Chapter 13 Quiz Flashcards by Bre Weidner

The abbreviation mmHg indicates that the blood pressure is measured by which of the following comparisons?
Select one:

A.
Atmospheric pressure

B.
Millimeters of mercury

C.
Milligrams per deciliter

D.
Beats per minute

B.
Millimeters of mercury

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Which of the following is the best way to assess a patient’s skin temperature?
Select one:

A.
Place the back of your hand against the patient’s forehead.

B.
Place your cheek against the patient’s forehead.

C.
Place your cheek against the patient’s abdomen.

D.
Place the back of your hand against the patient’s abdomen.

A.
Place the back of your hand against the patient’s forehead.

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How often should a patient’s vital signs be reassessed during transport to the hospital after the pulse has been restored with CPR and the use of an AED?
Select one:

A.
Every 10 minutes

B.
Every 5 minutes

C.
Every 15 minutes

D.
Every 2 minutes

B.
Every 5 minutes

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Recording and documenting your patient’s first set of vital signs is very important because, when combined with reassessments, it allows you to do which of the following?
Select one:

A.
Fill in all of the blanks on the patient care report form.

B.
Compare your patient’s condition with other patients’ conditions.

C.
Make an accurate diagnosis of the patient’s illness.

D.
Discover trends and changes in the patient’s condition.

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Which of the following is not a cause of unequal pupils?
Select one:

A.
Eye injury

B.
Fright

C.
Stroke

D.
Artificial eye

B.
Fright

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Your patient is in late stages of liver failure and has requested to be transported to the emergency department. You notice his skin is warm and dry with a yellow color. Your radio report to the hospital should state your patient is:
Select one:

A.
jaundiced.

B.
flushed.

C.
cyanotic.

D.
mottled.

A.
jaundiced

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An increase in the work of breathing is reported as:
Select one:

A.
noisy breathing.

B.
shallow breathing.

C.
labored breathing.

D.
obstructed breathing.

C.
labored breathing.

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Upon assessment of your patient, you notice that he has cool, sweaty skin. This finding is best described as which of the following?
Select one:

A.
Vital sign

B.
Symptom

C.
Complaint

D.
Diagnosis

A.
Vital sign

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The method of taking blood pressure by using a stethoscope to listen to the characteristic sounds produced is called:
Select one:

A.
palpation.

B.
auscultation.

C.
pulsation.

D.
blood pressure monitoring.

B.
auscultation.

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What are the three ways to take blood pressure?
Select one:

A.
Sphygmomanometer, auscultation, and blood pressure monitor

B.
Sphygmomanometer, blood pressure monitor, and heart monitor

C.
Auscultation, palpation, and osculation

D.
Palpation, auscultation, and blood pressure monitor

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Where do baseline vital signs fit into the sequence of patient assessment?
Select one:

A.
At secondary assessment

B.
Ongoing assessment

C.
At the patient’s side

D.
At primary assessment

A.
At secondary assessment

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Vital signs should be reassessed at least every ________ minutes for a stable patient.
Select one:

A.
20

B.
15

C.
10

D.
5

B.
15

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In a conscious adult patient, which of the following pulses should be assessed initially?
Select one:

A.
Brachial

B.
Pedal

C.
Carotid

D.
Radial

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You have a 38-year-old patient who has fainted. Following your local protocol, you use a pulse oximeter to determine the SpO2. You attach the device to the patient’s finger; it gives you a reading of 91 percent. What does that reading indicate?
Select one:

A.
Mild hypoxia

B.
Significant hypoxia

C.
Normal results

D.
Severe hypoxia

A.
Mild hypoxia

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What color is the patient’s skin if it is described as being cyanotic?
Select one:

A.
Yellow

B.
Blue-gray

C.
Red

D.
Very pale

B.
Blue-gray

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An approximate normal systolic blood pressure can be calculated for infants and children by using which of the following formulas?
Select one:

A.
120 plus 2 times the age in years

B.
90 times 2 plus the age in years

C.
120 minus 2 times the age in years

D.
90 plus 2 times the age in years

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You respond to a 30-month-old patient who has passed out. Is the patient’s blood pressure important to your treatment? Why?
Select one:

A.
No, blood pressure is difficult to obtain in children younger than age 3 and has little impact on the patient’s field management.

