978-0134024554 Chapter 25 Part 3

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39) Although many of the signs and symptoms of shock are the same no matter what the cause,

the symptoms follow a logical progression as shock develops and worsens. Arrange the

following signs and symptoms in the likely order that they will appear.

1. Altered mental status

2. Dropping blood pressure

3. Nausea and vomiting

4. Pale, cool, and clammy skin

5. Increased pulse

6. Increased respirations

A) 1, 4, 3, 6, 5, 2

B) 2, 5, 6, 3, 4, 1

C) 1, 3, 4, 5, 6, 2

D) 5, 3, 4, 2, 6, 1

Objective: 25.10

40) Which of the following is the major cause of shock that the EMT will encounter?

A) Vomiting

B) High blood pressure

C) Hemorrhage

D) Excessive sweating

Objective: 25.11

41) Which of the following circumstances may result in hypoperfusion?

A) There is external bleeding.

B) Blood vessels are dilated.

C) The heart is damaged.

D) All of the above

Objective: 25.11

42) Which of the following statements is true when talking about neurogenic shock?

A) Neurogenic shock is sometimes caused by spinal injuries.

B) Neurogenic shock is the result of the blood vessels decreasing in size.

C) Neurogenic shock is caused by the blood vessels overfilling with blood, causing leaking into

the nerves.

D) Neurogenic shock is very common in the field.

Objective: 25.11

43) Which of the following is a classification of the severity of shock?

A) Consumption

B) Compensated

C) Uncompensated

D) Non-compensated

Objective: 25.12

44) Which of the following distinguishes decompensated shock from compensated stage of

shock?

A) Cell damage and death in the vital organs

B) Altered mental status

C) Delayed capillary refill time

D) Low blood pressure

Objective: 25.12

45) Which of the following is NOT the purpose of making airway management the highest

priority of patient care when managing the patient in shock?

A) It allows for oxygenation of the lungs.

B) It allows for improved elimination of carbon dioxide.

C) It minimizes the chances of aspiration of blood or vomit.

D) It allows the bronchoconstriction of the smaller airways to be reversed.

Objective: 25.13

46) When deciding where to transport a patient who is in hypovolemic shock or who has the

potential for developing hypovolemic shock, which of the following is the MOST important

service to be provided by the receiving hospital?

A) Critical-care nursing

B) Immediate surgical capabilities

C) Availability of a chaplain

D) Rehabilitation services

Objective: 25.13

47) Which of the following is NOT indicated in the management of a patient in shock?

A) Minimizing on-scene time

B) Delaying a detailed exam until en route to the hospital

C) High-speed ambulance transportation

D) On-scene spinal precautions, if indicated

Objective: 25.13

48) Which of the following BEST explains the reason for minimizing scene-time for the trauma

patient with significant hemorrhage or the potential for significant hemorrhage?

A) There is nothing the EMT can do for a patient in shock.

B) It gives the EMT less opportunity to make mistakes in the patient’s care.

C) Studies have indicated that trauma patients who receive surgery within 1 hour of injury have

better chances of survival.

D) The clock for the “golden hour” of trauma begins at the time of your arrival.

Objective: 25.13

49) Which of the following will worsen the condition of the patient in shock?

A) Applying high-concentration oxygen when it is not needed

B) Elevating the patient’s legs 8 to 10 inches

C) Conducting oneself in a manner that increases the patient’s fear and anxiety

D) Transporting without first splinting all extremity fractures

Objective: 25.13

50) Limiting time spent at a scene can be especially important if the mechanism of injury

suggests that the patient could go into shock. In order to keep the time at the scene to a

minimum, which of the following assessments or treatments should NOT be performed on the

scene?

A) ABCs with spinal precautions

B) Immobilization

C) Rapid trauma exam

D) Splinting swollen extremities

Objective: 25.13

51) Which of the following statements is NOT true when you are on-scene and treating a patient

that appears to be in shock?

A) It is important to spend on-scene time to be sure you have corrected and dealt with any of the

causes of the shock so that it does not get worse. This is more important than rapid transport.

B) The patient should be promptly put on high-concentration oxygen.

C) Airway management is of top priority.

D) Prompt transportation is a very high priority.

Objective: 25.13