Emergency Medical Trauma Management, Exams of Nursing

Download Emergency Medical Trauma Management and more Exams Nursing in PDF only on Docsity! FISDAP TRAUMA EXAM QUESTIONS WITH CORRECTLY SOLVED ANSWERS. A 56 yr old male complains of tearing chest pain that radiates to his back. He was the restrained driver involved in a car-crash at high-way speeds. What should your secondary assessment include? - Correct Answer-Bilateral upper extremity blood pressures A 34 yr old male has a fractured left elbow and his arm is cyanotic and pulse less. What should you do. - Correct Answer-Align with gentle traction until resistance is met. A 23 yr old male was stabbed in the lower left quadrant. He was minor bleeding from the wound. What should you do. - Correct Answer-Apply an occlusive dressing Which injury is most likely to develop compartment syndrome. - Correct Answer-Closed tibia fracture. A 21 yr old female has an open femur fracture after falling off a horse. What should you do. - Correct Answer-Apply manual stabilization to her femur. An altered 19 yr old male was musty extricated from a burning building by the fire department. He has soot around his mouth and nose. What should you do? - Correct Answer-Remove and smoldering clothing A 41 yr old male was kicked in the chest by a horse. He is short of breath and he has a contusion to his sternum. Vital signs are BP 96/78, P 124, R 24 and shallow. What should you suspect. - Correct Answer-Cardiac tamponade A 21 yr old male is semi-conscious and lying kiddy Wampus at the bottom of 2 flights of stairs. What should you do? - Correct Answer-Manually stabilize c- spine Which injury or condition should be managed first in a patient with multi- system trauma? - Correct Answer-Bleeding within the oral cavity A 22 yr old male has a knife impaled in the upper right quadrant of his abdomen. He complains of the painful when he inhales and shortness of breathing. What should you suspect. - Correct Answer-Diaphragmatic tear A 21 year old male has a large piece of glass impaled in his eye. What should you do? - Correct Answer-Stabilize the glass with a paper cup What is the term for the injury in which the epidermis remains intact, but cells and blood vessels in the dermis may be damaged. - Correct Answer- contusion, bruise An unresponsive 49 year old male is supine on the road next to a crashed motorcycle. What should you do? - Correct Answer-Hold c-spine Wha type of injury results from prolonged compression forces applied to soft tissue? - Correct Answer-Crush injury A 20 yr old male was the unrestrained driver in a car crash. He is anxious, pale and has absent lung sounds on the left side. Vitals signs are BP 80/48, P 132, R 31 and shallow. What should you suspect. - Correct Answer-Tension pneumothorax What is most life threatening for an adult patient? - Correct Answer-Bubbling wound to the chest What is the best care for a suspected hemothorax? - Correct Answer- transporting rapidly A 46 yr old female was in a car crash at highway speeds. She is unconscious, breathing deep and fast with an abrasion to the lateral aspect of her neck. What should you do? - Correct Answer-Take c-spine precautions A 23 yr old male was stabbed in the shoulder and blood is spurting from the wound. What should do you? - Correct Answer-Apply direct pressure A 25 yr old male has a deep laceration on his right forearm. You are applying direct pressure with a trauma dressing, but the wound continues to bleed. A PATIENT HAS A STAB WOUND TO THE UPPER LEFT QUADRANT. WHICH ORGAN WOULD MOST LIKELY BE INJURED? - Correct Answer-pancreas 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: - Correct Answer-spinal cord injury A 32 YEAR OLD MALE SUSTAINED FACIAL TRAUMA AFTER FALLING FROM A ROOF. HE