EMT Basic Quiz Bleeding Chapter 25

Which of the following splinting devices would be MOST appropriate to use for a patient who has an open fracture of the forearm with external bleeding? A. Air splint B. Vacuum splint C. Sling and swathe D. Cardboard splint

A. Air splint Chapter 25, page 894, Emergency Medical Care for External Bleeding

Which of the following statements regarding hemophilia is correct? A. Patients with hemophilia may bleed spontaneously. B. Hemophiliacs take aspirin to enhance blood clotting. C. Approximately 25% of the population has hemophilia. D. Hemophilia is defined as a total lack of platelets.

A. Patients with hemophilia may bleed spontaneously. Chapter 25, page 884, External Bleeding

Which portion of the blood carries oxygen to and wastes away from body tissues? A. Red blood cells B. Plasma C. Platelets D. White blood cells

A. Red blood cells Chapter 25, page 880, Anatomy and Physiology of the Cardiovascular System

Which of the following findings would be the MOST significant when assessing a patient with possible internal bleeding? A. The patient takes rivaroxaban (Xeralto). B. The patient has not eaten in 24 hours. C. The patient had a stroke 5 years prior. D. The patient has a history of hypertension

A. The patient takes rivaroxaban (Xeralto). Chapter 25, pages 887-888, Patient Assessment for External and Internal Bleeding

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. gastrointestinal bleeding. B. intrathoracic hemorrhaging. C. acute appendicitis. D. an aortic aneurysm.

A. gastrointestinal bleeding. Chapter 25, page 885, Internal Bleeding

Circulation of blood within an organ or tissue in adequate amounts to meet the cells' oxygen, nutritional, and waste-removal needs is termed _______. A. perfusion B. coagulation C. hypoperfusion D. hemorrhage

A. perfusion Chapter 25, page 881, Pathophysiology and Perfusion

Hypovolemic shock occurs when: A. the body cannot compensate for rapid blood loss. B. the clotting ability of the blood is enhanced. C. at least 10% of the patient's blood volume is lost. D. the patient's systolic blood pressure is less than 100 mm Hg.

A. the body cannot compensate for rapid blood loss. Chapter 25, page 883, External Bleeding

Significant vital sign changes will occur if the typical adult acutely loses more than ______ of his or her total blood volume. A. 15% B. 10% C. 20% D. 5%

C. 20% Chapter 25, pages 882-883, External Bleeding

Which section of the heart receives deoxygenated blood? A. Left B. Atria C. Right D. Ventricles

C. Right Chapter 25, page 880, Anatomy and Physiology of the Cardiovascular System

If direct pressure fails to immediately stop severe bleeding from an extremity, you should apply: A. additional sterile dressings. B. digital pressure to a proximal artery. C. a tourniquet proximal to the injury. D. a splint and elevate the extremity.

C. a tourniquet proximal to the injury. Chapter 25, page 890, Emergency Medical Care for External Bleeding

Internal bleeding into a fractured extremity is MOST often controlled by: A. applying chemical ice pack. B. keeping the patient warm. C. splinting the extremity. D. applying a tourniquet.

C. splinting the extremity. Chapter 25, page 894, Emergency Medical Care for Internal Bleeding

Whether you are using a commercial device or a stick and triangular bandage as a tourniquet, it is important to remember that: A. bulky dressings should be securely applied over the tourniquet to further assist in controlling the bleeding. B. the tourniquet should be applied directly over a joint if possible because this provides better bleeding control. C. the tourniquet should only be removed at the hospital because bleeding may return if the tourniquet is released. D. you should try to control the bleeding by applying pressure to a proximal arterial pressure point first.

C. the tourniquet should only be removed at the hospital because bleeding may return if the tourniquet is released. Chapter 25, page 893, Emergency Medical Care for External Bleeding

What mechanism(s) does the body use to control bleeding? A. Clotting B. Coagulation C. Vasoconstriction D. All of these answers are correct.

D. All of these answers are correct.

If applying a dressing to control the bleeding of a patient's arm, the EMT should ________. A. apply direct pressure first B. use large or small gauze pads or dressings depending upon the size of the wound C. cover the entire wound, above and below, with the dressing D. All of these answers are correct.

D. All of these answers are correct. Chapter 25, page 889, Emergency Medical Care for External Bleeding

Which organ or organ system has the greatest tolerance for lack of perfusion (shock)? A. Skeletal muscle B. Kidneys C. Brain D. Gastrointestinal system

D. Gastrointestinal system Chapter 25, page 882, Pathophysiology and Perfusion

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. apply a nonrebreathing mask. B. obtain baseline vital signs. C. perform a secondary assessment. D. assist the patient's ventilations.

D. assist the patient's ventilations. Chapter 25, page 886, Patient Assessment for External and Internal Bleeding

A 43-year-old man is experiencing a severe nosebleed. His blood pressure is 190/110 mm Hg and his heart rate is 90 beats/min and bounding. Preferred treatment for this patient includes: A. placing a rolled 4² × 4² dressing between his lower lip and gum. B. having the patient pinch his own nostrils and then lie supine. C. packing both nostrils with gauze pads until the bleeding stops. D. pinching the patient's nostrils and having him lean forward.

D. pinching the patient's nostrils and having him lean forward. Chapter 25, pages 895-896, Emergency Medical Care for External Bleeding

Following blunt trauma to the abdomen, a 21-year-old female complains of diffuse abdominal pain and 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. pancreas. B. gallbladder. C. liver. D. spleen.

D. spleen. Chapter 25, page 885, Internal Bleeding

The severity of bleeding should be based on all of the following findings, EXCEPT: A. clinical signs and symptoms. B. the mechanism of injury. C. poor general appearance. D. systolic blood pressure.

D. systolic blood pressure. Chapter 25, page 883, External Bleeding

In older patients, the first indicator of nontraumatic internal bleeding may be: A. a low blood pressure. B. a heart rate over 120 beats/min. C. diaphoresis and pale skin. D. weakness or dizziness.

D. weakness or dizziness. Chapter 25, page 886, Internal Bleeding