SRTC Chap 16 Quiz

You are caring for a teenager who is having a severe allergic reaction. He has hives all over his stomach, is having respiratory distress, and is wheezing. After you administer oxygen, you get a set of vital signs. Medical direction has ordered you to assist with administration of his EpiPen®. You will monitor the success of your interventions during the:

• reassessment.

• primary assessment.

• secondary assessment.

• focused exam.

While performing a detailed physical exam on a patient involved in a fall from 30 feet, the patient (who had previously been responding to your questions) stops responding. What should you do next?

• Repeat the primary assessment.

• Call medical control for orders.

• Start CPR.

• Continue the detailed physical assessment.

Which of the following is false regarding the purpose of immediately documenting vital signs once they are obtained?

• You will be able to compare each set of vital signs with the previous ones to detect trends in the patient's condition.

• You will be able to report the vital signs accurately when contacting the receiving facility.

• Failure to record the vital signs immediately is considered falsifying the medical record.

• It may be difficult to recall the vital signs accurately later on.

What is the first step in the reassessment process?

• Secondary assessment

• Vital signs

• Primary assessment

• Focused history and physical exam

During reassessment, you notice that your patient is making gurgling sounds. Which of the following should you do immediately?

• Increase the amount of oxygen being delivered to the patient.

• Place the patient in the recovery position.

• Suction the airway.

• Assist ventilations with a bag-valve-mask device.

You are called for a 58-year-old male who is concerned that his blood pressure is too high. He tells you that he has had a headache and is feeling a little dizzy. You notice that his skin is flushed and feels warm to the touch. As you finish taking his vital signs, you should:

• move the patient to the ambulance for transport.

• begin your reassessment.

• write down the patient's vital signs.

• assist the patient to take his blood pressure medication.

Your patient called 911 because he was having chest pain. He states that his pain is a 7 on a 10-point scale. As part of your care, you assist him with taking his nitroglycerin per medical direction. After waiting a few minutes for the medication to take effect, you should:

• call medical direction to administer another dose.

• ask him what his pain is like now.

• administer another dose of nitroglycerin.

• lay the head of the stretcher down.

Your patient's initial vital signs were a pulse of 120 per minute and weak, a blood pressure of 90/50 mm Hg, and a respiratory rate of 24 per minute. Upon reassessment, you note that the patient now has a weak pulse of 100 per minute, a blood pressure of 110/60 mm Hg, and a respiratory rate of 20 per minute. Which of the following can you conclude from this information?

• The baseline vital signs were inaccurate.

• You can transport the patient to a lower level trauma center.

• The patient will survive.

• The patient's condition may be improving.

You are transporting a 20-year-old soccer player who injured his ankle during a match. His injury appears to be isolated and he has no significant past medical history. How frequently should you perform a reassessment on this patient?

• 15 minutes

• 5 minutes

• 30 minutes

• 10 minutes

You are transporting a patient whom you are treating for chest pain. You have completed all of your assessments and are writing down some of his personal information such as his address and phone number. As the patient is speaking, you notice that he is having increasing difficulty breathing. You should:

• immediately repeat your primary assessment.

• get a quick set of vital signs.

• all for ALS backup.

• call the hospital and report the difficulty.