Chapter 26 Quiz Flashcards

1
Q
A 21-year-old male was working in an auto repair shop and sustained radiator burns to the anterior aspect of both arms and to his anterior chest. According to the rule of nines, this patient has burns that cover \_\_\_\_\_ of his BSA.
Select one:
A. 45%
B. 27%
C. 18%
D. 36%
A

C. 18%

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2
Q

A 33-year-old male sustained an abdominal evisceration to the left lower quadrant of his abdomen after he was cut with a large knife. After appropriately managing his ABCs and assessing him for other life-threatening injuries, how you should care for his wound?
Select one:
A. Carefully replace the exposed bowel into the abdomen and transport.
B. Cover it with moist, sterile gauze and secure with an occlusive dressing.
C. Irrigate it with sterile water and cover it with a dry dressing.
D. Cover the exposed bowel and keep his legs in a straight position.

A

B. Cover it with moist, sterile gauze and secure with an occlusive dressing.

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3
Q
A 39-year-old male was struck in the head by a baseball during a game. He is confused and has slurred speech. He has a large hematoma in the center of his forehead and cannot remember the events preceding the injury. After manually stabilizing his head and assessing his airway, you should:
Select one:
A. administer high-flow oxygen.
B. apply ice to the hematoma.
C. perform a neurologic exam.
D. palpate his radial pulses.
A

A. administer high-flow oxygen.

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4
Q

A 56-year-old male has an incomplete avulsion to his right forearm. After controlling any bleeding from the wound, you should:
Select one:
A. carefully remove the avulsed flap and wrap it in a moist, sterile trauma dressing.
B. replace the avulsed flap to its original position and cover it with a sterile dressing.
C. thoroughly irrigate the wound with sterile water and cover it with a sterile dressing.
D. carefully probe the wound to determine if the bleeding is venous or arterial.

A

B. replace the avulsed flap to its original position and cover it with a sterile dressing.

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5
Q
A burn that is characterized by redness and pain is classified as a:
Select one:
A. partial-thickness burn.
B. second-degree burn.
C. full-thickness burn.
D. superficial burn.
A

D. superficial burn.

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6
Q
A closed soft-tissue injury characterized by swelling and ecchymosis is called a(n):
Select one:
A. crush injury.
B. contusion.
C. hematoma.
D. abrasion.
A

B. contusion.

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7
Q

An 8-year-old male was bitten by a stray dog. He has a large laceration to the back of his left hand, which your partner covered with a sterile dressing and bandage. In addition to transporting the child to the hospital, you should:
Select one:
A. advise the child that he will need rabies shots.
B. ask the child’s father to try to locate the dog.
C. report the incident to the appropriate authorities.
D. administer oxygen via a nonrebreathing mask.

A

C. report the incident to the appropriate authorities.

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8
Q

As you approach a young male who was involved in an industrial accident, you note that his eyes are closed and that he is not moving. You can see several large contusions to his arms, a laceration to his forehead with minimal bleeding, and a closed deformity to his right leg. You should:
Select one:
A. open his airway and assess his breathing status.
B. perform an immediate head-to-toe assessment.
C. assess his pulse for rate, regularity, and quality.
D. apply high-flow oxygen and assess his injuries.

A

A. open his airway and assess his breathing status.

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9
Q

Burns to pediatric patients are generally considered more serious than burns to adults because:
Select one:
A. most burns in children are the result of child abuse.
B. pediatric patients have a proportionately larger volume of blood.
C. pediatric patients are more prone to hyperthermia.
D. pediatric patients have more surface area relative to total body mass.

