FISDAP- NREMT TRAUMA PRACTICE 2023-2024 QUESTIONS WITH CORRECT ANSWERS GRADED A+, Exams of Nursing

Download FISDAP- NREMT TRAUMA PRACTICE 2023-2024 QUESTIONS WITH CORRECT ANSWERS GRADED A+ and more Exams Nursing in PDF only on Docsity! An alert 18 y/o female is found trapped in her car after a single-car MVC. The airbag deployed, and she denies any head or neck pain, but she complains of hip and left leg pain. When she is finally extricated from the car, her vital signs begin to collapse. What shock is she transitioning from? A) neurogenic shock to hypovolemic shock B) decompensated shock to compensated shock C) compensated shock to decompensated shock D) decompensated shock to hypovolemic shock – ANSWER==C) compensated shock to decompensated shock Which of the following MOIs would NOT be significant for an adult? A) death in the same passenger compartment B) fall from more than 10 feet C) ejection from vehicle D) altered mental status - ANSWER ==B) fall from more than 10 feet A 20 y/o female has burns on her chest, abdomen, and on the anterior side of her right arm. What percentage of her body is burned? A) 22.5% B) 27% C) 40.5% D) 18% - ANSWER ==A) 22.5% Before placing an unconscious 6 y/o on a backboard, what should you do? A) place padding directly underneath the head B) place padding underneath the shoulders C) contact the parents for consent D) assess vital signs - ANSWER ==B) place padding underneath the shoulders What best defines shock? A) lack of adequate perfusion to the tissues B) hemorrhage exceeding 50% of total blood volume C) deficiency of vascular tone due to hemorrhage D) inadequate cerebral blood flow - ANSWER==A) lack of adequate perfusion to the tissues C) administer high-flow oxygen D) apply a half-spine immobilization device - ANSWER ==B) stabilize the c-spine An 18 y/o female was hit and has 4 teeth pushed into the upper gums of her jaw. She complains of severe pain and discomfort. Bleeding is minimal. BP is 120/90, HR is 88 bpm, RR is 16/min, and SpO2 is 96%. What should you do? A) administer aspirin for pain B) insert an OPA to maintain patency C) apply oxygen by NRB at 15 L/min D) monitor her bleeding and ensure a patent airway - ANSWER ==D) monitor her bleeding and ensure a patent airway An injury produced by wounding forces of compression and change of speed, both of which can disrupt tissue, is defined as: A) third degree trauma B) penetrating trauma C) blunt trauma D) cavitation - ANSWER ==C) blunt trauma A 34 y/o female has been bleeding vaginally for 2 hours. She is anxious, alert, and oriented. Her skin is cool, pale, and diaphoretic. BP is 116/70, HR 118 bpm, and RR 20/min. What should you suspect? A) hypotensive shock B) hypertensive shock C) decompensated shock D) compensated shock - ANSWER ==D) compensated shock What is a contraindication of a traction splint? A) signs of hypoperfusion B) swelling or deformity to the thigh C) pelvic fracture D) potential spinal injury - ANSWER ==C) pelvic fracture A 56 y/o male involved in a car accident complains of chest and abdominal pain. Pulses differ by 10 mmHg systolic bilaterally and lung sounds are muffled. To which artery should you suspect a rupture? A) subclavian B) carotid C) iliac D) radial - ANSWER ==A) subclavian A 32 y/o female attempted suicide by taking sleeping pills and cutting her wrists. She has dark red blood oozing from the wrist lacerations. BP is 90/52, HR 130 bpm and weak, RR 18/min. What type of bleeding and shock is she experiencing? A) venous bleeding with hypovolemic shock B) capillary bleeding with cardiogenic shock C) arterial bleeding with hypovolemic shock D) venous bleeding with neurogenic shock - ANSWER ==A) venous bleeding with hypovolemic shock Unequal pupils are a result of pressure on which structure? A) oculomotor nerve B) central medulla C) trochlear membrane D) vagus nerve - ANSWER ==A) oculomotor nerve A 41 y/o male has been injured in an explosion at a chemical lab. He has ruptured TMs and sinus injuries. At what phase of the blast did the patient sustain the injuries? A) primary B) ultimate C) tertiary D) secondary - ANSWER ==A) primary When protecting the cervical spine of a suspected trauma patient, what should you do? A) place gentle traction to straighten the c-spine B) hold the c-spine in the position found C) place a rigid