Chapter 28 Quiz PDF

Handout 28-1 Student’s Name CHAPTER 28 QUIZ Write the letter of the best answer in the space provided. 1. The first step an EMT should take when encountering a patient with severe bleedin...

Handout 28-1 Student’s Name CHAPTER 28 QUIZ Write the letter of the best answer in the space provided. 1. The first step an EMT should take when encountering a patient with severe bleeding is to A. apply pressure to the wound. C. check the patient’s blood pressure. B. use appropriate Standard Precautions. D. apply a tourniquet. 2. Open wounds in which flaps of skin and tissue are torn loose with only a small part of the tissue still attached to the body are termed A. avulsions. C. amputations. B. lacerations. D. punctures. 3. An average adult weighing 154 pounds will have approximately how many liters of total blood volume? A. 8–10 liters C. 6‒8 liters B. 4‒5 liters D. 12–14 liters 4. The type of shock most commonly caused by profound blood or fluid loss is A. hypovolemic shock. C. vasogenic shock. B. cardiogenic shock. D. irreversible shock. 5. What percentage of blood volume can the average adult patient who weighs 154 pounds lose before the loss will lead to obvious signs of shock? A. 5 percent C. 1 percent B. 15 percent D. 7.5 percent 6. The next step in bleeding control of a lower extremity, if direct pressure is not effective, is A. a tourniquet. C. splinting. B. elevation. D. rapid transport. 7. Epistaxis is another way of saying the patient has A. high blood pressure. C. a nosebleed. B. increased plaque in his arteries. D. abdominal bleeding. 8. All of the following medications will affect clotting except A. Coumadin. C. Lasix. B. aspirin. D. ibuprofen. 9. Which sign of cardiogenic shock would occur the latest? A. Increased respiratory rate B. Increased pulse rate C. Decreased blood pressure D. Thready pulse 10. An injury caused by scraping, rubbing, or shearing away of the skin is a(n) A. abrasion. C. laceration. B. contusion. D. avulsion. ©2018 by Pearson Education, Inc. C H A P T E R 2 8 Bleeding and Soft-Tissue Trauma Prehospital Emergency Care, 11th Ed. Handout 28-1 (continued) 11. The skin is composed of how many layers? A. one C. three B. two D. four 12. An open injury exposing the blood vessels and nerve tissue contained within the dermal layer of the skin is called a(n) A. contusion. C. laceration. B. abrasion. D. avulsion. 13. The type of laceration caused by a knife or razor is described as A. stellar. C. linear. B. stellate. D. clean. 14. When applying an occlusive dressing to a chest wound, the dressing should be secured on how many sides? A. one C. three B. two D. four 15. Treatment for exposed internal abdominal organs can include all of the following except A. placing the organs back into the opening. B. covering the organs with a sterile moist dressing. C. flexing the patient’s hips and knees in the absence of suspected spinal injury. D. applying high-flow oxygen. ©2018 by Pearson Education, Inc. C H A P T E R 2 8 Bleeding and Soft-Tissue Trauma Prehospital Emergency Care, 11th Ed. Handout 28-2 Student’s Name CHAPTER 28 REVIEW Write the word or words that best complete each sentence in the space provided. 1. The layers of the skin are the , , and. 2. A wound in which there is no open pathway from the outside to the injured site is called a(n). 3. Simple scrapes to the outer layer of the skin are known as. 4. A(n) should never be removed in the field, unless it is in the cheek or neck and obstructing airflow through the trachea. 5. The three major types of blood vessels are __________________, , and. 6. Whenever bleeding is suspected or discovered, the use of __________________ __________________ is essential for the EMT to avoid exposure of the skin and mucous membranes. 7. Severe internal bleeding can result in a rapid progression of hemorrhagic ______ and ______ in a matter of minutes. 8. The second step in bleeding control of an extremity bleed when direct pressure has failed is the use of a(n). 9. A(n) _______________ ____________ temperature may make the clotting process slower and less effective. 10. A blood loss of percent will affect the patient’s vital signs. ©2018 by Pearson Education, Inc. C H A P T E R 2 8 Bleeding and Soft-Tissue Trauma Prehospital Emergency Care, 11th Ed. Handout 28-3 Student’s Name BLEEDING AND SOFT TISSUE TRAUMA: LISTING 1. List four of the factors that may increase bleeding. 2. List the emergency care treatments for open neck wounds. 3. List the four types of bandages. ©2018 by Pearson Education, Inc. C H A P T E R 2 8 Bleeding and Soft-Tissue Trauma Prehospital Emergency Care, 11th Ed. Handout 28-4 Student’s Name BLEEDING AND SOFT TISSUE TRAUMA: TRUE OR FALSE Indicate if the following statements are true or false by writing T or F in the space provided. 1. A wound that is beneath unbroken skin is called a closed injury. ______ 2. Signs and symptoms of a closed soft tissue injury include swelling, pain, and discoloration at the injury site. 3. An open injury may be the indicator of a deeper, more serious injury. 4. With gunshot wounds, the entry wound usually appears larger than the exit wound. 5. A common complication associated with bites is cellulitis. 6. Arterial blood is dark red. 7. Direct pressure is the first step in bleeding control. 8. Shock from fluid loss is called fluid shock. 9. Dilated pupils are a sign of shock. 10. The use of a tourniquet is not recommended to stop bleeding of an open lower extremity injury. ©2018 by Pearson Education, Inc. C H A P T E R 2 8 Bleeding and Soft-Tissue Trauma Prehospital Emergency Care, 11th Ed.  CHAPTER 28 ANSWER KEY HANDOUT 28-1: Chapter 28 Quiz 1. B 5. B 9. C 13. C HANDOUT 28-4: Bleeding and Soft-Tissue 2. A 6. A 10. A 14. C Trauma: True or False 3. B 7. C 11. C 15. A 4. A 8. C 12. B 1. T 4. F 7. T 9. T 2. T 5. T 8. F 10. F HANDOUT 28-2: Chapter 28 Review 3. T 6. F 1. epidermis, dermis, subcutaneous layer 2. closed wound 3. abrasions 4. impaled object 5. arteries, capillaries, veins 6. Standard Precautions 7. shock, death 8. tourniquet 9. low body 10. 15 HANDOUT 28-3: Bleeding and Soft Tissue Trauma: Listing 1. Any of the following: improper dressing application initially, movement, low body temperature, medications, intravenous fluids, removing bandages and dressings prematurely. 2. Place a gloved hand over the wound to control bleeding; apply an occlusive dressing; cover the occlusive dressing with a regular bandage; apply only enough coverage to control bleeding; once bleeding is controlled, apply a pressure dressing; if there is suspected spinal injury, provide appropriate spine motion restriction. 3. Self-adhering bandage, gauze roll, triangular bandage, or splint. ©2018 by Pearson Education, Inc. C H A P T E R 2 8 Bleeding and Soft-Tissue Trauma Prehospital Emergency Care, 11th Ed.