Which of the following is MOST indicative of decompensated shock in a trauma patient with internal bleeding?
A: Restlessness
B: Clammy skin
C: Hypotension
D: Tachycardia - ANSWER Hypotension
After removing a pat
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Which of the following is MOST indicative of decompensated shock in a trauma patient with internal bleeding?
A: Restlessness
B: Clammy skin
C: Hypotension
D: Tachycardia - ANSWER Hypotension
After removing a patient from the water, your assessment reveals that he is not breathing and is continuously regurgitating large amounts of water. You should:
A: alternate suctioning with artificial ventilations.
B: begin rescue breathing after he stops regurgitating.
C: perform abdominal thrusts to remove the water.
D: place him on his side and press on his abdomen. - ANSWER alternate suctioning with artificial ventilations.
When caring for a critically injured patient, it is MOST appropriate to perform your secondary assessment:
A: while you are en route to the hospital.
B: after all life threats have been ruled out.
C: immediately after taking baseline vital signs.
D: immediately following the primary assessment. - ANSWER while you are en route to the hospital.
When the incident command system is activated at the scene, you should expect to:
A: receive instructions and then function independently.
B: be assigned one responsibility for the duration of the incident.
C: report back to your section officer in between assignments.
D: be immediately directed to the established treatment area. - ANSWER report back to your section officer in between assignments.
A 22-year-old man was stabbed in the chest with a large knife. The patient is pulseless and apneic, and the knife is impaled in the center of his chest. Treatment should include:
A: removing the knife, starting CPR, and providing rapid transport.
B: stabilizing the knife, starting CPR, and providing rapid transport.
C: removing the knife, applying an occlusive dressing, and providing rapid transport.
D: stabilizing the knife, applying an occlusive dressing, and providing rapid transport. - ANSWER removing the knife, starting CPR, and providing rapid transport.
Medications such as albuterol (Ventolin) relieve respiratory distress by:
A: relaxing the smooth muscle of the bronchioles.
B: constricting the bronchioles in the lungs.
C: contracting the smaller airways in the lungs.
D: dilating the large mainstem bronchi of the airway. - ANSWER relaxing the smooth muscle of the bronchioles.
Which of the following would clearly be detrimental to a patient in cardiac arrest?
A: Performing CPR before defibrillation
B: Ventilating just until the chest rises
C: Interrupting CPR for more than 10 seconds
D: Using a pocket face mask without high-flow oxygen - ANSWER interupting CPR for more than 10 seconds
The MOST effective means of preventing the spread of disease is:
A: wearing gloves with all patients.
B: wearing a mask with all patients.
C: effective handwashing.
D: up-to-date immunizations. - ANSWER effective handwashing
When insulin levels in the blood remain high:
A: the patient urinates excessively and becomes dehydrated.
B: glucose is rapidly taken out of the blood to fuel the cells.
C: the cells starve for glucose and begin to metabolize fat.
D: a fruity odor can be detected on the patient's breath. - ANSWER glucose is rapidly taken out of the blood to fuel the cells.
During the rapid head-to-toe assessment of a patient with multiple injuries, you expose the chest and find an open wound with blood bubbling from it. You should:
A: place a porous dressing over the wound.
B: apply high-flow supplemental oxygen.
C: prevent air from entering the wound.
D: stop your assessment and transport. - ANSWER prevent air from entering the wound.
Despite direct pressure, a large laceration to the medial aspect of the arm continues to bleed profusely. You should:
A: locate and apply pressure to the brachial artery.
B: pack the inside of the laceration with sterile gauze.
C: quickly apply a tour
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