Trauma Fisdap exam-with 100% verified answers-2024-2025.docx, Exams of Nursing

Download Trauma Fisdap exam-with 100% verified answers-2024-2025.docx and more Exams Nursing in PDF only on Docsity! Trauma Fisdap exam-with 100% verified answers-2024-2025 You arrive on the scene of a patient who fell from a ladder. Which of the following information is NOT an important factor in care of the patient? a)Height of the ladder b)Distance the patient fell from c)Surface the patient landed on d)What part of the body hit first Correct Answer: a)Height of the ladder You are at the scene of an MVA, in which there are three patients, all of which have minor visible injuries. Two are refusing treatment and the last is complaining of neck and back pain. How should you proceed? a)Treat all three patients, they are visibly injured and need medical attention b)Obtain signed refusals from the first two patients then proceed to the third c)Treat the third patient, nothing else is needed for the other two d)Have your partner obtain refusals from the two patients who refused treatment, while you treat the last patient. Correct Answer: d)Have your partner obtain refusals from the two patients who refused treatment, while you treat the last patient. Your patient is a 17 year old male found face down in a swimming pool. He is currently being held face up at the surface of the water. He is unconscious but breathing and has a pulse. What is the best course of action for this patient? a)Jump into the pool and begin CPR b)Remove the patient from the pool, immobilize, and transport. c)Apply cervical and spinal immobilization while the patient is still in the pool d)Wait for a trained water rescue team Correct Answer: c)Apply cervical and spinal immobilization while the patient is still in the pool A laceration, spurting bright laceration, spurting bright red blood, most likely means what type of injury? what red blood most likely means a)Venous b)Arterial c)Capillary d)Amputation Correct Answer: b)Arterial Your patient has a laceration to the right leg which has intersected the femoral artery. You have applied direct pressure to the wound, but it continues to soak through the bandages. What should you do next? a)Apply a tourniquet b)Elevate the leg c)Remove the old bandage and apply new ones d)Apply pressure to point just above the injury Correct Answer: b)Elevate the leg Of the two types of energy, which type of energy transfer in a motor vehicle crash (MVC) with frontal impact, non-restrained driver with bent steering wheel, and spidered windshield? a)High velocity penetrating b)Decelerating c)Low velocity penetrating d)Blunt Correct 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 Correct Answer: c)High velocity When there is penetrating trauma there is a permanent cavity which is 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 of the projectile c)The wadding entering the body d)Unspent gun powder Correct Answer: b)By energy scrubbing off of the projectile The way a patient is injured is often referred to as the _______________? a)Mechanism of injury b)Nature of illness c)Injury pattern d)Energy transfer Correct Answer: a)Mechanism of injury When approaching a scene of trauma incident, what is your first order of business? a)Airway b)C-Spine control c)Body substance Isolation d)Scene safety Correct Answer: d)Scene safety A large collection of blood under the skin is known as? a)Contusion b)Abrasion c)Hematoma d)Bruise Correct Answer: c)Hematoma Your trauma patient has her left hand caught between rollers on a conveyor belt. Extrication takes 30 minutes. Evaluation of the injury during extrication showed delayed capillary refill distal to the injury. Post extrication shows rapid capillary refill distal to the injury deformity mid-palm. There are no obvious fractures, no lacerations, and minor swelling. Knowing that crush injuries can cause many other problems, which is NOT considered a crush injury complication? a)Compression of tissues b)Fractures c)No injury at all d)Compartment syndrome Correct Answer: c)No injury at all you that the wound is arterial and the injury occurred about 10 to 15 minutes ago. In addition to oxygen therapy, what are your treatment priorities for this 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)Apply an arterial tourniquet and call for ALS support. d)Continue applying direct pressure to the wound and transport. Correct Answer: a)Continue applying direct pressure to the wound and call for ALS support. Which of the following findings in a crush injury is typically the earliest and most prominent? a)Pain b)Pulselessness c)Paresthesia d)Paralysis Correct Answer: a)Pain Your 26-year-old 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 burns c)Deep partial thickness burns d)Superficial Correct Answer: a)Full thickness You have responded for a 43-year-old male who was involved in an altercation. The patient was reportedly beaten about the face and head