Emergency Care 13th Edition By Daniel J.
Limmer -Test Bank
chapter 3
Exam
Name___________________________________
MULTIPLE CHOICE. Choose the one
... [Show More] alternative that best completes the statement or answers the
question.
1) You and your partner arrive on the scene of a 400-pound patient lying in bed. He complains of
nausea and vomiting for the past 3 days. When he tries to sit up, he gets very dizzy and has a
syncopal episode. Realizing that he cannot assist you in getting on the stretcher, you decide to do
which of the following?
1)
A) Call for additional manpower to move the patient.
B) Use the power lift technique to carefully and safely lift the patient to the stretcher.
C) Use the patient’s sheets to slide him over to the stretcher.
D) Place the patient on a backboard to provide better gripping points to move the patient.
Answer: A
Explanation: A) CORRECT. For the safety of the EMTs and the patient, additional manpower is
required.
B) INCORRECT. Two rescuers trying to move 400 pounds is not safe, regardless of
proper body mechanics or lifting technique.
C) INCORRECT. The patient’s sheets are not designed to hold a person’s body weight
and could tear, causing injury to the patient.
D) INCORRECT. Using a backboard and proper lifting techniques can prove useful;
however, because the patient is over 400 pounds, he is simply too heavy for two
people to safely lift.
2) When placing all fingers and the palm in contact with the object being lifted, you are using which
of the following?
2)
A) Power lift B) Vise grip C) Lock grip D) Power grip
Answer: D
Explanation: A) INCORRECT. The term power lift refers to the maneuvering of weight, not the
method used to hold it.
B) INCORRECT. A vise grip is a type of tool, it is not associated with lifting
techniques.
C) INCORRECT. Placing the entire palm and all fingers in contact with the object is
not called a lock grip.
D) CORRECT. Using a power grip means gripping with as much hand surface as
possible in contact with the object being lifted.
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3) What is the main benefit of using a stair chair with a track-like system over a traditional stair
chair? 3)
A) There is no benefit of a track-like stair chair over a traditional stair chair.
B) Only one EMT is required to operate a stair chair with a track-like system.
C) A stair chair with a track-like system prevents the patient from having to be lifted down
stairs.
D) A stair chair with a track-like system can be manipulated to lift into an ambulance using a
hydraulic system.
Answer: C
Explanation: A) INCORRECT. The track-like stair chair has several safety benefits over a
traditional stair chair.
B) INCORRECT. At least two EMTs are required to safely move a patient using a stair
chair with a track-like system.
C) CORRECT. Stair chairs with a track-like system allow EMTs to gently slide the
patient down a staircase at a controlled speed instead of lifting her.
D) INCORRECT. Stair chairs are used to move patients down stairs to a wheeled
stretcher for transport, not into an ambulance.
4) Which of the following should you use when you want to move a patient from a wheelchair to a
stretcher?
4)
A) Clothing lift B) Ground transfer
C) Modified direct lift D) Extremity lift
Answer: D
Explanation: A) INCORRECT. Lifting a patient from a wheelchair to a stretcher using their clothes
is unsafe and could cause injury to the patient or the EMT.
B) INCORRECT. No type of ground lift technique would be appropriate for a patient
seated in a wheelchair.
C) INCORRECT. There is no accepted patient movement technique known as a
modified direct lift.
D) CORRECT. An extremity lift is used to move a seated patient with no suspected
spine or extremity injuries to a stretcher.
5) Which of the following devices should be used to carry a patient down the stairs whenever
possible?
5)
A) Stair chair B) Wheeled ambulance stretcher
C) Basket stretcher D) Scoop stretcher
Answer: A
Explanation: A) CORRECT. When appropriate, a stair chair is an excellent way to move a patient
down stairs.
B) INCORRECT. A wheeled ambulance stretcher would be too cumbersome and
dangerous on a staircase to be considered as the best option.
C) INCORRECT. Basket stretchers are used to move patients over rough terrain and
would generally not be used on stairs.
D) INCORRECT. A scoop stretcher is used for lifting a patient from the ground to a
wheeled stretcher.
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6) Which of the following should you do when reaching for something? 6)
A) Avoid twisting.
B) Keep your back in a locked-in position.
C) Avoid reaching more than 15 to 20 inches in front of your body.
D) All of the above
Answer: D
Explanation: A) INCORRECT. Following proper body mechanics, a person should avoid twisting
while reaching for an object, but that is not the only consideration.
B) INCORRECT. When reaching, an EMT should keep her back in a locked-in
position, but that is not the only consideration.
