CH 29

Question 1

Which of the following is indicated in the management of a patient in​ shock?

Answer 1

A.
Managing the​ patient’s airway and preventing hypoxia
B.
Considering proper positioning of the patient
D.
Preventing loss of body heat by covering the patient with a blanket

Question 2

Which of the following is not recommended when controlling​ epistaxis?

Answer 2

Having the patient tilt the head backward to elevate the nose

Question 3

Which of the following is responsible for most of the early signs and symptoms of​ shock?

Answer 3

The​ body’s attempts at compensation for blood loss

Question 4

Which of the following vessels has thick muscular walls that allow constriction and​ dilation?

Answer 4

Arteries

Question 5

Which of the following statements about treating a patient who appears to be in shock is true

Answer 5

B.
The patient should be promptly put on​ high-concentration oxygen.
C.
Airway management is a top priority.
D.
Prompt transportation is a very high priority.

Question 6

Which of the following is a hallmark of irreversible​ shock?

Answer 6

Cell damage and death in the vital organs

Question 7

If you do not have a commercial tourniquet​ available, what common supply found on the ambulance can be used as a​ substitute?

Answer 7

Triangle bandage

Question 8

Your patient is a​ 28-year-old male who cut his thigh with a chain saw. It appears that he has lost about 600 cc of blood. Which of the following is not part of the proper management of this​ patient?

Answer 8

Replacing fluid level by giving the patient adequate amounts of water

Question 9

Blunt trauma is the leading cause of internal injuries and bleeding. Which of the following are mechanisms of blunt trauma that may cause internal​ bleeding?

Answer 9

1. Falls
2. Motor vehicle or motorcycle crashes
   3.​ Auto-pedestrian collisions
3. Blast injuries

Question 10

Which of the following is the least effective method of controlling​ bleeding?

Answer 10

elevation

Question 11

Which of the following best explains the reason for minimizing scene time for the trauma patient with significant hemorrhage or the potential for significant​ hemorrhage?

Answer 11

It is essential to get the shock patient to more definitive care.

Question 12

Your patient is a​ 12-year-old boy who ran his arm through a glass window and has an​ 8-inch laceration on his anterior forearm. You have applied a pressure dressing and​ bandage, but these have become saturated due to continued bleeding. Which of the following should you do​ now?

Answer 12

Elevate the arm and prepare to apply a tourniquet or consider administering a hemostatic agent.

Question 13

External bleeding may be classified according to types. Which of the following is one of those​ types?

Answer 13

Capillary bleeding

Question 14

Which of the following circumstances may result in​ hypoperfusion?

Answer 14

A.
There is external bleeding.
B.
Blood vessels are dilated.
C.
The heart is damaged.

Question 15

Shock is the circulatory​ system’s failure to provide sufficient blood and oxygen to all the​ body’s tissues. Which of the following is not a major type of​ shock?

Answer 15

hypervolemic

Question 16

Which of the following statements about neurogenic shock is true​?

Answer 16

Neurogenic shock is sometimes caused by spinal injuries.

Question 17

As an​ EMT, your best clue indicating the possibility of internal bleeding may be the presence​ of:

Answer 17

the mechanism of injury.

Question 18

Which of the following is a purpose for making airway management the highest priority in shock patients with nonmassive​ bleeding?

Answer 18

It minimizes the chances of aspiration of blood or vomit.
C.
It allows for improved elimination of carbon dioxide.
D.
It allows for oxygenation of the lungs.

Question 19

Which of the following vessels contain blood under the highest amount of​ pressure?

Answer 19

Arteries

Question 20

Which of the following is the major cause of shock that the EMT will​ encounter?

Answer 20

Hemorrhage

Question 21

Which of the following signifies a failure in the​ patient’s compensatory response to blood​ loss?

Answer 21

hypotension

Question 22

Which of the following is recommended in situations in which a tourniquet must be​ used?

Answer 22

Use a material that is wide and thick.

