WorksheetsQuiz 3
Total questions: 70
Worksheet time: 35mins
Which of the following is NOT determined in a scene size-up?
Potential hazards to the EMS crew
Mechanism of injury
Need for additional resources
Chief complaint
At which of the following points should you begin your scene size-up?
As you approach the scene in the ambulance
When you arrive on the scene, but before exiting the ambulance
When the patient or family member opens the door to the residence
After exiting the ambulance, but before making patient contact
At the scene of a vehicle collision in which there are no apparent hazards, which of the following guidelines should be followed for establishing a danger zone?
There is no need to establish a danger zone when there are no apparent hazards.
The danger zone should be 50 feet in all directions.
The danger zone should be 150 feet in all directions.
The danger zone should be 15 feet in all directions.
When considering the potential for injury from a fall, which of the following is LEAST important?
Whether the patient struck anything with his body on the way down
Patient's weight
Height of the fall
Type of surface onto which the patient fell
You are on the scene of a tanker truck versus passenger vehicle collision on a rural highway. The vehicles are just beyond a curve in the roadway and there is a distinct odor of diesel fuel. It is dark and there is little traffic. Which of the following should be used to alert oncoming traffic to the situation?
Flashing lights on the ambulance
Flares
Reflective triangles
Yellow crime scene tape
You are on the scene of an explosion at a suspected methamphetamine manufacturing operation. You
and your partner are the first to arrive and note two middle-aged men and a woman on the front lawn
with burns and cuts on their faces and arms. The fire department is enroute. Which of the following
resources should be the LEAST important to be requested by the EMT during the scene size-up?
One or two additional ambulances
Hazardous material clean-up crew
Gas Company
Law enforcement
Your patient, a 29-year-old female, was the front seat passenger in a vehicle that was struck in the passenger's side door by another vehicle that ran a red light. Which of the following is most likely to have occurred?
The patient took the up-and-over pathway, striking her head on the windshield.
The patient's body was pushed forcefully out from under her head, causing injury to the cervical spine.
The patient impacted the steering wheel with her chest, causing a fracture of the sternum.
The patient took the down-and-under pathway, causing trauma to her lower extremities.
You and your partner are enroute to a motor vehicle crash involving a tanker truck on a rural road. Dispatch informs you that fluid is leaking from the truck, that there are several bystanders passed out on the ground near the cab of the truck, and that a caller has reported the code that appears on a placard attached to the tanker truck. You should:
consult the DOT Emergency Response Guidebook.
park about 50 feet from the truck.
remove the bystanders from the scene.
park downwind from the tanker truck.
Which of the following may be a hazard at the scene of a vehicle collision?
Electrocution
All of the statements are true.
Other emergency vehicles
Hazardous materials
You should have a keen awareness that there may be injuries based on your scene size-up. This is known as which of the following?
Mechanism of injury
Index of suspicion
Nature of illness
Law of inertia
In EMS, which of the following BEST describes the term intervention?
Determining if there is a problem
Creating a permanent record of patient care
Taking steps to correct a problem
Decreasing the EMT's liability for negligence
You are caring for a patient that looks at you as you approach. Which of the following represents the correct order of assessment for the EMT during the primary assessment from start to end?
Mental status, general impression, airway, breathing, circulation, patient priority
None of the statements are true.
General impression, mental status, airway, breathing, circulation, patient priority
Patient priority, general impression, mental status, airway, breathing, circulation
Which of the following questions will most likely illicit your patient's chief complaint?
Have you been drinking today?
How have you been feeling lately?
What made you call 911 this evening?
Do you have any medical problems?
You are at the scene where a 19-year-old female college student has been drinking large quantities of alcohol throughout the evening. On your arrival, the patient is lying on her back with no signs of trauma, has vomited, and has slow, wet sounding respirations. Which of the following should you do next?
Open the patient's airway using a head-tilt, chin-lift maneuver.
Determine the respiratory rate.
Assist respirations with a bag-valve-mask device.
Check for carotid and radial pulses.
You enter a room to find a 16-year-old female sitting upright in a chair with her back straight, leaning forward, and her arms supporting her. She is having a hard time talking to you. You should suspect:
Chest discomfort.
Respiratory distress.
Abdominal pain.
Allergic reaction.
