Chapter 14 Post Test

You are called to a college​ party, where you find an unresponsive​ 19-year-old female. There is much evidence of alcohol consumption at the party. Which of the following behaviors are you demonstrating if you rapidly conclude that the patient is​ intoxicated? A. Anchoring B. Confirmation bias C. Overconfidence D. Search satisfying

A. Anchoring

Which of the following is the technique of physical examination that requires the use of a​ stethoscope? A. Auscultation B. Inspection C. Palpation D.Percussion

A. Auscultation

Which of the following is done immediately after scene​ size-up regardless of whether a trauma patient has a significant mechanism of​ injury? A. Primary assessment B. Rapid trauma assessment C. Baseline vital signs D. Secondary assessment

A. Primary assessment

While doing the secondary​ assessment, you are focusing on such things as obtaining a pulse and blood​ pressure, JVD, and palpating the chest. Your patient most likely​ has: A. a cardiovascular complaint. B. an endocrine complaint. C. a gastrointestinal complaint. D. a neurologic complaint.

A. a cardiovascular complaint.

On a call to a​ crime-ridden area where drug abuse is​ common, you are sure that the current call for a patient with altered mental status and difficulty breathing will involve drugs. When you arrive on​ scene, you look for anything that confirms this hypothesis and ignore anything that does not point to drug abuse. This​ is: A. confirmation bias. B. availability. C. anchoring. D. illusory correlation.

A. confirmation bias.

A​ 13-year-old girl is awake but groggy and belligerent. You are told by her​ friend, another​ 13-year-old girl who witnessed the​ patient's actions and who called​ EMS, that your​ patient's boyfriend just broke up with​ her, so she got into her​ parents' liquor cabinet and drank a large quantity of alcohol. Who is likely your best source of information about the​ patient's condition? A. Her friend who called for help B. Her family​ doctor, who is at his office C. Her​ ex-boyfriend, who is at another home in the neighborhood with his new girlfriend D. Her​ parents, who are both at work

A.Her friend who called for help

The basic components of a secondary assessment​ are: A. physical​ examination, patient​ history, and vital signs. B. history of the present​ illness, past medical​ history, and rapid trauma assessment. C. scene​ size-up, general​ impression, and determination of priority for transport. D.​ airway, breathing, and circulation.

A.physical​ examination, patient​ history, and vital signs.

When should you obtain a set of baseline vital signs on an unresponsive pediatric medical​ patient? A. After assessing the past medical history B. After the rapid physical examination C. During transport D. Immediately on arrival at the scene

B. After the rapid physical examination

Which of the following terms BEST describes a grating sound or feeling of bones rubbing​ together? A. Priapism B. Crepitation C. Distention D. Paradoxical motion

B. Crepitation

A​ 19-year-old male is found​ seated, grasping his left​ humerus, after colliding with another player during a rugby match. Which of the following techniques of assessment would be used to identify his body position and general condition as you​ approach? A. Percussion B. Observation C. Auscultation D. Palpation

B. Observation

What action should be taken immediately after determining the chief complaint and eliciting information about how the patient was injured for a trauma patient with no significant mechanism of​ injury? A. Obtaining a past medical history B. Physical examination C. Rapid trauma assessment D. Reassessment

B. Physical examination

Why should you check baseline vital signs in the unresponsive medical​ patient? A. Because taking the​ patient's history is impossible B. To provide a place from which to compare later vital signs C. Because it is local protocol D. Because a physical examination is unnecessary

B. To provide a place from which to compare later vital signs

During the rapid trauma assessment of the victim of a boating​ accident, you note that part of the​ patient's chest wall is moving in the direction opposite that of the rest of the chest. What is the cause of this​ movement? A. The patient is having severe difficulty​ breathing, causing retractions. B. Two or more ribs are broken at two or more​ places, causing a floating segment of ribs. C. The​ patient's collarbone is​ broken, causing the chest to move paradoxically. D. Cardiac tamponade restricts the movement of the chest.

