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A patient who does not respond to your questions, but moves or cries out when his or her
trapezius muscle is pinched, is said to be:
Select one:
A. conscious and alert.
B. responsive to painful stimuli.
C. completely unresponsive.
D. responsive to verbal stimuli. B
With regard to the assessment of a patient's cardiovascular status, capillary refill time is MOST
reliable in:
Select one:
A. patients who are younger than 6 years of age.
B. patients who were exposed to cold temperatures.
C. patients who are significantly hypotensive.
D. patients who are older than 70 years of age. A
A properly sized blood pressure cuff should cover:
Select one:
A. one half the length between the armpit and the crease at the elbow.
B. the entire upper arm between the armpit and the crease at the elbow.
C. one third the length from the armpit to the crease at the elbow.
D. two thirds the length from the armpit to the crease at the elbow. D
After performing a head tilt-chin lift maneuver to open the airway of an unresponsive patient
who has a pulse, you should:
Select one:
A. provide positive-pressure ventilatory assistance.
B. assess respiratory rate, depth, and regularity.
C. place him or her in the recovery position.
D. suction as needed and insert an airway adjunct. D
A decrease in blood pressure may indicate:
Select one:
A. increased blood volume.
B. arterial constriction.
C. forceful cardiac contraction.
D. loss of vascular tone. D
When assessing a 62-year-old female with crushing chest pain, you note that her pulse is rapid
and irregular. You should administer supplemental oxygen if needed and then:
Select one:
A. transport at once and consider requesting a paramedic unit.
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,B. apply the AED and analyze her cardiac rhythm.
C. document your findings and perform a detailed assessment.
D. conclude that the irregular pulse is normal based on her age. A
The systematic head-to-toe assessment should be performed on:
Select one:
A. responsive medical patients and patients without a significant MOI.
B. stable patients who are able to tell you exactly what happened.
C. patients with a significant MOI and unresponsive medical patients.
D. all patients with traumatic injuries who will require EMS transport. C
After performing a primary assessment, a rapid exam of the body should be performed to:
Select one:
A. identify less-obvious injuries that require immediate treatment.
B. determine the need for spinal motion restriction precautions.
C. find and treat injuries or conditions that do not pose a threat to life.
D. look specifically for signs and symptoms of inadequate perfusion. A
Which of the following situations or conditions warrants immediate transport?
Select one:
A. Severe chest pain and cool, pale skin
B. Mild pain in the lower abdomen
C. Responsiveness and ability to follow commands
D. Decreased ability to move an extremity A
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 Coma
Scale (GCS) score is:
Select one:
A. 10.
B. 14.
C. 12.
D. 13. D
When assessing a patient's abdomen, you will evaluate for all of the following, EXCEPT:
Select one:
A. open wounds or eviscerations.
B. gross bleeding and tenderness.
C. subcutaneous emphysema.
D. rigidity and obvious bleeding. C
The goal of the systematic head-to-toe exam that is performed during the secondary assessment
is to:
Select one:
A. definitively rule out significant internal injuries.
B. assess only the parts of the body that are injured.
C. detect and treat all non-life-threatening injuries.
D. locate injuries not found in the primary assessment. D
When auscultating the blood pressure in a patient's upper extremity, you should place the head of
the stethoscope over the _________ artery.
Select one:
A. femoral
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,B. brachial
C. radial
D. apical B
Which of the following questions would you ask a patient to ascertain the "M" in the SAMPLE
history?
Select one:
A. "How much Tylenol do you take each day?"
B. "How long have you had your chest pain?"
C. "Have you ever had any major surgeries?"
D. "When was the last time you ate a meal?" A
Cyanosis of the skin is caused by:
Select one:
A. venous vasoconstriction.
B. peripheral vasodilation.
C. increased blood oxygen.
D. decreased blood oxygen. D
A patient with profuse sweating is referred to as being:
Select one:
A. diaphoretic.
B. edematous.
C. flushed.
D. plethoric. A
As time progresses following a significant injury:
Select one:
A. most patients will die secondary to internal bleeding.
B. the patient's blood pressure elevates significantly.
C. the body's ability to compensate for shock decreases.
D. the patient's injuries will most likely be irreparable. C
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:
Select one:
A. open his airway with the jaw-thrust maneuver.
B. apply a pressure dressing to the patient's arm.
C. apply a cervical collar and suction his airway.
D. tilt the patient's head back and lift up on his chin. A
Jugular venous distention suggests a problem with blood returning to the heart if the patient is:
Select one:
A. sitting up at a 45° angle.
B. in a supine position.
C. in a recumbent position.
D. in a prone position. A
Capnography is used to:
Select one:
A. determine how much carbon dioxide is being exhaled.
B. trend a patient's blood pressure and assess for shock.
C. assess how much oxygen is reaching the body's tissues.
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, D. assess how much oxygen is bound to the hemoglobin. A
When palpating a patient's pulse, you note that there is a short interval between pulsations. This
indicates that the pulse is:
Select one:
A. irregular.
B. thready.
C. rapid.
D. slow. C
When using the pulse oximeter as part of your assessment of a patient, it is important to
remember that:
Select one:
A. carbon monoxide has no effect on pulse oximetry readings because the pulse oximeter
presumes that oxygen is saturating the hemoglobin.
B. any situation that causes vasoconstriction or loss of red blood cells, such as anemia or
bleeding, may result in an inaccurate or misleading value.
C. pulse oximetry is especially useful in patients who have cold extremities because
vasoconstriction forces blood to the capillary beds.
D. as long as the patient's oxygen saturation is greater than 95%, oxygen is usually not necessary,
even if the patient is experiencing respiratory distress. B
In the adult, bradycardia is defined as a pulse rate less than _______ beats/min, and tachycardia
is defined as a heart rate greater than _______ beats/min.
Select one:
A. 60, 100
B. 30, 130
C. 40, 120
D. 50, 110 A
Clinical signs of labored breathing include all of the following, EXCEPT:
Select one:
A. shallow chest movement.
B. supraclavicular retractions.
C. use of accessory muscles.
D. gasping attempts to breathe. A
When assessing motor function in a conscious patient's lower extremities, you should expect the
patient to:
Select one:
A. note any changes in temperature.
B. wiggle his or her toes on command.
C. feel you touching the extremity.
D. identify different types of stimuli. B
A nasopharyngeal airway is inserted:
Select one:
A. into the larger nostril with the tip pointing away from the septum.
B. with the bevel facing the septum if inserted into the right nare.
C. into the smaller nostril with the tip following the roof of the nose.
D. with the bevel pointing downward if inserted into the left nare. B
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