collar on the neck prior to continuing with the rest of the assessment D) hold the neck in a neutral, in-line position - ANSWER ==D) hold the neck in a neutral, in-line position What is a mechanism of obstructive shock? A) MI B) spinal cord injury C) acute fluid loss D) tension PTX - ANSWER ==D) tension PTX Which of the following is the first sign of shock that usually appears in patients? A) changes in vitals B) pale, cool, and clammy skin C) AMS D) nausea and vomiting - ANSWER ==C) AMS Which of the following describes bruising or discoloration behind the ears as a result of a fractured skull? A) Babinski's sign B) silver What organ is located in the RUQ? A) spleen B) liver C) kidney D) pancreas - ANSWER ==B) liver An alert and ambulatory 26 y/o female admits to laying her motorcycle down at 25 mph to avoid a crash. She has extreme pain to her left side where you note severe abrasions. She denies any neck or back pain. What should you do? A) c-collar and immobilize her fully in the standing position B) oxygen and transport in a semi-sitting position of comfort C) c-collar and transport on her left side D) sterile dressings and treat her pain with ice - ANSWER ==A) c-collar andimmobilize her fully in the standing position A 20 y/o female was involved in an MVC. She complains of midline neck pain and is unable to move her extremities. What secondary injury should you suspect? A) difficulty breathing B) ruptured vertebrae C) vertebral swelling D) subluxation - ANSWER==C) vertebral swelling An unrestrained 24 y/o female driver hit an electrical pole and struck the steering wheel. She appears pale and complains of nausea and abdominal pain. What organ is LEAST likely to suffer injury as a result of this impact? A) liver B) stomac h C) spleen D) diaphragm - ANSWER ==B) stomach A 28 y/o female has full thickness burns to her hands and arms after being shocked by an electrical outlet. BP is 150/90, RR 20/min, HR 84 bpm. What should you do? A) cover her wounds with moist sterile dressings B) irrigate her burns with normal saline C) apply dry sterile dressings to her wounds D) administer ice to her burns - ANSWER ==C) apply dry sterile dressings to her wounds A 38 y/o male has been struck with a brick. His words are incomprehensible, and he has no eye opening or motor response. He has unequal pupils, and has blood draining from his left ear. BP is 178/110, HR 58 bpm, RR 8/min. What should you suspect? A) a narcotic overdose B) a basilar skull fracture C) - hypovolemic shock D) subdural hematoma - ANSWER==B) a basilar skull fracture What is an injury to ligaments around a joint called? A) fracture B) strai n C) sprain D) dislocation ANSWER ==C) sprain A) apply additional dressing material with direct pressure B) remove and replace the dressing with a thicker dressing C) wrap an elastic bandage around the blood-soaked dressing D) cover the existing dressing with an occlusive dressing - ANSWER ==A) applyadditional dressing material with direct pressure A 19 y/o female has a pencil impaled in her left eye. BP is 130/90, HR 84 bpm, RR 18/min. What should you do? A) assess her ability to track movement with her right eye B) apply oxygen by NRB at 15 L/min C) stabilize the pencil and cover her other eye in a dressing D) stabilize the pencil with a plastic cup - ANSWER ==C) stabilize the pencil and cover her other eye in a dressing A 20 y/o male struck his head while jumping into a swimming pool. He is unconscious and apneic. BP is 88/70, HR 80 bpm. There is a large amount of swelling and deformity in the c-spine area. What should you do? A) apply and inflate MAST B) use the head tilt-chin lift to open his airway C) secure him to a long backboard D) administer oxygen via NRB - ANSWER ==C) secure him to a long backboard A 45 y/o male has fallen down a flight of stairs. He is unresponsive and has diminished breath sounds bilaterally with subQ emphysema around the base of his neck. What should you suspect? A) hemothorax B) fractured trachea C) flail chest D) PTX - ANSWER ==B) fractured trachea A 52 y/o female was the passenger in an MVC in which the airbag deployed. She complains of severe pain in her left shoulder. What is this known as? A) Kehr's sign B) Cullen's sign C) Grey-Turner's sign D) shoulder dystocia - ANSWER ==A) Kehr's sign A 10 y/o boy fell off his bicycle