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Which of the following statements made by an EMT shows he correctly understands capillary refill?


A) "Capillary refill is a reliable sign of perfusion in adults, but not as reliable in infants and children."
B) "Red flushed skin in the adult is a normal finding when assessing capillary refill."
C) "A capillary refill of 4 or more seconds in any age patient indicates that he or she is well oxygenated."
D) "For a capillary refill test to be normal for a child, it must be assessed at room temperature and be less than 2 seconds."

E) B) and C)
F) B) and D)

Correct Answer

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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?


A) "It hurts worse when I take a deep breath."
B) "My pulse feels as though it is racing."
C) "I have a past history of asthma."
D) "The pain started about 2 hours ago."

E) A) and B)
F) None of the above

Correct Answer

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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's skin?


A) Lung cancer
B) Stroke
C) Liver disease
D) Diabetes

E) A) and D)
F) All of the above

Correct Answer

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As you arrive by the side of a 64-year-old unresponsive female, you hear snoring respirations. Your immediate action would be to:


A) suction the mouth and airway.
B) determine the chief complaint.
C) administer supplemental oxygen.
D) perform a manual jaw-thrust maneuver.

E) None of the above
F) All of the above

Correct Answer

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When assessing a critically injured patient, the EMT should detect which one of the following injuries or conditions when performing the secondary assessment?


A) Decreased level of consciousness
B) Weak carotid pulse and clammy skin
C) Inadequate respiratory effort
D) Bruising and tenderness to the abdomen

E) All of the above
F) A) and D)

Correct Answer

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An 18-year-old female with a history of diabetes twisted her right ankle while playing volleyball. She is alert and oriented and states that the pain is excruciating. The primary assessment is complete and yields no life-threatening conditions. Which of the following would you do next?


A) Perform a head-to-toe exam.
B) Apply ice to the ankle.
C) Check her blood sugar.
D) Assess the right ankle and foot.

E) C) and D)
F) A) and B)

Correct Answer

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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. Your immediate action is to:


A) assess his breathing.
B) apply a cervical collar.
C) log-roll him supine.
D) place an oral airway.

E) None of the above
F) B) and C)

Correct Answer

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An unresponsive 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 1 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 EMT should:


A) start by examining the patient's head.
B) contact the patient's family doctor.
C) determine if the chest pain still exists.
D) focus the examination on the chest.

E) A) and B)
F) All of the above

Correct Answer

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During the primary assessment, how should you best determine the adequacy of a patient's breathing?


A) Determine the patient's mental status.
B) Compare the respirations and pulse rate.
C) Calculate the number of breaths per minute.
D) Examine the rise and fall of the chest.

E) B) and C)
F) B) and D)

Correct Answer

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When teaching a group of Emergency Medical Responders (EMRs) about the mechanism of injury, which one of the following points should you stress?


A) The more significant the mechanism of injury, the greater the chance the patient has been injured.
B) The mechanism of injury should not be overly considered since this causes many patients to be over-treated.
C) The mechanism of injury is the sole criteria by which an EMT decides whether or not immediate transport is required.
D) The mechanism of injury can be used to dictate the order in which the primary assessment is conducted.

E) A) and C)
F) None of the above

Correct Answer

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To best evaluate the adequacy of breathing in an unresponsive adult, the EMT should:


A) assess the skin color.
B) check the pupils.
C) observe the chest rise.
D) look for cyanosis.

E) All of the above
F) A) and C)

Correct Answer

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A 62-year-old female was struck by a car traveling approximately 45 miles per hour. After being struck, she was thrown 15 feet onto the sidewalk, impacting the pavement with her head and chest. The primary assessment has been completed and life threats addressed. The patient's husband is by her side. When performing the secondary exam on this patient, which of the following should the EMT perform first?


A) Examine the head and chest for other life-threatening injuries.
B) Obtain a full set of vital signs including a pulse oximeter reading.
C) Inquire from family if the patient has any past medical history.
D) Assess the patient from head to toe for additional injuries.

E) All of the above
F) A) and C)

Correct Answer

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You have been summoned to a retail store where you are directed to a middle-aged woman who was found in the bathroom on the toilet. Your assessment shows her to be responsive to painful stimuli with an open airway and labored breathing. Her pulse is fast and regular and her skin is warm to the touch. The primary assessment has been completed and the appropriate care given. As the stretcher is prepared, you perform the secondary assessment. When assessing her chest, you note the presence of crackles to both lungs. What should you do next?


A) Place the patient on the stretcher.
B) Assess the abdomen.
C) Obtain vital signs.
D) Evaluate the head and neck.

E) All of the above
F) B) and D)

Correct Answer

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When assessing an adult trauma patient's circulation status during the primary assessment, the EMT's assessment should include:


A) carotid pulse, capillary refill, blood pressure, and skin color.
B) radial pulse, skin temperature, and presence of external bleeding.
C) skin color, pulse rate, blood pressure, and skin temperature.
D) pulse rate, blood pressure, capillary refill, and skin condition.

E) B) and C)
F) A) and D)

Correct Answer

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As you approach a patient who was involved in a motor vehicle crash, you note that he has dark, oozing blood coming from an open fracture to his lower left tibia. The patient was removed from the car by bystanders and is being held by a family member. Which of the following should you do immediately?


A) Assess and open the airway.
B) Take manual in-line spinal stabilization.
C) Apply direct pressure to the bleeding.
D) Provide supplemental oxygen.

E) None of the above
F) All of the above

Correct Answer

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When performing the primary assessment of a conscious adult, you typically palpate which pulse first?


A) Carotid
B) Femoral
C) Radial
D) Brachial

E) B) and D)
F) None of the above

Correct Answer

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Forming a general impression is essential in the assessment of any patient because it:


A) indicates whether or not a primary assessment is required.
B) helps to determine the clinical status of a patient.
C) determines the stability or instability of a patient.
D) reveals the injuries the patient has suffered.

E) B) and C)
F) A) and D)

Correct Answer

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Which one of the following assessment findings indicates that the patient has intact motor function in his lower extremities?


A) The skin of his toes is pink and warm.
B) He does not complain of pain to his lower extremities.
C) He can wiggle his toes when instructed.
D) He states that he can feel you touching his toe.

E) A) and D)
F) All of the above

Correct Answer

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You have completed the primary assessment on a patient who was thrown from a motorcycle, impacting his head and back on the nearby sidewalk. After finding no life threats during the primary assessment, what action should you take first when starting a secondary assessment?


A) Reassess the patient's mental status.
B) Ensure that the airway is patent.
C) Reevaluate the mechanism of injury.
D) Apply supplemental oxygen.

E) All of the above
F) B) and C)

Correct Answer

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A 62-year-old female patient who has been working in her garden has hot, dry skin. You should recognize this as a possible sign of:


A) heart problems.
B) heat exposure.
C) hypoperfusion.
D) stroke.

E) A) and B)
F) None of the above

Correct Answer

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