A 20-year-old male has a large laceration to his wrist. He is holding a blood-soaked towel over
the wound, but it continues to bleed rapidly. You should:
A. apply a tourniquet proximal to the wrist.
B. administer high-flow supplemental oxygen.
C. apply pressure to the brachial artery.
D. wrap the towel with pressure bandages. correct answers A. apply a tourniquet proximal to the
wrist.
A 25-year-old unrestrained female struck the steering wheel with her chest when her car hit a tree
while traveling at a high rate of speed. She has signs and symptoms of shock, which you suspect
are the result of intrathoracic bleeding. Which of the following interventions will provide this
patient with the greatest chance for survival?
A. Intravenous fluid administration
B. High-flow oxygen administration
C. Full immobilization of her spine
D. Rapid transport to a trauma center correct answers D. Rapid transport to a trauma center
As you approach a patient lying at the side of the roadway, you observe severe bleeding from the
leg. What should your first action be?
A. Administer oxygen.
B. Check for a pulse.
C. Open the airway.
D. Control the bleeding. correct answers D. Control the bleeding
,Distributive shock occurs when:
A. widespread dilation of the blood vessels causes blood to pool in the vascular beds.
B. an injury causes restriction of the heart muscle and impairs its pumping function.
C. severe bleeding causes tachycardia in order to distribute blood to the organs faster.
D. temporary but severe vasodilation causes a decrease in blood supply to the brain. correct
answers A. widespread dilation of the blood vessels causes blood to pool in the vascular beds.
Foods, medications, and insects are common causes of ________.
A. neurogenic shock
B. psychogenic shock
C. septic shock
D. anaphylactic shock correct answers D. anaphylactic shock
Hypovolemic shock caused by severe burns is the result of a loss of:
A. red blood cells.
B. whole blood.
C. platelets.
D. plasma. correct answers D. plasma.
In an acute injury setting, neurogenic shock is commonly accompanied by:
A. diaphoresis.
B. tachycardia.
C. hypovolemia.
,D. hypothermia. correct answers D. hypothermia
Inadequate circulation of blood throughout the body is called ________.
A. shock
B. perfusion
C. hypotension
D. hypoxia correct answers A. shock
Pulmonary edema and impaired ventilation occur during:
A. septic shock.
B. cardiogenic shock.
C. neurogenic shock.
D. anaphylactic shock. correct answers B. cardiogenic shock.
Shock due to severe infection is called ________.
A. neurogenic shock
B. septic shock
C. hypovolemic shock
D. anaphylactic shock correct answers B. septic shock
To protect vital organs, the body compensates by directing blood flow away from organs that are
more tolerant of low flow, such as:
A. the heart.
, B. the skin.
C. the brain.
D. the lungs. correct answers B. the skin.
What are the three components of the "perfusion triangle"?
A. Plasma, red blood cells, platelets
B. Heart, blood vessels, blood
C. Heart, brain, lungs
D. Arteries, veins, capillaries correct answers B. Heart, blood vessels, blood
When assessing a patient with signs and symptoms of shock, it is important to remember that:
A. blood pressure may be the last measurable factor to change in shock.
B. multiple fractures are the most common cause of hypovolemic shock.
C. irreversible shock often responds well to a prompt blood transfusion.
D. the patient's respirations are deep during the early stages of shock. correct answers A. blood
pressure may be the last measurable factor to change in shock.
When should nonlifesaving interventions be performed for your multisystem trauma patient?
A. During the primary assessment
B. Immediately after the injuries are discovered
C. Prior to transport
D. En route to the hospital correct answers D. En route to the hospital
When treating an 80-year-old patient who is in shock, it is important to remember that: