Trauma Unit Test Correct Answers Flashcards
A 16-year-old male complains of extreme pain to his chest. You note his shirt is splashed with battery acid. Vitals are bp 150/100, p 100, r 24. You should:
Remove his shirt and flush skin with water
A 21-year-old football player was hit from the side and landed headfirst onto the ground. He was ambulatory on scene and is now oriented to name only. He refuses care and transport. You should:
Ask the team coach for assistance
A 22-year-old male was ejected from his vehicle. He complains of numbness and tingling in his extremities. What should you do?
A. Obtain baseline vitals
B. Assess for changes in pupils
C. Perform a detailed secondary assessment
D. Stabilize the cervical spine
Stabilize the cervical spine
A 22-year-old woman has been in an accident on her moped. She is lying on the ground, breathing well and still wearing her helmet.
A. leave her helmet in pace until you begin stabilization
B. Leave her helmet in place while she is stabilized
C. Immediately remove her helmet and begin stabilization
D. Call for backup assistance before removing her helmet
You should Leave her helmet in place until you begin stabilization
A 23-year-old male received burns to his feet while stomping out a campfire. He is still wearing his shoes and the rubber soles and shoelaces have melted together. What should you do?
Place his feet in a bucket of cold sterile water.
A 23-year-old soccer player was kicked in the chest. He is alert with rapid, shallow respirations and complains of chest pain. Skin is pale, cool, and wet. You should:
oxygenate via a non-rebreather mask
A 24-year-old male sustained burns to his eyes, nose and mouth when the radiator cap on his car blew off. You should treat for
A. SOFT TISSUE INJURIES
B. BURN SHOCK
C. RESPIRATORY SWELLING
D. EYE INURIES
Respiratory Swelling
A 24-year-old pedestrian is unconscious after being struck by a car. She has ineffective breathing and bloody secretions in her mouth. You should
A. Immediately suction her oropharynx
B. Insert an oropharyngeal airway adjunct
C. Assist ventilations via bag valve mask
D. Assess the rate and quality of her pulse
Immediately suction her oropharynx
A 25-year-old assault victim is splitting up light pink sputum. He has bright, red blood spurting from a 2-inch laceration to his left forearm, what should you do?
Apply direct pressure to the wound
A 25-year-old male is in respiratory distress after being stabbed in the chest. Blood is bubbling from a 2 cm laceration to his left chest wall. Lung sounds are diminished on the left side. You should:
A. ADMINISTER HIGH-FLOW OXYGEN
B. APPLY AN OCCLUSIVE DRESSING
C. APPLY A PRESSURE DRESSING
D. ASSIST VENTILATIONS
Apply an occlusive dressing
A 28-year-old male suffered Blunt trauma to the right anterior chest. He is pale,cool,diaphoretic,and responsive to verbal stimuli. Respirations are 38 and shallow with paradoxical movement. What should you do?
A. Call for ALS back up
B. Oxygenate with positive pressure ventilations
C. Provide high flow oxygen by nonrebreather mask
D. Stabilize the chest with bulky dressings
Oxygenate with positive pressure ventilations
A 28-year-old male was fleeing from the police and sustained a shallow, 1 centimeter laceration to his forearm while climbing a rusted chain link fence. He is refusing transportation. What should your concern be?
Infection
A 28-year-old patient was a driver of a motorcycle that was traveling at 45 mph. He was not wearing a helmet. The patient is lying supine with copious amounts of blood around his face. He is making gurgling sounds and is breathing 4 times a minute. Which of the following maneuvers would be most appropriate?
A. Jaw thrust without head tilt
B. Head tilt with chin lift
C. Head tilt with Jaw thrust
D. Chin lift without head tilt
Jaw Thrust without head tilt.
A 28-year-old patient was a driver of a motorcycle that was traveling at 45 mph. He was not wearing a helmet. The patient is lying supine with copious amounts of blood around his face. He is making gurgling sounds and is breathing 4 times a minute. You should:
Suction the airway
A 30-year-old male was shot in the mid-thigh. Bleeding continues after your partner applies direct pressure. What should you do?
Elevate the leg and place a pressure dressing.
A 30-year-old was involved in a minor motor vehicle accident. Upon your arrival she is standing outside of her vehicle complaining of lower back pain. You should immobilize her using a:
long spine board
A 32-year-old mal sustained facial trauma after falling from a roof. He has snoring respirations. What should you do?
