CPR Patient Evaluation & Stabilization 2

Question 1

During a secondary assessment, you note paradoxical chest wall movement on the left side. This finding is MOST consistent with:

Accepted Answer

Flail chest

Answer

Paradoxical movement (segment moves inward on inspiration) indicates flail chest from multiple rib fractures.

Question 2

A patient is found unresponsive with a GCS of 6. Which component breakdown is MOST likely?

Accepted Answer

E1V2M3

Answer

GCS of 6 can be E1+V2+M3, totaling 6, representing no eye opening, incomprehensible sounds, and abnormal flexion.

Question 3

When assessing skin color in a patient with dark pigmentation, which site is MOST reliable for detecting cyanosis?

Accepted Answer

Oral mucosa and conjunctiva

Answer

The oral mucosa and conjunctiva provide the most reliable cyanosis assessment in patients with darker skin tones.

Question 4

You are treating a patient in hemorrhagic shock. After two large-bore IV lines fail, your NEXT best vascular access option is:

Accepted Answer

Intraosseous access

Answer

Intraosseous (IO) access provides rapid, reliable vascular access when peripheral IV placement fails in critical patients.

Question 5

During patient packaging, a trauma patient with suspected spinal injury should be immobilized in which position?

Accepted Answer

Neutral anatomical alignment

Answer

Neutral anatomical alignment minimizes movement and potential spinal cord compromise during immobilization.

(CPR) Certified Paramedic Response Practice Test