Exam UPDATED ACTUAL QUESTIONS
AND CORRECT ANSWERS
1. Scene Size-up - CORRECT ANSWER Scene Safety/BSI
Mechanism of Injury
Number of Patients
ALS
C-Spine
2. Primary Assessment - CORRECT ANSWER General Impression
LOC using AVPU + Orientation
Life Threats/Chief Complaint
Airway
Breathing
Circulation
Priority Decision/Transport
C-Spine - CORRECT ANSWER State for 2nd rescuer to hold c-spine and don't let go until you
tell them to
LOC - CORRECT ANSWER Alert, Verbal Stimuli, Pain Stimuli, Unconscious
Person, Place, Time, and Event
Airway - CORRECT ANSWER If the pt is unconscious, jaw thrust for 3-5 seconds to
determine patency.
Verbalize suctioning as needed (no more than 10 seconds at a time)
Verbalize OPA/NPA measurement and insertion.
Breathing - CORRECT ANSWER Expose the chest!
, Look for equal chest rise/fall and injuries, auscultate for lung sounds mid-axillary and mid-clavicular,
palpate for structural integrity.
Respiration RRQ.
Note signs of respiratory distress - retractions, accessory muscle use, positioning. In pedi patients,
nasal flaring, grunting, and see-saw respirations.
SPO2 & appropriate device.
If no breathing, assist w/BVM (~12/min)
If inadequate ventilations, assist w/BVM.
Manage major injuries with a semi-occlusive dressing and/or PPV (flail chest segment or sucking
chest wound), bulky dressing.
Circulation/Perfusion - CORRECT ANSWER If unconscious, check carotid first.
Pulse RRQ
Sticky test.
CRT & Skin CTC.
If no pulse, start CPR (30:2)
Control arterial bleeding
Shock - CORRECT ANSWER Confirm any shock identifiers.
Treat with O2, position pt., keep warm, rapid transport, ALS.
3. Rapid Trauma Assessment - CORRECT ANSWER DCAP-BTLS
Head/scalp
Face/mandible
Ears
Eyes
Nose
Mouth
Neck (c-collar application after)
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