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35 terms

Chapter 13 Quiz - EMT studies

Chapter 13 Quiz - EMT studies
On scene you find a 91-year-old female who fell down two steps after suddenly complaining of a severe headache. She is unresponsive with gurgling respirations. What instructions should you immediately give your partner?
c. "Get the suction out and clear out the airway."
As you assess a 64-year-old unresponsive female with shortness of breath, you hear snoring respirations. Your immediate action when you reach her side is to:
a. perform a manual jaw-thrust maneuver.
As you perform the primary assessment on an unresponsive patient, you discover vomitus in her airway. Which one of the following should you do next?
c. Suction the airway.
Which one of the following patients should the EMT identify as having the best breathing?
d. 34-year-old who is alert and oriented with good chest rise and fall.
Which one of the following patients should be classified as unresponsive?
b. 46-year-old male who does not respond when his fingers are pinched.
When performing the primary assessment of a conscious adult, you typically palpate which pulse first?
b. Radial.
A 31-year-old male is complaining of left-side flank pain that radiates into his groin. He is alert and oriented and the primary assessment reveals no life-threatening conditions. A nonrebreather face mask delivering 15 liters per minute of oxygen has been applied. Given the patient's status, from the list below. your next step should be to:
a. obtain a medical history from the patient.
While you are performing a secondary assessment, your trauma patient complains of the sudden onset of difficulty breathing. Which of the following is your most appropriate response?
a. Stop your exam and provide appropriate care.
To stabilize the cervical spine of a trauma patient while simultaneously opening the airway, how should you position your head?
b. Neutral and in-line.
You have been called for an adult patient who suffered a seizure. He is sitting on the floor, and he looks at you as you enter the room. When questioned, he cannot remember the date or where he is. The patient's mental status can be described as:
a. alert, but confused.
An alert and oriented 69-year old female is complaining of low, right-sided abdominal pain. She describes the pain as "knife-like" and states that it started suddenly one hour ago. Her only medical history is hypertension for which she takes the medication enalapril. Which one of the following assessment findings shows that the EMT is appropriately assessing this patient?
a. No abdominal guarding is noted.
The EMT recognizes that for a trauma patient who is alert and oriented, he should obtain the history during what component of a patient assessment?
c. Secondary assessment.
An unresponsible 54-year-old male was found by family in his bed. They state that he has not been feeling well and complained of chest pain before going to bed approximately one hour ago. According to family, he has no prior medical history and does not take any medications. The primary assessment reveals no life-threatening conditions. When performing the secondary assessment on this patient, the EMTshould:
b. start by examining the patient's head.
You arrive at the scene of a fall, where a 42-year-old woman fell backward off a step-ladder while cleaning windows in her kitchen. She is lying on the floor complaining of pain to her ankle. She tells you, "If I had just gone to work today instead of using vacation time, this never would have happened!" Based on information thus far, which one of the following can you conclude?
a. She is alert with an open airway.
You have been called for an 83-year-old female who is having difficulty breathing. She informs you that she has congestive heart failure and feels as though she is filled up with fluid. The primary assessment shows her to be alert and oreinted with inadequate breathing. Her pulse is rapid and weak, and her skin is cool and dry. When performing a secondary assessment, which one of the following signs related to heart failure would you specifically look for when examining the patient's neck?
c. Jugular vein distention.
The patient's family states that their 16-year-old daugther has a history of asthma and has been complaining of shortness of breath for the past two days. She has been taking her metered-dose inhaler with some relief, but today they found her lethargic and struggling to breathe in bed. Your assessment reveals her to be responsive to verbal stimuli with an open airway and respirations of 36 per minute. You hear minimal bilateral wheezing. Your immediate action in caring for this patient is to:
d. provide positive pressure ventilation.
The EMT's patient is a 45 year old female with a severe headache. The EMT will perform which one of the following techniques when conducting her secondary assessment?
b. Assess the head, evaluate vital signs, and continue emergency care.
You are transporting an 18-year-old male, who has been injured in a motor-vehicle collision. He has a decreased level of consciousness and has suffered injuries to his, chest, and lower right leg. When you are conducting the reassessent of the patient's head and neck, which one of the following is appropriate?
c. Taking time to carefully re-palpate the face and scalp.
Which one of the following about breathing rates must the EMT remember when assessing the respirations of a pediatric patient.
a. It is usually faster than that of an adult.
You are assessing an eight-month-old whose mother states has been vomiting for two days and not eating or drinking. When assessing the pulse, you should check which site?
a. Brachial.
To assess a patient in the field setting, in what order whould the EMT perform this task?
d. Scene size-up primary assessment, secondary assessment.
Trends in a patient's condition are best noted during what phase of a patient assessment?
b. Reassessment.
A 26-year-old male has been ejected from a car after it rolled several times in the median of the interstate. As you perform the primary assessment, you find him prone and unresponsive. You immediate action is to:
a. Log roll him supine.
An EMT is assessing a nine-month-old infant who is "not acting right" per his mother. Assessment reveals him to be extremely irritable, crying, and shows he does not want to be touched by the EMT. Which one of the following best describes this infant's mental status.
c. Alert.
The EMT is using the OPQRST mnemonic to gather information from a patient with abdominal pain. Which one of the following patient statements is a response to the letter "P" in this memory aid?
b. "It hurts worse when I take a deep breath."
Which one of the following statements made by the EMT indicates that he has appropriately initiated the first phase of the patient assessment?
a. "The scene appears to be free of hazards."
A patient has fallen through a large plate glass window. As you approach, you note the patient to be sitting up holding his hand over a large laceration that is spurting bright red blood. Which one of the following should you do immediately?
C. Apply direct pressure to the laceration.
During your primary assessment, you find your patient's skin to be warm, pink, and dry. This should seemingly indicate:
a. Normal circulation.
A patient has called 911 for abdominal pain and generalized weakness. On arrival you note that the patient's skin is a yellow-orange color. Which one of the following diseases revealed to you during the history would best correlate to this patient' skin.
b. Liver disease.
Which one of the following statements made by an EMT shows he correctly understands capillary refill?
b. "For a capillary refill test to be normal for a child, it must be assessed at room temperature and be less than two seconds."
The "S" in SAMPLE stands for:
d. Sign
While treating a patient who was assaulted by a mob of angry people in a bar, the EMTfinds the patient to be confused, tachycardic, with cool skin and a poor capillary refill. Into which physiologic category should the EMT place this patient?
c. Unstable.
When you are caring for a patient with either a medical complaint or traumatic injury, you should typically perform the reassessment:
b. While transporting the patient to the hospital.
A 41-year-old male patient has fallen from a second-story roof. He is complaining of right leg pain and pain to his pelvic region. When performing the secondary assessment on this patient, which one of the following should the EMT intentionally not perform?
d. Palpation of the pelvic region.
You are interviewing a prospective candidate for the position of EMT with your service. During the interview, you ask the applicant to describe the purpose of the primary assessment. Which statement best describes that purpose?
a. "Identify and treat life-threatening conditions."