Chapter 10 patient assessment quiz

During a 30-minute transport of a stable patient, you should reassess him or her at least times. A) 2 B) 4 C) 3 D) 6

A) 2

Poor peripheral circulation will cause the skin to appear: A) ashen. B) pink. C) cyanotic. D) flushed.

A) ashen

When you inspect a patient's pupils with a penlight, the pupils should normally react to the light by: A) constricting. B) enlarging. C) dilating. D) fluttering.

A) constricting

A patient with high blood pressure would be expected to have skin that is: A)flushed and red. B) pale and moist. C) cyanotic and dry. D) mottled and cool.

A) flushed and red

goal of the primary assessment is to: A) identify and rapidly treat all life-threatening conditions. B) determine if the patient's problem is medical or traumatic. C) determine the need to perform a head-to-toe assessment. D) identify patients that require transport to a trauma center.

A) identify and rapidly treat all life-threatening conditions.

During your assessment of 6 month old male with vomiting and diarrhea, you note that his capillary refill time is approximately 4 seconds. From this information, you should conclude that the infants: A) peripheral circulation is decreased. B) skin temperature is abnormally cold C) respiratory status is adequate D) systolic blood pressure is normal

A) peripheral circulation is decreased.

When evaluating a patient with chest pain, your partner tells you that the patient's blood pressure is 140/94 mm Hg. The lower number represents the pressure from the: A) ventricles relaxing. B) atria contracting. C) atria relaxing. D) ventricles contracting.

A) ventricles relaxing.

Supplemental oxygen without assisted ventilation would MOST likely be administered to patients: A) with difficulty breathing and adequate tidal volume. B) who have accessory muscle use and slow breathing. C) with rapid respirations and a reduced tidal volume. D) who are semiconscious with shallow respirations.

A) with difficulty breathing and adequate tidal volume.

A patient with spontaneous respirations is breathing: A) without assistance. B) without difficulty. C) with shallow depth. D) at a normal rate.

A) without assistance

Which of the following pupillary changes would indicate depressed brain function? A)Both pupils are sluggish with introduction of a bright light. B)Both pupils constrict when a bright light is introduced. C) Both pupils react briskly to light instead of sluggishly. D) Both pupils dilate when a bright light is removed.

A)Both pupils are sluggish with introduction of a bright light.

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: A) 12. B) 13 C) 14. D) 10.

B) 13

A pulse with a consistent pattern is considered to be: A) strong. B) regular. C) weak. D) irregular.

B) Regular

A crackling sound produced by air bubbles under the skin is called: A) Korotkoff sounds. B) subcutaneous emphysema. C) crepitus D) rhonchi.

B) Subutaneous emphysema

Which of the following conditions would be LEAST likely to cause an altered level of consciousness? A) Poisoning B) Acute anxiety C) Drug overdose D) Inadequate perfusion

B) acute anxiety

When palpating the carotid pulse of a responsive patient you should: A) ensure that his or her head is in a hyperextended position. B) avoid compressing both carotid arteries simultaneously C) firmly compress the artery because the pulse is often weak. D) avoid gentle pressure so that weak pulses can be detected.

B) avoid compressing both carotid arteries simultaneously

You should suspect that a patient is experiencing respiratory failure if he or she: A) has an increased heart rate and retractions. B) has bradycardia and diminished muscle tone. C) is restless and is working hard to breathe. D) is anxious, tachycardic, and leaning forward.

B) has bradycardia and diminished muscle tone

Upon arriving at the scene of a patient with difficulty breathing, you determine that the scene is safe. You enter the residence and find the patient sitting in a chair in respiratory distress. Your first action should be to: A) assess the patient's airway status. B) introduce yourself to the patient. C) ask the patient what's wrong. D) obtain a set of baseline vital signs.

B) introduce yourself to the patient

During your assessment of a 6-month-old male with vomiting and diarrhea, you note that his capillary refill time is approximately 4 seconds. From this information, you should conclude that the infant's: A) respiratory status is adequate. B) peripheral circulation is decreased. C) skin temperature is abnormally cold. D) systolic blood pressure is normal.

