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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. 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?
2. 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?
3. On scene, you find a 91-year-old female patient who fell down two steps after suddenly complaining of a severe headache. She is unresponsive with gurgling respirations. Which instruction should you immediately give your partner after manual spinal motion restriction is applied?
4. You have just determined that a 92-year-old female patient found in bed is unresponsive, but still has a carotid pulse. Your next action would be to:
5. When assessing an adult trauma patient's circulation status during the primary assessment, the EMT's assessment should include:
6. 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?
7. A patient has a GCS of 14, is oriented, and converses and opens his eyes when asked. When asked, he will squeeze your fingers and wiggle his toes. How would you describe this patient's motor response?
8. 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?
9. 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?
10. Which of these patients would be classified as unresponsive?
11. Forming a general impression is essential in the assessment of any patient because it:
12. What is the purpose of assessing the pulse on an unresponsive patient during the primary assessment?
13. A 28-year-old female patient has fallen 20 feet from the roof a house. She is lying supine and does not appear to be conscious or breathing. On arrival at her side, what should the EMT do first?
14. When performing a secondary assessment on an alert and oriented female patient with a deformed left leg, the EMT should:
15. Your patient is 82 years old and has diabetes. Which assessment parameter is the least reliable sign indicating this patient's peripheral circulatory status?
16. 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:
17. 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?
18. 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?
19. The EMT determines the medications a patient takes during which phase of the patient assessment?
20. For which of these patients should the EMT perform a rapid head-to-toe secondary assessment, as opposed to a focused secondary assessment?
21. You must check the circulation of an 8-year-old child with a high fever who has been vomiting for the past 2 hours. The child is very frightened and crying. Given the situation, you should:
22. While treating a patient who was assaulted by a mob of angry people in a bar, the EMT finds the patient to be confused, tachycardic, with cool skin and a poor capillary refill. Based on this information, how would you categorize this patient?
23. Which numeric evaluation tool is scored and added to the Trauma Scale to determine the Revised Trauma Score?
24. En route to the hospital, you start the reassessment of a 22-year-old trauma patient. You should begin this assessment by:
25. 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?

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