Trauma Quiz Blood Questions

A young male was shot in the abdomen by an unknown type of gun. He is semiconscious, has reduced tidal volume breathing, and is bleeding externally from the wound. As you control the external bleeding, your partner should: A. obtain baseline vital signs. B. apply a nonrebreathing mask. C. perform a rapid trauma exam. D. assist the patient's ventilations

assist the patient's ventilations

A 39-year-old male accidentally cut his wrist while sharpening his hunting knife. He is conscious and alert with adequate breathing, but is bleeding significantly from the wound. You should: A. ensure the patient has a patent airway. B. control the bleeding with direct pressure. C. apply oxygen with a nonrebreathing mask. D. apply a tourniquet proximal to the wound.

control the bleeding with direct pressure

A 67-year-old male presents with weakness, dizziness, and melena that began approximately 2 days ago. He denies a history of trauma. His blood pressure is 90/50 mm Hg and his pulse is 120 beats/min and thready. You should be MOST suspicious that this patient is experiencing: A. an aortic aneurysm. B. acute appendicitis. C. gastrointestinal bleeding. D. intrathoracic hemorrhaging.

gastrointestinal bleeding.

A 43-year-old man is experiencing a severe nosebleed. His BP is 190/110 mm Hg and his heart rate is 90 beats/min and bounding. Appropriate treatment for this patient includes: A. having the patient pinch his nostrils and then lie supine. B. pinching the patient's nostrils and having him lean forward. C. placing a rolled 4X4 dressing between his lower lip and gum. D. packing both nostrils with gauze pads until the bleeding stops

pinching the patient's nostrils and having him lean forward.

After applying a dressing to an arterial bleed from a patient's arm, you notice that the dressing quickly becomes soaked with blood. You should: A. replace the dressing with another dressing. B. apply a tourniquet proximal to the wound. C. splint the arm and keep it below heart level. D. place additional dressings over the wound

place additional dressings over the wound

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. preparing for immediate transport. B. applying oxygen via nasal cannula. C. performing a focused physical exam. D. a detailed assessment of his abdomen.

preparing for immediate transport

During transport of a 40-year-old female with acute abdominal pain, you note that she has stopped talking to you and has become extremely diaphoretic. You should: A. assess the quality of her pulse. B. repeat the initial assessment. C. perform a rapid trauma exam. D. begin assisting her ventilations.

repeat the initial assessment

Following blunt trauma to the abdomen, a 21-year-old female complains of left upper quadrant abdominal pain with referred pain to the left shoulder. Your assessment reveals that her abdomen is distended and tender to palpation. On the basis of these findings, you should be MOST suspicious of injury to the: A. liver. B. spleen. C. pancreas. D. gallbladder.

spleen

A 39-year-old male sustained a large laceration to his leg during an accident with a chainsaw and is experiencing signs and symptoms of shock. You should: A. apply direct pressure to the wound. B. place the patient on 100% oxygen. C. take appropriate BSI precautions. D. perform a rapid trauma assessment

take appropriate BSI precautions

You arrive at the home of a 50-year-old female with severe epistaxis. As you are treating her, it is MOST important to recall that: A. the patient may be significantly hypertensive. B. the patient is at risk for vomiting and aspiration. C. a detailed exam is needed to determine the cause. D. many medications interfere with blood clotting.

the patient is at risk for vomiting and aspiration