COMPREHENSIVE QUESTIONS WITH 100% RATED ANSWERS | GUARANTEED TO PASS
Blood pressure may not be a good indicator of tissue perfusion as compensation for
hypovolemia does not occur until ______% of blood loss has occurred.
A. 15
B. 20
C. 25
D. 30 D: CorrectRemember, the blood pressure is not a good predictor of tissue perfusion
because the patient may compensate for hypovolemia until up to 30% of blood volume has
been lost (American College of Surgeons, 2012).
An indicator of hemorrhage in an individual who is wearing dark clothing may be:
A. increasing abdominal girth.
B. dampness.
C. staining.
D. respiratory distress. B: CorrectPerform a quick total body appraisal for bleeding sites,
being especially careful to look and feel for dampness in dark clothing that may hide
hemorrhage.
,Mr. Black is a 45-year-old patient who presents in the emergency department with a history of
vomiting black or dark brown material. This history is suggestive of:
A. a bleeding duodenal ulcer.
B. pulmonary embolus.
C. appendicitis.
D. ingestion of a poisonous substance. A: CorrectVomiting blood or black or dark brown
material that resembles coffee grounds indicates bleeding ulcer of the stomach or duodenum
or bleeding from esophageal varices.
You arrive on the scene of a bicycle accident. To assess the patient, you need to remove the
helmet. Which is the correct way to remove the helmet?
A. Lift the client's head, unbuckle the neck strap, and slip it off while someone else lifts the
head.
B. Have someone stabilize the neck, while you expand the helmet and remove it.
C. Have someone hold down the patient, while you remove the helmet.
D. Use the chin-lift technique to remove the strap, and hold the head steady while someone
else removes the helmet. B: CorrectBe certain that the neck is manually maintained in
neutral position until radiographic studies confirm the absence of cervical injury.
,Occult hemorrhage in the abdominal area, which may become a life-threatening condition, is
associated with:
A. abdominal aneurysm.
B. solid abdominal organs.
C. abdominal bruising.
D. pelvic fracture. D: CorrectPelvic fractures are associated with occult hemorrhage, which
may become a life-threatening condition.
At the scene of a motor vehicle accident, examination of the vehicle indicates that there is a
bent steering wheel with a bull's-eye fracture of the windshield. For which blunt trauma injury
should the emergency care provider be alert?
A. Cervical strain
B. Cervical spine injury
C. Myocardial contusion
D. Fractured acetabulum B: CorrectA bull's-eye fracture of the windshield may be associated
with a cervical spine injury and brain injury.
n most penetrating traumatic injuries, the most important factor in determining injury from
energy transfer and thus the degree of injury is related to the:
, A. region of the body sustaining injury.
B. speed of the missile.
C. distance traveled by the missile.
D. size of the missile. B: CorrectEnergy transfer is also determined by the rate or change in
speed once the missile is inside the patient's body.
An examiner must be alert to the possibility of which additional problem when treating a
patient with a burn injury?
A. Carbon monoxide poisoning
B. Cardiac contusions
C. Abdominal pain
D. Increased bleeding A: CorrectBurns should alert the examiner to the possibilities of
smoke, heat, and toxic chemical inhalation and carbon monoxide poisoning causing airway
inflammation.
Cardiac arrest in children is typically:
A. caused by carbon dioxide poisoning.
B. a secondary event resulting from respiratory and ventilatory failure.
C. accompanied by respiratory alkalosis.
D. a result of cardiac trauma. B:CorrectCardiac arrest is rarely a primary event in children as
it is in adults; however, some children do experience ventricular fibrillation and cardiac arrest.