A. VENTILATE VIA BAG-VALVE MASK
B. PERFORM A MODIFIED JAW-THRUST
C. PERFORM A HEAD-TILT-CHIN-LIFT
D. CHECK FOR A CAROTID PULSE
Perform a modified jaw thrust
A 32-year-old male is unconscious after being struck in the head by a baseball bat. His pulse and breathing are slow, and you see minor bleeding from a laceration at his left temple. Your partner is maintaining manual c-spine stabilization. You should
A.MEASURE AND APPLY A RIGID C-COLLAR
B. CHECK AIRWAY AND APPLY HIGH-FLOW OXYGEN
C. PERFORM A RAPID HEAD TO TOE TRAUMA EXAM
D. SECURE THE PATIENT TO THE BACKBOARD
Measure and apply a rigid c-collard
A 35-year-old driver collided into a telephone pole. He is unconscious and unresponsive with severe bleeding from the mouth.
You should Rapidly extricate him from the vehicle to a long spine board
A 35-year-old patient has fallen and has a deformed right lower leg. The distal extremity is pulseless, and the skin is cool and cyanotic. You should?
Realign the injured extremity
A 38-year-old male has a large bruise on his left upper quadrant following a motorcycle collision. What should you suspect?
Spleen
A 40-year-old male fell off a ladder and broke his leg. His left knee now bends the wrong way. You should:
A. APPLY A TRACTION
B. SEE IF HE CAN MOVE HIS TOES ANKLE
C. ASSESS SKIN TEMPERATURE OF EFFECTED EXTREMITY
D. CHECK FOR PULSE, MOTOR AND SENSATION IN LOWER LEG
Check for pulse, motor and sensation in lower leg
A 42-year-old male has a piece of metal impaled in his lower right leg. He has an obvious open fracture and no pulse in his right foot. What should you do?
A. APPLY TRACTION SPLINT, STABILIZE AND TRANSPORT.
B. REPOSITION HIS LEG TO RESTORE THE PULSE IN HIS FOOT.
C. REMOVE THE OBJECT CAREULLY AFTER SPLINTING
D. STABILIZE WITH BULKY DRESSINGS PRIOR TO TRANSPORT
Stabilize with bulky dressings prior to transport
A 45-year-old male crashed his snowmobile. His skin is cool and pale. His vital signs are BP 198/96 P 48 R slow and irregular. What should you suspect?
A. Hypothermia
B. Traumatic brain injury
C. Tension Pneumothorax
D. Neurogenic shock
Neurogenic shock
A 45-year-old male fell asleep outside while doing yard work. His face and lower legs are bright red, with small blisters and painful on examination. You should suspect:
Both Superficial and partial thickness burns
A 47-year-old male was shot in the back. He is cool and clammy and has arm weakness. Vital signs are bp 130/90, p 76, r 24. You should suspect:
A. AORTIC TRANSECTION
B. TENSION PNEUMOTHORAX
C. MASSIVE HEMOTHORAX
D. SPINAL CORD INJURY
Spinal Cord Injury
A 50-year-old male has an obviously deformed right lower leg after falling off a roof. As you approach you notice a tear in the skin over the deformity. What should you do?
Realign and splint the leg
A 53-year-old female was hit by a car. She is unresponsive with deformity to the left femur and pelvic instability. She has diminished lung sounds on the left side. You should:
A. STABILIZE THE LEFT FEMUR WITH A TRACTION SPLINT
B.PERFORM A DETAILED PHYSICAL ASSESSMENT
C. RAPIDLY TRANSPORT TO THE NEAREST EMERGENCY ROOM
D. IMMOBILIZE HER ONTO A LONG BACKBOARD
Rapidly transport to the nearest emergency room
A 59-year-old male is trapped in his car by a broken gas pedal through his foot. He has gone into cardiac arrest. You should:
A. attempt chest compressions
B. Remove him from the impaled object
C. begin positive pressure ventilations
D. attach and AED and follow prompts
Attach AED and follow prompts
A 62-year-old male is found unresponsive next to a ladder. Vital signs are bp 80/48, p 60, r 24. What should you suspect?
