35) Your patient has an open abdominal wound with intestines protruding. You should:
A) leave them alone and transport rapidly.
B) attempt to place the organs back into the abdomen.
C) cover the entire abdomen with a blanket.
D) cover the organs with moist sterile dressings.
Objective: 27.4
36) Which of the following is a strategy to maintain an occlusive dressing to bloody or
diaphoretic skin?
A) Do not use occlusive dressings in this case.
B) Manually maintain pressure.
C) Do not use adhesive tape.
D) Wrap the dressing circumferentially with gauze.
Objective: 27.5
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37) Which of the following is required in the management of all open soft-tissue injuries?
A) Provision of high-concentration oxygen to the patient
B) The use of Standard Precautions by the EMT
C) Cervical spine precautions
D) Application of a disinfectant solution during clean-up
Objective: 27.5
38) You are dispatched to a 42-year-old male who was shot in the abdomen and thrown from a
vehicle. The patient is critical and a high-category trauma; however, due to the mechanism of
injury, it is necessary to backboard the patient prior to transport. What is an important assessment
before securing the patient?
A) Verifying trauma center ER bed availability
B) Examining the patient for entrance and exit wounds
C) Searching for presence of diaphoresis, tachycardia, and hypotension
D) Performing a distal neurological assessment
Objective: 27.5
19
39) Bleeding from open abdominal injuries should initially be controlled with which one of the
following techniques?
A) Packing the wound with rolled gauze
B) Applying an occlusive dressing
C) Applying direct pressure to the wound
D) Applying an ice pack or chemical cold pack
Objective: 27.5
40) A 36-year-old male was accidentally shot with a nail gun into the chest. You see the nail,
which protrudes about 2 to 3 centimeters from the thorax, when you visualize the injury site.
Under which of the following circumstances should you remove the nail from the injury site?
A) Bleeding from the patient’s wound is minimal.
B) The patient develops a tension pneumothorax.
C) The patient begins to complain of shortness of breath.
D) None of the above
Objective: 27.5
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41) For which of the following wounds should the EMT apply an absorbent dressing moistened
with sterile saline and then cover it with an occlusive dressing?
A) Gunshot wound (GSW) to the abdomen from which a loop of intestine is protruding
B) Stab wound to the chest
C) Laceration to the neck
D) The stump of an amputated extremity
Objective: 27.5
42) Which of the following types of bandages should NOT be used by the EMT providing wound
care?
A) Self-adherent roller gauze
B) Tourniquet
C) Triangular bandage
D) Adhesive tape
Objective: 27.5
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43) Which of the following is NOT appropriate in caring for a patient with closed soft-tissue
injuries and a significant mechanism of injury?
A) Treat for shock if you think there are internal injuries even if the patient’s vital signs are
normal.
B) Anticipate vomiting.
C) Splint any swollen, deformed extremities.
D) All of the above
Objective: 27.5
44) On assessment of the midsection of a 32-year-old male who was struck by a car, you find an
abdominal evisceration with several loops of his large intestine exposed. The abdomen appears
to have a clean-cut laceration and the bleeding is controlled. Which of the following is the BEST
approach toward managing the exposed intestines?
A) Moisten a sterile dressing with saline solution and cover the abdominal contents.
B) Gently replace the intestines after moistening with sterile saline solution.
C) Leave the abdominal contents in the place in which they were found and transport
immediately.
D) Cover the abdomen with an occlusive dressing of aluminum foil.
Objective: 27.5
22
45) Your patient is a 21-year-old male who has a gunshot wound to the chest. Which of the
following is the highest priority in managing this patient?
A) Placing the patient in the shock position
B) Performing a rapid trauma assessment
C) Placing a pressure dressing over the wound to control bleeding
D) Placing an occlusive dressing over the wound
Objective: 27.5
46) You are treating a patient with paradoxical motion on the left side of the chest. He is
breathing shallow at a rate of 4 breaths per minute. You should:
A) begin positive pressure ventilation.
B) apply a bulky dressing to the chest.
C) administer 15 lpm oxygen via mask.
D) roll the patient onto his left side.
Objective: 27.5
23
47) A teenage male has fallen onto a railing while skateboarding. He complains of right-sided
chest pain and moderate dyspnea. Exposure of the chest reveals a section of his ribs that is
moving opposite of the rest of the ribs. You should:
A) roll the patient over onto his right side.
B) begin positive pressure ventilation.
C) cover the wound with an occlusive dressing.
D) apply a bulky dressing over the section.
Objective: 27.5
48) Your patient is a 17-year-old male baseball player found pulseless and apneic after being
struck in the chest by a baseball 6 minutes ago. He is surrounded by other players and staff but
no one is providing care. You should:
A) elevate the patient’s legs.
B) attach the AED and analyze.
C) begin chest compressions.
D) place him on a backboard.
Objective: 27.5
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