Question 1

Which injury is the most common precipitator of severe blunt trauma?

Accepted Answer

A) Age-related falls 
B) Motor vehicle accidents 
C) Work-related injuries 
D) Childhood play injuries 
E) Sports-related injuries 
A) Age-related falls 
B) Motor vehicle accidents 
C) Work-related injuries 
D) Childhood play injuries 
E) Sports-related injuries B

Question 2

Capillary refill can be assessed by applying pressure over a nail bed or a(n)

Accepted Answer

A) bony prominence. 
B) ear. 
C) mucous membrane. 
D) femoral vein. 
E) eyelid. 
A) bony prominence. 
B) ear. 
C) mucous membrane. 
D) femoral vein. 
E) eyelid. A

Question 3

Until stabilized, trauma patients require reevaluation every

Accepted Answer

A) 2 minutes. 
B) 5 minutes. 
C) 10 minutes. 
D) 15 minutes. 
E) hour. 
A) 2 minutes. 
B) 5 minutes. 
C) 10 minutes. 
D) 15 minutes. 
E) hour. B

Question 4

During injury assessment, one of the most crucial historical components is

Accepted Answer

A) number of siblings. 
B) history of prior fractures. 
C) mechanism of injury. 
D) past and current occupational exposures. 
E) personal and social history. 
A) number of siblings. 
B) history of prior fractures. 
C) mechanism of injury. 
D) past and current occupational exposures. 
E) personal and social history.

Question 5

Raccoon eyes and Battle sign are associated with

Accepted Answer

A) a ruptured spleen. 
B) orbital fractures. 
C) basilar skull fractures. 
D) subdural hematoma. 
E) ectopic pregnancy. 
A) a ruptured spleen. 
B) orbital fractures. 
C) basilar skull fractures. 
D) subdural hematoma. 
E) ectopic pregnancy.

Question 6

Pulsus paradoxus greater than 20 mm Hg, tachycardia greater than 130 beats/min, and increasing dyspnea are signs of

Accepted Answer

A) intracranial pressure. 
B) pulmonary hypertension. 
C) status asthmaticus. 
D) tetanic contractions. 
E) drug overdose. 
A) intracranial pressure. 
B) pulmonary hypertension. 
C) status asthmaticus. 
D) tetanic contractions. 
E) drug overdose.

Question 7

Delayed capillary refill may alert you to

Accepted Answer

A) hypovolemic shock. 
B) moderate hypoxemia. 
C) epiglottitis. 
D) upper respiratory infection. 
E) subnormal intracranial pressure. 
A) hypovolemic shock. 
B) moderate hypoxemia. 
C) epiglottitis. 
D) upper respiratory infection. 
E) subnormal intracranial pressure.

Question 8

The ABCs of the advanced cardiac life support survey would be interrupted to

Accepted Answer

A) obtain further historical data. 
B) manage life-threatening conditions. 
C) reassess the patient's temperature. 
D) transport the patient via airlift. 
E) complete the assessment record. 
A) obtain further historical data. 
B) manage life-threatening conditions. 
C) reassess the patient's temperature. 
D) transport the patient via airlift. 
E) complete the assessment record.

Question 9

In life-threatening emergencies, consent for treatment

Accepted Answer

A) is obtained before treatment to protect the facility from liability. 
B) must be obtained within an hour after beginning treatment. 
C) occurs after treatment is administered. 
D) is not valid because the patient is not competent. 
E) is not necessary. 
A) is obtained before treatment to protect the facility from liability. 
B) must be obtained within an hour after beginning treatment. 
C) occurs after treatment is administered. 
D) is not valid because the patient is not competent. 
E) is not necessary.

Question 10

You arrive by ambulance at a construction site, where a man is lying on the street. The only information you have is that he fell three stories. His neck is immobilized with sacks of concrete mix on either side. Your first action should be to determine

Accepted Answer

A) airway patency. 
B) bleeding sites. 
C) cranial nerve function. 
D) limb position. 
E) peripheral pulses. 
A) airway patency. 
B) bleeding sites. 
C) cranial nerve function. 
D) limb position. 
E) peripheral pulses.

Question 11

Paradoxic chest movement suggest a

Accepted Answer

A) spontaneous pneumothorax. 
B) status asthmaticus. 
C) clavicle fracture. 
D) pulmonary contusion. 
E) flail chest. 
A) spontaneous pneumothorax. 
B) status asthmaticus. 
C) clavicle fracture. 
D) pulmonary contusion. 
E) flail chest.

Question 12

You would complete a Glasgow Coma Scale rating during the

Accepted Answer

A) health history. 
B) physical examination. 
C) primary survey. 
D) secondary survey. 
E) patient transport. 
A) health history. 
B) physical examination. 
C) primary survey. 
D) secondary survey. 
E) patient transport.

