Chapter 35-2 - Lifting and Moving Patients (Test Questions)

rivohuri's version from 2017-11-02 01:37

General Knowledge (Cont.)

Question Answer
What is the MOST appropriate method to use when moving a patient from his or her bed to the wheeled stretcher...
     A.) log roll
     B.) direct carry
     C.) extremity carry
     D.) draw sheet method
Which of the following conditions or situations presents the MOST unique challenge to the EMT when immobilizing an elderly patient on a long backboard...
     A.) joint flexibility
     B.) patient disorientation
     C.) naturally deformed bones
     D.) abnormal spinal curvature
In most instances, you should move a patient on a wheeled ambulance stretcher by...
     A.) pushing the foot of the stretcher while your partner guides the head.
     B.) pushing the head of the stretcher while your partner guides the foot.
     C.) slightly lifting the stretcher to prevent unnecessary patient movement.
     D.) retracting the undercarriage and carrying the stretcher to the ambulance.
In contrast to typical wheeled ambulance stretchers, features of a bariatric stretcher include...
     A.) a collapsible undercarriage.
     B.) a weight capacity of up to 650 lb.
     C.) increased stability due to a wider wheelbase.
     D.) two safety rails on both sides of the stretcher.
A folding or portable stretcher is MOST beneficial when...
     A.) a second patient must be transported on the squad bench of the ambulance.
     B.) an injured patient cannot be placed on a long board due to severe back pain.
     C.) a conscious, alert patient must be carried down several flights of steep stairs.
     D.) a patient requires full spinal immobilization when spinal injury is suspected.
The MOST appropriate carrying device to use when moving a patient across rough or uneven terrain is the...
     A.) stair chair.
     B.) wheeled stretcher.
     C.) scoop stretcher.
     D.) basket stretcher.
Which of the following statements regarding the scoop stretcher is NOT correct...
     A.) The construction of the scoop stretcher prohibits x-rays while the patient is on it.
     B.) You must fully secure the patient to the scoop stretcher before moving him or her.
     C.) A scoop stretcher will provide adequate immobilization of a patient’s spinal column.
     D.) Both sides of the patient must be accessible in order for a scoop stretcher to be used.
When moving a conscious, weak patient down a flight of stairs, you should...
     A.) secure the patient to a scoop stretcher and carry him or her headfirst down the stairs to the awaiting stretcher.
     B.) place the wheeled stretcher at the bottom of the stairs and carry the patient down the stairs with a stair chair.
     C.) collapse the undercarriage of the wheeled stretcher and carefully carry the patient down the stairs on the stretcher.
     D.) assist the patient in walking down the stairs and place him or her on the wheeled stretcher at the bottom of the stairs.
Which of the following statements regarding the neonatal isolette is correct...
     A.) The isolette serves to keep the neonate warm and protects from excess handling.
     B.) A freestanding isolette should be used, not one that is secured to the stretcher.
     C.) The safest type of isolette is one that takes the place of the ambulance stretcher.
     D.) If an isolette is not available, the neonate can safely be transported on the stretcher.
It is essential that you ____________ your equipment to prevent the spread of disease.
     A.) throw out
     B.) decontaminate
     C.) burn
     D.) store
Prior to applying medical restraints to a combative patient, you should...
     A.) have at least three rescuers present, one for the upper extremities, one for the lower extremities, and one for the head.
     B.) place the patient in a prone position to avoid airway and breathing compromise once restrained and placed onto the stretcher.
     C.) advise the patient that medical restraint is necessary, but can be removed if he or she cooperates with you during transport.
     D.) evaluate the patient for potentially correctible cause of combativeness, such as head injury, hypoxia, or hypoglycemia.

