Chapter 6 quiz Flashcards

0
Q

You are caring for a young male patient who has overdosed on an unknown medication and has a decreased level of consciousness. When positioning the patient on the stretcher, what instructions will you give to the Emergency Medical Responders?
A) “He will need to be positioned flat on his back when on the stretcher.”
B) “When you put him on the stretcher, elevate his head and chest.”
C) “Place him in a supine position and then carefully elevate his feet.”
D) “When you move him to the stretcher, put him on his left side.”

A

D) “When you move him to the stretcher, put him on his left side.”

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1
Q
When lifting or moving any patient, the EMT must remember to primarily use the muscles of his or her:
A) arms. 
B) back. 
C) legs. 
D) hips.
A

C) legs.

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2
Q

You are moving a critically injured patient to a helicopter for rapid transport to a trauma center. The rotors are spinning so that the aircraft can immediately take off. As team leader, what instruction would you provide?
A) “Let’s get many people around the backboard so we can safely load him into the aircraft.”
B) “I need someone to hold the IV bag in the air while we load so he continues to get IV fluids.”
C) “Will someone please securely cover the patient’s eyes so that they are not struck with flying dirt?”
D) “Will someone please lay the O2 tank on the patient’s legs so he continues to get oxygen as we load?”

A

C) “Will someone please securely cover the patient’s eyes so that they are not struck with flying dirt?”

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3
Q

After immobilizing an elderly female patient who fell in her bathroom, you prepare to carry her down a flight of stairs on a backboard. Which of the following instructions would be most appropriate to give to your partner?
A) “Make sure to hold the board 6 inches from your body so that you get maximum stabilization.”
B) “It is best if we do not talk so that we can concentrate on safely moving her down the stairs.”
C) “Why don’t I take the head and then we can carry her down the stairs feet first.”
D) “Let’s have the patient hold onto the stair railing to prevent the board from getting off balance.”

A

C) “Why don’t I take the head and then we can carry her down the stairs feet first.”

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4
Q

A patient has developed chest pain while working in his wood shop. After assessing and providing care to the patient, the chest pain remains, although his vital signs are normal. To get him to the ambulance, the EMTs must first go up a short flight of stairs from the basement to the first floor, where the front door is located. Which one of the following would be the safest for both the patient and crew?
A) The patient carefully walks up the stairs under the watchful assistance of the EMTs.
B) The patient is carried up the stairs on the stair chair feet first.
C) The stronger of the EMTs takes the head of the portable stretcher.
D) The two EMTs grasp the sides of the portable stretcher and move the patient up the stairs.

A

C) The stronger of the EMTs takes the head of the portable stretcher.

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5
Q

Which one of the following instructions would you give to a new EMT who is preparing to use a squat lift to raise a patient secured to a stretcher?
A) “Make sure to place your weaker leg slightly back.”
B) “Try not to use a power grip when performing the squat lift.”
C) “Support yourself with your stronger leg and push up with your weaker one.”
D) “Make sure that you push yourself up with your stronger leg.”

A

D) “Make sure that you push yourself up with your stronger leg.”

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6
Q

You are correctly using the blanket drag to move a patient when you:
A) secure the patient in a blanket and drag him headfirst toward you.
B) place the patient in the blanket in a prone position and drag him toward you.
C) secure the patient in a supine position and drag him feet first along the ground.
D) place the patient in a blanket and drag him by grasping his forearms.

A

A) secure the patient in a blanket and drag him headfirst toward you.

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7
Q
Which one of the following positions would be most appropriate for an alert and oriented patient complaining of shortness of breath?
A) Side lying 
B) Supine with feet elevated 
C) Prone 
D) Position of comfort
A

D) Position of comfort

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8
Q

You are trying to convince the equipment committee to purchase a hydraulic power stretcher. When discussing advantages over a more traditional stretcher, what would you emphasize?
A) It is much lighter, more durable, and easier to maneuver.
B) It enables one EMT to safely move the stretcher, freeing another for patient care.
C) It is considered much safer for transporting a child car seat
D) It will be easier to lift and lower when it is loaded with a patient.

