Ch. 26 Post Test: EMT

Which of the following organs is most likely to bleed significantly if​ injured?
Spleen
Solid organs pose a greater risk of blood lost than hollow organs do. The spleen is a solid organ.

The first step in burn management is​ to:
stop the burning process
The burning process is a life threat and should be stopped immediately.

For a young child with isolated genital​ injuries, you​ should:
consider the possibility of abuse and treat the child with sensitivity.
This situation requires exceptional diplomacy and gentle inquiry to explore the possibility of sexual abuse.

The MOST common type of trauma that the body sustains​ is:
soft tissue injuries.
Soft tissue injuries are by far the most common form of trauma. Millions of patients present to emergency departments annually with soft tissue wounds.

When a large flap of tissue is traumatically​ removed, this condition is​ called:
an avulsion.
A segment of skin that is detached or minimally attached is an avulsion.

You are caring for a​ 15-year-old female who has sustained a laceration to her lower arm. It is spurting bright red blood uncontrollably. What personal protective equipment would be MOST preferred in managing this​ wound?
Gloves and a face shield
The risk of body fluid exposure is​ great, and full protection of the​ eyes, mouth,​ nose, and hands is necessary.

Part of the assessment of a thermal burn is to calculate the percentage of the body surface area that has been burned. Your patient has burns to her anterior torso and the anterior surface of her right arm. What is the estimated percentage of body surface​ burned?
​22.5%
The anterior torso is 9​ + 9, and an entire arm would be​ 9, but only the anterior surface of the​ patient’s arm​ (about 1/2) is​ burned, so that would be​ 4.5%. Therefore 9​ + 9​ + 4.5​ = 22.5%.

A patient who was injured by lightning is awake on your arrival but is not able to hear what you are saying. He can talk and is frightened because he does not know what happened. The patient was in a picnic area at a park and was thrown several feet to the ground when the lightning struck near him. Which of the following steps has the HIGHEST priority in this​ patient’s assessment and​ treatment?
Maintain​ in-line cervical​ stabilization, and perform a rapid secondary assessment.
This patient may have additional injuries. You must complete your assessment before performing additional treatment. There is no indication from the primary assessment​ (the patient is able to talk to​ you) that he needs immediate high​ flow-oxygen.

The layer of skin that contains blood​ vessels, nerves, and specialized structures is​ the:
dermis.
The dermis is the layer of skin that contains​ nerves, vessels, and specialized structures.

Your patient suffered a severe electrical burn injury. In your emergency​ care, you should​ always:
assess for an entrance and an exit wound.
To care for an electrical burn​ injury, the EMT should​ (1) never attempt to remove a patient from an electrical source unless the EMT is trained and equipped to do​ so, (2) never touch a patient who is still in contact with the electrical​ source, (3) administer oxygen by nonrebreather mask at 15​ lpm, (4) monitor the patient for cardiac​ arrest, (5) assess the patient for muscle tenderness with or without twitching and any seizure​ activity, (6) always assess for an entrance and exit burn​ injury, and​ (7) transport the patient as soon as possible.

You are called to the scene of a metal fabrication plant where you are presented with a​ 30-year-old male patient complaining of bilateral severe eye pain. Upon​ examination, you notice both eyes are red and irritated. Patient states that one of dyes he was working with splashed into his eyes. How would you manage this​ patient’s injury?
irrigate both eyes with copious amounts of water for at least 20 minutes or until you arrive at the medical facility.
The first step in managing a burn victim is to stop the burning process. For patients with burns to the​ eye, irrigating with copious amounts of water for 20 minutes or until arrival at the hospital is the appropriate way to manage the injury. If only one eye is​ burned, irrigate in such a way that it does not expose the unaffected eye.

Which layer of the skin provides shock absorption and​ insulation?
subcutaneous
The subcutaneous layer is just below the dermis layer and provides shock absorption and insulation by way of adipose tissue.

In bandaging a hand​ wound, what important consideration is​ necessary?
Bandage the hand in the position of function.
It is important to bandage the hand in the position of​ function, leaving the fingernails visible and wrapping distal to proximal.

A patient has​ partial-thickness burns over​ 18% of his​ body, including both feet. Which of the following classifications do this​ patient’s burns fall​ under?
Critical
Burns involving the​ hands, feet,​ face, or genitalia are considered to be​ critical, regardless of the total body surface area​ involved, because of the potential loss of function.

Which of the following statements about puncture wounds is​ correct?
The course or depth of the trajectory of the object that caused the puncture cannot be known with certainty.
The course or depth of the trajectory of the object that caused the puncture cannot be known with certainty.

Your patient has a large bump on the forehead from being hit by a baseball. What type of injury is​ this?
Hematoma
A hematoma is similar to a contusion except that it usually involves damage to a larger blood vessel and a larger amount of tissue. It is characterized by a large lump with bluish discoloration caused by blood collecting beneath the skin.

Burns involving the airway often lead​ to:
respiratory compromise.
Without an intact​ airway, the patient will be unable to ventilate or oxygenate. The result of this will be cellular hypoxemia and death.

In caring for an amputated​ part, it is important​ to:
wrap the part in sterile gauze and keep it cool.
Wrap the part in sterile​ gauze, place it in a plastic​ bag, and keep it​ cool, avoiding freezing.

You are performing a secondary assessment on your​ 19-year-old trauma patient. What assessment finding MOST likely indicates a closed head​ injury?
bruising noted to the posterior aspect behind his right ear
Bruising to the head or neck indicates possible injury to the cervical spine or brain. Blood in the​ mouth, nose, or ears may also be present.

You are caring for a​ 46-year-old female who accidentally sustained burns to her left hand up to the wrist from boiling water. You arrive moments after the incident. Of the​ following, which should you do​ FIRST?
Stop the burning process
Your first priority is to stop the burning process then remove any constricting jewelry.

You have just applied a bandage over a dressing that was used to cover an open laceration to the forearm. You now reassess the PMS findings and discern that there is no longer a distal​ pulse, and the patient says that his hand is​ “tingling.” What could be the reason for this​ finding?
The bandage was applied too tightly.
If the bandage is too​ tight, the circumferential pressure that is caused may be enough to block distal blood flow. A dressing should be bandaged snugly enough to hold the dressing in place and contribute to the stoppage of bleeding but not so tightly that it impairs all distal blood flow.

How does the skin provide temperature​ regulation?
By altering the blood flow to the skin and by controlling perspiration
The skin achieves temperature regulation by altering the blood flow to the skin and by controlling perspiration.

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A burn is an injury caused by excessive energy transferred to the body. There are four different kinds of burns. The first type of burn is a thermal burn. A thermal burn is caused by an external heat source that …

A burn is an injury caused by excessive energy transferred to the body. There are four different kinds of burns. The first type of burn is a thermal burn. A thermal burn is caused by an external heat source that …

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