Question 1

In an infant, the heart rate is best detected by either palpating the brachial artery or:

Accepted Answer

A)  auscultating the carotid pulse. 
B)  palpating the femoral pulse. 
C)  palpating the carotid pulse. 
D)  auscultating the apical pulse. 
A)  auscultating the carotid pulse. 
B)  palpating the femoral pulse. 
C)  palpating the carotid pulse. 
D)  auscultating the apical pulse. D

Question 2

Your patient is not alert but is responsive to painful stimulus. His airway is patent. He is breathing at eight times per minute. Your next action should be to administer oxygen via a:

Accepted Answer

A)  nasal cannula. 
B)  simple face mask. 
C)  nonrebreather mask. 
D)  bag-valve-mask device. 
A)  nasal cannula. 
B)  simple face mask. 
C)  nonrebreather mask. 
D)  bag-valve-mask device. D

Question 3

Which of the following sounds can typically be heard without the use of a stethoscope?

Accepted Answer

A)  Rhonchi 
B)  Bowel sounds 
C)  Stridor 
D)  Crackles 
A)  Rhonchi 
B)  Bowel sounds 
C)  Stridor 
D)  Crackles C

Question 4

During the primary assessment, your patient groans and tries to turn away when you apply a sternal rub. Otherwise, there is no other response. The patient's mental status can best be described as:

Accepted Answer

A)  alert. 
B)  responds to painful stimulus. 
C)  responds to verbal stimulus. 
D)  unresponsive. 
A)  alert. 
B)  responds to painful stimulus. 
C)  responds to verbal stimulus. 
D)  unresponsive.

Question 5

Signs of inadequate breathing include all of the following EXCEPT:

Accepted Answer

A)  presence of bronchovesicular breath sounds. 
B)  retractions of intercostal and supraclavicular tissues. 
C)  nasal flaring. 
D)  accessory muscle use. 
A)  presence of bronchovesicular breath sounds. 
B)  retractions of intercostal and supraclavicular tissues. 
C)  nasal flaring. 
D)  accessory muscle use.

Question 6

Your patient is a three-year-old who presents with a fever. His parents state that he has had diarrhea and vomiting for two days. The patient has not eaten in 24 hours. To best evaluate the patient's peripheral perfusion status, you should evaluate his:

Accepted Answer

A)  respiratory rate. 
B)  fingertip sensation. 
C)  capillary refill. 
D)  blood pressure. 
A)  respiratory rate. 
B)  fingertip sensation. 
C)  capillary refill. 
D)  blood pressure.

Question 7

All of the following are signs of inadequate breathing in an infant EXCEPT:

Accepted Answer

A)  cyanosis. 
B)  use of accessory muscles. 
C)  altered mental status. 
D)  a respiratory rate of 32 breaths per minute. 
A)  cyanosis. 
B)  use of accessory muscles. 
C)  altered mental status. 
D)  a respiratory rate of 32 breaths per minute.

Question 8

The sound of gurgling associated with breathing usually indicates:

Accepted Answer

A)  foreign body obstruction of the upper airway. 
B)  fluid in the upper airway. 
C)  thick mucus in the lower airways. 
D)  constriction of the bronchioles. 
A)  foreign body obstruction of the upper airway. 
B)  fluid in the upper airway. 
C)  thick mucus in the lower airways. 
D)  constriction of the bronchioles.

Question 9

You are assessing an adult patient. When you palpate her wrist to locate a pulse, you do not feel one. You should immediately palpate for a ________ pulse.

Accepted Answer

A)  brachial 
B)  femoral 
C)  apical 
D)  carotid 
A)  brachial 
B)  femoral 
C)  apical 
D)  carotid

Question 10

Which of the following best describes why patients with serious illnesses or injuries should be transported without delay?

Accepted Answer

A)  Definitive care cannot be provided in the prehospital setting. 
B)  Most patients are uncomfortable with the level of care provided by paramedics. 
C)  Paramedics must become available for additional calls as soon as possible. 
D)  The shorter the contact time with the patient, the less the potential for liability. 
A)  Definitive care cannot be provided in the prehospital setting. 
B)  Most patients are uncomfortable with the level of care provided by paramedics. 
C)  Paramedics must become available for additional calls as soon as possible. 
D)  The shorter the contact time with the patient, the less the potential for liability.