A

D) It will be easier to lift and lower when it is loaded with a patient.

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9
Q

You have been called to assist a pediatric physician, a pediatric nurse, and a respiratory therapist in the transfer of a 2-week-old baby who is very sick. The baby is to be transferred in an isolette to a large metropolitan teaching hospital in a nearby city, where specialized care can be provided. The isolette is secured to the stretcher, and the stretcher is loaded into the ambulance. The physician, nurse, and respiratory therapist will provide all patient care. Prior to departing the hospital, it is essential that you:
A) mix and prepare the medications needed for transport.
B) make sure the stretcher is secured in the ambulance.
C) disinfect the outside of the isolette.
D) advise the family of the baby’s critical condition.

A

B) make sure the stretcher is secured in the ambulance.

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10
Q

You and your partner are preparing to move a trauma patient down a flight of stairs using a portable stretcher. As you begin the move, a third EMT shows up and asks to help. Which one of the following instructions would be most appropriate to ensure a safe move for both the patient and crew?
A) “Come up and help me with the head end, since most of the weight is here.”
B) “Stand behind us at the top of the stairs and let us know if you see any obstacles.”
C) “Please stand behind the EMT at the foot end and count steps for her.”
D) “You can help by grasping the right side of the stretcher to keep it balanced.”

A

C) “Please stand behind the EMT at the foot end and count steps for her.”

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11
Q

A large female patient has fallen in a parking lot between two cars. She must be moved on the backboard to the waiting stretcher which is located approximately 200 feet from your location. Four rescuers are present. How would they best be used to promote the safest movement of the patient?
A) Two at the head, two at the feet, with all rescuers using their right hand to carry the backboard
B) One at the head, one at the feet, and the other two on opposite sides on the backboard
C) One at the head, two at the feet, and the fourth to act as a spotter during the move
D) The strongest person at the head, and the other three at the foot end

A

B) One at the head, one at the feet, and the other two on opposite sides on the backboard

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12
Q

Which of the following would be considered an appropriate position for transport?
A) An alert 67-year-old female with nausea in a sitting position
B) A critically injured 18-month-old in a car seat
C) A 23-year-old pregnant woman in a supine position
D) A hypotensive 48-year-old male in a position of comfort

A

A) An alert 67-year-old female with nausea in a sitting position

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13
Q
When reaching to perform a logroll, the EMT must:
A) keep his back flexed. 
B) reach no more than 30 inches. 
C) lean from the waist. 
D) use his shoulder muscles.
A

D) use his shoulder muscles.

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14
Q

Your coworkers would like to purchase a scoop (orthopedic) stretcher with some grant money. Before the purchase can be authorized, you have been asked to inform the purchasing committee of how this piece of equipment will benefit the service as well as enhance patient care. Your response would be:
A) “The scoop stretcher does not require straps to secure the patient.”
B) “The scoop stretcher is much more comfortable than a wheeled stretcher.”
C) “The scoop stretcher is good for moving patients from confined areas.”
D) “The scoop stretcher is considered the best device for patients with a possible spinal injury.”

A

C) “The scoop stretcher is good for moving patients from confined areas.”

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15
Q

When you must push an object, it is important to:
A) keep your elbows straight and locked.
B) push with your arms away from your body.
C) push using muscles between your waist and shoulders.
D) push from an overhead position.

A

C) push using muscles between your waist and shoulders.

16
Q

You and two other EMTs are preparing to move a patient down several flights of stairs using a stair chair. After assigning one rescuer to hold the chair at the head and another to hold the chair at the foot facing the patient, you should:
A) assist the EMT at the patient’s head.
B) “spot” by standing behind the EMT at the feet.
C) direct movement from behind the EMT at the head.
D) assist the EMT at the patient’s feet.