You are approaching a 16-year-old male with bright red spurting blood coming from his leg. He is screaming, and he begs you to help him. You should FIRST:
Assess his airway.
Ask him to calm down.
Control the bleeding.
Apply oxygen.
Which of the following is the most reliable means of determining whether a patient has any immediately life-threatening conditions?
Obtaining a detailed medical history
Use of intuition
Systematic approach to assessment
Thorough scene size-up
You have arrived on the scene at a high school football field where a 17-year-old male is lying on the
ground. He is unresponsive and cyanotic, and he is making obvious respiratory effort without moving
adequate amounts of air. Which of the following should be done first?
Insert a nasopharyngeal or oropharyngeal airway.
Assist ventilations with a bag-valve-mask device and supplemental oxygen.
Open the patient's airway using a manual maneuver.
Apply high-concentration oxygen by non-rebreather mask.
Your patient is a 33-year-old man who has been ejected from his vehicle during a high-speed collision.
During your primary assessment it is discovered that he is not moving, does not appear to have
adequate respirations, and has suffered moderate external bleeding. Which of the following should be
done first?
Control the bleeding with direct pressure.
Open the airway.
Begin bag-valve-mask ventilations.
Check the patient's carotid pulse.
Which of the following is the proper position for maintaining the airway in a child with a decreased level
of consciousness?
Flexing the neck to place the chin on the chest; placing a folded towel under the back of the head if necessary.
Placing the head and neck in a neutral position; using a folded towel under the shoulders if necessary.
Using a cervical collar to keep the chin elevated.
Hyperextension of the neck; placing a pillow under the back if necessary.
Upon assessment of your patient, you notice that he has cool, sweaty skin. This finding is best described as which of the following?
Complaint
Symptom
Diagnosis
Sign
ou are attempting to assess the blood pressure of a 35-year-old male at the scene of a multiple vehicle
collision. The scene is very noisy and you are unable to clearly hear the patient's heartbeat. You should:
have your partner try auscultating the blood pressure.
obtain the blood pressure by palpation
try using the patient's other arm.
use an automatic blood pressure machine.
You respond to a cafeteria to find an unconscious person with gurgling sounds upon exhalation and inhalation. What is the probable cause of the respiratory sounds?
Fluids in the airway
Cardiac arrest
Tongue blocking the airway
Complete airway obstruction
Which of the following are the vital signs that need to be recorded
Pulse, respiration, skin color, skin temperature and condition, pupils, blood pressure, and bowel sounds.
Pulse, respiration, skin color, skin temperature, pupils, and blood pressure.
Pulse, respiration, skin color, skin temperature and condition, pupils, and blood pressure.
Pulse, respiration, skin color, skin temperature and condition.
You are assessing a 55-year-old male complaining of chest pain and have determined that his radial pulse is barely palpable. You also determine that there were 20 pulsations over a span of 30 seconds. Based on this, how would you report this patient's pulse?
Pulse 40 and weak
Pulse 20, weak, and regular
Pulse 20 and weak
Pulse 40, weak, and irregular
When the EMT checks the pupils he or she is checking for what three things?
Size, equality, and reactivity
Reactivity, gaze, and equality
Movement, gaze, and equality
Color, equality, and reactivity
You are transporting a patient to the hospital from a motor vehicle crash. Your patient's initial blood pressure was 88/52. You should reassess blood pressure:
Only if the pulse rate changes.
Only if the patient gets worse.
At least every 5 minutes.
At least every 15 minutes.
The range of normal blood glucose level is from a low of 60 to 70 mg/dL to a high of:
100 to 120 mg/dL.
110 to 130 mg/dL.
120 to 140 mg/dL.
90 to 100 mg/dL.
You have a 38-year-old patient who has fainted. Following your local protocol, you use a pulse oximeter to determine the SpO2. You attach the device to the patient's finger; it gives you a reading of 91 percent. What does that reading indicate?
Severe hypoxia
Significant hypoxia
Normal results
Mild hypoxia
If capillary refill is assessed in a child patient, how long should it take the normal pink color to return to the nail bed?
5 seconds
4 seconds
3 seconds
2 seconds
Which of the following techniques of physical examination must an EMT master?
