FISDAP Trauma Exam Questions and Answers, Exams of Nursing

Download FISDAP Trauma Exam Questions and Answers and more Exams Nursing in PDF only on Docsity! FISDAP TRAUMA EXAM QUESTIONS |GUARANTEED PASS 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? - ACCURATE ANSWERS✔✔ Bilateral upper extermity blood pressures A 34 yr old male has a fractured left elbow and his arm is cyanotic and pulse less. What should you do. - ACCURATE ANSWERS✔✔ Align with gentle traction until restiance 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. - ACCURATE ANSWERS✔✔ Apply an occlusive dressing Which injury is most likely to develop compartment syndrome. - ACCURATE ANSWERS✔✔ Closed tibia fracture. A 21 yr old female has an open femur fracture after falling off a horse. What should you do. - ACCURATE ANSWERS✔✔ 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? - ACCURATE ANSWERS✔✔ 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. - ACCURATE ANSWERS✔✔ Cardiac tamponade A 21 yr old male is semi conscious and lying kiddywampus at the bottom of 2 flights of stairs. What should you do? - ACCURATE ANSWERS✔✔ Manually stabilize c-spine Which injury or condition should be managed first in a patient with multi-system trauma? - ACCURATE ANSWERS✔✔ 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. - ACCURATE ANSWERS✔✔ Diaphragmatic tear A 21 year old male has a large piece of glass impaled in his eye. What should you do? - ACCURATE ANSWERS✔✔ Stabilize the glass with a paper cup What is the the term for the injury in which the epidermis remains intact, but cells and blood vessels in the dermis may be damaged. - ACCURATE ANSWERS✔✔ contusion, bruise You arrive on scene of a car crash. The driver is alert and complaining of severe chest and abdominal pain. His radial is weak and rapid. skin is cool, pale and moist. The patient has a history of cardiac problems. You should? - ACCURATE ANSWERS✔✔ Rapidly extricate onto a long spinal board and transport A patient shot in back has cool and clammy skin with arm weakness. BP 130/90, P 76, R 24. You should suspect? - ACCURATE ANSWERS✔✔ Spinal cord injury A patient is in distress after being stabbed in the chest. Blood is bubbling from a laceration to L chest wall. Lung sounds diminished on L side. You should? - ACCURATE ANSWERS✔✔ Apply occlusive dressing What is an early sign of decompensated shock? - ACCURATE ANSWERS✔✔ Cold and clammy extremities; a feeble or absent peripheral pulse; server tachycardia. A patient with chemical burn on eye and is wearing contact lenses. You should? - ACCURATE ANSWERS✔✔ Remove the contact lenses A patient had an accident on moped. She is lying on ground, breathing well. Still wearing helmet. You should? - ACCURATE ANSWERS✔✔ Leave helmet is place where she is stable A patient who was fleeing from police and sustained a laceration shallow on forearm while climbing a rusted chain link fence. Refusing transport. What should you be concerned with? - ACCURATE ANSWERS✔✔ Infection A patient who was fleeing from police and sustained a laceration shallow on forearm while climbing a rusted chain link fence. Refusing transport. What should you be concerned with? - ACCURATE ANSWERS✔✔ Basilar skull fracture Most important factor with person struck in chest with baseball? - ACCURATE ANSWERS✔✔ Speed of the ball A patient has metal impaled in lower right leg. Obvious open fracture and no pulse in R foot, what should you do? - ACCURATE ANSWERS✔✔ Stabilize the object before transporting A patient has received burns to feet while stomping fire. He is still wearing the shoes. The rubber soles and laces melted together. What do you do? - ACCURATE ANSWERS✔✔ Cut shoelace and remove shoes A MAN HAS A KNIFE IMPALED AT THE FOURTH INTERCOSTAL SPACE, LEFT STERNAL BORDER. HE IS PULSELESS AND NOT BREATHING. YOU SHOULD: - ACCURATE ANSWERS✔✔ Remove the knife from the chest 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: - ACCURATE ANSWERS✔✔ Pericardial tamponade A PATIENT RECEIVED A SEVERE STEAM BURN TO HIS HAND AND WRIST. YOU SHOULD: - ACCURATE ANSWERS✔✔ Apply a dry sterile dressing. PROPER MANAGEMENT FOR AN AVULSION OF THE EAR INCLUDES: - ACCURATE ANSWERS✔✔ PACKING THE WOUND WITH DRESSING A PATIENT HAS A STAB WOUND TO THE UPPER LEFT QUADRANT. WHICH ORGAN WOULD MOST LIKELY BE INJURED? - ACCURATE ANSWERS✔✔ 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: - ACCURATE ANSWERS✔✔ spinal cord injury A 32 YEAR OLD MALE SUSTAINED FACIAL TRAUMA AFTER FALLING FROM A ROOF. HE HAS SNORING RESPIRATION. WHAT SHOULD YOU DO? - ACCURATE ANSWERS✔✔ Perform a modified jaw-thrust WHAT IS THE MOST IMPORTANT FACTOR WHEN A PERSON IS STRUCK IN THE CHEST WITH A BASEBALL? - ACCURATE ANSWERS✔✔ 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? - ACCURATE ANSWERS✔✔ 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: - ACCURATE ANSWERS✔✔ Ask the team coach for assistance A TRAUMA PATIENT HAS SEVERAL WOUNDS OOZING BLOOD. AFTER COMPLETING THE SCENE SIZE UP, YOU SHOULD: - ACCURATE ANSWERS✔✔ 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: - ACCURATE ANSWERS✔✔ 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: - ACCURATE ANSWERS✔✔ Respiratory swelling WHEN TREATING AN ABDOMINAL EVISCERATION, YOU SHOULD: - ACCURATE ANSWERS✔✔ 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 - ACCURATE ANSWERS✔✔ Immobilize and expedite transport A PATIENT IS FOUND DEAD AT THE SCENE. WHAT IS THE GLASGOW COMA SCORE WOULD HE RECEIVE? - ACCURATE ANSWERS✔✔ 3 WHAT IS THE APPROPRIATE CARE FOR AN AMPUTED EXTREMITY? - ACCURATE ANSWERS✔✔ 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? - ACCURATE ANSWERS✔✔ INSERT AN ORAL AIRWAY AND ADMINISTER OXYGEN VIA BAG- VALVE MASK WHAT IS THE MOST LIKELY CAUSE OF BILATERAL PERIORBITAL ECCHYMOSIS? - ACCURATE ANSWERS✔✔ 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? - ACCURATE ANSWERS✔✔ Neurogenic shock and hemorrhagic shock In chest wounds, the crackling sensation produced by air flowing into the surrounding tissues is called subcutaneous - ACCURATE ANSWERS✔✔ emphysema An early indicator or shock includes: - ACCURATE ANSWERS✔✔ Tachycardia A 22 year old male was ejected from his vehicle. He complains of numbness and tingling in his extremities. What should you do? - ACCURATE ANSWERS✔✔ Stabilize the cervical spine After securing your trauma patient onto a long backboard, you should immediately assess - ACCURATE ANSWERS✔✔ Sensory, pulse, and motor function Which of the following is considered an open wound? - ACCURATE ANSWERS✔✔ abrasion