and is now experiencing slow, even bleeding from his left elbow. Which of the following would be the most likely complication from the injury? A) contamination and infection B) air embolism interfering with heart rhythm C) locating the child's legal guardian D) major blood loss - ANSWER ==A) contamination and infection An intoxicated 45 y/o homeless man was hit in the chest. He complains of pain with inspiration. Bilateral lung sounds are clear. BP is 130/80, HR is 76 bpm, RR is 12/min, and SpO2 is 94%. What should you suspect? A) head injury B) pericardial tamponade C) tension PTX D) rib fractures - ANSWER ==D) rib fractures A 56 y/o male tripped and fell into a manhole in the sidewalk. He complains of chest pain and tenderness when he takes a deep breath. Lung sounds are clear but diminished bilaterally. BP is 140/90, HR 90 bpm, RR 12/min. What is the most likely cause of his symptoms? A) tension PTX B) rib fractures C) flail chest D) left-sided hemothorax - ANSWER ==B) rib fractures Your patient has a small sucking puncture wound to the right side of his chest. How would you dress the wound? A) roller gauze B) moist gauze C) butterfly bandages D) occlusive dressing - ANSWER ==D) occlusive dressing A 31 y/o female has a GSW to the right lateral chest. She is awake and alert with obvious difficulty breathing. Where should she be transported? A) respiratory center B) local hospital C) emergency department D) trauma center - ANSWER ==D) trauma center You are at an amusement part when you witness a 19 y/o male being stabbed in the arm. After ensuring that the scene is safe, you approach and see that he is experiencing slow, steady bleeding. You have disposable gloves in your pocket, but no bandages. You should: A) send a bystander to locate a tourniquet B) apply direct pressure to the wound using your gloved hand C) locate a first-aid kit and control the bleeding with bandages D) elevate the arm and use a pressure point to control bleeding - ANSWER==B) apply direct pressure to the wound using your gloved hand An unrestrained 47 y/o female is in cardiac arrest after an MVC on the freeway. She has been pulseless for 20 mins and CPR was withheld. What as red? A) a patient with an obstructed airway B) a patient with a sucking chest wound C) a patient in decompensated shock D) a patient with a 4-inch thigh laceration - ANSWER==D) a patient with a 4-inch thigh laceration What is the initial treatment of an abdominal evisceration? A) apply a moist sterile dressing B) apply a cold pack to the injury C) apply a dry sterile dressing D) carefully reinsert the organs - ANSWER ==A) apply a moist sterile dressing If transport is delayed or prolonged, and if circulation is impaired, an attempt should be made to reposition a greatly deformed fracture or dislocated joint (if allowed by medical control or protocol). The exception is an injury to the: A) knee B) elbow C) ankle D) hip - ANSWER ==D) hip A 22 y/o male complains of SOB with diminished lung sounds on the right side. BP is 130/90, HR 86 bpm, RR 24/min. What should you suspect? A) PTX B) tension PTX C) exacerbation of COPD D) asthma attack - ANSWER ==A) PTX A 23 y/o motorcyclist was struck by an automobile. He complains of hip and leg pain. Your exam reveals a tender pelvis, deformed left upper leg, and compound fracture in the left lower leg. What should you do? A) Hare traction splint B) long backboard C) bilateral SAM splints D) anti-shock trousers - ANSWER ==D) anti-shock trousers A 27 y/o female was involved in an assault. She has a 10 cm laceration across her lower abdomen and you see her lower intestine push out each time she breathes out. What should you do? A) apply a gloved hand and gently push downward B) wrap her lower abdomen in dry sterile dressings C) irrigate her wound with 500 mL normal saline D) apply a moist dressing and then an occlusive dressing - ANSWER ==D) apply a moist dressing and then an occlusive dressing A factory worker has a 3/4 inch laceration on his forehead that bleeds through the dressings despite direct pressure. What should you do? A) apply unilateral carotid pressure B) remove the dressing and apply direct digital pressure C) continue direct pressure and apply additional dressings D) apply pressure to the facial artery - ANSWER ==C) continue direct pressure and apply