Auscultation, observation, and percussion
Visualization, percussion, and auscultation
Observation, palpation, and auscultation
Percussion, inspection, and palpation
Mr. Hughes is a 49-year-old man complaining of chest pain. To find out about the quality of his chest pain, which of the following questions is most appropriate?
Are you having pain anywhere beside your chest?
On a scale of 0 to 10, with 10 being the worst, how would you rate your level of pain?
Does anything make the pain worse?
Can you describe how the pain in your chest feels?
When using the memory aid OPQRST, which of the following questions would help you find out about P?
Do you have any past medical history?
Are you having any pain?
Does anything make the pain better or worse?
What is your primary complaint?
Your patient is a 16-year-old female who is reporting abdominal pain and nausea. She says it came on when she woke up this morning. Her mother says that her daughter has been tired and cranky lately and has not been eating well for a couple of weeks. In fact, every time you ask a question, the patient's mother answers. What should you do next?
Ask the mother to please be quiet.
Ignore the mother and continue to try to talk to the patient.
Tell the mother to leave the room.
Have your partner interview the mother in the next room.
You have responded for a patient with shortness of breath. He reports that his breathing problems began this morning and have gotten worse over the last few hours. You ask if he has taken anything to help his symptoms and he tells you that he has used his inhaler several times in the last hour. The information you have just gathered can be classified as:
the history of present illness.
part of the SAMPLE history.
results of a physical exam.
relevant past medical history.
While assessing the past medical history of a 68-year-old male patient involved in a fall from a 4-foot stepladder, you use the acronym SAMPLE. What does the A refer to?
Acute
Assessment
Allergies
Auscultate
You are on the scene of a 16-year-old patient in respiratory distress. The patient has a history of asthma. After placing the patient on oxygen and performing the primary and secondary assessments, you are confident that the patient is indeed having an asthma attack. How can you be sure your field diagnosis is accurate?
Think of all possible causes of respiratory distress and rule them in or out as potential diagnoses based on your clinical findings.
Constantly reassess the patient to make sure you are correct.
Keep your EMT textbook with you on the ambulance and review it to confirm your diagnosis.
Ask your partner her opinion; if she also agrees that it is asthma, the diagnosis is correct.
You are on the scene in the bad part of town for an unresponsive 18-year-old type 1 diabetic patient. His
mother states that he is very noncompliant with his diabetes management and goes unresponsive often
due to low blood sugar. After performing the primary assessment, you believe that this is the most likely cause of his unresponsiveness. However, after taking a capillary glucose reading you are surprised to
see that the patient's sugar level is normal. How will you now determine the field impression?
Recognize that the mother was lying to you. The patient is not diabetic and you now must assume that everything she told you is wrong.
Continue patient care by getting a complete SAMPLE history and perform a complete secondary assessment.
You cannot make a correct diagnosis in the field because you cannot perform all the necessary tests with your limited scope of practice.
Recognize that the mother is probably trying to protect her son from jail. Tell her that it is critical that she tell you what drugs he actually took.
________ are signs or symptoms that suggest the possibility of a particular problem that is very serious.
Red flags
All of the statements are true.
Differentials
Worst-case scenarios
A list of potential diagnoses compiled early in the patient's assessment is known as which of the following?
Assessment-based diagnosis
Emergency medical diagnosis
Traditional diagnosis
Differential diagnosis
Your patient is a 24-year-old female who swallowed a handful of pills of unknown type. Although she was
initially alert and oriented with no complaints, you note that she is now beginning to slur her words and is
becoming progressively lethargic. What is the highest priority in dealing with this patient?
Finding out exactly what she took
Notifying the receiving facility of the change in mental status
Maintaining an open airway
Checking the patient's pupil size and reactivity to light
For which of the following patients is a focused physical examination appropriate?
A 30-year-old male with a history of diabetes and who is found unresponsive by his son
A 70-year-old male with dementia whose caretaker called because he "didn't seem like himself today"
A 19-year-old female with a history of epilepsy and who is found only responsive to painful stimuli by her roommate
A 25-year-old female with a history of asthma and who is complaining of difficulty breathing
If a patient complains of abdominal pain localized to a specific area of the abdomen, which of the following techniques should be used to assess the abdomen?
Palpate the area at the beginning and end of the exam.
Palpate the painful area first.
