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Flashcards in pt assessment 1-25 Deck (25)
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1

An unresponsive patient who has been breathing slowly and shallowly for an extended period of time would MOST likely have ________ skin.
A. cyanotic
B. flushed
C. mottled
D. pale

A

2

Which of the following statements regarding the rapid exam of a trauma patient is correct?
Choose one answer.
A. The rapid exam is used to identify injuries that must be managed before and during packaging and loading the patient for transport.
B. Any trauma patient should receive a rapid head-to-toe exam, even if his or her injury is minor and the mechanism of injury is not significant.
C. The rapid exam is the first assessment you will perform on a trauma patient and is designed to find and treat immediate threats to life.
D. The rapid exam is a detailed exam that should take between 1 and 2 minutes and should primarily focus on the patient's chief complaint.

A

3

What type of pain has its origin in a particular location but is described by the patient as pain in a different location?
Choose one
A. Somatic pain
B. Visceral pain
C. Referred pain
D. Radiating pain


C

4

A patient who gives the emergency department physician completely different information than he or she gave to you in the field:
A. clearly trusts the physician more than you.
B. will cause the physician to question your competence.
C. may have an organic condition, such as a brain tumor.
D. should be questioned as to why the information was different.

C

5

Arterial pulses are a physical expression of:
A. pressure in the vena cavae.
B. left ventricular contraction.
C. the diastolic blood pressure.
D. right ventricular contraction.

B

6

Swollen lymph nodes in the anterior neck usually indicate:
A. malignancy.
B. an infection.
C. viral replication. D. an allergic state.
Swollen lymph nodes in the anterior neck usually indicate:

B

7

The general type of illness a patient is experiencing is called the:
A. chief complaint.
B. nature of illness.
C. general impression.
D. differential diagnosis

B

8

_________ entails gently striking the surface of the body, typically where it overlies various body cavities
A. Palpation
B. Percussion
C. Inspection
D. Auscultation

B

9

Whether your patient's problem is medical or traumatic in origin, you must:
A. always begin transport within 10 minutes.
B. contact medical control as soon as possible.
C. qualify and quantify the patient's condition.
D. perform a head-to-toe secondary assessment

C

10

Intermittent claudication is defined as:
A. transient swelling of the microvasculature of the extremities.
B. bulging of the vessels in the legs while in a standing position.
C. enlarged lower extremities due to reduced lymphatic drainage.
D. cramplike pain in the lower extremities due to poor circulation.
Choose one


D

11

When auscultating heart sounds, you should place your stethoscope at the:
A. fifth intercostal space, over the apex of the heart.
B. second intercostal space, over the base of the heart.
C. third or fourth intercostal space, in the midaxillary line.
D. sternal border at the second or third intercostal space.

A

12

The paramedic should address a patient:

A. by using the patient's formal name.
B. as the patient wishes to be addressed.
C. by the patient's first name whenever possible.
D. in a manner that the paramedic deems most professional.

B

13

A working hypothesis of the nature of a patient's problem is called the:

A. chief complaint.
B. field impression.
C. history of present illness. D. differential diagnosis.

D

14

When transferring a geriatric patient from a hospital to an extended care facility, it is MOST important to:
A. review the patient's transfer paperwork.
B. document at least two full sets of vital signs.
C. call a radio report to the extended care facility. D. presume that the patient will not wish to speak.

A

15

Percussion of the chest produces ____________ if the pleural space is full of blood.
A. a hollow sound
B. a dull sound
C. a high-pitched note
D. hyperresonance

B

16

A multi-systems trauma patient opens his eyes in response to pain, moans when you ask him his name, and withdraws from painful stimuli. From this information, you should:
A. assign him a Glasgow Coma Scale score of 10 and apply oxygen.
B. assume that he has an intracerebral hemorrhage.
C. hyperventilate him with a bag-mask at 24 breaths/min.
D. conclude that he has severe neurologic dysfunction.

D

17

Cognitive function can be MOST accurately defined as:
A. one's state of awareness.
B. the ability to use reasoning.
C. functional use of the extremities.
D. general level of consciousness.
Choose one


B

18

The focused assessment of a responsive medical patient is guided by:
A. the chief complaint.
B. SAMPLE history findings.
C. baseline vital sign readings.
D. the general impression.

A

19

Diffuse pain caused by hollow organ obstruction and stretching of the smooth muscle wall is called __________ pain.
A. somatic
B. referred
C. radiating
D. visceral

D

20

Which of the following is NOT an effective way of obtaining a medical history from a patient who is totally deaf?
A. Speaking slowly and slightly more loudly to the patient
B. Using paper and pencil to write down your questions
C. Addressing the patient face-to-face if he or she can read lips
D. Using an interpreter who knows American Sign Language

A

21

To obtain a heart rate in infants younger than 1 year of age, you should:
A. apply a cardiac monitor.
B. palpate the brachial artery.
C. auscultate directly over the heart. D. count the pulse for a full minute.

B

22

A neighbor finds her elderly female friend unresponsive on her kitchen floor. As you are performing your primary assessment, the neighbor tells you that she does not know what happened to her friend. The patient moans when you speak to her and is breathing at a normal rate with adequate depth. You should:
A. apply a rigid cervical collar, start an IV of normal saline, and perform immediate answer. endotracheal intubation.
B. apply supplemental oxygen via nonrebreathing mask, place her in a lateral recumbent position, and transport.
C. insert an airway adjunct, apply supplemental oxygen, and implement spinal motion restriction precautions.
D. quickly place her on the stretcher, obtain a 12-lead ECG tracing, and perform a detailed physical exam.

C

23

Frank blood or clear, watery fluid draining from the ear canal following head trauma is MOST suggestive of a  :
A. basilar skull fracture.
B. orbital blowout fracture.
C. fracture of the cribriform plate. D. ruptured tympanic membrane.

A

24

After determining that the scene is safe, the FIRST step in approaching a patient is to:
A. determine the chief complaint.
B. ask the patient his or her name.
C. ascertain the age of the patient.
D. introduce yourself to the patient.
Choose one


D

25

lushed skin is commonly seen as a result of all the following, EXCEPT:
A. fever.
B. heat exposure.
C. superficial burns.
D. vasoconstriction.
Choose one


d