Question 11

Steps in assessing circulation during a primary assessment include all of the following EXCEPT:

Accepted Answer

A)  controlling major bleeding. 
B)  determining the blood pressure. 
C)  checking for skin signs. 
D)  checking for a radial pulse. 
A)  controlling major bleeding. 
B)  determining the blood pressure. 
C)  checking for skin signs. 
D)  checking for a radial pulse.

Question 12

To determine whether a patient is breathing, you should:

Accepted Answer

A)  listen and feel for breathing at the mouth and nose. 
B)  observe for movement of the abdomen. 
C)  apply a pulse oximeter. 
D)  auscultate the chest. 
A)  listen and feel for breathing at the mouth and nose. 
B)  observe for movement of the abdomen. 
C)  apply a pulse oximeter. 
D)  auscultate the chest.

Question 13

Devices for maintaining airway patency in a five-year-old patient include all of the following EXCEPT a(n):

Accepted Answer

A)  endotracheal tube. 
B)  oropharyngeal airway. 
C)  suction unit. 
D)  pharyngotracheal lumen airway. 
A)  endotracheal tube. 
B)  oropharyngeal airway. 
C)  suction unit. 
D)  pharyngotracheal lumen airway.

Question 14

Your patient is unresponsive to painful stimulus and has snoring respirations. What is your next action?

Accepted Answer

A)  Check for a pulse. 
B)  Perform a head-tilt, chin-lift maneuver. 
C)  Administer oxygen at 15 lpm. 
D)  Suction. 
A)  Check for a pulse. 
B)  Perform a head-tilt, chin-lift maneuver. 
C)  Administer oxygen at 15 lpm. 
D)  Suction.

Question 15

Which of the following statements about airway management is TRUE?

Accepted Answer

A)  Immediate intubation is required for all unresponsive patients. 
B)  Dual lumen airways are acceptable for use in children over the age of four years. 
C)  If a patient cannot be intubated because of an intact gag reflex, a dual lumen airway can be used. 
D)  Nasopharyngeal airways are contraindicated in patients with possible basilar skull fracture. 
A)  Immediate intubation is required for all unresponsive patients. 
B)  Dual lumen airways are acceptable for use in children over the age of four years. 
C)  If a patient cannot be intubated because of an intact gag reflex, a dual lumen airway can be used. 
D)  Nasopharyngeal airways are contraindicated in patients with possible basilar skull fracture.

Question 16

In infants, capillary refill is a good incicatior of adequate circulation and can be checked in the:

Accepted Answer

A)  limbs. 
B)  dorsum of the hand. 
C)  torso. 
D)  face. 
A)  limbs. 
B)  dorsum of the hand. 
C)  torso. 
D)  face.

Question 17

What does the "U" in A-V-P-U stand for?

Accepted Answer

A)  Unresponsive 
B)  Unconscious 
C)  Uncooperative 
D)  Undetermined 
A)  Unresponsive 
B)  Unconscious 
C)  Uncooperative 
D)  Undetermined

Question 18

After determining that a patient does not respond to verbal stimuli, your next action would be to:

Accepted Answer

A)  place him in the recovery position. 
B)  pinch one of his fingernails. 
C)  insert an oropharyngeal airway. 
D)  apply manual cervical spine stabilization. 
A)  place him in the recovery position. 
B)  pinch one of his fingernails. 
C)  insert an oropharyngeal airway. 
D)  apply manual cervical spine stabilization.

Question 19

Which of the following statements regarding stridor is TRUE?

Accepted Answer

A)  Stridor originates in the lower airways. 
B)  Stridor is seldom of clinical significance. 
C)  The correct treatment of stridor depends on the underlying problem. 
D)  The presence of stridor requires immediate intubation. 
A)  Stridor originates in the lower airways. 
B)  Stridor is seldom of clinical significance. 
C)  The correct treatment of stridor depends on the underlying problem. 
D)  The presence of stridor requires immediate intubation.

