FISDAP Patient Assessment 3

Question 1

Which breath sound, heard on auscultation, is described as a high-pitched, monophonic wheeze heard primarily on expiration and indicates upper airway obstruction?

Accepted Answer

Stridor

Answer

Stridor is a high-pitched sound caused by turbulent airflow through a partially obstructed upper airway.

Question 2

You are assessing a trauma patient and notice that a segment of the chest wall moves inward during inhalation and outward during exhalation. This is called:

Accepted Answer

Paradoxical chest movement

Answer

Paradoxical chest movement occurs with flail chest, where multiple rib fractures cause a segment to move opposite to the rest of the chest wall.

Question 3

Which of the following is the MOST reliable early indicator of shock in a pediatric patient?

Accepted Answer

Tachycardia

Answer

Tachycardia is the earliest and most reliable compensatory sign of shock in pediatric patients, as hypotension is a late and ominous sign.

Question 4

When using the Cincinnati Prehospital Stroke Scale, which of the following is NOT one of the three assessed components?

Accepted Answer

Pupil reactivity

Answer

The Cincinnati Stroke Scale assesses facial droop, arm drift, and speech abnormalities; pupil reactivity is not part of this tool.

Question 5

A patient with a history of COPD presents with increased work of breathing, pursed-lip breathing, and barrel chest. These findings are associated with which underlying condition?

Accepted Answer

Emphysema

Answer

Barrel chest and pursed-lip breathing are classic chronic physical findings of emphysema, a component of COPD caused by air trapping.

(FISDAP) Field Internship Student Data Acquisition Project Practice Test

(FISDAP) Field Internship Student Data Acquisition Project Practice Test

FISDAP Patient Assessment 3