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Outdoor Emergency Care > Ch10 Practice Questions > Flashcards

Ch10 Practice Questions Flashcards

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1
Q

Shock can best be described as:

A) the cells are getting glucose and other nutrients but not oxygen.

B) the amount of oxygen reaching the cells is adequate, but carbon dioxide is not being removed.

C) the blood contains an adequate amount of oxygen but not enough nutrients for cells to survive.

D) inadequate tissue perfusion in which cells do not receive sufficient amounts of oxygen and nutrients.

A

Shock can best be described as:
A) the cells are getting glucose and other nutrients but not oxygen.
B) the amount of oxygen reaching the cells is adequate, but carbon dioxide is not being removed.
C) the blood contains an adequate amount of oxygen but not enough nutrients for cells to survive.
D) inadequate tissue perfusion in which cells do not receive sufficient amounts of oxygen and nutrients.

Ans: D

Complexity: Easy
Ahead: Chapter Overview
Subject: Chapter 10
Title: Shock
Feedback: 224
Objective: 10-1
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2
Q

A patient in early onset of shock informs you that he has had severe diarrhea and vomiting over the past four days. Given this history, you would recognize the pathophysiology of the shock is probably related to:

A) the loss of red blood cells.
B) decreased formed elements in the blood.
C) stoppage of the capillaries.
D) the loss of plasma volume.

A

A patient in early onset of shock informs you that he has had severe diarrhea and vomiting over the past four days. Given this history, you would recognize the pathophysiology of the shock is probably related to:
A) the loss of red blood cells.
B) decreased formed elements in the blood.
C) stoppage of the capillaries.
D) the loss of plasma volume.

Ans: D

Complexity: Easy
Ahead: Causes of Shock
Subject: Chapter 10
Title: Shock
Feedback: 225
Objective: 10-2
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3
Q

Which of the following lists of assessment findings indicates that a trauma patient may be in compensated shock?

A) Anxious, tachycardia, normal BP, pale and cool skin

B) Slightly confused, tachycardia, hypotensive, warm and flushed skin

C) Confused and anxious, very tachycardic, very hypotensive, cool and mottled skin

D) Confused, very bradycardic, hypotensive, cool and cyanotic skin

A

Which of the following lists of assessment findings indicates that a trauma patient may be in compensated shock?
A) Anxious, tachycardia, normal BP, pale and cool skin
B) Slightly confused, tachycardia, hypotensive, warm and flushed skin
C) Confused and anxious, very tachycardic, very hypotensive, cool and mottled skin
D) Confused, very bradycardic, hypotensive, cool and cyanotic skin

Ans: A

Complexity: Moderate 
Ahead: Stages of Shock
Subject: Chapter 10
Title: Shock
Feedback: 225
Objective: 10-3
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4
Q

You are reassessing a patient who has sustained blunt trauma to the chest. Which one of the following reassessment findings best indicates that the patient is deteriorating and is in the decompensating phase of shock?

A) Strong pulse of 96 beats per minute
B) Blood pressure of 88/50
C) Blood oozing from an abdominal laceration
D) Skin that is cool and dry

A

You are reassessing a patient who has sustained blunt trauma to the chest. Which one of the following reassessment findings best indicates that the patient is deteriorating and is in the decompensating phase of shock?
A) Strong pulse of 96 beats per minute
B) Blood pressure of 88/50
C) Blood oozing from an abdominal laceration
D) Skin that is cool and dry

Ans: B

Complexity: Moderate 
Ahead: Stages of Shock
Subject: Chapter 10
Title: Shock
Feedback: 226
Objective: 10-3
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5
Q

In decompensated shock, the failure of body systems despite the body’s attempt to oxygenate vital organs becomes apparent as:

A) increased blood pressure and reduced pulse rate.

B) augmented capillary refill and increased respiratory rate.

C) increased pulse rate and decreased blood pressure.

D) increased respiratory rate and reduced level of consciousness.

A

In decompensated shock, the failure of body systems despite the body’s attempt to oxygenate vital organs becomes apparent as:
A) increased blood pressure and reduced pulse rate.
B) augmented capillary refill and increased respiratory rate.
C) increased pulse rate and decreased blood pressure.
D) increased respiratory rate and reduced level of consciousness.

Ans: C

Complexity: Moderate 
Ahead: Stages of Shock
Subject: Chapter 10
Title: Shock
Feedback: 226
Objective: 10-3
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6
Q

A patient with severe gastrointestinal bleeding is in what type of shock?

