Primary Assessment: A Comprehensive Guide for Emergency Medical Services

Question 1

Which of the following is NOT assessed during a primary assessment?

Accepted Answer

Temperature

Answer

Airway

Answer

Breathing

Answer

Disability

Question 2

What's the main goal of a primary assessment?

Accepted Answer

Finding and treating life-threatening problems right away

Answer

Building a relationship with the patient

Answer

Getting a full medical history

Answer

Figuring out the patient's long-term outlook

Question 3

Which of the following is the *first* step in the primary assessment of a patient?

Accepted Answer

Check responsiveness

Answer

Obtain a medical history

Answer

Perform a physical exam

Answer

Assess vital signs

Question 4

What is the mnemonic used to remember the steps for assessing breathing?

Accepted Answer

Look, listen, feel

Answer

Assess, breathe, circulate

Answer

Primary, secondary, tertiary

Answer

Airway, breathing, circulation

Question 5

Which of the following is a sign of *decreased* circulation?

Accepted Answer

Cool, pale skin

Answer

Rapid heart rate

Answer

Shallow breathing

Answer

Dilated pupils

Question 6

What is the Glasgow Coma Scale (GCS) primarily used to assess?

Accepted Answer

Level of consciousness

Answer

Respiratory rate

Answer

Vital signs

Answer

Pain level

Question 7

Which of the following actions is *not* typically included in the primary assessment?

Accepted Answer

Obtain a detailed medical history

Answer

Check for responsiveness

Answer

Provide oxygen

Answer

Control bleeding

Question 8

Which of the following is a *potential* complication of providing oxygen to a patient?

Accepted Answer

Oxygen toxicity

Answer

Hypertension

Answer

Hypothermia

Answer

Hypoglycemia

Question 9

What is the primary purpose of performing a finger sweep or oropharyngeal suction?

Accepted Answer

Clear the airway of obstructions

Answer

Check for bleeding

Answer

Assess neurological status

Answer

Control seizures

Question 10

In a primary assessment, what is the initial step?

Accepted Answer

Assess responsiveness

Answer

Check for disability

Answer

Check for breathing

Answer

Check for circulation

Question 11

Which term describes a patient who has stopped breathing?

Accepted Answer

Apneic

Answer

Hypotensive

Answer

Stuporous

Answer

Bradycardic

Question 12

What is the primary purpose of the Glasgow Coma Scale?

Accepted Answer

Assess level of consciousness

Answer

Assess pain level

Answer

Assess neurological function

Answer

Assess respiratory function

Question 13

Which of the following is a life-threatening airway obstruction?

Accepted Answer

Anaphylaxis

Answer

Bronchitis

Answer

Asthma

Answer

Pneumonia

Question 14

What is the most prevalent cause of cardiac arrest?

Accepted Answer

Myocardial infarction

Answer

Trauma

Answer

Sepsis

Answer

Stroke

Question 15

Which of the following is a contraindication for administering naloxone?

Accepted Answer

Known opioid overdose

Answer

Suspected opioid overdose

Answer

Pinpoint pupils

Answer

Respiratory depression

Question 16

What is the correct order of steps in a primary assessment?

Accepted Answer

Airway, Breathing, Circulation, Disability

Answer

Disability, Airway, Breathing, Circulation

Answer

Circulation, Airway, Disability, Breathing

Answer

Breathing, Disability, Airway, Circulation

Question 17

Which of the following is NOT a vital sign assessed during the primary assessment?

Accepted Answer

Mental status

Answer

Disability

Answer

Breathing

Answer

Circulation

Question 18

The initial step in assessing a patient's airway involves:

Accepted Answer

Performing the head-tilt chin-lift maneuver

Answer

Measuring blood pressure

Answer

Checking for a pulse

Question 19

Which of the following is a sign of respiratory distress?

Accepted Answer

Use of accessory muscles

Answer

Strong pulse

Answer

Pink skin color

Answer

Normal breathing pattern

Question 20

The normal range for an adult pulse rate is:

Accepted Answer

60-100 beats per minute

Answer

100-140 beats per minute

Answer

30-50 beats per minute

Answer

140-180 beats per minute

Question 21

Which of the following is NOT a sign of shock?

Accepted Answer

Increased blood pressure

Answer

Pale skin

Answer

Rapid breathing

Answer

Weak pulse

Question 22

The Glasgow Coma Scale (GCS) is primarily used to assess a patient's:

Accepted Answer

Level of consciousness

Answer

Respiratory status

Answer

Circulatory function

Question 23

A GCS score of 15 indicates that the patient is:

Accepted Answer

Alert and oriented

Answer

Drowsy and confused

Answer

Unresponsive

Answer

In a coma

Question 24

Which of the following is a potential cause of respiratory distress?

Accepted Answer

Asthma

Answer

Strong pulse

Answer

Normal breathing pattern

Answer

Pink skin color

Question 25

The primary assessment is critical because it:

Accepted Answer

Helps identify life-threatening conditions and prioritize treatment

Answer

Is required for all patients regardless of their condition

Answer

Provides a comprehensive diagnosis

Question 26

Which of the following is a limitation of the primary assessment?