B) peripheral circulation is decreased

You are assessing a 72-year-old man with abdominal pain. The patient is sitting in a chair; he is conscious, alert, and calm. As you are talking to the patient, your partner discreetly directs your attention to a handgun, which is located on a nearby table. You should: A) document the presence of the weapon, including its specific location, and continue your assessment of the patient. B) position yourself in between the patient and the gun and ask your partner to request law enforcement assistance. C) direct your partner to move the gun to a safe area and then advise the patient that his weapon has been secured. D) immediately cease all patient care, carefully back out of the residence, and request law enforcement assistance.

B) position yourself in between the patient and the gun and ask your partner to request law enforcement assistance.

Pain that moves from its point of origin to another body location is said to be A) provoking B) radiating C) referred D) palliating

B) radiating

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. A) 50, 110 B) 40, 120 C) 60, 100 D) 30, 130

C) 60, 100

The rapid exam of a patient that occurs following the primary assessment should take no longer than: A) 60 seconds. B) 120 seconds. C) 90 seconds. D) 30 seconds.

C) 90 seconds

Which of the following scenarios does NOT involve the presence of any symptoms? A) A 44-year-old male with abdominal pain and severe dizziness B) A 49-year-old female with blurred vision and ringing in the ears C) A 61-year-old female who is unconscious with facial cyanosis D) A 55-year-old male with a severe headache and 2 days of nausea

C) A 61-year-old female who is unconscious with facial cyanosis

Which of the following is the MOST effective method of assessing the quality of air movement in the lungs? A) Applying a pulse oximeter and monitoring the Sp0 2 B) Looking for the presence of accessory muscle use C) Auscultating breath sounds with a stethoscope D) Evaluating the patient's chest for cyanosis

C) Auscultating breath sounds with a stethoscope

Which of the following factors would MOST likely cause a patient's pulse rate to be slower than normal? A) Lack of a regular exercise routine B) Anxiety or severe stress C) Beta blocker medications D) Internal bleeding from trauma

C) Beta blocker medications

Which of the following pupillary changes would indicate depressed brain function? A) Both pupils react briskly to light instead of sluggishly. B) Both pupils constrict when a bright light is introduced. C) Both pupils are sluggish with introduction of a bright light D) Both pupils dilate when a bright light is removed.

C) Both pupils are sluggish with introduction of a bright light

Which of the following is an example of a symptom? A) Cyanosis B) Hypertension C) Headache D) Tachycardia

C) Headache

Which of the following MOST accurately describes paradoxical movement of the chest wall? A) Multiple rib fractures that cause a marked deformity of the chest wall B) A marked decrease in chest wall movement due to abdominal breathing C) Only one section of the chest rises on inspiration, while another area falls D) One side of the chest wall moves opposite the direction of the other

C) Only one section of the chest rises on inspiration, while another area falls

Upon arriving at a potentially unsafe scene, you should first: A) request another ambulance. B) move the patient to safety. C) ensure that you are safe. D) remove all bystanders.

C) ensure that you are safe.

Which of the following MOST accurately describes paradoxical movement of the chest wall? A) One side of the chest wall moves opposite the direction of the other B) A marked decrease in chest wall movement due to abdominal breathing C) Only one section of the chest rises on inspiration, while another area falls D) Multiple rib fractures that cause a marked deformity of the chest wall

C) only one section of the chest rises on inspiration while another area falls

With regard to the assessment of a patient cardiovascular status, capillary refill time is most reliable in A) patients who are older than 70 years of age B) patient who were exposed to cold temperatures C) patients who are younger than 6 years of age D) patients who are significantly hypotensive

C) patients who are younger than 6 years of age

A 50-year-old male presents with altered mental status. His wife tells you that he had a "small stroke" 3 years ago but has otherwise been in good health. The patient is responsive but unable to follow commands. After administering oxygen if needed, you should: A) repeat the primary assessment. B) inquire about his family history. C) prepare for immediate transport. D) perform a head-to-toe assessment.

C) prepare for immediate transport

During the primary assessment circulation is evaluated by assessing: A) skin quality, blood pressure, and capillary refill B) blood pressure, pulse rate, and external bleeding C) pulse quality, external bleeding and skin condition D) external bleeding, skin condition and capillary refill

C) pulse quality, external bleeding and skin condition

Observations made when forming a general impression of a patient would include all of the following, EXCEPT: A) race and gender. B) level of distress. C) pulse strength. D) appearance.

