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1. Which of the following lists presents the order in which an OEC Technician should assess a
patient in a field setting?
a. Primary assessment, reassessment, secondary assessment
b. Scene size-up, secondary assessment, primary assessment
c. Scene size-up, primary assessment, secondary assessment
d. Scene size-up, history, secondary assessment, primary assessment
- Correct Answer :c. Scene size-up, primary assessment, secondary assessment
2. You have been dispatched to an 89-year-old female with an unspecified complaint. When
assessing this patient, which one of the following will the OEC Technician do as quickly as
possible to develop a better understanding of the emergency?
a. Obtain the patient's vital signs and current medications.
b. Gather a medical history, including information on allergies.
c. Contact medical direction for advice.
d. Determine if the complaint is medical (NOI) or trauma related (MOI).
- Correct Answer :d. Determine if the complaint is medical (NOI) or trauma related (MOI).
3. Which of the following statements would indicate that an OEC Technician has appropriately
initiated the first phase of a patient assessment?
a. "I have placed an oral airway in the patient."
b. "The scene appears to be free of hazards."
c. "Blood pressure is 124/80 mmHg."
d. "Can you tell me why you called for help?"
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- Correct Answer :b. "The scene appears to be free of hazards."
4. You arrive at the scene of a fall, where a 42-year-old woman fell backward off a stepladder
while cleaning windows. She is lying on the ground complaining of pain to her ankle. She tells
you, "If I had just been more careful and moved the ladder instead of reaching, this never would
have happened!" Based on this information, which of the following can you conclude?
a. She has an open airway, is breathing, and has circulating blood to her brain.
b. Her pulse rate is within normal limits.
c. She does not require rapid transport.
d. She does not have any other injuries.
- Correct Answer :a. She has an open airway, is breathing, and has circulating blood to her brain.
5. You have been dispatched for an elderly male complaining of shortness of breath. When
should you start the process of forming a general impression about this patient?
a. While you and your partner are approaching him
b. After completing a primary assessment
c. As soon as you obtain his chief complaint
d. After you have taken his vital signs
- Correct Answer :a. While you and your partner are approaching him
6. 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 responds to his name, but cannot
remember the date or where he is. This patient's mental status is best described as:
a. alert but confused.
b. lethargic and agitated.
c. having an altered response to verbal stimuli.
d. visually disoriented.
- Correct Answer :c. having an altered response to verbal stimuli.
7. A 36-year-old patient who has overdosed on an unknown drug, is breathing and will not open
his eyes, even when his name is loudly called. Which one of the following should the OEC
Technician do first?
a. Check the patient's vital signs.
b. Perform a shoulder pinch.
c. Assess the patient for a radial pulse.
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d. Identify what drug the patient took.
- Correct Answer :b. Perform a shoulder pinch.
8. Which of the following patients should be classified as unresponsive?
a. A 39-year-old female who is confused
b. A 52-year-old who cannot answer your questions
c. A 70-year-old female who has suffered a stroke
d. A 46-year-old male who does not respond to a shoulder pinch
- Correct Answer :d. A 46-year-old male who does not respond to a shoulder pinch
9. You are assessing a four-year-old patient whose panicked mother states that she cannot wake
him. The child is breathing but his eyes are closed. To best determine the child's mental status,
you should first:
a. apply pressure to the child's nail beds.
b. say loudly, "Open your eyes!"
c. ask the mother how long the child has been asleep.
d. consider the child to be unresponsive.
- Correct Answer :b. say loudly, "Open your eyes!"
10. You are by the side of a patient who is unresponsive and has a history of heart failure. When
assessing the airway, which one of the following observations best indicates a patent airway?
a. You can hear normal respirations and see the chest rise and fall.
b. She has a pulse of 80 per minute.
c. Her mouth is open and you can hear gurgling sounds.
d. You can see that her tongue has not fallen back where it would block the airway.
- Correct Answer :a. You can hear normal respirations and see the chest rise and fall.
11. You are assisting at an Outdoor Emergency Care course. One of the students asks you how
the head tilt-chin lift airway maneuver works to open the airway. Your best response is:
a. "It opens the airway by lifting the tongue from the back of the throat."
b. "It creates an open airway by separating the lips, thereby allowing air to enter."
c. "It stimulates the patient to begin taking deeper breaths, thereby moving air into the lungs."
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d. "It opens the airway by relaxing and expanding the size of the throat."
- Correct Answer :a. "It opens the airway by lifting the tongue from the back of the throat."
12. How should an OEC Technician best determine the adequacy of a patient's breathing during
a primary assessment?
a. Determine the patient's mental status.
b. Compare the patient's respiration and pulse rates.
c. Assess the patient's ability to speak.
d. Look for the rise and fall of the patient's chest.
- Correct Answer :d. Look for the rise and fall of the patient's chest.
13. A secondary assessment consists of which of the following three steps?
a. Medical history, physical exam, and vital signs
b. ABCDs, on-going exam, and vital signs
c. Medical history, trauma exam, and vital signs
d. On-going exam, detailed physical exam, and vital signs
- Correct Answer :a. Medical history, physical exam, and vital signs
14. An OEC Technician's assessment of a trauma patient's circulation status during a primary
assessment should include:
a. carotid pulse, capillary refill, blood pressure, and skin color.
b. radial pulse, examination for the presence of external bleeding, and LOR.
c. skin color, pulse rate, blood pressure, and skin temperature.
d. pulse rate, blood pressure, capillary refill, and skin condition.
- Correct Answer :b. radial pulse, examination for the presence of external bleeding, and LOR
15. While taking vital signs, you cannot locate a radial pulse in a possible broken arm of a 42-
year-old male who is alert and breathing adequately. Which one of the following should you do?
a. Start cardiopulmonary resuscitation.
b. Attach the automated external defibrillator (AED).
c. Start positive pressure ventilation.
d. Assess the carotid artery for a pulse. - Correct Answer :d. Assess the carotid artery for a pulse.
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