65) You are called for a 58-year-old male who is concerned that his blood pressure is too high.
He tells you that he has had a headache and is feeling a little dizzy. You notice that his skin is
flushed and feels warm to the touch. As you finish taking his vital signs, you should:
A) begin your reassessment.
B) write down the patient’s vital signs.
C) move the patient to the ambulance for transport.
D) assist the patient to take his blood pressure medication.
Objective: 14.12
66) Your patient called 911 because he was having chest pain. He states that his pain is a 7 on a
10-point scale. As part of your care, you assist him with taking his nitroglycerin per medical
direction. After waiting a few minutes for the medication to take effect, you should:
A) ask him what his pain is like now.
B) administer another dose of nitroglycerin.
C) lay the head of the stretcher down.
D) call medical direction to administer another dose.
Objective: 14.12
31
67) You are called for an alert patient with respiratory distress. As part of your primary
assessment, you place the patient on oxygen via nasal cannula at 2 liters per minute. You
continue with the rest of your assessment including taking a set of vital signs. During your
reassessment, you notice that the patient’s respiratory rate has increased to 24 times per minute
and he is having increasing trouble breathing. You should:
A) call medical direction for orders to administer his inhaler.
B) increase the flow rate of the nasal cannula to 4 liters per minute.
C) assist the patient’s breathing with a bag-valve mask.
D) switch your patient to a nonrebreather mask at 15 liters per minute.
Objective: 14.12
68) Your patient’s initial vital signs were a pulse of 120 per minute and weak, a blood pressure of
90/50 mmHg, and a respiratory rate of 24 per minute. Upon reassessment, you note that the
patient now has a weak pulse of 100 per minute, a blood pressure of 110/60 mmHg, and a
respiratory rate of 20 per minute. Which of the following can you conclude from this
information?
A) The patient will survive.
B) You can transport the patient to a lower level trauma center.
C) The baseline vital signs were inaccurate.
D) The patient’s condition may be improving.
Objective: 14.12
32
69) ________ is reassessing and recording findings of the reassessment so they can be compared
to earlier findings.
A) CQI
B) Trending
C) Averaging
D) Analysis
Objective: 14.12
70) You are treating a 15-year-old boy who apparently broke his right arm when he fell while
skateboarding with his friends. You have completed your primary and secondary assessment
including splinting his arm, but you found no other injuries or problems. Which of the following
is the most important step to do during the reassessment?
A) Place the patient on oxygen via nasal cannula.
B) Check distal circulation on his right arm.
C) Recheck his pupils.
D) Visualize his chest for bruising.
Objective: 14.12
33
71) You are transporting a 20-year-old soccer player who injured his ankle during a match. His
injury appears to be isolated and he has no significant past medical history. How frequently
should you perform a reassessment on this patient?
A) 30 minutes
B) 15 minutes
C) 5 minutes
D) 10 minutes
Objective: 14.12
72) As you arrive at the emergency department with an unresponsive trauma patient, the nurse
asks for your trending assessment. Why is this information important to the nurse?
A) She can critique your technique of taking vital signs.
B) She can evaluate whether or not the patient is improving.
C) She can determine if you understand the assessment process.
D) She can evaluate the quality of care you provided.
Objective: 14.12
34
73) You are transporting a 30-year-old male who has been shot in the chest. He is suffering from
a sucking chest wound and has a decreased level of consciousness. How often should you
perform a reassessment?
A) Every 30 minutes
B) Every 5 minutes
C) Every 15 minutes
D) Every 10 minutes
Objective: 14.12
74) You are transporting a victim of domestic violence, a 25-year-old female, who was struck on
the head several times with a baseball bat. On the scene, she was responsive to verbal stimuli and
was bleeding profusely from an open head wound. During transport the patient becomes
unresponsive. Which of the following should you do next?
A) Primary assessment
B) Secondary assessment
C) Detailed physical exam
D) Vital signs and SAMPLE history
Objective: 14.13
35
75) You are alone in the back of the ambulance, where you are ventilating an apneic patient.
Which of the following is the BEST way to manage the reassessment?
A) Have your partner stop the ambulance every 5 minutes to help you perform a reassessment.
B) Stay on the scene and request additional help so you will have someone to help you perform a
reassessment.
C) Continue ventilating the patient during transport and skip the reassessment.
D) Stop ventilating the patient every 5 minutes so you can perform a reassessment.
Objective: 14.13
76) You have a long transport of a patient who may have sustained a spinal injury. The patient
has been stable throughout your transport. During one of your reassessments, your patient tells
you that he is losing the feeling in his feet and toes and his fingers are tingling. At this point you
should:
A) spinal immobilize him.
B) call medical direction for orders.
C) reassess him every 5 minutes.
D) remove him from the long spine board.
Objective: 14.13
36
77) On which of the following patients should a reassessment be performed?
A) All patients should be reassessed
B) Patient with chest pain
C) Patient with a gunshot wound
D) Patient having difficulty breathing
Objective: 14.13
78) Your patient is a 23-year-old male with a stab wound to the abdomen. You have bandaged the
wound and are transporting the patient to a trauma center. During your reassessment, you note
that the bandage has become soaked with blood. What should your priority be with this patient?
A) Notify the receiving facility that the patient has developed arterial bleeding.
B) Control the bleeding.
C) Place the patient in the Trendelenburg position.
D) Check the patient’s blood pressure.
Objective: 14.13
37
79) Under what circumstance should a reassessment NOT be performed?
A) The patient is being transported to a hospital close to his home.
B) Ongoing lifesaving interventions are required.
C) The patient has life-threatening injuries.
D) The patient does not receive a secondary assessment.
Objective: 14.13
80) You are caring for a woman who sustained a head injury as a result of a domestic dispute.
You suspect she has a closed head injury since she cannot remember what happened and one of
her pupils is slightly larger than the other. You have been monitoring her vital signs every 5
minutes and you see that her blood pressure is rising and her pulse is dropping. This part of the
assessment is called:
A) trending.
B) modified secondary assessment.
C) crisis management.
D) intervention check.
Objective: 14.13
38
81) You are transporting a patient who has had her neck slashed from side to side. You and your
partner are caring for the patient while a police officer drives you to the hospital, which is
minutes away. You are focusing all of your efforts to maintain her airway and your partner is
controlling her bleeding. Which of the following will you be unlikely to obtain?
A) Primary assessment
B) Patient’s gender
C) Reassessment results
D) Pulse and respiratory rates
Objective: 14.13
82) While transporting a patient to the hospital, the EMT repeats his reassessment including vital
signs every 15 minutes until he arrives at the emergency department. According to this
information, which of the following BEST describes your patient’s current status?
A) Poor
B) Stable
C) Unstable
D) Not enough information was given to answer this question.
Objective: 14.13
39
83) Your patient is an 18-year-old female whom you believe may have had a miscarriage and is
bleeding heavily. You have completed your primary and secondary assessments and now you
need to reassess her to see if the bleeding has stopped. You should:
A) ask her to check herself to see if she is still bleeding.
B) in a reassuring tone, explain what you need to do.
C) wait and let the hospital staff reassess the bleeding.
D) take another set of vital signs to see if her blood pressure has dropped.
Objective: 14.13
84) You are transporting a patient whom you are treating for chest pain. You have completed all
of your assessments and are writing down some of his personal information such as his address
and phone number. As the patient is speaking, you notice that he is having increasing difficulty
what you are doing and repeat your primary assessment. You will manage any life threats as soon
as you locate them.
D) INCORRECT. ALS backup may be appropriate, but not before managing your patient, who is
in respiratory distress.
Objective: 14.14
40