Chapter 3: Lifting and Moving Patients

19) What should you NOT do when using a stair chair? A) Lean forward from the hips. B) Keep your back straight. C) Lean forward from the waist. D) Flex your knees. Answer:

C

10) How far apart should your hands be when using a power grip? A) 24 inches B) 10 inches C) 6 inches D) 15 inches Answer:

B

11) Which of the following is another name for the squat-lift position? A) Power grip B) Power lift C) Weight-lifter technique D) Direct carry Answer:

B

25) Which of the following patients should NOT be transported in a stair chair? A) Patient with difficulty breathing B) Patient who is nauseated C) Patient with a suspected spinal injury D) Patient found lying in bed Answer:

C

18) Which of the following is NOT correct when performing a log roll? A) Keep your back straight. B) Lean forward from the hips. C) Use your shoulder muscles. D) Place both feet flat on the ground. Answer:

D

5) Which of the following factors should be considered before lifting any patient? A) The weight of the patient B) Your physical limitations C) Communications D) All of the above Answer:

D

6) When lifting a patient, a basic principle is to: A) lift with your lower back. B) extend your arms to maximize your lift. C) rush your lift to minimize your lift time. D) know your lifting limits. Answer:

D

14) Which of the following best describes an urgent move? A) Moving a patient from a car directly to a long spine board B) Dragging a patient from a burning house using his shirt C) Using a sheet to move a patient from a bed to the stretcher D) Pulling a patient by her feet across a parking lot Answer:

A

15) You respond to a call at a park where you find a 550-pound patient who has fallen down a slope near a creek. As you and your partner discuss the situation, you decide to call a second unit for lifting assistance. Once the patient is on a stretcher, how would the additional two personnel help in this lift? A) You place one person on each corner of the stretcher to balance the weight and share in the lifting. B) They would position themselves half way up the slope to take over when you and your partner get fatigued. C) You will place two persons at the foot, one at the head, and the other to act as a safety anchor with a rope. D) You will place two persons at the head of the stretcher, one at the foot, and one to act as a spotter. Answer:

A

23) Which of the following devices should be used to carry a patient down the stairs whenever possible? A) Stair chair B) Scoop stretcher C) Basket stretcher D) Wheeled ambulance stretcher Answer:

A

29) During an emergency move, which of the following techniques should be used, whenever possible, to minimize the possibility of further aggravating a possible spinal injury? A) Move the patient in the direction of the long axis of the body. B) Pull the patient from the feet, not the shoulders. C) Roll the patient over. D) Move the patient sideways, alternating between moving the shoulders, then the hips. Answer:

A

43) You are moving an elderly patient down the stairs using a stair chair. The patient is alert and very anxious. What should you do prior to moving the patient to prevent her from grabbing the railing and causing you to fall? A) Explain to the patient what you are doing and advise her to hold her hands together and not let go until you are finished moving her. B) Gently tie the patient's hands together until you are downstairs to prevent her from unconsciously grabbing the railing. C) Use a strap to safely secure the patient's arms to the chair without causing any loss of circulation to the patient's extremities. D) Place the patient on oxygen during the move to calm her down. Answer:

A

7) Which of the following is the correct position of an EMT's feet when lifting? A) Shoulder-width apart B) As close together as possible C) As wide apart as possible D) Two feet apart Answer:

A

1) Which of the methods listed below is best described as moving a patient from the floor to a stretcher by having two or more rescuers kneel, curl the patient to their chests, stand, and then reverse the process to place the patient on the stretcher? A) Direct carry B) Direct ground lift C) Power lift D) Draw-sheet method Answer:

B

12) If the weight being pulled is below the level of the EMT's waist, he should be in a(n) ________ position. A) squatting B) kneeling C) feet-together D) overhead Answer:

B

16) When a stretcher with a patient secured to it is elevated, what occurs? A) The patient feels more comfortable being at near normal height. B) The center of gravity is raised and this causes a tip hazard. C) The stretcher is more stable and easily pushed. D) The EMTs lessen the possibility of injury from being bent over the patient. Answer:

B

17) Which of the following devices is best suited for maneuvering a patient through a narrow hallway? A) Long backboard B) Flexible stretcher C) Wheeled stretcher D) Basket stretcher Answer:

B

24) What is the main benefit of using a stair chair with a track-like system over a traditional stair chair? A) A stair chair with a track-like system can be manipulated to lift into an ambulance using a hydraulic system. B) A stair chair with a track-like system prevents the patient from having to be lifted down stairs. C) There is no benefit of a track-like stair chair over a traditional stair chair. D) Only one EMT is required to operate a stair chair with a track-like system. Answer:

B

27) What is the likely impact of power stretchers on EMS? A) There is no likely impact of power stretchers on EMS. B) There will be a decrease in the number of injuries among EMTs. C) Insurance reimbursement will increase for ambulance services. D) There will be an increase in the number of home health transfers. Answer:

B

3) Which of the following best describes body mechanics? A) Proper use of the body to protect patient safety B) Proper use of the body to facilitate lifting and moving objects C) Equipment designed to minimize stress on the user's body D) Both B and C Answer:

B

31) Which urgent move should be performed for a patient seated in a vehicle? A) Rapid immobilization B) Rapid extrication C) Rapid takedown D) Rapid takeout Answer:

B

33) What type of move should the EMT use to move a patient who is in a car that has started to burn? A) Non-urgent move B) Emergency move C) No attempt to move D) Urgent move Answer:

B

36) Which of the following should you use when you want to move a patient from a wheelchair to a stretcher? A) Ground transfer B) Extremity lift C) Clothing lift D) Modified direct lift Answer:

