Chapter 3 Practice Test
B
A 60-year-old man is found sitting in his car alongside the road. There is no apparent damage to his vehicle. Your assessment reveals that the man is in cardiac arrest. You should: A. begin CPR while the patient is still in his car and remove him from the car when additional help arrives. B. grasp the patient under his arms, cradle his head between your arms, and remove him from the vehicle. C. recline the seat completely back, get inside the car, and begin CPR until additional help arrives at the scene. D. grasp the patient by his arms and rapidly drag him from the vehicle while protecting his head and neck as much as possible.
B
A device that separates into left and right halves and is helpful when moving a patient from a small place is called a: A. folding stretcher. B. scoop stretcher. C. flexible stretcher. D. semirigid stretcher.
B
All of the following are general recommendations to follow when moving a patient, except: A. explaining to the patient what you are going to do and how. B. moving the patient before treating him or her if the scene is safe. C. delaying the move of a patient until additional EMS personnel arrive. D. moving the patient as few times as possible unless the scene is unsafe.
C
All of the following are important principles of patient movement when a spinal injury is suspected, except: A. ensuring that you move the patient as a unit. B. ensuring that one rescuer gives all commands to move. C. transporting the patient on the left side in case of vomiting. D. keeping the patient's head and neck in a neutral position.
D
An appropriately sized cervical collar is designed to: A. completely immobilize the patient's head and neck. B. replace manual stabilization of a patient's head and neck. C. be applied after the patient has been placed onto a backboard. D. minimize head and neck movement and prevent further injury.
D
An elderly woman must be moved from an unsafe environment quickly. The patient is unconscious and is wearing a thin nightgown. What is the most rapid and effective way for you and your partner to move her? A. Place her in a chair and rapidly move her to a place of safety while protecting her head and neck. B. Quickly log roll her onto a backboard, secure her to the board with straps, and move her to safety. C. Grasp the patient by the collar of her nightgown and pull her in the direction of the long axis of her body. D. Place a blanket or rug on the ground, roll her onto it, and quickly remove her from the unsafe environment.
D
Because the chair carry technique may force the patient's head forward, the rescuer should: A. use one hand to support the patient's head. B. request three more rescuers prior to lifting. C. use a folding chair to maximize head support. D. watch the patient for problems with the airway.
B
Before attempting to move any patient, you should: A. roll the patient onto his or her side to estimate his or her weight. B. assess the patient's weight and know your physical limitations. C. concentrate on what you are doing instead of the other rescuers. D. put on a protective back brace to facilitate curvature of your back.
B
In which of the following situations would an emergency move be most appropriate? A. The patient has a history of cardiopulmonary arrest. B. The area around the patient cannot be protected adequately. C. The patient is in a mobile home or other area that is confined. D. The patient is in a car and there are shards of glass around him.
B
In which of the following situations would it be most appropriate to use an improvised device instead of a commercially prepared long backboard? A. A commercially prepared backboard is not immediately available to move a stable patient. B. An injured patient must be moved immediately to prevent further injury or death. C. An unstable patient with severe injuries requires immediate transportation to the hospital. D. An injured patient in a safe area has an unstable airway that requires immediate treatment.
B
In which of the following situations would the use of a stair chair be ideal? A. A patient who is unconscious with poor breathing effort B. A patient with shortness of breath and no history of trauma C. A patient with trouble breathing following trauma to the chest D. A patient with neck and back pain following a motor vehicle crash
D
Long backboards are most appropriate to use for patients who: A. do not require neck or back protection. B. only need to be moved a short distance. C. must be moved from a dangerous scene. D. require stabilization of the head and neck.
D
Regardless of the technique you use for moving patients, you should: A. keep your arms away from your body. B. maintain a slight curvature of your back. C. lift and lower the patient by bending your back. D. lift and lower the patient by bending your legs.
D
Short backboards or vest-style devices are most appropriate to use for patients who: A. are injured and found in a lying position. B. require rapid movement from an unsafe scene. C. are in need of CPR and movement down stairs. D. have neck or back pain and are in a sitting position.
