Ch 10 practice assessment

Which of the following patient responses would establish the "E" in the SAMPLE history? Select one: © A. "I was mowing the lawn when the pain began." O B. "The chest pain started about 45 minutes ago." O C. "I was in the hospital a week ago." O D. "I am not having any difficulty breathing."

A

A patient with profuse sweating is referred to as being- Select one: A. plethoric. B. edematous 3 )C. diaphoretic. 0 D. flushed.

C

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 Select one: O A. skin temperature is abnormally cold. © B. systolic blood pressure is normal. O C. peripheral circulation is decreased. O D. respiratory status is adequate

C

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

D

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: Select one: O A obtain a set of baseline vital signs. O B. ask the patient what's wrong. © C. assess the patient's airway status. O D. introduce yourself to the patient.

D

For which of the following patients is spinal immobilization clearly indicated? Select one: © A. Man with altered mental status after being exposed to blunt force trauma 'O B. Woman in a minor motor-vehicle collision who complains of severe knee pain O C. Woman who fell from a standing position and has a deformed shoulder O D. Man with an arrow impaled in his leg and no pulse distal to the injury

A

When using the pulse oximeter as part of your assessment of a patient, it is important to remember that. Select one: O A O B. a C 0 D any situation that causes vasoconstriction or loss of red blood cells, such as anemia or bleeding, may result in an inaccurate or misleading value as long as the patient's oxygen saturation is greater than 95%, oxygen is usually not necessary, even if the patient is experiencing respiratory distress. carbon monoxide has no effect on pulse oximetry readings because the pulse oximeter presumes that oxygen is saturating the hemoglobin. pulse oximetry is especially useful in patients who have cold extremities because vasoconstriction forces blood to the capillary beds.

A

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

A

Which of the following statements regarding the mechanism of injury (MOl) is correct? Select one: O A. The exact location of a patient's injuries can be determined by the MOI. O B. A significant MOI usually results in patient death or permanent disability O C. The MOl may allow you to predict the severity of a patient's injuries. © D. A nonsignificant MOl rules out the possibility of serious trauma.

C

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: Select one: O A. immediately transport the child to the hospital. O B. begin chest compressions and request backup. O C. assess for a brachial pulse for 5 to 10 seconds O D. open the airway and give two rescue breaths.

C