Ch19 Practice Questions Pt.2 Flashcards
Thermal burns result from:
A) transmitted Gamma radiation.
B) direct contact between a heat source and the skin.
C) indirect contact between a heat source and the skin.
D) a chemical reaction stimulated by a heat source.
Thermal burns result from:
A) transmitted Gamma radiation.
B) direct contact between a heat source and the skin.
C) indirect contact between a heat source and the skin.
D) a chemical reaction stimulated by a heat source.
Ans: B
Complexity: Moderate Ahead: Patient Assessment of Burns Subject: Chapter 19 Title: Soft-Tissue Injuries and Burns Feedback: 407 Objective: 19-7
You arrive at a scene at which a 16-year-old girl tells you she has cut her wrist with a knife. She appears to be pale, and blood is spurting from the cut. Which of the following actions should you take first after making the scene safe?
A) Ask her how the injury happened
B) Apply direct pressure to the cut
C) Apply oxygen at 15 LPM via a nonrebreather mask
D) Obtain a blood pressure reading
You arrive at a scene at which a 16-year-old girl tells you she has cut her wrist with a knife. She appears to be pale, and blood is spurting from the cut. Which of the following actions should you take first after making the scene safe?
A) Ask her how the injury happened
B) Apply direct pressure to the cut
C) Apply oxygen at 15 LPM via a nonrebreather mask
D) Obtain a blood pressure reading
Ans: B
Complexity: Easy Ahead: Management of Bleeding Subject: Chapter 19 Title: Soft-Tissue Injuries and Burns Feedback: 408 Objective: 19-11
You are treating a patient who has cut herself while working in the lodge kitchen. She has a jagged laceration on her left forearm that is bleeding steadily and heavily. While attempting to control the bleeding, you should first:
A) tightly wrap roller gauze around a large sterile dressing placed over the injury.
B) apply direct pressure to the elbow pressure point to slow the flow of blood into the arm.
C) place a sterile dressing over the site and hold steady pressure on the dressing with your gloved hand.
D) wrap the injury tightly with roller gauze and apply a tourniquet proximal to the laceration.
You are treating a patient who has cut herself while working in the lodge kitchen. She has a jagged laceration on her left forearm that is bleeding steadily and heavily. While attempting to control the bleeding, you should first:
A) tightly wrap roller gauze around a large sterile dressing placed over the injury.
B) apply direct pressure to the elbow pressure point to slow the flow of blood into the arm.
C) place a sterile dressing over the site and hold steady pressure on the dressing with your gloved hand.
D) wrap the injury tightly with roller gauze and apply a tourniquet proximal to the laceration.
Ans: C
Complexity: Moderate Ahead: Management of Bleeding Subject: Chapter 19 Title: Soft-Tissue Injuries and Burns Feedback: 408 Objective: 19-11
You have just arrived on scene, where a young girl has pushed her arm through a plate glass window. She is responsive and has a patent airway. Bright red blood is spurting from a large laceration on her right upper arm. When your partner tells you to apply direct pressure to the laceration to prevent the further blood loss, you would:
A) place a tourniquet proximal to the laceration, being careful not to get blood on your hands.
B) put gloves on before applying direct pressure over the injury site.
C) control the bleeding by pushing the edges of the laceration together until you can put gloves on.
D) apply direct pressure to the site with your hands until someone wearing gloves can take over.
You have just arrived on scene, where a young girl has pushed her arm through a plate glass window. She is responsive and has a patent airway. Bright red blood is spurting from a large laceration on her right upper arm. When your partner tells you to apply direct pressure to the laceration to prevent the further blood loss, you would:
A) place a tourniquet proximal to the laceration, being careful not to get blood on your hands.
B) put gloves on before applying direct pressure over the injury site.
C) control the bleeding by pushing the edges of the laceration together until you can put gloves on.
D) apply direct pressure to the site with your hands until someone wearing gloves can take over.
Ans: B
Complexity: Moderate Ahead: Management of Bleeding Subject: Chapter 19 Title: Soft-Tissue Injuries and Burns Feedback: 409 Objective: 19-11
Which of the following statements about pressure dressings and bandages is true?
A) All pressure dressings must be airtight to prevent contamination.
B) Bandages should be applied in a distal-to-proximal manner.
C) Dressings are placed over bandages.
D) Gauze should be placed in an open wound before a pressure dressing is applied.
Which of the following statements about pressure dressings and bandages is true?
