Question 1

Which of the following differences should be expected when assessing a pediatric patient,as compared to the adult patient?

Accepted Answer

A)  The normal pulse rate is slower. 
B)  Capillary refill is not as reliable an indicator of circulatory status. 
C)  The normal respiratory rate is faster. 
D)  An adult's tongue is proportionally larger than that of a child and should always be considered as a potential airway obstruction. 
A)  The normal pulse rate is slower. 
B)  Capillary refill is not as reliable an indicator of circulatory status. 
C)  The normal respiratory rate is faster. 
D)  An adult's tongue is proportionally larger than that of a child and should always be considered as a potential airway obstruction.

Question 2

During the primary assessment of a responsive adult patient,where should the pulse be checked?

Accepted Answer

A)  At the radial artery 
B)  At the femoral artery 
C)  At the brachial artery 
D)  At the carotid artery 
A)  At the radial artery 
B)  At the femoral artery 
C)  At the brachial artery 
D)  At the carotid artery

Question 3

You are approaching a young adult male lying supine on the ground with his eyes closed.You should:

Accepted Answer

A)  open his airway. 
B)  ask him if he is okay. 
C)  expose his chest. 
D)  feel for a pulse. 
A)  open his airway. 
B)  ask him if he is okay. 
C)  expose his chest. 
D)  feel for a pulse.

Question 4

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?

Accepted Answer

A)  Determine the respiratory rate. 
B)  Check for carotid and radial pulses. 
C)  Assist respirations with a bag-valve-mask device. 
D)  Open the patient's airway using a head-tilt, chin-lift maneuver. 
A)  Determine the respiratory rate. 
B)  Check for carotid and radial pulses. 
C)  Assist respirations with a bag-valve-mask device. 
D)  Open the patient's airway using a head-tilt, chin-lift maneuver.

Question 5

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?

Accepted Answer

A)  Assist ventilations with a bag-valve-mask device and supplemental oxygen. 
B)  Open the patient's airway using a manual maneuver. 
C)  Apply high-concentration oxygen by nonrebreather mask. 
D)  Insert a nasopharyngeal or oropharyngeal airway. 
A)  Assist ventilations with a bag-valve-mask device and supplemental oxygen. 
B)  Open the patient's airway using a manual maneuver. 
C)  Apply high-concentration oxygen by nonrebreather mask. 
D)  Insert a nasopharyngeal or oropharyngeal airway.

Question 6

Which of the following findings is generally NOT used to assess an adult's circulation?

Accepted Answer

A)  Patient's skin color, temperature, and condition 
B)  Patient's distal pulse rate 
C)  Evaluation for bleeding 
D)  Patient's capillary refill time 
A)  Patient's skin color, temperature, and condition 
B)  Patient's distal pulse rate 
C)  Evaluation for bleeding 
D)  Patient's capillary refill time

Question 7

Which of the following is NOT assessed during the "Breathing" phase of the primary assessment?

Accepted Answer

A)  Determining the depth of respiration 
B)  Counting the respiratory rate 
C)  Determining the presence of respirations 
D)  Obtaining a pulse oximetry reading 
A)  Determining the depth of respiration 
B)  Counting the respiratory rate 
C)  Determining the presence of respirations 
D)  Obtaining a pulse oximetry reading

Question 8

Which of the following is a good indication of an occluded airway?

Accepted Answer

A)  The patient is crying loudly. 
B)  The patient is speaking clearly. 
C)  The patient is alert. 
D)  The patient has snoring respirations. 
A)  The patient is crying loudly. 
B)  The patient is speaking clearly. 
C)  The patient is alert. 
D)  The patient has snoring respirations.

Question 9

The mnemonic AVPU is used to evaluate which of the following?

Accepted Answer

A)  Patient's chief complaint 
B)  Patient's level of responsiveness 
C)  Patient's transport priority 
D)  EMT's general impression of the patient's condition 
A)  Patient's chief complaint 
B)  Patient's level of responsiveness 
C)  Patient's transport priority 
D)  EMT's general impression of the patient's condition

Question 10

Which of the following represents the correct order of assessment for the EMT during the primary assessment from start to end?

