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WorksheetsEMR Chapter 13: Principles of Patient Assessment
Total questions: 42
Worksheet time: 21mins
For most patients, an Emergency Medical Responder's assessment begins with performing a scene size-up followed by:
a secondary assessment.
a primary assessment.
obtaining vital signs.
determining the nature of illness.
After arriving on scene but before making patient contact, you should:
perform a primary assessment.
contact medical direction.
perform a secondary assessment.
take BSI precautions.
The primary assessment begins with:
assessing the patient's mental status.
assessing the patient's airway.
forming a general impression.
evaluating the patient's circulation.
The assessment of a patient's level of responsiveness includes using the ________ scale.
AVPU
ABC
SAMPLE
BP-DOC
In a SAMPLE history, the E represents:
EKG results.
evaluation of the neck and spine.
events leading to the illness or injury.
evidence of airway obstruction.
When assessing a trauma patient with NO significant mechanism of injury, perform a focused secondary assessment, followed by:
rapid physical exam.
SAMPLE history
rapid trauma assessment.
vital signs.
When assessing circulation for a responsive adult patient, you should assess the ___________ pulse.
carotid
pedal
radial
distal
The first and most important general principle of patient assessment states:
if patient behavior does not seem "right", consider that something is seriously
do no further harm.
take vital signs.
watch for skin color changes.
The steps of a primary assessment include forming a general impression, assessing mental status, assessing ABCs, and:
controlling bleeding.
determining priority for transport.
performing a secondary assessment.
obtaining vital signs.
You are assessing a patient and discover her respirations to be 6 and shallow. You should:
alert dispatch.
provide manual ventilations.
perform a secondary assessment.
obtain vital signs.
A patient who presents with normal vital signs and shows no indications of a life-threatening problem may be described as:
routine.
normal.
unstable.
stable.
When assessing a trauma patient who has a significant mechanism of injury, perform a rapid secondary assessment followed by:
a focused physical exam.
a SAMPLE histroy.
a rapid secondary assessment.
vital signs.
You have arrived to find a conscious and alert adult male complaining of moderate abdominal pain. You have completed a primary assessment. You should:
perform a rapid secondary assessment.
obtain a SAMPLE history.
perform a focused secondary assessment.
obtain a set of vital signs.
You have arrived to find a conscious and alert child with obvious deformity to his right forearm. You should:
perform a primary assessment.
obtain a SAMPLE history.
perform a focused secondary assessment.
obtain a set of vital signs
Your patient is an unresponsive woman with a history of diabetes. You completed a primary assessment. You should:
perform a focused secondary assessment.
obtain a SAMPLE history.
obtain a set of vital signs.
perform a rapid secondary assessment.
The adequate flow of well-oxygenated blood to all cells of the body is called:
circulation
systole
perfusion
compensation
When assessing a patient's respirations, you must determine rate, depth, and:
regularity.
count of expirations.
ease.
count of inspirations.
The five common vital signs are pulse, respirations, blood pressure, pupils, and:
oxygen saturation.
skin signs.
mental status.
capillary refill.
The first set of vital signs obtained on any patient is referred to as the _______ set.
historical
ongoing
baseline
serial
What can be assessed by watching and feeling the chest and abdomen move during breathing?
Pulse rate
Blood pressure
Skin signs
Respiratory rate
Characteristics of a pulse include:
rate, depth, and ease.
rate, strength, and rhythm.
rate, depth, and strength.
rate, ease, and quality.
The most appropriate location to obtain a pulse for an unresponsive adult is the ________ artery.
brachial
femoral
carotid
radial
What are the two pulse points that are referred to as central pulses?
Radial and tibial
Carotid and femoral
Femoral and brachial
Brachial and carotid
As blood pressure drops, perfusion is most likely to:
increase.
decrease.
fluctuate.
remain the same.
Skin that is bluish in color is called:
pale.
flushed.
cyanotic.
jaundiced.
The term diaphoretic refers to:
pupil reaction.
skin temperature.
heart rhythm.
skin moisture.
A respiratory rate that is lower than _______ for an adult should be considered inadequate.
4
6
8
10
The pressure inside the arteries each time the heart contracts is referred to as the ________ pressure.
diastolic
pulse
systolic
mean
A ________ is something the Emergency Medical Responder can see or measure during the patient assessment.
symptom
history
sign
chief complaint
The term trending is best defined as the:
ability to record changes in a patient's condition over time.
name given to the last set of vital signs taken on a patient.
transfer of care from one level of care to another.
the ability to improve a patient's condition over time.
Cyanosis is a sign of:
liver disease.
high fever.
distress.
severe hypoxia.
The “P” in SAMPLE history stands for:
past medical history.
pharmaceuticals used.
present illness.
primary complaint.
Which of the following is an example of a penetrating wound?
Being hit with a baseball bat
Falling off a ladder and landing on a driveway
Being repeatedly stabbed with a knife
Hitting the handlebars of a motorcycle
When palpating a patient, NEVER do which of the following?
Palpate past the point at which patient feels pain
Palpate an area more than once
Palpate an area that a patient states is OK
Palpate before taking the patient’s vital signs
The protection of an area of injury or pain by the patient is called:
deviation.
guarding.
disjointedness.
aplasticity.
Which of the following is the Emergency Medical Responder expected to do after completing the secondary assessment?
Find someone who can start providing care
Notify his supervisor of medical findings
Retrieve the necessary equipment to start treatment
Provide a report of findings to an EMT or Paramedic
Which of the following is the most appropriate way to handle a patient with disabilities?
Do not change or modify assessment in any way
Use technical medical terms
Modify the exam to explain what you are doing
Talk down to the patient
The general assessment technique that involves feeling patients with one’s hands is called:
auscultating.
observation.
palpating.
scanning.
The “T” in the “DCAP-BTLS” mnemonic stands for:
Tenderness.
Tactile.
Time of injury.
Toxic.
Manual ________ is the technique used to keep the head and neck aligned when the patient has a suspected neck injury.
traction
stabilization
repositioning
blocking
The first part of the head-to-toe examination is:
palpate.
auscultate.
evaluate.
inspect.
Accessory muscle use in the neck is an indication of:
high blood pressure.
blood backing up from the heart.
neck injury.
difficulty breathing.
