EMR: EXAM 3 STUDY QUESTIONS WITH ANSWERS
The patient assessment sequence consists of all of the following components, EXCEPT:
A) scene size-up
B) primary assessment
C) secondary assessment
D) family medical history - -D
-With assessment-based care, treatment rendered to the patient is based on:
A) scene size-up findings
B) the patient's symptoms
C) past medical history findings
D) the patient's current medications - -B
-All of the following are components of the scene size-up, EXCEPT:
A) ensuring that the scene is safe for you to enter
B) determining the need for additional resources
C) determining whether the patient is sick or injured
D) strict adherence to standard precautions at all times - -C
-Which of the following statements regarding the scene size-up is correct?
A) dispatch information is usually of minimal value during your size-up of a scene
B) the scene size-up begins before you arrive at the actual scene of the emergency
C) a thorough scene size-up can provide you with only a limited amount of information
D) the time and day of the week can affect the decisions you make about the scene size-up -
-B
-When you arrive at an emergency scene, you should:
A) park your vehicle so that it helps secure the scene and minimizes traffic blockage
B) assume that additional resources will be needed and summon them as soon as possible
C) immediately exit your vehicle and quickly determine if additional resources are needed
D) begin directing traffic until law enforcement personnel arrive and assume that function -
-A
-As you approach an emergency scene, you should first:
A) determine the number of critically injured patients
B) notify the dispatcher of your scene size-up findings
C) scan the area to determine the extent of the incident
D) quickly gain access to the patient and begin treatment - -C
-Scene hazards that are NOT visible to emergency responders include:
A) spilled gasoline
B) ice on the road
C) poisonous fumes
D) unstable surfaces - -C
, -Upon arriving at the scene of an overturned tanker truck, you see green liquid leaking
from the vehicle. The driver, who is still in the truck, appears to be unconscious and is
bleeding heavily from the head. After requesting the appropriate personnel, you should:
A) quickly remove the driver from the truck and begin treating him
B) look for potential exit routes for the transporting ambulance to take
C) direct all traffic away from the scene and request law enforcement
D) ensure that you, your partner, and bystanders are at a safe distance - -D
-Identifying potential exit routes at an emergency scene is MOST important because:
A) the quickest exit route is almost always the safest route to take
B) ambulances will need to take the quickest route to the hospital
C) law enforcement personnel need to be notified of all exit routes
D) you may need to exit the area rapidly if the scene becomes unsafe - -D
-The emergency medical responder should never enter an enclosed space unless:
A) the fire chief advises him or her to do so
B) he or she has proper training and equipment
C) no other personnel are available at the time
D) he or she is wearing a face mask and gloves - -B
-The purpose of noting the mechanism of injury (MOI) is to:
A) identify life-threatening injuries that the patient has
B) rule out the possibility of any life-threatening injuries
C) allow you to predict what injuries the patient may have
D) determine whether the patient's problem is medical or trauma - -C
-Which of the following is an example of an MOI finding?
A) a broken windshield following a motor vehicle crash
B) a patient who is incoherent following a significant fall
C) a significant amount of blood found on a patient's clothing
D) a patient who takes several medications for a medical problem - -A
-When assessing the MOI of a vehicle that struck a utility pole, you notice that the vehicle's
steering wheel is bent. You should:
A) conclude that the air bag deployed
B) suspect injuries to the patient's chest
C) be the most suspicious for head injuries
D) check the patient for extremity injuries first - -B
-Which of the following statements regarding the MOI is correct?
A) the MOI can provide clues, but it cannot be used to determine which injuries a particular
patient has
B) the MOI is the single most important factor when determining which injuries a
particular patient has
,C) the MOI is usually identified during your primary assessment of a critically injured
patient
D) the MOI is used to rule out life-threatening conditions in patients who have experienced
a traumatic injury - -A
-The MOST important aspect of standard precaution is:
A) donning the appropriate attire shortly after making patient contact
B) wearing gloves, eye protection, and a gown to every emergency call
C) wearing gloves until you can determine whether additional protection is needed
D) anticipating the type of standard precautions needed before arriving at the scene - -D
-Upon arriving at the scene of an incident and determining that there are multiple patients,
you should:
A) begin immediate triage and care for all the patients
B) request additional resources before treating any patients
C) triage all patients first and then call for additional resources
D) call for help if at least two of the patients are critically injured - -B
-During the primary assessment, you should:
A) determine whether additional resources are needed
B) determine whether the scene is safe for you to enter
C) perform a comprehensive examination of the patient
D) identify and correct all life-threatening conditions - -D
-The scene size-up and general impression of the patient will MOST likely help you:
A) rule out all life-threatening conditions
B) determine the patient's exact age and weight
C) determine whether the patient has experienced trauma or illness
D) identify hidden injuries that are life-threatening - -C
-Which of the following statements regarding the general impression is correct?
