Primary Assessment
1. A 20-year-old male was pulled from cold water by his friends. The length of his
submersion is not known and was not witnessed. You perform a primary assessment
and determine that the patient is apneic and has a slow, weak pulse. You should:
A. suction his airway for 30 seconds, provide rescue breathing, keep him
warm, and transport at once.
B. ventilate with a bag-mask device, apply a cervical collar, remove his wet
clothing, and transport rapidly.
C. provide rescue breathing, remove wet clothing, immobilize his spine, keep
him warm, and transport carefully.
D. apply 100% oxygen via a nonrebreathing mask, immobilize his spine, keep
him warm, and transport rapidly.
2. A 21-year-old male was thrown over the handlebars of his motorcycle when he
rear-ended a car that was stopped at a red light. He was wearing a helmet, which he
removed prior to your arrival. He is conscious, but restless, and has closed
deformities to both of his femurs. His skin is pale, his heart rate is rapid and weak,
and his respirations are rapid and shallow. In addition to applying high-flow oxygen
and protecting his spine, you should:
A. bind his legs together on the backboard, keep him warm, and transport
without delay.
B. apply traction splints to both of his legs, keep him warm, and transport
without delay.
C. splint each of his deformed femurs with long board splints and transport
immediately.
D. apply the PASG to stabilize his femurs and transport at once.is
3. A 22-year-old male was punched in the abdomen several times. You find him lying
on his left side with his knees drawn up. He is conscious and alert and complains of
increased pain and nausea when he tries to straighten his legs. His blood pressure is
142/82 mm Hg, his pulse rate is 110 beats/min and strong, and his respirations are
22 breaths/min and regular. In addition to administering high-flow oxygen, you
should:
A. transport him in the position in which you found him.
B. apply full spinal motion restriction precautions.
C. place him supine but allow him to keep his knees bent.
D. keep him on his side but gently straighten his legs.
4. A 30-year-old female was robbed and assaulted as she was leaving a nightclub.
She has massive facial trauma and slow, gurgling respirations. As your partner
assumes manual stabilization of her head, you should:
A. Suction her oropharynx for 15 seconds.
B. Apply oxygen via a nonrebreathing mask.
C. Visualize her mouth for obvious wounds.
D. begin immediately ventilatory assistance.
,Primary Assessment
5. A 40-year-old male was in his woodworking shop when he felt a sudden, sharp
pain in his left eye. Your assessment reveals a small splinter of wood embedded in
his cornea. You should:
A. remove the object with a cotton-tipped applicator.
B. cover both of his eyes and transport to the hospital.
C. scrape the splinter away with moist, sterile gauze.
D. cover his right eye and flush the left eye with saline.
6. A 40-year-old unrestrained female impacted the steering wheel of her vehicle
with her chest when she hit a tree while traveling at 45 mph. She is conscious and
alert, but is experiencing significant chest pain and shortness of breath. Which of
the following injuries is the LEAST likely?
A. head injury
B. cardiac contusion
C. pulmonary contusion
D. multiple rib fractures
7. A 50-year-old male was stung by a honeybee approximately 15 minutes ago. He
presents with respiratory distress, facial swelling, and hypotension. After placing
him on oxygen and administering his epinephrine via auto-injector, you note that
his breathing has improved. Additionally, his facial swelling is resolving and his
blood pressure is stable. Your next action should be to:
A. notify medical control of the patient's response to your treatment.
B. reassess his breathing and blood pressure in 15 minutes.
C. visualize his airway to assess for oropharyngeal swelling.
D. record the time and dose of the injection and transport promptly.
8. A 67-year-old female with severe chest pain becomes unresponsive, pulseless,
and apneic during transport. You should:
A. Stop the ambulance, begin CPR, and attach the AED as soon as possible.
B. perform CPR for 1 to 2 minutes and then analyze her heart rhythm.
C. alert the receiving hospital and perform CPR for the duration of the
transport.
D. Defibrillate with the AED while continuing transport to the hospital.
9. A teenage boy who was involved in a bicycle accident has a puncture wound
where the bicycle kickstand impaled his leg. The MOST appropriate method for
treating this injury is to:
A. remove the kickstand in a circular motion and apply a dry, sterile dressing.
B. unbolt the kickstand from the bike frame and stabilize it with bulky
dressings.
C. cut the kickstand off just above the skin, and stabilize it with sterile
dressings.
D. leave the kickstand attached to the bike until the physician can remove it
safely.
, Primary Assessment
10. According to the rule of palm method for estimating the extent of a patient's
burns, the palm of the patient's hand is equal to % of his or her total BSA.
A. 1%
B. 4%
C. 6%
D. 2 %
11. After a baby is born, it is important to:
A. Ensure that it is thoroughly dried and warmed.
B. Immediately clamp and cut the umbilical cord.
C. Position it so that its head is higher than its body.
D. Cool the infant to stimulate effective breathing.
12. After establishing that an adult patient is unresponsive, you should:
A. apply the AED and deliver a shock, if needed.
B. assess for breathing and a pulse.
C. immediately begin chest compressions
D. manually open the airway.
13. All information recorded on the PCR must be:
A. reflective of your opinion.
B. considered confidential
C. typewritten or printed.
D. a matter of public record.
14. An area of swelling or enlargement in a weakened arterial wall is called:
A. an aneurysm.
B. atherosclerosis.
C. a thrombus
D. an embolism.
15. An effective Team leader should:
A. refrain from any direct patient contract
B. perform all difficult interventions
C. command his or her team
D. help the team accomplish goals
16. As many as 40% of patients with Down syndrome have:
A. unilateral paralysis
B. a heart condition
C. diabetes mellitus
1. A 20-year-old male was pulled from cold water by his friends. The length of his
submersion is not known and was not witnessed. You perform a primary assessment
and determine that the patient is apneic and has a slow, weak pulse. You should:
A. suction his airway for 30 seconds, provide rescue breathing, keep him
warm, and transport at once.