A. Neurogenic shock
B. Hemorraghic shock
C. Respiratory shock
D. Cardiogenic shock
Neurogenic shock
A 75-year-old female was in a motor vehicle collision and says she can’t feel her legs. Vital signs are BP 80/40 , P 60, R 24. You should suspect:
A. Compensated shock
B.Hemorrhagic shock
C. Neurogenic shock
D. cardiogenic shock
Neurogenic shock
A baseball player was hit by a baseball in the left eye and complains of double vision. What should you do?
Assess pupillary response
A four-year-old male has suffered an arm amputation during a farming accident. How should you manage the amputation limb?
Apply dressing and seal tightly with plastic wrap
A man fell while water skiing. He is unconscious. You should suspect
Head and spine injury
A man has a knife impaled at the fourth intercostal space, left sternal border. He is pulseless and not breathing. You should:
A. NOT ATTEMPT TO PREFORM COMPRESSIONS
B. REMOVE THE KNIFE FROM THE CHEST
C. PERFORM COMPRESSION WITH THE KNIFE IN PLACE.
D. STABILIZE WITH A BULKY DRESSING
Remove the knife from the chest
A patient has a 3 cm laceration above his left eye. It is bleeding profusely. You should
Apply several 4x4 dressings to the wound using pressure to hold
A patient has a 4-inch stick lodged in her eye. You should
: Stabilize the stick with gauze, place a paper cup over the affected eye, and dress the unaffected eye.
A patient has a chemical burn on her eye and is wearing contact lenses. You should?
Remove the contact lends and administer an irrigating solution.
A patient has a stab wound to the upper left quadrant. Which organ would most likely be injured?
A. PANCREAS
B. KIDNEY
C. LIVER
D. SPLEEN
Spleen
A patient has bruising around the eyes and behind the ears. You suspect?
Basilar Skull fracture.
A patient has diminished breath sounds on one side. Chest rise is unequal. You should suspect
A. PNEUMONIA
B. A RIB FRACTURE
C. FLAIL CHEST
D. A PNEUMOTHORAX
A pneumothorax
A patient is found dead at the scene. What is the Glasgow coma score would he receive?
3
A patient present with pain and bruising to the right upper quadrant following a motor vehicle collision. You should suspect injury to which of the following organ?
Liver
A patient presents with jugular vein distention (jvd), muffled heart sounds, and clear breath sounds. You should suspect:
Pericardial tamponade
A patient received a severe steam burn to his hand and wrist. You should:
A. APPLY MOIST STERILE DRESSING
B. APPLY DRY STERILE DRESSING
C. REMOVE HIS WATCH
D. REMOVE DEBRIS
Remove his watch
A patient was stabbed in the chest, and the knife was removed prior to your arrival. You notice blood and bubbles leaking from the wound. You cannot find an occlusive dressing?
Apply a dry sterile dressing and tape down on three sides
A pedestrian was struck by an automobile. His skin is pale, cool, and diaphoretic. He is oriented to name only and complaining of difficulty breathing. Vital signs are bp 80/40 (low), p 120, r 28 (bordering high) and shallow, spo2 90% (bordering low) you should:
A. ADMINISTER OXYGEN WITH BAG VALVE MASK
B. INSERT AN NASOPHARYNGEAL AIRWAY
C. ADMINISTER OXYGEN VIA NONBREATHING MASK
D. IMMOBILIZE ONTO A LONG BACKBOARD
Administer oxygen with bag valve mask
A snowmobile rider was thrown 15 feet from his vehicle. Finger is deformed and his sternum is tender to palpation. He says, “i think I’ll be okay”, and refuses transport. What should you do?
Ask him if you can perform a detail assessment
A trauma patient has several wounds oozing blood. After completing the scene size up you should.
Immediately dress and bandage all wounds
A woman was struck in the face with a softball bat. She is unconscious. Vital signs are bp 74/50, p 60, r8. What should you do?
A. INSERT AN ORAL AIRWAY AND ADMINISTER OXYGEN VIA BAG-VALVE MASK
B. SUCTION AND INSERT AN OROPHARYNGEAL AIRWAY
C. ADMINISTER OXYGEN BY NON-REBREATHER MASK
D. APPLY MODIFIED JAW THRUST AND IMMOBILIZE
A. Insert an oral airway and administer oxygen via bag valve mask
After securing your trauma patient onto a long backboard, you should immediately assess
Sensory, pulse, motor function
An 18-year-old male fell off his skateboard, struck his head on the concrete, and immediately started screaming. He is alert and oriented to name only.
