Question 1

You are assessing a 21-year-old female who was assaulted by an unknown person.She is complaining of abdominal pain.As you perform a rapid assessment of her abdomen,you should check for all of the following except:

Accepted Answer

A)   bowel sounds.
B)   firmness.
C)   distention.
D)   contusions.E) A) and C)
F) C) and D)

Question 2

You are on the scene in the bad part of town for an unresponsive 18-year-old type 1 diabetic patient.His mother states that he is very noncompliant with his diabetes management and goes unresponsive often due to low blood sugar.After performing the primary assessment,you believe that this is the most likely cause of his unresponsiveness.However,after taking a capillary glucose reading you are surprised to see that the patient's sugar level is normal.How will you now determine the field impression?

Accepted Answer

A)   Recognize that the mother was lying to you. The patient is not diabetic and you now must assume that everything she told you is wrong.
B)   You cannot make a correct diagnosis in the field because you cannot perform all the necessary tests with your limited scope of practice.
C)   Recognize that the mother is probably trying to protect her son from jail. Tell her that it is critical that she tell you what drugs he actually took.
D)   Continue patient care by getting a complete SAMPLE history and perform a complete secondary assessment.E) A) and B)
F) A) and C)

Question 3

You are transporting a 30-year-old male who has been shot in the chest.He is suffering from a sucking chest wound and has a decreased level of consciousness.How often should you perform a reassessment?

Accepted Answer

A)   Every 30 minutes
B)   Every 5 minutes
C)   Every 15 minutes
D)   Every 10 minutesE) A) and D)
F) A) and C)

Question 4

You are transporting a patient who has had her neck slashed from side to side.You and your partner are caring for the patient while a police officer drives you to the hospital,which is minutes away.You are focusing all of your efforts to maintain her airway and your partner is controlling her bleeding.Which of the following will you be unlikely to obtain?

Accepted Answer

A)   Primary assessment
B)   Patient's gender
C)   Reassessment results
D)   Pulse and respiratory ratesE) A) and B)
F) All of the above

Question 5

You respond to a motor vehicle collision and find a patient with an altered mental status and angulated left femur; the other driver is deceased.Your closest trauma center is 45 minutes away.Which of the following would you do next?

Accepted Answer

A)   Apply a traction splint.
B)   Request ALS personnel.
C)   Transport the patient to a local medical clinic for evaluation by a physician.
D)   Perform a detailed physical exam.E) A) and B)
F) A) and C)

Question 6

Which of the following is another term for trauma?

Accepted Answer

A)   Suffering
B)   Injury
C)   Medical problem
D)   IllnessE) A) and D)
F) B) and C)

Question 7

You are called for a patient who reports a headache for several days.He tells you that he has started a new blood pressure medication and is finishing an antibiotic for a skin infection.During your history taking,you should:

Accepted Answer

A)   write down the pertinent facts.
B)   get your patient to repeat his chief complaint.
C)   suggest that he take some aspirin.
D)   suspect an allergic reaction.E) B) and C)
F) A) and D)

Question 8

When assessing a 14-year-old male patient that has been involved in a bicycle accident,you notice that he has a small amount of blood coming from his left forearm.This observation is known as which of the following?

Accepted Answer

A)   Sign
B)   Symptom
C)   Clue
D)   IndicationE) A) and B)
F) B) and C)

Question 9

You have a long transport of a patient who may have sustained a spinal injury.The patient has been stable throughout your transport.During one of your reassessments,your patient tells you that he is losing the feeling in his feet and toes and his fingers are tingling.At this point you should:

Accepted Answer

A)   spinal immobilize him.
B)   call medical direction for orders.
C)   reassess him every 5 minutes.
D)   remove him from the long spine board.E) All of the above
F) None of the above

Question 10

You are alone in the back of the ambulance,where you are ventilating an apneic patient.Which of the following is the BEST way to manage the reassessment?

Accepted Answer

A)   Have your partner stop the ambulance every 5 minutes to help you perform a reassessment.
B)   Stay on the scene and request additional help so you will have someone to help you perform a reassessment.
C)   Continue ventilating the patient during transport and skip the reassessment.
D)   Stop ventilating the patient every 5 minutes so you can perform a reassessment.E) C) and D)
F) B) and C)

Question 11

Your patient is a 22-year-old college student complaining of abdominal pain.She is alert and oriented,although somewhat uncomfortable.Which of the following should be your first action?

