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Prehospital Emergency Care Practice Test: Vital Signs, Monitoring Devices, and History Taking
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EMTs use a variety of devices to monitor vital signs, including: stethoscope, thermometer, sphygmomanometer, pulse oximeter, external defibrillator, chest compressor, blood pressure cuff, cardiac monitoring device, tweezers, forceps, magnifiers, and penlights.  The five vital signs that EMTs obtain are: respiration, pulse, skin, blood pressure, and pupils.  Some literature suggests considering pulse oximetry as the sixth vital sign.  Vital signs are a crucial aspect of physiotherapy assessment, screening for potential red flags, and to guide treatment.  Here are some of the seven vital... Show more
Prehospital Emergency Care Practice Test: Vital Signs, Monitoring Devices, and History Taking
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25 Questions

1. The EMT is appropriately using the SAMPLE mnemonic when he asks which question?
2. A 69-year-old man complains of weakness to the left arm and leg. He also states that he is nauseated and has a headache. The patient's past medical history includes stroke and diabetes. In relation to this information, which of these statements is true?
3. Where would the EMT palpate for a popliteal pulse?
4. Which of these characteristics would be considered a pulse 'quality' factor?
5. An alert and oriented 87-year-old female patient has fallen and suffered a 3-cm laceration to the back of her head. According to the patient, her walker became caught in the carpet, causing her to trip. When obtaining a medical history, who should the EMT address first?
6. You have arrived by the side of a cyanotic patient who is responsive only to painful stimuli and exhibiting stridorous respirations. What is the most appropriate action by the EMT?
7. You have been dispatched to a residence for a 14-year-old female patient complaining of abdominal pain. As you enter the living room, you see the conscious patient lying on a couch with her father and an Emergency Medical Responder at her side. Which action should the EMT perform first?
8. Assessment of a patient's skin color reveals a bluish discoloration. As a knowledgeable EMT, you should identify:
9. 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:
10. A pulse oximetry reading obtained on room air is considered normal when it is:
11. When assessing a patient's pupils, the EMT should:
12. While reviewing a patient care report for a quality assurance process, the EMT should recognize that a blood pressure has been palpated when she sees:
13. A blood pressure is reported as 116/68 mmHg. Given this finding, which of these statements is true?
14. You are caring for a 5-year-old male patient with a complaint of difficulty breathing. Your assessment indicates that the patient is tachypneic with labored breathing. While gaining more information about the patient's respiratory function, which finding would you recognize as most important?
15. You cannot obtain a reading on the pulse oximeter after applying the sensor to the patient's finger. What would be the most common reason for this difficulty?
16. An 86-year-old female patient has called 911 for rectal bleeding. There is a large amount of dark red blood and clots in the toilet and on the patient's clothing. The Emergency Medical Responder reports a blood pressure of 84/68 mmHg with a heart rate of 124 beats/min. Given this information, the EMT should expect findings of:
17. Which of these blood pressures represents diastolic hypertension in an adult patient?
18. How should the EMT document a pulse oximetry reading on the prehospital care report?
19. Which of these statements is true regarding vital signs obtained from a patient with nausea and vomiting?
20. 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?
21. To test a pediatric patient's capillary refill, the EMT will:
22. Which of these findings related to breathing would be most concerning to the EMT in an adult patient?
23. When evaluating a patient's skin color, the EMT should:
24. After you apply the pulse oximeter to a patient who complains of chest discomfort, she asks you what you are assessing. You would respond by telling her that the pulse oximeter:
25. You are attempting to get a history from a 56-year-old female patient who is short of breath. When you ask questions, the daughter continually answers for the patient. To best handle this situation, you should:

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