Ch. 10 Patient Assessment

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. 60, 100 b. 50, 110 c. 40, 120 d. 30, 130

a. 60, 100

in which of the following situations is a pertinent negative identified? a. a 59 year old man complains of crushing chest pain but denies shortness of breath b. a 50 year old woman states that nothing makes her chest pain better or worse c. a 53 year old man with dizziness also tells you that he has vomited three times d. a 56 year old woman states that her chest hurts when she takes a deep breath

a. a 59 year old man complains of crushing chest pain but denies shortness of breath

which of the following patients has signs of altered mental status? a. a patient with head injury who is slow to answer questions b. a diabetic who has nausea and severe lightheadedness c. a patient who overdosed and tells you he tried to kill himself d. a patient with acute allergic reaction and dizziness

a. a patient with head injury who is slow to answer questions

With regard to the assessment of a patient's cardiovascular status, capillary refill time is MOST reliable in: a. patients who are younger than 6 years of age b. patients who were exposed to cold temperatures c. patients who are older than 70 years of age d. patients who are significantly hypotensive

a. 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 administrating oxygen if needed, you should: a. prepare for immediate transport b. repeat the primary assessment c. inquire about his family history d. perform a head to toe assessment

a. prepare for immediate transport

which of the following questions would you ask a patient to ascertain the "M" in the SAMPLE history? a. how long have you had your chest pain b. how much Tylenol do you take each day c. have you ever had any major surgeries d. when was the last time you ate a meal

b. how much Tylenol do you take each day

for which of the following patients is spinal immobilization clearly indicated? a. man with an arrow impaled in his leg and no pulse distal to the injury b. man with altered mental status after being exposed to a blunt force trauma c. woman in a minor motor vehicle collision who complains of severe knee pain d. woman who fell from a standing position and has deformed shoulder

b. man with altered mental status after being exposed to a blunt force trauma

a palpable pulse is created by: a. electrical condition in the heart producing contraction of the aria b. pressure waves through the arteries caused by cardiac contraction c. the pressure of circulating blood against the walls of the veins d. the pressure that is caused when venous blood returns to the heart

b. pressure waves through the arteries caused by cardiac contraction

when assessing motor function in a conscious patients lower extremities, you should expect the patient to: a. identify different types of stimuli b. wiggle his or her toes on command c. feel you touching the extremity d. note any changes in temperature

b. wiggle his or her toes on command

When auscultating the blood pressure in a patient's upper extremity, you should place the diaphragm (head) of the stethoscope over the _________ artery. a. radial b. brachial c. femoral d. apical

brachial

which of the following factors would MOST likely cause a patients pulse rate to be slower than normal? a. internal bleeding from trauma b. anxiety or severe stress c. beta blocker medications d. lack of a regular exercise routine

c. beta blocker medications

What part of the patient assessment process focuses on obtaining additional information about the patient's chief complaint and any medical problems he or she may have? a. primary assessment b. general impression c. history taking d. secondary assessment

c. history taking

When you use the palpation method to obtain a blood pressure, the measurement you obtain is the: a. pulse pressure b. cardiac output pressure c. systolic blood pressure d. diastolic blood pressure

c. systolic blood pressure

when assessing a 62 year old female with crushing chest pain, you note that her pulse is rapid and irregular. you should administer supplemental oxygen if needed and then: a. apply the AED and analyze her cardiac rhythm b. conclude that the irregular pulse is normal based on her age c. transport at once and consider requesting a paramedic unit d. document your findings and perform a detailed assessment

c. transport at once and consider requesting a paramedic unit

a properly sized blood pressure cuff should cover: a. one half the length between the armpit and the crease at the elbow b. one third the length from the armpit to the crease at the elbow c. two thirds the length from the armpit to the crease at the elbow d. the entire upper arm between the armpit and the crease at the elbow

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

supplement oxygen without assisted ventilation would MOST likely be administrated to patients: a. with rapid respirations and reduced tidal volume b. who are semiconscious with shallow respirations c. with difficulty breathing and adequate tidal volume d. who have accessory muscle use and slow breathing

c. with difficulty breathing and adequate tidal volume

when assessing the skin of an unresponsive patient, you note that it has a bluish tin to it. this finding is called: a. flushing b. pallor c. cyanosis d. mottling

cyanosis

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: a. ensure that his airway is patent b. elevate his legs and keep him warm c. administrate 100% supplemental oxygen d. apply direct pressure to the wound

d. apply direct pressure to the wound

a patients short term memory is MOST likely intact if they correctly answer questions regarding: a. event and person b. day and event c. person and place d. time and place

day and event

Capnography is used to: a. trend a patients blood pressure and assess for shock b. assess how much oxygen is bound to the hemoglobin c. assess how much oxygen is reaching the bodys tissue d. determine how much carbon dioxide is being exhaled

determine how much carbon dioxide is being exhaled.

which of the following medical history questions would be of LEAST pertinence in acute situation? a. does the pain stay in your chest b. are there medications that you cannot take c. does your mother have diabetes d. has this ever happened to you before

does your mother have diabetes

The chief complaint is most accurately defined as the: a. condition that exacerbates an underlying problem b. gross physical signs that you detect on assessment c. most life threatening condition that you discover d. most serious thing the patient is concerned about

most serious thing the patient is concerned about.

which of then following signs of respiratory distress is usually observed only in pediatric patients? a. pursed-lip breathing b. seesaw breathing c. rapid respirations d. accessory muscle use

seesaw breathing

the pressure exerted against the walls of the artery when the left ventricle contracts is called the: a. diastolic pressure b. systolic pressure c. pulse pressure d. apical pressure

systolic pressure

As time progresses following a significant injury: a. the body's ability to compensate for shock decreases. b. most patients will die secondary to internal bleeding c. the patients blood pressure elevates significantly d. the patients injuries will most likely be irreparable

the body's ability to compensate for shock decreases.