Chapter 13 Assessment

All of the following are common techniques for measuring blood​ pressure, except: A. Rhythm method B. Auscultation C. Palpation D. Blood pressure monitor

A

If capillary refill is assessed in a child​ patient, how long should it take the normal pink color to return to the nail​ bed? A. 2 seconds or less B. 5 seconds or less C. 4 seconds or less D. 3 seconds or less

A

In a blood pressure reading of​ 120/80, the 120 is measuring what body​ process? A. Systolic blood​ pressure; when the left ventricles contract and the blood is forced into the arteries B. Systolic blood​ pressure; when the right ventricles contract and the blood is forced into the veins C. Diastolic blood​ pressure; when the left ventricles contract and the blood is forced into the arteries D. Systolic blood​ pressure; when the left ventricles contract and the blood is forced into the veins

A

In a conscious adult​ patient, which of the following pulses should be assessed​ initially? A. Radial B. Brachial C. Pedal D. Carotid

A

The first set of vital sign measurements obtained are often referred to as which of the​ following? A. Baseline vital signs B. Normal vital signs C. Standard vital signs D. None of the above

A

Which of the following are the vital signs that need to be​ recorded? A. ​Pulse, respiration, skin​ color, skin temperature and​ condition, pupils, and blood pressure B. ​Pulse, respiration, skin​ color, skin​ temperature, pupils, and blood pressure C. ​Pulse, respiration, skin​ color, skin temperature and condition D. ​Pulse, respiration, skin​ color, skin temperature and​ condition, pupils, blood​ pressure, and bowel sounds

A

Which of the following is the BEST way to assess a​ patient's skin​ temperature? A. Place the back of your hand against the​ patient's forehead. B. Place the back of your hand against the​ patient's abdomen. C. Place your cheek against the​ patient's forehead. D. Place your cheek against the​ patient's abdomen.

A

You are attempting to assess the blood pressure of a​ 35-year-old male at the scene of a multiple vehicle collision. The scene is very noisy and you are unable to clearly hear the​ patient's heartbeat. You​ should: A. obtain the blood pressure by palpation. B. use an automatic blood pressure machine. C. try using the​ patient's other arm. D. have your partner try auscultating the blood pressure.

A

You are transporting a patient to the hospital from a motor vehicle crash. Your​ patient's initial blood pressure was​ 88/52. You should reassess blood​ pressure: A. at least every 5 minutes. B. only if the patient gets worse. C. only if the pulse rate changes. D. at least every 15 minutes.

A

You have a​ 38-year-old patient who has fainted. Following your local protocol you use a light wave device to determine the SpO2. As the​ EMT, you attach the device on the​ patient's finger, which gives you a reading of 91. What does that reading​ indicate? A. Mild hypoxia B. Significant hypoxia C. Severe hypoxia D. Normal results

A

Your patient is​ warm, dry,​ pink, and denies shortness of breath. Which of the following should the EMT expect to find when evaluating the​ patient's oxygen​ saturation? A. ​98% B. ​95% C. ​102% D. ​91%

A

A blood pressure in an adult patient of​ 134/84 mm Hg would be​ considered: A. hypertension. B. prehypertension. C. hypotension. D. normotension.

B

Breathing sounds that should concern the EMT​ are: A. ​retractions, and diaphragmatic breathing. B. ​snoring, gurgling,​ wheezing, and crowing. C. ​snoring, gurgling,​ wheezing, crowing, and crowning. D. ​tachycardia, retractions, and diaphragmatic breathing.

B

The abbreviation mm Hg indicates that the blood pressure is measured by which of the following​ comparisons? A. Millimeters of water B. Millimeters of mercury C. Atmospheric pressure D. Minimum heart rate

B

The device that some EMS services use as a light wave device to measure oxygen saturation ​(SpO2​) is called​ a(n): A. sphygmomanometer. B. pulse oximeter. C. capnography. D. end tidal CO2 meter.

B

The increase in the work of breathing is reported​ as: A. troubled breathing. B. labored breathing. C. noisy breathing. D. obstructed breathing.

B

The term cyanosis is used when the​ patient's skin color is noted to be which of the following​ characteristics? A. Yellow B. ​Blue-gray C. Very pale D. Flushed

B

Upon assessment of your​ patient, you notice that he has​ cool, sweaty skin. This finding is best described as which of the​ following? A. Symptom B. Sign C. Diagnosis D. Complaint

B

What is the normal response of the pupils when exposed to bright​ light? A. Fluttering B. Constriction C. Dilation D. No effect

B

What is the pressure remaining in the arteries after the pulse wave has passed​ through? A. Venous pressure B. Diastolic blood pressure C. Resting blood pressure D. Systolic blood pressure

B

When pupils are dilated they​ are: A. elliptical or elongated in shape. B. larger than normal. C. irregularly shaped. D. smaller than normal.

