24) You are called to care for a child who has fallen out of a third-story window. You arrive to
find the child in his mother’s arms. As you approach, you notice the child’s skin is pale with dark
spots of cyanosis. You would report this uncommon condition of blotchy skin as:
A) mottling.
B) flushed.
C) jaundiced.
D) cyanotic.
Objective: 13.6
25) The term cyanosis is used when the patient’s skin color is noted to be which of the following
characteristics?
A) Yellow
B) Blue-gray
C) Very pale
D) Flushed
Objective: 13.6
11
26) Which of the following is the BEST way to assess a patient‘s skin temperature?
A) Place your cheek against the patient’s forehead.
B) Place the back of your hand against the patient’s forehead.
C) Place your cheek against the patient’s abdomen.
D) Place the back of your hand against the patient’s abdomen.
Objective: 13.6
27) Your patient is in late stages of liver failure and has requested to be transported to the
emergency department. You take your body substance isolation and move him to your cot and
notice his skin is warm and dry with a yellow color. Your radio report to the hospital should state
your patient is:
A) flushed.
B) mottled.
C) jaundiced.
D) cyanotic.
Objective: 13.6
12
28) When the EMT checks the pupils he or she is checking for what three things?
A) Movement, gaze, and equality
B) Color, equality, and reactivity
C) Reactivity, gaze, and equality
D) Size, equality, and reactivity
Objective: 13.6
29) What is the normal response of the pupils when exposed to bright light?
A) Fluttering
B) Dilation
C) Constriction
D) No effect
Objective: 13.6
30) Which of the following is NOT a cause of unequal pupils?
A) Fright
B) Artificial eye
C) Stroke
D) Eye injury
Objective: 13.6
13
31) Which of the following BEST describes the proper placement of the blood pressure cuff?
A) Covering two-thirds of the upper arm
B) Midway between the elbow and shoulder
C) One inch below the armpit
D) Covering the patient’s elbow
Objective: 13.6
32) You are called to a 72-year-old patient with weakness and headache with an initial blood
pressure of 140/92. Her repeat blood pressure at 5 minutes is unchanged. Her condition is called:
A) stroke.
B) prehypertension.
C) hypertension.
D) hypotension.
Objective: 13.6
14
33) What are the three ways to take blood pressure?
A) Sphygmomanometer, blood pressure monitor, and heart monitor
B) Palpation, auscultation, and blood pressure monitor
C) Sphygmomanometer, auscultation, and blood pressure monitor
D) Auscultation, palpation, and osculation
Objective: 13.6
34) All of the following are common techniques for measuring blood pressure, except:
A) Palpation
B) Rhythm method
C) Blood pressure monitor
D) Auscultation
Objective: 13.6
15
35) To determine blood pressure, the EMT should position the cuff over the upper arm and place
the stethoscope over the brachial artery. Next, she should inflate the cuff, then slowly deflate the
cuff, listening for clicks or tapping sounds while remembering the number at the first sound.
What is the next step in taking a blood pressure?
A) Dump all the pressure and record the number as the diastolic pressure.
B) Re-inflate the cuff on the patient’s arm and repeat the process to verify the reading.
C) Continue releasing pressure until the clicks or tapping stop, and record both numbers. These
are the blood pressure.
D) Remove the cuff from the patient’s arm, place it on the opposite arm, and repeat the process to
verify the reading.
Objective: 13.6
36) You are attempting to assess the blood pressure of a 35-year-old male at the scene of a
multiple vehicle collision. The scene is very noisy and you are unable to clearly hear the patient’s
heartbeat. You should:
A) use an automatic blood pressure machine.
B) obtain the blood pressure by palpation.
C) try using the patient’s other arm.
D) have your partner try auscultating the blood pressure.
Objective: 13.6
16
37) You are transporting a patient down a bumpy road. Your patient’s blood pressure has just
been measured by the monitor to be 190/110. The patient’s blood pressure on scene was 130/80.
You should:
A) ignore the blood pressure reading.
B) have the driver increase truck speed.
C) apply the automatic cuff to the other arm.
D) re-measure the blood pressure manually.
Objective: 13.6
38) When taking blood pressure, the cuff should be inflated to what point?
A) 30 mmHg beyond the point where the pulse disappears
B) Until the patient says it hurts
C) Until the Velcro starts to crackle
D) Until the gauge reads 200 mmHg
Objective: 13.6
17
39) You are transporting a patient to the hospital from a motor vehicle crash. Your patient’s initial
blood pressure was 88/52. You should reassess blood pressure:
A) at least every 5 minutes.
B) at least every 15 minutes.
C) only if the pulse rate changes.
D) only if the patient gets worse.
Objective: 13.6
40) The device that some EMS services use as a light wave device to measure oxygen saturation
(SpO2) is called a(n):
A) capnography.
B) sphygmomanometer.
C) end tidal CO2 meter.
D) pulse oximeter.
Objective: 13.6
18