with a baseball bat. The patient is unresponsive. Evaluation of the patient's face reveals instability from the orbits to the mandible. Based on this information, how would you definitively manage this patient's airway? a)Immediately assist ventilations with a Bag-Valve-Mask. b)Orally intubate the patient and assist ventilations with a Bag-Valve-Mask. c)Insert an oral airway and assist ventilations with a Bag-Valve-Mask. d)Insert a nasal airway and assist ventilations with a Bag-Valve-Mask. Correct Answer: b)Orally intubate the patient and assist ventilations with a Bag-Valve-Mask. When managing an open fracture, you should do which of the following? a)Cover the exposed bone ends with a moist sterile dressing. b)Provide mild manual traction to restore distal circulation. c)Leave the wound exposed if there is no massive bleeding from the area. d)Apply a pressure dressing to prevent blood loss. Correct Answer: a)Cover the exposed bone ends with a moist sterile dressing. What is the most common spinal injury associated with improper lifting techniques? a)Thoracic b)Cervical c)Lumbar d)Sacral Correct Answer: c)Lumbar You respond to the scene of a residential natural gas explosion to find a 36-year-old male patient complaining of a diminished ability to hear, moderate dyspnea, and acute abdominal pain. These symptoms are likely due to what mechanism? a)Primary blast injury b)Secondary blast injury c)Tertiary blast injury d)Toxic inhalation of natural gas Correct Answer: a)Primary blast injury While assessing the carotid and radial pulse in your unresponsive patient, you determine that the carotid pulse is weak and rapid, and the peripheral pulses are absent. What other clinical assessment finding would you expect to be present? a)An irregular rhythm of the pulse b)A decrease in the respiratory rate c)Cool and pale skin d)An increase in arterial pressure Correct Answer: c)Cool and pale skin 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 Correct Answer: c)Pinch the nostrils and have the patient lean forward What are the signs and symptoms of shock a)Increased heart rate, increased respirations, hypotension b)Decreased heart rate, increased respirations, hypotension c)Increased heart rate, decreased respirations, hypertension d)Decreased heart rate, increased respirations, hypertension Correct Answer: a)Increased heart rate, increased respirations, hypotension Your patient is a 22 year old 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 Correct Answer: d)Stabilize the object in place, control the bleeding and transport Your patient has an injury that consists of overstretched & torn ligaments. What type of injury does this patient have? a)Strain b)Sprain c)Fracture d)Dislocation Correct Answer: b)Sprain What is the best treatment for a suspected fracture of the talus bone? a)Apply a traction splint, heat, and elevate the leg b)Apply a traction splint, ice, and elevate the arm c)Splint the ankle, apply ice, and elevate d)Splint the foot, apply heat, and elevate Correct 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)Parietal d)Temporal Correct Answer: b)Occipital Your patient is a 34-year old 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 Correct 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 solution Correct 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 Correct Answer: c)Reassess your patient You are transporting an unconscious patient. How often should you check their vitals? a)5 minutes b)2-3 minutes c)10 minutes d)15 minutes Correct Answer: a)5 minutes What is the mnemonic for determining level of consciousness? a)OPQRST b)AVPU c)SAMPLE d)ABC Correct Answer: b)AVPU Your patient is a 16-year old 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 mechanism of injury d)Not a significant mechanism of injury Correct Answer: d)Not a significant mechanism of injury A fall greater than ______ would be considered a significant mechanism of injury in a patient under the age of 8. c)Administer oxygen d)Apply direct pressure Correct Answer: d)Apply direct pressure What is the best care for a suspected hemothorax? a)Applying an occlusive dressing b)Providing manual ventilations c)Transporting rapidly d)Stabilizing the chest segment Correct Answer: c)Transporting rapidly A 22 year old male has a knife impaled in the upper right quadrant of his abdomen. He complains of pain when he inhales and shortness of breathing. What should you suspect? a)Spontaneous pneumothorax b)Diaphragmatic tear c)Abdominal evisceration d)Splenic rupture Correct Answer: b)Diaphragmatic tear A 21 year old male has a large piece of glass impaled in his eye. What should you do? a)Pull the glass from his eyes b)Stabilize the glass with a paper cup c)Stabilize the glass with sterile dressing d)Leave the glass and transport promptly Correct Answer: b)Stabilize the glass with a paper cup Which injury is most likely to develop compartment syndrome? a)Knee hyperextension b)Closed