Patient Assessment Ch.10 HW

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: Question 1 Select one: A. 13. B. 14. C. 10. D. 12.

13.

During a 30-minute transport of a stable patient, you should reassess him or her at least ________ times. Question 19 Select one: A. 2 B. 4 C. 6 D. 3

2

A patient in unstable condition should be reassessed at least every: Question 10 Select one: A. 5 minutes. B. 10 minutes. C. 15 minutes. D. 20 minutes.

5 minutes.

An injured patient is assigned a total score of 9 on the GCS. He is assigned a score of 2 for eye opening, a score of 3 for verbal response, and a score of 4 for motor response. Which of the following clinical findings is consistent with his GCS score? Question 16 Select one: A. Eyes remain closed, makes incomprehensible sounds, exhibits abnormal extension B. Opens eyes spontaneously, is confused when spoken to, exhibits abnormal flexion C. Opens eyes in response to pain, uses inappropriate words, withdraws from pain D. Opens eyes in response to voice, makes incomprehensible sounds, localizes pain

Opens eyes in response to pain, uses inappropriate words, withdraws from pain

A 39-year-old male sustained a stab wound to the groin during an altercation at a bar. As you approach the patient, you note that he is conscious, is screaming in pain, and is attempting to control the bleeding, which is bright red and spurting from his groin area. You should: Question 2 Select one: A. apply direct pressure to the wound. B. ensure that his airway is patent. C. administer 100% supplemental oxygen. D. elevate his legs and keep him warm.

apply direct pressure to the wound.

External bleeding from an extremity can usually be controlled initially by: Question 20 Select one: A. elevating the extremity. B. applying direct pressure. C. applying chemical ice packs. D. applying a tourniquet.

applying direct pressure.

Cyanosis of the skin is caused by: Question 18 Select one: A. increased blood oxygen. B. decreased blood oxygen. C. venous vasoconstriction. D. peripheral vasodilation.

decreased blood oxygen.

Capnography is used to: Question 17 Select one: A. assess how much oxygen is reaching the body's tissues. B. assess how much oxygen is bound to the hemoglobin. C. determine how much carbon dioxide is being exhaled. D. trend a patient's blood pressure and assess for shock.

determine how much carbon dioxide is being exhaled.

A 50-year-old male is found unconscious in his car. There were no witnesses to the event. When gathering medical history information for this patient, the EMT should: Question 5 Select one: A. wait for family members to arrive before asking any questions. B. determine if the patient has a medical alert bracelet or wallet card. C. ask law enforcement officials if they are familiar with the patient. D. defer SAMPLE history questions until you arrive at the hospital.

determine if the patient has a medical alert bracelet or wallet card.

A patient with profuse sweating is referred to as being: Question 12 Select one: A. diaphoretic. B. plethoric. C. flushed. D. edematous.

diaphoretic

A blood pressure cuff that is too small for a patient's arm will give a: Question 6 Select one: A. falsely low systolic and diastolic reading. B. falsely low systolic but high diastolic reading. C. falsely high systolic but low diastolic reading. D. falsely high systolic and diastolic reading.

falsely high systolic and diastolic reading.

A 40-year-old male presents with pain to the right upper quadrant of his abdomen. He is conscious and alert with stable vital signs. During your assessment, you note that his skin and sclera are jaundiced. You should suspect: Question 4 Select one: A. acute pancreatitis. B. gallbladder disease. C. liver dysfunction. D. renal insufficiency.

liver dysfunction.

A decrease in blood pressure may indicate: Question 8 Select one: A. arterial constriction. B. loss of vascular tone. C. forceful cardiac contraction. D. increased blood volume.

loss of vascular tone.

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: Question 3 Select one: A. tilt the patient's head back and lift up on his chin. B. open his airway with the jaw-thrust maneuver. C. apply a pressure dressing to the patient's arm. D. apply a cervical collar and suction his airway.

open his airway with the jaw-thrust maneuver.

A palpable pulse is created by: Question 9 Select one: A. the pressure that is caused when venous blood returns to the heart. B. the pressure of circulating blood against the walls of the veins. C. electrical conduction in the heart producing contraction of the atria. D. pressure waves through the arteries caused by cardiac contraction.

pressure waves through the arteries caused by cardiac contraction.

A patient who moves and cries out only when you pinch his or her trapezius muscle is said to be: Question 11 Select one: A. responsive to verbal stimuli. B. responsive to painful stimuli. C. conscious and alert. D. completely unresponsive.

responsive to painful stimuli.

A crackling sound produced by air bubbles under the skin is called: Question 7 Select one: A. Korotkoff sounds. B. crepitus C. subcutaneous emphysema. D. rhonchi.

subcutaneous emphysema.

After performing a head tilt-chin lift maneuver to open the airway of an unresponsive patient who has a pulse, you should: Question 15 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.

suction as needed and insert an airway adjunct.

A properly sized blood pressure cuff should cover: Question 14 Select one: A. the entire upper arm between the armpit and the crease at the elbow. B. two thirds 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. one third the length from the armpit to the crease at the elbow.

two thirds the length from the armpit to the crease at the elbow.

A patient with spontaneous respirations is breathing: Question 13 Select one: A. without assistance. B. at a normal rate. C. with shallow depth. D. without difficulty.

without assistance.