Palpate the painful area last.
Do not palpate the painful area.
The term priapism means ________ and may be found in injuries of the ________.
a painful muscle spasm; spine
unequal pupils; brain
a persistent penile erection; spine
abnormal pulsation; abdomen
Immediately following a rapid physical exam on an unresponsive medical patient, which of the following should you do next?
Find out who the patient's doctor is.
Check the scene for medications.
Perform a focused physical exam.
Obtain baseline vital signs.
You respond to the scene of a motor vehicle crash to find a middle-aged man on a long spine board
being cared for by first responding firefighters. He appears to be bleeding from his head and he is
unconscious. You should check the car for:
insurance information or identification.
personal items too valuable to leave on-scene.
a bent steering wheel or starred windshield.
a deployed passenger-side air bag.
Your patient was struck in the chest with a baseball bat during a bar fight. A crackling or crunching sensation that is felt when air escapes from its normal passageways and is trapped under the skin is called:
distention.
crepitation.
subcutaneous emphysema.
tension pneumothorax.
Which of the following is NOT a purpose of a rapid trauma assessment?
To focus care on specific injuries
To provide a basis for care during transport
To detect injuries that may become life threatening
To assess the extent of injuries
An unconscious trauma patient should always be assumed to have which of the following types of injury?
Abdominal
Skull
Spine
Cardiac
Your patient is the 18-year-old male driver of a vehicle that struck a tree. He is conscious and complaining of neck pain. The passenger is obviously dead. You have performed your primary assessment. Which of the following is the next step?
Immobilize the patient on a long backboard and perform a detailed examination in the ambulance.
Perform a rapid trauma assessment.
Perform a tertiary assessment.
Rule out the possibility of cervical spine injury before moving the patient.
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.
focused exam.
primary assessment.
secondary assessment.
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?
Continue the detailed physical assessment.
Start CPR.
Call medical control for orders.
Repeat the primary assessment.
Your 76-year-old female patient is having trouble breathing. When you auscultate her lungs, you hear
crackles (rales), and you are concerned that she may have pulmonary edema. Her oxygen saturation is
92%, so you place her on 100% oxygen via a non-rebreather mask. Her breathing gets a little easier with
the oxygen. You decide to expedite transport since she is anxious about her condition. Later, as you are completing your reassessment, you see that her respirations have slowed to 8 times per minute and she
is barely staying awake. What should you do next?
Shake her to keep her awake
Begin ventilating her with a bag-valve mask.
Ask your partner to pull over and wait for ALS backup.
Assist her with using her metered-dose inhaler.
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:
Administer another dose of nitroglycerin.
Lay the head of the stretcher down.
Ask him what his pain is like now.
Call medical direction to administer another dose.
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?
You can transport the patient to a lower-level trauma center.
The baseline vital signs were inaccurate.
The patient will survive.
The patient’s condition may be improving.
You are transporting a victim of domestic violence, a 25-year-old female, who was struck on the head
several times with a baseball bat. On the scene, she was responsive to verbal stimuli and was bleeding
profusely from an open head wound. During transport, the patient becomes unresponsive. Which of the
following should you do next?
Primary assessment
Detailed physical exam
Vital signs and SAMPLE history
Secondary assessment
Your patient is a 23-year-old male with a stab wound to the abdomen. You have bandaged the wound and are transporting the patient to a trauma center. During your reassessment, you note that the bandage has become soaked with blood. What should your priority be with this patient?
Control the bleeding.
Place the patient in the Trendelenburg position.
Check the patient's blood pressure.
Notify the receiving facility that the patient has developed arterial bleeding.
You are caring for a woman who sustained a head injury as a result of a domestic dispute. You suspect she has a closed head injury since she cannot remember what happened and one of her pupils is slightly larger than the other. You have been monitoring her vital signs every 5 minutes and you see that her blood pressure is rising and her pulse is dropping. This part of the assessment is called:
trending.
crisis management.
intervention check.
modified secondary assessment.
You are transporting a patient who has had her neck slashed from side to side. You and your partner are caring for the patient while a police officer drives you to the hospital, which is minutes away. You are focusing all of your efforts to maintain her airway and your partner is controlling her bleeding. Which of the following will you be unlikely to obtain?