B

When taking blood​ pressure, the cuff should be inflated to what​ point? A. Until the patient says it hurts B. 30 mmHg beyond the point where the pulse disappears C. Until the Velcro starts to crackle D. Until the gauge reads 200 mmHg

B

When the EMT checks the pupils he or she is checking for what three​ things? A. ​Movement, gaze, and equality B. ​Size, equality, and reactivity C. ​Reactivity, gaze, and equality D. ​Color, equality, and reactivity

B

When the heart contracts and forces blood into the​ arteries, the pressure created is known as​ the: A. diastolic blood pressure. B. systolic blood pressure. C. pulse pressure. D. central venous pressure.

B

Which of the following BEST describes the proper placement of the blood pressure​ cuff? A. Midway between the elbow and shoulder B. Covering​ two-thirds of the upper arm C. One inch below the armpit D. Covering the​ patient's elbow

B

You are about to apply a blood pressure cuff to an unconscious patient when you notice that she appears to have a tube underneath the skin of her arm. The tube feels like it has fluid going through it. You​ should: A. continue to take her blood pressure in the arm. B. find another site to measure her blood pressure. C. use an automatic blood pressure cuff instead. D. move the cuff down to the forearm and inflate.

B

You are called to a​ 72-year-old patient with weakness and headache with an initial blood pressure of​ 140/92. Her repeat blood pressure at 5 minutes is unchanged. Her condition is​ called: A. stroke. B. hypertension. C. prehypertension. D. hypotension.

B

You respond to a cafeteria to find an unconscious person with gurgling sounds upon exhalation and inhalation. What is the probable cause of the respiratory​ sounds? A. Tongue blocking the airway B. Fluids in the airway C. Cardiac arrest D. Complete airway obstruction

B

You respond to a childcare center for a report of an injured​ 4-year-old. Her pulse is 130 beats per minute. Which of the following BEST describes this​ finding? A. Normal for the​ child's age B. Tachycardic C. Unable to determine without knowing the family history D. Bradycardic

B

You respond to a​ 30-month-old patient who has passed out. Is the​ patient's blood pressure important to your treatment and​ why? A. ​Yes, blood pressure must be taken on everyone because without it we cannot impact the​ patient's field management. B. ​No, blood pressure taken on children younger than age 3 is difficult and has little impact on the​ patient's field management. C. ​Yes, blood pressure can be taken on children because it is the only way we can understand the​ patient's condition. D. ​No, blood pressure taken on children younger than age 3 can cause damage to the tender tissues of the arm that could lead to hypertension in later life.

B

A(n) ________ set of vital signs is important for critical decision making for the EMT. A. repeated B. complete C. accurate D. unbiased

C

An approximate normal systolic blood pressure can be calculated for infants and children by using which of the following​ formulas? A. 120 minus 2 times the age in years B. 80 times 2 plus the age in years C. 80 plus 2 times the age in years D. 120 plus 2 times the age in years

C

Slight movement of the chest during respiration is usually indicative of which of the​ following? A. Normal breathing B. Labored breathing C. Shallow breathing D. Noisy breathing

C

The range of normal blood glucose level is from a low of 60 to 80​ mg/dL to a high​ of: A. 90 to 100. B. 110 to 130. C. 120 to 140. D. 100 to 120.

C

Vital signs should be reassessed every​ ________ minutes for a stable patient. A. 5 B. 20 C. 15 D. 10

C

What are the three ways to take blood​ pressure? A. ​Auscultation, palpation, and osculation B. ​Sphygmomanometer, blood pressure​ monitor, and heart monitor C. ​Palpation, auscultation, and blood pressure monitor D. ​Sphygmomanometer, auscultation, and blood pressure monitor

C

Which of the following is NOT a cause of unequal​ pupils? A. Artificial eye B. Eye injury C. Fright D. Stroke

C

You are assessing an​ 82-year-old female that has been lost in the woods behind her nursing home for several hours on a crisp fall evening. Your pulse oximeter shows her oxygen saturation to be​ 82% even though she appears to be breathing adequately. In order to ensure an accurate reading you​ should: A. try a different pulse oximeter. B. place the probe on the​ patient's earlobe. C. warm the​ patient's hands and try again. D. place the probe on the​ patient's toe.

