Ch19 Practice Questions Pt.1 Flashcards
Which of the following lists correctly names the layers of the skin and immediately underlying tissue?
A) Dermis, muscle, epidermis
B) Epidermis, subcutaneous, muscle
C) Dermis, subcutaneous, muscle
D) Subcutaneous, epidermis, dermis
Which of the following lists correctly names the layers of the skin and immediately underlying tissue? A) Dermis, muscle, epidermis B) Epidermis, subcutaneous, muscle C) Dermis, subcutaneous, muscle D) Subcutaneous, epidermis, dermis
Ans: D
Complexity: Easy Ahead: Anatomy and Physiology Subject: Chapter 19 Title: Soft-Tissue Injuries and Burns Feedback: 393 Objective: 19-2
What is the function of subcutaneous fat?
A) It produces glucose needed for energy.
B) It has no real function and is unhealthy and detrimental to survival.
C) It always projects underlying organs from trauma.
D) It insulates the body and stores energy.
What is the function of subcutaneous fat?
A) It produces glucose needed for energy.
B) It has no real function and is unhealthy and detrimental to survival.
C) It always projects underlying organs from trauma.
D) It insulates the body and stores energy.
Ans: D
Complexity: Easy Ahead: Anatomy and Physiology Subject: Chapter 19 Title: Soft-Tissue Injuries and Burns Feedback: 393 Objective: 19-2
A patient has a laceration on his arm from a table saw. Assessment reveals dark red blood flowing slowly from the wound. You would recognize this type of bleeding as:
A) arterial bleeding.
B) insignificant bleeding.
C) venous bleeding.
D) lymphatic bleeding.
A patient has a laceration on his arm from a table saw. Assessment reveals dark red blood flowing slowly from the wound. You would recognize this type of bleeding as: A) arterial bleeding. B) insignificant bleeding. C) venous bleeding. D) lymphatic bleeding.
Ans: C
Complexity: Moderate Ahead: Anatomy and Physiology Subject: Chapter 19 Title: Soft-Tissue Injuries and Burns Feedback: 394 Objective: 19-3
You are responding to a call to aid a patient who has cut himself with a knife. Reportedly, arterial bleeding is involved. Given this information, which of the following findings do you expect?
A) Flowing dark-red blood that is difficult to control
B) Oozing bright-red blood that is easy to control
C) Spurting dark-red blood that is difficult to control
D) Bright-red blood that is spurting with each beat of the heart
You are responding to a call to aid a patient who has cut himself with a knife. Reportedly, arterial bleeding is involved. Given this information, which of the following findings do you expect?
A) Flowing dark-red blood that is difficult to control
B) Oozing bright-red blood that is easy to control
C) Spurting dark-red blood that is difficult to control
D) Bright-red blood that is spurting with each beat of the heart
Ans: D
Complexity: Moderate Ahead: Anatomy and Physiology Subject: Chapter 19 Title: Soft-Tissue Injuries and Burns Feedback: 394 Objective: 19-3
The skin performs which of the following functions?
A) Regulation of temperature
B) Prevention of blood loss
C) Elimination of carbon dioxide
D) Dissipation of internal cold
The skin performs which of the following functions? A) Regulation of temperature B) Prevention of blood loss C) Elimination of carbon dioxide D) Dissipation of internal cold
Ans: A
Complexity: Easy Ahead: Anatomy and Physiology Subject: Chapter 19 Title: Soft-Tissue Injuries and Burns Feedback: 394 Objective: 19-1
Which of the following injuries is most likely to result in capillary bleeding only?
A) An avulsion
B) An abrasion
C) A laceration
D) A penetration
Which of the following injuries is most likely to result in capillary bleeding only? A) An avulsion B) An abrasion C) A laceration D) A penetration
Ans: B
Complexity: Moderate Ahead: Anatomy and Physiology Subject: Chapter 19 Title: Soft-Tissue Injuries and Burns Feedback: 394 Objective: 19-4
You are having a difficult time controlling bleeding from a small skin avulsion on a patient’s ankle. Which of the following statements made by the patient best explains why the bleeding has been so difficult to control?
A) “I take Coumadin (an anticoagulant) for my irregular heartbeat.”
B) “My blood pressure sometimes runs a little high.”
C) “I take steroids for my lung disease.”
D) “I drank a lot of alcohol last night.”