B. ventilate with a bag-mask device, apply a cervical collar, remove his wet
clothing, and transport rapidly.
C. provide rescue breathing, remove wet clothing, immobilize his spine, keep
him warm, and transport carefully.
D. apply 100% oxygen via a nonrebreathing mask, immobilize his spine, keep
him warm, and transport rapidly.
2. A 21-year-old male was thrown over the handlebars of his motorcycle when he
rear-ended a car that was stopped at a red light. He was wearing a helmet, which he
removed prior to your arrival. He is conscious, but restless, and has closed
deformities to both of his femurs. His skin is pale, his heart rate is rapid and weak,
and his respirations are rapid and shallow. In addition to applying high-flow oxygen
and protecting his spine, you should:
A. bind his legs together on the backboard, keep him warm, and transport
without delay.
B. apply traction splints to both of his legs, keep him warm, and transport
without delay.
C. splint each of his deformed femurs with long board splints and transport
immediately.
D. apply the PASG to stabilize his femurs and transport at once.is
3. A 22-year-old male was punched in the abdomen several times. You find him lying
on his left side with his knees drawn up. He is conscious and alert and complains of
increased pain and nausea when he tries to straighten his legs. His blood pressure is
142/82 mm Hg, his pulse rate is 110 beats/min and strong, and his respirations are
22 breaths/min and regular. In addition to administering high-flow oxygen, you
should:
A. transport him in the position in which you found him.
B. apply full spinal motion restriction precautions.
C. place him supine but allow him to keep his knees bent.
D. keep him on his side but gently straighten his legs.
4. A 30-year-old female was robbed and assaulted as she was leaving a nightclub.
She has massive facial trauma and slow, gurgling respirations. As your partner
assumes manual stabilization of her head, you should:
A. Suction her oropharynx for 15 seconds.
B. Apply oxygen via a nonrebreathing mask.
C. Visualize her mouth for obvious wounds.
D. begin immediately ventilatory assistance.
,Primary Assessment
5. A 40-year-old male was in his woodworking shop when he felt a sudden, sharp
pain in his left eye. Your assessment reveals a small splinter of wood embedded in
his cornea. You should:
A. remove the object with a cotton-tipped applicator.
B. cover both of his eyes and transport to the hospital.
C. scrape the splinter away with moist, sterile gauze.
D. cover his right eye and flush the left eye with saline.
6. A 40-year-old unrestrained female impacted the steering wheel of her vehicle
with her chest when she hit a tree while traveling at 45 mph. She is conscious and
alert, but is experiencing significant chest pain and shortness of breath. Which of
the following injuries is the LEAST likely?
A. head injury
B. cardiac contusion
C. pulmonary contusion
D. multiple rib fractures
7. A 50-year-old male was stung by a honeybee approximately 15 minutes ago. He
presents with respiratory distress, facial swelling, and hypotension. After placing
him on oxygen and administering his epinephrine via auto-injector, you note that
his breathing has improved. Additionally, his facial swelling is resolving and his
blood pressure is stable. Your next action should be to:
A. notify medical control of the patient's response to your treatment.
B. reassess his breathing and blood pressure in 15 minutes.
C. visualize his airway to assess for oropharyngeal swelling.
D. record the time and dose of the injection and transport promptly.
8. A 67-year-old female with severe chest pain becomes unresponsive, pulseless,
and apneic during transport. You should:
A. Stop the ambulance, begin CPR, and attach the AED as soon as possible.
B. perform CPR for 1 to 2 minutes and then analyze her heart rhythm.
C. alert the receiving hospital and perform CPR for the duration of the
transport.
D. Defibrillate with the AED while continuing transport to the hospital.
9. A teenage boy who was involved in a bicycle accident has a puncture wound
where the bicycle kickstand impaled his leg. The MOST appropriate method for
treating this injury is to:
A. remove the kickstand in a circular motion and apply a dry, sterile dressing.
B. unbolt the kickstand from the bike frame and stabilize it with bulky
dressings.
C. cut the kickstand off just above the skin, and stabilize it with sterile
dressings.
D. leave the kickstand attached to the bike until the physician can remove it
safely.
, Primary Assessment
10. According to the rule of palm method for estimating the extent of a patient's
burns, the palm of the patient's hand is equal to % of his or her total BSA.
A. 1%
B. 4%
C. 6%
D. 2 %
11. After a baby is born, it is important to:
A. Ensure that it is thoroughly dried and warmed.
B. Immediately clamp and cut the umbilical cord.
C. Position it so that its head is higher than its body.
D. Cool the infant to stimulate effective breathing.
12. After establishing that an adult patient is unresponsive, you should:
A. apply the AED and deliver a shock, if needed.
B. assess for breathing and a pulse.
C. immediately begin chest compressions
D. manually open the airway.
13. All information recorded on the PCR must be:
A. reflective of your opinion.
B. considered confidential
C. typewritten or printed.
D. a matter of public record.
14. An area of swelling or enlargement in a weakened arterial wall is called:
A. an aneurysm.
B. atherosclerosis.
C. a thrombus
D. an embolism.
15. An effective Team leader should:
A. refrain from any direct patient contract
B. perform all difficult interventions
C. command his or her team
D. help the team accomplish goals
16. As many as 40% of patients with Down syndrome have:
A. unilateral paralysis
B. a heart condition
C. diabetes mellitus
