Philadelphia University
Nursing Faculty
Nursing of emergency and disaster
Academic Year 2014-2015
Second Semester- Second Exam
Exam Duration: One Hour Date: 21/5/2015
Student ID
Student’s Name:..........................................................................................
Student’s University Number:....................................................................
Session Number: (1)
Examiner
Dr. Mayada Daibes
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14.
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Please answer the following questions.
1.
When the brain is injured, blood vessels in the brain dilate allowing more blood into the injured area; swelling and an increase in pressure result. This can affect all but:
A) the heart rate.
B) breathing.
C) blood pressure.
D) body temperature.
Answer: D
2.
The most common type of skull fracture, which causes a thin-line crack in the skull, is a:
A) linear fracture.
B) basilar fracture.
C) comminuted fracture.
D) depressed fracture.
Answer: A
3.
A fracture that occurs when there is a break in the base of the skull, is difficult to detect, and often causes extensive damage, is a:
A) depressed fracture.
B) linear fracture.
C) comminuted fracture.
D) basilar fracture.
Answer: D
4.
One of the late signs of skull fracture is Battle's sign, which is:
A) bruising around the eyes.
B) bruising behind the ears.
C) fluid leaking from the ears.
D) deformity of the skull.
Answer: B
5.
Whenever you care for a victim of head injury, always assume:
A) skull fracture.
B) brain damage.
C) spinal injury.
D) chest trauma.
Answer: C
6.
After activating the EMS system, the top priority of first aid care for a head injury is to:
A) control bleeding.
B) immobilize the victim.
C) establish an open airway.
D) treat for shock.
Answer: C

7.
When the spinal cord is injured, the victim may show signs of:
A) muscle twitching.
B) memory loss.
C) paralysis.
D) pupil dilation.
Answer: C
8.
The two major complications of spinal injury are inadequate breathing effort and:
A) paralysis.
B) unresponsiveness.
C) bleeding.
D) impaired circulation.
Answer: A
9.
A high number of spinal injuries occur in the lumbar and ________ spinal region.
A) sacral
B) thoracic
C) cervical
D) none of the above
Answer: c
10.
At a local ski hill, a snowboarder wipes out while doing a flip. He is responsive and says he cannot move or feel his legs and feet. He has most likely suffered a:
A) leg fracture.
B) head injury.
C) neck injury.
D) lower spine injury.
Answer: D
11.
Pain associated with movement is a sign of spinal injury. Assess the victim's pain by:
A) asking the victim to move.
B) moving the victim yourself.
C) asking the victim where it hurts.
D) looking for bruising.
Answer: C
12.
Under which of the following circumstances should you not remove the helmet of a spinal-injured victim?
A) if the helmet interferes with your ability to assess breathing
B) if the helmet interferes with proper spinal immobilization
C) if the victim is in cardiac arrest
D) removal of the helmet would cause further injury
Answer: D

13.
The general rule for management of spinal injury is to support and immobilize the:
A) spine only.
B) head only.
C) torso and pelvis only.
D) entire body.
Answer: D
14.
A helmeted child falls from a bicycle and is lying unresponsive on the sidewalk, on her side. She is breathing. As a First Aider who witnesses this accident, you should:
A) remove the child's helmet and then call 911.
B) call 911, then remove the child's helmet.
C) call 911, sit the child up, and remove her helmet.
D) call 911, then stabilize the child's helmeted head.
Answer: D
Please, put (√) next to the correct statement and (X) next to the incorrect statement, then write your answers down in the table in the front page:
15.
Skull fracture itself presents little danger unless accompanied by brain injury.
Answer: TRUE
16.
To control bleeding of an open or depressed skull injury, apply direct pressure.
Answer: FALSE
17.
The extent of assessment of a spinal-injured victim should be based on the level of training the First Aider has had under the direction of a qualified and certified instructor.
Answer: TRUE
18.
If a victim of a fall from a ladder has numbness and tingling in his arms and legs, you should have him stand up and walk it off.
Answer: FALSE
19.
While placing a victim's head in a neutral in-line position, you encounter resistance of the neck and head to move. You should force the head and neck into a neutral position.
Answer: FALSE
20.
The first priority in treating spinal injury is to ensure an adequate airway and breathing.
Answer: TRUE