tibia fracture c)Open radius fracture d)Ankle dislocation Correct Answer: b)Closed tibia fracture A 23 year old male was stabbed in the lower left quadrant. He has minor bleeding from the wound. What should you do? a)Attempt to locate the weapon b)Perform a secondary assessment c)Apply an occlusive dressing d)Immobilize him on a long back board Correct Answer: c)Apply an occlusive dressing A 20 year old male was the unrestrained driver in a car crash. He is anxious, pale and has absent lung sounds on the left side. Vital signs are BP 80/48, P 132, R 31 and shallow. What should you suspect? a)Tension pneumothorax b)Pulmonary contusions c)Pericardial tamponade d)Flail chest Correct Answer: a)Tension pneumothorax A symptom is_____________while a sign is________________. a)Objective / subjective b)Subjective / objective c)Reflexive / responsive d)Responsive/reflexive Correct Answer: b)Subjective / objective During shock, the blood vessels contract, making the skin ______. a)Hot b)Warm c)Cool d)Contract Correct Answer: c)Cool What does the letter P stand for in DCAPBTLS? a)Pain b)Pleural edema c)Pupillary responses d)Penetrations Correct Answer: d)Penetrations Which of the following is NOT a high priority condition? a)Poor general impression b)Unresponsiveness c)Severe pain d)Childbirth Correct Answer: d)Childbirth Your patient has suffered a chainsaw vs. leg injury. His wife who is a nurse tells dispatch that he has lost about 400 mL of blood. You know that a person can lose approximately___________ before they are in any real danger. a)200 mL b)500 mL c)750 mL d)1000 mL Correct Answer: b)500 mL With regard to the SAMPLE history, a patient's pale skin would be considered __________. a)A sign b)A symptom c)Syncope d)Dermis Correct Answer: a)A sign You and your partner Hugh arrive on scene to find a car that has hit a tree at approximately 30 miles an hour. There is front end damage to the vehicle and both occupants are still strapped into the front seat. Both airbags in the front deployed and both patients appear to be alert and oriented. What should you do? a)Put them both on high flow O2 with collars on and let them sit in the back of the ambulance on the way b)Treat them at the scene and let them go home c)After putting on collars, put both patients on back boards using a KED sled or similar device d)Insert an oral airway and bag them both at 12-20 breaths per minute Correct Answer: c)After putting on collars, put both patients on back boards using a KED sled or similar device What is a burn that involves the epidermis and the dermis but no underlying tissue? a)Partial thickness burn b)Double dermis burn c)Full thickness burn d)Bakers burn Correct Answer: a)Partial thickness burn What is a hemorrhage? a)Not a cause of shock b)Severe bleeding c)Not a threat to perfusion d)Always the cause of shock Correct Answer: b)Severe bleeding You and your partner Grimes are called to the scene of a stabbing. There are two patients reported. A woman with a stab wound to the URQ and a man with a stab wound to the LRQ. The woman with the wound in the URQ is having problems breathing, has a pulse of 103, respirations of 35, and they are shallow. The patient with the stab wound to the LRQ is complaining of severe abdominal pain and has a pulse of 48 and a respiration rate of 24. Which patient is most likely to have a low blood pressure? Why? a)The man, because of the nature and location of the injury, he may be losing blood internally. His pulse is too slow as well b)The woman, because if she cannot breathe well her BP will drop c)The man, because a respiration rate of 24 is indicative of low blood pressure d)Neither will have a low blood pressure, they will both be high Correct Answer: a)The man, because of the nature and location of the injury, he may be losing blood internally. His pulse is too slow as well A 2 year old female has a second degree burns on both palms and third degree burns on her chest and abdomen. What percentage of her body is burned? a)29 b)36 c)20 d)18 Correct Answer: c)20 chest - 9 abdomen - 9 hands - 2 A 6 month old male has full thickness burns to his head, right arm, and back. What percentage of his body is burned? a)36 b)27 c)65 d)45 Correct Answer: d)45 head - 18 back - 18 arm - 9 A 17 year old female has a second degree circumferential burn on her left lower leg and foot. What percentage of body surface area is burned? a)9 b)21 c)4 d)18 Correct Answer: a)9 anterior lower leg - 4.5 posterior lower leg - 4.5 a)27 b)9 c)18 d)13.5 Correct Answer: c)18 anterior arms - 9 superior chest - 9 Which of the following patients would it be appropriate to perform only a focused physical examination instead of a rapid trauma assessment? a)A 42 year old male who complains of neck "stiffness" after a moderate speed collision b)An 82 year old male who is unconscious with a minor scrapes and scratches after a 2-foot-fall c)An alert 13-year-old male who fell off his skateboard and