WorksheetsChapter 13 – Vital Signs & Monitoring (Worksheet Extraction)
Total questions: 50
Worksheet time: 25mins
When the heart contracts and forces blood into the arteries, the pressure created is known as the:
Systolic blood pressure
Diastolic blood pressure
Mean arterial pressure
Pulse pressure
What is the pressure remaining in the arteries after the pulse wave has passed through?
Diastolic blood pressure
Systolic blood pressure
Capillary hydrostatic pressure
Venous pressure
A patient with a pulse rate of 120 beats per minute is considered which of the following?
Tachycardic
Bradycardic
Normocardic
Irregular
The method of taking blood pressure by using a stethoscope to listen to the characteristic sounds produced is called:
Auscultation
Palpation
Inspection
Percussion
Upon assessment of your patient, you notice that he has cool, sweaty skin. This finding is best described as which of the following?
A sign
A symptom
A diagnosis
A complaint
The abbreviation mmHg indicates that the blood pressure is measured by which of the following comparisons?
Millimeters of mercury
Millimoles of hydrogen
Milligrams per hour
Meters of height
The first set of vital sign measurements obtained are often referred to as which of the following?
Baseline vital signs
Trending vital signs
Secondary vital signs
Primary vital signs
An oxygen saturation of 97 percent is considered which of the following?
Normal
Hypoxic
Hyperoxic toxicity
Borderline low
In a blood pressure reading of 120/80, what body process does the 120 measure?
Systolic pressure when the left ventricle contracts and forces blood into the arteries
Diastolic pressure during ventricular relaxation
Mean arterial pressure averaged over one cardiac cycle
Pulse pressure difference between systolic and diastolic
Which of the following are vital signs that need to be recorded for virtually every EMS patient?
Pulse; respiration; skin color, temperature, and condition; pupils; and blood pressure
Height; weight; body mass index; temperature
Blood glucose; capillary refill; lung volumes
Electrolytes; hemoglobin; hematocrit
Breathing sounds that should concern the EMT are:
Abnormal sounds such as snoring, gurgling, wheezing, crowing, or stridor
Soft vesicular sounds over peripheral lung fields
Clear, equal breath sounds bilaterally
Quiet breathing with no audible noise
A(n) ______ set of vital signs is important for critical decision making for the EMT.
Repeated
Initial
Estimated
Occasional
You are assessing a 48-year-old male who is unconscious. The scene is safe and you hear the patient gurgling. What is your next action?
Suction the airway
Administer oral fluids
Place the patient in a prone position
Apply a nasal cannula only
You are unable to find a radial pulse on a patient from a motor vehicle crash. You should:
Check for a carotid pulse
Assume cardiac arrest and stop assessment
Measure respiratory rate only
Apply a tourniquet to the arm
In which of the following situations would it be preferable to determine blood pressure by palpation rather than by auscultation?
When there is too much noise to use a stethoscope effectively
When the patient is asleep
When the patient is hyperventilating
When a manual cuff is unavailable
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?
Fluid such as blood, vomit, or secretions in the upper airway
Clear lungs with decreased tidal volume
Air trapping from bronchospasm only
Collapsed alveoli without airway obstruction
How often should a patient's vital signs be reassessed during transport to the hospital after the pulse has been restored with CPR and the use of an AED?
At least every 5 minutes
Only upon arrival at the hospital
Every 20 minutes
Continuously without documentation
Where do baseline vital signs fit into the sequence of patient assessment?
After the primary assessment and before or during the secondary assessment
Before the scene size-up
Only after transport begins
After discharge from the hospital
Vital signs should be reassessed at least every ______ minutes for a stable patient.
15
5
30
2
Recording and documenting your patient's first set of vital signs is very important because, when combined with reassessments, it allows you to do which of the following?
Identify trends in the patient's condition
Avoid performing further assessments
Eliminate the need for transport
Replace the physical exam entirely
In a conscious adult patient, which of the following pulses should be assessed initially?
Radial pulse
Carotid pulse
Femoral pulse
Apical pulse
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 and irregular
Pulse 40 and strong
Pulse 60 and regular
An increase in the work of breathing is reported as:
Labored breathing
Rapid but effortless breathing
Quiet breathing
Shallow, silent breathing
You are called to care for a child who fell from a third-story window. As you approach, the child's skin is pale with dark spots of cyanosis. Report this uncommon condition of blotchy skin as:
Pallor
Mottling
Flushing
Jaundice
What color is a patient's skin if it is described as cyanotic?
Bluish
Yellow
Red
Gray
Which method is the best way to assess a patient's skin temperature?
Place the back of your hand against the patient's abdomen
Use the palm of your hand on the patient's forehead
Measure with a thermometer under the tongue
Ask the patient to describe how warm they feel
A patient in late stages of liver failure has warm, dry skin with a yellow color. Your radio report to the hospital should state the patient is:
Cyanotic
Flushed
Jaundiced
Mottled
When the EMT checks the pupils, which findings are assessed? Select all that apply.
