A construction worker fell approximately 30 and landed in a pile of steel rods. Your assessment reveals that he is pulseless and apneic and has a 10 steel rod impaled in his left leg. You should:
A control the bleeding, carefully remove the steel rod, begin CPR, and transport as soon as possible.
...
A construction worker fell approximately 30 and landed in a pile of steel rods. Your assessment reveals
that he is pulseless and apneic and has a 10 steel rod impaled in his left leg. You should:
A control the bleeding, carefully remove the steel rod, begin CPR, and transport as soon as possible.
B stabilize the steel rod, control the bleeding, begin CPR, and rapidly transport to a trauma center.
C control the bleeding, begin cardiopulmonary resuscitation (CPR), stabilize the steel rod, immobilize his
spine, and transport immediately.
D remove the steel rod, control the bleeding, apply an automated external defibrillator (AED), begin CPR,
and transport to a trauma center. - correct answer C
A young male was shot in the abdomen by an unknown type of gun. He is semiconscious, has shallow
breathing, and is bleeding externally from the wound. As you control the external bleeding, your partner
should:
A perform a secondary assessment.
Bobtain baseline vital signs.
C assist the patient's ventilations.
D apply a nonrebreathing mask. - correct answer C
Following direct trauma to the left upper back, a 44-year-old male presents with diaphoresis and
restlessness. His blood pressure is 100/50 mm Hg, his pulse rate is 120 beats/min and weak, and his
respirations are 24 breaths/min and labored. Your assessment reveals abrasions and contusions over the
left scapula. You should:
A apply high-flow oxygen, consider spinal precautions, and transport without delay.
B hyperventilate him with a bag-mask device and monitor his oxygen saturation.
C apply high-flow oxygen, perform a detailed secondary assessment, and transport.
D focus your assessment on his scapulae and clavicles and apply high-flow oxygen. - correct answer A
A 6-year-old female was riding her bicycle and struck a clothesline with her throat. She is breathing, but
with obvious difficulty. Your assessment reveals a crackling sensation in the soft tissues of her neck and
facial cyanosis. In addition to the appropriate airway management, the intervention that will MOST likely
improve her chance of survival is:
A careful monitoring her vital signs.
,Trauma Test Answers
B rapidly transporting her to the hospital.
C quickly immobilizing her spinal column.
D requesting a paramedic ambulance. - correct answer B
Following direct trauma to the upper part of the anterior neck, a young male presents with labored
breathing, loss of voice, and subcutaneous emphysema in the soft tissues around his neck. You should
suspect a(n):
A crushed cricoid.
B laryngeal fracture.
C esophageal tear.
D collapsed trachea. - correct answer B
During your assessment of a patient with blunt chest trauma, you note paradoxical movement of the left
chest wall. As your partner is administering oxygen to the patient, you should:
A make note of it and continue your assessment.
B stabilize the chest wall with a bulky dressing.
C reassess the adequacy of the patient's breathing.
D request a paramedic to decompress the chest. - correct answer B
A young female experienced a laceration to her left eyeball from flying glass when her boyfriend broke a
soda bottle against a wall. There is moderate bleeding and the patient states that she cannot see out of
the injured eye. You should:
A apply firm direct pressure to the injured eye and cover the opposite eye.
B ask her to move the injured eye to assess the integrity of the optic nerve.
C carefully examine her eye and remove any foreign objects if needed.
D avoid applying pressure to the globe when you are covering the eye. - correct answer D
A 54-year-old male experienced an avulsion to his penis when his foreskin got caught in the zipper of his
pants. He was able to unzip his pants and remove the foreskin prior to your arrival. Your assessment
reveals that he is in severe pain and that the avulsion is bleeding moderately. The MOST appropriate
treatment for this patient includes:
A requesting a paramedic to administer pain medication.
, Trauma Test Answers
B administering 100% oxygen via a nonrebreathing mask.
C covering the avulsion with moist, sterile dressings.
D applying direct pressure with a dry, sterile dressing. - correct answer D
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 covering both eyes and transporting.
B irrigating his right eye laterally.
C flushing his eye starting laterally.
D irrigating both eyes simultaneously. - correct answer B
While jogging, a 19-year-old male experienced an acute onset of shortness of breath and pleuritic chest
pain. He is conscious and alert with stable vital signs. Your assessment reveals that he has diminished
breath sounds over the left side of the chest. You should:
A recognize that he needs a needle decompression.
B administer oxygen and transport to the hospital.
C circumferentially tape a dressing around his chest.
D immediately perform a rapid head-to-toe exam. - correct answer B
A 22-year-old male was kicked in the abdomen multiple times during an attack by a gang. He is conscious
but restless and his pulse is rapid. Your assessment reveals a large area of bruising to the right upper
quadrant of his abdomen. The MOST appropriate treatment for this patient includes:
A a detailed assessment of his abdomen.
B performing a focused physical exam.
C preparing for immediate transport.
D applying oxygen via nasal cannula. - correct answer C
A 5-year-old female pulled a pot of boiling water from the stove. She has superficial and partial-thickness
burns to her head and anterior trunk. What percentage of her body surface area has been burned?
A 27%
B 30%
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