additional dressings Hollow organs while solid organs bleed . B) air embolism C) internal injuries D) crush syndrome - ANSWER ==D) crush syndrome What is NOT included in the management of a minor venous laceration? A) pressure point B) elevation C) direct pressure D) tourniquet - ANSWER==D) tourniquet Which of the following MOIs would result in a coup-contrecoup injury? A) a front-impact MVC B) diving into shallow water C) a fall from over 20 feet D) a low-energy projectile - ANSWER ==A) a front-impact MVC A) profusely bleed, very slowly B) rupture, rupture C) ooze blood, profusely D) rupture, profusely - ANSWER ==D) rupture, profusely A patient has excessive bleeding from the neck. What should you apply? A) a tourniquet B) a Band-Aid C) an occlusive dressing D) a pressure dressing - ANSWER ==D) a pressure dressing Contents of the chest are protected by: A) mediastinum B) false ribs C) sternum D) ribs - ANSWER ==D) ribs A 22 y/o male was hit several times in the face at a bar. BP is 130/82, HR 110 bpm, RR 24/min. He is hostile and cannot remember his name or address. He refuses any emergency care. What should you do? A) explain the consequences of not allowing you to treat him and then have him sign a refusal form B) call for police to obtain a transport hold on him C) have him sign a refusal form and leave the scene D) have his friends drive him to the hospital as you follow behind in your ambulance - ANSWER ==B) call for police to obtain a transport hold on him You are dispatched to a residence where a 10 y/o girl fell onto a jagged piece of metal. She has a gaping laceration to the right upper arm that is spurting FISDAP/NREW/T TRAUMA (PRACTICE NEW 20 bright red blood. The mother tried to control bleeding with a towel, but it kept soaking through. How would you manage this patient? A) place direct pressure on wound, elevate pt's arm, place tourniquet proximal to the injury B) immediately place PASG C) place direct pressure on wound, elevate pt's arm, place tourniquet distal to injury D) call for immediate ALS intercept, they need to place a tourniquet on pt's arm and start a small bore IV - ANSWER ==A) place direct pressure on wound, elevate pt's arm, place tourniquet proximal to the injury A 21 y/o female involved in an MVC has a bruise to the right side of her chest with paradoxical motion. What should you suspect? A) flail chest segment B) cardiac tamponade C) tension PTX D) traumatic asphyxia - ANSWER ==A) flail chest segment A 22 y/o female involved in an MVC has a 10 cm laceration across her abdomen. You see her large intestine protruding. What should you do? A) irrigate the wound with normal saline B) put gentle pressure on the large intestine C) cover the injury with a dry sterile dressing D) apply a moist and occlusive dressing - ANSWER ==D) apply a moist and occlusive dressing List all regions of the human vertebral column. - ANSWER ==cervical, thoracic, lumbar, sacral, coccygeal Which of the following patients should be transported to a trauma center? A) a 60 y/o with rib pain after an MVC B) a 45 y/o female stabbed in the flank C) a 22 y/o male with a closed ulnar fracture D) a 25 y/o male who fell 10 feet - ANSWER ==B) a 45 y/o female stabbed in the flank A 16 y/o female fell rollerskating and is now confused and agitated. What should you suspect? A) head and chest injuries B) head and spinal injuries C) abdominal and extremity injuries D) abdominal and spinal injuries - ANSWER ==B) head and spinal injuries In which of the following situations would you remove an impaled object? A) knife in the lung B) piece of metal in the abdomen C) wire in the right stabilize, and transport D) splint and bandage the patient's injuries before transporting - ANSWER ==C) perform a primary assessment, stabilize, and transport An 18 y/o male was hit in the head by a large rock. When caring for this patient, what should you continually reassess? A) locomotor function B) level of consciousness C) quality and degree of pain D) pulse, motor, and sensory function - ANSWER ==B) level of consciousness What will initial compensatory mechanisms do during hemorrhaging? A) increase SV and CO B) increase CO and reduce MAP C) decrease RR and increase HR D) decrease peripheral vascular resistance and increase RR - ANSWER ==A) increase SV and CO In the field, you splinted