Chapter 25 – Bleeding and Shock Questions

hypoperfusion
A.
reduced oxygen saturation of the blood.
B.
inadequate oxygen delivery to the tissue.
C.
inadequate blood flow to the tissue.
Your answer is correct.D.
reduced blood volume.
inadequate blood flow to the tissue.

Hemorrhagic shock is due​ to:
A.
sepsis.
B.
spinal trauma.
C.
dehydration.
D.
blood loss.
blood loss

Your​ 35-year-old female patient has accidentally cut her forearm with a kitchen knife. You notice that the blood is dark red and has a steady flow. The patient is concerned she may have​ “cut an​ artery.” Based on this​ finding, you should tell her that the source is hemorrhage originates​ from:
A.
a vein.
B.
an arteriole.
C.
a capillary.
D.
an artery.
a vein

Sometimes bright​ red, spurting blood slows remarkably just after injury. This can be explained​ by:
A.
collapse of the vein.
B.
reflexive contraction of the artery due to the injury itself.
C.
a rapid reduction in blood volume.
D.
rapid clotting mechanisms.
reflexive contraction of the artery due to the injury itself.

You are on scene with a​ 45-year-male who lacerated his hands while working in his garage. The bleeding is dark red and has a steady flow. What is the best way to manage this​ patient’s hemorrhage?
A.
splinting the limb and applying a cold pack.
B.
firmly bandaging a dressing in place.
C.
tourniquet application proximal to the injury site.
D.
elevate the extremities.
firmly bandaging a dressing in place.

The method of bleeding control that is the FIRST and MOST successful method to try​ is:
A.
the application of cold.
B.
a tourniquet.
C.
direct pressure.
D.
the use of a pressure point.
direct pressure.

Which of the following outlines the​ steps, in order of​ preference, for controlling​ bleeding?
A.
​Tourniquets, direct​ pressure, and pressure points
B.
Direct​ pressure, use of hemostatic​ agents, and tourniquet application
C.
Pressure​ points, direct​ pressure, and elevation
D.
​Elevation, pressure​ points, and direct pressure
Direct​ pressure, use of hemostatic​ agents, and tourniquet application

A blood vessel that is cut along its length​ will:
A.
bleed uncontrollably.
B.
immediately seal itself with reticular fibers.
C.
cause hypoperfusion within two to three minutes.
D.
retract and clot off.
bleed uncontrollably.

Your patient has been severely injured in a fight. He is now lying supine with gurgling respirations and visible blood in the throat. Which of the following should you do​ FIRST?
A.
Suction the airway.
B.
Fully immobilize the patient.
C.
Initiate PPV with oxygen.
D.
Apply oxygen.
Suction the airway.

You are treating a patient who was dizzy and​ fell, sustaining a laceration to the forehead. Aside from determining the cause of the​ dizziness, how should you deal with the​ bleeding?
A.
Apply an occlusive dressing.
B.
Use direct pressure and a bandage.
C.
Pack the wound with gauze.
D.
Use a pressure point.
Use direct pressure and a bandage.

You are treating a​ 43-year-old female who was hunting with a pistol. When she sat down in the​ outhouse, her gun went off and created a large hole in her right​ femur, which is now severely spurting blood. What is the MOST appropriate method of bleeding control for this injury if direct pressure​ fails?
A.
Application of ice on the wound
B.
Application of a tourniquet
C.
Direct pressure and elevation
D.
Looking for a pressure point to apply
Application of a tourniquet

If you find a major bleed during your initial assessment of the​ patient, you​ should:
A.
complete your initial​ assessment, then control the bleeding with a pressure bandage.
B.
immediately apply direct pressure to the site with your gloved hand.
C.
apply a blood pressure cuff above the site and inflate it until the bleeding stops.
D.
immediately hold the injury above heart level and compress the appropriate pressure point.
immediately apply direct pressure to the site with your gloved hand.

Internal bleeding may result from a variety of causes. If you suspect that your patient has internal​ bleeding, you should remember​ that:
A.
the two most common causes of internal bleeding are ruptured aortic aneurysm and bleeding stomach ulcers.
B.
your suspicion of internal bleeding may be based only on the mechanism of injury.
C.
head injury is more likely to cause unexplained shock than internal bleeding is.
D.
internal bleeding is usually very obvious and should be identified quickly.
your suspicion of internal bleeding may be based only on the mechanism of injury.

The signs and symptoms of internal bleeding​ include:
A.
poor peripheral perfusion.
B.
constricted pupils that are sluggish to respond.
C.
​slow, deep respirations.
D.
dropping blood pressure as an early sign.
poor peripheral perfusion.

Emergency medical care for internal bleeding​ includes:
A.
rapid transport for patients with signs and symptoms of shock.
B.
placing the patient with head and torso elevated to better perfuse the brain.
C.
applying direct manual pressure to the areas of internal bleeding.
D.
applying supplemental oxygen by nasal cannula only so that the circulatory system is not overwhelmed.
rapid transport for patients with signs and symptoms of shock.