Accepted Answer

A)   Take the patient's roommate aside and ask about the patient's medical history.
B)   Palpate the patient's abdomen for tenderness and guarding.
C)   Ask the patient to describe the pain and find out if she has other complaints.
D)   Perform a rapid head-to-toe physical examination.E) All of the above
F) B) and C)

Question 12

Of the following,which would most likely give the best information regarding your patient's mental status?

Accepted Answer

A)   Pulse and respiratory rate
B)   List of allergies
C)   List of medications
D)   Last oral intakeE) A) and B)
F) A) and C)

Question 13

In which of the following circumstances is manual stabilization of the cervical spine ALWAYS necessary?

Accepted Answer

A)   Trauma above the level of the clavicles
B)   Blunt trauma
C)   Trauma to the lower extremities
D)   Penetrating traumaE) B) and C)
F) B) and D)

Question 14

Where might you find a patient's medical alert identification jewelry?

Accepted Answer

A)   Ankle bracelet
B)   Bracelet
C)   Necklace
D)   All of the aboveE) B) and D)
F) B) and C)

Question 15

You are dispatched for a patient with chest pain.Your patient tells you that she has had shortness of breath and chest pain for about 20 minutes.Which of the following will give you the best information regarding your patient's chest pain symptoms?

Accepted Answer

A)   Is the pain in your chest a sharp pain?
B)   Describe how the pain feels.
C)   Have you taken your medications correctly?
D)   Do you have a history of chest pain?E) None of the above
F) A) and B)

Question 16

What is the first step in the reassessment process?

Accepted Answer

A)   Secondary assessment
B)   Primary assessment
C)   Vital signs
D)   Focused history and physical examE) All of the above
F) C) and D)

Question 17

Your patient is the 18-year-old male driver of a vehicle that struck a tree.He is conscious and complaining of neck pain.The passenger is obviously dead.You have performed your primary assessment.Which of the following is the next step?

Accepted Answer

A)   Immobilize the patient on a long backboard and perform a detailed examination in the ambulance.
B)   Rule out the possibility of cervical spine injury before moving the patient.
C)   Perform a tertiary assessment.
D)   Perform a rapid trauma assessment.E) All of the above
F) A) and B)

Question 18

You are called for a patient who is complaining of being weak and dizzy.He reports that he does not have enough money to pay for his medications so he has not gotten them refilled.Your service has an automatic blood pressure machine and you use it to measure the patient's blood pressure while you count his respirations.The blood pressure machine reports a blood pressure of 280/140.What should you do next?

Accepted Answer

A)   Call immediately for ALS response.
B)   Begin transport immediately.
C)   Continue with vital sign assessment.
D)   Take a manual blood pressure.E) A) and B)
F) A) and D)

Question 19

You are assessing a patient that has been involved in a motor vehicle crash.Which of the following questions would be the most important to ask him?

Accepted Answer

A)   Why were you in such a hurry?
B)   How much fuel is in your car?
C)   Have you been in a crash before?
D)   How fast was the vehicle going?E) A) and D)
F) A) and B)

Question 20

What term describes a surgical incision in the neck that is held open by a metal or plastic tube through which a patient can breathe or be placed on a ventilator?

Accepted Answer

A)   Cricothyrotomy
B)   Stoma
C)   Tracheostomy
D)   Tracheopharyngeal fistulaE) A) and D)
F) A) and C)

Exam 14: The Secondary Assessment

Where might you find a patient's medical alert identification jewelry?

Correct Answer
verified

Your patient is the 18-year-old male driver of a vehicle that struck a tree.He is conscious and complaining of neck pain.The passenger is obviously dead.You have performed your primary assessment.Which of the following is the next step?

Correct Answer
verified

Which of the following is another term for trauma?

Correct Answer
verified

Of the following,which would most likely give the best information regarding your patient's mental status?

Correct Answer
verified

In which of the following circumstances is manual stabilization of the cervical spine ALWAYS necessary?

Correct Answer
verified

You respond to a motor vehicle collision and find a patient with an altered mental status and angulated left femur; the other driver is deceased.Your closest trauma center is 45 minutes away.Which of the following would you do next?

Correct Answer
verified

You have a long transport of a patient who may have sustained a spinal injury.The patient has been stable throughout your transport.During one of your reassessments,your patient tells you that he is losing the feeling in his feet and toes and his fingers are tingling.At this point you should:

Correct Answer
verified

You are assessing a patient that has been involved in a motor vehicle crash.Which of the following questions would be the most important to ask him?

