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22) Which of the following is NOT assessed during the "Breathing" phase of the primary
assessment?
A) Determining the depth of respiration
B) Counting the respiratory rate
C) Determining the presence of respirations
D) Obtaining a pulse oximetry reading
Objective: 12.4
23) You enter a room to find a 16-year-old female sitting upright in a chair with her back straight,
leaning forward, and her arms supporting her. She is having a hard time talking to you. You
should suspect:
A) abdominal pain.
B) chest discomfort.
C) allergic reaction.
D) respiratory distress.
Objective: 12.4
11
24) Which of the following presentations would be considered normal during the "Breathing"
phase of the primary assessment?
A) Respiratory rate of 6 with shallow depth
B) Respiratory rate of 28 with adequate depth
C) Respiratory rate of 12 with adequate depth
D) Respiratory rate of 16 with altered mental status
Objective: 12.4
25) In the primary assessment, which of the following is NOT an acceptable method of assessing
the patient's circulatory status?
A) Assessing the patient's skin color
B) Taking a blood pressure reading
C) Checking a radial pulse
D) Looking for serious bleeding
Objective: 12.4
12
26) For which of the following patients would capillary refill be a reliable sign of circulatory
status?
A) 24-year-old homeless man who has spent the night outside in the rain
B) 92-year-old man complaining of weakness on his right side
C) 50-year-old woman complaining of chest pain
D) 3-year-old child with a fever and cough
Objective: 12.4
27) During the primary assessment of a responsive adult patient, where should the pulse be
checked?
A) At the radial artery
B) At the femoral artery
C) At the brachial artery
D) At the carotid artery
Objective: 12.4
13
28) Your patient is a 42-year-old woman who fell two feet from a ladder and is complaining of
pain in her ankle. Which of the following are you unable to determine from the information
given?
A) Chief complaint
B) Airway status
C) General impression
D) Transport priority
Objective: 12.4
29) Which of the following patients is a high priority for transport?
A) Adult male with dull abdominal pain
B) Adult male with sharp lower back pain
C) Adult male with a headache
D) Adult male with difficulty breathing
Objective: 12.4
14
30) You are approaching a 16-year-old male with bright red spurting blood coming from his leg.
He is screaming, and he begs you to help him. You should:
A) control the bleeding.
B) ask him to calm down.
C) assess his airway.
D) apply oxygen.
Objective: 12.5
31) You find a teenage male lying supine in his bedroom. You hear gurgling sounds from the
patient's mouth and see vomit with pill fragments on the floor. You should:
A) ventilate with oxygen.
B) suction the airway.
C) identify the pills.
D) perform chest thrusts.
Objective: 12.5
32) Which of the following is the most reliable means of determining whether a patient has any
immediately life-threatening conditions?
A) Systematic approach to assessment
B) Obtaining a detailed medical history
C) Thorough scene size-up
D) Use of intuition
Objective: 12.5
15
33) Which of the following is a good indication of an occluded airway?
A) The patient is crying loudly.
B) The patient is speaking clearly.
C) The patient is alert.
D) The patient has snoring respirations.
Objective: 12.5
34) You have arrived on the scene at a high school football field where a 17-year-old male is
lying on the ground. He is unresponsive and cyanotic, and he is making obvious respiratory
effort without moving adequate amounts of air. Which of the following should be done first?
A) Assist ventilations with a bag-valve-mask device and supplemental oxygen.
B) Open the patient's airway using a manual maneuver.
C) Apply high-concentration oxygen by nonrebreather mask.
D) Insert a nasopharyngeal or oropharyngeal airway.
Objective: 12.5
16