is now presenting with a deformed lower leg d)A 22 year old female who complains of severe wrist pain after tripping in her kitchen Correct Answer: d)A 22 year old female who complains of severe wrist pain after tripping in her kitchen The only patient who is responsive and doesn't have a significant mechanism of injury. You have decided to use a KED to extricate your patient. This device is MOST commonly used for which type of scenario? a)A seated patient b)A standing patient c)A child patient d)A supine patient Correct Answer: a)A seated patient KED are designed primarily for vehicle collisions where a patient may be sitting. Once the patient is removed, she/he should be placed onto a backboard as soon as possible You respond to a 24-year-old male who has fallen 10 feet off his roof. You notice severe bleeding from his right forearm and the patient complains of severe left thigh tenderness. Which of the following would be the MOST appropriate initial treatment for this patient? a)Apply a tourniquet to stop the bleeding b)Place the patient in the trendelenburg position c)Take c-spine precautions d)Administer high flow oxygen Correct Answer: c)Take c-spine precautions Which vital signs would most likely lead you to suspect internal bleeding? a)BP 102/60. Pulse 120. Pale, cool, clammy skin b)BP 132/82. Pulse 66. Cool skin c)BP 160/98. Pulse 112. Warm, dry skin d)BP 94/56. Pulse 80. Warm, flushed skin Correct Answer: a)BP 102/60. Pulse 120. Pale, cool, clammy skin A moderate to low blood pressure associated with an elevated pulse and pale, cool, clammy skin are all significant signs of possible hypovolemic shock that could be caused by internal bleeding Of the following patients, which should receive a rapid trauma assessment to determine any hidden injuries? a)Conscious and alert 24-year-old male who fell 20 feet from his balcony b)9-year-old female who tripped and fell down 3 steps c)Conscious and alert 2-year-old child in a car seat who was in a moderate speed crash d)68 year old female who tripped in her bathroom and is now experiencing intense left wrist pain Correct Answer: c)Conscious and alert 2-year-old child in a car seat who was in a moderate speed crash The rapid trauma assessment is performed to identify any possible hidden injuries. Of the following patients, the patient who is must susceptible to hidden injuries would be the 2-year-old child due to the inability for the patient to adequately relay information to you. All other patients are alert and should receive a focused trauma assessment A patient has just been involved in a severe motor vehicle rollover. Which of the following could MOST easily cause death? a)Trauma from the seat belt b)Ejection of the patient from the vehicle c)Crush injury d)An unrestrained passenger striking multiple parts of the interior of the vehicle Correct Answer: b)Ejection of the patient from the vehicle Rollovers have the tendency to be very serious traumatic events. Although the injuries in rollovers can be unpredictable and cause wide spread trauma, of the choices given, ejection will always be the most fatal You respond to a 46 year old female patient who has suffered trauma to her head. Which assessment factors will tell you most about the patient's condition? a)Mental status b)Pupils c)Lung sounds d)Blood pressure Correct Answer: a)Mental status For head trauma patients, level of consciousness and mental status should be of the most concern when determining the severity of a patient's condition Upon your initial assessment of a trauma patient, you find the patient to have a rapid and weak pulse, shallow breathing, decreased lung sounds on the left side, and dullness to the left upon percussion. The condition this patient is most likely suffering from is: a)Hemothorax b)Pericardial Tamponade c)Flail chest d)Pneumothorax Correct Answer: a)Hemothorax Due to the described symptoms, this patient is having a hemothorax. Hemothorax typically presents with dullness upon percussion of the affected side and flat neck veins. Pneumothorax on the other hand typically presents with hyper resonance and distended neck veins When applying a splint, you should assess for a pulse, motor, and sensory functions: a)After applying the splint b)While applying the splint c)Before and after applying the splint d)Before applying the splint Correct Answer: a)Before and after applying the splint For all splints, pulse, motor, and sensory functions should be assessed before and after splinting In a severe frontal impact motor vehicle collision, which of the following injuries would result from the second collision in the three collision rule? a)Aortic rupture b)Massive contusions and lacerations to the patient's forehead from hitting the windshield c)Compression of the brain against the patient's skull d)Heavy damage to the patient's vehicle Correct Answer: b)Massive contusions and lacerations to the patient's forehead from hitting the windshield The