Paramedic Quiz Chapters 12&13

50 Questions | Total Attempts: 300

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Paramedic Quizzes & Trivia

Based off chapters 12 and 13 of Nancy Carolines Emergency Care in the Streets.


Questions and Answers
  • 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

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