Chapter 26 Quiz - Soft-Tissue Injuries

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. assess his pulse for rate, regularity, and quality. B. apply high-flow oxygen and assess his injuries. C. open his airway and assess his breathing status. D. perform an immediate head-to-toe assessment.

C. open his airway and assess his breathing status.

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 conscious and alert patient with a fishhook impaled in the eye C. An apneic patient with a shard of glass impaled in the abdomen D. A semiconscious patient with an ice pick impaled in the chest

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

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. Abrasion B. Incision C. Laceration D. Avulsion

A. Abrasion

You are treating an 8-year-old who fell while riding his bike on a gravel road. The wound on his arm is seeping blood, is about 7 inches long, and there is a lot of dirt and gravel in it. How should you treat this injury? A. Apply sterile dressing. B. Manually brush/pick the foreign material out. C. Apply occlusive dressing. D. Flush the area with sterile saline.

A. Apply sterile dressing.

You are assessing a 28-year-old with a rigid cast extending the length of his left leg. The patient is complaining of pain on passive movement and he is showing signs of impaired circulation. What do you suspect? A. Compartment syndrome B. Avulsion C. Crush syndrome D. Ecchymosis

A. Compartment syndrome

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. Cover it with moist, sterile gauze and secure with an occlusive dressing. B. Irrigate it with sterile water and cover it with a dry dressing. C. Cover the exposed bowel and keep his legs in a straight position. D. Carefully replace the exposed bowel into the abdomen and transport.

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

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

A. Ears

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

A. superficial burn.

Which of the following is the final stage of wound healing? A. Formation of new capillaries B. Collagen production C. Inflammation D. Cessation of blood loss

B. Collagen production

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. Partial-thickness burn to 20% of the BSA C. Full-thickness burn to 1% of the BSA D. Second-degree burn covering 10% of the BSA

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

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. palpate his radial pulses. B. administer high-flow oxygen. C. perform a neurologic exam. D. apply ice to the hematoma.

B. administer high-flow oxygen.

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

B. an air embolism.

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

B. brush away the chemical before flushing with water.

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

B. contusion.

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

C. waterproofs the skin and keeps it supple.

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 more surface area relative to total body mass. C. pediatric patients have a proportionately larger volume of blood. D. pediatric patients are more prone to hyperthermia.

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

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. thoroughly irrigate the wound with sterile water and cover it with a sterile dressing. B. replace the avulsed flap to its original position and cover it with a sterile dressing. C. carefully probe the wound to determine if the bleeding is venous or arterial. D. 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.

You are assessing a patient who has been in a high-impact T-bone collision. She is bleeding from the abdomen and you can see part of her large intestine outside her body. What is this injury called? A. Avulsion B. Impalement C. Evisceration D. Ecchymosis

C. Evisceration

When using the rule of nines, which of the following do you need to include in your calculations? A. Superficial and full-thickness burns B. Superficial, full-, and partial-thickness burns C. Only full-thickness burns D. Full- and partial-thickness burns

D. Full- and partial-thickness burns

What is your first responsibility when treating a burn patient? A. Stopping the burning B. Identifying life-threatening injuries C. Preventing loss of body heat D. Administering high-flow oxygen

A. Stopping the burning

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. shotgun. B. .357 magnum. C. handgun. D. .22-caliber pistol.

A. shotgun.

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. 27% B. 36% C. 18% D. 45%

C. 18%

You are responding to a fight at a restaurant and find a man, conscious and alert. His face is mottled with blisters and abrasions, and he has blood on his shirt. He tells you he was trying to stop the fight when he was hit in the face with scalding hot coffee and fell backwards over a chair. According to the rule of nines, what percentage of the patient's skin surface is burned? A. 18% B. 12% C. 9% D. 4.5%

C. 9%

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.

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.

Which type of soft-tissue injury is LEAST likely to result in infection? A. Burns to the face. B. Abrasions to the face. C. Contusions on the left lateral chest. D. Abdominal laceration.

C. Contusions on the left lateral chest.

The severity of a thermal injury directly correlates with temperature, concentration, and what other factor? A. Chemical reaction. B. Current C. Duration of exposure D. Source of thermal energy

C. Duration of exposure

Which of the following is true about electrical burns? A. Seriousness of electrical burns depends on the type of current, amperage, and conductivity. B. The patient can go into cardiac arrest at any time within 24 hours of contact with electricity. C. They are always more severe than the external signs indicate. D. They always have an entrance wound but only occasionally have an exit wound

C. They are always more severe than the external signs indicate.

Which of the following processes occurs during the inflammation phase of the healing process? Select one: A. 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. B. 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. C. The blood vessels in and around the injury site constrict, which forces bacteria and other microorganisms away, thus preventing significant infection. D. The immune system releases histamines, which cause vasodilation and increased capillary permeability, resulting in local redness and swelling.

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

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. remove the gauze bandage and replace it with an elastic one. B. carefully manipulate her arm until the symptoms subside. C. remove the bandage and dressing and apply another one. D. assess distal circulation and readjust the bandage as needed.

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

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. ask the child's father to try to locate the dog. B. administer oxygen via a nonrebreathing mask. C. advise the child that he will need rabies shots. D. report the incident to the appropriate authorities.

D. report the incident to the appropriate authorities.