Chapter 11

59問 • 11ヶ月前

問題一覧

Which of these patient descriptions contains only vital signs?

Skin, warm and dry; heart rate, 74 beats/min; pupils equal and reactive

You are transporting a depressed female patient who states that she is thinking of killing herself by taking a "whole bunch of pills." After providing this information, the patient has refused to speak and has remained silent. Your physical assessment of the patient reveals she is stable. How often should vital signs be reassessed?

Every 15 minutes

The Emergency Medical Technician is correctly calculating a patient's respiratory rate when they:

Count the number of breaths for 30 seconds and multiply by 2.

Emergency Medical Responders inform you that a 27-year-old male patient with altered mental status has an open airway and is breathing 9 times every 30 seconds. His pulse rate is 40 beats/min, and he has bruises to his chest. Based on this vital sign and presentation information, the Emergency Medical Technician should recognize the:

Respiratory rate as normal.

Which of these findings related to breathing would be most concerning to the Emergency Medical Technician in an adult patient?

Respiratory rate of 20, use of accessory muscles

Which of these statements made by your Emergency Medical Technician (EMT) partner indicates that they understand how to assess the patient's breathing?

A rate less than 8 times per minute may allow adequate breathing but requires further evaluation and assessment."

A family has called 911 for a 41-year-old male family member whom they cannot wake up. They state he has been threatening to kill himself and believe that he may have intentionally overdosed on his pain medications. As you enter the patient's bedroom, you observe him supine on the floor with his eyes closed. As he breathes, you hear snoring respirations. As a knowledgeable Emergency Medical Technician, you recognize that this condition is likely caused by:

The tongue partially blocking the airway.

A young female patient has been stung by a bee and complains that her "throat is closing up." She states that she is allergic to bee stings; the last time this happened, she had to have a "tube" put into her windpipe. She is struggling to breathe and can speak only a few words at a time. Knowing that allergic reactions can cause swelling in the pharynx and the larynx, what airway sound would indicate that the patient indeed has swelling in this area?

Stridor

An Emergency Medical Technician is correctly assessing a patient's radial pulse when he:

Uses his fingertips to feel for a pulse on the anterior and lateral aspects of the patient's wrist.

When assessing a patient's pulse, you note that it is irregular. To get an accurate heart rate, you would:

Count the number of beats that occur in 1 minute.

What is the name of the pulse that is palpated in the groin area?

Femoral

You have been called to assess a conscious and alert 5-year-old child whose chief complaint is nausea and vomiting over the last 2 hours. When assessing his pulse, you should first check which pulse?

Radial

You are assessing a 61-year-old male patient who is confused. During the primary assessment, you cannot locate a radial pulse. Your immediate action should be to:

Check for a carotid pulse.

During the primary assessment of a geriatric patient complaining of shortness of breath and fever, you quickly locate the radial pulse. What should you do next?

Determine the rate and quality of the pulse

Which of these statements concerning assessment of the pulse is correct?

The heart rate can be determined by doubling the number of beats counted in 30 seconds."

You determine an adult patient's heart rate to be 48 beats/min. That heart rate would be categorized as:

Bradycardic

The Emergency Medical Technician recognizes which heart rate would most likely be considered normal for a 24-year-old male patient who is resting comfortably?

62 beats/min

When assessing a patient's pulse, you can locate the right radial pulse, but not the left. What is the most likely explanation for this finding?

The left radial artery may be occluded.

Which of these characteristics would be considered a pulse "quality" factor?

Strength

You determine a patient's radial pulse is readily palpable, but has uneven intervals between beats. This finding would best be documented on the prehospital care report as:

Strong and irregular.

When evaluating a patient's skin color, the Emergency Medical Technician should:

Observe the nail beds and/or mucous membranes inside the eyelids.

You are assessing a confused dark-skinned patient who complains of a headache. When checking his skin color, you should:

Evaluate the oral mucosa or conjunctiva.

An Emergency Medical Technician has accurately checked the skin color of a dark-skinned patient who is in shock. How would this finding be best documented on a patient care report?

Pale color noted to the conjunctiva."

Which of these methods most accurately assesses a patient's skin temperature?

Placing the back of the hand on the patient's abdomen

Which of these statements made by an Emergency Medical Technician (EMT) indicates an accurate understanding of checking a patient's skin temperature?

Checking the skin temperature is not precise, but provides a good estimate of abnormally high or low body temperatures."

To test a pediatric patient's capillary refill, the Emergency Medical Technician will:

Firmly compress and then release pressure on the nail bed.