a patient with a deformed humerus. En route to the hospital, you cannot feel a pulse in the limb. What should you do? A) loosen the splint and reassess the pulse B) remove the splint and apply manual stabilization C) make a note in your report and call medical control D) reposition the extremity at a level below the heart - ANSWER ==A) loosen the splint and reassess the pulse A 19 y/o female with head trauma has hypertension, bradycardia, Cheyne-Stokes respirations, and withdraws from pain. Which area of the brain is likely affected? A) medulla B) temporal lobe C) cerebellum D) hypothalamus - ANSWER ==A) medulla What bone should you use a traction splint on? A) radius B) femur C) tibia D) humerus - ANSWER==B) femur A 19 y/o male struck his head against the platform while doing a reverse flip. BP is 88/70, HR is 96 bpm, and RR is 8/min. What type of shock is he in? A) hemorrhagic B) distributive C) hypovolemic D) cardiogenic - ANSWER ==B) distributive A 45 y/o male was bitten by a dog and has wounds to his left arm and leg. What should you do? A) allow the injuries to continue bleeding to clean the wounds B) irrigate the wounds with saline and wrap with dry Curlex FISDAP/NREW/T TRAUMA (PRACTICE NEW 2023 wound An 8 y/o complains of severe lower leg pain. He was released from a local ER 8 hours ago following treatment for a closed tibia fracture. The whole lower leg is swollen, pale, and has decreased sensation. What should you suspect? A) compartment syndrome B) acute arterial occlusion C) an associated calf muscle strain D) ineffective immobilization - ANSWER ==A) compartment syndrome A 16 y/o male was freed from entanglement in an MVC. His right arm is amputated below the elbow. What should you do with the amputation? A) wrap it in moistened gauze, place it in a bag, and keep it cool B) place it in a bag packed with ice and transport C) wrap it in a dry gauze and keep it warm during transport D) place it into anatomical position and wrap it with dry gauze - ANSWER ==A) wrap it in moistened gauze, place it in a bag, and keep it cool How much blood can a patient lose in the abdomen if left untreated? A) 1000 L B) 10 L C) 1500 L D) 15 L - ANSWER ==B) 10 L A 20 y/o male struck his head on a diving board and is unconscious and apneic. BP 88/70, HR 80 bpm. He has a large amount of swelling and deformity in the c-spine area. What should you suspect? A) cerebral contusion B) increased ICP C) c-spine injury D) hypovolemic shock - ANSWER ==C) c-spine injury What is the primary concern in a patient suffering from a severe facial injury due to blunt trauma? A) bleeding control B) transport facility C) adequate breathing D) airway control - ANSWER ==D) airway control A 52 y/o male was the unrestrained driver in a frontal impact MVC. Which of the following injuries would lead you to believe the patient traveled "up and over" the dashboard instead of "down and under"? A) ruptured diaphragm B) c- spine fracture C) patellar dislocation D) flail chest - ANSWER==A) ruptured diaphragm An 18 y/o female with suspected c-spine injury has a significant amount of blood in her mouth. What should you do? A) assess her RR for no longer than 30 seconds B) stabilize her head and suction her airway C) perform jaw-thrust maneuver and attempt to ventilate her D) perform a jaw-thrust maneuver and finger-sweep to remove blood from her mouth - ANSWER ==B) stabilize her head and suction her airway A 57 y/o female was the unrestrained driver in a frontal impact MVC. Which of the following would lead you to believe that she travelled "up and over" the dashboard instead of "down and under"? A) flail chest B) patellar dislocation C) c- spine fracture D) ruptured diaphragm - ANSWER ==D) ruptured diaphragm A 29 y/o male crashed his motorcycle. He is unconscious and the lower portion of his jaw is torn from his face. He has gurgling respirations with bleeding into the throat. What should you do? A) insert an OPA B) apply a c-collar and administer blow-by oxygen C) perform a head tilt-chin lift and apply an NRB D) apply an NC and suction as needed - ANSWER ==D) apply an NC and suction as needed What is the most serious complication of vaginal bleeding? A) PID B) yeast infection C) pregnancy D) hypovolemic shock - ANSWER ==D) hypovolemic shock A 20 y/o male has a 4 cm long by 3 mm wide cut