CPR CPR - Certified Paramedic Response Hemorrhage Control and Vascular Access Questions and Answers 2

Question 1

Which of the following BEST indicates successful intraosseous needle placement before drug administration?

Accepted Answer

The needle stands upright without support and saline flushes without resistance

Answer

Resistance is felt during needle insertion

Answer

The patient experiences pain upon needle insertion

Answer

Blood appears at the needle hub immediately

Question 2

A trauma patient in Class III hemorrhagic shock would MOST likely present with which set of vital signs?

Accepted Answer

HR 120, BP 90/70, RR 28

Answer

HR 90, BP 120/80, RR 14

Answer

HR 60, BP 140/90, RR 10

Answer

HR 100, BP 110/80, RR 20

Question 3

In a patient with an open abdominal wound with evisceration, what is the MOST appropriate prehospital management?

Accepted Answer

Cover the evisceration with a moist, sterile dressing and do NOT replace organs

Answer

Replace the organs into the abdominal cavity and apply a pressure dressing

Answer

Apply a dry sterile dressing and apply direct pressure

Answer

Leave the wound uncovered to prevent infection from dressing contamination

Question 4

Which of the following is the MOST reliable early sign of internal hemorrhage in a trauma patient?

Accepted Answer

Increasing heart rate (tachycardia)

Answer

Decreasing blood pressure

Answer

Decreasing urine output

Answer

Altered mental status

Question 5

When using a commercial junctional tourniquet (e.g., SAM-JT or CRoC) for groin hemorrhage, what is a critical application consideration?

Accepted Answer

It must be positioned to compress the femoral vessels against the pelvis

Answer

It should only be applied over clothing for patient comfort

Answer

It is applied distal to the wound site

Answer

It can only be used in the hospital setting

Question 6

A 68 kg patient in hemorrhagic shock requires a fluid bolus. Following current US EMS guidelines for crystalloid resuscitation, what is the appropriate initial bolus volume?

Accepted Answer

250–500 mL titrated to clinical response

Answer

1 liter administered as fast as possible

Answer

2 liters administered rapidly

Answer

No IV fluid; transport immediately without fluid resuscitation