VOLUME 2 PATIENT ASSESSMENT FINAL EXAM
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You respond to a scene where gunshots have been heard, and there is a report of a
"man down." You should enter the scene when: - ANS-police officers arrive and secure
the scene
Body - ANS-erect
Feet - ANS-forward
What determines which elements of personal protection equipment (PPE) should be
used in a given situation? - ANS-Local protocols
At a domestic violence scene you are being approached by a relative with her hands in
her pockets. The first thing you do is: - ANS-request her to stop
The "zone of safety" pertains to safely positioning the: - ANS-ambulance
You find an adult patient lying supine on the sidewalk after being struck by a vehicle
traveling at 10 mph. The patient is alert with stable vital signs. The mechanism of injury
and initial patient presentation most consisted of: - ANS-lower extremity trauma
Your patient presents with his eyes open, and he responds to you when you speak to
him. He answers your questions but is obviously disoriented as to time and place. Given
this response to your stimulation, how would you grade him on the AVPU scale? - ANS-
Alert
During your primary assessment, you determine that your trauma patient responds to
loud verbal stimuli with moaning, he has a weak carotid pulse with no peripheral pulse,
his breathing is labored at 32/ minute, his airway displays sonorous sounds, and you
, note cyanosis to the face and hands. Given this information, what is your priority for
treatment? - ANS-Apply a manual airway technique
Your patient presents unconscious, without a gag reflex, and with decreased
respirations that yield no airway sounds. During your initial management of the patient
during the primary assessment, you should perform all of the following except - ANS-A.
Open the airway manually
B. Perform bag-valve-mask ventilation
C. Administer oxygen
D. Provide full spinal immobilization
While caring for a trauma patient, which of the following would be the last finding to be
managed during the primary assessment? - ANS-Lumbar spinal cord transection
Of the following assessment parameters, which would be the least reliable indicator of
ventilatory adequacy? - ANS-Pulse oximetry
You are managing an unresponsive medical patient who had a large amount of blood in
the airway. During oral suctioning, you noted that the patient had an intact gag reflex.
Following the suctioning, the airway no displays snoring sounds, and manual airway
techniques have failed. What should you do next? - ANS-Insert a nasopharyngeal
airway
Which statement best describes the types of treatment the paramedic should perform
during the primary assessment? - ANS-Those that support lost function to the airway,
breathing, and circulation
Signs of inadequate breathing include all of the following EXCEPT: - ANS-Presence of
bronchovesicular breath sounds
If an abnormal finding is noted in the patient's respiratory rate or pattern during the
chest examination, you should: - ANS-immediately ensure adequate ventilation
If an infant, the heart rate is best detected by either palpating the brachial artery or: -
ANS-Auscultating the apical pulse
According to the 2015 AHA guidelines/recommendations, a patient who appears to be
unresponsive and not breathing or breathing ineffectively should be assessed using
which mnemonic memory aid? - ANS-CAB
Mottled, cyanotic, pale, or ashen skin color may indicate any of the following EXCEPT: -
ANS-Hypertensive crisis
When assessing the airway, which of the following actions is NOT appropriate? - ANS-
Count the number of breaths over a minute