Quiz 9 (Chapters

Question 1

An​ 81-year-old female is complaining of chest pain. After asking her to describe the current problem and history of the present​ illness, you should​ next:

Answer 1

ask the patient about her past medical history.

Question 2

Your elderly patient reports having stomach cramps for several hours. He denies any trauma and he​ hasn’t eaten for several hours. Which of the following is most important to your assessment of this​ patient?

Answer 2

Asking if he has been having regular bowel movements

Question 3

Part of forming a strong foundation of knowledge​ is:

Answer 3

becoming extremely familiar with signs and symptoms of commonly encountered conditions.

Question 4

Which of the following terms describes a condition of being​ stretched, inflated, or larger than​ normal?

Answer 4

Distention

Question 5

When using the memory aid​ OPQRST, which of the following questions would help you find out about​ P?

Answer 5

Does anything make the pain better or​ worse?

Question 6

Mr. Green is complaining of severe difficulty breathing after being stung by a bee. His wife states he has had reactions to bee stings​ before, but not quite this severe. Which medications should you specifically ask him​ about?

Answer 6

Epinephrine

Question 7

Which of the following should you consider when deciding whether ALS personnel should be​ requested?

Answer 7

Would​ ALS-level care benefit the​ patient?

Question 8

Under what circumstance should a reassessment not be​ performed?

Answer 8

Ongoing lifesaving interventions are required.

Question 9

You are called for a patient who is complaining of being weak and dizzy. He reports that he does not have enough money to pay for his medications so he has not gotten them refilled. Your service has an automatic blood pressure machine and you use it to measure the​ patient’s blood pressure while you count his respirations. The blood pressure machine reports a blood pressure of​ 280/140. What should you do​ next?

Answer 9

Take a manual blood pressure.

Question 10

An unconscious trauma patient should always be assumed to have which of the following types of​ injury?

Answer 10

Spine

Question 11

You have performed a rapid trauma assessment on a patient with multiple​ long-bone injuries. Your next assessment step should be which of the​ following?

Answer 11

Obtain baseline vital signs and past medical history.

Question 12

On which of the following patients should a reassessment be​ performed?

Answer 12

All patients should be reassessed

Question 13

You are alone in the back of the ambulance where you are ventilating an apneic patient. Which of the following is the best way to manage the​ reassessment?

Answer 13

Continue ventilating the patient during transport and skip the reassessment.

Question 14

Your patient called 911 because he was having chest pain. He states that his pain is a 7 on a​ 10-point scale. As part of your​ care, you assist him with taking his nitroglycerin per medical direction. After waiting a few minutes for the medication to take​ effect, you​ should:

Answer 14

ask him what his pain is like now.

Question 15

While assessing the past medical history of a​ 68-year-old male patient involved in a fall from a​ 4-foot stepladder, you use the acronym SAMPLE. What does the A refer​ to?

Answer 15

Allergies

Question 16

You are caring for a teenager who is having a severe allergic reaction. He has hives all over his​ stomach, is having respiratory​ distress, and is wheezing. After you administer​ oxygen, you get a set of vital signs. Medical direction has ordered you to assist with administration of his EpiPen. You will monitor the success of your interventions during​ the:

Answer 16

reassessment.

Question 17

For which of the following patients is a focused physical examination​ appropriate?

Answer 17

A​ 25-year-old female with a history of asthma and who is complaining of difficulty breathing

Question 18

Mrs. Butler is a​ 66-year-old woman who is complaining of chest pain. Which of the following questions would be best in helping you determine if the pain is​ radiating?

Answer 18

Are you having pain anywhere beside your​ chest?

Question 19

Which of the following is not a purpose of a rapid trauma​ assessment?

Answer 19

To focus care on specific injuries

Question 20

You are transporting a​ 30-year-old male who has been shot in the chest. He is suffering from a sucking chest wound and has a decreased level of consciousness. How often should you perform a​ reassessment?