B.
Yes, blood pressure must be taken on everyone because without it we cannot provide adequate field management.

C.
No, blood pressure taken on children younger than age 3 can cause damage to the tissues of the arm and could lead to hypertension later in life.

D.
Yes, blood pressure should be taken on children because it is the only way we can understand the patient’s condition.

A.
No, blood pressure is difficult to obtain in children younger than age 3 and has little impact on the patient’s field management.

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A(n) ________ set of vital signs is important for critical decision making for the EMT.
Select one:

A.
complete

B.
accurate

C.
repeated

D.
unbiased

B.
accurate

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What is the normal response of the pupils when exposed to bright light?
Select one:

A.
No effect

B.
Constriction

C.
Fluttering

D.
Dilation

B.
Constriction

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You are assessing an 82-year-old female who has been lost in the woods behind her nursing home for several hours on a crisp fall evening. Your pulse oximeter shows her oxygen saturation to be 82 percent even though she appears to be breathing adequately. In order to ensure an accurate reading, you should:
Select one:

A.
place the probe on the patient’s earlobe.

B.
try a different pulse oximeter.

C.
place the probe on the patient’s toe.

D.
warm the patient’s hands and try again.

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You respond to a childcare center for a report of an injured 4-year-old. Her pulse is 130 beats per minute. Which of the following best describes this finding?
Select one:

A.
Bradycardic

B.
Normal for the child’s age

C.
Tachycardic

D.
Unable to determine without knowing the family history

C.
Tachycardic

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You are called to care for a child who has fallen out of a third-story window. You arrive to find the child in his mother’s arms. As you approach, you notice the child’s skin is pale with dark spots of cyanosis. You would report this uncommon condition of blotchy skin as:
Select one:

A.
jaundiced.

B.
cyanotic.

C.
flushed.

D.
mottling.

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The first set of vital sign measurements obtained are often referred to as which of the following?
Select one:

A.
Baseline vital signs

B.
Normal vital signs

C.
Standard vital signs

D.
None of these

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A.
Baseline vital signs

Your patient has a heart rate of 82, a respiratory rate of 16, and a blood pressure of 120/80 and does not appear to be in any distress. You should repeat vital sign measurements at least every:
Select one:

A.
15 minutes.

B.
20 minutes.

C.
5 minutes.

D.
10 minutes.

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A.
15 minutes.

The normal range for blood glucose is between 70 mg/dL and: Select one: A. 90 mg/dL. B. 120 mg/dL. C. 100 mg/dL. D. 110 mg/dL.

C. 100 mg/dL.

Breathing sounds that should concern the EMT are: Select one: A. retractions and diaphragm breathing. B. tachycardia, retractions, and diaphragm breathing. C. snoring, gurgling, wheezing, and crowing. D. snoring, gurgling, wheezing, crowing, and expiration.

C. snoring, gurgling, wheezing, and crowing.

You are transporting a patient to the hospital from a motor vehicle crash. Your patient's initial blood pressure was 88/52. You should reassess blood pressure: Select one: A. at least every 15 minutes. B. at least every 5 minutes. C. only if the pulse rate changes. D. only if the patient gets worse.

B. at least every 5 minutes

A device that uses wavelengths of light to measure oxygen saturation (SpO2) is called a(n): Select one: A. sphygmomanometer. B. pulse oximeter. C. capnographer. D. end tidal CO2 meter.

