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Prehospital Emergency Care Practice Test: Basics of Patient Assessment
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Emergency Medical Technicians (EMTs) assess patients to determine if they are sick and if there are any life threats. The assessment is broken down into five blocks: Scene safety: This block includes: BSI, Standard precautions, Environment, No hazards noted - Primary survey: This is the first part of the assessment and should be completed in 10–15 minutes. It includes: Scene size up, Personal protective equipment (PPE) for body substance isolation (BSI), General impression of the patient, Determine level of consciousness (LOC), Determine chief complaint (CC) and any life threats - History... Show more
Prehospital Emergency Care Practice Test: Basics of Patient Assessment
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25 Questions

1. When assessing breath sounds during the secondary assessment, the EMT shows he is employing a correct technique when he listens:
2. You are assessing a trauma patient who was ejected from a car when it overturned. Currently he opens his eyes to painful stimuli, demonstrates no verbal response to questioning, and exhibits decerebrate rigidity in response to pain. What is this patient's Glasgow Coma Scale score?
3. You have been called for a 6-month-old male patient with a high fever who has seized. Currently, the patient is not seizing and appears to be sleeping. When performing the primary assessment on this patient, which of these actions would be most appropriate?
4. You are by the side of a patient who complains of shortness of breath and has a history of heart problems, including congestive heart failure (CHF). When assessing the airway, which of these observations best indicates that it is still patent?
5. Which finding individually would most likely indicate that a patient is breathing inadequately?
6. You have been called for an 83-year-old female patient who is having difficulty breathing. She informs you that she has congestive heart failure and feels as though she is filling up with fluid. The primary assessment shows her to be alert and oriented with inadequate breathing. Her pulse is rapid and weak, and her skin is cool and dry. When performing a secondary assessment, which sign related to heart failure would you specifically look for when examining this patient's neck?
7. Which capillary refill time is considered the upper limit of normal for an adult female?
8. Which of these patients would the EMT identify as having the most adequate breathing, free from any respiratory distress?
9. A 43-year-old male patient has called 911 with the complaint of difficulty breathing. Once on scene, you note he is breathing at a rate of 18 breaths/min. He also exhibits intercostal retractions and nasal flaring. The pulse oximeter reads 93% on room air. The EMT should document this patient's breathing as:
10. A 41-year-old male patient has fallen from a second-story roof. He complains of right leg pain and pain to his pelvic region. When performing the secondary assessment on this patient, which of these should the EMT intentionally not perform?
11. A 62-year-old female patient who has been working in her garden has hot, dry skin. You should recognize this finding as a possible sign of:
12. During assessment of a responsive medical patient, you gather a medical history using the memory aid SAMPLE. To obtain information related to the 'M' component, which question should you ask?
13. Near the end of a workday, a construction worker fell 10 feet from scaffolding, landing on his head and left shoulder. He is found to be spontaneously alert, but confused. His airway is open and his breathing is adequate. Coworkers state that he was unresponsive for a period of 2 minutes following the fall and is on medications for depression and heart problems. Based on this information, the EMT should initially classify him as which kind of patient?
14. To best evaluate the adequacy of breathing in an unresponsive adult, the EMT should:
15. An Emergency Medical Responder informs you that a 59-year-old female patient is responsive to verbal stimuli. What would be the most accurate representation of this status?
16. An alert and oriented 69-year-old female patient complains of low, right-sided abdominal pain. She describes the pain as 'knife-like' and states that it started suddenly 1 hour ago. Her only medical history is hypertension, for which she takes the medication Lisinopril. Which of these assessment findings shows that the EMT is appropriately assessing this patient given the chief complaint?
17. You have been dispatched to an apartment for an elderly male complaining of shortness of breath. When do you start the process of forming a general impression about this patient?
18. During the primary assessment, how should you best determine the adequacy of a patient's breathing?
19. When performing the secondary assessment, the EMT would likely find which of these injuries first?
20. You have been summoned to a retail store, where you are directed to a middle-aged woman who was found in the bathroom on the toilet. Your assessment shows her to be responsive to painful stimuli with an open airway and labored breathing. Her pulse is fast and regular, and her skin is warm to the touch. The primary assessment has been completed and the appropriate care given. As the stretcher is prepared, you perform the secondary assessment. When assessing her chest, you note the presence of crackles to both lungs. What should you do next?
21. Information concerning the extent of injury can be related to findings of the complete head- to-toe exam by:
22. When performing the primary assessment of a conscious adult, you typically palpate which pulse first?
23. You are transporting an 18-year-old male patient who was injured in a motor vehicle collision. He has a decreased level of consciousness and has injuries to his head, chest, and lower right leg. While you are conducting the reassessment of the patient's head and neck, which of these actions is most appropriate?
24. When you are caring for a patient with either a medical complaint or a traumatic injury, you should typically perform the reassessment:
25. A 31-year-old male is complaining of left-side flank pain that radiates into his groin. He is alert and oriented, and the primary assessment reveals no life-threatening conditions. Given the patient's status, your next step should be to:

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