Wayground logo

Free Printable Worksheets

Font size

S
M
L
XL
Worksheets

Chapter 13 – Vital Signs & Monitoring (Worksheet Extraction)

Total questions: 50

Worksheet time: 25mins

Name
Class
Date
1.

When the heart contracts and forces blood into the arteries, the pressure created is known as the:

a)

Systolic blood pressure

b)

Diastolic blood pressure

c)

Mean arterial pressure

d)

Pulse pressure

2.

What is the pressure remaining in the arteries after the pulse wave has passed through?

a)

Diastolic blood pressure

b)

Systolic blood pressure

c)

Capillary hydrostatic pressure

d)

Venous pressure

3.

A patient with a pulse rate of 120 beats per minute is considered which of the following?

a)

Tachycardic

b)

Bradycardic

c)

Normocardic

d)

Irregular

4.

The method of taking blood pressure by using a stethoscope to listen to the characteristic sounds produced is called:

a)

Auscultation

b)

Palpation

c)

Inspection

d)

Percussion

5.

Upon assessment of your patient, you notice that he has cool, sweaty skin. This finding is best described as which of the following?

a)

A sign

b)

A symptom

c)

A diagnosis

d)

A complaint

6.

The abbreviation mmHg indicates that the blood pressure is measured by which of the following comparisons?

a)

Millimeters of mercury

b)

Millimoles of hydrogen

c)

Milligrams per hour

d)

Meters of height

7.

The first set of vital sign measurements obtained are often referred to as which of the following?

a)

Baseline vital signs

b)

Trending vital signs

c)

Secondary vital signs

d)

Primary vital signs

8.

An oxygen saturation of 97 percent is considered which of the following?

a)

Normal

b)

Hypoxic

c)

Hyperoxic toxicity

d)

Borderline low

9.

In a blood pressure reading of 120/80, what body process does the 120 measure?

a)

Systolic pressure when the left ventricle contracts and forces blood into the arteries

b)

Diastolic pressure during ventricular relaxation

c)

Mean arterial pressure averaged over one cardiac cycle

d)

Pulse pressure difference between systolic and diastolic

10.

Which of the following are vital signs that need to be recorded for virtually every EMS patient?

a)

Pulse; respiration; skin color, temperature, and condition; pupils; and blood pressure

b)

Height; weight; body mass index; temperature

c)

Blood glucose; capillary refill; lung volumes

d)

Electrolytes; hemoglobin; hematocrit

11.

Breathing sounds that should concern the EMT are:

a)

Abnormal sounds such as snoring, gurgling, wheezing, crowing, or stridor

b)

Soft vesicular sounds over peripheral lung fields

c)

Clear, equal breath sounds bilaterally

d)

Quiet breathing with no audible noise

12.

A(n) ______ set of vital signs is important for critical decision making for the EMT.

a)

Repeated

b)

Initial

c)

Estimated

d)

Occasional

13.

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?

a)

Suction the airway

b)

Administer oral fluids

c)

Place the patient in a prone position

d)

Apply a nasal cannula only

14.

You are unable to find a radial pulse on a patient from a motor vehicle crash. You should:

a)

Check for a carotid pulse

b)

Assume cardiac arrest and stop assessment

c)

Measure respiratory rate only

d)

Apply a tourniquet to the arm

15.

In which of the following situations would it be preferable to determine blood pressure by palpation rather than by auscultation?

a)

When there is too much noise to use a stethoscope effectively

b)

When the patient is asleep

c)

When the patient is hyperventilating

d)

When a manual cuff is unavailable

16.

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?

a)

Fluid such as blood, vomit, or secretions in the upper airway

b)

Clear lungs with decreased tidal volume

c)

Air trapping from bronchospasm only

d)

Collapsed alveoli without airway obstruction

17.

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?

a)

At least every 5 minutes

b)

Only upon arrival at the hospital

c)

Every 20 minutes

d)

Continuously without documentation

18.

Where do baseline vital signs fit into the sequence of patient assessment?

a)

After the primary assessment and before or during the secondary assessment

b)

Before the scene size-up

c)

Only after transport begins

d)

After discharge from the hospital

19.

Vital signs should be reassessed at least every ______ minutes for a stable patient.

a)

15

b)

5

c)

30

d)

2

20.

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?

a)

Identify trends in the patient's condition

b)

Avoid performing further assessments

c)

Eliminate the need for transport

d)

Replace the physical exam entirely

21.

In a conscious adult patient, which of the following pulses should be assessed initially?

a)

Radial pulse

b)

Carotid pulse

c)

Femoral pulse

d)

Apical pulse

22.

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?

a)

Pulse 40 and weak

b)

Pulse 20 and irregular

c)

Pulse 40 and strong

d)

Pulse 60 and regular

23.

An increase in the work of breathing is reported as:

a)

Labored breathing

b)

Rapid but effortless breathing

c)

Quiet breathing

d)

Shallow, silent breathing

24.

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:

a)

Pallor

b)

Mottling

c)

Flushing

d)

Jaundice

25.

What color is a patient's skin if it is described as cyanotic?

a)

Bluish

b)

Yellow

c)

Red

d)

Gray

26.

Which method is the best way to assess a patient's skin temperature?

a)

Place the back of your hand against the patient's abdomen

b)

Use the palm of your hand on the patient's forehead

c)

Measure with a thermometer under the tongue

d)

Ask the patient to describe how warm they feel

27.

