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Prehospital Emergency Care Practice Test: Handing Burns
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Emergency Medical Services (EMS) or EMTs typically provide the following first aid to burn patients at the scene of the injury: Remove heat sources Remove clothing that is burned, covered with chemicals, or constricting Cool the burn with water for up to 30 minutes Wrap the burn in a clean, dry cloth Assess the burn for swelling, color, pain, blisters, capillary refill, bleeding, and overall appearance Elevate burned areas if possible  Here are some other first aid steps for burn patients: Don't apply ice or ice-cold water Blot dry, gently Don't break blisters or remove... Show more
Prehospital Emergency Care Practice Test: Handing Burns
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25 Questions

1. Of the actions described, which indicates proper care of a patient who has experienced a partial-thickness burn to the hand?
2. What is an advantage of the Lund and Browder system of BSA estimation?
3. A 21-year-old male sustained a severe burn to his left leg while working on an industrial furnace. Coworkers immediately doused his flaming pants and removed them. Your primary assessment reveals no threats to the airway, breathing, or circulation. While performing the secondary assessment on his leg, which finding would be most critical?
4. You have been called for an intoxicated male who sustained a full-thickness burn to his leg after passing out against a kerosene heater. After ensuring that his airway, breathing, and circulation are intact, you cool the burn with water and then:
5. When classifying a burn as either superficial, partial thickness, or full thickness, the EMT would need to determine the:
6. When applying the rule of nines to a 10-month-old child, the EMT should recognize which statement to be accurate?
7. Which statement made by an EMT shows that he understands the major cause of death in the prehospital setting for a burn patient?
8. Which assessment finding would best indicate that a patient has suffered a full-thickness burn to his leg?
9. Which statement concerning a flash burn is accurate?
10. An intoxicated patient has suffered a burn to his left lateral thigh after passing out with his leg touching the side of a kerosene heater. Close examination of the burn reveals tough leathery tissue in the center of the burn, with red skin with blisters surrounding it. Regarding the burn, what would the EMT agree to be true?
11. Which statement made by the EMT indicates an understanding of the prehospital calculation of body surface area (BSA) burned?
12. A patient has full-thickness burns to the fronts of both legs and the entire left arm. Using the rule of nines, the EMT should estimate what percentage of the patient's body has been burned?
13. A partial thickness burn covering 8 percent of the body would be considered moderate for which patient?
14. A patient was trapped in a burning apartment before being rescued by firefighters. As you approach him, you note that his legs and arms are burned. The patient is screaming in pain and coughing, but no longer actively burning. Given this information, which intervention would you perform first?
15. A male patient was injured when a steam valve opened, causing hot steam to contact his face. Which statement made by the patient would be of most concern to the EMT and require immediate assessment or treatment?
16. Firefighters have pulled a middle-aged male from a burning bedroom. The patient is unresponsive and has obvious deformity of his left ankle. His respirations are rapid, stridorous, and shallow. Your partner inserts an oropharyngeal airway and begins ventilating the patient with a bag-valve mask appropriately. Which action would you perform next?
17. A 24-year-old man was shocked while working on his house's electrical system. Assessment reveals a minor burn to the fingers on his left hand. Aside from being slightly shaky, the patient states he feels fine and does not see the need to be treated further or transported to the hospital. Which statement would you make before allowing him to refuse additional care and transport?
18. A patient has been pulled from a house fire. Assessment reveals him to be lethargic with stridorous respirations, minimal chest wall motion, and a rapid but strong radial pulse. Firefighters are dousing his body with water to cool him and ensure he is extinguished. Which action would the EMT perform immediately once the fire on the patient is adequately extinguished with water?
19. A 51-year-old female patient tripped in the kitchen and fell against a deep fryer, splashing hot oil onto her right arm. Assessment reveals partial- and deep partial-thickness burns to her arm. You estimate that the burn covers 4 to 5 percent of her body. Which statement, made by the patient, provides the most important information for determining the overall severity of the burn from a medical standpoint?
20. Why would an EMT be concerned about a partial-thickness burn circumferentially to the chest?
21. An awake but confused patient with a history of diabetes accidentally spilled a pot of hot water on himself while cooking. He has a partial-thickness burn on his right anterior leg. Following an unremarkable primary assessment, which action seems most appropriate?
22. You have been called for a 44-year-old male who was burned on the right hand and arm after falling against the hot door of an industrial incinerator. When you arrive on the scene, a nurse employed by the company informs you that he sustained a partial-thickness burn. Based on this information, the EMT should expect which characteristics at the burn site?
23. A patient has a burn that completely encircles his right forearm and hand. After performing the primary assessment, the EMT should:
24. You are assessing a patient who was burned when she dropped a hot iron on her bare foot. Her foot is red and has a small partial-thickness burn to the anterior portion of the foot. When completing the prehospital care report, which mechanism of injury would you document?
25. A 44-year-old electrician has been shocked. He now responds to verbal stimuli with garbled speech. His airway is open and he is breathing poorly at a rate of 8 times per minute. His pulse is slow and irregular. Which action would the EMT perform next?

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