, Paramedic Care: Principles & Practice V. 2, 5e (Bledsoe)
Test Bank Paramedic Care: Principles & Practice, 5th edition Volume 2: Patient Assessment
(Bledsoe)
Chapter 1: Scene Size-Up
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1) You arrive at a location and begin to read the scene by:
A) approaching the patient.
B) observing the immediate surroundings.
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C) conducting a focused exam.
D) addressing life threats.
Answer: B
Diff: 1 Page Ref: 3
Standard: Assessment (Scene Size-Up)
Objective: 2
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2) Which of the following is a potentially life-threatening patient complaint?
A) Fractures of the tibia and radius
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B) Asthma
C) Headache
D) Chest pain
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Answer: D
Diff: 2 Page Ref: 15-16
Standard: Assessment (Scene Size-Up)
N
Objective: 7
3) At the scene of a multiple-vehicle collision, which of the following actions should you take
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first?
A) Wait for additional resources to arrive.
B) Treat the most seriously injured patient.
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C) Quickly scan the scene to count patients.
D) Go directly to the first patient you see.
Answer: C
Diff: 2 Page Ref: 14-15
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Standard: Assessment (Scene Size-Up)
Objective: 6
4) A scene size-up is performed for all of the following reasons EXCEPT:
A) to assess the mechanism of injury.
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B) to assess a baseline mental status.
C) to provide information that will guide your medical care.
D) to assess the need for additional resources.
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Answer: B
Diff: 1 Page Ref: 3
Standard: Assessment (Scene Size-Up)
Objective: 2
, 5) Which of the following is usually the best source of information about an alert and oriented
patient?
A) The patient
B) Visual cues
C) Diagnostic tests
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D) Family members
Answer: A
Diff: 1 Page Ref: 16
Standard: Assessment (Scene Size-Up)
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Objective: 7
6) Which of the following is NOT a consideration when evaluating the mechanism of injury?
A) Mass and velocity of objects involved
B) Whether the mechanism was blunt or penetrating
C) Direction of impact
C
D) Whether it is a rural or an urban setting
Answer: D
Diff: 2 Page Ref: 15-16
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Standard: Assessment (Scene Size-Up)
Objective: 7
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7) When approaching a potential crime scene, you should:
A) enter the scene if no signs of danger are noted.
B) quickly enter the scene, retrieve the victim, and withdraw to the vehicle.
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C) park away from the scene until the police arrive and secure the scene.
D) park and wait in front of the scene so the victim knows you are there.
Answer: C
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Diff: 2 Page Ref: 10
Standard: Assessment (Scene Size-Up)
Objective: 5
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8) Which of the following best describes when you should perform a scene size-up?
A) Once you arrive at the patient's side
B) Throughout your time on the scene
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C) When you initially arrive at the scene
D) As you are leaving the scene
Answer: B
Diff: 1 Page Ref: 3
Standard: Assessment (Scene Size-Up)
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Objective: 2
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, 9) A paramedic should wear a properly fitted HEPA mask when evaluating a patient exhibiting
signs and symptoms of:
A) influenza.
B) asthma.
C) COPD.
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D) tuberculosis.
Answer: D
Diff: 1 Page Ref: 4
Standard: Assessment (Scene Size-Up)
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Objective: 4
10) A car has struck a pedestrian at about 45 mph. While assessing the patient, you note bilateral
tibia and fibula fractures. Which of the following best describes why the patient should be
transported to a trauma center?
A) Pain from the fractures cannot be treated in the prehospital setting.
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B) Other serious injuries are likely.
C) These fractures cannot be treated in a community hospital.
D) Fractures always require immediate surgery.
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Answer: B
Diff: 2 Page Ref: 16
Standard: Assessment (Scene Size-Up)
N
Objective: 8
11) Which of the following is NOT an example of a mechanism of injury?
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A) An episode of chest pressure
B) A fall from a ladder
C) A low-speed motor vehicle collision
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D) A high-velocity gunshot wound
Answer: A
Diff: 1 Page Ref: 15-16
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Standard: Assessment (Scene Size-Up)
Objective: 1
12) Your patient is a 75-year-old man who is alert and responds to your questions. Which of the
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following is the best source of information about this patient?
A) Family or friends
B) The medical record
C) The patient
D) The physician
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Answer: C
Diff: 1 Page Ref: 16
Standard: Assessment (Scene Size-Up)
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Objective: 7
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