ch.10 patient assessment exam review questions

Question 1

When you assess capillary refill time in an infant, normal color to the tested area should return within

Answer 1

2 second

Question 2

which of the following patient responses would establish the “E” in the SAMPLE history?

Answer 2

I was mowing the lawn when the pain began

Question 3

When you inspect a patient’s pupils with a pen light, the pupils should normally react to the light by:

Answer 3

Constricting

Question 4

When using the pulse oximeter as part of your assessment of a patient, it is important to remember that

Answer 4

any situation that cause vasoconstriction or loss of red blood cells, such as anemia or bleeding may result in an inaccurate or misleading value

Question 5

Cyanosis of the skin is caused by:

Answer 5

Decreased blood oxygen

Question 6

when assessing the skin of an unresponsive patient , you note that it has a bluish tint to it. This finding is called:

Answer 6

Cyanosis

Question 7

Which of the following assessments would be the most useful in determining the possible cause of a patient’s altered mental status?

Answer 7

Blood glucose level

Question 8

When you use the palpation method to obtain a blood pressure the measurement you obtain is the:

Answer 8

Systolic blood pressure

Question 9

Which of the following statements regarding stridor is correct?

Answer 9

It has a high-pitched, crowning upper airway sound

Question 10

Which of the following medical history questions would be of least pertinent in an acute situation?

Answer 10

Does your mother have diabetes

Question 11

With regard to the assessment of a patient’s cardiovascular status, capillary refill time is most reliable in:

Answer 11

Patients who are 6 years old or younger

Question 12

Which of the following is the most accurate guide to palpating a pulse?

Answer 12

Place the tips of your index and long fingers over the pulse point

Question 13

Capnography is used to:

Answer 13

Determine how much carbon dioxide is being exhaled

Question 14

Pain that moves from its point of origin to another body location is said to be:

Answer 14

Radiating

Question 15

Clinical signs of labored breathing include all of the following except:

Answer 15

Shallow chest movements

Question 16

In responsive patients, who are older than 1 year of age, you should palpate the pulse at the __________ artery.

Answer 16

Radial

Question 17

The goal of the systemic head to toe exam that is performed during the secondary assessment is to:

Answer 17

Locate the injuries not found in the primary assessment

Question 18

The systemic head to toe assessment should be performed on:

Answer 18

Patients with significant MOI and unresponsive medical patients

Question 19

The diastolic blood pressure represents the :

Answer 19

Minimum amount of pressure that is always present in the arteries

Question 20

When a patient’s respirations are shallow:

Answer 20

Tidal volume is markedly reduced.

Question 21

An adult patient who is NOT experiencing difficulty breathing will:

Answer 21

Be able to speak in complete sentences without unusual pulses

Question 22

The “golden hour” begins when an injury occurs and ends when:

Answer 22

The patient receives definitive care

Question 23

A patient who does not respond to your questions, but moves or cries out when his or her trapezius is pinched, is said to be:

Answer 23

Responsive to painful stimuli

Question 24

A 29 year old male with a head injury opens his eyes when you speak to him, is confused as to the time and date, and is able to move all of his extremities on command. His Glasgow come scale score is:

Answer 24

13

Question 25

a patient is sitting in a chair, leaning forward on his outstretched arms. His head and chin are thrust forward, This position indicates that he:

Answer 25

is experiencing difficulty breathing

Question 26

When assessing a 62 year old patient, with crushing chest pain, you note that her pulse is rapid and irregular. You should administer supplemental oxygen if needed and then:

Answer 26

Transport at once and consider requesting a paramedic unit

Question 27

A patient with high blood pressure would be expected to have skin that is

Answer 27

flushed and red

Question 28

for an adult, the normal resting pulse should be between:

Answer 28

60 to 100 beats/min

Question 29

after performing a head-tilt chin lift maneuver to open the airway of an unresponsive patient who has a pulse you should:

Answer 29

suction as needed and insert an airway adjunct

Question 30

a patient with profuse sweating is referred to as being:

Answer 30

Diaphoretic

Question 31

A 40 year old male crashed his motorcycle into a tree. He is semiconscious has snoring respirations, and has a laceration to the forearm with minimal bleeding you should:

Answer 31

open his airway with the jaw-thrust maneuver.

Question 32

After performing a primary assessment, a rapid exam of the body should be performed to:

Answer 32

Identify less obvious injuries that require immediate treatment

Question 33

When palpating a patient’s pulse, you note that there is a short internal between pulsations. This indicates that the pulse is:

Answer 33

Rapid

Question 34

During a 30 minute transport of a stable patient, you should reassess him or her at least ______times.

Answer 34

2

Question 35

Which of the following would the EMT likely not perform on a responsive patient with a headache and no apparent life threatening conditions.

Answer 35

systemic head to toe examination

Question 36

a pulse with a consistent pattern is considered to be

Answer 36

regular

Question 37

A crackling sound produced by air bubbles under the skin is called:

Answer 37

Subcutaneous emphysema

Question 38

When assessing a patient’s abdomen, you will evaluate for all of the following except:

Answer 38

subcutaneous emphysema

Question 39

A blood pressure cuff that is too small for a patient’s arm will give a:

Answer 39

Falsely high systolic and diastolic reading