WEST COAST EMT EXAM 1, NURSING EXAM-FOCUSED QUESTIONS AND ANSWERS|VERIFIED ANSWERS|BRAND NEW DOCUMENT|GRADED A+!!

Which of the following destinations is most appropriate for a 41-year-old male patient who was involves in a rollover motor vehicle collision and is unconscious and unresponsive, assuming that travel time to each is equal? A. only a level 1 trauma center B. A level I or II trauma center C. A level IV or level III trauma center D. any designated trauma center is acceptable - Answer B. a level I or level II trauma center Which of the following findings would be LEAST suggestive of the presence of high-energy trauma? A. intrusion into the vehicle B. deployment of the airbag C. dismounted seats D. steering wheel deformity - Answer B. deployment of the airbag Which of the following injuries would MOST likely occur as a direct result of the third collision in a motor vehicle crash? A. Extremity fractures B. forehead lacerations C. aortic rupture D. flail chest - Answer C. aortic rupture Which of the following interventions is the MOST critical to the outcome of a patient with multi system trauma? A. elevation of the lower extremities B. Rapid transport to a trauma center C. Early administration of oxygen D. intravenous fluid administration - Answer B. rapid transport to a trauma center Which of the following regarding gunshot wounds is correct? A. Low-velocity bullets will cause the greatest amount of trauma. B. high-velocity bullets will cause less severe internal injuries C. the speed of a bullet has the greatest impact on the injury produced D. the size of a bullet has the greatest impact on the injury produced - Answer C. the speed of the bullet has the greatest impact on the injury produced Which types of motor vehicle collisions present the greatest potential for multiple impacts? A. lateral and rollover B. frontal and rotational C. rear-end and rotational D. rotational and rollover - Answer D. rotational and rollover While en route to a major vehicle crash, an on scene police officer advises you that a 6-year-old male who was riding in the front seat is involved. He further states that the child was only wearing a lap belt and that the airbag deployed. On the basis of this information, you should be MOST suspicious that the child has experienced: A. lower extremity fractures B. open abdominal trauma C. neck and facial injuries D. blunt trauma to the head - Answer C. neck and facial injuries Your patient has a Glasgow Comma Scale (GCS) score of 13, a systolic blood pressure of 80 mm Hg, and a respiratory rate of 8 breaths/min. His revised Trauma Score (RTS) is: A. 10 B. 8 C. 9 D. 11 - Answer C. 9 Which of the following is considered a type of motor vehicle collision? A. crush B. ejection C. rollover D. penetration - Answer D. penetration Which of the following injuries would MOST likely occur as a direct result of the third motor vehicle crash? A. flail chest B. aortic rupture C. forehead lacerations D. Extremity fractures - Answer B. aortic rupture Following a blunt injury to the head, a 22 year old female is confused and complains of a severe headache and nausea. On the basis of these signs and symptoms, you should be MOST concerned with the possibility of: A. spinal cord injury B. a fracture of the skull C. airway compromise D. intracranial bleeding - Answer D. intracranial bleeding While en route to a major motor vehicle crash, an on-scene police officer advises you that a 6 year old male who was riding in the front seat is involved. He further states that the child was only wearing a lap belt and that the air bag deployed. On the basis of this information, you should be MOST suspicious that the child has experienced: A. lower extremity fractures B. neck and facial injuries C. blunt trauma to the head D. open abdominal trauma - Answer B. neck and facial injuries A young boy was riding his bicycle down the street when he hit a parked car. What was the second collision? A. The bike rider hitting his bike or the car B. The bike hitting the car C. The bike rider's internal organs striking the solid structures of the body D. The bike rider striking the pavement - Answer A. the bike ride hitting his bike or the car According to the American College of Surgeons Committee on Trauma (ACS-COT), an adult trauma patient should be transported to the highest level of trauma center if he or she: A. has a systolic blood pressure of less than 110 mm Hg or a heart rate greater than 110 beats/min B. has a bleeding disorder or takes anticoagulant medications and has any blunt or penetrating injury C. has a GCS score of less than or equal to 13 with a mechanism attributed to trauma D. was involved in a motor vehicle crash