chapter 9 online quiz

When palpating a patient's pulse, you note that it is grossly irregular. You should: a. count the pulse rate for a full minute to obtain an accurate reading b. count the pulse rate for at least 30 seconds to ensure accuracy c. count the number of pulsations in 15 seconds and multiply by four d. count the number of pulsations in 30 seconds and multiply by two

a

When using the pulse oximeter as part of your assessment of a patient, it is important to remember that: a. any situation that causes vasoconstriction or loss of red blood cells, such as anemia or bleeding, may result in an inaccurate or misleading value b. pulse oximetry is especially useful in patients who have cold extremities because vasoconstriction forces blood to the capillary beds. c. 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 d. carbon monoxide has no effect on pulse oximetry readings because the pulse oximeter presumes that oxygen is saturating the hemoglobin

a

Which of the following conditions would be LEAST likely to cause an altered level of consciousness? a. acute anxiety b. drug overdose c. poisoning d. inadequate perfusion

a

Which of the following patient responses would establish the "E" in the SAMPLE history? a. "I was moving the lawn when the pain began." b. "I was in the hospital a week ago." c. "I am not having any difficulty breathing." d. "The chest pain started about 45 minutes ago."

a

For an adult, the normal resting pulse should be between: a. 70 and 110 beats/min b. 60 and 100 beats/min c. 50 and 70 beats/min d. 50 and 60 beats/min

b

In responsive patients who are older than 1 year of age, you should palpate the pulse at the _____ artery. a. carotid b. radial c. brachial d. femoral

b

Jugular venous distention suggests a problem with blood returning to the heart if the patient is: a. in a prone position b. sitting at a 45 degree angle c. in a supine position d. in a recumbent position

b

Palliating factors regarding a patient's pain involve those that: a. initiate the pain b. alleviate the pain c. change the pain d. worsen the pain

b

The goal of the systematic head-to-toe exam that is performed during the secondary assessment is to: a. assess only the parts of the body that are injured b. locate injuries not found in the primary assessment c. detect and treat all non-life threatening injuries d. definitively rule out significant internal injuries

b

When assessing a patient's abdomen, you will evaluate for all the following, EXCEPT: a. gross bleeding and tenderness b. subcutaneous emphysema c. rigidity and obvious bleeding d. open wounds or eviscerations

b

When performing a rapid exam on a supine patient, what part of the body is typically assessed last? a. abdomen b. posterior c. anterior chest d. extremities

b

When you inspect a patient's pupils with a penlight, the pupils should normally react to the light by: a. enlarging b. constricting c. fluttering d. dilating

b

Which of the following assessments would be the MOST useful in determining the possible cause of a patient's altered mental status? a. capillary refill time b. blood glucose level c. blood pressure d. respiratory rate

b

A 40-year-old male presents with pain to the right upper quadrant of his abdomen. He is conscious and alert with stable vital signs. During your assessment, you note that his skin and sclera are jaundiced. You should suspect: a. gallbladder disease b. renal insuffciency c. liver dysfunction d. acute pancreatitis

c

A crackling sound produced by air bubbles under the skin is called: a. korotkoff sounds b. crepitus c. subcutaneous emphysema d. rhonchi

c

Capnography is used to: a. assess how much oxygen is bound to the hemoglobin b. trend a patient's blood pressure and assess for shock c. determine how much carbon dioxide is being exhaled d. assess how much oxygen is reaching the body's tissues

c

In the adult, bradycardia is defined as a pulse rate less than ____ beats/min, and tachycardia is defined as a heart rate greater than ____ beats/min. a. 30, 130 b. 40, 120 c. 60, 100 d. 50, 110

c

In which of the following situations is a pertinent negative identified? a. a 50-year-old women states that nothing makes he chest pain better or worse b. a 53-year-old man with dizziness also tells you that he has vomited three times c. a 59-year-old man complains of crushing chest pain but denies shortness of breath d. a 56-year-old women states that her chest hurts when she takes a deep breath

c

Pain that moves from its point of origin to another body location is said to be: a. palliating b. provoking c. radiating d. referred

c

When assessing the skin of an unresponsive patient, you note that it has a bluish tint to it. The finding is called: a. mottling b. pallor c. cyanosis d. flushing

c

Which of the following MOST accurately describes paradoxical movement of the chest wall? a. a marked decrease in chest wall movement due to abdominal breathing b. one side of the chest wall moves opposite the direction of the order c. only one section of the chest rises on inspiration, while another falls d. multiple rib fractures that cause a marked deformity of the chest wall

c

A 29-year-old male with head injury opens his eyes when you speak to him, is confused as to the time and date, and is able to move all of his extremities on command. His Glasgow Coma Scale (GCS) score is: a. 14 b. 12 c. 10 d. 13

d

A blood pressure cuff that is too small for a patient's arm will give a: a. falsely high systolic but low diastolic reading b. falsely low systolic and diastole reading c. falsely low systolic but high diastolic reading d. falsely high systolic and diastolic reading

d

Normal respiratory rates should not exceed ____ breaths per minute in toddlers and ____ breaths per minute in infants. a. 30, 40 b. 20,30 c. 18, 28 d. 40, 60

d

When assessing a 62-year-old female with crushing chest pain, you note that her pulse is rapid and irregular. You should administer supplemental oxygen if needed and then: a. conclude that the irregular pulse is normal based on her age b. document your findings and perform a detailed assessment c. apply the AED and analyze her cardiac rhythm d. transport at once and consider requesting a paramedic unit

d

Which of the following factors would MOST likely cause a patient's pulse rate to be slower than normal? a. anxiety or severe stress b. internal bleeding from trauma c. lack of a regular exercise routine d. Beta-blocker medications

d