Accepted Answer

A)  General impression, mental status, airway, breathing, circulation, patient priority 
B)  Mental status, general impression, airway, breathing, circulation, patient priority 
C)  Patient priority, general impression, mental status, airway, breathing, circulation 
D)  None of the above 
A)  General impression, mental status, airway, breathing, circulation, patient priority 
B)  Mental status, general impression, airway, breathing, circulation, patient priority 
C)  Patient priority, general impression, mental status, airway, breathing, circulation 
D)  None of the above

Question 11

What BEST defines the immediate sense of the patient's degree of distress,formulated from the patient's immediate environment,appearance,and chief complaint?

Accepted Answer

A)  General impression 
B)  Primary assessment 
C)  Scene size-up 
D)  Secondary assessment 
A)  General impression 
B)  Primary assessment 
C)  Scene size-up 
D)  Secondary assessment

Question 12

Which of the following is true concerning the primary assessment?

Accepted Answer

A)  Manual airway maneuvers must be performed on all patients. 
B)  The EMT should perform a sternal rub on all patients to test for response to painful stimuli. 
C)  External bleeding will be obvious as you enter the room and initially see the patient. 
D)  The primary assessment begins by just observing the patient as you enter the room. 
A)  Manual airway maneuvers must be performed on all patients. 
B)  The EMT should perform a sternal rub on all patients to test for response to painful stimuli. 
C)  External bleeding will be obvious as you enter the room and initially see the patient. 
D)  The primary assessment begins by just observing the patient as you enter the room.

Question 13

Which of the following is NOT part of the general impression?

Accepted Answer

A)  Patient's facial expression 
B)  Patient's age and race 
C)  Position in which the patient is found 
D)  Patient's past medical history 
A)  Patient's facial expression 
B)  Patient's age and race 
C)  Position in which the patient is found 
D)  Patient's past medical history

Question 14

Which of the following is the most reliable means of determining whether a patient has any immediately life-threatening conditions?

Accepted Answer

A)  Systematic approach to assessment 
B)  Obtaining a detailed medical history 
C)  Thorough scene size-up 
D)  Use of intuition 
A)  Systematic approach to assessment 
B)  Obtaining a detailed medical history 
C)  Thorough scene size-up 
D)  Use of intuition

Question 15

A patient whose mental status can be described as "verbal" is able to:

Accepted Answer

A)  tell you his or her name, his or her location, and what day it is. 
B)  respond only to a stimulus such as the EMT rubbing his sternum with his knuckles. 
C)  talk spontaneously and respond to the EMT's questions. 
D)  respond to speaking or shouting by opening the eyes. 
A)  tell you his or her name, his or her location, and what day it is. 
B)  respond only to a stimulus such as the EMT rubbing his sternum with his knuckles. 
C)  talk spontaneously and respond to the EMT's questions. 
D)  respond to speaking or shouting by opening the eyes.

Question 16

Which of the following is the purpose of the primary assessment?

Accepted Answer

A)  To detect and treat immediately life-threatening problems 
B)  To find all of the patient's signs and symptoms 
C)  To discover trends of improvement or deterioration in the patient's condition 
D)  To detect dangers to the patient and/or EMS crew 
A)  To detect and treat immediately life-threatening problems 
B)  To find all of the patient's signs and symptoms 
C)  To discover trends of improvement or deterioration in the patient's condition 
D)  To detect dangers to the patient and/or EMS crew

Question 17

You are approaching an adult female lying supine on the ground with snoring respirations.You should:

Accepted Answer

A)  open her airway with a jaw-thrust maneuver. 
B)  insert an oropharyngeal airway. 
C)  insert a nasopharyngeal airway. 
D)  ventilate with a bag-valve mask. 
A)  open her airway with a jaw-thrust maneuver. 
B)  insert an oropharyngeal airway. 
C)  insert a nasopharyngeal airway. 
D)  ventilate with a bag-valve mask.