three collision rule consists of: The exterior vehicle striking something, objects within the vehicle moving toward the point of impact, and organs within the patient's body striking the inside of the body. Of the answer's shown, the injuries involving the contusions and lacerations would be caused by the patient's body crashing into the inside windshield of the car. This would be more consistent with the second collision rule. Vehicle damage would be first, and the aortic rupture/brain compression would be third. Which of the following is an avulsion? a)A cut of varying lengths b)The scraping or wearing away of the skin c)When excessive bleeding accumulates under the skin d)A flap of the skin that is pulled loose Correct Answer: d)A flap of the skin that is pulled loose An avulsion is defined as having a flap of skin that is pulled loose like a glove. A cut of varying lengths is a laceration, the scraping of the skin is an abrasion, and an hematoma is caused by excessive bleeding under the skin You need to perform a log roll to a place your patient with suspected spinal injury on a backboard. When executing this procedure you should: a)Maintain manual c-spine immobilization after applying the cervical collar b)Immobilize the patient's torso first c)Once the patient has been moved to the backboard, immediately replace the cervical collar d)Move the patient to the backboard and then center the patient by stepping over him and sliding him up Correct Answer: a)Maintain manual c-spine immobilization after applying the cervical collar During the log roll procedure, you should always maintain manual c-spine immobilization even after the c-collar has been applied. The best care for a patient with a flail chest includes: a)Rapid transport only, do not touch the flail segment b)Stabilizing the flail segment with a bulky dressing c)Applying an occlusive dressing d)Bag valve mask ventilation Correct Answer: b)Stabilizing the flail segment with a bulky dressing Stabilizing the flail segment will improve respirations, but with positive pressure ventilation the patient will have the most adequate gas exchange. Your 62 year old female patient has fallen, hit her head, and is now unconscious. You are concerned of the possibility of a subdural hematoma. Subdural hematomas: a)Consists of bleeding between the dura mater and cranium b)Are rarely caused by trauma c)Are rarely a serious event for patients in this age group d)Consists of bleeding between the dura mater and arachnoid mater Correct Answer: d)Consists of bleeding between the dura mater and arachnoid mater c)Do not touch the evisceration, rapid transport only d)Attempt to replace exposed organs and then cover with a bulky dressing Correct Answer: b)Applying a wet dressing first, followed by a bulky dressing When is the detailed physical exam usually performed? a)Immediately after the rapid trauma assessment b)On the scene after performing the initial assessment c)Upon arrival to the hospital's emergency department d)In the back of the ambulance on the way to the hospital Correct Answer: d)In the back of the ambulance on the way to the hospital This exam purpose is to find any other possible injuries that could have been missed during the rapid trauma assessment It is appropriate to perform a head-tilt/chin-lift in a trauma patient only if: a)Your partner is able to stabilize the spine b)There is no other way to open the airway c)This procedure should never be performed on a trauma patient d)An advanced airway is not available Correct Answer: b)There is no other way to open the airway With regards to pedestrian versus motor vehicle collisions, which of the following is typically true? a)Adults tend to turn away from the impact and go down and under b)Adults tend to turn toward the impact and go up and over c)Children tend to turn away from the impact d)Children tend to turn toward the impact and go down and under Correct Answer: d)Children tend to turn toward the impact and go down and under After immobilizing your suspected spinal cord injury patient to a backboard, the patient vomits. You should next: a)Tilt the board and suction b)Keep the patient secured to the board and suction the airway c)Insert a combitube to secure the airway d)Remove the patient from the board and clear the airway Correct Answer: a)Tilt the board and suction You respond to an alert 14 year old male who sprained his ankle while roller-skating. When assessing the motor function of the lower extremities in this patient, you should: a)Have the patient bend his knees b)Lightly touch the skin of the patient's foot c)Palpate around the patient's ankle d)Ask the patient to wiggle his toes Correct Answer: d)Ask the patient to wiggle his toes A 19-year-old male was struck in the lower right quadrant with a baseball bat. Upon assessment you find him to be alert and oriented with pale, cool, clammy skin. Which of the following oxygen treatments should be performed on