A) All pressure dressings must be airtight to prevent contamination.
B) Bandages should be applied in a distal-to-proximal manner.
C) Dressings are placed over bandages.
D) Gauze should be placed in an open wound before a pressure dressing is applied.
Ans: B
Complexity: Moderate Ahead: Management of Bleeding Subject: Chapter 19 Title: Soft-Tissue Injuries and Burns Feedback: 409 Objective: 19-13
For which of the following injuries may elevation be used to control bleeding?
A) For a laceration to the forearm
B) For no injuries, as elevation has not been shown to help control bleeding
C) For an abrasion on the lower leg
D) For a puncture wound to the foot
For which of the following injuries may elevation be used to control bleeding?
A) For a laceration to the forearm
B) For no injuries, as elevation has not been shown to help control bleeding
C) For an abrasion on the lower leg
D) For a puncture wound to the foot
Ans: B
Complexity: Moderate Ahead: Management of Bleeding Subject: Chapter 19 Title: Soft-Tissue Injuries and Burns Feedback: 409 Objective: 19-6
Which of the following actions should you take next when direct pressure and packing the wound have failed to control arterial bleeding on a patient’s lower leg?
A) Provide oxygen at 15 LPM with a nonrebreather mask.
B) Apply a tourniquet below the knee.
C) Immediately transport the patient by ambulance.
D) Apply a tourniquet above the knee and splint the extremity.
Which of the following actions should you take next when direct pressure and packing the wound have failed to control arterial bleeding on a patient’s lower leg?
A) Provide oxygen at 15 LPM with a nonrebreather mask.
B) Apply a tourniquet below the knee.
C) Immediately transport the patient by ambulance.
D) Apply a tourniquet above the knee and splint the extremity.
Ans: B
Complexity: Moderate Ahead: Management of Bleeding Subject: Chapter 19 Title: Soft-Tissue Injuries and Burns Feedback: 410 Objective: 19-11
Which of the following statements indicates that the speaker understands the application of a tourniquet?
A) “A tourniquet should be applied tightly enough so that arterial blood flow distal to the tourniquet is completely stopped.”
B) “If the tourniquet appears to have stopped the bleeding, you should loosen it slightly to allow a small amount of blood to perfuse the tissues.”
C) “Arteries run close to the body’s surface in a joint, so the best place to apply a tourniquet is over the joint just above the artery.”
D) “A tourniquet should be applied only when directed by medical control.”
Which of the following statements indicates that the speaker understands the application of a tourniquet?
A) “A tourniquet should be applied tightly enough so that arterial blood flow distal to the tourniquet is completely stopped.”
B) “If the tourniquet appears to have stopped the bleeding, you should loosen it slightly to allow a small amount of blood to perfuse the tissues.”
C) “Arteries run close to the body’s surface in a joint, so the best place to apply a tourniquet is over the joint just above the artery.”
D) “A tourniquet should be applied only when directed by medical control.”
Ans: A
Complexity: Moderate Ahead: Management of Bleeding Subject: Chapter 19 Title: Soft-Tissue Injuries and Burns Feedback: 411 Objective: 19-11
Which of the following statements about the use of a tourniquet is true?
A) It should be placed as distal as possible but at least several inches proximal to the wound.
B) It can be used on most any part of the body except the neck.
C) On an arm or leg, it should be placed 1 inch from either the elbow or knee.
D) Tourniquets are a first resort and should be used frequently.
Which of the following statements about the use of a tourniquet is true?
A) It should be placed as distal as possible but at least several inches proximal to the wound.
B) It can be used on most any part of the body except the neck.
C) On an arm or leg, it should be placed 1 inch from either the elbow or knee.
D) Tourniquets are a first resort and should be used frequently.
Ans: A
Complexity: Moderate Ahead: Management of Bleeding Subject: Chapter 19 Title: Soft-Tissue Injuries and Burns Feedback: 411-412 Objective: 19-11
A wire would be a poor choice for making a tourniquet since a tourniquet should be at least how wide?
A) 1 inch
B) 2 inches
C) 3 inches
D) 4 inches
A wire would be a poor choice for making a tourniquet since a tourniquet should be at least how wide? A) 1 inch B) 2 inches C) 3 inches D) 4 inches
Ans: B
Complexity: Easy Ahead: Management of Bleeding Subject: Chapter 19 Title: Soft-Tissue Injuries and Burns Feedback: 412 [Key Point] Objective: 19-11
A young boy was out riding his bike in the neighborhood when he fell onto a stick protruding from the ground. The stick impaled him in the neck. The boy immediately pulled the stick out. Assessment reveals a gaping wound to the boy’s right neck. Which of the following types of dressing would you use on this injury?