Size
Equality
Reactivity to light
Color of the iris
What is the normal response of the pupils when exposed to bright light?
Dilation
No change
Constriction
Alternating dilation and constriction
Which of the following is not a cause of unequal pupils?
Head injury
Stroke
Eye medication affecting one eye
Fright
Which option best describes the proper placement of the blood pressure cuff?
Covering about one-third of the upper arm
Covering about two-thirds of the upper arm
Covering the entire upper arm and elbow
Placed on the forearm with the bladder over the radial artery
A 72-year-old patient presents with weakness and headache. Her initial blood pressure is 140/92 , and the repeat at 5 minutes is unchanged. Her condition is called:
Hypotension
Hypertension
Orthostatic hypotension
Prehypertension
What are the three ways to take blood pressure? Select all that apply.
By auscultation
By palpation
With an automated blood pressure device
Using a pulse oximeter
All of the following are common techniques for measuring blood pressure except:
Auscultation
Palpation
Automated blood pressure device
Pulse oximeter
To determine blood pressure by auscultation, the EMT positions the cuff over the upper arm and places the stethoscope over the brachial artery, inflates the cuff, then slowly deflates it while listening for clicks or tapping sounds and remembering the number at the first sound. What is the next step in taking a blood pressure?
Stop deflating as soon as the first sound is heard and record only the systolic reading
Continue releasing pressure until the sounds stop and record both the systolic and diastolic readings
Reinflate the cuff immediately to confirm the first sound
Move the stethoscope to the radial artery to record the diastolic reading
You are assessing the blood pressure of a 35-year-old male at a very noisy multiple-vehicle collision scene and cannot clearly hear the heartbeat. You should:
Estimate the blood pressure from the pulse oximeter
Determine the blood pressure by palpation
Wait for a quieter moment to retry later
Record the previous hospital reading
While transporting a patient down a bumpy road, a monitor shows 190/110 . The patient's blood pressure on scene was 130/80 . You should:
Trust the monitor and continue transport
Stop the ambulance and obtain a third automated reading
Recheck the blood pressure manually to confirm the reading
Administer antihypertensive medication immediately
When taking blood pressure manually, to what point should the cuff be inflated?
Exactly to the expected systolic pressure
Until the patient reports discomfort
About 30 mmHg above the point where the pulse disappears (or above the expected systolic pressure)
To 100 mmHg for all adults
You are transporting a patient from a motor vehicle crash. The initial blood pressure was 88/52 . You should reassess blood pressure:
Every 15 minutes
At least every 10 minutes
At least every 5 minutes
Only if the patient’s condition changes
A device that uses wavelengths of light to measure oxygen saturation ( SpO2 ) is called a(n):
Capnometer
Pulse oximeter
Spirometer
Peak flow meter
You are assessing an 82-year-old female found outdoors on a crisp fall evening. Her pulse oximeter shows oxygen saturation of 82% even though she appears to be breathing adequately. To ensure an accurate reading, you should:
Apply supplemental oxygen and leave the probe in place
Warm the extremity and/or move the probe to a better perfused site and repeat the reading
Ignore the reading because elderly patients have lower SpO2
Record the value and proceed without further checks
A patient is warm, dry, pink, and denies shortness of breath. What oxygen saturation should be expected?
About 92%
About 95%
About 98%
About 100%
The normal range for blood glucose is between 70 mg/dL and:
90 mg/dL
110 mg/dL
120 mg/dL
140 mg/dL
You are about to apply a blood pressure cuff to an unconscious patient when you notice what appears to be a tube under the skin of her arm that feels like it has fluid going through it. You should:
Apply the cuff directly over the tube to secure it
Place the cuff distal to the tube on the forearm
Find another site to measure her blood pressure
Remove the tube and then take the blood pressure
A patient has a heart rate of 82 beats per minute, a respiratory rate of 16 breaths per minute, and a blood pressure of 120/80 mm Hg and does not appear to be in distress. You should repeat vital sign measurements at least every how many minutes?
5 minutes
10 minutes
15 minutes
30 minutes
Which of the following is a normal respiratory rate for an adult at rest?
6 to 10 breaths per minute
12 to 20 breaths per minute
20 to 30 breaths per minute
30 to 40 breaths per minute
You have a 38-year-old patient who has fainted. A pulse oximeter shows an oxygen saturation reading of 91 percent. What does this reading indicate?
Normal oxygenation
Mild hypoxia
Severe hypoxia
Hyperoxia
When pupils are dilated, they are:
Smaller than normal
Larger than normal
Equal to baseline size
Irregular in shape
Slight movement of the chest during respiration is usually indicative of which of the following?
Normal breathing
Shallow breathing
Apnea
Labored breathing
An inaccurate oxygen saturation reading can result from all of the following except:
Cold, poorly perfused extremities
Excessive patient motion
Fingernail polish or artificial nails
A warm, pink, well-perfused patient with good circulation