this patient? a)15 LPM via bag-valve-mask b)10 LPM via simple face mask c)15 LPM via non-rebreather d)6LPM via nasal cannula Correct Answer: c)15 LPM via non-rebreather A 6-year-old male patient has fallen from a 2 story window. Which is appropriate when spinal immobilizing this patient? a)Apply padding between the legs b)Tie both thumbs together to prevent excessive movement c)Apply padding under the patient's shoulder d)Placing a towel under the patient's head Correct Answer: c)Apply padding under the patient's shoulder to prevent the hyperextension of the neck You are called to the scene of a MVC involving a 27 year old female patient. You notice that the steering wheel was bent and the patient is experiencing pulsus paradoxus. Which condition is the MOST likely suffering from? a)Pericardial tamponade b)Pneumothorax c)Pericarditis d)Cardiac contusion Correct Answer: a)Pericardial tamponade Pulsus paradoxus is defined as changes in the systolic blood pressure during inspiration and is a common symptom of pericardial tamponade. Which of the following patients would be considered a "load and go" situation? a)A patient with a blood pressure of 100/68. Pale, cool, and clammy skin. A pulse of 120. Alert and oriented x 4 with RUQ tenderness b)A patient who is bleeding out of one of his ears c)A patient with a deformed forearm that is tender upon palpation d)A patient who experienced a brief LOC but is now alert and oriented x 4 Correct Answer: a)A patient with a blood pressure of 100/68. Pale, cool, and clammy skin. A pulse of 120. Alert and oriented x 4 with RUQ tenderness Compensate shock is an immediate life threat The most important factors when determining injuries sustained in a fall include: a)Distance, age, impact area on the body b)Distance, impact area on the body, surface struck c)Distance, cause of the fall, surface struck d)Distance, clothing worn, surface struck Correct Answer: b)Distance, impact area on the body, surface struck While assessing a patient's chest you notice paradoxical breathing and equal breath sounds. This would be most indicative of: a)A flail chest b)A tension pneumothorax c)Cardiac tamponade d)Floating ribs Correct Answer: a)A flail chest Although a pneumothorax could be possible for this patient, they are often associated with unequal breath sounds. A flail chest is characterized as a rib that is separated from the thoracic wall and is usually caused by at least two breaks to the same rib. A 23 year old male was just assaulted and sustained massive blunt trauma to his abdomen. Upon assessment, you discover that the patient has a rigid and tender abdomen, blood pressure of 98/60, a heart rate of 124, and pale, cool, clammy skin. For what condition should you treat this patient? a)Aortic rupture b)Hypovolemic shock c)Neurogenic shock d)Ruptured spleen Correct Answer: b)Hypovolemic shock Although conditions such as a ruptured spleen could be possible for this patient, always focus on the bigger picture being the loss of blood, internal or external, that occurs with hypovolemic shock. You respond to a 23-year-old male patient involved in a motor vehicle collision. While assessing the patient you notice a weak radial pulse and strong carotid pulse. You should: a)Take the blood pressure in both arms and compare b)Treat this patient for shock c)Assess his femoral pulse d)Reassess his vitals every 15 minutes Correct Answer: b)Treat this patient for shock A weak thready radial pulse and strong carotid pulse is a symptom of shock. You are called to a stabbing involving a 33 year old female patient who suffered a knife wound to the abdomen. The knife is still lodged in the patient. You perform your initial assessment and determine the patient has adequate ABCs and the scene is safe. How should you manage the knife wound? a)Stabilize the knife and rapid transport b)Remove the knife immediately and apply direct pressure to stop any bleeding c)Remove the knife and apply an occlusive dressing d)Do not touch the knife, continue to manage ABCs and rapid transport only Correct Answer: a)Stabilize the knife and rapid transport While assessing a patient for excessive bleeding on his forearm, you notice a steady stream of dark red blood. What type of bleeding should you suspect? a)Internal b)Arterial c)Venous d)Capillary Correct Answer: c)Venous A 19 year old male falls out of a tree and is now presenting with cool, pale, clammy skin, difficulty breathing, decreased breath sounds on the right side, distended neck veins, a deviated trachea, and shallow radial pulses of 120. The condition this patient is most likely suffering from is: a)Pericardial tamponade b)Flail chest c)Hemothorax d)Pneumothorax Correct Answer: d)Pneumothorax The spinal cord injury most associated with hangings is: a)Dissection b)Distraction c)Compression d)Extension Correct Answer: b)Distraction This injury is caused by the pulling away of vertebrae due to the excessive forces placed upon them