42) According to the rule of nines for infants and young children, the patient’s head and neck
account for what percentage of the total body surface area?
A) 13.5%
B) 14%
C) 9%
D) 18%
Objective: 26.8
43) While assessing a patient with partial thickness burns to his chest and neck, what should be
your highest priority (even if there are no symptoms presently)?
A) Blood pressure
B) Airway
C) Hypothermia
D) Bleeding
Objective: 26.9
20
44) Which of the following patients has the greatest likelihood of being cared for in a burn
center?
A) 45-year-old man who has a full thickness burn about 3 inches long by 1/2 inch wide on his
posterior arm from backing into a barbecue grill
B) 30-year-old woman who has deep partial thickness burns on her hand and arm as a result of
spilling hot cooking oil on herself
C) 12-year-old male with a superficial partial thickness burn involving his forearm as a result of
making a torch by lighting aerosol from a can of hairspray
D) 16-year-old female who came into contact with a motorcycle exhaust pipe and has a full
thickness burn on her leg about 2 inches in diameter
Objective: 26.9
45) Your patient is a 25-year-old man who picked up an iron skillet with a very hot handle. He
has a reddened area with blisters across the palm of his hand. Which of the following must be
avoided in the prehospital management of this wound?
A) Application of a dry, sterile dressing
B) Application of antibiotic ointment
C) Elevation of the wound above the level of the heart
D) Keeping the site clean
Objective: 26.9
21
46) Your patient is a 35-year-old female who spilled a cup of hot coffee on herself. She has an
area about twice the size of the palm of her hand on her right thigh that is red and painful, but
without blisters. When caring for this injury in the prehospital setting, which of the following is
appropriate?
A) Apply an antibiotic ointment.
B) Apply a lotion containing a topical anesthetic and aloe vera.
C) Apply a plastic bag full of ice to the skin.
D) Apply a dry sterile dressing.
Objective: 26.9
47) Your patient is a 40-year-old male who has been exposed to a dry chemical powder and is
complaining of severe pain on both of his hands, the site of the contact. He is working in an
illegal chemical manufacturing plant and there is no decontamination shower on site. Which of
the following would be the BEST way to manage this situation?
A) Have the fire department connect to a hydrant and spray down the patient from head to toe.
B) Brush away as much powder as possible and then pour a bottle of sterile saline solution over
his hands.
C) Brush away as much of the powder as possible and then have the patient hold his hands under
running water from a faucet or regular garden hose.
D) Brush away the powder and bandage the hands in a position of function.
Objective: 26.9
22
48) You assess a 35-year-old female patient with a chemical burn to her right forearm and hand.
As you assess the burn, you notice a white powder on the burn. What should be your next step?
A) Transport the patient immediately to the closest burn center.
B) Brush the powder off the patient’s arm and hand, and then flush with copious amounts of
water.
C) Flush the arm and hand with copious amounts of water.
D) Brush off the powder, bandage the arm, and transport the patient to the closest trauma center.
Objective: 26.9
49) You are dispatched to an industrial plant for a burn. You arrive and find a 60-year-old male
who came in contact with a broken steam line and appears to have partial thickness burns on
both hands and arms. He is lying on the ground and coworkers are gently spraying him with
water from a nearby hose. What should you do?
A) Because of his age, immediately put him in your ambulance and transport him to a burn
center.
B) Call for air transport and continue to pour water on the burns until transport arrives.
C) Care for the burn and do a complete patient assessment, including cervical spine precautions.
D) Before doing treatment, call the local burn center for instruction.
Objective: 26.9
23
50) Which of the following is of concern in a patient who received burns to his hand when he
grabbed a live electrical wire?
A) The extent of tissue damage may be much greater than it appears on the surface.
B) The burning will continue for hours, perhaps days.
C) The patient remains an electrocution hazard to rescuers for several minutes after being
removed from the source of electricity.
D) Toxic gases were inhaled.
Objective: 26.10
51) You are dispatched to a local industrial plant for an “electrical injury.” You arrive on-scene
and find a 46-year-old male lying supine in front of an electrical panel. You are told he was
attempting to make a repair and somehow received an electrical shock and was thrown to the
ground. The scene is safe and the electricity is off. Your initial exam reveals a conscious person,
breathing adequately. Vital signs are normal and there are no obvious signs of burns. Coworkers
state that he was unconscious until your arrival. What is the next step?
A) Load and go—conduct any other care in the ambulance en route due to the potential
seriousness of the burns.
B) Put the patient on oxygen and help him into your ambulance.
C) Stay with the patient awhile, and if he does not appear to be in distress, encourage him to
refuse care.
D) While on the scene, rapidly do a complete assessment, provide oxygen, provide care for
potential spine injuries, and transport as soon as possible after the exam.
Objective: 26.10
24
52) When managing an electrical burn, the EMT should:
A) always attempt to remove the patient from the electrical source.
B) check for a source and ground burn injury.
C) never attempt CPR unless it is within 4 minutes of contact.
D) quickly check the pulse, even if the patient is still in contact with the electrical source.
Objective: 26.10
53) Which of the following statements is incorrect regarding an electrical injury?
A) Patients with electrical burns may be treated with the automated external defibrillator (AED)
and CPR.
B) Treatment of a source burn is the same as for other thermal burns.
C) Injury is usually limited to the area around the source and ground burns.
D) Patients with burns that appear insignificant are treated as having critical injuries.
Objective: 26.10
25
54) Which of the following injuries requires the use of an occlusive dressing?
A) Open wound to the neck
B) Open wound to the abdomen from which a loop of intestine is protruding
C) Open wound to the chest
D) All of the above
Objective: 26.11
55) Which of the following is a desirable characteristic of dressings used in the prehospital
management of most open wounds?
A) Absorbent
B) Occlusive
C) Adherent
D) Sterile
Objective: 26.11
26
56) You are dispatched to the local elementary school for an injured student. Upon arrival you
find that two 7-year-olds got into a fight and one of them jabbed a pencil in the other’s cheek.
The pencil is still sticking out of the child’s cheek. When you examine the patient, you cannot see
the end of the pencil that went through the cheek, as it appears to be stuck in the palate. There is
not significant bleeding, and the child is not having any difficulty breathing. The child is very
upset and wants you to pull the pencil out. What should you do?
A) Stabilize the object, but do not try to remove it.
B) Remove the object and put a bandage on the outside of the cheek.
C) Call the parents and see what they want you to do.
D) Let the child carefully pull the object out.
Objective: 26.11
27