C
The arm-to-arm drag allows you to move a patient: A. regardless of the patient's weight. B. while immobilizing the head and spine at the same time to prevent further injury. C. by carrying the weight of his or her upper body as the lower trunk and legs drag on the floor. D. while simultaneously maintaining spinal immobilization with a minimum of two rescuers.
A
The blanket drag would be most appropriate to use to move a patient if he or she is: A. wearing clothing that is easily torn. B. in cardiac arrest and requires CPR. C. wearing a sturdy shirt but no pants. D. underweight and semiconscious.
B
The direct ground lift should not be performed if the patient: A. is unconscious and not breathing. B. has experienced a traumatic injury. C. weighs more than 175 pounds (79 kg). D. has a back injury and is able to walk.
B
The most appropriate technique for moving an adult patient from his or her bed to the ambulance stretcher is the: A. direct carry lift. B. draw sheet method. C. cradle-in-arms carry. D. pack-strap carry technique.
A
The most effective way to prevent accidental movement of a patient's head when strapping him or her to a long backboard is to: A. secure the head to the backboard after securing the wrist and hip area. B. routinely secure the patient's head to the backboard first. C. secure the torso before centering the patient on the board. D. pad any voids in between the patient and the long backboard.
C
The one-person walking assist method can be used if the patient: A. weighs less than 150 pounds (68 kg). B. requires assistance over rough terrain. C. is able to bear weight on his or her feet. D. only has minor lower extremity injuries.
B
The primary technique used to move a patient onto a long backboard is the: A. sheet drag. B. log roll technique. C. fire fighter's drag. D. direct carry method.
A
The recovery position is used for patients who are: A. unconscious and not injured. B. experiencing respiratory distress. C. severely obese and not breathing. D. semiconscious with a neck injury.
A
The two-person extremity carry is particularly advantageous when moving a patient who: A. is in a narrow space. B. has an injury to the spine. C. has an altered mental state. D. weighs more than 250 pounds (113 kg).
C
When can the rescuer who is manually stabilizing a patient's head safely let go of the head? A. After an appropriately sized cervical collar has been applied B. As soon as the patient's torso has been secured to the board C. After the head has been secured to the board with blanket rolls D. As soon as the patient is adequately centered on the backboard
B
When determining whether to use one or two rescuers to provide walking assistance to an ambulatory patient, you should: A. ask the patient how much he or she weighs. B. assess the patient's condition and the incident scene. C. use one rescuer initially and then a second if needed. D. ask the patient to walk a short distance to assess for pain.
A
When immobilizing the patient's head to the long backboard, you should: A. place rolled blankets on both sides of the patient's head. B. tightly secure the patient's head to the board with cravats. C. secure the head to the board before securing the torso and legs. D. stabilize both sides of the head prior to applying a cervical collar.
A
When moving a deceased person, it is most appropriate to: A. place the body in a body bag and then place the body bag on a long backboard. B. cover the body with a white sheet and then place it in a fully encapsulated body bag. C. place the body in a body bag and then use at least two people to carry the body bag. D. cover the body with a yellow sheet and then move the body with a portable stretcher.
C
When moving a deceased person, your priority should be to: A. move the body in a manner that creates a respectful image for the family. B. move the body in a manner that does not expose it directly to the media. C. move the body in a manner that minimizes your risk of personal injury. D. avoid covering the body in case his or her death was caused by homicide.
A
When moving a patient on a long backboard, you should: A. secure him or her to the board with straps. B. always immobilize the head to the board. C. use no more than two rescuers to lift the board. D. use a board made of varnished plywood if possible.
A
When moving a patient, who typically gives the command to begin the move? A. The rescuer at the patient's head B. The strongest rescuer at the scene C. The most senior responder at the scene D. The paramedic in charge of patient care
C
When performing the pack-strap carry technique, optimal weight distribution occurs when the: A. rescuer bends forward to lift the patient. B. rescuer is in an upright standing position. C. patient's armpits are over the rescuer's shoulders. D. patient weighs less than 150 pounds (68 kg).