C) pulse strength

When palpating a patient's pulse, you note that there is a short interval between pulsations. This indicates that the pulse is: A) irregular. B) thready. C) rapid. D) slow.

C) rapid

Which of the following would the EMT likely NOT perform on a responsive patient with a headache and no apparent life-threatening conditions? A) Noninvasive blood pressure monitoring B) Focused secondary assessment C) Assessment of oxygen saturation D) Systematic head-to-toe examination

D) Systematic head-to-toe examination

Palliating factors regarding a patient's pain involve those that: A) change the pain. B) initiate the pain. C) worsen the pain. D) alleviate the pain.

D) alleviate the pain

You receive a call to a daycare center for an unresponsive 8-month-old infant. Upon arrival, you perform an assessment and determine that the infant is not breathing. Your next action should be to: A) begin chest compressions and request backup. B) immediately transport the child to the hospital. C) open the airway and give two rescue breaths. D) assess for a brachial pulse for 5 to 10 seconds.

D) assess for a brachial pulse for 5 to 10 seconds.

While en route to the scene of a shooting, the dispatcher advises you that the perpetrator has fled the scene. You should: A) request law enforcement personnel if the scene is unsafe upon arrival. B) proceed to the scene as usual but exercise extreme caution upon arrival. C) ask the dispatcher if he or she knows the location of the perpetrator. D) confirm this information with law enforcement personnel at the scene

D) confirm this information with law enforcement personnel at the scene

After performing a primary assessment, a rapid exam of the body should be performed to: A) find and treat injuries or conditions that do not pose a threat to life. B) determine the need for spinal motion restriction precautions. C) look specifically for signs and symptoms of inadequate perfusion. D) identify less-obvious injuries that require immediate treatment.

D) identify less-obvious injuries that require immediate treatment.

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: A) is experiencing severe back pain. B) has a decreased level of consciousness. C) has abdominal muscle spasms. D) is experiencing difficulty breathing.

D) is experiencing difficulty breathing

A decrease in blood pressure may indicate: A) forceful cardiac contraction. B) arterial constriction. C) increased blood volume. D) loss of vascular tone.

D) loss of vascular tone

The diastolic blood pressure represents the: A) average pressure against the arterial walls during a cardiac cycle. B) difference in pressure between ventricular contraction and relaxation. C) increased arterial pressure that occurs during ventricular contraction. D) minimum amount of pressure that is always present in the arteries

D) minimum amount of pressure that is always present in the arteries

Pain that moves from its point of origin to another body location is said to be: A)referred. B) provoking. C) palliating. D) radiating.

D) radiating.

Which of the following situations or conditions warrants immediate transport? A) mild pain in the lower abdomen B) ability to follow commands C) Decreased ability to move an extremity D) severe chest pain and cool, pale skin

D) severe chest pain and cool, pale skin

When assessing a patient's abdomen, you will evaluate for all of the following, EXCEPT: A) rigidity and obvious bleeding. B) open wounds or eviscerations. C) gross bleeding and tenderness D) subcutaneous emphysema.

D) subcutaneous emphysema

When assessing a patient's abdomen, you will evaluate for all of the following, EXCEPT: A) open wounds or eviscerations. B) rigidity and obvious bleeding. C) gross bleeding and tenderness. D) subcutaneous emphysema.

D) subcutaneous emphysema.

When you use the palpation method to obtain a blood pressure, the measurement you obtain is the: A) cardiac output pressure B) pulse pressure C) diastolic blood pressure D) systolic blood pressure

D) systolic blood pressure

Reassessment is performed to determine all of the following, EXCEPT: A) the patient's response to your treatment. B) whether or not the patient is deteriorating. C) the nature of any newly identified problems. D) the reason why the patient called EMS.

D) the reason why the patient called EMS.

A properly sized blood pressure cuff should cover: A) the entire upper arm between the armpit and the crease at the elbow. B) one third the length from the armpit to the crease at the elbow. C) one half the length between the armpit and the crease at the elbow. D) two thirds 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