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1. You treated a 19-year-old with a puncture wound to the chest by covering the wound with an
impermeable dressing. Now, as you perform your ongoing assessment, you note that the
patient is tachypneic and is complaining of difficulty breathing. Breath sounds on the side of the
injury are also diminished. Which of the following actions should you take immediately?
A) Assist his breathing with a bag-valve mask
B) Lift a comer of the dressing from the wound for a few seconds, then reapply and check his
breath sounds.
C) Add another layer to the dressing.
D) Insert an oropharyngeal airway - ANSWER A) Assist his breathing with a bag-valve mask
2. The uphill positioning principle has exceptions. For patients with breathing difficulty, the
patient should be placed either seated or uphill depending on other injuries The uphill concept
allows easier breathing because:
A) the ribs have greater flexibility of movement in the uphill position.
B) air flows more easily through a patient's nose compared to a head-downhill position.
C) it calms patients by enabling them to see where they are going during transport.
D) of less pressure from the abdominal contents pushing upwards on the thorax. - ANSWER
D) of less pressure from the abdominal contents pushing upwards on the thorax.
,3. How should an OEC technician best determine the adequacy of a patient's breathing during a
primary assessment?
A) Determine the patient's mental status.
B) Compare the patient's blood pressure and pulse rates.
C) Assess the patient's ability to raise their shoulders
D) Look for the rise and fall of the patient's chest - ANSWER D) Look for the rise and fall of
the patient's chest
4. A wire would be a poor choice for making a tourniquet since a tourniquet should be at least
how wide?
A) 1 inch
B) 2 inches
C) 3inches
D) 4 inches - ANSWER B) 2 inches
5. In abruptio placentae, the greatest threat to the baby is:
A) infection.
B) maternal shock
C) hypoxia
D) pain - ANSWER C) hypoxia
6. The left atrium:
A) receives blood from the veins of the body.
B) receives blood from the pulmonary veins.
C) pumps blood to the lungs.
D) pumps blood to the body. - ANSWER B) receives blood from the pulmonary veins.
, 7. The spleen of a patient has ruptured. Because the spleen is a solid organ, you recognize that
the primary threat to life is most likely:
A) blood loss.
B) pain.
C) infection.
D) inflammation. - ANSWER A) blood loss.
8. Hoarseness or voice changes in a burn patient should alert an OEC technician that the
A) patient may be extremely anxious about the injury
B) patient most likely is experiencing an inhalation injury causing swelling to the airway, a true
emergency
C) patient should be treated as a pediatric patient
D) patient has altered mental status. - ANSWER B) patient most likely is experiencing an
inhalation injury causing swelling to the airway, a true emergency
9. You arrive at an accident scene and find a patient lying on the ground with her right arm
straight out to the side (at a 90- degree angle to her body). You ask her if she is able to pull the
arm toward her body, but she cannot. You would document this as an inability to _____ her
right arm.
A) adduct
B) abduct
C) hyperflex
D) hyperextend - ANSWER A) adduct
10. You have been ventilating the patient with an oropharyngeal airway and bag-valve mask.
Suddenly the patient regains consciousness and starts to gag. Your immediate action should be
to:
A) leave the airway in place but stop ventilations