Question 18

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:

Accepted Answer

A)  control the bleeding. 
B)  ask him to calm down. 
C)  assess his airway. 
D)  apply oxygen. 
A)  control the bleeding. 
B)  ask him to calm down. 
C)  assess his airway. 
D)  apply oxygen.

Question 19

Which of the following is the proper position for maintaining the airway in a child with a decreased level of consciousness?

Accepted Answer

A)  Hyperextension of the neck; placing a pillow under the back if necessary 
B)  Placing the head and neck in a neutral position; using a folded towel under the shoulders if necessary 
C)  Flexing the neck to place the chin on the chest; placing a folded towel under the back of the head if necessary 
D)  Using a cervical collar to keep the chin elevated 
A)  Hyperextension of the neck; placing a pillow under the back if necessary 
B)  Placing the head and neck in a neutral position; using a folded towel under the shoulders if necessary 
C)  Flexing the neck to place the chin on the chest; placing a folded towel under the back of the head if necessary 
D)  Using a cervical collar to keep the chin elevated

Question 20

What is a normal capillary refill time in a pediatric patient?

Accepted Answer

A)  3 seconds 
B)  1 minute 
C)  5 seconds 
D)  less than 2 seconds 
A)  3 seconds 
B)  1 minute 
C)  5 seconds 
D)  less than 2 seconds

Exam 12: The Primary Assessment

Which of the following differences should be expected when assessing a pediatric patient,as compared to the adult patient?

During the primary assessment of a responsive adult patient,where should the pulse be checked?

You are approaching a young adult male lying supine on the ground with his eyes closed.You should:

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?

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?

Which of the following findings is generally NOT used to assess an adult's circulation?

Which of the following is NOT assessed during the "Breathing" phase of the primary assessment?

Which of the following is a good indication of an occluded airway?

The mnemonic AVPU is used to evaluate which of the following?

Which of the following represents the correct order of assessment for the EMT during the primary assessment from start to end?

What BEST defines the immediate sense of the patient's degree of distress,formulated from the patient's immediate environment,appearance,and chief complaint?

Which of the following is true concerning the primary assessment?

Which of the following is NOT part of the general impression?

Which of the following is the most reliable means of determining whether a patient has any immediately life-threatening conditions?

A patient whose mental status can be described as "verbal" is able to:

Which of the following is the purpose of the primary assessment?

You are approaching an adult female lying supine on the ground with snoring respirations.You should:

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:

Which of the following is the proper position for maintaining the airway in a child with a decreased level of consciousness?

What is a normal capillary refill time in a pediatric patient?

Introduction to Emergency Medical Care

The Well-Being of the Emt

Lifting and Moving Patients

Medicallegal and Ethical Issues

Medical Terminology

Anatomy and Physiology

Ventilation, perfusion, and Shock: Understanding Pathophysiology

Life Span Development

Airway Management

Respiration and Artificial Ventilation

Scene Size-Up

Vital Signs and Monitoring Devices

The Secondary Assessment

Communication and Documentation

General Pharmacology

Respiratory Emergencies

Cardiac Emergencies

Diabetic Emergencies and Altered Mental Status

Allergic Reaction

Poisoning and Overdose Emergencies

Abdominal Emergencies

Behavioral and Psychiatric Emergencies and Suicide

Hematologic and Renal Emergencies

Bleeding and Shock

Soft-Tissue Trauma

Chest and Abdominal Trauma

Musculoskeletal Trauma

Trauma to the Head, neck, and Spine

Multisystem Trauma

Environmental Emergencies

Obstetric and Gynecologic Emergencies

Pediatric Emergencies

Geriatric Emergencies

Emergencies for Patients With Special Challenges

Ems Operations

Hazardous Materials, multiple-Casualty Incidents,

Highway Safety and Vehicle Extrication

Ems Response to Terrorism

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