Systematic Approach Flashcard 1
Rationale
B. Rationale: Inquiring about the patient’s history of allergies and past medical history is part of the secondary assessment. (Systematic Approach in ACLS: Secondary assessment)
Question
Inquiring about the patient’s history of allergies and past medical history is part of the:
a. Tertiary assessment
b. Secondary assessment
c. Primary assessment
d. BLS assessment
Answer
b. Secondary assessment
Rationale
A. Rationale: A temperature of more than 39.1°C is a vital sign in the yellow zone and will require symptomatic management and increased frequency of monitoring.
Question
A patient with a temperature reading of 39.5°C will trigger what mandatory action?
a. Increase frequency of vital signs monitoring
b. House officer review within 60 minutes
c. House officer review within 20 minutes
d. No change in management
Answer
a. Increase frequency of vital signs monitoring
Rationale
D. Rationale: The structure of a system of care includes people, education, and equipment.
Question
A system of care includes a structure, process, system, and outcome. The structure of a system includes:
a. The culture of the system
b. The quality of the care
c. Policies and protocols
d. People and equipment
Answer
d. People and equipment
Rationale
C. Rationale: In a conscious patient, the next step is to initiate the primary assessment. (The Systematic Approach in ACLS: Primary Assessment)
Question
After ensuring scene safety, you come to a patient electrocuted while working on a wall socket. You ask if he is okay, and he tells you that his left arm is numb. He is breathing and has a strong, regular pulse. Following the systematic approach, what is the next step initiated?
a. Secondary assessment
b. BLS assessment
c. Primary assessment
d. Tertiary assessment
Answer
c. Primary assessment
Rationale
B. Rationale: Aside from out-of-hospital cardiac arrest, the concept of systems of care has also been utilized for other medical conditions such as regional trauma, stroke, and ST elevation myocardial infarction. The goals are to link the community with EMS and EMS with the healthcare institution.
Question
Aside from out-of-hospital cardiac arrest, the concept of systems of care has also been utilized for:
a. Abdominal pain
b. Stroke
c. Epistaxis
d. Migraine headache
Answer
b. Stroke
Rationale
B. Rationale: The pulse is checked for at least 5 seconds and no longer than 10 seconds. (The Systematic Approach in ACLS: Do’s and Don’ts of High-Quality CPR)
Question
Avoiding interruptions in chest compressions is one of the key aspects of high-quality CPR. When rechecking for a pulse, the BLS provider should not take longer than how many seconds?
a. 6 seconds
b. 10 seconds
c. 20 seconds
d. 30 seconds
Answer
b. 10 seconds
Rationale
D. Rationale: Checking the patient for normal breathing is part of the BLS assessment. (Systematic Approach in ACLS; BLS assessment)
Question
Checking the patient for normal breathing is part of the:
a. Tertiary assessment
b. Secondary assessment
c. Primary assessment
d. BLS assessment
Answer
d. BLS assessment
Rationale
C. Rationale: Checking the patient’s glucose level is part of the primary assessment. (Systematic Approach in ACLS; Primary assessment)
Question
Checking the patient’s glucose level is part of the:
a. Tertiary assessment
b. Secondary assessment
c. Primary assessment
d. BLS assessment
Answer
c. Primary assessment
Rationale
C. Rationale: Checking the patient’s neurologic function is part of the primary assessment. (Systematic Approach in ACLS; Primary assessment)
Question
Checking the patient’s neurologic function is part of the:
a. Tertiary assessment
b. Secondary assessment
c. Primary assessment
d. BLS assessment
Answer
c. Primary assessment
Rationale
B. Rationale: The trained healthcare provider should limit pulse check within 10 seconds and ideally should be assessed together with the breathing status of the patient. If they cannot feel a pulse by then, they must assume that the patient is in cardiac arrest and begin chest compressions immediately. (The Systems of Care: BLS Assessment)
Question
During BLS, the breathing status of the patient is checked by a trained healthcare provider:
a. Before checking for a pulse
b. At the same time as the pulse check
c. The priority is checking the pulse first
d. There is no need to check for the breathing status of the patient as rescue breaths are always part of CPR
Answer
b. At the same time as the pulse check