Emergency Nursing Orientation 3.0: Patient Assessment - ENA-ENO-C03

Which interview question helps obtain information for the P portion of the AMPLE assessment?

"Have you ever been hospitalized?"

Doppler ultrasonography can detect fetal heart tones beginning at about how many weeks' gestation?

10 Weeks

Which finding requires priority intervention?

Blood is noted in the oropharynx.

Which of these is a secondary assessment finding?

Bruising is noted on the right occiput.

In an adult, which finding is an emergent threat?

The patient cannot speak in complete sentences.

Which finding is likely to be the first sign that the patient's body is using compensatory mechanisms to maintain homeostasis?

The pulse rate increases.

Which statement accurately characterizes pulse oximetry measurement?

The two light sources should be positioned directly opposite the photo detector.

Which condition could cause a widening pulse pressure?

Vasodilation

Which finding is evident during the circulation component of the primary assessment?

Warm, dry skin

Which action is a component of the primary assessment?

Apply a warm blanket.

Which technique is appropriate for neurovascular assessment of an extremity?

Assess capillary refill distal to the injury site.

Which finding indicates airway compromise?

Audible stridor

Which finding is considered objective data?

Auscultation reveals audible wheezes.

Which abnormal finding can be detected during the secondary assessment?

Friction rub

An infant is prone to which problem?

Gastric distention

Which patients are more prone to hypothermia due to ineffective temperature regulation?

Geriatric and pediatric

Which disorder is a possible cause of a decreased level of consciousness?

Infection

What does the M in the AMPLE mnemonic represent?

Medications

Which finding indicates that a patient's respiratory compromise is improving?

No extra effort is required to breathe.

An obstetric patient is prone to which airway problem?

Nosebleeds

For which patients do baseline arterial blood gas levels (ABGs) reveal compensated respiratory alkalosis and hypocapnia?

Obstetric

Which statement accurately characterizes abdominal assessment?

Pain caused by the sudden removal of the examiner's fingers suggests peritoneal irritation.

What is the AMPLE mnemonic used to assess?

Patient history

Which statement is the best example of a chief complaint?

Patient reports sudden onset of severe right lower abdominal pain.

Which patients can usually maintain cardiac output by increasing the heart rate because the heart cannot increase contractility?

Pediatric

For a patient with severe sternal retractions, which intervention is the priority?

Position the patient to maximize ventilation.

A bariatric patient is prone to which circulatory finding?

Pulmonary embolism

Which finding is considered subjective data?

A family member states that the patient has a history of seizures.

The question, "Do you have any reactions to medications?" helps gather history data for which part of the AMPLE mnemonic?

Allergies

Which disorder could cause an inaccurate pulse oximetry reading?

Anemia