C

You are assessing a​ 48-year-old male who is unconscious. The scene is safe and you hear the patient gurgling. What is your next​ action? A. Quickly check the pulse. B. Insert an airway adjunct. C. Suction the airway. D. Apply supplemental oxygen.

C

You are transporting a patient down a bumpy road. Your​ patient's blood pressure has just been measured by the monitor to be​ 190/110. The​ patient's blood pressure on scene was​ 130/80. You​ should: A. ignore the blood pressure reading. B. apply the automatic cuff to the other arm. C. ​re-measure the blood pressure manually. D. have the driver increase truck speed.

C

You are unable to find a radial pulse on a patient from a motor vehicle crash. You​ should: A. begin chest compressions. B. listen for heart sounds. C. attempt to find the carotid pulse. D. apply the pulse oximeter.

C

Your patient is in late stages of liver failure and has requested to be transported to the emergency department. You take your body substance isolation and move him to your cot and notice his skin is warm and dry with a yellow color. Your radio report to the hospital should state your patient​ is: A. flushed. B. mottled. C. jaundiced. D. cyanotic.

C

A patient being transported by ambulance to the hospital can have his blood pressure measured by which of the following​ methods? A. Palpation B. Auscultation C. Blood pressure monitor D. Any of the above

D

A patient with a pulse rate of 120 beats per minute is considered which of the​ following? A. Bradycardic B. Dyscardic C. Normocardic D. Tachycardic

D

An oxygen saturation of​ 97% is considered which of the​ following? A. Hypoxia B. Severe hypoxia C. Significant hypoxia D. Normal

D

How often should a​ patient's vital signs be reassessed during transport to the hospital after he has had his pulse restored with CPR and the use of an​ AED? A. Every 10 minutes B. Every 2 minutes C. Every 15 minutes D. Every 5 minutes

D

Recording and documenting your​ patient's first set of vital signs is very important​ because, when combined with​ reassessments, it allows you to do which of the​ following? A. Make an accurate diagnosis of the​ patient's illness. B. Compare your​ patient's condition with other​ patients' conditions. C. Fill in all of the blanks on the patient care report form. D. Discover trends and changes in the​ patient's condition.

D

The method of taking blood pressure by using a stethoscope to listen to the characteristic sounds produced is​ called: A. articulation. B. pulsation. C. palpation. D. auscultation.

D

To determine blood​ pressure, the EMT should position the cuff over the upper arm and place the stethoscope over the brachial artery.​ Next, she should inflate the​ cuff, then slowly deflate the​ cuff, listening for clicks or tapping sounds while remembering the number at the first sound. What is the next step in taking a blood​ pressure? A. ​Re-inflate the cuff on the​ patient's arm and repeat the process to verify the reading. B. Dump all the pressure and record the number as the diastolic pressure. C. Remove the cuff from the​ patient's arm, place it on the opposite​ arm, and repeat the process to verify the reading. D. Continue releasing pressure until the clicks or tapping​ stop, and record both numbers. These are the blood pressure.

D

Where do baseline vital signs fit into the sequence of patient​ assessment? A. Ongoing assessment B. At the​ patient's side C. At primary assessment D. At secondary assessment

D

Which of the following is a known cause of inaccurate oxygen saturation​ readings? A. Jaundiced nail beds B. Fever C. Hypotension D. Carbon monoxide inhalation

D

Which of the following is a normal respiratory rate for an adult at​ rest? A. 24 breaths per minute B. 10 breaths per minute C. 22 breaths per minute D. 12 breaths per minute

D

You are assessing a​ 55-year-old male complaining of chest pain and have determined that his radial pulse is barely palpable. You also determine that there were 20 pulsations over a span of 30 seconds. Based on​ this, how would you report this​ patient's pulse? A. Pulse 20 and weak B. Pulse​ 40, weak, and irregular C. Pulse​ 20, weak, and regular D. Pulse 40 and weak

D

You are called to care for a child who has fallen out of a​ third-story window. You arrive to find the child in his​ mother's arms. As you​ approach, you notice the​ child's skin is pale with dark spots of cyanosis. You would report this uncommon condition of blotchy skin​ as: A. flushed. B. jaundiced. C. cyanotic. D. mottling.

D

Your patient has a heart rate of​ 82, a respiratory rate of​ 16, and a blood pressure of​ 120/80 and does not appear to be in any distress. You should repeat vital sign measurements at least​ every: A. 10 minutes. B. 5 minutes. C. 20 minutes. D. 15 minutes.

D