HAS SNORING RESPIRATION. WHAT SHOULD YOU DO? - Correct Answer-Perform a modified jaw-thrust 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? - Correct Answer- 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 WITH DEFORMITY TO THE LEFT FEMUR AND PELVIC INSTABILITY. SHE HAS DIMINISHED LUNG SOUNDS ON THE LEFT SIDE. YOU SHOULD: - Correct Answer-RAPIDLY TRANSPORT TO THE NEAREST EMERGENCY ROOM WHICH OF THE FOLLOWING TRAUMA PATIENT IS SUFFERING FROM THE MOST SEVERE BRAIN INJURY? - Correct Answer-A semi-conscious 34 year old with decerebrate posturing 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? - Correct Answer-Ask him if you can perform a detail assessment A PATIENT HAS A 4 INCH STICK LODGED IN HER EYE. YOU SHOULD: - Correct Answer-Stabilize the stick with gauze, place a paper cup over the affected eye, and dress the unaffected eye. 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: - Correct Answer-Measure and apply a rigid c-collar A FOUR YEAR OLD MALE HAS SUFFERED AN ARM AMPUTATION DURING A FARMING ACCIDENT. HOW SHOULD YOU MANAGE THE AMPUTATION LIMB? - Correct Answer-SEAL IN A PLASTIC BAG AND PLACE IN A CONTAINER OF COOL WATER A PATIENT HAS DIMINISHED BREATH SOUNDS ON ONE SIDE. CHEST RISE IS UNEQUAL. YOU SHOULD SUSPECT: - Correct Answer-pneumothorax 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: - Correct Answer-Remove his shirt and flush skin with water WHAT IS THE MOST IMPORTANT FACTOR WHEN A PERSON IS STRUCK IN THE CHEST WITH A BASEBALL? - Correct Answer-The speed of the ball at impact 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? - Correct Answer-apply direct pressure to the wound A 21 YEAR OLD FOOTBALL PLAYER WAS HIT FROM THE SIDE AND LANDED HEAD FIRST ONTO THE GROUND. HE WAS AMBULATORY ON SCENE AND IS NOW ORIENTED TO NAME ONLY. HE REFUSES CARE AND TRANSPORT. YOU SHOULD: - Correct Answer-Ask the team coach for assistance A TRAUMA PATIENT HAS SEVERAL WOUNDS OOZING BLOOD. AFTER COMPLETING THE SCENE SIZE UP, YOU SHOULD: - Correct Answer-Ensure that the patient has an adequate airway A PATIENT WAS STABBED IN THE CHEST, AND THE KNIFE WAS REMOVED PRIOR TO YOUR ARRIVAL. YOU NOTICED BLOOD AND BUBBLES LEAKING FROM THE WOUND. YOU CANNOT FIND AN OCCLUSIVE DRESSING. YOU SHOULD: - Correct Answer-Apply a dry, sterile dressing and tape down on three sides 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: - Correct Answer-Respiratory swelling WHEN TREATING AN ABDOMINAL EVISCERATION, YOU SHOULD: - Correct Answer-Cover with moist sterile dressing 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. YOU SHOULD - Correct Answer-Immobilize and expedite transport A PATIENT IS FOUND DEAD AT THE SCENE. WHAT IS THE GLASGOW COMA SCORE WOULD HE RECEIVE? - Correct Answer-3 WHAT IS THE APPROPRIATE CARE FOR AN AMPUTED EXTREMITY? - Correct Answer-WRAP IN DRY GAUZE , SEAL IN A PLASTIC BAG AND PLACE IN COOL WATER 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? - Correct Answer-INSERT AN ORAL AIRWAY AND ADMINISTER OXYGEN VIA BAG-VALVE MASK WHAT IS THE MOST LIKELY CAUSE OF BILATERAL PERIORBITAL ECCHYMOSIS? - Correct Answer-basilar skull fracture 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? - Correct Answer- Neurogenic shock and hemorrhagic shock In chest wounds, the crackling sensation produced by air flowing into the surrounding tissues is called subcutaneous - Correct Answer-emphysema An early indicator or shock includes: - Correct Answer-Tachycardia A 22 year old male was ejected from his vehicle. He complains of numbness and tingling in his extremities. What should you do? - Correct Answer- Stabilize the cervical spine After securing your trauma patient onto a long backboard, you should immediately assess - Correct Answer-Sensory, pulse, and motor function