Correct Answer
verified

Correct Answer
verified

Your patient is a 22-year-old college student complaining of abdominal pain.She is alert and oriented,although somewhat uncomfortable.Which of the following should be your first action?

Correct Answer
verified

You are assessing a 21-year-old female who was assaulted by an unknown person.She is complaining of abdominal pain.As you perform a rapid assessment of her abdomen,you should check for all of the following except:

Correct Answer
verified

You are called for a patient who reports a headache for several days.He tells you that he has started a new blood pressure medication and is finishing an antibiotic for a skin infection.During your history taking,you should:

Correct Answer
verified

What is the first step in the reassessment process?

Correct Answer
verified

Correct Answer
verified

When assessing a 14-year-old male patient that has been involved in a bicycle accident,you notice that he has a small amount of blood coming from his left forearm.This observation is known as which of the following?

Correct Answer
verified

You are alone in the back of the ambulance,where you are ventilating an apneic patient.Which of the following is the BEST way to manage the reassessment?

Correct Answer
verified

You are dispatched for a patient with chest pain.Your patient tells you that she has had shortness of breath and chest pain for about 20 minutes.Which of the following will give you the best information regarding your patient's chest pain symptoms?

Correct Answer
verified

You are transporting a 30-year-old male who has been shot in the chest.He is suffering from a sucking chest wound and has a decreased level of consciousness.How often should you perform a reassessment?

Correct Answer
verified

What term describes a surgical incision in the neck that is held open by a metal or plastic tube through which a patient can breathe or be placed on a ventilator?

Correct Answer
verified

Correct Answer
verified

Exam 14: The Secondary Assessment

Where might you find a patient's medical alert identification jewelry?

Correct AnswerverifiedShow Answer

Your patient is the 18-year-old male driver of a vehicle that struck a tree.He is conscious and complaining of neck pain.The passenger is obviously dead.You have performed your primary assessment.Which of the following is the next step?

Correct AnswerverifiedShow Answer

Which of the following is another term for trauma?

Correct AnswerverifiedShow Answer

Of the following,which would most likely give the best information regarding your patient's mental status?

Correct AnswerverifiedShow Answer

In which of the following circumstances is manual stabilization of the cervical spine ALWAYS necessary?

Correct AnswerverifiedShow Answer

You respond to a motor vehicle collision and find a patient with an altered mental status and angulated left femur; the other driver is deceased.Your closest trauma center is 45 minutes away.Which of the following would you do next?

Correct AnswerverifiedShow Answer

You have a long transport of a patient who may have sustained a spinal injury.The patient has been stable throughout your transport.During one of your reassessments,your patient tells you that he is losing the feeling in his feet and toes and his fingers are tingling.At this point you should:

Correct AnswerverifiedShow Answer

You are assessing a patient that has been involved in a motor vehicle crash.Which of the following questions would be the most important to ask him?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

Your patient is a 22-year-old college student complaining of abdominal pain.She is alert and oriented,although somewhat uncomfortable.Which of the following should be your first action?

Correct AnswerverifiedShow Answer

You are assessing a 21-year-old female who was assaulted by an unknown person.She is complaining of abdominal pain.As you perform a rapid assessment of her abdomen,you should check for all of the following except:

Correct AnswerverifiedShow Answer

You are called for a patient who reports a headache for several days.He tells you that he has started a new blood pressure medication and is finishing an antibiotic for a skin infection.During your history taking,you should:

Correct AnswerverifiedShow Answer

What is the first step in the reassessment process?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

When assessing a 14-year-old male patient that has been involved in a bicycle accident,you notice that he has a small amount of blood coming from his left forearm.This observation is known as which of the following?

Correct AnswerverifiedShow Answer

You are alone in the back of the ambulance,where you are ventilating an apneic patient.Which of the following is the BEST way to manage the reassessment?

Correct AnswerverifiedShow Answer

You are dispatched for a patient with chest pain.Your patient tells you that she has had shortness of breath and chest pain for about 20 minutes.Which of the following will give you the best information regarding your patient's chest pain symptoms?

Correct AnswerverifiedShow Answer

You are transporting a 30-year-old male who has been shot in the chest.He is suffering from a sucking chest wound and has a decreased level of consciousness.How often should you perform a reassessment?

Correct AnswerverifiedShow Answer

What term describes a surgical incision in the neck that is held open by a metal or plastic tube through which a patient can breathe or be placed on a ventilator?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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