The Emergency Medical Technician should recognize normal skin color in a healthy patient as:

Pink

The assessment of a patient's skin color reveals a bluish discoloration. As a knowledgeable Emergency Medical Technician, you should identify:

Cyanosis caused by inadequate oxygenation of the tissues.

A patient presents with extremely pale skin. His family states that this is not his normal skin color. His vital signs are pulse, 118; respirations, 18 breaths/min; blood pressure, 102/86 mmHg; and SpO2, 96%. Which complaint would make the most sense given this clinical presentation?

Rectal bleeding

A patient has advanced liver disease from years of exposure to toxic chemicals in his place of employment. Which skin color would the Emergency Medical Technician expect given this status?

Yellowish

A patient with liver cancer exhibits a yellow discoloration to his entire body. The Emergency Medical Technician would correctly document this condition as:

Jaundice

Which of these patients should the Emergency Medical Technician recognize as having a normal skin temperature?

A 36-year-old male complaining of nausea with warm skin

You are called to a long-term care facility to assess and transport a patient with a high fever. You do not have a thermometer on your unit. Which alternative sign should you use to confirm the patient's increased body temperature?

Skin on the abdomen that is hot and flushed

A patient presents with skin that is cool to the touch. The Emergency Medical Technician shows he understands this condition when he states:

This may indicate a problem with the patient's blood circulation."

You are assessing a female patient with a complaint of shortness of breath. When assessing her skin, which finding should be recognized as abnormal?

Moist

For which of these patients would a capillary refill time of 3 seconds be most indicative of poor perfusion?

A 4-year-old male

You are called for a 2-year-old female child who is sick. When testing her capillary refill, what would be the greatest cause for concern?

3-second capillary refill time

patient who was shoveling snow developed chest pain, immediately sat down in a nearby bus shelter, and called 911. Prior to moving him into the ambulance, your partner performs a primary assessment and reports that the patient's capillary refill is 5 seconds. Which of these would be an appropriate statement for you to make?

The cold temperature may cause the capillary refill to be 5 seconds; we should assess further."

Which of these statements made by an Emergency Medical Technician student indicates that he correctly understands the use of capillary refill when assessing a patient?

Capillary refill is a more reliable sign of perfusion quality in children younger than 6 years than in adolescents or adults."

When assessing a patient's pupils, the Emergency Medical Technician should:

Determine the size of the pupil and then look for a change in pupillary size while shining a light in the eye.

You are assessing a patient who is in bright sunlight after collapsing in the hot sun at a picnic.If you cannot immediately move the patient out of the sun, assessment of the pupils will be made more accurate by:

Shading the patient's eyes.

Friends called 911 for a 22-year-old female who intentionally overdosed on a narcotic drug at a college party. Which eye-related findings would reinforce that the patient did indeed take a narcotic?

Pupils that are constricted

Assessment of a patient who is unresponsive reveals pupils that are both large at 6 millimeters and do not change size in response to light. The Emergency Medical Technician would best document this finding as:

Bilateral dilation of the pupils, unresponsive to light.

Which of these would indicate a normal pupillary exam has occurred?

Both pupils constrict when light is directed into one eye.

The Emergency Medical Technician is correct when he makes which of these statements about the assessment of the pupils?

Some people naturally have unequal pupils, but both should react to light."

A 41-year-old male patient reacts to painful stimuli by moaning. You shine a light at his right pupil only, while looking at both pupils. What would be a normal finding?

Constriction of both pupils

As you enter the scene of a medical emergency, the Emergency Medical Responder informs you that the patient is not breathing and has pupils that are fixed and dilated. Based on this description, what do you expect to see when you reach the patient's side?

Neither pupil will react when light is directed into the eyes

To assess a patient's blood pressure, the Emergency Medical Technician will need a:

Sphygmomanometer

Your partner is having a difficult time determining normal and abnormal blood pressures for a child. Which of these statements will help him most?

A minimally acceptable systolic pressure can be estimated by doubling the child's age and adding it to 70."

You have placed the blood pressure cuff on the arm of a patient who is short of breath. What is your next step?

Inflate to a reading of 70 mmHg, check for a radial pulse, and continue inflation in 10 mmHg increments until the pulse is no longer felt

You are observing a new Emergency Medical Technician just hired by your Emergency Medical Services agency. You know he has correctly positioned the blood pressure cuff on the patient's arm when:

The cuff is on the same level as the patient's heart.

When obtaining a blood pressure, the Emergency Medical Technician listens for a pulse over which blood vessel?

