Chapter 9 (Questions)

B. lips or oral mucosa.

B. lips or oral mucosa.

In patients with deeply pigmented skin, changes in color may be apparent only in certain areas, such as the:

A. back of the neck.

B. lips or oral mucosa.

C. forehead and face.

D. dorsum of the hand.

A 50-year-old male presents with altered mental status. His wife tells you that he had a "small stroke" 3 years ago but has otherwise been in good health. The patient is responsive but unable to follow commands. After administering oxygen if needed, you should:

A. repeat the primary assessment.

B. inquire about his family history.

C. perform a head-to-toe assessment.

D. prepare for immediate transport.

D. prepare for immediate transport.

External bleeding from an extremity can usually be controlled initially by:

A. applying direct pressure.

B. applying a tourniquet.

C. elevating the extremity.

D. applying chemical ice packs.

A. applying direct pressure.

When performing a rapid exam on a supine patient, what part of the body is typically assessed last?

A. Abdomen

B. Extremities

C. Posterior

D. Anterior chest

C. Posterior

Which of the following factors would MOST likely cause a patient's pulse rate to be slower than normal?

A. Lack of a regular exercise routine

B. Anxiety or severe stress

C. Internal bleeding from trauma

D. Beta-blocker medications

D. Beta-blocker medications

You respond to the residence of a 62-year-old male who is unresponsive. Your primary assessment reveals that he is apneic and pulseless. You should:

A. notify dispatch and request a paramedic ambulance.

B. start CPR and attach the AED as soon as possible.

C. ask the family if the patient has a terminal disease.

D. perform CPR and transport the patient immediately.

B. start CPR and attach the AED as soon as possible.

Supplemental oxygen without assisted ventilation would MOST likely be administered to patients:

A. who have accessory muscle use and slow breathing.

B. who are semiconscious with shallow respirations.

C. with rapid respirations and a reduced tidal volume.

D. with difficulty breathing and adequate tidal volume.

D. with difficulty breathing and adequate tidal volume.

When performing a reassessment of your patient, you should first:

A. reassess your interventions.

B. repeat the primary assessment.

C. obtain updated vital signs.

D. confirm medical history findings.

B. repeat the primary assessment.

A 50-year-old male is found unconscious in his car. There were no witnesses to the event. When gathering medical history information for this patient, the EMT should:

A. defer SAMPLE history questions until you arrive at the hospital.

B. determine if the patient has a medical alert bracelet or wallet card.

C. wait for family members to arrive before asking any questions.

D. ask law enforcement officials if they are familiar with the patient.

B. determine if the patient has a medical alert bracelet or wallet card.

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. responsive to painful stimuli.

B. completely unresponsive.

C. conscious and alert.

D. responsive to verbal stimuli.

A. responsive to painful stimuli.

When assessing motor function in a conscious patient's lower extremities, you should expect the patient to:

A. wiggle his or her toes on command.

B. identify different types of stimuli.

C. feel you touching the extremity.

D. note any changes in temperature.

A. wiggle his or her toes on command.

Jugular venous distention suggests a problem with blood returning to the heart if the patient is:

A. in a supine position.

B. in a recumbent position.

C. in a prone position.

D. sitting up at a 45° angle.

D. sitting up at a 45° angle.

Pain that moves from its point of origin to another body location is said to be:

A. palliating.

B. radiating.

C. referred.

D. provoking.

B. radiating.

In infants and small children, skin color should be assessed on the:

A. forehead.

B. underside of the arms.

C. chest and abdomen.

D. palms and soles.

D. palms and soles.

Which of the following is an example of a symptom?

A. Headache

B. Cyanosis

C. Hypertension

D. Tachycardia

A. Headache

You should suspect that a patient is experiencing respiratory failure if he or she:

A. is anxious, tachycardic, and leaning forward.

B. is restless and is working hard to breathe.

C. has an increased heart rate and retractions.

D. has bradycardia and diminished muscle tone.

D. has bradycardia and diminished muscle tone.

While en route to the scene of a shooting, the dispatcher advises you that the caller states that the perpetrator has fled the scene. You should:

A. confirm this information with law enforcement personnel at the scene.

B. proceed to the scene as usual but exercise extreme caution upon arrival.

C. request law enforcement personnel if the scene is unsafe upon arrival.

D. ask the dispatcher if he or she knows the location of the perpetrator.

A. confirm this information with law enforcement personnel at the scene.

When is it MOST appropriate to consider requesting additional ambulances at an accident scene? c

A. After you have triaged all the critical patients

B. After noncritical patients have been identified

C. When you determine there are multiple patients

D. When all the deceased patients are accounted for

C. When you determine there are multiple patients

When interviewing a patient, you can show him or her that you understand the situation by:

A. maintaining constant eye contact with him or her.

B. interrupting him or her as needed for clarification.

C. repeating statements back to him or her.

D. using medical terminology whenever possible.

C. repeating statements back to him or her.

When a patient's respirations are shallow:

A. oxygenation occurs more efficiently.

B. chest rise will be easily noticeable.

C. tidal volume is markedly reduced.

D. carbon dioxide elimination is increased.

C. tidal volume is markedly reduced.