1. If a patient develops difficulty breathing after your primary assessment, you
should immediately:
A) determine his or her respiratory rate.
B) begin assisting his or her breathing.
C) reevaluate his or her airway status.
D) auscultate his or her breath sounds.: C) reevaluate his or her airway status.
2. A patient is sitting in a chair, leaning forward on his outstretched arms. His
head and chin are thrust forward. This position indicates that he:
A) has abdominal muscle spasms.
B) is experiencing severe back pain.
C) has a decreased level of consciousness.
D) is experiencing difficulty breathing.: D) is experiencing diflculty breathing.
3. Which of the following statements regarding stridor is correct?
A) It is a whistling sound heard in the lower airway.
B) It is caused by incorrect airway positioning.
C) It is a high-pitched, crowing upper airway sound.
D) It suggests the presence of fluid in the lungs.: C) It is a high-pitched, crowing upper airway
sound.
4. An adult patient who is NOT experiencing difficulty breathing will: A) be able
to speak in complete sentences without unusual pauses. B) assume a position
that will facilitate effective and easy breathing. C) exhibit an indentation above
the clavicles and in between the ribs.
D) have a respiratory rate that is between 20 and 24 breaths/min.: A) be able to speak
in complete sentences without unusual pauses.
5. After performing a head tilt-chin lift maneuver to open the airway of an
unresponsive patient who has a pulse, you should:
A) place him or her in the recovery position.
B) provide positive-pressure ventilatory assistance.
C) assess respiratory rate, depth, and regularity.
D) suction as needed and insert an airway adjunct.: D) suction as needed and insert an airway
adjunct.
,6. When palpating a patient's pulse, you note that there is a short interval
between pulsations. This indicates that the pulse is:
A) slow.
B) rapid.
C) irregular.
D) thready.: B) rapid.
7. In which of the following situations is a pertinent negative identified?
A) A 50-year-old woman states that nothing makes her chest pain better or
worse.
B) A 53-year-old man with dizziness also tells you that he has vomited three
times.
C) A 56-year-old woman states that her chest hurts when she takes a deep
breath.
D) A 59-year-old man complains of crushing chest pain but denies shortness of
breath.: D) A 59-year-old man complains of crushing chest pain but denies shortness of breath.
8. A blood pressure cuff that is too small for a patient's arm will give a:
A) falsely low systolic and diastolic reading.
B) falsely high systolic but low diastolic reading.
C) falsely high systolic and diastolic reading.
D) falsely low systolic but high diastolic reading.: C) falsely high systolic and diastolic reading.
9. When performing the secondary assessment on a trauma patient, you note
the presence of Battle sign. This is defined as:
A) unequal pupils.
B) bruising behind the ear.
C) swelling to the orbital area.
D) fluid drainage from the nose.: B) bruising behind the ear.
10. When performing a rapid exam on a supine patient, what part of the body
is typically assessed last?
A) Abdomen
B) Posterior
C) Extremities
D) Anterior chest: B) Posterior
, 11. Which of the following abnormal breath sounds indicates obstruction of the
upper airway?
A) Rales
B) Stridor
C) Crackles
D) Rhonchi: B) Stridor
12. Which of the following would the EMT likely NOT perform on a responsive
patient with a headache and no apparent life-threatening conditions?
A) Focused secondary assessment
B) Assessment of oxygen saturation
C) Systematic head-to-toe examination
D) Noninvasive blood pressure monitoring: C) Systematic head-to-toe examination
13. A patient who does not respond to your questions, but moves or cries out
when his or her trapezius muscle is pinched, is said to be:
A) conscious and alert.
B) completely unresponsive.
C) responsive to verbal stimuli.
D) responsive to painful stimuli.: C) responsive to verbal stimuli.
14. If you cannot palpate a pulse in an unresponsive patient whose collapse was
not witnessed, you should:
A) apply an AED at once.
B) immediately begin CPR.
C) palpate at another pulse site.
D) assess for adequate breathing.: B) immediately begin CPR.
15. Which of the following MOST accurately describes paradoxical movement of
the chest wall?
A) Multiple rib fractures that cause a marked deformity of the chest wall
B) A marked decrease in chest wall movement due to abdominal breathing
C) Only one section of the chest rises on inspiration, while another area falls
D) One side of the chest wall moves opposite the direction of the other: C) Only
one section of the chest rises on inspiration, while another area falls