B. pulse oximeter.

You are unable to find a radial pulse on a patient from a motor vehicle crash. You should: Select one: A. apply the pulse oximeter. B. begin chest compressions. C. listen for heart sounds. D. attempt to find the carotid pulse.

D. attempt to find the carotid pulse.

When pupils are dilated, they are: Select one: A. larger than normal. B. elliptical or elongated in shape. C. smaller than normal. D. irregularly shaped.

A. larger than normal.

Which of the following are vital signs that need to be recorded for virtually every EMS patient? Select one: A. Pulse; respiration; skin color, temperature, and condition B. Pulse; respiration; skin color, temperature, and condition; pupils; blood pressure; and bowel sounds C. Pulse; respiration; skin color, temperature, and condition; pupils, and bowel sounds D. Pulse; respiration; skin color, temperature, and condition; pupils; and blood pressure

D. Pulse; respiration; skin color, temperature, and condition; pupils; and blood pressure

An oxygen saturation of 97 percent is considered which of the following? Select one: A. Normal B. Significant hypoxia C. Hypoxia D. Severe hypoxia

A. Normal

To determine blood pressure by auscultation, the EMT should position the cuff over the upper arm and place the stethoscope over the brachial artery. Next, she should inflate the cuff, then slowly deflate the cuff, listening for clicks or tapping sounds while remembering the number at the first sound. What is the next step in taking a blood pressure? Select one: A. Remove the cuff from the patient's arm, place it on the opposite arm, and repeat the process to verify the reading. B. Continue releasing pressure until the clicks or tapping stop, and record both numbers. C. Re-inflate the cuff on the patient's arm and repeat the process to verify the reading. D. Dump all the pressure and record the number as the diastolic pressure.

B. Continue releasing pressure until the clicks or tapping stop, and record both numbers.

Your patient is warm, dry, pink, and denies shortness of breath. Which of the following should the EMT expect to find when evaluating the patient's oxygen saturation? Select one: A. 98 percent B. 95 percent C. 102 percent D. 91 percent

A. 98 percent

You are attempting to assess the blood pressure of a 35-year-old male at the scene of a multiple vehicle collision. The scene is very noisy and you are unable to clearly hear the patient's heartbeat. You should: Select one: A. have your partner try auscultating the blood pressure. B. try using the patient's other arm. C. use an automatic blood pressure machine. D. obtain the blood pressure by palpation.

D. obtain the blood pressure by palpation.

Which of the following best describes the proper placement of the blood pressure cuff? Select one: A. Covering the patient's elbow B. Midway between the elbow and shoulder C. Covering two-thirds of the upper arm D. One inch below the armpit

C. Covering two-thirds of the upper arm

You are assessing a 55-year-old male complaining of chest pain and have determined that his radial pulse is barely palpable. You also determine that there were 20 pulsations over a span of 30 seconds. Based on this, how would you report this patient's pulse? Select one: A. Pulse 20, weak, and regular B. Pulse 20 and weak C. Pulse 40, weak, and irregular D. Pulse 40 and weak

D. Pulse 40 and weak

You are called to a 72-year-old patient with weakness and headache and an initial blood pressure of 140/92. Her repeat blood pressure at 5 minutes is unchanged. Her condition is called: Select one: A. stroke. B. hypertension. C. hypotension. D. prehypertension.

B. hypertension.

When the EMT checks the pupils, he or she is checking for what three things? Select one: A. Color, equality, and reactivity B. Size, equality, and reactivity C. Movement, gaze, and equality D. Reactivity, gaze, and equality

B. Size, equality, and reactivity

You are assessing a 48-year-old male who is unconscious. The scene is safe and you hear the patient gurgling. What is your next action? Select one: A. Quickly check the pulse. B. Suction the airway. C. Insert an airway adjunct. D. Open the airway with a head tilt.