C) INCORRECT. To prevent injury, rescuers should avoid reaching more than 15-20
inches in front of their bodies, but that is not the only consideration.
D) CORRECT. To safely reach for an object, an EMT should keep his back in a
locked-in position; avoid twisting; and avoid reaching more than 15 to 20 in front
of his body.
7) When lifting a patient, a basic principle is to: 7)
A) know your lifting limits. B) rush your lift to minimize your lift time.
C) extend your arms to maximize your lift. D) lift with your lower back.
Answer: A
Explanation: A) CORRECT. It is important for the EMT to know their own — and their partner’s —
physical limits.
B) INCORRECT. Never hurry a patient lift; consider all safety factors and ensure
proper body mechanics.
C) INCORRECT. When lifting a patient, your arms should be kept as close as possible
to the body when lifting; the farther the reach, the greater the chances for injury.
D) INCORRECT. To avoid injury, lift with the legs and not the lower back.
8) You respond to a 48-year-old morbidly obese female patient. Her adult daughter called you
because she has not gotten up from her oversized recliner chair in over a week. She has tried to
help her out of the chair but states that each time her mother screams in agony. The foul odor
presence of urine and feces is strong around the patient. Her feet do not touch the ground, and
any
attempt to lift the patient by her arms or scoot her down to the end of the chair results in severe
pain to the patient. You are finding it nearly impossible to get a good grip on the patient. How will
you get her out of the chair?
8)
A) Vest-type extrication device
B) Long spine board
C) Soft stretcher
D) Lie the chair back and use a scoop stretcher
Answer: A
Explanation: A) CORRECT. Vest-type extrication devices are designed to assist in moving patients
from the seated position, so it is the best choice.
B) INCORRECT. The patient’s weight, positioning and pain level would make the
long spine board inappropriate in this situation.
C) INCORRECT. Because of her prolonged time in one position in the chair, and her
pain in moving, the patient will be extremely difficult to roll enough to get a soft
stretcher under her properly.
D) INCORRECT. The recliner will not be able to recline far enough back, and the arms
of the recliner will make a scoop stretcher impractical.
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9) Which of the following best describes an urgent move? 9)
A) Using a sheet to move a patient from a bed to the stretcher
B) Pulling a patient by her feet across a parking lot
C) Dragging a patient from a burning house using his shirt
D) Moving a patient from a car directly to a long spine board
Answer: D
Explanation: A) INCORRECT. Moving a patient from a bed to a stretcher would be considered a
non-urgent move.
B) INCORRECT. A foot drag is a move that should only be considered in emergent
situations.
C) INCORRECT. Dragging a patient from a burning house would be considered an
emergency move, since the life-threatening nature of the situation wouldn’t allow
for any spinal precautions.
D) CORRECT. Urgent moves are used when the patient must be moved rapidly but
there is time to provide quick, temporary consideration toward preventing or
aggravating spinal injury.
10) How far apart should your hands be when using a power grip? 10)
A) 10 inches B) 15 inches C) 6 inches D) 24 inches
Answer: A
Explanation: A) CORRECT. When possible while using the power grip, keep your hands at least 10
inches apart.
B) INCORRECT. The hands should not be 15 inches apart when using the power grip.
C) INCORRECT. At 6 inches, the hands would be too close together for a proper
power grip.
D) INCORRECT. 24 inches is too far to keep hands apart for an appropriate power
grip.
11) When a stretcher with a patient secured to it is elevated, what occurs? 11)
A) The patient feels more comfortable being at near normal height.
B) The center of gravity is raised and this causes a tip hazard.
C) The EMTs lessen the possibility of injury from being bent over the patient.
D) The stretcher is more stable and easily pushed.
Answer: B
Explanation: A) INCORRECT. When patients are being moved, they generally feel less safe the
higher they are positioned.
B) CORRECT. Wheeling a stretcher in the elevated position raises the center of
gravity, making it easier for the stretcher to tip over.
C) INCORRECT. As long as the EMTs are using proper body mechanics, moving a
lowered stretcher does not increase the possibility of injury.
D) INCORRECT. A wheeled stretcher is most stable when closest to the ground.
12) Which of the following is NOT correct when performing a log roll? 12)
A) Lean forward from the hips. B) Keep your back straight.
C) Place both feet flat on the ground. D) Use your shoulder muscles.
Answer: C
Explanation: A) INCORRECT. Leaning forward from the hips is the correct log roll technique.
B) INCORRECT. The EMTs should keep their backs straight when log rolling a [Show Less]