along his right forearm. How should you classify this wound? A) abrasion B) avulsion C) contusion D) laceration - ANSWER==D) laceration An 8 y/o male has a .22 caliber GSW to the lower left abdomen. The wound has been dressed but continues to bleed. BP is 116/68, HR 92 bpm, SpO2 96%. What should you do? A) apply direct pressure to the wound B) remove the soaked dressing and apply a new one C) administer O2 D) auscultate lung sounds - ANSWER ==A) apply direct pressure to the continues to soak through the bandages. What should you do? A) apply a tourniquet B) elevate the leg C) remove the old bandage and apply new ones D) apply pressure to the pressure point just above the injury - ANSWER ==B) elevate the leg Elevating the leg above the heart can help control bleeding. If that fails, the next step would be to use a pressure point. When applying bandages, you should not remove the old ones, just apply the new ones over the old ones. Of the types of energy transfer, which type is an MVC with frontal impact, non- restrained driver with been steering wheel and a spidered windshield? A) high-velocity penetrating B) decelerating C) low-velocity penetrating D) blunt - ANSWER ==D) blunt Any penetrating missile traveling over 2,000 ft/sec would be classified as: A) low velocity B) medium velocity C) high velocity D) decelerating - ANSWER ==C) high velocity When there is a penetrating trauma, there is a permanent cavity formed by the projectile contacting the tissues. How is a temporary cavity formed? A) by the twisting of the projectile B) by energy scrubbing off the projectile C) the wadding entering the body D) unspent gunpowder - ANSWER ==B) by energy scrubbing off the projectile When approaching the scene of a trauma incident, what is your first priority? A) airway B) c-spine control C) body substance isolation D) scene safety - ANSWER ==D) scene safety A large collection of blood under the skin is known as a: A) contusion B) abrasion C) hematoma D) bruise - ANSWER ==C) hematoma Your trauma patient has her left hand caught between rollers on a conveyor belt. Extrication takes 30 mins. Evaluation of the injury during extrication showed delayed capillary refill distal to the injury. Post-extrication evaluation shows rapid capillary refill distal to the injury deformity of the mid-palm. FISDAP/NREW/T TRAUMA (PRACTICE NEW 2023 There are no obvious fractures, no You are called for an elderly female that fell down and hurt her knee. When you find the patient, she tells you she tripped and fell, and landed on her left knee. She denies any LOC or head trauma. The patient is only complaining of pain to the distal femur. During assessment, you notice deformity and swelling to the femur, proximal to the knee. The patient has good distal pulses, motor function, and sensation. What would be the most appropriate treatment? A) secure to a backboard and pad appropriately B) application of padded board splints C) traction splinting D) inflation of the PASG on both legs - ANSWER ==A) secure to a backboard and pad appropriately The patient with a femur fracture should be secured to a backboard and padded appropriately. Inflating both leg sections of the PASG is not indicated for this patient. Secure femur while helping to stop any blood loss. Traction splinting is only appropriate if the femur fracture is mid-shaft. Padded board splints will not provide sufficient stabilization. You have responded to a local residence of a 37 y/o male who lacerated his leg while using a chainsaw in the backyard. Prior to your arrival, the patient's wife, who is a nurse, applied pressure to the wound and has the patient in Trendelenberg. Your assessment of the patient reveals him to be responsive to painful stimuli with a weak carotid pulse and unobtainable BP. There is a massive amount of blood surrounding the patient on the ground. The wife tells you that the wound is arterial and the injury occurred about 10-15 mins ago. In addition to oxygen therapy, what are your treatment priorities for the patient? A) continue applying direct pressure to the wound and call for ALS support B) apply an arterial tourniquet and call for ALS support C) continue applying direct pressure to the wound and transport - ANSWER ==A) continue applying direct pressure to the wound and call for ALS Which of the following