patient’s underlying medical problem can usually be identified by a rapid assessment.

Answer 7

C

Question 8

After performing your primary assessment of a patient, your next action should be to:
Choose one answer.
A. transport the patient to the closest medical treatment facility.
B. move the patient to the ambulance as expeditiously as possible.
C. perform a secondary assessment to narrow your differential diagnosis.
D. decide what care is needed at the scene versus en route to the hospital.

Answer 8

D

Question 9

The diameter of a patient’s pupils and their reactivity to light provide information about the:
Choose one answer.
A. amount of vitreous humor.
B. status of cerebral perfusion.
C. intactness of the first cranial nerve.
D. level of carbon dioxide in the brain.

Answer 9

B

Question 10

Clinical signs of an inflamed joint include all of the following, EXCEPT:
Choose one answer.
	 A. redness.  	
	 B. swelling.  	
	 C. deformity.  	
	 D. increased heat.

Answer 10

C

Question 11

The residual pressure in the circulatory system while the left ventricle is relaxing is called the:
Choose one answer.
	 A. pulse pressure.  	
	 B. diastolic pressure.  	
	 C. systolic pressure.  	
	 D. mean arterial pressure.

Answer 11

B

Question 12

During a 20-minute transport of a critical patient, you should make a concerted effort to reassess the patient \_\_\_ times.
Choose one answer.
	 A. one  	
	 B. two  	
	 C. three  	
	 D. four

Answer 12

D

Question 13

Paying attention, making eye contact, and repeating key information from the patient's answers are examples of:
Choose one answer.
	 A. reflection.  	
	 B. clarification.  	
	 C. facilitation.  	
	 D. interpretation.

Answer 13

C

Question 14

The diagnosis of a problem involving the shoulder can often be made by simply:
Choose one answer.
A. assessing range of motion.
B. noting the patient’s posture.
C. palpating for gross deformities.
D. asking the patient to bend the elbow.

Answer 14

B

Question 15

When assessing visual acuity in the prehospital setting, you should:
Choose one answer.
A. use a Snellen chart.
B. examine each eye in isolation.
C. check both eyes simultaneously.
D. remove any corrective lenses the patient is wearing.

Answer 15

B

Question 16

The MOST reliable means of attempting to determine an unresponsive medical patient’s problem is:
Choose one answer.
A. a thorough head-to-toe physical examination.
B. cardiac monitoring and blood glucose assessment.
C. pulse oximetry, capnography, and serial vital signs.
D. information provided by the patient’s family members.

Answer 16

A

Question 17

Which of the following statements regarding the patient assessment process is correct?
Choose one answer.
A. The assessment process must be organized and systematic, yet flexible enough to allow you to maximize the amount of information you can gather.
B. It is critical that you think of patient assessment as a static sequence of events that are carried out on every patient that you encounter.
C. Expanding your questioning of a patient in order to elicit more information often confuses the patient and should be avoided if possible.
D. As the patient interview unfolds, you must remain focused on the patient’s chief complaint, as it is likely his or her most serious problem.

Answer 17

A

Question 18

Which of the following statements regarding your general survey of the patient is correct?
Choose one answer.
A. Little information can be gained from the patient without a hands-on assessment.
B. It is not uncommon for patients in severe pain to present with a quiet and still affect.
C. The environment in which the patient is found is more significant than his or her appearance.
D. The general patient survey begins as you perform the initial assessment of the patient.

Answer 18

B

Question 19

More often than not, the paramedic will form his or her general impression of a patient based on:
Choose one answer.
A. baseline vital signs and SAMPLE history.
B. a rapid, systematic head-to-toe assessment.
C. conditions found in the primary assessment.
D. the initial presentation and chief complaint.

Answer 19

D

Question 20

Which of the following clinical presentations warrants immediate transport?
Choose one answer.
A. Two days of vomiting; heart rate of 110 beats/min; warm, dry skin
B. 38 weeks gestation; crowning; history of hypertension; tachycardia
C. 250 mL external blood loss; systolic BP of 130 mm Hg; moderate pain
D. Chest discomfort; heart rate of 110 beats/min; systolic BP of 90 mm Hg

Answer 20

D

Question 21

The vestibulocochlear nerve is responsible for the functions of:
Choose one answer.
	 A. facial and eye movements.  	
	 B. hearing and balance perception.  	
	 C. swallowing and gland secretion.  	
	 D. tongue and neck movements.

Answer 21

B

Question 22

Asking the patient about the date, time, location, and events surrounding the current situation will enable you to:
Choose one answer.
A. rapidly formulate a working diagnosis and prepare a care plan.
B. determine if the patient is alert to person, place, time, and event.
C. quickly rule out a life-threatening cause of the patient’s problem.
D. determine if the patient’s problem is medical or trauma in nature.

Answer 22

B

Question 23

Abdominal guarding is MOST commonly encountered in patients with:
Choose one answer.
	 A. acute renal failure.  	
	 B. peritoneal irritation.  	
	 C. intra-abdominal bleeding.  	
	 D. chronic liver inflammation.

Answer 23

B

Question 24

Which of the following actions will provide the BEST personal protection when caring for a patient on uneven terrain?
Choose one answer.
A. Wearing a back brace whenever you lift
B. Wearing boots that provide good traction
C. Using at least four personnel when moving a patient
D. Making lifts and moves as controlled as possible

Answer 24

D

Question 25

Which of the following questions would be of LEAST pertinence when trying to determine a patient’s current health status?
Choose one answer.
A. “Are your mother and father still living?”
B. “Are your immunizations up to date?”
C. “Are you currently taking any prescription medicines?”
D. “Do you have a history of any specific diseases in your family?”

Answer 25

A