35) Your patient is a 33-year-old man who has been ejected from his vehicle during a high-speed
collision. During your primary assessment it is discovered that he is not moving, does not appear
to have adequate respirations, and has suffered moderate external bleeding. Which of the
following should be done first?
A) Control the bleeding with direct pressure.
B) Open the airway.
C) Begin bag-valve-mask ventilations.
D) Check the patient’s carotid pulse.
Objective: 12.5
36) Which of the following indicates a possible circulatory problem?
A) Weak, thready pulse that is normal in rate
B) Slow pulse
C) Rapid pulse
D) All of the above
Objective: 12.5
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37) Which of the following is the correct manner for checking for responsiveness in an
apparently unresponsive infant?
A) Pinching the earlobe
B) Rubbing the sternum with your knuckles
C) Flicking the soles of the feet
D) Shaking the child
Objective: 12.6
38) What is a normal capillary refill time in a pediatric patient?
A) 3 seconds
B) 1 minute
C) 5 seconds
D) less than 2 seconds
Objective: 12.6
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39) Which of the following is the proper position for maintaining the airway in a child with a
decreased level of consciousness?
A) Hyperextension of the neck; placing a pillow under the back if necessary
B) Placing the head and neck in a neutral position; using a folded towel under the shoulders if
necessary
C) Flexing the neck to place the chin on the chest; placing a folded towel under the back of the
head if necessary
D) Using a cervical collar to keep the chin elevated
Objective: 12.6
40) Which of the following differences should be expected when assessing a pediatric patient, as
compared to the adult patient?
A) The normal pulse rate is slower.
B) Capillary refill is not as reliable an indicator of circulatory status.
C) The normal respiratory rate is faster.
D) An adult’s tongue is proportionally larger than that of a child and should always be considered
as a potential airway obstruction.
Objective: 12.6
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41) During the primary assessment of an unresponsive two-month old infant, which pulse should
be palpated?
A) Brachial
B) Carotid
C) Umbilical
D) Radial
Objective: 12.6
42) Which of the following findings is generally NOT used to assess an adult’s circulation?
A) Patient’s skin color, temperature, and condition
B) Patient’s distal pulse rate
C) Evaluation for bleeding
D) Patient’s capillary refill time
Objective: 12.6
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43) Your partner is assessing a 55-year-old man who was found sitting on the tailgate of his truck
after being involved in a motor vehicle collision. In order to provide for stabilization of the
patient’s cervical spine, you should:
A) lay the patient down in the truck bed.
B) instruct the patient to stand up.
C) stand behind the patient in the truck bed.
D) assist the patient to the stretcher.
Objective: 12.6
44) You are approaching an adult female lying supine on the ground with snoring respirations.
You should:
A) open her airway with a jaw-thrust maneuver.
B) insert an oropharyngeal airway.
C) insert a nasopharyngeal airway.
D) ventilate with a bag-valve mask.
Objective: 12.6
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