A) the general impression is of minimal to no value in determining the patient's level of
consciousness
B) do not allow the general impression to block out later information that may lead you in
another direction
C) your general impression of the patient is usually determined after you have completed
the primary assessment
D) if the general impression does not allow you to determine whether the patient is
suffering from an illness or injury, treat the patient as a medical patient - -B
-You enter the residence of a 30 y/o man. As you are approaching the patient, who is lying
motionless on the floor, you should:
A) rule out a traumatic injury because the patient is inside
B) conclude that the patient is suffering from a severe illness
C) note the patient's position and any unusual odors or sounds
D) advise your partner that the patient appears to be deceased - -C
, -The first part of determining a conscious patient's level of responsiveness is to:
A) introduce yourself to the patient
B) ask the patient why he or she called 911
C) gently shake the patient to elicit a response
D) pinch the trapezius muscle to elicit a response - -A
-When caring for a conscious patient, it is MOST important to:
A) avoid telling the patient that everything will be alright
B) advise the patient of the skills you are authorized to perform
C) focus your attention on what the patient's family is saying
D) reassure the patient that nothing bad will happen to him or her - -A
-When caring for a patient who appears to be unconscious, you should:
A) introduce yourself to the patient's family instead of the patient
B) recall that unconscious patients are unable to hear what you are saying
C) reassure the patient's family and friends that everything will be alright
D) call the patient in a tone of voice that is loud enough for him or her to hear - -D
-A patient is said to be alert if he or she:
A) is confused but is able to tell you the approximate time
B) is able to answer questions accurately and appropriately
C) has not experienced any significant illnesses or injuries
D) reacts to a loud stimulus, such as when you raise your voice - -B
-The MOST effective way to assess a small child's level of responsiveness is to:
A) pinch the child's skin to elicit a response to pain
B) determine if the child is able to tell you his or her birthday
C) assess the child's interaction with his or her environment
D) speak directly to the child in a non-threatening tone of voice - -C
-When opening the airway of an unconscious injured patient, you should:
A) use the head tilt-chin lift maneuver
B) use the jaw-thrust maneuver
C) grasp the patient's tongue and lower jaw and lift
D) insert an oral airway before manually moving the head - -B
-After opening the airway of an unconscious patient, you should:
A) inspect the mouth for foreign bodies or secretions
B) immediately insert on oral or nasal airway adjunct
C) suction the mouth for no longer than 20 to 30 seconds
D) look, listen, and feel for breathing for 5 to 10 seconds - -A
-After opening the airway of an unconscious elderly woman, you discover that there are
thin secretions in her mouth. You should:
A) insert an oral airway
The patient assessment sequence consists of all of the following components, EXCEPT:
A) scene size-up
B) primary assessment
C) secondary assessment
D) family medical history - -D
-With assessment-based care, treatment rendered to the patient is based on:
A) scene size-up findings
B) the patient's symptoms
C) past medical history findings
D) the patient's current medications - -B
-All of the following are components of the scene size-up, EXCEPT:
A) ensuring that the scene is safe for you to enter
B) determining the need for additional resources
C) determining whether the patient is sick or injured
D) strict adherence to standard precautions at all times - -C
-Which of the following statements regarding the scene size-up is correct?
A) dispatch information is usually of minimal value during your size-up of a scene
B) the scene size-up begins before you arrive at the actual scene of the emergency
C) a thorough scene size-up can provide you with only a limited amount of information
D) the time and day of the week can affect the decisions you make about the scene size-up -
-B
-When you arrive at an emergency scene, you should:
A) park your vehicle so that it helps secure the scene and minimizes traffic blockage
B) assume that additional resources will be needed and summon them as soon as possible
C) immediately exit your vehicle and quickly determine if additional resources are needed
D) begin directing traffic until law enforcement personnel arrive and assume that function -
-A
-As you approach an emergency scene, you should first:
A) determine the number of critically injured patients
B) notify the dispatcher of your scene size-up findings
C) scan the area to determine the extent of the incident
D) quickly gain access to the patient and begin treatment - -C
-Scene hazards that are NOT visible to emergency responders include:
A) spilled gasoline
B) ice on the road
C) poisonous fumes
D) unstable surfaces - -C
, -Upon arriving at the scene of an overturned tanker truck, you see green liquid leaking
from the vehicle. The driver, who is still in the truck, appears to be unconscious and is
bleeding heavily from the head. After requesting the appropriate personnel, you should:
A) quickly remove the driver from the truck and begin treating him
B) look for potential exit routes for the transporting ambulance to take
C) direct all traffic away from the scene and request law enforcement
D) ensure that you, your partner, and bystanders are at a safe distance - -D
-Identifying potential exit routes at an emergency scene is MOST important because:
A) the quickest exit route is almost always the safest route to take
B) ambulances will need to take the quickest route to the hospital
C) law enforcement personnel need to be notified of all exit routes
D) you may need to exit the area rapidly if the scene becomes unsafe - -D
-The emergency medical responder should never enter an enclosed space unless:
A) the fire chief advises him or her to do so
B) he or she has proper training and equipment
C) no other personnel are available at the time
D) he or she is wearing a face mask and gloves - -B
-The purpose of noting the mechanism of injury (MOI) is to:
A) identify life-threatening injuries that the patient has
B) rule out the possibility of any life-threatening injuries
C) allow you to predict what injuries the patient may have
D) determine whether the patient's problem is medical or trauma - -C
-Which of the following is an example of an MOI finding?
