National Physical Therapy Examination (NPTE) Practice Exam

Upon finding an individual who fell on the ice with a swollen ankle in severe inversion, what is the next appropriate first aid step after calling for help?

1. Straighten the ankle and apply a splint

2. Encourage the patient to sit up and assess heart rate

3. Cover the patient for warmth and discourage movement

4. Transfer the patient into a vehicle and apply ice

The correct answer is: Cover the patient for warmth and discourage movement

In this scenario, where an individual has suffered a fall resulting in a swollen ankle due to severe inversion, the priority is to ensure the patient's safety and comfort while waiting for professional medical help to arrive. Covering the patient for warmth is important as it helps maintain body temperature and prevents shock, especially if they are in a vulnerable position after a fall. Additionally, discouraging movement is crucial. Movement can exacerbate any potential injuries, particularly if there are fractures or severe sprains involved. Stabilizing the individual and preventing further injury by limiting their movement is a vital component of first aid in this situation. Straightening the ankle and applying a splint would not be appropriate without a thorough assessment and could potentially cause more harm. Encouraging the patient to sit up and assess their heart rate might not address the immediate needs related to the injury, and transferring the patient into a vehicle could lead to further injury or pain. Overall, the correct approach focuses on ensuring warmth and preventing movement until trained personnel can take over the care.