Vol. 3 Ch. 2: primary assessment

Question 0

the sound of gurgling associated with breathing usually indicates:

Answer 0

fluid in the upper airway

Question 1

A patient with skin described as “clammy” has ________ skin.

Answer 1

cool and moist

Question 2

to determine if a patient is breathing, you should:

Answer 2

listen and feel for breathing at the mouth and nose

Question 3

you are assessing a 28 year-old male with multiple gunshots to his abdomen. You should expect his skin to be:

Answer 3

cool and moist

Question 4

you are assessing an adult patient. When you palpate her wrist to locate a pulse, you do not feel one. You should immediately palpate for a ________ pulse.

Answer 4

carotid

Question 5

During the primary assessment, your patient groans and tries to turn away when you apply a sternal rub. Otherwise, there is no other response. The patient’s mental status can best be described as:

Answer 5

responds to painful stimulus

Question 6

While performing a primary assessment on a trauma patient who has fallen from a roof, you discover absent lung sounds on the right side. What action should you take next?

Answer 6

assess for signs of a tension pneumothorax

Question 7

signs of inadequate breathing don’t include:

Answer 7

presence of bronchovesicular breath sounds

Question 8

medical patients with altered mental status are assessed in a manner similar to that that is appropriate for:

Answer 8

critical trauma patient

Question 9

Your patient is awake and complaining of chest pain. His airway is patent, and he is breathing at 18 times per minute with adequate tidal volume. What is your NEXT action?

Answer 9

administer oxygen at 2 lpm via nasal cannula

Question 10

Your 3 year-old patient opens her eyes and responds when you speak to her. Her mental status is best described as:

Answer 10

responsive to verbal stimuli

Question 11

Your patient is unresponsive to painful stimulus and has snoring respirations. What is your NEXT action?

Answer 11

perform a head-tilt, chin-lift maneuver

Question 12

Your patient does not respond to you when you call his name. Next you should:

Answer 12

apply a painful stimulus

Question 13

What sound can typically be heard without the use of a stethoscope?

Answer 13

stridor

Question 14

Your patient is a 3 year-old who presents with a fever. His parents state that he has had diarrhea and vomiting for 2 days. The patient has not eaten in 24 hours. To best evaluate the patient’s peripheral perfusion status, you should evaluate:

Answer 14

capillary refill

Question 15

According to the 2010 recommendations by the AHA, a patient who appears to be unresponsive and not breathing or breathing ineffectively should be assessed using which mnemonic memory aid?

Answer 15

CAB