Question 20

Which of the following problems is it NOT critical to find during the primary assessment?

Accepted Answer

A)  Scalp hematoma 
B)  Bright red blood spurting from a thigh wound 
C)  Respiratory distress 
D)  Foreign body airway obstruction 
A)  Scalp hematoma 
B)  Bright red blood spurting from a thigh wound 
C)  Respiratory distress 
D)  Foreign body airway obstruction

In an infant, the heart rate is best detected by either palpating the brachial artery or:

Your patient is not alert but is responsive to painful stimulus. His airway is patent. He is breathing at eight times per minute. Your next action should be to administer oxygen via a:

Which of the following sounds can typically be heard without the use of a stethoscope?

During the primary assessment, your patient groans and tries to turn away when you apply a sternal rub. Otherwise, there is no other response. The patient's mental status can best be described as:

Signs of inadequate breathing include all of the following EXCEPT:

Your patient is a three-year-old who presents with a fever. His parents state that he has had diarrhea and vomiting for two days. The patient has not eaten in 24 hours. To best evaluate the patient's peripheral perfusion status, you should evaluate his:

All of the following are signs of inadequate breathing in an infant EXCEPT:

The sound of gurgling associated with breathing usually indicates:

You are assessing an adult patient. When you palpate her wrist to locate a pulse, you do not feel one. You should immediately palpate for a ________ pulse.

Which of the following best describes why patients with serious illnesses or injuries should be transported without delay?

Steps in assessing circulation during a primary assessment include all of the following EXCEPT:

To determine whether a patient is breathing, you should:

Devices for maintaining airway patency in a five-year-old patient include all of the following EXCEPT a(n):

Your patient is unresponsive to painful stimulus and has snoring respirations. What is your next action?

Which of the following statements about airway management is TRUE?

In infants, capillary refill is a good incicatior of adequate circulation and can be checked in the:

What does the "U" in A-V-P-U stand for?

After determining that a patient does not respond to verbal stimuli, your next action would be to:

Which of the following statements regarding stridor is TRUE?

Which of the following problems is it NOT critical to find during the primary assessment?

Scene Size-Up

Therapeutic Communications

History Taking

Secondary Assessment

Patient Monitoring Technology

Patient Assessment in the Field

Filters

Exam 2: Primary Assessment

In an infant, the heart rate is best detected by either palpating the brachial artery or:

Your patient is not alert but is responsive to painful stimulus. His airway is patent. He is breathing at eight times per minute. Your next action should be to administer oxygen via a:

Which of the following sounds can typically be heard without the use of a stethoscope?

During the primary assessment, your patient groans and tries to turn away when you apply a sternal rub. Otherwise, there is no other response. The patient's mental status can best be described as:

Signs of inadequate breathing include all of the following EXCEPT:

Your patient is a three-year-old who presents with a fever. His parents state that he has had diarrhea and vomiting for two days. The patient has not eaten in 24 hours. To best evaluate the patient's peripheral perfusion status, you should evaluate his:

All of the following are signs of inadequate breathing in an infant EXCEPT:

The sound of gurgling associated with breathing usually indicates:

You are assessing an adult patient. When you palpate her wrist to locate a pulse, you do not feel one. You should immediately palpate for a ________ pulse.

Which of the following best describes why patients with serious illnesses or injuries should be transported without delay?

Steps in assessing circulation during a primary assessment include all of the following EXCEPT:

To determine whether a patient is breathing, you should:

Devices for maintaining airway patency in a five-year-old patient include all of the following EXCEPT a(n):

Your patient is unresponsive to painful stimulus and has snoring respirations. What is your next action?

Which of the following statements about airway management is TRUE?

In infants, capillary refill is a good incicatior of adequate circulation and can be checked in the:

What does the "U" in A-V-P-U stand for?

After determining that a patient does not respond to verbal stimuli, your next action would be to:

Which of the following statements regarding stridor is TRUE?

Which of the following problems is it NOT critical to find during the primary assessment?

Scene Size-Up

Therapeutic Communications

History Taking

Secondary Assessment

Patient Monitoring Technology

Patient Assessment in the Field

Filters