A) Non-Hemorrhagic
B) Cardiogenic
C) Hemorrhagic
D) Distributive

A 
A patient with severe gastrointestinal bleeding is in what type of shock? 
A) Non-Hemorrhagic
B) Cardiogenic
C) Hemorrhagic
D) Distributive

Ans: C

Complexity: Easy
Ahead: Types of Shock
Subject: Chapter 10
Title: Shock
Feedback: 227
Objective: 10-5
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7
Q

The four major types of shock are:

A) hemorrhagic, distributive, hypoxic, and obstructive.

B) burn, hypovolemic, distributive, and hypoxic.

C) hypoglycemic, obstructive, distributive, and hypovolemic.

D) hypovolemic, cardiogenic, obstructive, and distributive.

A

The four major types of shock are:
A) hemorrhagic, distributive, hypoxic, and obstructive.
B) burn, hypovolemic, distributive, and hypoxic.
C) hypoglycemic, obstructive, distributive, and hypovolemic.
D) hypovolemic, cardiogenic, obstructive, and distributive.

Ans: D

Complexity: Easy
Ahead: Types of Shock
Subject: Chapter 10
Title: Shock
Feedback: 227
Objective: 10-5
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8
Q

Which of the following statements made by a patient’s family member would lead you to suspect that the patient is suffering from hypovolemic shock?

A) “He has had a rash for the past three days.”

B) “He cannot stop throwing up.”

C) “He has been taking an antibiotic for a chest cold.”

D) “He got up this morning and was having a hard time breathing.”

A

Which of the following statements made by a patient’s family member would lead you to suspect that the patient is suffering from hypovolemic shock?
A) “He has had a rash for the past three days.”
B) “He cannot stop throwing up.”
C) “He has been taking an antibiotic for a chest cold.”
D) “He got up this morning and was having a hard time breathing.”

Ans: B

Complexity: Moderate
Ahead: Types of Shock
Subject: Chapter 10
Title: Shock
Feedback: 227
Objective: 10-5
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9
Q

A patient in shock with abdominal pain indicates he noticed lots of blood in the toilet after having a bowel movement this morning. You would recognize the possibility of what type of shock?

A) Septic
B) Hypovolemic
C) Hypoxic
D) Obstructive

A 
A patient in shock with abdominal pain indicates he noticed lots of blood in the toilet after having a bowel movement this morning. You would recognize the possibility of what type of shock? 
A) Septic 
B) Hypovolemic
C) Hypoxic 
D) Obstructive

Ans: B

Complexity: Moderate
Ahead: Types of Shock
Subject: Chapter 10
Title: Shock

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10
Q

A patient who sustained blunt trauma to the abdominal and pelvic areas in a very serious collision is probably in which type of shock?

A) Obstructive
B) Cardiogenic
C) Distributive
D) Hypovolemic

A 
A patient who sustained blunt trauma to the abdominal and pelvic areas in a very serious collision is probably in which type of shock? 
A) Obstructive
B) Cardiogenic
C) Distributive
D) Hypovolemic

Ans: D

Complexity: Moderate
Ahead: Types of Shock
Subject: Chapter 10
Title: Shock
Feedback: 227
Objective: 10-5
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11
Q

Which of the following conditions is the most probable cause of cardiogenic shock?

A) Myocardial infarction
B) Severe vomiting and diarrhea
C) Gastrointestinal bleeding
D) Systemic infection

A 
Which of the following conditions is the most probable cause of cardiogenic shock?
A) Myocardial infarction
B) Severe vomiting and diarrhea
C) Gastrointestinal bleeding
D) Systemic infection

Ans: A

Complexity: Moderate
Ahead: Types of Shock
Subject: Chapter 10
Title: Shock
Feedback: 228
Objective: 10-2
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12
Q

The underlying cause of distributive shock is:

A) poor fluid intake.
B) loss of blood volume.
C) a damaged heart that has poor contractility.
D) dilation of blood vessels.

A

The underlying cause of distributive shock is:
A) poor fluid intake.
B) loss of blood volume.
C) a damaged heart that has poor contractility.
D) dilation of blood vessels.

Ans: D

Complexity: Easy
Ahead: Types of Shock
Subject: Chapter 10
Title: Shock
Feedback: 228
Objective: 10-2
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13
Q

Septic shock is caused by:

A) a failing heart.
B) blood loss.
C) an infection.
D) a collapsed lung.

A 
Septic shock is caused by:
A) a failing heart.
B) blood loss.
C) an infection.
D) a collapsed lung.

Ans: C

Complexity: Easy
Ahead: Types of Shock
Subject: Chapter 10
Title: Shock
Feedback: 228
Objective: 10-5
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14
Q

Which of the following conditions could be responsible for causing obstructive shock?