You are having a difficult time controlling bleeding from a small skin avulsion on a patient’s ankle. Which of the following statements made by the patient best explains why the bleeding has been so difficult to control?
A) “I take Coumadin (an anticoagulant) for my irregular heartbeat.”
B) “My blood pressure sometimes runs a little high.”
C) “I take steroids for my lung disease.”
D) “I drank a lot of alcohol last night.”
Ans: A
Complexity: Easy Ahead: Anatomy and Physiology Subject: Chapter 19 Title: Soft-Tissue Injuries and Burns Feedback: 395 Objective: 18-11
During your secondary assessment, a patient with a stab wound to the abdomen tells you that he is taking Coumadin, a blood thinner. Which of the following implications would taking this medication have for this patient?
A) The medication would not affect the patient or the care you provide.
B) The medication would cause this patient’s blood to clot more quickly, thereby minimizing any bleeding that might occur.
C) The medication could cause the patient to bleed more profusely.
D) The medication would reduce the patient’s blood pressure, so bleeding would be less profuse.
During your secondary assessment, a patient with a stab wound to the abdomen tells you that he is taking Coumadin, a blood thinner. Which of the following implications would taking this medication have for this patient?
A) The medication would not affect the patient or the care you provide.
B) The medication would cause this patient’s blood to clot more quickly, thereby minimizing any bleeding that might occur.
C) The medication could cause the patient to bleed more profusely.
D) The medication would reduce the patient’s blood pressure, so bleeding would be less profuse.
Ans: C
Complexity: Easy Ahead: Anatomy and Physiology Subject: Chapter 19 Title: Soft-Tissue Injuries and Burns Feedback: 395 Objective: 19-6
Assessment of a patient who fell reveals bruising to her right buttock. Her skin is intact, and she complains of tenderness in the area when you palpate it. You would recognize which of the following types of injury?
A) An avulsion
B) An abrasion
C) An open injury
D) A contusion
Assessment of a patient who fell reveals bruising to her right buttock. Her skin is intact, and she complains of tenderness in the area when you palpate it. You would recognize which of the following types of injury? A) An avulsion B) An abrasion C) An open injury D) A contusion
Ans: D
Complexity: Easy Ahead: Types of Soft-Tissue Injuries Subject: Chapter 19 Title: Soft-Tissue Injuries and Burns Feedback: 395 Objective: 19-5
When assessing a patient, you note a bruise on the chest. Another word for documenting a bruise is:
A) ecchymosis.
B) cyanosis.
C) erythematic.
D) hematoma.
When assessing a patient, you note a bruise on the chest. Another word for documenting a bruise is: A) ecchymosis. B) cyanosis. C) erythematic. D) hematoma.
Ans: A
Complexity: Easy Ahead: Types of Soft-Tissue Injuries Subject: Chapter 19 Title: Soft-Tissue Injuries and Burns Feedback: 395 Objective: 19-5
Which of the following phrases best describes a closed-tissue injury?
A) A wound that has scabbed over or healed
B) A wound in which platelets and proteins have formed a plug
C) A wound with no obviously visible opening, such as a needle stick
D) A wound in which underlying tissues are damaged, but the overlying skin remains intact
Which of the following phrases best describes a closed-tissue injury?
A) A wound that has scabbed over or healed
B) A wound in which platelets and proteins have formed a plug
C) A wound with no obviously visible opening, such as a needle stick
D) A wound in which underlying tissues are damaged, but the overlying skin remains intact
Ans: D
Complexity: Easy Ahead: Types of Soft-Tissue Injuries Subject: Chapter 19 Title: Soft-Tissue Injuries and Burns Feedback: 395 Objective: 19-5
Which of the following assessment findings best indicates that a patient’s injury should be classified as an abrasion?
A) Intact skin with ecchymosis noted; patient describes minor pain
B) Jagged breaks in the skin; bleeding moderate but controllable
C) Intact skin with a large accumulation of dark blood underneath
D) Red scrapes involving the outermost layer of skin only
Which of the following assessment findings best indicates that a patient’s injury should be classified as an abrasion?
