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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 performing the secondary assessment, the EMT would likely find which of these injuries first?
2. A 5-year-old boy has been vomiting profusely for two days. Your assessment indicates that his airway is open, respirations adequate, and radial pulse fast and weak. His skin is cool and moist, and the capillary refill time is 5 seconds. This patient is most likely:
3. 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?
4. A 44-year-old male patient was cutting limbs from high in a tree when he fell. He is found to be unresponsive with snoring respirations. His breathing is inadequate at a rate of 8 breaths/min and his carotid pulse is weak and difficult to locate. Following the primary assessment and initial management of life threats, which of these actions will the EMT complete while performing the secondary assessment?
5. Which of these physical findings is least consistent with an injured extremity?
6. When assessing the chest of a patient who was shot multiple times, you find a gunshot wound to the third intercostal space on the left lateral chest. What should you do immediately?
7. En route to the hospital, you start the reassessment of a 22-year-old trauma patient. You should begin this assessment by:
8. A 36-year-old patient who has overdosed on an unknown drug presents in a seemingly unresponsive state as you walk into the room. Given this, what should you do first?
9. You have been called to the side of a 37-year-old female patient whose chief complaint is confusion, anxiety, and chest tightness. Assessment shows her airway to be patent, respirations are 46 breaths/min, heart rate is 134 beat/min, blood pressure is 128/54 mmHg, and SpO2 is 93%. In regard to the respiratory rate, you would recognize:
10. As you arrive by the side of a 64-year-old unresponsive female patient, you hear snoring respirations. Your immediate action would be to:
11. Which characteristic regarding breathing rates must the EMT remember when assessing the respirations of a pediatric patient?
12. 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?
13. Which capillary refill time is considered the upper limit of normal for an adult female?
14. Which finding individually would most likely indicate that a patient is breathing inadequately?
15. The EMT shows she understands the importance and reason for forming a general impression when she states:
16. During the primary assessment, how should you best determine the adequacy of a patient's breathing?
17. When assessing breath sounds during the secondary assessment, the EMT shows he is employing a correct technique when he listens:
18. After manual spine motion restriction is established, it should never be released until:
19. When assessing the breath sounds (during a rapid secondary exam) of a critical trauma patient, it is best to auscultate each lung in at least how many places?
20. While completing the secondary assessment of an unresponsive patient with a history of diabetes and hypotension, how often should you repeat the patient's vital signs?
21. Which of these patients would be classified as unresponsive?
22. For which of these patients should the EMT perform a rapid head-to-toe secondary assessment, as opposed to a focused secondary assessment?
23. You are assessing a medical patient whom you suspect has experienced a stroke. Currently he can open his eyes to verbal commands, his verbal responses are incomprehensible sounds, and he is able to localize painful stimuli when applied. What is this patient's Glasgow Coma Scale score?
24. A 66-year-old female patient was involved in a vehicle rollover. While evaluating her abdomen, which of these abdominal assessment parameters should you be least concerned about?
25. When assessing a critically injured patient, the EMT should detect which of these injuries or conditions when performing the secondary assessment?

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