The Systematic Head To Toe Assessment Should Be Performed On

The goal of the systematic head-to-toe exam that is performed during the secondary assessment is to:
Select one:
A. locate injuries not found in the primary assessment.
B. definitively rule out significant internal injuries.
C. assess only the parts of the body that are injured.
D. detect and treat all non-life-threatening injuries.

A. locate injuries not found in the primary assessment.

The systematic head-to-toe assessment should be performed on:
Select one:
A. patients with a significant MOI and unresponsive medical patients.
B. responsive medical patients and patients without a significant MOI.
C. stable patients who are able to tell you exactly what happened.
D. all patients with traumatic injuries who will require EMS transport.

A. patients with a significant MOI and unresponsive medical patients.

Upon arriving at the scene of a patient with difficulty breathing, you determine that the scene is safe. You enter the residence and find the patient sitting in a chair in respiratory distress. Your first action should be to:
Select one:
A. obtain a set of baseline vital signs.
B. ask the patient what's wrong.
C. assess the patient's airway status.
D. introduce yourself to the patient.

D. introduce yourself to the patient.

When a patient's respirations are shallow:
Select one:
A. chest rise will be easily noticeable.
B. carbon dioxide elimination is increased.
C. tidal volume is markedly reduced.
D. oxygenation occurs more efficiently.

C. tidal volume is markedly reduced.

When assessing a patient's abdomen, you will evaluate for all of the following, EXCEPT:
Select one:
A. open wounds or eviscerations.
B. subcutaneous emphysema.
C. gross bleeding and tenderness.
D. rigidity and obvious bleeding.

B. subcutaneous emphysema.

When assessing the skin of an unresponsive patient, you note that it has a bluish tint to it. This finding is called:
Select one:
A. pallor.
B. cyanosis.
C. flushing.
D. mottling.

B. cyanosis.

When interviewing a patient, you can show him or her that you understand the situation by:
Select one:
A. repeating statements back to him or her.
B. using medical terminology whenever possible.
C. maintaining constant eye contact with him or her.
D. interrupting him or her as needed for clarification.

A. repeating statements back to him or her.

When palpating a patient's pulse, you note that there is a short interval between pulsations. This indicates that the pulse is:
Select one:
A. irregular.
B. rapid.
C. slow.
D. thready.

B. rapid.

When performing a rapid exam on a supine patient, what part of the body is typically assessed last?
Select one:
A. Extremities
B. Posterior
C. Anterior chest
D. Abdomen

B. Posterior

When using the pulse oximeter as part of your assessment of a patient, it is important to remember that:
Select one:
A. pulse oximetry is especially useful in patients who have cold extremities because vasoconstriction forces blood to the capillary beds.
B. as long as the patient's oxygen saturation is greater than 95%, oxygen is usually not necessary, even if the patient is experiencing respiratory distress.
C. carbon monoxide has no effect on pulse oximetry readings because the pulse oximeter presumes that oxygen is saturating the hemoglobin.
D. any situation that causes vasoconstriction or loss of red blood cells, such as anemia or bleeding, may result in an inaccurate or misleading value.

D. any situation that causes vasoconstriction or loss of red blood cells, such as anemia or bleeding, may result in an inaccurate or misleading value.

You are dispatched to the county jail for an inmate who is "sick." When you arrive, you find the patient, a 33-year-old male, unresponsive. His airway is patent and his respirations are rapid and shallow. Your initial action should be to:
Select one:
A. assess his blood pressure.
B. request a paramedic unit.
C. provide assisted ventilation.
D. apply a pulse oximeter.

C. provide assisted ventilation.

You respond to the residence of a 62-year-old male who is unresponsive. Your primary assessment reveals that he is apneic and pulseless. You should:
Select one:
A. start CPR and attach the AED as soon as possible.
B. ask the family if the patient has a terminal disease.
C. perform CPR and transport the patient immediately.
D. notify dispatch and request a paramedic ambulance.

A. start CPR and attach the AED as soon as possible.

When you inspect a patient's pupils with a penlight, the pupils should normally react to the light by:
Select one:
A. fluttering.
B. enlarging.
C. constricting.
D. dilating.

C. constricting.

Which of the following abnormal breath sounds indicates obstruction of the upper airway?
Select one:
A. Crackles
B. Rhonchi
C. Stridor
D. Rales

C. Stridor

Which of the following factors would MOST likely cause a patient's pulse rate to be slower than normal?
Select one:
A. Anxiety or severe stress
B. Beta-blocker medications
C. Internal bleeding from trauma
D. Lack of a regular exercise routine

B. Beta-blocker medications