A) Intact skin with ecchymosis noted; patient describes minor pain
B) Jagged breaks in the skin; bleeding moderate but controllable
C) Intact skin with a large accumulation of dark blood underneath
D) Red scrapes involving the outermost layer of skin only
Ans: D
Complexity: Easy Ahead: Types of Soft-Tissue Injuries Subject: Chapter 19 Title: Soft-Tissue Injuries and Burns Feedback: 397 Objective: 19-6
A 49-year-old man was climbing on rocks when he fell backward to the ground. He presents with a two-inch linear wound on the top of his head. Bleeding has been controlled. You would document this type of injury as a(n):
A) avulsion.
B) contusion.
C) abrasion.
D) laceration.
A 49-year-old man was climbing on rocks when he fell backward to the ground. He presents with a two-inch linear wound on the top of his head. Bleeding has been controlled. You would document this type of injury as a(n): A) avulsion. B) contusion. C) abrasion. D) laceration.
Ans: D
Complexity: Easy Ahead: Types of Soft-Tissue Injuries Subject: Chapter 19 Title: Soft-Tissue Injuries and Burns Feedback: 397-398 Objective: 19-6
You respond to a patient who has an avulsion on the left arm. When you assess this patient, you would expect to find:
A) a loose flap of torn skin on the left arm.
B) abraded skin with an underlying bone fracture.
C) bruised skin with a piece of bone protruding from the left arm.
D) a long and deep laceration on the left arm.
You respond to a patient who has an avulsion on the left arm. When you assess this patient, you would expect to find:
A) a loose flap of torn skin on the left arm.
B) abraded skin with an underlying bone fracture.
C) bruised skin with a piece of bone protruding from the left arm.
D) a long and deep laceration on the left arm.
Ans: A
Complexity: Easy Ahead: Types of Soft-Tissue Injuries Subject: Chapter 19 Title: Soft-Tissue Injuries and Burns Feedback: 398 Objective: 19-6
A patient has been stabbed in the chest with a 6-inch-long ice pick. When you assess the wound, you find it to be very small and insignificant in appearance, with minimal bleeding. Which of the following assumptions can you correctly make about this injury?
A) The wound is most likely superficial.
B) Damage to the underlying structures is likely.
C) Not enough information is available to make any
assumptions.
D) Because the entrance wound is small, severe bleeding is highly unlikely.
A patient has been stabbed in the chest with a 6-inch-long ice pick. When you assess the wound, you find it to be very small and insignificant in appearance, with minimal bleeding. Which of the following assumptions can you correctly make about this injury?
A) The wound is most likely superficial.
B) Damage to the underlying structures is likely.
C) Not enough information is available to make any assumptions.
D) Because the entrance wound is small, severe bleeding is highly unlikely.
Ans: B
Complexity: Easy Ahead: Types of Soft-Tissue Injuries Subject: Chapter 19 Title: Soft-Tissue Injuries and Burns Feedback: 398 Objective: 19-6
Mechanical tattooing is defined as:
A) a form of body art in which dye is injected under the skin.
B) a type of self-mutilation requiring psychiatric follow-up for the patient.
C) the introduction of foreign debris such as dirt, gunpowder, or small rocks into the skin.
D) multiple punctures made by a nail gun.
Mechanical tattooing is defined as:
A) a form of body art in which dye is injected under the skin.
B) a type of self-mutilation requiring psychiatric follow-up for the patient.
C) the introduction of foreign debris such as dirt, gunpowder, or small rocks into the skin.
D) multiple punctures made by a nail gun.
Ans: C
Complexity: Easy Ahead: Types of Soft-Tissue Injuries Subject: Chapter 19 Title: Soft-Tissue Injuries and Burns Feedback: 399 Objective: 19-6
Thermal burns caused by the skin directly contacting hot water or hot steam:
A) are the least common type of burn.
B) are the most common type of burn.
C) result from tanning beds.
D) result from exposure to Gamma radiation.
Thermal burns caused by the skin directly contacting hot water or hot steam:
A) are the least common type of burn.
B) are the most common type of burn.
C) result from tanning beds.
D) result from exposure to Gamma radiation.
Ans: B
Complexity: Easy Ahead: Types of Soft-Tissue Injuries Subject: Chapter 19 Title: Soft-Tissue Injuries and Burns Feedback: 400 Objective: 19-7
Which of the following substances cause the most serious chemical burns?
A) An acid with a pH of 1
B) A chemical with a pH of 7
C) An alkaline chemical or base with a pH of 8
D) An acid with a pH of 6
Which of the following substances cause the most serious chemical burns?
