Question

section 2 patient assessment

1. in a patient with deeply pigmented skin, where should you look for changes in color?

a. ear canals
b. external eyelids
c. groin
d. mucous membranes of the mouth

1. with _, the force of the injury occurs at a small point of contact between the skin and the object piercing the skin.

a. motor vehicle collisions
b. blunt trauma
c. penetrating trauma
d. falls

1. which of the following is not considered a method for controlling external bleeding?

a. direct pressure
b. tourniquet
c. cold water
d. elevation

1. the _ is/are the most serious thing that the patient is concerned about, the reason why they called 9 - 1 - 1.

a. chief complaint
b. pertinent negatives
c. severity
d. past medical history

1. the four items used to assess the orientation of a patients mental status include all of the following except:

a. person
b. place
c. history
d. events

1. an integral part of the rapid exam is evaluation using the mnemonic:

a. avpu
b. dcap - btls
c. opqrst
d. sample

1. in the absence of light, the pupils will:

a. constrict
b. stay fixed
c. dilate
d. become unequal

1. when assessing the respiratory system, which of the following is not considered essential to the assessment?

a. respiratory rate
b. depth of breathing
c. quality/character of breathing
d. breath odor

1. which of the following statements regarding assessment of the airway is true?

a. the body will not be supplied the necessary oxygen if the airway is not managed.
b. you should use the head tilt - chin lift maneuver to open the airway in trauma patients.
c. the tongue is generally not a cause of airway obstruction.
d. a conscious patient who cannot speak or cry is most likely hyperventilating.

Explanation:

1. In deeply pigmented skin, mucous membranes of the mouth are used to check for color - changes as they are less affected by skin pigmentation.
2. Penetrating trauma involves a small - point contact injury with an object piercing the skin.
3. Cold water is not a standard method for controlling external bleeding; direct pressure, tourniquet, and elevation are.
4. The chief complaint is what the patient is most concerned about and why they called 9 - 1 - 1.
5. History is not one of the four items (person, place, time, event) used to assess mental status orientation.
6. AVPU (Alert, Voice, Pain, Unresponsive) is an integral part of the rapid exam.
7. In the absence of light, pupils dilate to allow more light in.
8. Breath odor is not essential for assessing the respiratory system compared to rate, depth, and quality of breathing.
9. If the airway is not managed, the body will not receive the necessary oxygen.

Answer:

1. D. Mucous membranes of the mouth
2. C. penetrating trauma
3. C. Cold water
4. A. chief complaint
5. C. history
6. A. AVPU
7. C. dilate
8. D. Breath odor
9. A. The body will not be supplied the necessary oxygen if the airway is not managed.