Answer 20

Every 5 minutes

Question 21

What is the first step in the reassessment​ process?

Answer 21

Primary assessment
Your answer is correct.

Question 22

When assessing a​ 14-year-old male patient that has been involved in a bicycle​ accident, you notice that he has a small amount of blood coming from his left forearm. This observation is known as which of the​ following?

Answer 22

Sign

Question 23

The process by which an EMT forms a field diagnosis is known​ as:

Answer 23

critical thinking.

Question 24

Which of the following is represented by the​ “P” in​ OPQRST?

Answer 24

Provocation

Question 25

Which of the following terms best describes a grating sound or feeling of bones rubbing​ together?

Answer 25

Crepitation

Question 26

A​ 32-year-old male was rescued from a burning building by firemen. He was unconscious when he was​ rescued, and the firemen informed you that there was evidence of illegal drugs in the room with the patient. When assessing this​ patient, you would assume that the patient may​ have:

Answer 26

both medical and trauma issues.

Question 27

Immediately following a rapid physical exam on an unresponsive medical​ patient, which of the following should you do​ next?

Answer 27

Obtain baseline vital signs.

Question 28

Determining a​ patient’s stability:

Answer 28

helps indicate the frequency with which the patient must be reassessed.

Question 29

Which of the following is done immediately after scene​ size-up, regardless of whether a trauma patient has a significant mechanism of​ injury?

Answer 29

Primary assessment

Question 30

Mr. Hughes is a​ 49-year-old man complaining of chest pain. To find out about the quality of his chest​ pain, which of the following questions is most​ appropriate?

Answer 30

Can you describe how the pain in your chest​ feels?

Question 31

Once you have reached a possible diagnosis for a​ patient, you​ should:

Answer 31

continue to look for data that will help rule in or rule out other conditions.

Question 32

When you are looking for a​ sign, you​ would:

Answer 32

examine the patient.

Question 33

You are called for an alert patient with respiratory distress. As part of your primary​ assessment, you place the patient on oxygen via nasal cannula at 2 liters per minute. You continue with the rest of your assessment including taking a set of vital signs. During your​ reassessment, you notice that the​ patient’s respiratory rate has increased to 24 times per minute and he is having increasing trouble breathing. You​ should:

Answer 33

switch your patient to a nonrebreather mask at 15 liters per minute.

Question 34

You are caring for a patient who was in a motor vehicle accident and who has significant injuries to the​ chest, abdomen,​ head, and lower extremities. She is unstable and requires artificial ventilation. Her vital signs have not yet​ stabilized, but you feel her best chance of survival is rapid transport to the nearest trauma facility. While in the​ ambulance, you​ should:

Answer 34

continue interventions to maintain​ airway, breathing, and circulation.

Question 35

In the assessment of a responsive medical​ patient, which of the following will provide you with the most important​ information?

Answer 35

​Patient’s medical history

Question 36

You are called for a patient who was discovered unconscious in his bed this morning. You immediately complete a primary assessment and determine that he is breathing and has a good pulse. What should you do​ next?

Answer 36

Complete a rapid physical exam

Question 37

Expert clinicians may use different approaches of thinking through​ problems, but which of the following will they have in​ common?

Answer 37

Strong foundation of knowledge

Question 38

Which of the following is the technique of physical examination that requires the use of a​ stethoscope?

Answer 38

Auscultation

Question 39

If no one strategy works for​ everything, that​ means:

Answer 39

you need to be able to use more than a single tactic.

Question 40

Your​ 76-year-old female patient is having trouble breathing. When you auscultate her​ lungs, you hear crackles​ (rales), and you are concerned that she may have pulmonary edema. Her oxygen saturation is​ 92%, so you place her on​ 100% oxygen via a nonrebreather mask. Her breathing gets a little easier with the oxygen. You decide to expedite transport since she is anxious about her condition.​ Later, as you are completing your​ reassessment, you see that her respirations have slowed to 8 times per minute and she is barely staying awake. What should you do​ next?