D
When performing the straddle slide technique, team coordination problems would MOST likely occur if the patient is moved more than __________ at a time. A. 5" to 6" (12.7 to 15.2 cm) B. 6" to 8" (15.2 to 20.3 cm) C. 8" to 10" (20.3 to 25.4 cm) D. 10" to 12" (25.4 to 30.5 cm)
C
When performing the two-person seat carry technique, the rescuers should: A. be standing side by side when they lift the patient. B. maintain stabilization of the patient's head as they move. C. keep their backs as straight as possible and lift with their legs. D. not attempt to lift the patient if he or she weighs more than 120 pounds (54 kg).
B
When placing a patient onto a long backboard in a confined space, you should do so using the: A. log roll. B. straddle lift. C. direct carry. D. blanket drag.
B
Which of the following devices would not serve as an adequate replacement for a long backboard? A. Door B. Foam surfboard C. Sturdy folding table D. Ironing board
D
Which of the following most accurately describes the correct technique for performing a clothes drag? A. Grasp the patient's pant legs, support the patient's legs under your arms, and drag the patient to safety. B. Use two rescuers to grab each side of the patient's pants, minimize movement of the head, and drag the patient to safety. C. Secure a strap under the patient's arms and around his or her chest, protect his or her spine, and drag to safety. D. Grasp the clothes just behind the collar, rest the patient's head on your arms, and drag the patient to safety.
D
Which of the following statements regarding ambulance stretchers is correct? A. All ambulance stretchers have the same operational features. B. Ambulance stretchers should only be operated by two people. C. Ambulance stretchers will accommodate patients of any weight. D. It is best to use four people if the ambulance stretcher must be lifted or carried.
A
Which of the following statements regarding the direct ground lift is correct? A. It results in poor body mechanics and is generally discouraged. B. The rescuers should be on opposite sides of each other when lifting. C. It is optimal for patients with suspected neck or back injuries. D. It requires minimal lifting effort on the part of the rescuers.
B
Which of the following statements regarding the fire fighter drag is correct? A. It requires minimal strain on the rescuer's back. B. It does not require you to lift or carry the patient. C. It is appropriate only if the patient is unconscious. D. It is most effective if the patient is severely obese
B
Which of the following statements regarding the two-person chair carry technique is correct? A. A folding chair should be used whenever possible. B. The patient generally feels more secure with this carry than with the seat carry. C. It is of minimal use when moving a patient through a narrow hallway. D. The rescuer at the foot end of the chair should be facing away from the patient.
B
Who should give the commands to move a patient with a suspected spinal injury? A. The rescuer with the most experience B. The rescuer at the patient's head C. The rescuer at the patient's torso D. The rescuer who will bear the most weight
C
With regard to lifting and moving, good body mechanics includes: A. twisting your body slightly when lifting. B. keeping your feet no less than 3′ (1 m) apart. C. using your legs and not your back when lifting. D. lifting with the strong musculature of your back.
A
You and your partner are assisting paramedics in securing an injured patient to a long backboard. One paramedic is supporting the patient's head while the other paramedic and your partner are supporting the patient's torso and legs. Where should you be? A. Ready to slide the board under the patient as the team performs a log roll B. Standing behind the paramedic at the head to help him or her stay balanced C. Waiting to apply a cervical collar after the patient is secured to the backboard D. Behind the rescuers at the patient's torso and legs to prevent them from falling
D
You and your partner are the first to arrive at the scene of a man who fell approximately 20′ (6 m) from a second-story balcony. The patient is found lying on his side. He is conscious and alert with adequate breathing. A paramedic unit is approximately 5 minutes away. You should: A. apply a cervical collar and carefully secure the patient to a short backboard or vest-style immobilization device. B. carefully place the patient on his back and stabilize his head and neck until the paramedic unit arrives at the scene. C. carefully immobilize the patient to a long backboard and monitor his condition until the paramedic unit arrives. D. keep the patient's head and neck stabilized, tell the patient not to move, and wait for the paramedic unit to arrive at the scene.