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:

a)

Cyanotic

b)

Flushed

c)

Jaundiced

d)

Mottled

28.

When the EMT checks the pupils, which findings are assessed? Select all that apply.

a)

Size

b)

Equality

c)

Reactivity to light

d)

Color of the iris

29.

What is the normal response of the pupils when exposed to bright light?

a)

Dilation

b)

No change

c)

Constriction

d)

Alternating dilation and constriction

30.

Which of the following is not a cause of unequal pupils?

a)

Head injury

b)

Stroke

c)

Eye medication affecting one eye

d)

Fright

31.

Which option best describes the proper placement of the blood pressure cuff?

a)

Covering about one-third of the upper arm

b)

Covering about two-thirds of the upper arm

c)

Covering the entire upper arm and elbow

d)

Placed on the forearm with the bladder over the radial artery

32.

A 72-year-old patient presents with weakness and headache. Her initial blood pressure is 140/92140/92 , and the repeat at 5 minutes is unchanged. Her condition is called:

a)

Hypotension

b)

Hypertension

c)

Orthostatic hypotension

d)

Prehypertension

33.

What are the three ways to take blood pressure? Select all that apply.

a)

By auscultation

b)

By palpation

c)

With an automated blood pressure device

d)

Using a pulse oximeter

34.

All of the following are common techniques for measuring blood pressure except:

a)

Auscultation

b)

Palpation

c)

Automated blood pressure device

d)

Pulse oximeter

35.

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?

a)

Stop deflating as soon as the first sound is heard and record only the systolic reading

b)

Continue releasing pressure until the sounds stop and record both the systolic and diastolic readings

c)

Reinflate the cuff immediately to confirm the first sound

d)

Move the stethoscope to the radial artery to record the diastolic reading

36.

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:

a)

Estimate the blood pressure from the pulse oximeter

b)

Determine the blood pressure by palpation

c)

Wait for a quieter moment to retry later

d)

Record the previous hospital reading

37.

While transporting a patient down a bumpy road, a monitor shows 190/110190/110 . The patient's blood pressure on scene was 130/80130/80 . You should:

a)

Trust the monitor and continue transport

b)

Stop the ambulance and obtain a third automated reading

c)

Recheck the blood pressure manually to confirm the reading

d)

Administer antihypertensive medication immediately

38.

When taking blood pressure manually, to what point should the cuff be inflated?

a)

Exactly to the expected systolic pressure

b)

Until the patient reports discomfort

c)

About 3030 mmHg above the point where the pulse disappears (or above the expected systolic pressure)

d)

To 100100 mmHg for all adults

39.

You are transporting a patient from a motor vehicle crash. The initial blood pressure was 88/5288/52 . You should reassess blood pressure:

a)

Every 15 minutes

b)

At least every 10 minutes

c)

At least every 5 minutes

d)

Only if the patient’s condition changes

40.

A device that uses wavelengths of light to measure oxygen saturation ( SpO2SpO_2 ) is called a(n):

a)

Capnometer

b)

Pulse oximeter

c)

Spirometer

d)

Peak flow meter

41.

You are assessing an 82-year-old female found outdoors on a crisp fall evening. Her pulse oximeter shows oxygen saturation of 82%82\% even though she appears to be breathing adequately. To ensure an accurate reading, you should:

a)

Apply supplemental oxygen and leave the probe in place

b)

Warm the extremity and/or move the probe to a better perfused site and repeat the reading

c)

Ignore the reading because elderly patients have lower SpO2SpO_2

d)

Record the value and proceed without further checks

42.

A patient is warm, dry, pink, and denies shortness of breath. What oxygen saturation should be expected?

a)

About 92%92\%

b)

About 95%95\%

c)

About 98%98\%

d)

About 100%100\%

43.

The normal range for blood glucose is between 7070 mg/dL and:

a)

9090 mg/dL

b)

110110 mg/dL

c)

120120 mg/dL

d)

140140 mg/dL

44.

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:

a)

Apply the cuff directly over the tube to secure it

b)

Place the cuff distal to the tube on the forearm

c)

Find another site to measure her blood pressure

d)

Remove the tube and then take the blood pressure

45.

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?

a)

5 minutes

b)

10 minutes

c)

15 minutes

d)

30 minutes

46.

Which of the following is a normal respiratory rate for an adult at rest?

a)

6 to 10 breaths per minute

b)

12 to 20 breaths per minute

c)

20 to 30 breaths per minute

d)

30 to 40 breaths per minute

47.

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?

a)

Normal oxygenation

b)

Mild hypoxia

c)

Severe hypoxia

d)

Hyperoxia

48.

When pupils are dilated, they are:

a)

Smaller than normal

b)

Larger than normal

c)

Equal to baseline size

d)

Irregular in shape

49.

Slight movement of the chest during respiration is usually indicative of which of the following?

a)

Normal breathing

b)

Shallow breathing

c)

Apnea

d)

Labored breathing

50.

An inaccurate oxygen saturation reading can result from all of the following except:

a)

Cold, poorly perfused extremities

b)

Excessive patient motion

c)

Fingernail polish or artificial nails

d)

A warm, pink, well-perfused patient with good circulation