Paramedic Quiz Chapters 12&13
Based off chapters 12 and 13 of Nancy Carolines Emergency Care in the Streets.
- 1.Your entire assessment of a patient should.
- A.
Appear to be a seamless process
- B.
Yield a definitive field diagnosis
- C.
Only focus on his or her complaint
- D.
Not deviate at all from a strict format
- 2.A key part of making your practice of prehospital care successful is for you to
- A.
Let the patient guide the questions that you can ask in order to build a cohesive rapport on which you can build
- B.
Develop and cultivate your own style of assessment and an overall strategy for evaluating an providing care
- C.
Approach every patient care in the same fashion with the realization that patient assessment in the field is a static process
- D.
Strictly adhere to you departments standard operating procedures so that they become a rote series of actions.
- 3.Which of the following is NOT a part of your overall job as a paramedic
- A.
Efficiently executing a patient care plan
- B.
Quickly identifying your patients problem
- C.
Definitely diagnosing the patients problem
- D.
Establishing your priorities of patient care
- 4.You are in the BEST position to decide what, if any, care needs to be provided at the scene versus en route to the hospital once you
- A.
Can qualify that a patient is indeed sick
- B.
Determine how far away the hospital is
- C.
Perform a detailed physical examination
- D.
Are able to qualify how sick a patient is
- 5.The paramedic must make a field diagnosis in order to
- A.
Justify his or her treatment to the patient
- B.
Report his or her findings to the physician
- C.
Determine which treatment protocol to use
- D.
Decide on the appropriate receiving hospital
- 6.On most runs, the two MOST important pieces of patient history information that you need to obtain initially are the
- A.
Patients name and chief complaint
- B.
Chief complaint and patients address
- C.
Patients name and family physician
- D.
Chief complaint and the patients sex
- 7.Asking the patient about the date, time, location, and events surrounding the current situation will enable you to
- A.
Rapidly formulate a working diagnosis and prepare a care plan
- B.
Determine if the patient is alert to person,place,time, and event
- C.
Quickly rule out a life-threatening cause of the patient's problem
- D.
Determine if the patients problem is medical or trauma in nature
- 8.The history of present illness is MOST accurately defined as.
- A.
The reason why the patient called EMS is the first place
- B.
A chronological account of the patients signs and symptoms
- C.
Your perception of the severity of the patients condition
- D.
A past medical problem that is causing the chief complain.
- 9.Which of the following questions will allow you to gain insight quickly when performing a check of a patients body systems.
- A.
Do you ever experience dizziness and chest pain when exerting yourself
- B.
How long has it been since you were thoroughly examined by a physician
- C.
Do you feel any pain or discomfort when touch your abdomen or chest
- D.
Has your doctor ever told you that you have a heart, lung or brain problem
- 10.Working to ensure a patients privacy, confidentiality, and comfort level
- A.
Make the patient feel comfortable in disclosing personal information to you
- B.
Leave no doubt in the patients mind that you are truly a professional caregiver
- C.
Establish positive patient rapport and encourage honest, open communication
- D.
Help you gain the trust of the patients family more than the trust of the patient
- 11.Using casual nicknames can be especially problematic when
- A.
The patient is a male who was involved in an assault
- B.
Assessing geriatric patients who fear losing their independence
- C.
The patient is critically ill or injured and is semiconscious
- D.
Cultural differences exist between the patient and paramedic
- 12.When transferring a deriatric patient from a hospital to an extended care facility, it is MOST important to
- A.
Review the patients transfer paperwork
- B.
Document at least two sets of vital signs
- C.
Call a radio report to the extended care facility
- D.
Presume that the patient will not with to speak
- 13.The MOST appropriate initial question to ask a patient who complains of chest pain is
- A.
Is the pain sharp or dull
- B.
Can you describe the pain
- C.
Do you have a cardiac history
- D.
Does the pain radiate to your arm
- 14.When the patient tells you that he or she takes a water pill, is is most important for you to
- A.
Tell the patient to be more specific
- B.
Document water pill using quotation marks
- C.
Ask the patient the dose of the medication
- D.
Attempt to clarify the name of the medication
- 15.When asking a patient if he or she uses illegal drugs, you will most likely get accurate information if you
- A.
Remain professional and nonjudgmental when asking the patient
- B.
Reassure the patient that you can be trusted and will not tell anyone
- C.
Question the patient in the presence of a trusted family member
- D.
Tell the patient that withholding such information from you is illegal
- 16.Before asking a patient how he or she is feeling you must first
- A.
Determine his or her name
- B.
Properly introduce yourself
- C.
Establish a rapport with him or her
- D.
Perform a physical assessment
- 17.It is appropriate to ask " would you say the pain is similar to or worse than previous episodes?" when determining the ___________ of a patients pain.
- A.
Severity
- B.
Quality
- C.
Region
- D.
Progression
- 18.When documenting the severity of a patients pain, it is also important to
- A.
Tell the patient that the pain will subside in time
- B.
Note how distressed the patient appears to be
- C.
Document your perception of the patients pain
- D.
Ask the patient if he or she would like an analgesic
- 19.When assessing a patient who is under the influence of alcohol, it is most important to remember that
- A.
The amount of alcohol consumed if often overstated
- B.
The patient often gives a reliable and accurate history
- C.
Alcohol can mask any number of signs and symptoms
- D.
Suspicions of alcohol intoxication must be documented
- 20.Which of the following findings would make you the least suspicious for abuse or domestic violence
- A.
Multiple injuries that are various stages of healing
- B.
A patient who refuses to allow a family member to speak for him or herself
- C.
Injuries that are inconsistent with the history that you are given
- D.
A husband who towers over his wife and answers your questions for her
- 21.If a patient does not respond to a question within a couple of seconds, he or she
- A.
Must be assumed to have an altered mental status until proven otherwise
- B.
Should immediately be asked another question to facilitate gathering data
- C.
Should have the question repeated back to him or her using different terms
- D.
May be deciding if he or she can trust you enough to answer the question
- 22.When dealing with a patient who has multiple complaints, the most effective way to develop an appropriate care plan is to
- A.
Prioritize the patients complaints
- B.
Perform a complete head to toe exam
- C.
Address all complaints simultaneously
- D.
Assume that all complaints are linked
- 23.The most negative immediate consequence of providing inappropriate reassurance to your patient in the prehospital setting is
- A.
A lawsuit lodged against you by the patient or his or her family
- B.
The patients choice not to share as much information with you
- C.
Causing the patients family members severe emotional distress
- D.
Emotional distress when the physician tells the patient otherwise
- 24.If a hostile family member suddenly leaves the room, especially in the middle of a conversation with him/her
- A.
Immediately depart the scene and notify law enforcement personnel
- B.
Ignore the family members departure and continue to assess your patient
- C.
Have your partner follow the person, while working to defuse the situation
- D.
Ask the patient to follow the person in an attempt to reason with him or her
- 25.The most effective way to obtain a medical history from a patient who is crying is to
- A.
Place your hand of his or her shoulder ( if appropriate) and reassure him or her that you are in control of the situation
- B.
Tactfully advise the patient that you cannot effectively help him or her if he or she continues to cry
- C.
Have one family member calm the patient as you gather the medical history from another family member
- D.
Administer a sedative medication, which will calm the patient and facilitate your gathering of th medical history
Questions: 26 | Attempts: 12506 | Last updated: Mar 22, 2022
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