A

B) “spot” by standing behind the EMT at the feet.

17
Q
An elderly patient is being taken care of at home by family members and lies in a hospital-type bed in the living room. After providing necessary care, you prepare to move her from the bed to the stretcher. There is no mechanism that suggests a head, neck, or spinal injury. Which one of the following methods would be most appropriate in this situation?
A) Direct lift 
B) Direct carry method 
C) Extremity lift 
D) Draw sheet method
A

D) Draw sheet method

18
Q

When transferring a patient from a bed to a wheeled stretcher, an EMT uses proper body mechanics when he or she:
A) transfers the patient to the stretcher all at once, not in stages.
B) keeps his arms locked and the patient away from his body during the transfer.
C) aligns his shoulder, hips, and feet when moving the patient.
D) primarily uses the muscles of his back to move the patient.

A

C) aligns his shoulder, hips, and feet when moving the patient.

19
Q
To improve your physical fitness and decrease the risk of injury when lifting and moving patients, you should combine proper body mechanics with:
A) proper nutrition. 
B) vitamin supplements. 
C) caffeine substitutes. 
D) protein drinks.
A

A) proper nutrition

20
Q

Which observation demonstrates that the EMTs and EMRs are correctly using the stair chair?
A) The stair chair is carried down the stairs with the chair tilted forward.
B) The patient is carried down the stairs feet first.
C) The wheels of the stair chair touch each and every step.
D) The stair chair slides down the stairs while tilted forward.

A

B) The patient is carried down the stairs feet first.

21
Q

A small car and tanker truck loaded with gasoline have collided. The car is lodged under the tanker, from which gasoline is leaking from a ruptured valve. The car engine is smoking and the threat of fire and explosion is great. Assessment reveals your patient to be unresponsive with a patent airway, but breathing with difficulty at 8 times a minute. In caring for this patient, your immediate action should be to:
A) immediately start positive pressure ventilation and place a vest immobilization device for extrication.
B) promptly open the airway and suction prior to moving the patient.
C) rapidly extricate the patient and provide care away from the wreckage.
D) quickly obtain vital signs and then extricate the patient from the car.

A

C) rapidly extricate the patient and provide care away from the wreckage.

22
Q
When an EMT places his palm and all fingers in contact with the object being lifted, he is using the:
A) power grip. 
B) squat grip. 
C) lock grip. 
D power lift.
A

A) power grip.

23
Q

You have been charged with writing a policy regarding reaching for equipment. In that policy, you indicate that the maximum distance an EMT should reach is no more than:
A) 10 to 12 inches in front of her body.
B) one arm’s length in front of her body.
C) 30 inches while bending at the waist.
D) 15 to 20 inches in front of her body.

A

D) 15 to 20 inches in front of her body.

24
Q

When carrying equipment in the right hand, the EMT would:
A) bend backward for counter balance.
B) keep his or her back straight and locked.
C) lean to the left side for compensation.
D) tilt his body to the right side.

A

B) keep his or her back straight and locked.

25
Q

Which of the following statements accurately describes the concept of body mechanics?
A) “Body mechanics describes the personal maintenance of a proper weight and posture so that on-the-job injuries are minimized.”
B) “Body mechanics refers to methods that promote using your body in the safest and most efficient way when moving objects or patients.”
C) “Body mechanics describes a program of back exercises that decreases the chance of incurring a back injury when moving a patient.”
D) “Body mechanics refers to an exercise program designed to increase strength and prevent injuries when lifting or moving patients.”

A

B) “Body mechanics refers to methods that promote using your body in the safest and most efficient way when moving objects or patients.”

26
Q

The EMT recognizes that an advantage of using the wheeled stretcher is that it:
A) cannot become unbalanced.
B) can be adjusted to different positions.
C) can be safely moved by one EMT.
D) rolls smoothly over rough terrain.

