Chapter 25 Quiz

Question 1

A 67-year-old male presents with weakness, dizziness, and melena that began approximately 2 days ago. He denies a history of trauma. His blood pressure is 90/50 mm Hg and his pulse is 120 beats/min and thready. You should be MOST suspicious that this patient is experiencing:

A. gastrointestinal bleeding.
B. an aortic aneurysm.
C. acute appendicitis.
D. intrathoracic hemorrhaging.

Answer 1

A. gastrointestinal bleeding.

Chapter 25, page 885, Internal Bleeding

Question 2

Hypovolemic shock occurs when:

A. the clotting ability of the blood is enhanced.
B. at least 10% of the patient’s blood volume is lost.
C. the patient’s systolic blood pressure is less than 100 mm Hg.
D. the body cannot compensate for rapid blood loss.

Answer 2

D. the body cannot compensate for rapid blood loss.

Chapter 25, page 883, External Bleeding

Question 3

Which section of the heart receives deoxygenated blood?

A. Ventricles
B. Left
C. Right
D. Atria

Answer 3

C. Right

Chapter 25, page 880, Anatomy and Physiology of the Cardiovascular System

Question 4

Which of the following splinting devices would be MOST appropriate to use for a patient who has an open fracture of the forearm with external bleeding?

A. Cardboard splint
B. Vacuum splint
C. Air splint
D. Sling and swathe

Answer 4

C. Air splint

Chapter 25, page 894, Emergency Medical Care for External Bleeding

Question 5

Which organ or organ system has the greatest tolerance for lack of perfusion (shock)?

A. Kidneys
B. Skeletal muscle
C. Gastrointestinal system
D. Brain

Answer 5

C. Gastrointestinal system

Chapter 25, page 882, Pathophysiology and Perfusion

Question 6

Whether you are using a commercial device or a stick and triangular bandage as a tourniquet, it is important to remember that:

A. the tourniquet should only be removed at the hospital because bleeding may return if the tourniquet is released.
B. bulky dressings should be securely applied over the tourniquet to further assist in controlling the bleeding.
C. you should try to control the bleeding by applying pressure to a proximal arterial pressure point first.
D. the tourniquet should be applied directly over a joint if possible because this provides better bleeding control.

Answer 6

A. the tourniquet should only be removed at the hospital because bleeding may return if the tourniquet is released.

Chapter 25, page 893, Emergency Medical Care for External Bleeding

Question 7

In older patients, the first indicator of nontraumatic internal bleeding may be:

A. a low blood pressure.
B. diaphoresis and pale skin.
C. weakness or dizziness.
D. a heart rate over 120 beats/min.

Answer 7

C. weakness or dizziness.

Chapter 25, page 886, Internal Bleeding

Question 8

Significant vital sign changes will occur if the typical adult acutely loses more than ______ of his or her total blood volume.

A. 10%
B. 20%
C. 15%
D. 5%

Answer 8

B. 20%

Chapter 25, pages 882–883, External Bleeding

Question 9

Circulation of blood within an organ or tissue in adequate amounts to meet the cells' oxygen, nutritional, and waste-removal needs is termed \_\_\_\_\_\_\_.
Select one:
A. coagulation
B. hypoperfusion
C. hemorrhage
D. perfusion

Answer 9

D. perfusion

Chapter 25, page 881, Pathophysiology and Perfusion

Question 10

A young male was shot in the abdomen by an unknown type of gun. He is semiconscious, has shallow breathing, and is bleeding externally from the wound. As you control the external bleeding, your partner should:
Select one:
A. obtain baseline vital signs.
B. apply a nonrebreathing mask.
C. assist the patient's ventilations.
D. perform a secondary assessment.

Answer 10

C. assist the patient’s ventilations.

Chapter 25, page 886, Patient Assessment for External and Internal Bleeding