A

D. pediatric patients have more surface area relative to total body mass.

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10
Q
During your assessment of a patient who was shot in the abdomen, you notice a large entrance wound with multiple small puncture wounds surrounding it. This wound pattern is MOST consistent with a:
Select one:
A. handgun.
B. .22-caliber pistol.
C. .357 magnum.
D. shotgun.
A

D. shotgun.

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11
Q
In addition to severe bleeding, the MOST life-threatening complication associated with an open neck injury is:
Select one:
A. a spinal fracture.
B. an ischemic stroke.
C. nerve fiber damage.
D. an air embolism.
A

D. an air embolism.

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12
Q

In which of the following patients should you remove an impaled object?
Select one:
A. A pulseless and apneic patient with a knife impaled in the back
B. A semiconscious patient with an ice pick impaled in the chest
C. An apneic patient with a shard of glass impaled in the abdomen
D. A conscious and alert patient with a fishhook impaled in the eye

A

A. A pulseless and apneic patient with a knife impaled in the back

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13
Q

The sebaceous glands produce sebum, a material that:
Select one:
A. waterproofs the skin and keeps it supple.
B. facilitates shedding of the epidermis.
C. discharges sweat onto the skin’s surface.
D. pulls the hair erect when you are cold.

A

A. waterproofs the skin and keeps it supple.

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14
Q

When caring for a patient whose arm is covered with a dry chemical, you should:
Select one:
A. brush away the chemical before flushing with water.
B. quickly irrigate the arm with large amounts of water.
C. use forceful streams of water to remove the chemical.
D. deactivate the chemical with a 5% vinegar solution.

A

A. brush away the chemical before flushing with water.

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15
Q
Which of the following areas of the body has the thinnest skin?
Select one:
A. Soles of the feet
B. Back
C. Scalp
D. Ears
A

D. Ears

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16
Q

Which of the following is a severe burn in a 65-year-old patient?
Select one:
A. Superficial burn to 30% of the BSA
B. Second-degree burn covering 10% of the BSA
C. Full-thickness burn to 1% of the BSA
D. Partial-thickness burn to 20% of the BSA

A

D. Partial-thickness burn to 20% of the BSA

17
Q
Which of the following open soft-tissue injuries is limited to the superficial layer of the skin and results in the least amount of blood loss?
Select one:
A. Avulsion
B. Incision
C. Laceration
D. Abrasion
A

D. Abrasion

18
Q

Which of the following processes occurs during the inflammation phase of the healing process?
Select one:
A. The veins and arteries at the injury site constrict and platelets aggregate, which stops bleeding and causes a temporary increase in the size of the wound.
B. The blood vessels in and around the injury site constrict, which forces bacteria and other microorganisms away, thus preventing significant infection.
C. White blood cells are forced away from the injury site, thus allowing an increase in the flow of red blood cells, resulting in increased blood flow.
D. The immune system releases histamines, which cause vasodilation and increased capillary permeability, resulting in local redness and swelling.

A

D. The immune system releases histamines, which cause vasodilation and increased capillary permeability, resulting in local redness and swelling.

19
Q

Which of the following statements regarding crush syndrome is correct?
Select one:
A. With crush syndrome, massive blood vessel damage occurs following severe soft-tissue injuries, such as amputation of an extremity.
B. Tissue damage that occurs in crush syndrome is severe, but kidney injury is unlikely because toxins are quickly eliminated from the body.
C. Compromised arterial blood flow leads to crush syndrome and can occur when an area of the body is trapped for longer than 4 hours.
D. Provided that a patient with a crush injury is freed from entrapment within 6 hours, the amount of tissue damaged is generally minimal.

A

C. Compromised arterial blood flow leads to crush syndrome and can occur when an area of the body is trapped for longer than 4 hours.

20
Q

You have applied a dressing and roller-gauze bandage to a laceration on the arm of a young female. During transport, she begins to complain of numbness and tingling in her hand. You should:
Select one:
A. carefully manipulate her arm until the symptoms subside.
B. remove the gauze bandage and replace it with an elastic one.
C. assess distal circulation and readjust the bandage as needed.
D. remove the bandage and dressing and apply another one.

A

C. assess distal circulation and readjust the bandage as needed.