EMS Patient Assessment & Documentation 2

Question 1

During a secondary assessment, you note that a patient's trachea is deviated to the left. What does this finding most likely indicate?

Accepted Answer

Tension pneumothorax on the right side

Answer

Tracheal deviation occurs away from a tension pneumothorax as pressure buildup shifts mediastinal structures to the opposite side.

Question 2

When assessing a patient's mental status using the AVPU scale, which response is recorded if the patient only reacts to a sternal rub?

Accepted Answer

Pain

Answer

A sternal rub is a painful stimulus, so a patient who responds only to this is classified as 'P' (Pain) on the AVPU scale.

Question 3

A PCR (Patient Care Report) must be completed within what standard timeframe in most EMS systems?

Accepted Answer

Before leaving the receiving facility

Answer

Best practice requires the PCR to be completed before leaving the receiving facility to ensure accurate, contemporaneous documentation.

Question 4

Which component of the SAMPLE history asks about medications, allergies, and recent illnesses?

Accepted Answer

A, M, and P components together

Answer

SAMPLE stands for Signs/symptoms, Allergies, Medications, Pertinent medical history, Last oral intake, and Events — allergies, medications, and past history are separate components.

Question 5

During a scene size-up of a motor vehicle collision, you observe downed power lines across the vehicle. What is your first action?

Accepted Answer

Stage at a safe distance and contact the power company

Answer

Energized downed power lines create a lethal scene hazard; EMS must stage safely and await utility personnel before approaching.

(EMS) Emergency Medical Services Certified Practice Test

(EMS) Emergency Medical Services Certified Practice Test

EMS Patient Assessment & Documentation 2