IHSA Patient Assessment & Evaluation 2

Question 1

During a primary assessment at a worksite, what does the 'C' in the modified C-ABCDE framework stand for when dealing with trauma patients?

Accepted Answer

Catastrophic hemorrhage control

Answer

In trauma assessment the 'C' before airway stands for Catastrophic hemorrhage control, addressing life-threatening bleeding before the airway.

Question 2

A construction worker is found unresponsive after a fall. What is the FIRST step in the primary assessment?

Accepted Answer

Establish scene safety and form a general impression

Answer

Scene safety and forming a general impression of the patient's condition must occur before any hands-on assessment begins.

Question 3

Which AVPU level best describes a patient who only responds when you apply a sternal rub?

Accepted Answer

Pain

Answer

A patient who responds only to painful stimuli is classified as 'P' (Pain) on the AVPU scale.

Question 4

When assessing skin condition during a primary survey, which combination of findings suggests severe shock?

Accepted Answer

Cool, clammy, pale

Answer

Cool, clammy, pale skin indicates peripheral vasoconstriction and reduced perfusion consistent with hypovolemic shock.

Question 5

A worksite coach arrives to find a patient with a respiratory rate of 6 breaths per minute. What is the priority intervention?

Accepted Answer

Begin assisted ventilations

Answer

A respiratory rate below 8 bpm is critically slow and requires assisted ventilations to prevent hypoxic injury.

(IHSA) Infrastructure Health & Safety Association Certified Coach Practice Test