A
You and your partner are the first unit to arrive at the scene of a motor vehicle crash. The driver of the car is deceased. There are two passengers in the back seat, an unconscious man who is breathing poorly, and a conscious woman who is lying on top of him. How should you move the woman? A. Rapidly but carefully remove her from the car so that you can gain access to the unconscious man. B. Apply a cervical collar, immobilize her to a short backboard device, and quickly remove her from the car. C. Slide a long backboard underneath her, secure her to the board with straps, and rapidly remove her from the car. D. Manually stabilize her head and neck, leave her where she is, and wait for a paramedic unit to arrive at the scene.
D
You are asked to accompany a paramedic in the back of the ambulance to assist in the care of a critically injured patient. The patient, who is semiconscious, is fully immobilized on a long backboard. What is the MOST important thing that you should be doing? A. Taking the patient's vital signs B. Performing a head-to-toe assessment C. Manually stabilizing the patient's head D. Monitoring the patient for airway problems
B
You are the first emergency medical responder (EMR) to arrive at the scene of a 49-year-old man in cardiac arrest. The patient clearly weighs more than you do and is in an area that makes it extremely difficult for you perform CPR. You should: A. begin CPR to the best of your ability and continue until additional rescuers arrive at the scene. B. slide a long backboard under the patient and move him to a larger area where you can begin CPR. C. not attempt to move the patient until sufficient help is available to move the patient safely to a larger area. D. tie the patient's wrists together, place his arms around your neck, and drag the patient to an area where you can begin CPR.
D
You are the first emergency medical responder (EMR) to arrive at the scene of a 49-year-old man in cardiac arrest. The patient clearly weighs more than you do and is in an area that makes it extremely difficult for you perform CPR. You should: A. begin CPR to the best of your ability and continue until additional rescuers arrive at the scene. B. slide a long backboard under the patient and move him to a larger area where you can begin CPR. C. not attempt to move the patient until sufficient help is available to move the patient safely to a larger area. D. tie the patient's wrists together, place his arms around your neck, and drag the patient to an area where you can begin CPR.
B
You are the first medically trained person to arrive at the scene of an ill person. You find the patient, a 350-pound man, sitting in a small bathroom. The patient tells you that he is extremely weak and is unable to walk. You should: A. carefully lift the patient and move him to a more open area. B. wait for additional rescuers to arrive before trying to move him. C. apply a cervical collar and position the patient on his left side. D. use the one-person walking assist technique to move the patient.
A
In contrast to the straddle lift technique, the straddle slide technique involves: A. moving the patient rather than the backboard. B. moving the backboard rather than the patient. C. placing the patient onto a short backboard device. D. lifting the patient at least 12" (30 cm) off the ground.
D
If you suspect that a patient has suffered a head or spine injury, you should: A. move the patient quickly so that his or her spine can be immobilized. B. allow the patient to move slowly as you stabilize his or her head. C. carefully move the patient in a sitting position to avoid further injury. D. keep the patient's head and spine immobilized to avoid movement.
B
In addition to ensuring your own safety, the most important guideline to follow when moving a patient is to: A. move the patient's body as a unit. B. do no further harm to the patient. C. move the patient as little as possible. D. move the patient only when necessary.
A
Any time a patient has suffered a traumatic injury, you should: A. suspect injury to the head, neck, or spine. B. move the patient with a folding stretcher. C. routinely apply a short backboard device. D. immobilize him or her with a scoop stretcher.
B
If a patient is lying on the floor or ground in an unsafe environment, you should: A. push the patient to safety using the long axis of his or her body. B. drag the patient away from the scene instead of trying to lift or carry him or her. C. disregard the possibility of spinal injury and move the patient quickly. D. grab the patient by the pants and quickly drag him or her to a safe area.
D
If you and your partner must remove a patient from a vehicle immediately, you should first: A. request at least two more rescuers for assistance. B. place a long backboard under the patient's buttocks. C. move the patient forward to check the back for injuries. D. have your partner manually support the patient's head.
