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Patient Assessment

Quiz by Neil Smith

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25 questions
Show answers
  • Q1
    You are called to assist a 60 y/o female who complains of a severe headache. Upon entering the home, you smell a strong odor of natural gas. What is your first action?
    Check the pts airway, breathing, circulation
    Remove the pt from the house to your ambulance
    Open all windows and determine the source of the gas leak
    Insert a nasopharyngeal airway and assess vital signs
    120s
  • Q2
    To assess the motor function in the lower extremities of a responsive pt, you would
    carefully move the pt leg
    ask the pt to wiggle his toes
    touch the skin of the pts foot
    ask the pt to bend his knees
    120s
  • Q3
    Which pt can safely receive only a focused physical assessment rather than a rapid trauma assessment?
    70 y/o male who complains of neck pain after a medium-speed car collision
    10 y/o male with a deformed right lower leg who is responsive after falling off his bike
    20 y/o female who complains of severe pain in her ankle after stepping off a curb
    30 y/o male who is unresponsive but has only minor cuts on the extremities.
    120s
  • Q4
    You are using the OPQRST acronym to assess a responsive medical pt. What question would you ask to assess the P component?
    Can you describe the character of the pain for me?
    What were you doing when the pain started?
    On a scale of 1 to 10, how would you rank the pain?
    What makes the pain feel worse or better?
    120s
  • Q5
    Which pt needs a detailed physical examination?
    28 y/o full-term pregnant female whose water has broken and who is having contractions every 2 mintues
    48 y/o male with a history of heart disease who is complaining of chest pain
    35 y/o female who has been in a single-car collision and who briefly lost consciousness
    53 y/o female with a history of smoking who is distressed and short of breath
    120s
  • Q6
    Where is a detailed physical exam typically performed?
    in the hospital emergency department
    in the triage area of the trauma center
    in the ambulance during transport
    at the scene of the accident or injury
    120s
  • Q7
    In which of the following situations should you call for immediate assistance?
    Your pt is a child with fever who has had a brief seizure
    You must care of 2 critical pts with gunshot wounds.
    Your partner is needed to stabilize the cervical spine.
    Your pt is a 26 y/o female in active labor
    120s
  • Q8
    Your pt is awake, confused and disoriented. How would you grade her using the AVPU scale?
    V
    U
    A
    P
    120s
  • Q9
    Your pt is a 29 y/o male who has fallen off a ladder. He is bleeding profusely from a wound on his right forearm and has severe pain in his left thigh. Which of the following is an appropriate initial treatment for this pt?
    maintain an open airway and ventilate the pt with a gas-valve mask
    Perform a quick initial assessment to assess his ABCs
    stop the bleeding by applying a tourniquet near the elbow
    elevate the pts leg 20-30 cm to treat him for shock
    120s
  • Q10
    You are called to a store where a holdup has been committed. Police are already on the searching for the gunman. Through the store window, you see the store manager, who has been shot. You should
    wait until the police tell you it is safe to enter the scene
    enter the store immediately to care for the manager
    leave immediately and seek cover a distance away
    request medical direction to determine if you can enter
    120s
  • Q11
    Which pts vital signs are NOT within normal limits?
    newborn: pulse 100; respiration, 30; BP, 70/30
    10 y/o child; pulse, 88; respiration, 18; BP, 100/60
    adult: pulse, 76; respiration, 16; BP, 116/86
    3 y/o child: pulse, 90; respiration, 28; BP 86/50
    120s
  • Q12
    You would locate a pts carotid pulse by first finding the Adam's apple and then
    pressing hard on only one side of the pts neck
    placing one hand gently on each side of the neck
    pressing with your thumb on one side of the neck
    sliding two fingers toward one side of the neck
    120s
  • Q13
    Your pts pupils react unequally to light. You should suspect the presence of
    airway obstruction
    sock
    head injury
    cardiac arrest
    120s
  • Q14
    Which pt should receive only a focused physical exam and SAMPLE history?
    16 y/o female, responsive to verbal stimuli after a gunshot wound
    80 y/o male, responsive to painful stimuli after being hit by a car
    5 y/o female, responsive and in pain after falling from a standing position
    46 y/o male, unresponsive after falling from a 10 foot scaffold
    120s
  • Q15
    Your pt is a 19 y/o male who has been in a motorcycle accident and shows deformity and bleeding to the left leg. You would NOT perform a detailed physical exam if the patient
    began to spurt blood from an open wound
    was in a great deal of pain and discomfort
    said that he was feeling fine except for his leg
    showed a weak pulse or other signs of shock
    120s

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