Download Advanced Trauma Life Support Exam Questions with Verified Answers Best Graded A+. and more Exams Nursing in PDF only on Docsity! Advanced Trauma Life Support Exam Questions with Verified Answers Best Graded A+. What is included in the Primary survey of a trauma patient? - Answer -Airway and C-Spine -Breathing and Ventilation -Circulation/bleeding control -Disability (Neuro Eval) -Exposure and Environmental control. What are adjuncts to Primary Survey and Resuscitation? - Answer ECG monitoring Urinary/Gastric Catheters Other Monitoring X-ray and Dx studies. What makes up the Secondary Survey? - Answer History and Physical Exam Mechanism of Injury Head and Maxillofacial C-spine Chest Advanced Trauma Life Support Exam Questions with Verified Answers Best Graded A+. Abdomen Perineum/Rectum/Vagina Musculoskeletal Neurologic Basic Outline of ATLS Protocol? - Answer 1. Preparation 2. Triage 3. Primary survey 4. Adjunct to Primary survey 5. Re-assess ABCDE and consider need for transfer 6. Transfer if needed 7. Secondary Survey 8. Adjuncts to second Survey 9. Pt. re-evaluation 10. Definitive Care. Advanced Trauma Life Support Exam Questions with Verified Answers Best Graded A+. Blood loss Classifications? - Answer Class 1: 750mL Loss= 15% Class 2: 750-1500mL Loss=15-30% Class 3: 1500-2000mL Loss= 30-40% Class 4: >2000mL Loss= >40% Urine output will be less. HR will increase. BP decreases, Respiratory Rate Increases. At what class Should you start Blood transfusing? - Answer Class 3 or higher. 3 Steps to D? - Answer Establish Level of consciousness, Pupillary size and reaction, Lateralizing signs and spinal cord injury level. 1. Glascow score. 2. Pupil size and reaction Blown and dilated pupils indicate intracranial hemorrhage or swelling with increased ICP Advanced Trauma Life Support Exam Questions with Verified Answers Best Graded A+. 3. Lateralizing signs. If they are moving, are they moving both sides equally, are there any signs of spinal cord injury. What is assessed in glasgow? - Answer eyes response= 4 Verbal response=5 Motor Response=6 At what Glasgow score should you intubate? - Answer 8 How can you control Exposure/Environment? - Answer Undress pt. Prevent Hypothermia Warmed IV fluids. Room temp maintained appropriately. What are some adjuncts that may be used during primary survey? - Answer ECG, ABGs, ET CO2, FAST ultrasound, DPL, Chest and pelvic Xrays, Urinary/Gastric Catheters Advanced Trauma Life Support Exam Questions with Verified Answers Best Graded A+. When can the Secondary survey begin? - Answer When the Primary survey is completed, resuscitative efforts are underway and normalization of Vital functions has been demonstrated. 18 Steps to Secondary Survey? - Answer 1. AMPLE Hx 2. Mechanism of injury (Blunt/penetrating?) 3. Head/Maxillofacial (lacerations, contusions, pupils, Ears, nose and mouth for blood or CSF, eyes, CN function. Reassess GCS., Visual acuity 4. Maintain airway, Control hemorrhage, Prevent Secondary brain injury like anoxic or cerebral edema. Remove contact lenses. 5. C-spine and neck. Tracheal deviation, blunt or penetrating trauma, Respiratory muscles, carotid arteries for bruits, symmetry of pulses. Obtain CT of cervical spine or a lateral, cross-table spine xray.