findings in a crush injury is typically the earliest and most prominent? A) pain B) pulselessne ss C) paresthesia D) paralysis - ANSWER ==A) pain Your 26 y/o female patient has been pulled out of a house fire. Her chest and arms have been burned. The area is charred and the patient states she has little pain in the burned area. What is the most likely classification of this patient's burns? A) full thickness B) superficial partial thickness C) deep partial thickness D) superficial - ANSWER==A) full thickness You have responded to a 43 y/o male who was involved in an altercation. The patient was reportedly beaten about the face and head with a baseball bat. He is unresponsive. Your patient is suffering from epistaxis. How should you proceed? A) there is no treatment for epistaxis B) pack the area with gauze C) pinch the nostrils and have the patient lean forward D) pinch the nostrils and have the patient tilt their head backwards - ANSWER ==C) pinch the nostrils and have the patient lean forward What are the signs and symptoms of shock? A) increased HR, increased RR, hypotension B) decreased HR, increased RR, hypotension C) increased HR, decreased RR, hypertension D) decreased HR, increased RR, hypertension - ANSWER ==A) increased HR, increased RR, hypotension Your patient is a 22 y/o male with an object impaled in the right side of his chest just below the shoulder. After assessing that the object is not blocking his airway, what is the best course of action for this patient? A) remove the object by pushing it through the same direction as it entered B) remove the object by pulling it back out the way it entered C) cut the object close to the patient in order to control the bleeding and transport the patient D) stabilize the object in place, control the bleeding, and transport - ANSWER ==D) stabilize the object in place, control the bleeding, and transport Your patient has an injury that consists of overstretched and torn ligaments. What type of injury does this patient have? A) strain B) sprain C) fracture D) dislocation - ANSWER==B) sprain What is the best treatment for a suspected fracture of the talus? A) apply a traction splint, heat, and elevate the leg B) apply a traction splint, ice, and elevate the leg C) splint the ankle, apply ice, and elevate D) splint the foot, apply heat, and elevate - ANSWER==C) splint the ankle, apply ice, and elevate When dealing with a patient who has suffered an injury to the back of his head, what part of the brain would you suspect will be affected? A) frontal B) occipital C) FISDAP/NREWIT TRAUMA (PRACTICE NEW 2023 parietal D) temporal - ANSWER==B) occipital Your patient is a 34 y/o male with a large laceration to the abdomen, and the abdominal organs are protruding from the wound. What is this type of injury called? A) evisceration B) avulsion C) protrusion D) contusion - ANSWER ==A) evisceration What is the best way to handle an amputated extremity? A) pack it in ice B) wrap it in plastic and place on ice C) wrap it in sterile dressings and keep it cool with ice D) place it in a container filled with saline - ANSWER ==C) wrap it in sterile dressings and keep it cool with ice You are transporting a trauma patient and notice their condition starts to deteriorate. What do you do? A) stop the ambulance and begin CPR B) tell your partner to drive faster; you need to get this patient to the hospital now C) reassess your patient D) call medical control - ANSWER ==C) reassess your patient You are transporting an unconscious patient. How often should you check their vitals? A) 5 mins B) 2-3 mins C) 10 mins D) 15 mins - ANSWER ==A) 5 mins What is the mnemonic for determining level of consciousness? A) OPQRST B) AVPU C) SAMPLE D) ABC - ANSWER ==B) AVPU Your patient is a 16 y/o male who fell approximately 15 feet. This call should be considered: A) not a traumatic emergency B) a traumatic emergency that requires airlifting the patient to the nearest level 1 trauma center C) a significant MOI D) not a significant MOI - ANSWER ==C) a significant MOI You are called to the scene of a pedestrian that has been struck by a car. Upon examination, you notice clear fluid leaking from the patient's ear that you believe to be CSF. This tells you that the patient may have suffered a: A) severe head injury B) basilar skull fracture