Question 23

Which of the following statements about the application of a tourniquet is​ correct?

Answer 23

The tourniquet should be at least 2 inches wide.
C.
The tourniquet should be placed approximately 2 to 3 inches above the bleeding.
D.
Commercial tourniquets are preferable to improvised tourniquets

Question 24

The most common form of hemostatic agent​ is:

Answer 24

gauze or dressings

Question 25

Which of the following is an important early indicator of​ hypoperfusion?

Answer 25

Altered mental status

Question 26

Which of the following is the most effective way of controlling external bleeding in superficial​ wounds?

Answer 26

Using direct pressure with a dressing

Question 27

Which of the following is part of the​ body's compensatory response to blood​ loss?

Answer 27

Blood vessels constrict and the heart rate increases.

Question 28

Which of the following is the most important reason for controlling external​ bleeding?

Answer 28

To prevent and manage hypoperfusion

Question 29

Which of the following blood vessels cannot stop bleeding by​ constricting?

Answer 29

capillaries

Question 30

Which of the following types of vessels have valves to maintain​ one-way blood​ flow?

Answer 30

veins

Question 31

Which of the following terms refers to the delivery of oxygen and nutrients and the removal of wastes at the​ body's cellular​ level?

Answer 31

perfusion

Question 32

Although many of the signs and symptoms of shock are the same no matter what the​ cause, the symptoms follow a logical progression as shock develops and worsens. Arrange the following signs and symptoms in the order that they will most likely appear.

Answer 32

1. Altered mental status 4.​ Pale, cool, and clammy skin 3. Nausea and vomiting 5. Increased pulse 6. Increased respirations 2. Dropping blood pressure

Question 33

Your patient is a​ 6-year-old child who has fallen down while running on a sidewalk. She has abrasions on both knees and the palms of both​ hands, which are oozing blood. This is an example of bleeding from which of the following types of​ vessels?

Answer 33

capillaries

Question 34

Your patient is a​ 33-year-old man who has a gunshot wound to his right leg and has​ active, steady, dark red bleeding. He is​ awake, pale, and diaphoretic. He has a strong radial pulse of 112 per​ minute, a respiratory rate of 24 breaths per​ minute, and a blood pressure of​ 122/82 mmHg. He has no other injuries or complaints. Which of the following is the best sequence of steps in the management of this​ patient?

Answer 34

Direct​ pressure, high-concentration​ oxygen, and splinting the leg

Question 35

When deciding where to transport a patient who has internal bleeding or who has the potential for internal​ bleeding, which of the following is the most important service to be provided by the receiving​ hospital?

Answer 35

Immediate surgical capabilities

Question 36

Which of the following best describes the function of​ blood?

Answer 36

It transports gases and​ nutrients, aids in​ excretion, and provides protection and regulation.

Question 37

Which of the following is a consequence of​ hypoperfusion?

Answer 37

A. Cells are not supplied with nutrients. B. Cellular waste products are not removed. D. Cells are not supplied with oxygen.

Question 38

In which of the following vessels does the vital exchange of​ oxygen, nutrients, and wastes take​ place?

Answer 38

capillaries

Question 39

Which of the following is a characteristic of arterial​ bleeding?

Answer 39

spurting under pressure

Question 40

Which of the following is another name for the condition of​ shock?

Answer 40

hypoperfusion

Question 41

Which of the following is part of the circulatory​ system?

Answer 41

Heart C. Blood D. Blood vessels

Question 42

Which of the following should increase the​ EMT's suspicion of internal​ bleeding?

Answer 42

A. Penetrating trauma to the chest or abdomen B. Fall from a height two or more times the​ patient's height C. ​High-speed motor vehicle collision

Question 43

Cold is sometimes used to help control bleeding. When using​ cold, the following guidelines and statements are true

Answer 43

A. it should not be used alone but rather in conjunction with other manual techniques. B. it will reduce pain. C. it should not be left in place for more than 20 minutes