B. Suction the airway.

When taking blood pressure manually, the cuff should be inflated to what point? Select one: A. Until the gauge reads 200 mmHg B. Until the Velcro starts to crackle C. 30 mmHg beyond the point where the pulse disappears D. Until the patient says it hurts

C. 30 mmHg beyond the point where the pulse disappears

You are transporting a patient down a bumpy road. Your patient's blood pressure has just been measured by the monitor at 190/110. The patient's blood pressure on scene was 130/80. You should: Select one: A. ignore the blood pressure reading. B. apply the automatic cuff to the other arm. C. re-measure the blood pressure manually. D. have the driver increase the truck's speed.

C. re-measure the blood pressure manually.

When the heart contracts and forces blood into the arteries, the pressure created is known as the: Select one: A. pulse pressure. B. systolic blood pressure. C. central venous pressure. D. diastolic blood pressure.

B. systolic blood pressure.

All of the following are common techniques for measuring blood pressure except: Select one: A. auscultation. B. palpation. C. blood pressure monitor. D. sphygmomanometer.

D. sphygmomanometer.

You are about to apply a blood pressure cuff to an unconscious patient when you notice that she appears to have a tube underneath the skin of her arm. The tube feels like it has fluid going through it. You should: Select one: A. find another site to measure her blood pressure. B. continue to take her blood pressure in the arm. C. use an automatic blood pressure cuff instead. D. move the cuff down to the forearm and inflate.

A. find another site to measure her blood pressure.

In which of the following situations would it be preferable to determine blood pressure by palpation rather than by auscultation? Select one: A. There is no place for the patient to sit or lie down. B. The patient is less than 3 years old. C. There is too much noise to use a stethoscope. D. The patient has a low systolic blood pressure.

C. There is too much noise to use a stethoscope.

What category would include a patient with a blood pressure of 134/84 mmHg? Select one: A. Hypotension B. Normotension C. Prehypertension D. Hypertension

C. Prehypertension

Which of the following is a normal respiratory rate for an adult at rest? Select one: A. 8 to 10 breaths per minute B. 21 to 25 breaths per minute C. 24 to 30 breaths per minute D. 12 to 20 breaths per minute

D. 12 to 20 breaths per minute

You respond to a cafeteria to find an unconscious person with gurgling sounds upon exhalation and inhalation. What is the probable cause of the respiratory sounds? Select one: A. Complete airway obstruction B. Fluids in the airway C. Cardiac arrest D. Tongue blocking the airway

B. Fluids in the airway

If capillary refill is assessed in a child patient, how long should it take the normal pink color to return to the nail bed? Select one: A. 5 seconds B. 4 seconds C. 2 seconds D. 3 seconds

C. 2 seconds

A patient with a pulse rate of 120 beats per minute is considered which of the following? Select one: A. Dyscardic B. Bradycardic C. Normocardic D. Tachycardic

D. Tachycardic

In a blood pressure reading of 120/80, what body process does the 120 measure? Select one: A. Systolic blood pressure; when the right ventricle contracts and the blood is forced into the veins B. Diastolic blood pressure; when the left ventricle contracts and the blood is forced into the arteries C. Diastolic blood pressure; when the right ventricle contracts and the blood is forced into the veins D. Systolic blood pressure; when the left ventricle contracts and the blood is forced into the arteries

D. Systolic blood pressure; when the left ventricle contracts and the blood is forced into the arteries

An inaccurate oxygen saturation reading can result from all of the following except: Select one: A. wearing fingernail polish. B. chronic cigarette smoking. C. lying very still. D. carbon monoxide inhalation.

C. lying very still.

What is the pressure remaining in the arteries after the pulse wave has passed through? Select one: A. Diastolic blood pressure B. Venous pressure C. Systolic blood pressure D. Resting blood pressure

A. Diastolic blood pressure

Slight movement of the chest during respiration is usually indicative of which of the following? Select one: A. Shallow breathing B. Noisy breathing C. Labored breathing D. Normal breathing

A. Shallow breathing

Chapter 13 Quiz Flashcards

(55 cards)