Question 13

Blood, vomitus, or foreign bodies are removed from the oropharynx of the unconscious patient by

Accepted Answer

A) stimulating the cough reflex. 
B) placing the patient prone. 
C) performing a back thrust. 
D) using suction. 
E) hyperextending the neck. 
A) stimulating the cough reflex. 
B) placing the patient prone. 
C) performing a back thrust. 
D) using suction. 
E) hyperextending the neck.

Question 14

Cushing triad includes

Accepted Answer

A) hypotension. 
B) irregular respirations. 
C) tachypnea. 
D) constricted pupils. 
E) tachycardia. 
A) hypotension. 
B) irregular respirations. 
C) tachypnea. 
D) constricted pupils. 
E) tachycardia.

Question 15

If trauma above the clavicle is suspected, it is important to

Accepted Answer

A) perform endotracheal intubation. 
B) test range of motion of the neck. 
C) arrange for neck extension x-ray studies. 
D) stabilize the neck in a neutral position. 
E) remove any headgear. 
A) perform endotracheal intubation. 
B) test range of motion of the neck. 
C) arrange for neck extension x-ray studies. 
D) stabilize the neck in a neutral position. 
E) remove any headgear.

Question 16

Respiratory distress may be evidenced by

Accepted Answer

A) retractions of accessory muscles. 
B) oliguria. 
C) flushed skin. 
D) decreased capillary refill time. 
E) bradycardia. 
A) retractions of accessory muscles. 
B) oliguria. 
C) flushed skin. 
D) decreased capillary refill time. 
E) bradycardia.

Question 17

The deepest level of coma determined by the Glasgow Coma Scale is a value of

Accepted Answer

A) 0. 
B) 1. 
C) 2. 
D) 3. 
E)  4. 
A) 0. 
B) 1. 
C) 2. 
D) 3. 
E)  4.

Question 18

The approximate expected systolic blood pressure for a child older than 1 year of age is _____ the child's age in years.

Accepted Answer

A) 100 + 
B) 80 + 
C) 120 - 
D) 80 + 2 $\times$ 
E) 120 + 
A) 100 + 
B) 80 + 
C) 120 - 
D) 80 + 2 $\times$ 
E) 120 +

Question 19

The application of blunt sternal pressure is used to detect

Accepted Answer

A) fracture of attached ribs. 
B) motor function of T7 dermatome. 
C) cardiac tamponade. 
D) cardiac contusion. 
E) pneumothorax. 
A) fracture of attached ribs. 
B) motor function of T7 dermatome. 
C) cardiac tamponade. 
D) cardiac contusion. 
E) pneumothorax.

Question 20

Upon palpating the chest wall of a trauma patient, you feel subcutaneous crepitus (emphysema), which is a sign that

Accepted Answer

A) there is a flail chest. 
B) a fracture underlies the injury. 
C) a foreign body is present. 
D) there is vascular obstruction. 
E) air has leaked into soft tissue. 
A) there is a flail chest. 
B) a fracture underlies the injury. 
C) a foreign body is present. 
D) there is vascular obstruction. 
E) air has leaked into soft tissue.

Exam 27: Emergency or Life-Threatening Situations

Which injury is the most common precipitator of severe blunt trauma?

Capillary refill can be assessed by applying pressure over a nail bed or a(n)

Until stabilized, trauma patients require reevaluation every

During injury assessment, one of the most crucial historical components is

Raccoon eyes and Battle sign are associated with

Pulsus paradoxus greater than 20 mm Hg, tachycardia greater than 130 beats/min, and increasing dyspnea are signs of

Delayed capillary refill may alert you to

The ABCs of the advanced cardiac life support survey would be interrupted to

In life-threatening emergencies, consent for treatment

You arrive by ambulance at a construction site, where a man is lying on the street. The only information you have is that he fell three stories. His neck is immobilized with sacks of concrete mix on either side. Your first action should be to determine

Paradoxic chest movement suggest a

You would complete a Glasgow Coma Scale rating during the

Blood, vomitus, or foreign bodies are removed from the oropharynx of the unconscious patient by

Cushing triad includes

If trauma above the clavicle is suspected, it is important to

Respiratory distress may be evidenced by

The deepest level of coma determined by the Glasgow Coma Scale is a value of

The approximate expected systolic blood pressure for a child older than 1 year of age is _____ the child's age in years.

The application of blunt sternal pressure is used to detect

Upon palpating the chest wall of a trauma patient, you feel subcutaneous crepitus (emphysema), which is a sign that

The History and Interviewing Process

Cultural Competency

Examination Techniques and Equipment

Vital Signs and Pain Assessment

Mental Status

Growth and Measurement

Nutrition

Skin, Hair, and Nails

Lymphatic System

Head and Neck

Eyes

Ears, Nose, and Throat

Chest and Lungs

Heart

Blood Vessels

Breasts and Axillae

Abdomen

Female Genitalia

Male Genitalia

Anus, Rectum, and Prostate

Musculoskeletal System

Neurologic System

Sports Participation Evaluation

Putting It All Together

Taking the Next Steps: Critical Thinking

Recording Information

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