Critical Thinking

Question Answer
You and your partner respond to the scene of a 49-year-old male with acute abdominal pain. As you enter his residence, you find him lying on the floor in severe pain. He is conscious and alert. The patient appears to weigh in excess of 350 lb. Your FIRST action should be to...
     A.) request the fire department if one attempt to move him fails.
     B.) encourage the patient to walk himself to the awaiting ambulance.
     C.) assess him and then move him to the stretcher with a direct carry.
     D.) request additional personnel before making any attempts to lift him.
As you and your partner are carrying a stable patient down a flight of stairs in a stair chair, you feel a sudden, sharp pain in your lower back. You should...
     A.) reposition your hands and continue to move the patient.
     B.) stop the move and request additional lifting assistance.
     C.) guide your partner while moving the chair backwards.
     D.) stop the move and have the patient walk down the stairs.
You and your partner enter the residence of an elderly couple, both of whom are found unconscious in their bed. There is no evidence of trauma. As you begin your assessment, you and your partner notice the smell of natural gas in the residence. Which of the following should be your MOST appropriate action...
     A.) Perform a rapid assessment and then move the patients from their residence.
     B.) Request another ambulance to assist with lifting and moving the patients.
     C.) Quickly exit the residence and request the fire department to move the patients.
     D.) Rapidly remove the patients from their residence using a blanket or clothes drag.
Upon arriving at the scene of a motor vehicle crash, you find a single patient still seated in his car. There are no scene hazards. As you approach the vehicle, you note that the patient is semiconscious and has a large laceration to his forehead. You should...
     A.) direct your partner to apply manual in-line support of the patient’s head.
     B.) apply a cervical collar and quickly remove the patient with a clothes drag.
     C.) apply a vest-style extrication device before attempting to move the patient.
     D.) slide a long backboard under his buttocks and lay him sideways on the board.
A 56-year-old female is found supine in a narrow hallway of her mobile home. She complains of severe weakness and dizziness, and states that she is unable to walk. There is no evidence of trauma and the patient states that she did not fall. How should you and your partner move this patient to a more spacious area...
     A.) direct carry
     B.) extremity lift
     C.) scoop stretcher
     D.) emergency move
An 81-year-old female fell and struck her head. You find the patient lying on her left side. She is conscious and complains of neck and upper back pain. As you are assessing her, you note that she has a severely kyphotic spine. What is the MOST appropriate method of immobilizing this patient...
     A.) Apply a cervical collar and place her in a sitting position on the wheeled stretcher.
     B.) Immobilize her in a supine position on a long backboard and secure her with straps.
     C.) Leave her on her side and use blanket rolls to immobilize her to the long backboard.
     D.) Move her to a supine position and immobilize her with a scoop stretcher and padding.
You have two patients who were involved in a motor vehicle crash when their SUV struck a tree—one with neck and back pain, and the other with a deformed left femur. The patient with the deformed femur states that he does not want to be placed on a hard board, nor does he want a collar around his neck. What is the MOST appropriate and practical method of securing these patients and placing them into the ambulance...
     A.) Immobilize both patients with a cervical collar and long backboard based on the mechanism of injury; place one on the wheeled stretcher and the other on the squad bench.
     B.) Immobilize the patient with neck and back pain on a long backboard and place him on the wheeled stretcher; place the patient with the deformed femur on a folding stretcher secured to the squad bench.
     C.) Immobilize the patient with neck and back pain on a long backboard and place him on the squad bench; allow the patient with the deformed femur to sit on the wheeled stretcher.
     D.) Apply a traction splint to the patient with the deformed femur and place him on the wheeled stretcher; place the patient with neck and back pain on the squad bench immobilized with a cervical collar and scoop stretcher.
An unrestrained patient is sitting in his car after an automobile crash. He is conscious and alert, has no visible trauma, and is complaining of neck and back pain. Before removing him from his car, you should...
     A.) slide a scoop stretcher under his buttocks and rotate him laterally.
     B.) apply a cervical collar and immobilize him with a vest-style device.
     C.) perform a detailed head-to-toe assessment and apply a cervical collar.
     D.) maintain manual stabilization of his head and grasp him by the clothes.