A. ASK THE PATIENT TO DESCRIED THE FALL
B. ASSIST VENTILATION WITH 100% OXYGEN VIA BVM
C. IMMOBILIZE AND EXPEDITED TRANSPORT
D. OBTAIN BLOOD PRESSURE
You should Immobilize and expedited transport
An 18-year-old male is holding his right shin after a sports-related injury. There is deformity and swelling; pedal pulses are present. You should:
A. STABILIZE THE LIMB AT THE HIP AND ANKLE
B. APPLY AN ICE PACK AND ELEVATE THE LIMB.
C. APPLY TRACTION AND REALIGN THE LIMB
D. APPLY A BOARD SPLINT IN THE POSITION FOUND
Apply a board splint in the position found
An 81-year-old female fell out of bed last night and was placed back into bed. This morning the nurse is suspecting a hip fracture. Which of the medications should concern you?
Coumadin
An adult was pinned between two vehicles. He is conscious but confused and unable to follow commands. He has bruising on both sides of his anterior chest. He has a weak carotid pulse, no peripheral pulses, clear breath sounds in all fields, and distended neck veins. You should suspect:
Pericardial tamponade
An altered 24-year-old male has been stabbed in the abdomen. The patient is sitting, holding abdominal contents and complaining of dizziness. He does not want to be touched. Vital signs are BP 70/40, P 120, R 20. You should
A. transport rapidly in the position found
B. Apply a three sided occlusive dressing
C. Apply direct pressure and recheck vitals
D. Lay him down and apply a moist dressing
Lay him down and apply a moist dressing
An early indicator of shock includes
A. Bradycardia
B hypotension
C. tachycardia
D. hypertension
Tachycardia
An unresponsive 18-year-old female was found in the supine position with bleeding in the mouth and from the nose. Respirations are 20 per minute. What should you do?
Suction the oropharynx
Decompensated shock can be recognized by:
Decreased blood pressure
In chest wounds, the crackling sensation produced by air flowing into the surrounding tissues is called subcutaneous…
Emphysema
Proper management for an avulsion of the ear includes
Banding in the correct anatomical position
What is the appropriate care for an amputated extremity?
Wrap in dry gauze, seal in a plastic bag and place in cool water
What is the most important factor when a person is struck in the chest with a baseball?
The speed of the ball at impact
What is the most likely cause of bilateral periorbital ecchymosis?
Basilar skull fracture
When treating an abdominal evisceration, you should:
Cover with a moist sterile dressing
Which injury is most likely to require routine assessment and transport?
A. Deformed wrist injury
B. Open skull fracture
C. Gunshot wound to the chest
D. Amputated arm
Deformed wrist injury
Which of the following is considered an open wound?
A.Hematoma
B.Crush injury
C. Abrasion
D. Contusion
Abrasion
Which of the following trauma patient is suffering from the most severe brain injury?
A. A SEMI-CONSCIOUS 86 YEAR OLD PERIORBITAL ECCHYMOSIS
B. A SEMI-CONSCIOUS 34 YEAR OLD WITH DECEREBATE POSTURING
C. A SEMI-CONSCIOUS 56 YEAR OLD WITH VOMITING
D. A SEMI-CONSCIOUS 23 YEAR OLD WITH UNEQUAL PUPILS
A semi-conscious 34-year-old with decerebrate posturing
You are treating a patient with agonal respirations and a gunshot wound to the chest. You notice an open skull fracture leaking brain matter. There is no radial pulse. You should:
Assess a carotid pulse and assist ventilations
You arrive at a motor vehicle collision and find that your patient has extricated herself from the vehicle and is walking around. She complains of neck pain. You should:
Apply a C- collar and walk her to the ambulance
You arrive on scene of a car crash. The driver is alert and complaining of severe chest and abdominal pain. His radial pulse is weak and rapid, and his skin is cool, pale and moist. The patient has a history of cardiac problems.
Rapidly extricate onto a stretcher and transport
Your first concern with a conscious patient who has partial thickness burns to his face is treating:
A. Airway problems
B. for hyperthermia
C. for shock
D. the burned area
Airway problems
Your patient cut his wrist. The wound is bleeding rapidly and spurting blood with each heartbeat. The patient most likely severed an
Artery
Your patient has been stabbed in the right upper quadrant. Which organ is the most likely to be injured?
Liver
Your patient is bleeding profusely from the scalp. You should:
Apply direct pressure with a sterile gauze