B

41) Which of the following is used to immobilize a patient with a suspected spinal injury? A) Portable stretcher B) Long backboard C) Basket stretcher D) Scoop stretcher Answer:

B

8) Which of the following statements regarding body mechanics is true? A) Use your back to lift. B) Use your legs to lift. C) Twist your torso while lifting. D) Position your feet close together. Answer:

B

2) When placing all fingers and the palm in contact with the object being lifted, you are using which of the following? A) Lock grip B) Power lift C) Power grip D) Vise grip Answer:

C

26) How many pounds are most battery-powered hydraulic systems rated to safely lift? A) 300 B) 500 C) 700 D) 200 Answer:

C

30) Urgent moves are required when: A) an emergency move is not possible. B) rapid transport is necessary. C) performed for treatment of life threats along with precautions for spinal injuries. D) there are no life threats and conditions are stable. Answer:

C

39) For a patient without a possibility of spinal injury, which of the following carries should be used to move him from a bed to a stretcher? A) Firefighter's carry B) Direct-ground lift C) Draw-sheet method D) Extremity lift Answer:

C

4) The term body mechanics describes the proper use of your body to lift without injury. What are the three considerations to review before any lift? A) Equipment, patient injury, and communication B) The object, patient injury, and communication C) The object, your limitations, and communication D) Environment, physical limitations, and communication Answer:

C

42) You respond to the scene of a two-vehicle T-bone vehicle collision. The driver's side door is smashed shut and will not open. The front passenger door will open. The front passenger is stable and complaining of severe head and neck pain. You suspect that he has a potential spinal injury. The driver is unresponsive, in critical condition, and has gurgling respirations. You should extricate the passenger by which technique? A) Carefully move the patient using full c-spine precautions. B) Take extra care to protect the passenger's neck with a KED board or short spine board because of the injury. C) Move the patient out of the car as quickly as possible, in the direction of the long axis of the body. D) Move the patient as quickly as possible so he can get to a hospital before paralysis sets in. Answer:

C

13) Which of the following should you do when reaching for something? A) Keep your back in a locked-in position. B) Avoid twisting. C) Avoid reaching more than 15 to 20 inches in front of your body. D) All of the above Answer:

D

20) What is the preferred number of rescuers when using a stair chair? A) Two: one in front and one in back B) Only one with the track-like chair C) Four: one for each corner of the device D) Three: two lifting and one spotting Answer:

D

21) You have responded to a nursing home and find an elderly patient in his bed in cardiac arrest. Which type of move would you perform to get the patient to a hard surface so you can perform chest compressions? A) Non-urgent move B) Clothing drag C) Urgent move D) Emergency move Answer:

D

22) You have responded to a multiple casualty incident involving an overturned bus. Patients have been thrown around the interior of the bus and several are piled on top of each other. What type of move would you perform to gain access to the most critically injured patients? A) Non-urgent move B) Extremity lift C) Urgent move D) Emergency move Answer:

D

28) Stretchers that are designed to carry obese patients weighing up to 800 pounds (or more) are called: A) battery-powered stretchers. B) wheeled stretchers. C) hydraulic stretchers. D) bariatric stretchers. Answer:

D

32) Which of the following is another name for an ambulance cot? A) Stair chair B) Reeve's stretcher C) Scoop stretcher D) Wheeled ambulance stretcher Answer:

D

34) You and your partner arrive on the scene of a 400-pound patient lying in bed. He complains of nausea and vomiting for the past 3 days. When he tries to sit up, he gets very dizzy and has a syncopal episode. Realizing that he cannot assist you in getting on the stretcher, you decide to do which of the following? A) Use the patient's sheets to slide him over to the stretcher. B) Place the patient on a backboard to provide better gripping points to move the patient. C) Use the power lift technique to carefully and safely lift the patient to the stretcher. D) Call for additional manpower to move the patient. Answer:

D

35) You respond to a 48-year-old morbidly obese female patient. Her adult daughter called you because she has not gotten up from her oversized recliner chair in over a week. She has tried to help her out of the chair but states that each time her mother screams in agony. The foul odor presence of urine and feces is strong around the patient. Her feet do not touch the ground, and any attempt to lift the patient by her arms or scoot her down to the end of the chair results in severe pain to the patient. You are finding it nearly impossible to get a good grip on the patient. How will you get her out of the chair? A) Soft stretcher B) Long spine board C) Lie the chair back and use a scoop stretcher D) Vest-type extrication device Answer:

D

37) What is the contraindication for the use of a scoop or orthopedic stretcher? A) Internal injuries B) Hip fracture C) Pelvic injury D) Spinal injury Answer:

D

38) You are called to the scene of a patient who fell approximately 5 feet off a stepladder to the floor of a third-story attic of a very old building. He is complaining of severe neck and back pain, and he has an obvious fractured ankle. You cannot get your stretcher past the first-floor stairs and your long spine board is not practical with the winding spiral staircase and the small attic access. What is the best device to safely get the patient out of the attic where he can be properly immobilized? A) Scoop stretcher B) Stair chair C) Flexible stretcher D) Vest-type extrication device Answer:

D

40) You are treating an unconscious patient who does not have a possibility of spinal injury and who is breathing adequately. Which of the following is the BEST position for transporting the patient? A) Supine B) Fowler position C) Semi-Fowler position D) Recovery position Answer:

D

9) Where should you position the weight of the object being lifted? A) As far from the body as possible B) An arm's length away from the body C) To one side or the other D) As close to the body as possible Answer:

D