Answer 40

Begin ventilating her with a​ bag-valve mask.
This is the correct answer.D.

Question 41

If a patient complains of abdominal pain localized to a specific area of the​ abdomen, which of the following techniques should be used to assess the​ abdomen?

Answer 41

Palpate the painful area last.

Question 42

During​ reassessment, you notice that your patient is making gurgling sounds. Which of the following should you do​ immediately?

Answer 42

Suction the airway.

Question 43

As you arrive at the emergency department with an unresponsive trauma​ patient, the nurse asks for your trending assessment. Why is this information important to the​ nurse?

Answer 43

She can evaluate whether or not the patient is improving.

Question 44

Your patient is a​ 16-year-old female who is reporting abdominal pain and nausea. She says it came on when she woke up this morning. Her mother says that her daughter has been tired and cranky lately and has not been eating well for a couple of weeks. In​ fact, every time you ask a​ question, the​ patient’s mother answers. What should you do​ next?

Answer 44

Have your partner interview the mother in the next room

Question 45

In medical​ terms, bruises are known as which of the​ following?

Answer 45

Contusion

Question 46

Which of the following methods should be used to have a patient rate the amount of pain he is​ having?

Answer 46

Have the patient rate the pain on a scale of 0​ (no pain) to 10​ (worst pain).

Question 47

Where might you find a​ patient’s medical alert identification​ jewelry?

Answer 47

Necklace
B.
Bracelet
Your answer is not correct.C.
Ankle bracelet
D.
All of the above

Question 48

Which of the following questions is appropriate to ask in obtaining pertinent past history in a SAMPLE​ history?

Answer 48

​”Do you have any other medical​ problems?”

Question 49

Your patient is a​ 14-year-old male who was run over by a tractor and is now unresponsive. During the rapid​ assessment, you should look for clear drainage coming from the​ patient’s ________ indicating a serious injury.

Answer 49

ears

Question 50

For the physical examination of a responsive medical​ patient, you would focus​ on:

Answer 50

examining body systems related to the chief complaint.

Question 51

When questioning bystanders about an unresponsive​ patient’s medications, what is a permissible word to​ use?

Answer 51

Medicines

Question 52

While performing a detailed physical exam on a patient involved in a fall from 30​ feet, the patient​ (who had previously been responding to your​ questions) stops responding. What should you do​ next?

Answer 52

Repeat the primary assessment.

Question 53

Your patient is a​ 24-year-old female who swallowed a handful of pills of unknown type. Although she was initially alert and oriented with no​ complaints, you note that she is now beginning to slur her words and is becoming progressively lethargic. What is the highest priority in dealing with this​ patient?

Answer 53

Maintaining an open airway

Question 54

What does distention refer to when describing your​ patient’s abdomen?

Answer 54

Larger than normal

Question 55

You are assessing a​ 76-year-old male patient who has been involved in a fall from a standing position. You have completed the scene​ size-up and primary assessment. What should you do​ next?

Answer 55

Secondary assessment

Question 56

When should you obtain a set of baseline vital signs on an unresponsive pediatric medical​ patient?

Answer 56

After the rapid physical examination

Question 57

When a patient describes how he​ feels, he is telling you which of the​ following?

Answer 57

His symptoms

Question 58

When checking breath sounds in a trauma​ patient, what should the EMT assess for​ first?

Answer 58

Presence and equality

Question 59

You have a patient who is unresponsive on the floor. What is the best way to rule in or rule out trauma as a cause of the​ patient’s unresponsiveness?

Answer 59

Look for bystanders and ask them if they witnessed the incident

Question 60

​________ is reassessing and recording findings of the reassessment so they can be compared to earlier findings.

Answer 60

Trending

Question 61

Your patient has been hit in the arm with a baseball during practice. He is alert and​ oriented, complaining of pain to his left arm with obvious black discoloration of the skin. What type of assessment is called for in this​ situation?

Answer 61

Focused exam

Question 62

Why should you check baseline vital signs in the unresponsive medical​ patient?