A) Sepsis
B) Hemorrhage
C) Pulmonary embolism
D) Arrhythmia

A 
Which of the following conditions could be responsible for causing obstructive shock?
A) Sepsis
B) Hemorrhage
C) Pulmonary embolism
D) Arrhythmia

Ans: C

Complexity: Easy 
Ahead: Types of Shock
Subject: Chapter 10
Title: Shock
Feedback: 229
Objective: 10-5
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15
Q

You approach a patient and notice they have life threating bleed. The patient appears confused, pale, and diaphoretic. Which one of the following should you do first?

A) Apply oxygen.
B) Address the life threating bleed first.
C) Ensure that the patient’s airway is open and clear.
D) Treat the patient for shock.

A

You approach a patient and notice they have life threating bleed. The patient appears confused, pale, and diaphoretic. Which one of the following should you do first?
A) Apply oxygen.
B) Address the life threating bleed first.
C) Ensure that the patient’s airway is open and clear.
D) Treat the patient for shock.

Ans: B

Complexity: Easy 
Ahead: Patient Assessment for Shock
Subject: Chapter 10
Title: Shock
Feedback: 232
Objective: 10-7
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16
Q

When performing a primary assessment, one of the first signs that the body may be in shock is:

A) skin that is warm and diaphoretic.
B) tachycardia.
C) hypertension.
D) a slowed respiratory rate.

A 
When performing a primary assessment, one of the first signs that the body may be in shock is:
A) skin that is warm and diaphoretic.
B) tachycardia.
C) hypertension.
D) a slowed respiratory rate.

Ans: B

Complexity: Easy
Ahead: Patient Assessment for Shock
Subject: Chapter 10
Title: Shock
Feedback: 232
Objective: 10-6
17
Q

Which of the following statements best indicates that the speaker understands the role of caring for a patient in shock in a prehospital setting?

A) “The job of the prehospital provider is not to treat the patient for shock and get the patient to the hospital, where treatment for shock can be started.”

B) “Because shock is a life-threatening condition, it is important to identify its exact cause so that the OEC technician can administer the proper care to correct it.”

C) “If shock is in the compensatory or early stage, it is not yet life threatening, so you can take your time to carefully assess and treat the patient.”

D) “Because shock is best treated in the hospital, one should provide care to correct problems affecting ABCDs and then rapidly transport the patient.”

A

Which of the following statements best indicates that the speaker understands the role of caring for a patient in shock in a prehospital setting?
A) “The job of the prehospital provider is not to treat the patient for shock and get the patient to the hospital, where treatment for shock can be started.”
B) “Because shock is a life-threatening condition, it is important to identify its exact cause so that the OEC technician can administer the proper care to correct it.”
C) “If shock is in the compensatory or early stage, it is not yet life threatening, so you can take your time to carefully assess and treat the patient.”
D) “Because shock is best treated in the hospital, one should provide care to correct problems affecting ABCDs and then rapidly transport the patient.”

Ans: D

Complexity: Moderate
Ahead: Patient Assessment for Shock
Subject: Chapter 10
Title: Shock
Feedback: 232
Objective: 10-7
18
Q

A 56-year-old female has struck a tree. Your assessment reveals gurgling respirations, rapid breathing, and cool, diaphoretic skin. You also observe bruising to the chest and abdomen. Which one of the following should be your first concern?

A) Determine her pulse rate.
B) Elevate her feet.
C) Evaluate her for shock.
D) Open and maintain her airway.

A 
A 56-year-old female has struck a tree. Your assessment reveals gurgling respirations, rapid breathing, and cool, diaphoretic skin. You also observe bruising to the chest and abdomen. Which one of the following should be your first concern?
A) Determine her pulse rate.
B) Elevate her feet.
C) Evaluate her for shock.
D) Open and maintain her airway.

Ans: D

Complexity: Easy 
Ahead: Patient Assessment for Shock
Subject: Chapter 10
Title: Shock
Feedback: 232
Objective: 10-7
19
Q

You get a call for a “serious” injury on the expert trail. As you are skiing up to the patient, your first priority is:

A) looking to see how much blood is on the snow.

B) trying to determine how many people may be injured.

C) assessing the scene for rescuer safety.

D) performing a primary survey.

A

You get a call for a “serious” injury on the expert trail. As you are skiing up to the patient, your first priority is:
A) looking to see how much blood is on the snow.
B) trying to determine how many people may be injured.
C) assessing the scene for rescuer safety.
D) performing a primary survey.

Ans: C

Complexity: Easy
Ahead: Patient Assessment for Shock
Subject: Chapter 10
Title: Shock
Feedback: 232
Objective: 10-7

Outdoor Emergency Care (68 decks)

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