Reassessment results
Patient's gender
Pulse and respiratory rates
Primary assessment
Your patient is an 18-year-old female whom you believe may have had a miscarriage and is bleeding heavily. You have completed your primary and secondary assessments and now you need to reassess her to see if the bleeding has stopped. You should:
ask her to check herself to see if she is still bleeding.
in a reassuring tone, explain what you need to do.
take another set of vital signs to see if her blood pressure has dropped.
wait and let the hospital staff reassess the bleeding.
Which of the following BEST describes a repeater?
A two-way radio that can be carried on a belt clip
A two-way radio at a fixed site
A device that receives and amplifies a signal that must be carried over long distances.
A two-way radio that is mounted in a vehicle
Medical direction has requested that you administer 70 grams of activated charcoal to an overdose patient. Which of the following should you do next?
Administer the medication without delay.
Document the order in writing before carrying it out.
Repeat the order back to the physician to make sure you understood correctly.
Prepare the medication and then call the hospital back to verify the order.
You have received an order from medical direction that you feel would be detrimental to your patient. Which of the following should you do?
Call a different hospital for orders.
Politely question the physician.
Carry out the order but document that you disagreed with it.
Contact your supervisor for advice.
Which of the following describes the importance of effective communication of patient information in the verbal report?
Additional information that was not given in the radio report can be provided.
Patient treatment can be based on this information.
All of the statements are true.
Changes in the patient's condition can be communicated.
You are attempting to place a non-rebreather mask on a patient who is experiencing difficulty breathing.
The patient is anxious and does not want the mask on his face. Which of the following is the BEST
course of action?
Explain the importance of oxygen and ask the patient to at least try to leave the mask on, but if he can't tolerate it you can try another method.
Document that the patient was uncooperative and refused oxygen.
Tell the patient the mask is for his benefit and you will restrain him, if necessary, to place it on him.
Tell the patient he will soon become unconscious without the mask and then you will be able to place it on him.
You suspect that a 6-year-old female patient with multiple bruises and a broken wrist was abused. The
stepmother states the patient fell down the stairs. The patient is crying and sheepishly nods in
agreement with the stepmother's statements. How should you document this situation in the patient
report?
Document what was said as well as your opinion that the child was too afraid to tell the truth.
Document who you suspect caused the injuries in the narrative so law enforcement has a record of the incident
Document any pertinent information that was said by the stepmother and child exactly in quotations.
Document only the actual exam findings. Do not document anything that was said
You are on a call of a minor vehicle accident. Your patient is a 22-year-old male who was the driver of a
moderate T-Bone collision. The patient was not wearing a seat belt and there was spidering of the
windshield. The patient complains of neck pain and has a scalp laceration. After performing the primary
assessment, you take vital signs and bandage the patient's scalp. When you tell him, you need to
backboard him, he refuses care and ambulance transport. Because the person is alert and oriented to
time, place, and person, you have the patient sign the separate patient refusal form provided by your
service. How should you document this incident in your EMS report?
You should document everything including all patient care, all of your attempts to persuade the patient to go by ambulance, and who witnessed the patient refusal.
You should only document what treatment you performed before the patient refused treatment.
You should document your patient care and then simply document that the patient was informed of the risks prior to his refusal. Anything extra is unnecessary and wastes time.
No report is needed because the patient refused transport and signed the refusal.
Which of the following is one of the most common situations in which an EMT may be liable?
Inaccurate recording of times and mileage
Patient refusal of treatment and transport
Failure to document all of a patient's medications on the patient care report
Failing to get the receiving physician's signature on the patient care report
You have responded to a call at a government office building. One of the office workers became very upset during a fire drill and experienced an episode of difficulty breathing. As your partner is speaking with the patient, who is not sure she wants to be transported, an individual wearing civilian clothes approaches you and states she is a security guard in the building. She asks you for the "yellow copy" of your prehospital care report. Which of the following should you do?
State that you are unable to comply with the request due to patient confidentiality.
Provide the documentation if the individual shows proper identification.
Ask the patient if it is alright with her if you provide the individual with a copy of the prehospital care report.
Get permission from medical control.
The portion of the patient care report in which the EMT writes his description of the patient's presentation, assessment findings, treatment, and transport information is called the:
deposition.
text.
narrative.
data set.