A) a broken windshield following a motor vehicle crash
B) a patient who is incoherent following a significant fall
C) a significant amount of blood found on a patient's clothing
D) a patient who takes several medications for a medical problem - -A
-When assessing the MOI of a vehicle that struck a utility pole, you notice that the vehicle's
steering wheel is bent. You should:
A) conclude that the air bag deployed
B) suspect injuries to the patient's chest
C) be the most suspicious for head injuries
D) check the patient for extremity injuries first - -B
-Which of the following statements regarding the MOI is correct?
A) the MOI can provide clues, but it cannot be used to determine which injuries a particular
patient has
B) the MOI is the single most important factor when determining which injuries a
particular patient has
,C) the MOI is usually identified during your primary assessment of a critically injured
patient
D) the MOI is used to rule out life-threatening conditions in patients who have experienced
a traumatic injury - -A
-The MOST important aspect of standard precaution is:
A) donning the appropriate attire shortly after making patient contact
B) wearing gloves, eye protection, and a gown to every emergency call
C) wearing gloves until you can determine whether additional protection is needed
D) anticipating the type of standard precautions needed before arriving at the scene - -D
-Upon arriving at the scene of an incident and determining that there are multiple patients,
you should:
A) begin immediate triage and care for all the patients
B) request additional resources before treating any patients
C) triage all patients first and then call for additional resources
D) call for help if at least two of the patients are critically injured - -B
-During the primary assessment, you should:
A) determine whether additional resources are needed
B) determine whether the scene is safe for you to enter
C) perform a comprehensive examination of the patient
D) identify and correct all life-threatening conditions - -D
-The scene size-up and general impression of the patient will MOST likely help you:
A) rule out all life-threatening conditions
B) determine the patient's exact age and weight
C) determine whether the patient has experienced trauma or illness
D) identify hidden injuries that are life-threatening - -C
-Which of the following statements regarding the general impression is correct?
A) the general impression is of minimal to no value in determining the patient's level of
consciousness
B) do not allow the general impression to block out later information that may lead you in
another direction
C) your general impression of the patient is usually determined after you have completed
the primary assessment
D) if the general impression does not allow you to determine whether the patient is
suffering from an illness or injury, treat the patient as a medical patient - -B
-You enter the residence of a 30 y/o man. As you are approaching the patient, who is lying
motionless on the floor, you should:
A) rule out a traumatic injury because the patient is inside
B) conclude that the patient is suffering from a severe illness
C) note the patient's position and any unusual odors or sounds
D) advise your partner that the patient appears to be deceased - -C
, -The first part of determining a conscious patient's level of responsiveness is to:
A) introduce yourself to the patient
B) ask the patient why he or she called 911
C) gently shake the patient to elicit a response
D) pinch the trapezius muscle to elicit a response - -A
-When caring for a conscious patient, it is MOST important to:
A) avoid telling the patient that everything will be alright
B) advise the patient of the skills you are authorized to perform
C) focus your attention on what the patient's family is saying
D) reassure the patient that nothing bad will happen to him or her - -A
-When caring for a patient who appears to be unconscious, you should:
A) introduce yourself to the patient's family instead of the patient
B) recall that unconscious patients are unable to hear what you are saying
C) reassure the patient's family and friends that everything will be alright
D) call the patient in a tone of voice that is loud enough for him or her to hear - -D
-A patient is said to be alert if he or she:
A) is confused but is able to tell you the approximate time
B) is able to answer questions accurately and appropriately
C) has not experienced any significant illnesses or injuries
D) reacts to a loud stimulus, such as when you raise your voice - -B
-The MOST effective way to assess a small child's level of responsiveness is to:
A) pinch the child's skin to elicit a response to pain
B) determine if the child is able to tell you his or her birthday
C) assess the child's interaction with his or her environment
D) speak directly to the child in a non-threatening tone of voice - -C
-When opening the airway of an unconscious injured patient, you should:
A) use the head tilt-chin lift maneuver
B) use the jaw-thrust maneuver
C) grasp the patient's tongue and lower jaw and lift
D) insert an oral airway before manually moving the head - -B
-After opening the airway of an unconscious patient, you should:
A) inspect the mouth for foreign bodies or secretions
B) immediately insert on oral or nasal airway adjunct
C) suction the mouth for no longer than 20 to 30 seconds
D) look, listen, and feel for breathing for 5 to 10 seconds - -A
-After opening the airway of an unconscious elderly woman, you discover that there are
thin secretions in her mouth. You should:
A) insert an oral airway