A) An acid with a pH of 1
B) A chemical with a pH of 7
C) An alkaline chemical or base with a pH of 8
D) An acid with a pH of 6
Ans: A
Complexity: Moderate Ahead: Types of Soft-Tissue Injuries Subject: Chapter 19 Title: Soft-Tissue Injuries and Burns Feedback: 400-401 Objective: 19-7
Exposure to direct or alternating electrical current produces severe external and internal burn injuries because:
A) the skin is a poor conductor with a high resistance, and blood vessels are good conductors with low resistance.
B) both the skin and blood vessels are good conductors with low resistance.
C) the skin is a good conductor with a high resistance, and blood vessels are good conductors with low resistance.
D) skin is a poor conductor with a low resistance, and blood vessels are good conductors with low resistance.
Exposure to direct or alternating electrical current produces severe external and internal burn injuries because:
A) the skin is a poor conductor with a high resistance, and blood vessels are good conductors with low resistance.
B) both the skin and blood vessels are good conductors with low resistance.
C) the skin is a good conductor with a high resistance, and blood vessels are good conductors with low resistance.
D) skin is a poor conductor with a low resistance, and blood vessels are good conductors with low resistance.
Ans: A
Complexity: Moderate Ahead: Types of Soft-Tissue Injuries Subject: Chapter 19 Title: Soft-Tissue Injuries and Burns Feedback: 401 Objective: 19-7
When managing electrical burns, OEC technicians should always:
A) use moist dressings.
B) use antibiotic ointments.
C) assess for signs and symptoms of internal injuries.
D) use a topical ointment on the skin.
When managing electrical burns, OEC technicians should always:
A) use moist dressings.
B) use antibiotic ointments.
C) assess for signs and symptoms of internal injuries.
D) use a topical ointment on the skin.
Ans: C
Complexity: Moderate Ahead: Types of Soft-Tissue Injuries Subject: Chapter 19 Title: Soft-Tissue Injuries and Burns Feedback: 401 Objective: 19-9
Which of the following statements concerning a patient who received electrical burns to his hand after grabbing a live wire is true?
A) The burning will continue for hours, perhaps days.
B) The patient will remain an electrocution hazard to rescuers for several minutes after being removed from the source of electricity.
C) The extent of tissue damage may be much greater than it appears on the surface.
D) Electrical burns are a minor injury.
Which of the following statements concerning a patient who received electrical burns to his hand after grabbing a live wire is true?
A) The burning will continue for hours, perhaps days.
B) The patient will remain an electrocution hazard to rescuers for several minutes after being removed from the source of electricity.
C) The extent of tissue damage may be much greater than it appears on the surface.
D) Electrical burns are a minor injury.
Ans: C
Complexity: Easy Ahead: Types of Soft-Tissue Injuries Subject: Chapter 19 Title: Soft-Tissue Injuries and Burns Feedback: 401-402 Objective: 19-7
In a hospital accident, what might cause radiation burns?
A) X-ray machine
B) Steam pipes
C) Spilled soup
D) Exposed wires
In a hospital accident, what might cause radiation burns? A) X-ray machine B) Steam pipes C) Spilled soup D) Exposed wires
Ans: A
Complexity: Easy Ahead: Types of Soft-Tissue Injuries Subject: Chapter 19 Title: Soft-Tissue Injuries and Burns Feedback: 403 Objective: 19-7
Severe external bleeding should be controlled during what phase of a patient assessment?
A) The primary assessment
B) The scene size-up
C) The rapid secondary survey
D) The reassessment
Severe external bleeding should be controlled during what phase of a patient assessment? A) The primary assessment B) The scene size-up C) The rapid secondary survey D) The reassessment
Ans: A
Complexity: Moderate Ahead: Patient Assessment of Soft-Tissue Injuries Subject: Chapter 19 Title: Soft-Tissue Injuries and Burns Feedback: 403 Objective: 19-11
When managing a patient with soft-tissue injuries, it is essential that you:
A) thoroughly clean all lacerations.
B) control any bleeding with sterile dressings only.
C) use the appropriate personal protective equipment.
D) cover any hematomas with an occlusive dressing.
When managing a patient with soft-tissue injuries, it is essential that you:
A) thoroughly clean all lacerations.
B) control any bleeding with sterile dressings only.
