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EMT Vitals Quiz

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gelliebeen's version from 2012-02-01 04:09

Section

Question Answer
A 44-year-old construction worker fell approximately 20 feet. He is unconscious and unresponsive with slow, shallow respirations. After completing your rapid assessment and caring for immediately life-threatening conditions, your priority should be to:package the patient and rapidly transport
When correctly reporting the results of your assessment of both pulse and respirations, your report includes information on ________ , rhythm and quality.Rate
The "worry" limits for resting respiration rate for an adult are ____ to ____8 to 24 breaths/min
The normals for resting respiration rate for an adult are ____ to ____12 to 20 breaths/min
Which of the following statements regarding a pediatric patient's breathing is correct?: a) It is easy to determine effective breathing by observing a child's chest.; b) The sniffing position is an atypical sign of pediatric labored breathing.; c) Abdominal movement is more prominent in a child than it is in an adult.; d) Chest rise in an infant or small child is more marked than in an adult.c) Abdominal movement is more prominent in a child than it is in an adult.
Which of the following factors would MOST likely result in inaccurate or misleading pulse oximetry values?: a) Excessive red blood cell count; b) Increased peripheral perfusion; c) Hypertension and tachycardia; d) Chemicals that displace oxygend) Chemicals that displace oxygen
A pulse with a consistent pattern to it is considered to be:Regular
When you use the palpation method to obtain a blood pressure, the measurement you obtain is the:Systolic blood pressure
You can auscultate a patient's blood pressure by:deflating a blood pressure cuff while listening with a stethoscope to the return of blood flow through the brachial artery.
Which of the following statements regarding the blood pressure is correct?: a) It is usually not measured in children younger than 3 years of age.; b) Blood pressure is the most reliable indicator of perfusion.; c) The systolic pressure represents ventricular relaxation.; d) Blood pressure falls early in patients with hypoperfusion.a) It is usually not measured in children younger than 3 years of age.
Pain that moves from its point of origin to another body location is said to be:Radiating
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-B should:determine if the patient has a medical alert bracelet or wallet card.
You are dispatched to the county jail for an inmate that is “sick.” When you arrive, you find the patient, a 33-year-old male, unresponsive. His airway is patent and his respirations are rapid and shallow. Your initial action should be to:provide assisted ventilation
The normals for resting heart rate (pulse) for an adult are ____ to ____60 to 100 beats/min
The "worry" limits for resting heart rate (pulse) for an adult are ____ to ____50 to 120 beats/min
Palliating factors regarding a patient's pain involve those that:alleviate the pain
You are caring for a critically injured 27-year-old female. During transport to the hospital, you should:take her vital signs every 5 minutes.
When taking a patient's blood pressure in an upper extremity, the diaphragm of the stethoscope is normally placed over which artery?Brachial
Which of the following statements regarding stridor is MOST correct?: a) Stridor suggests the presence of fluid in the lungs.; b) It is a high-pitched, crowing upper airway sound.; c) Stridor is caused by incorrect airway positioning.; d) It is a whistling sound heard in the lower airway.b) It is a high-pitched, crowing upper airway sound.
When correctly reporting the results of your assessment of the skin of an adult for approximating perfusion, your report includes information on ________ , temperature and moisture/condition.Color
Baseline vital signs are referred to as such because they:are the initial vital signs that will allow you to trend the patient's condition by comparing them to future vital signs
What is the MOST accurate guide to palpating a pulse?Place the tips of your index and long fingers over the pulse point.
The pressure exerted against the walls of the artery when the left ventricle contracts is called the:Systolic pressure
Typical methods of assessing a patient's breathing include all of the following, EXCEPT: a) observing for nasal flaring during inhalation; b) listening to breath sounds with a stethoscope; c) feeling for air movement at the nose and mouth; d) observing the chest for adequate rise and falla) observing for nasal flaring during inhalation.
You should assess an infant or child's skin color on his or her:Palms and soles
Which of the following is an example of a symptom?: a) Hypertension; b) Headache; c) Cyanosis; d) Tachycardiab) Headache
During your assessment of a 6-month-old male with vomiting and diarrhea, you note that his capillary refill time is approximately 4 seconds. From this information, you can conclude that his:Peripheral perfusion is decreased
Which of the following questions would you ask a patient to ascertain the “M” in the SAMPLE history?: a) “When was the last time that you ate a meal?”; b) “How much Tylenol do you take each day?”; c) “Have you ever had any major surgeries?”; d) “How long have you had your chest pain?”b) “How much Tylenol do you take each day?”
