REAL EXAM CHAPTER 1-29QUESTIONS AND
100%CORRECT ANSWERS|AGRADE
When should nonlifesaving interventions be performed for your multisystem trauma
patient?
-Prior to transport.
-En route to the hospital.
-During the primary assessment.
-Immediately after the injuries are discovered. - Answer -En route to the hospital.
Page 498, Patient Assessment for Shock
When treating an 80-year-old patient who is in shock, it is important to remember
that:
-changes in gastric motility may delay gastric emptying, which increases the risk for
vomiting.
-compensation from the respiratory system usually manifests with increased tidal
volume.
-medications older patients take for hypertension often cause an unusually hastheart
rate.
-the older patient's central nervous system usually more briskly to compensate for
shock. - Answer -changes in gastric motility may delay gastric emptying, which
increases the risk for vomiting.
Page 505, Emergency Medical Care for Shock
Which of the following injuries would MOST likely cause obstructive shock?
-Simple pneumothorax.
-Liver laceration.
-Spinal cord injury.
-Cardiac tamponade. - Answer -Cardiac tamponade.
Page 492, Types of Shock
Which of the following is the ONLY action that can prevent eventual death from a
tension pneumothorax?
-Early administration of high-flow oxygen.
-Positive-pressure ventilation with a bag-valve mask.
-Decompression of the injured side of the chest.
-Rapid administration of intravenous fluids. - Answer -Decompression of the injured
side of the chest.
Page 502, Emergency Medical Care for Shock
You suspect your patient is in shock. You note the patient's skin is pale. This is likely
due to .
-an increased heart rate.
, -hypothermia.
-peripheral vasodilation.
-peripheral vasoconstriction. - Answer -peripheral vasoconstriction.
Page 490, Pathophysiology
Your patient has a decreased cardiac output and poor myocardial contractility. This
will likely lead to .
-septic shock.
-cardogenic shock.
-hypovolemic shock.
-neurogenic shock. - Answer -cardiogenic shock.
Page 491, Types of Shock
Your patient is in shock, but the body's defense mechanisms are currently able to
maintain adequate circulation. This is called .
-decompensated shock.
-late shock.
-compensated shock.
-irreversible shock. - Answer -compensated shock.
Page 496, The Progression of Shock
The term "shock" is MOST accurately defined as:
a decreased supply of oxygen to the brain. cardiovascular
collapse leading to inadequate perfusion.
decreased circulation of blood within the venous circulation.
decreased function of the respiratory system leading to hypoxia. - Answer
cardiovascular collapse leading to inadequate perfusion.
Anaphylactic shock is typically associated with:
urticaria.
bradycardia.
localized welts.
a severe headache. - Answer urticaria.
Signs of compensated shock include all of the following, EXCEPT:
restlessness or anxiety.
pale, cool, clammy skin.
a feeling of impending doom.
weak or absent peripheral pulses. - Answer weak or absent peripheral pulses.
When treating a trauma patient who is in shock, LOWEST priority should be given to:
spinal protection.
thermal management.
splinting fractures.