B. Two or more ribs are broken at two or more​ places, causing a floating segment of ribs.

Determining a​ patient's stability: A. is entirely dependent on taking the​ patient's vital signs. B. helps indicate the frequency at which the patient must be reassessed. C. is primarily a question of determining the mechanism of injury. D. is unnecessary for responsive patients.

B. helps indicate the frequency at which the patient must be reassessed.

While en route to the​ hospital, your​ 67-year-old male chest pain patient breaks out in a sweat and becomes very pale. He clutches his chest. You should​ next: A. call for ALS. B. reassess. C. administer the​ patient's nitroglycerin. D. administer oxygen.

B. reassess.

A​ 22-year-old female was found severely hyperventilating and was visibly upset. Her initial vital signs were P​ 130, R​ 40, BP​ 190/100. With coaching and compassionate​ care, she has calmed down. Her repeat vital signs are P​ 100, R​ 28, BP​ 160/88. Which of the following would best describe this trend in vital​ signs? A. Deteriorating B. Unable to determine C. Returning to normal D. Unchanged

C. Returning to normal

You are examining a patient with abdominal problems and think​ you've traced the problem to something the patient ate last night. You immediately stop asking questions about the present illness and proceed to the past medical history. This best fits which​ heuristic? A. Confirmation bias B. Representativeness C. Search satisfying D. Availability

C. Search satisfying

Which of the following should you consider when deciding whether ALS personnel should be​ requested? A. Are you in an urban or suburban​ area? B. Is the call to a rural​ area? C. Would​ ALS-level care benefit the​ patient? D. Does a nearby clinic provide advanced​ care?

C. Would​ ALS-level care benefit the​ patient?

An​ 81-year-old female is complaining of chest pain. After asking her to describe the current problem and history of the present​ illness, you should​ NEXT: A. perform a rapid trauma assessment. B. physically examine the patient. C. ask the patient about her past medical history. D. obtain baseline vital signs.

C. ask the patient about her past medical history.

You are treating a patient who has chest pain and difficulty breathing. The secondary assessment should FIRST evaluate​ the: A. gastrointestinal system. B. endocrine system. C. neurological system. D. cardiovascular system.

D. cardiovascular system.

When you are looking for a​ sign, you​ would: A. ask the patient about symptoms the patient is experiencing. B. ask the patient about the onset of the present illness. C. ask the patient about allergies and past illnesses. D. examine the patient.

D. examine the patient.

For the physical examination of a responsive medical​ patient, you would focus​ on: A. completing a full​ head-to-toe examination of the patient. B. the endocrine and immune systems first. C. the respiratory and cardiovascular systems first. D. examining body systems related to the chief complaint.

D. examining body systems related to the chief complaint.

If no one strategy works for​ everything, that​ means: A. you are basically flying blind on every call you take. B. you will never do anything more than once. C. ​it's not knowledge but intuition that you should rely on when making decisions. D. you need to look at each new situation with fresh eyes.

D. you need to look at each new situation with fresh eyes.

In a patient for whom you have taken several sets of vital and whose respiratory rate has changed from 24 with shallow breaths to 20 with full breaths and whose skin has remained pale and​ dry, you would consider this​ patient's condition to​ be: A. deteriorating. B. remaining unchanged. C. undetermined. D. returning to normal.

D.returning to normal.

Which of the following questions is appropriate to ask in obtaining pertinent past history in a SAMPLE​ history? A. ​"Do you have any other medical​ problems?" B. "When is the last time you ate or drank​ anything?" C. "What medications do you​ take?" D. "How do you​ feel?"

A.​ "Do you have any other medical​ problems?"

Which of the following terms describes a condition of being​ stretched, inflated, or larger than​ normal? A. Crepitation B. Paradoxical motion C. Distention D. Priapism

C. Distention

When questioning bystanders about an unresponsive​ patient's medications, what is a permissible word to​ use? A. Substances B. Drugs C. Medicines D. Pills

C. Medicines

Which of the following is represented by the​ "P" in​ OPQRST? A. Primary assessment B. Past medical history C. Provocation D. Priority

C. Provocation