in which another patient in the same vehicle was killed - Answer C. has a GCS score of less than or equal to 13 with a mechanism attributed to trauma What is the function of the sternocleidomastoid muscle? A. allows flexion of the neck B. provides respiration C. connects the scapulae together D. allows movement of the head - Answer D. allows movement of the head The eyeball itself is referred to as the: A. orbit. B. globe. C. sclera. D. cornea. - Answer B. globe. The inner surface of the eyelids and the exposed surface of the eye itself are covered by a delicate membrane called the: A. sclera. B. cornea. C. retina. D. conjunctiva. - Answer D. conjunctiva. The conjunctiva are kept moist by fluid produced by the: A. corneal duct. B. posterior orbit. C. optic chiasma. D. lacrimal gland. - Answer D. lacrimal gland. The white portion of the eye is called the: A. iris. B. retina. C. sclera. D. cornea. - Answer C. sclera. The opening in the center of the iris, which allows light to move to the back of the eye, is called the: A. pupil. B. sclera. C. cornea. D. conjunctiva. - Answer A. pupil. Abnormal variations in pupil size and reaction would MOST likely be observed in a patient with: A. retinitis. B. contact lenses. C. conjunctivitis. D. a brain injury. - Answer D. a brain injury. The optic nerve endings are located within the: A. retina. B. sclera. C. pupil. D. cornea. - Answer A. retina The MOST significant complication associated with facial injuries is: A. damage to the eyes. B. airway compromise. C. cervical spine injury. D. mandibular immobility. - Answer B. airway compromise. The skin and underlying tissues of the face: A. have a rich blood supply and bleed profusely. B. swell minimally when exposed to blunt trauma. C. are well protected by the maxillae and mandible. D. contain a relatively small number of nerve fibers. - Answer A. have a rich blood supply and bleed profusely. Facial injuries should be identified and treated as soon as possible because: A. of the risk for airway problems. B. bleeding must be controlled early. C. the spine may be injured as well. D. swelling may mask hidden injuries. - Answer A. of the risk for airway problems. A 30-year-old female was robbed and assaulted by a gang as she was leaving a nightclub. She has massive facial trauma and slow, gurgling respirations. As your partner manually stabilizes her head, you should: A. begin immediate ventilatory assistance. B. visualize her mouth for obvious wounds. C. apply oxygen via a nonrebreathing mask. D. suction her oropharynx for 15 seconds. - Answer D. suction her oropharynx for 15 seconds. A young female was involved in a motor vehicle crash. She complains of pain to her left eye, which appears to have a piece of glass impaled in it. Further assessment reveals a large laceration to her left forearm with active venous bleeding. As your partner manually stabilizes the patient's head, you should: A. stabilize the impaled glass in her eye. B. administer 100% supplemental oxygen. C. apply direct pressure to her arm wound. D. carefully remove the glass from her eye. - Answer C. apply direct pressure to her arm wound. Frequent reassessments of the patient with face or neck injuries are MOST important because: A. they lend credibility to your documentation. B. such injuries can affect the respiratory system. C. hospital staff require frequent patient updates. D. rapid facial swelling may mask hidden injuries. - Answer B. such injuries can affect the respiratory system. You are transporting an immobilized patient with severe facial trauma. As you are preparing to give your radio report to the hospital, the patient begins vomiting large amounts of blood. You should: A. quickly suction his oropharynx. B. turn the backboard onto its side. C. reassess his breathing adequacy. D. alert the hospital of the situation. - Answer B. turn the backboard onto its side. A 22-year-old male was walking on the beach and had sand blown into his eyes. He complains of pain and decreased vision to his right eye. Treatment should include: A. irrigating his right eye laterally. B. flushing his eye starting laterally. C. irrigating both eyes simultaneously. D. covering both eyes and transporting. - Answer A. irrigating his right eye laterally. A 40-year-old male was in his woodworking shop when he felt a sudden, sharp pain in his left eye. Your assessment reveals a small splinter of wood embedded in his cornea. You should: A. scrape the splinter away with moist, sterile gauze. B. cover his right eye and flush the left eye with saline. C. cover both of his eyes and transport to the hospital. D. remove the object with a cotton-tipped applicator. - Answer C. cover both of his ...