1. In a child, tachycardia exists when the heart rate exceeds:
A.100 beats/min.
B.110 beats/min.
C.120 beats/min.
D.30 beats/min.


2. The best way to estimate a patient's skin temperature is to use the:
A.back of your hand.
B.tips of your fingers.
C.palm of your hand.
D.index and middle fingers.


3. A patient whose skin is jaundiced is most likely experiencing dysfunction of the:
A.spleen.
B.sclera.
C.liver.
D.pancreas.


4. The normal respiratory rate for an infant is approximately how many breaths per minute?
A.6 to 12
B.12 to 20
C.15 to 30
D.25 to 50


5. Listening to sounds within organs, usually with a stethoscope, is known as:
A.perfusion.
B.palpation.
C.percussion.
D.auscultation.


6. When assessing capillary refill time on a 4-year-old child, the EMT-B should:
A.pinch the skin.
B.press on the nailbed.
C.expect it to return in < 3 seconds.
D.not rely on refill time as perfusion indicator.


7. When a light source is removed from the pupils, the pupils should:
A.constrict briskly.
B.dilate briskly.
C.become unequal.
D.not respond.


8. When palpating a blood pressure, you inflate the blood pressure to 200 mmHg, and then deflate it slowly until you feel a return of:
A.a brachial pulse.
B.an ulnar pulse.
C.a radial pulse.
D.capillary refill.


9. The pulse is defined as the:
A.number of heartbeats in the column of blood in a large vein.
B.swelling of a vein as each pressure wave of blood passes back to the heart.
C.vibration of the heart muscles as they push blood through the blood vessels.
D.pressure wave of blood that is felt as the heart contracts and propels blood through the arteries.


10. A pulse is most readily felt at points where the artery is:
A.close to cartilage.
B.near the surface.
C.located directly over a bone.
D.located directly over a solid organ.


11. You are transporting a patient who was involved in a major car accident and has severe head injuries. While en route, you should re-assess vital signs every:
A.5 minutes.
B.10 minutes.
C.15 minutes.
D.20 minutes.


12. Of the following conditions, which one is NOT a symptom?
A.Chest pain
B.Tachycardia
C.Nausea
D.Anxiety


13. Which of the following statements about blood pressure is FALSE?
A.Blood pressure cuffs that are too small may give falsely low readings.
B.Blood pressure should be measured in all patients older than age 3 years.
C.Diastolic pressure represents the minimum amount of pressure that is always present in the arteries.
D.Systolic pressure is a measurement of the pressure exerted against the walls of the arteries during contractions of the heart.


14. After you assess a patient's blood pressure, you should record the values, the extremity in which the pressure was taken, and the:
A.position of the patient.
B.type of blood pressure cuff.
C.location of the stethoscope.
D.type of injury or suspected condition.


15. A bluish discoloration of the skin or mucous membranes results from:
A.shock.
B.liver disease.
C.high blood pressure.
D.poor oxygenation of the circulating blood.


16. During your initial assessment of a trauma patient, you palpate for a radial pulse, but are unable to locate it. You should:
A.begin CPR.
B.transport at once.
C.assess the carotid pulse.
D.check capillary refill.


17. A blood pressure cuff should be wrapped snugly around the upper arm, with the lower edge of the cuff about:
A.1" below the armpit.
B.1" above the crease at the inside of the elbow.
C.2" below the armpit.
D.2" above the inside of the elbow.


18. A 1-year-old child is found pulseless and apneic. There are no signs of trauma. This child's condition is most likely the cause of:
A.cardiac disease.
B.respiratory failure.
C.severe infection.
D.child abuse.


19. You are taking a blood pressure by palpation. As the cuff is deflated, you should note and record the value on the gauge when the:
A.pulse returns.
B.pulse is no longer felt.
C.needle begins to move.
D.cuff is deflated halfway.


20. You are questioning an elderly man to learn his SAMPLE history. The "A" in SAMPLE stands for:
A.Allergies.
B.Apgar score.
C.AVPU scale.
D.Auscultation.


21. During your assessment of a patient complaining of crushing chest pain, you find the patient to have diaphoretic skin. The term diaphoresis indicates:
A.warm, dry skin.
B.cool, dry skin.
C.hot, clammy skin.
D.cool, clammy skin.



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