A) Sterile gauze carefully placed inside the open wound to control bleeding
B) An occlusive dressing that is taped on all sides
C) A sterile dressing placed over the wound and bandaged with roller gauze around the neck
D) A moist sterile dressing that is taped to the neck
A young boy was out riding his bike in the neighborhood when he fell onto a stick protruding from the ground. The stick impaled him in the neck. The boy immediately pulled the stick out. Assessment reveals a gaping wound to the boy’s right neck. Which of the following types of dressing would you use on this injury?
A) Sterile gauze carefully placed inside the open wound to control bleeding
B) An occlusive dressing that is taped on all sides
C) A sterile dressing placed over the wound and bandaged with roller gauze around the neck
D) A moist sterile dressing that is taped to the neck
Ans: B
Complexity: Moderate Ahead: Management of Bleeding Subject: Chapter 19 Title: Soft-Tissue Injuries and Burns Feedback: 413 Objective: 19-13
Which of the following statements indicates that the speaker understands bandaging?
A) “Bandages are sterile gauze pads used to stop bleeding.”
B) “Bandaging material is used to secure a dressing in place.”
C) “Bandaging material must always be sterile.”
D) “After you apply a bandage, a dressing should always be put over it.”
Which of the following statements indicates that the speaker understands bandaging?
A) “Bandages are sterile gauze pads used to stop bleeding.”
B) “Bandaging material is used to secure a dressing in place.”
C) “Bandaging material must always be sterile.”
D) “After you apply a bandage, a dressing should always be put over it.”
Ans: B
Complexity: Moderate Ahead: Management of Bleeding Subject: Chapter 19 Title: Soft-Tissue Injuries and Burns Feedback: 413 Objective: 19-13
You have applied a pressure dressing to the calf of a woman who suffered a deep laceration from a piece of broken glass. Which of the following actions should you take next?
A) Apply a splint
B) Obtain a follow-up blood pressure reading
C) Apply a tourniquet above the laceration
D) Check CMS in the patient’s foot
You have applied a pressure dressing to the calf of a woman who suffered a deep laceration from a piece of broken glass. Which of the following actions should you take next?
A) Apply a splint
B) Obtain a follow-up blood pressure reading
C) Apply a tourniquet above the laceration
D) Check CMS in the patient’s foot
Ans: D
Complexity: Moderate Ahead: Management of Bleeding Subject: Chapter 19 Title: Soft-Tissue Injuries and Burns Feedback: 414 Objective: 19-6
Which of the following statements indicates that the speaker understands dressing and bandaging a wound?
A) “When applying a bandage over a dressing, apply it very tightly so the bandage won’t fall off.”
B) “If bleeding from a wound cannot be stopped initially with direct pressure, apply a bandage so you can take care of other injuries.”
C) “Leave the tips of the fingers or toes exposed when bandaging an arm or a leg so you can continue to assess CMS.”
D) “Place a bandage across the joint proximal to the wound because this helps control bleeding by applying pressure to the underlying blood vessels.”
Which of the following statements indicates that the speaker understands dressing and bandaging a wound?
A) “When applying a bandage over a dressing, apply it very tightly so the bandage won’t fall off.”
B) “If bleeding from a wound cannot be stopped initially with direct pressure, apply a bandage so you can take care of other injuries.”
C) “Leave the tips of the fingers or toes exposed when bandaging an arm or a leg so you can continue to assess CMS.”
D) “Place a bandage across the joint proximal to the wound because this helps control bleeding by applying pressure to the underlying blood vessels.”
Ans: C
Complexity: Moderate Ahead: Management of Bleeding Subject: Chapter 19 Title: Soft-Tissue Injuries and Burns Feedback: 414 Objective: 19-13
The most effective method for treating a contusion is to apply a(n):
A) pressure dressing.
B) tourniquet.
C) bandage.
D) ice pack.
The most effective method for treating a contusion is to apply a(n): A) pressure dressing. B) tourniquet. C) bandage. D) ice pack.
Ans: D
Complexity: Easy Ahead: Management of Specific Soft-Tissue Injuries Subject: Chapter 19 Title: Soft-Tissue Injuries and Burns Feedback: 418-419 Objective: 19-5
