JB LEARNING EMT CHAPTER 13 SHOCK
EXAMPREP QUESTIONS AND SOLUTIONS
COMPLETE PREPARATION SHEET
●● You are called to a construction site where a 27-year-old worker has
fallen from the second floor. He landed on his back and is drifting in and
out of consciousness. There is no bleeding or blood loss. His blood
pressure is 90/60 mm Hg with a pulse rate of 110 beats/min. His airway
is open and breathing is within normal limits. You realize this patient is
in shock. The patient's shock is due to an injury to the:
A. cervical vertebrae
B. skull
C. spinal cord
D peripheral nerves
Answer: C. Spinal Cord
●● You respond to the nursing home for an 85-year-old woman who has
altered mental status. During you assessment, you notice that she has an
elevated body temperature. He is hypotensive and her pulse is
tachycardic. The nursing staff tells you that she has been sick for several
days and that they called because her mental status continued to decline.
You suspect the patient is in septic shock. The shock is due to:
A. pump failure
B. massive vasoconstriction
,C. widespread dilation
D. increased volume
Answer: C. Widespread dilation
●● You are called to a motor vehicle collision. Your patient is a 19 year
old woman who was not wearing her seat belt. She is conscious but
confused. Her airway is open and respiration are within normal limits.
Her pulse is slightly tachycardic but regular.Her blood pressure is
normal. She is complaining of being thirsty and appears very anxious.
You know that the last measurable factor to change to indicate shock is:
A. mental status
B. blood pressure
C. pulse rate
D. respirations
Answer: B. Blood pressure
●● You respond to a 17 yo football player who was hit by numerous
opponents and while walking off the field he became unconscious. He is
currently unconscious. You take c-spine control and start you
assessment. You know that in the treatment of shock you must.
A. Secure and maintain an airway
B. provide respiratory support
C. Assist ventilations
D. All of the above
, Answer: D. All of the above
●● In the scene size-up for a patient(s) who you think may be
susceptible to shock, you should:
A. ensure scene safety
B. determine the number of patients
C. consider cervical spine stabilization
D. all of the above
Answer: D. All of the above
●● During the primary assessment of a patient in shock, you should:
A. treat any immediate life threats
B. obtain a SAMPLE history
C. get a complete set of vital signs
D. inform medical control of the situation
Answer: A. Treat any immediate life threats
●● You have completed your primary assessment of an embarrassed
patient who fainted after seeing a coworker injure himself. Your next
step should be:
A. a rapid secondary assessment
B. to obtain a medical history
C. a detailed physical examination
EXAMPREP QUESTIONS AND SOLUTIONS
COMPLETE PREPARATION SHEET
●● You are called to a construction site where a 27-year-old worker has
fallen from the second floor. He landed on his back and is drifting in and
out of consciousness. There is no bleeding or blood loss. His blood
pressure is 90/60 mm Hg with a pulse rate of 110 beats/min. His airway
is open and breathing is within normal limits. You realize this patient is
in shock. The patient's shock is due to an injury to the:
A. cervical vertebrae
B. skull
C. spinal cord
D peripheral nerves
Answer: C. Spinal Cord
●● You respond to the nursing home for an 85-year-old woman who has
altered mental status. During you assessment, you notice that she has an
elevated body temperature. He is hypotensive and her pulse is
tachycardic. The nursing staff tells you that she has been sick for several
days and that they called because her mental status continued to decline.
You suspect the patient is in septic shock. The shock is due to:
A. pump failure
B. massive vasoconstriction
,C. widespread dilation
D. increased volume
Answer: C. Widespread dilation
●● You are called to a motor vehicle collision. Your patient is a 19 year
old woman who was not wearing her seat belt. She is conscious but
confused. Her airway is open and respiration are within normal limits.
Her pulse is slightly tachycardic but regular.Her blood pressure is
normal. She is complaining of being thirsty and appears very anxious.
You know that the last measurable factor to change to indicate shock is:
A. mental status
B. blood pressure
C. pulse rate
D. respirations
Answer: B. Blood pressure
●● You respond to a 17 yo football player who was hit by numerous
opponents and while walking off the field he became unconscious. He is
currently unconscious. You take c-spine control and start you
assessment. You know that in the treatment of shock you must.
A. Secure and maintain an airway
B. provide respiratory support
C. Assist ventilations
D. All of the above
, Answer: D. All of the above
●● In the scene size-up for a patient(s) who you think may be
susceptible to shock, you should:
A. ensure scene safety
B. determine the number of patients
C. consider cervical spine stabilization
D. all of the above
Answer: D. All of the above
●● During the primary assessment of a patient in shock, you should:
A. treat any immediate life threats
B. obtain a SAMPLE history
C. get a complete set of vital signs
D. inform medical control of the situation
Answer: A. Treat any immediate life threats
●● You have completed your primary assessment of an embarrassed
patient who fainted after seeing a coworker injure himself. Your next
step should be:
A. a rapid secondary assessment
B. to obtain a medical history
C. a detailed physical examination