Answer 62

To provide a place from which to compare later vital signs

Question 63

You are transporting a​ 20-year-old soccer player who injured his ankle during a match. His injury appears to be isolated and he has no significant past medical history. How frequently should you perform a reassessment on this​ patient?

Answer 63

15 minutes

Question 64

When using the memory aid​ SAMPLE, which of the following would you do to determine​ L?

Answer 64

Ask, “When was the last time you had anything to eat or​ drink?”

Question 65

You are called for a​ 58-year-old male who is concerned that his blood pressure is too high. He tells you that he has had a headache and is feeling a little dizzy. You notice that his skin is flushed and feels warm to the touch. As you finish taking his vital​ signs, you​ should:

Answer 65

write down the​ patient’s vital signs.

Question 66

While performing the secondary​ assessment, you are focusing on such things as obtaining a pulse and blood​ pressure, jugular vein​ distention, and palpating the chest. Your patient most likely​ has:

Answer 66

a cardiovascular complaint.

Question 67

While an EMT forms a field diagnosis on the scene of an​ emergency, how do the steps differ from the traditional approach to​ diagnosis?

Answer 67

The EMT must rule in or out the most serious conditions associated with the​ patient’s presentation.

Question 68

An​ EMT’s assessment differs from an assessment made in the emergency department in which​ way?

Answer 68

The EMT is working with limited resources.

Question 69

Your patient is the​ 18-year-old male driver of a vehicle that struck a tree. He is conscious and complaining of neck pain. The passenger is obviously dead. You have performed your primary assessment. Which of the following is the next​ step?

Answer 69

Perform a rapid trauma assessment.

Question 70

A​ 19-year-old male is found​ seated, grasping his left​ humerus, after colliding with another player during a rugby match. Which of the following techniques of assessment would be used to identify his body position and general condition as you​ approach?

Answer 70

Observation

Question 71

While en route to the​ hospital, your​ 67-year-old male patient with chest pain breaks out in a sweat and becomes very pale. He clutches his chest. You should​ next:

Answer 71

reassess.

Question 72

You have responded for a patient with shortness of breath. He reports that his breathing problems began this morning and have gotten worse over the last few hours. You ask if he has taken anything to help his symptoms and he tells you that he has used his inhaler several times in the last hour. The information you have just gathered can be classified​ as:

Answer 72

the history of present illness.

Question 73

You are on the scene of a​ 16-year-old patient in respiratory distress. The patient has a history of asthma. After placing the patient on oxygen and performing the primary and secondary​ assessments, you are confident that the patient is indeed having an asthma attack. How can you be sure your field diagnosis is​ accurate?

Answer 73

Think of all possible causes of respiratory distress and rule them in or out as potential diagnoses based on your clinical findings.

Question 74

The basic components of a secondary assessment​ are:

Answer 74

physical​ examination, patient​ history, and vital signs.

Question 75

You are treating a​ 57-year-old male for chest pain. You have gathered all pertinent history of the present​ illness, completed two sets of vital​ signs, talked with medical​ direction, and assisted the patient with two doses of his nitroglycerin. Determination of whether or not the nitroglycerin was effective is assessed during​ the:

Answer 75

reassessment.

Question 76

Your patient is a​ 45-year-old female who complains of​ “twisting her​ ankle” when she slipped on a patch of ice. Which of the following is not​ appropriate?

Answer 76

Detailed physical exam

Question 77

In which of the following patients should you check for the possibility of spinal​ injury?

Answer 77

An unresponsive diabetic who appears to have fallen down

Question 78

Which of the following techniques of physical examination must an EMT​ master?

Answer 78

Observation, palpation, and auscultation
Your answer is correct.

Question 79

While transporting a patient to the​ hospital, the EMT repeats his reassessment including vital signs every 15 minutes until he arrives at the emergency department. According to this​ information, which of the following best describes your​ patient’s current​ status?

Answer 79

Stable