Brachial artery

An Emergency Medical Technician student asks you if it matters whether the blood pressure cuff seems too small for a patient, if a reading can still be obtained. You should respond:

Cuffs that are too small provide inaccurately high readings."

You observe your partner correctly obtaining a patient's blood pressure when he:

Deflates the cuff 2 mmHg per second while listening with a stethoscope.

A blood pressure is reported as 116/68 mmHg. Given this finding, which of these statements is true?

The systolic blood pressure is 116 mmHg.

An Emergency Medical Technician has an accurate understanding of systolic blood pressure when he tells you that systolic blood pressure is:

Produced when the heart contracts.

When obtaining a blood pressure for a patient, the radial pulse disappears when the gauge reads 130 mmHg. When deflating the cuff, the Emergency Medical Technician hears a pulse at 118 mmHg. The pulse disappears at 76 mmHg. Given this, which of these statements is true?

The systolic blood pressure is 118 mmHg.

Your partner reports that a patient's blood pressure is 156/78 mmHg. From this reading, you realize:

The diastolic blood pressure is 78 mmHg.

An Emergency Medical Technician has an accurate understanding of diastolic blood pressure when they tell you that diastolic pressure:

Is the pressure in the arteries when the heart is not contracting.

Chapter 1

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Chapter 1

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Chapter 2

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Chapter 2

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Chapter 4

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Chapter 4

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Chapter 5

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Chapter 5

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Chapter 6

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Chapter 6

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Chapter 8

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Chapter 8

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Chapter 9

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Chapter 9

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Chapter 10

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Chapter 10

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Chapter 10 Part 2

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Chapter 10 Part 2

30問 • 11ヶ月前

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問題一覧

Which of these patient descriptions contains only vital signs?

Skin, warm and dry; heart rate, 74 beats/min; pupils equal and reactive

Every 15 minutes

The Emergency Medical Technician is correctly calculating a patient's respiratory rate when they:

Count the number of breaths for 30 seconds and multiply by 2.

Respiratory rate as normal.

Which of these findings related to breathing would be most concerning to the Emergency Medical Technician in an adult patient?

Respiratory rate of 20, use of accessory muscles

Which of these statements made by your Emergency Medical Technician (EMT) partner indicates that they understand how to assess the patient's breathing?

A rate less than 8 times per minute may allow adequate breathing but requires further evaluation and assessment."

The tongue partially blocking the airway.

Stridor

An Emergency Medical Technician is correctly assessing a patient's radial pulse when he:

Uses his fingertips to feel for a pulse on the anterior and lateral aspects of the patient's wrist.

When assessing a patient's pulse, you note that it is irregular. To get an accurate heart rate, you would:

Count the number of beats that occur in 1 minute.

What is the name of the pulse that is palpated in the groin area?

Femoral

You have been called to assess a conscious and alert 5-year-old child whose chief complaint is nausea and vomiting over the last 2 hours. When assessing his pulse, you should first check which pulse?

Radial

You are assessing a 61-year-old male patient who is confused. During the primary assessment, you cannot locate a radial pulse. Your immediate action should be to:

Check for a carotid pulse.

During the primary assessment of a geriatric patient complaining of shortness of breath and fever, you quickly locate the radial pulse. What should you do next?

Determine the rate and quality of the pulse

Which of these statements concerning assessment of the pulse is correct?

The heart rate can be determined by doubling the number of beats counted in 30 seconds."

You determine an adult patient's heart rate to be 48 beats/min. That heart rate would be categorized as:

Bradycardic

The Emergency Medical Technician recognizes which heart rate would most likely be considered normal for a 24-year-old male patient who is resting comfortably?

62 beats/min

When assessing a patient's pulse, you can locate the right radial pulse, but not the left. What is the most likely explanation for this finding?

The left radial artery may be occluded.

Which of these characteristics would be considered a pulse "quality" factor?

Strength

You determine a patient's radial pulse is readily palpable, but has uneven intervals between beats. This finding would best be documented on the prehospital care report as:

Strong and irregular.

When evaluating a patient's skin color, the Emergency Medical Technician should:

Observe the nail beds and/or mucous membranes inside the eyelids.

You are assessing a confused dark-skinned patient who complains of a headache. When checking his skin color, you should:

Evaluate the oral mucosa or conjunctiva.

An Emergency Medical Technician has accurately checked the skin color of a dark-skinned patient who is in shock. How would this finding be best documented on a patient care report?

Pale color noted to the conjunctiva."

Which of these methods most accurately assesses a patient's skin temperature?

Placing the back of the hand on the patient's abdomen

Which of these statements made by an Emergency Medical Technician (EMT) indicates an accurate understanding of checking a patient's skin temperature?