Accepted Answer

It does not provide a complete diagnosis

Answer

It is universally accepted and standardized

Answer

It can be performed quickly and easily

Answer

It is highly accurate

Question 27

The initial step in conducting a primary assessment is to:

Accepted Answer

Check for responsiveness

Answer

Open the airway

Answer

Check for breathing

Answer

Assess circulation

Question 28

The mnemonic used to guide the assessment of breathing is:

Accepted Answer

Look-Listen-Feel

Answer

See-Hear-Smell

Answer

Listen-Touch-Look

Answer

Smell-See-Touch

Question 29

Which of the following is a sign of respiratory distress?

Accepted Answer

Use of accessory muscles

Answer

Absence of wheezing

Answer

Normal skin color

Answer

Regular respiratory rate

Question 30

The normal capillary refill time for an adult is approximately:

Accepted Answer

Less than 2 seconds

Answer

More than 5 seconds

Answer

10 seconds or more

Question 31

Which of the following is NOT a sign of shock?

Accepted Answer

Increased blood pressure

Answer

Rapid, weak pulse

Answer

Cool, clammy skin

Question 32

The purpose of conducting a neurological assessment during primary assessment is to:

Accepted Answer

Assess level of consciousness and cognitive function

Answer

Rule out spinal cord damage

Answer

Determine the cause of injury

Question 33

Which of the following is a symptom of altered mental status?

Accepted Answer

Confusion

Answer

Appropriate behavior

Answer

Oriented to time and place

Answer

Normal speech

Question 34

The primary factor to consider when prioritizing patient care during a primary assessment is:

Accepted Answer

Severity of the patient's condition

Answer

Patient's age

Answer

Patient's gender

Answer

Time of day

Question 35

A limitation of the primary assessment is that it:

Accepted Answer

Does not provide a comprehensive diagnosis

Answer

Is not accurate enough

Answer

Requires specialized equipment

Answer

Is too time-consuming

Question 36

The primary goal of a primary assessment is to:

Accepted Answer

Identify and treat immediate life-threatening conditions

Answer

Determine the cause of the patient's condition

Answer

Provide a complete medical diagnosis

Question 37

What is the initial step in the systematic evaluation of a patient's life-threatening conditions during primary assessment?

Accepted Answer

Checking for responsiveness

Answer

Assessing pain level

Answer

Measuring vital signs

Question 38

Which of the following is the most reliable indicator of airway patency during the primary assessment?

Accepted Answer

Observing chest rise and fall

Answer

Listening for breath sounds

Answer

Measuring capillary refill time

Answer

Checking pulse oximetry reading

Question 39

What primary aspect does the Glasgow Coma Scale (GCS) evaluate?

Accepted Answer

Level of consciousness

Answer

Pain intensity

Answer

Respiratory rate

Answer

Blood pressure

Question 40

Which component is NOT included in the AVPU scale?

Accepted Answer

Systolic blood pressure

Answer

Verbal

Answer

Alert

Question 41

What is the overarching goal of primary assessment?

Accepted Answer

Identifying and treating life-threatening conditions

Answer

Obtaining a complete medical history

Answer

Performing a comprehensive body exam

Answer

Diagnosing specific injuries

Question 42

Which of the following is a characteristic sign of shock?

Accepted Answer

Cool, pale, and sweaty skin

Answer

Rapid and shallow呼吸

Answer

Increased blood pressure

Answer

Warm, flushed, and dry skin

Question 43

What is the appropriate initial care for a patient with a penetrating chest wound?

Accepted Answer

Apply a sterile dressing and seal it on three sides with tape

Answer

Remove the object from the wound

Answer

Cover the wound loosely with a bandage

Question 44

What is the recommended action when a patient has a suspected spinal injury?

Accepted Answer

Immobilize the head and neck, and keep the spine straight

Answer

Apply ice to the injured area

Answer

Move the patient to a sitting position

Question 45

During a primary assessment, which life-saving action takes the highest priority?

Accepted Answer

Ensuring an open airway

Answer

Checking for a pulse

Answer

Assessing for a deformed extremity

Question 46

You find an unconscious patient who isn't breathing. What's your immediate next step?

Accepted Answer

Open the airway using the head-tilt/chin-lift maneuver

Answer

Start chest compressions

Answer

Check for a pulse

Question 47

A patient's breathing is shallow and rapid. This pattern is most likely a sign of:

Accepted Answer

Hypoxia (lack of oxygen)

Answer

Trauma

Answer

Hypertension (high blood pressure)

Answer

Shock

Question 48

During a primary assessment, which finding indicates a potential problem with the circulatory system?

Accepted Answer

Weak and rapid pulse

Answer

Alert mental status

Answer

Regular breathing pattern

Answer

Normal skin temperature and color

Question 49

Which of the following is a potential indicator of a head injury during the disability assessment?

Accepted Answer

Pupil dilation

Answer

Decreased respiratory rate

Answer

Rapid pulse

Answer

Pale skin

Question 50

You're assessing a patient involved in a car accident. They have a deformed leg and complain of pain. What is the MOST appropriate action?

Accepted Answer

Immobilize the leg and continue the primary assessment

Answer

Immediately transport the patient to the hospital

Answer

Ignore the leg injury and focus on life-threatening conditions

Answer

Administer pain medication

Question 51

A patient's AVPU score is used to assess their:

Accepted Answer

Level of consciousness

Answer

Skin temperature

Answer

Pulse rate

Answer

Respiratory rate

Question 52

Which of these is NOT a part of the primary assessment?

Accepted Answer

Detailed medical history

Answer

Circulation

Answer

Breathing

Answer

Airway