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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
18
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
19
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
20
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
21
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
22
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
23
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
24