A

B) can be adjusted to different positions.

27
Q

The EMT would perform an urgent move when the:
A) patient is suffering from an immediate threat to life.
B)patient is stable but suffering from pain.
C)patient exhibits no problems with the airway, breathing, or circulation.
D)scene contains an immediate threat to the patient and EMT.

A

A) patient is suffering from an immediate threat to life.

28
Q

A patient involved in a motor vehicle collision has critical injuries and must be immediately removed from the car for lifesaving care and transport to the hospital. Prior to removing the patient from the vehicle, which one of the following must be done?
A) Application of a vest-type immobilization device
B) Completion of the primary assessment and vital signs
C) Application of a cervical-spine immobilization collar
D) Completion of the primary and secondary exams

A

C) Application of a cervical-spine immobilization collar

29
Q
A patient must be removed immediately from a structure that is on the verge of collapse following an explosion. He is lying on the ground and dressed in shorts and a T-shirt. You are by yourself and have no other supplies or equipment. What type of move would be most appropriate in this situation?
A) The armpit-forearm drag 
B) The shirt drag 
C) The blanket drag 
D) The extremity lift
A

A) The armpit-forearm drag

30
Q
A patient has fallen in his upstairs bathroom and is lying on the floor. Assessment indicates no life threats to the airway, breathing, or circulation; however, he does have pain, deformity, and bruising to his right hip. In this situation, the EMT should recognize the need for what type of move?
A) Urgent 
B) Aggressive 
C) Emergency 
D) Non-urgent
A

D) Non-urgent

31
Q
When lifting the stretcher with a patient secured to it, the EMT must avoid which of the following?
A) Contracting the abdominal muscles 
B) Bending at the waist 
C) Maintaining a straight back 
D) Lifting with the thigh muscles
A

B) Bending at the waist

32
Q
In preparing the schedule, you have been instructed to pair EMTs in a way that decreases the chance of injury when lifting and moving patients. Given this directive, who would make the best partner for a tall and very strong EMT?
A) A short and weaker EMT 
B) A tall and very strong EMT 
C) A short and very strong EMT 
D) A tall and weaker EMT
A

B) A tall and very strong EMT

33
Q

Kyphosis is best described as:
A) a pronounced lateral curvature of the thoracic spine.
B) the exaggerated curvature of the lumbar spine.
C) an exaggerated forward curvature of the thoracic spine.
D) a distinct lateral curvature of the cervical spine.

A

C) an exaggerated forward curvature of the thoracic spine.

34
Q

A large patient has been placed on the stretcher, and you and your partner are preparing to raise the stretcher using the power lift. Which one of the following observations of your partner would cause you to stop the lift in order to correct his technique?
A) Both feet are turned slightly outward.
B) Both feet are flat on the ground.
C) His feet are positioned closely together.
D) His hands are approximately 10 inches apart.

A

C) His feet are positioned closely together.

35
Q

An obese patient cannot ambulate and must be carried down several flights of stairs. The patient exceeds your physical capabilities; however, your partner is very strong and physically fit. Which of the following statements, made by you, indicates the best means to safely lift and move the patient as well as minimize your opportunity of suffering an injury?
A) “When we move him, let’s go slowly down the stairs.”
B) “We will have to call for assistance to get him from his house.”
C) “To be safe, let’s move him quickly and at one time down the stairs.”
D) “As long as I lean backward when moving him, we will be okay.”

A

B) “We will have to call for assistance to get him from his house.”

36
Q

You have been asked to present a continuing education session on body mechanics and posture. In your presentation, you would advise the participants that proper posture is achieved when your:
A) ears, shoulders, and hips are vertically aligned when standing.
B) body weight is evenly distributed over the thoracic spine when sitting.
C) abdomen and buttocks are positioned slightly to the posterior when standing.
D) ears, shoulders, and feet are vertically aligned when sitting.

A

A) ears, shoulders, and hips are vertically aligned when standing.