Checking the skin temperature is not precise, but provides a good estimate of abnormally high or low body temperatures."

To test a pediatric patient's capillary refill, the Emergency Medical Technician will:

Firmly compress and then release pressure on the nail bed.

The Emergency Medical Technician should recognize normal skin color in a healthy patient as:

Pink

The assessment of a patient's skin color reveals a bluish discoloration. As a knowledgeable Emergency Medical Technician, you should identify:

Cyanosis caused by inadequate oxygenation of the tissues.

Rectal bleeding

A patient has advanced liver disease from years of exposure to toxic chemicals in his place of employment. Which skin color would the Emergency Medical Technician expect given this status?

Yellowish

A patient with liver cancer exhibits a yellow discoloration to his entire body. The Emergency Medical Technician would correctly document this condition as:

Jaundice

Which of these patients should the Emergency Medical Technician recognize as having a normal skin temperature?

A 36-year-old male complaining of nausea with warm skin

Skin on the abdomen that is hot and flushed

A patient presents with skin that is cool to the touch. The Emergency Medical Technician shows he understands this condition when he states:

This may indicate a problem with the patient's blood circulation."

You are assessing a female patient with a complaint of shortness of breath. When assessing her skin, which finding should be recognized as abnormal?

Moist

For which of these patients would a capillary refill time of 3 seconds be most indicative of poor perfusion?

A 4-year-old male

You are called for a 2-year-old female child who is sick. When testing her capillary refill, what would be the greatest cause for concern?

3-second capillary refill time

The cold temperature may cause the capillary refill to be 5 seconds; we should assess further."

Which of these statements made by an Emergency Medical Technician student indicates that he correctly understands the use of capillary refill when assessing a patient?

Capillary refill is a more reliable sign of perfusion quality in children younger than 6 years than in adolescents or adults."

When assessing a patient's pupils, the Emergency Medical Technician should:

Determine the size of the pupil and then look for a change in pupillary size while shining a light in the eye.

Shading the patient's eyes.

Friends called 911 for a 22-year-old female who intentionally overdosed on a narcotic drug at a college party. Which eye-related findings would reinforce that the patient did indeed take a narcotic?

Pupils that are constricted

Bilateral dilation of the pupils, unresponsive to light.

Which of these would indicate a normal pupillary exam has occurred?

Both pupils constrict when light is directed into one eye.

The Emergency Medical Technician is correct when he makes which of these statements about the assessment of the pupils?

Some people naturally have unequal pupils, but both should react to light."

A 41-year-old male patient reacts to painful stimuli by moaning. You shine a light at his right pupil only, while looking at both pupils. What would be a normal finding?

Constriction of both pupils

Neither pupil will react when light is directed into the eyes

To assess a patient's blood pressure, the Emergency Medical Technician will need a:

Sphygmomanometer

Your partner is having a difficult time determining normal and abnormal blood pressures for a child. Which of these statements will help him most?

A minimally acceptable systolic pressure can be estimated by doubling the child's age and adding it to 70."

You have placed the blood pressure cuff on the arm of a patient who is short of breath. What is your next step?

Inflate to a reading of 70 mmHg, check for a radial pulse, and continue inflation in 10 mmHg increments until the pulse is no longer felt

You are observing a new Emergency Medical Technician just hired by your Emergency Medical Services agency. You know he has correctly positioned the blood pressure cuff on the patient's arm when:

The cuff is on the same level as the patient's heart.

When obtaining a blood pressure, the Emergency Medical Technician listens for a pulse over which blood vessel?

Brachial artery

An Emergency Medical Technician student asks you if it matters whether the blood pressure cuff seems too small for a patient, if a reading can still be obtained. You should respond:

Cuffs that are too small provide inaccurately high readings."

You observe your partner correctly obtaining a patient's blood pressure when he:

Deflates the cuff 2 mmHg per second while listening with a stethoscope.

A blood pressure is reported as 116/68 mmHg. Given this finding, which of these statements is true?

The systolic blood pressure is 116 mmHg.

An Emergency Medical Technician has an accurate understanding of systolic blood pressure when he tells you that systolic blood pressure is:

Produced when the heart contracts.

The systolic blood pressure is 118 mmHg.

Your partner reports that a patient's blood pressure is 156/78 mmHg. From this reading, you realize:

The diastolic blood pressure is 78 mmHg.

An Emergency Medical Technician has an accurate understanding of diastolic blood pressure when they tell you that diastolic pressure:

Is the pressure in the arteries when the heart is not contracting.