With regard to assessment of a patient's cardiovascular status, capillary refill time (CRT) is MOST reliable in:children who are younger than 6 years of age
Which of the following questions is used to determine a patient's chief complaint?: a) "Are you having trouble breathing?”; b) "When did the chest pain begin?"; c) "What seems to be the matter?"; d) "Do you have a history of diabetes?c) "What seems to be the matter?"
An elderly patient has fallen and hit her head. You assess her level of consciousness as unresponsive using the AVPU scale. Your initial care should focus on:airway, breathing, and circulation.
A patient with high blood pressure would be expected to have skin that is:flushed and red
Upon arriving at the scene of a patient with difficulty breathing, you determine that the scene is safe. You enter the residence and find the patient sitting in a chair in obvious distress. You first action should be to:introduce yourself to the patient.
Cyanosis of the skin is caused by:decreased blood oxygen
In responsive patients that are older than 1 year of age, you should palpate the pulse at the ________ arteryRadial
Which of the following scenarios does NOT involve the presence of any symptoms?: a) A 44-year-old male with abdominal pain and severe dizziness; b) A 55-year-old male with a severe headache and 2 days of nausea; c) A 61-year-old female who is unconscious with facial cyanosis; d) A 49-year-old female with blurred vision and ringing in the earsc) A 61-year-old female who is unconscious with facial cyanosis
A patient breathing with reduced tidal volume will have respirations that are:shallow
When assessing the skin of an unconscious patient, you note that it has a bluish tint to it. This finding is called:Cyanosis
A normal pulse should feel:Strong and regular
When assessing a 62-year-old female with crushing chest pressure, you note that her pulse is rapid and irregular. In addition to administering oxygen, you should:transport at once and consider requesting a paramedic unit.
In patients with deeply pigmented skin, changes in color may be apparent only in certain areas, such as the:mucous membranes.
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) Beta-blocker medications; d) Internal bleeding from traumac) Beta-blocker medications
An adult patient who is NOT experiencing difficulty breathing will:be able to speak in complete sentences without unusual pauses.
S.A.M.P.L.E.S=Signs and symptoms, A=Allergies, M=Medications, P=Past history, L=Last oral intake, E=Events leading to injury or illness
O.P.Q.R.S.T.O=Onset, when did the problem begin and what caused it; P=Provocation or Palliation, does anything make it feel better or worse; Q=Quality, what is the pain like?; R=Region/Radiation, where does the pain hurt, does it move?; S=Severity, rate the pain from 1-10; T=Timing, is the pain constant or does it come and go?
When palpating a patient's pulse, you note that there is a short interval in between pulsations. This indicates that the pulse is:fast
Which of the following pupillary changes would indicate depressed brain function?: a) Both pupils react briskly to light instead of sluggishly; b) Both pupils dilate with introduction of a bright light; c) Both pupils dilate when a bright light is removed; d) Both pupils constrict when a bright light is introducedb) Both pupils dilate with introduction of a bright light.
When you shine a light into one pupil, the normal reaction of the other pupil should be to:Become smaller
A 40-year-old male presents with pain to the right upper quadrant of his abdomen. He is conscious and alert with stable vital signs. During your assessment, you note that his skin and sclera are jaundiced. You should suspect:Liver dysfunction
A patient with spontaneous respirations is breathing:Without assistance
The term "chief complaint" could be described as:The major signs or symptoms that the patient reports when asked
_____ is defined as a pulse rate less than 60 beats per minute and _____ is defined as a heart rate greater than 100 beats per minute.Bradycardia, tachycardia
Which of the following patient responses would establish the “E” in the SAMPLE history?: a) “I was in the hospital for this a week ago”; b) “I am not having any difficulty breathing”; c) “The chest pain started about 45 minutes ago”; d) “I was mowing the lawn when the pain began”d) “I was mowing the lawn when the pain began”
When you inspect a patient's pupils with a penlight, the pupils should normally react to the light by:constricting
Poor peripheral circulation will cause the skin to appear:ashen
The pulse oximeter is an assessment tool used to evaluate the:effectiveness of oxygenation
When you assess capillary refill time (CRT) in an infant, normal color to the tested area should return within:2 seconds
A blood pressure cuff that is too small for a patient's arm will give a:false high systolic and diastolic reading
You receive a call to a local daycare center for an unconscious 8-month-old infant. Upon arrival, you perform an assessment and determine that the infant is not breathing. After delivering two rescue breaths, you should:assess for the presence of a brachial pulse
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