C) use the appropriate personal protective equipment.
D) cover any hematomas with an occlusive dressing.
Ans: C
Complexity: Moderate Ahead: Patient Assessment of Soft-Tissue Injuries Subject: Chapter 19 Title: Soft-Tissue Injuries and Burns Feedback: 403 Objective: 19-4
Which of the following sentences best describes a partial-thickness burn?
A) The skin is red and moist, and blisters have formed.
B) The skin is charred or blackened and lacks sensation.
C) The skin is red but dry, no blisters formed, and painful.
D) The skin is white and dry with no sensation of pain.
Which of the following sentences best describes a partial-thickness burn?
A) The skin is red and moist, and blisters have formed.
B) The skin is charred or blackened and lacks sensation.
C) The skin is red but dry, no blisters formed, and painful.
D) The skin is white and dry with no sensation of pain.
Ans: A
Complexity: Moderate Ahead: Patient Assessment of Burns Subject: Chapter 19 Title: Soft-Tissue Injuries and Burns Feedback: 406 Objective: 19-10
A burn extending through the epidermis and dermis layers into the subcutaneous layer would be classified as a:
A) deep partial-thickness burn (second-degree burn).
B) superficial burn (first-degree burn).
C) superficial partial-thickness burn (second-degree burn).
D) full-thickness burn (third- or fourth-degree burn).
A burn extending through the epidermis and dermis layers into the subcutaneous layer would be classified as a:
A) deep partial-thickness burn (second-degree burn).
B) superficial burn (first-degree burn).
C) superficial partial-thickness burn (second-degree burn).
D) full-thickness burn (third- or fourth-degree burn).
Ans: D
Complexity: Moderate Ahead: Patient Assessment of Burns Subject: Chapter 19 Title: Soft-Tissue Injuries and Burns Feedback: 406 Objective: 19-10
Which degree of burn causes damage to bone?
A) First
B) Second
C) Third
D) Fourth
Which degree of burn causes damage to bone? A) First B) Second C) Third D) Fourth
Ans: D
Complexity: Easy Ahead: Patient Assessment of Burns Subject: Chapter 19 Title: Soft-Tissue Injuries and Burns Feedback: 406 and Table 19-2 Objective: 19-10
Your patient is a 40-year-old man who was burned when he spilled gasoline on his pants while he was standing near the pilot light of his hot-water heater. He has partial thickness burns from his feet to just above his knees, circumferentially around both legs. According to the Rule of Nines, the man burned ____ of his body surface.
A) 9%
B) 4.5%
C) 36%
D) 18%
Your patient is a 40-year-old man who was burned when he spilled gasoline on his pants while he was standing near the pilot light of his hot-water heater. He has partial thickness burns from his feet to just above his knees, circumferentially around both legs. According to the Rule of Nines, the man burned \_\_\_\_ of his body surface. A) 9% B) 4.5% C) 36% D) 18%
Ans: D
Complexity: Difficult Ahead: Patient Assessment of Burns Subject: Chapter 19 Title: Soft-Tissue Injuries and Burns Feedback: 407 Objective: 19-9
Hoarseness or voice changes in a burn patient should alert an OEC technician that the:
A) patient may be extremely anxious about the injury.
B) patient most likely is experiencing an inhalation injury causing swelling to the airway, a true emergency.
C) patient should be treated as a pediatric patient.
D) patient has altered mental status.
Hoarseness or voice changes in a burn patient should alert an OEC technician that the:
A) patient may be extremely anxious about the injury.
B) patient most likely is experiencing an inhalation injury causing swelling to the airway, a true emergency.
C) patient should be treated as a pediatric patient.
D) patient has altered mental status.
Ans: B
Complexity: Easy Ahead: Patient Assessment of Burns Subject: Chapter 19 Title: Soft-Tissue Injuries and Burns Feedback: 407 [Key Point] Objective: 19-9
In the Rule of Nines, the surface of the left leg is about what percentage of the body surface?
A) 1%
B) 3%
C) 9%
D) 18%
In the Rule of Nines, the surface of the left leg is about what percentage of the body surface? A) 1% B) 3% C) 9% D) 18%
Ans: D
Complexity: Moderate Ahead: Patient Assessment of Burns Subject: Chapter 19 Title: Soft-Tissue Injuries and Burns Feedback: 407 Objective: 19-9
