Patient Assessment

Which interview question helps obtain information for the P portion of the SAMPLE assessment?

"Have you ever been hospitalized?"

Doppler ultrasonography can detect fetal heart tones beginning at about how many weeks' gestation? A. 8 weeks B. 10 weeks C. 14 weeks D. 20 weeks

10 weeks

Which blood pressure measurement suggests poor perfusion related to hypovolemia in a patient whose normal blood pressure is 120/80 mm Hg?

200/110 mm Hg

Which action is a component of the primary survey?

Apply a warm blanket.

Which technique is appropriate for neurovascular assessment of an extremity?

Assess capillary refill distal to the injury site.

Which finding indicates airway compromise?

Audible stridor

Which finding is considered objective data? A. Auscultation reveals audible wheezes. B. The vehicle was rear-ended at 25 mph. C. The patient states that he cannot move his leg. D. The medical record indicates a history of asthma.

Auscultation reveals audible wheezes.

Which action is part of the secondary survey? A. Exposing all potential injuries B. Inspecting the posterior surfaces C. Providing cervical spine protection D. Assessing for abnormal breathing patterns

B. Inspecting the posterior surfaces

Which of these is a secondary assessment finding?

Bruising is noted on the right occiput.

Which site for pulse assessment yields the most accurate information about the patient's condition?

Carotid

A patient with which finding requires a focused neurologic assessment? A. Rapid heart rate B. Subcutaneous emphysema C. Jugular vein distention D. Dizziness

Dizziness

A patient is brought to the emergency department with a decreased level of consciousness. What is your first priority for this patient?

Ensure that the patient has a patent airway.

Pupillary response is part of the AVPU assessment.

False

The 0-to-10 pain scale is the most commonly used and the best tool for assessing pain.

False

Which finding is considered subjective data

Family member relates a history of cocaine abuse

Which abnormal finding can be detected during the secondary survey? A. Friction rub B. Paradoxical chest wall motion C. Open wound of the chest D. Weak, thready pulse

Friction rub

An infant is prone to which problem?

Gastric distention

In terms of circulation, bariatric patients exist in what state?

Hyperdynamic, hypervolemic state.

In terms of circulation, obstetric patients exist in what state?

Hypervolemic, hypercoagulable state

An older adult patient presents with a chief complaint of shortness of breath. Which finding helps confirm that this patient's needs are a priority?

Inability to speak in complete sentences

What does the M in the AMPLE mnemonic represent?

Medications

A patient, age 58, has cardiomyopathy and presents to the emergency department with signs of decreased cardiac output. Which finding should you expect to encounter?

Narrowed pulse pressure and low systolic blood pressure

Which finding indicates that a patient's respiratory compromise is improving?

No extra effort is required to breathe.

An obstetric patient is prone to which airway problem?

Nosebleeds

For which patients do baseline arterial blood gas levels (ABGs) reveal compensated respiratory alkalosis and hypocapnia? A. Obstetric B. Older adult C. Middle-aged adult D. Pediatric

Obstetric

Which patients are more prone to hypothermia due to ineffective temperature regulation? A. Obstetric and pediatric B. Older adult and pediatric C. Bariatric and older adult D. Pediatric and bariatric

Older adult and pediatric

Which of these is considered the fifth vital sign?

Pain

What is the SAMPLE mnemonic used to assess?

Patient history

A patient presents to the emergency department with an obvious forearm fracture. Which note reflects the best documentation of this patient's chief complaint?

Patient states, "I think I broke my arm. It hurts so much."

In the PQRST mnemonic for pain assessment, what does the P represent?

Provoking factors

Which of the following assessments would result in you scoring the patient as a "P" using the AVPU mnemonic?

The patient exhibits abnormal flexion in response to a sternal rub.

Which statement accurately characterizes pulse oximetry measurement?

The two light sources should be positioned directly opposite the photo detector.

What is the purpose of the primary survey?

To ensure that potentially life-threatening conditions are immediately identified and addressed.

Which condition could cause a widening pulse pressure?

Vasodilation

Which finding is considered objective data?

mass is palpated in the right upper quadrant of the abdomen.