You are caring for a​ 28-year-old male patient who was involved in a motor vehicle crash. He has sustained a closed head injury and blunt force trauma to his chest and abdomen and is unconscious and in shock. In what position should you transport​ him?
A.
In a reverse Trendelenburg position because of the​ patient’s head trauma and pulmonary injury
B.
In a supine position with sufficient spinal immobilization
C.
In a left lateral position to allow for vomiting and prevent aspiration
D.
In a sitting position because of his closed head trauma
In a supine position with sufficient spinal immobilization

Which of the following is MOST likely to cause cardiogenic​ shock?
A.
A drug that induces widespread vascular dilation
B.
Taking too much nitroglycerin for chest pain
C.
A massive MI that impairs the pump function of the heart
D.
A massive pulmonary embolus
A massive MI that impairs the pump function of the heart

In trauma​ patients, which form of shock is the most​ common?
A.
Septic shock
B.
Hypovolemic shock
C.
Neurogenic shock
D.
Cardiogenic shock
Hypovolemic shock

Which of the following would most likely lead to hypovolemic​ shock?
A.
Crush injury to the abdomen
B.
Crush injury to the foot
C.
Subdural hematoma
D.
Open fracture of the hand
Crush injury to the abdomen

Which of the following forms of shock is associated with volume​ loss?
A.
Cardiogenic shock
B.
Neurogenic shock
C.
Septic shock
D.
Hypovolemic shock
Hypovolemic shock

Which of the following is TRUE regarding decompensated​ shock?
A.
Compensated shock is shock that carries the ultimate costs to the body.
B.
Decompensated shock is​ reversible, whereas compensated shock is not.
C.
During decompensated​ shock, the body can no longer compensate adequately.
D.
The amount of oxygen availability to the tissues is greater during decompensated shock.
During decompensated​ shock, the body can no longer compensate adequately.

Which of the following physiological events generally indicates the onset of decompensated​ shock?
A.
An increase in heart rate
B.
A drop in the​ patient’s blood pressure
C.
​Pale, cool, and clammy skin
D.
An increase in breathing rate
A drop in the​ patient’s blood pressure`

Which patient is in the initial stages of​ shock?
A.
​45-year-old motor vehicle crash victim with​ pale, cool, skin and tachycardia
B.
​36-year-old fall victim with absent peripheral pulses
C.
​16-year-old female with a possible traumatic brain injury presenting with altered mental status and low blood pressure
D.
​52-year-old assault victim with bilaterally dilated pupils and cyanosis
​45-year-old motor vehicle crash victim with​ pale, cool, skin and tachycardia

You are caring for a​ 62-year-old male patient who complains of chest​ pain, shortness of​ breath, and nausea. His heart rate is more than​ 120, and his blood pressure is​ 90/60. You notice some pallor and peripheral cyanosis on his​ cool, clammy skin. He is MOST likely suffering​ from:
A.
anaphylactic shock.
B.
septic shock.
C.
cardiogenic shock.
D.
neurogenic shock.
cardiogenic shock.

You arrive on scene to a​ 72-year-old female who is​ pale, cool,​ diaphoretic, and lethargic. Family members state that she was diagnosed with a urinary tract infection 2 days ago. Based on this your assessment findings and the​ patient’s medical​ history, what category of shock might she​ experience?
A.
Anaphylactic shock due to vessel dilation resulting in decreased mental status and​ pale, cool, clammy skin
B.
Hypovolemic shock due to the​ patient’s dehydrated condition
C.
Cardiogenic shock due to the decrease in cardiac output
D.
Septic shock due to the dilation and loss of integrity of the blood vessels
Septic shock due to the dilation and loss of integrity of the blood vessels

When a patient has significant blood​ loss, which of the following clinical findings would you expect to find that signifies the presence of​ shock?
A.
Slowed breathing and a bounding pulse
B.
Calm and relaxed demeanor with mental alertness and verbal responsiveness
C.
Rapid heart rate
D.
​Flushed, warm, dry skin
Rapid heart rate

Why does a patient in shock secondary to blood loss develop​ pale, cool, and clammy​ skin?
A.
The​ patient’s body is using all available energy to combat the blood​ loss, so sweating is to expected.
B.
Blood flow is being redirected to the periphery of the body to combat the heat load.
C.
The blood has lost some of its red blood​ cells, which give the blood​ (and skin) the red color.
D.
The sympathetic nervous system limits peripheral circulation.
The sympathetic nervous system limits peripheral circulation.

When the body responds to​ shock, what physiological effects would you expect to​ occur?
A.
Peripheral vasodilation
B.
Peripheral vasoconstriction
C.
Bradypnea
D.
Bradycardia
Peripheral vasoconstriction

Which of the following is NOT a defense mechanism of the body in reaction to​ shock?
A.
Peripheral vasoconstriction
B.
Increased respirations
C.
Hypotension
.D.
Tachycardia
Hypotension

Which of the following principles may help the MOST in ensuring the survival of a patient who is suffering from shock due to massive​ trauma?
A.
Facilitating immediate transport to the local community hospital
B.
Rapid transport to an appropriate facility
C.
Starting oxygen administration at a low concentration and increasing it gradually to the desired levels to avoid hyperoxia
D.
Waiting for the arrival of paramedics so that they can administer IV fluids
Rapid transport to an appropriate facility

In a patient with uncontrolled hemorrhage due to a traumatic​ amputation, which of the following interventions is likely to be MOST​ effective?
A.
Application of direct pressure
B.
Application of pressure points
C.
Application of a tourniquet
D.
Elevation of the extremity
Application of a tourniquet

You are treating a​ 64-year-old female patient complaining of weakness and abdominal pain. You find the patient​ pale, cool, and diaphoretic leaning against the wall adjacent to her toilet. You note the presence of​ bright, red blood in the toilet. Based on these​ findings, what treatment option will improve the​ body’s ability to​ clot?
A.
Place the patient on​ high-flow oxygen via​ non-rebreather
B.
Request Advanced Life Support assistance so that intravenous fluids can be infused to replace lost blood volume
C.
Transport the patient to the most appropriate facility as soon as possible
D.
Cover the patient in a blanket to prevent hypothermia
Cover the patient in a blanket to prevent hypothermia

Which of the following provides the GREATEST chance of survival for a critical trauma​ patient?
A.
Surgery
B.
ALS response
C.
IV fluids
D.
​High-flow oxygen
Surgery

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