AMLS 3RD EDITION POST TEST 100% VERIFIED ANSWERS 2024/2025 CORRECT STUDY SET, Exams of Nursing

Download AMLS 3RD EDITION POST TEST 100% VERIFIED ANSWERS 2024/2025 CORRECT STUDY SET and more Exams Nursing in PDF only on Docsity! AMLS 3RD EDITION POST TEST 100% VERIFIED ANSWERS 2024/2025 CORRECT STUDY SET Which of the following may cause primary respiratory alkalosis? A. Fever B. Chest Wall Pain C. Vomiting D. Renal Failure A. Fever A quadriplegic male is experiencing difficulty breathing and restlessness. His skin is flush and his urine is dark yellow and cloudy. Vital signs are BP 86/68, P 128, R 24, temp is 38 C. Which type of shock should you suspect? A. Hypovolemic B. Obstructive C. Septic D. Cardiogenic C. Septic A 20-year old male college student complains of acute onset of fever, headaches, vomiting and malaise. He appears ill and has a petechial rash on his extremities. What should you suspect? A. Acute gastroenteritis B. Encephalitis C. Meningitis D. Influenza C. Meningitis A 20-year old male complains of severe pain after a jellyfish sting. He has a red, swollen ankle and foot. What should you do? A. Apply a hot pack to the area and mark the affected area B. Splint the limb and administer an antipyretic C. Wash the area and administer an analgesic D. Apply an ice pack and administer an opiod C. Wash the area and administer an analgesic The renin-angiotensin-aldosterone system is activated during shock in order to cause the following? A. Increase in preload, afterload, and reabsorption of sodium B. Hypotension and bradycardia C. Decrease in Preload, afterload, and reabsorption of sodium D. Vasodilation and sodium reabsorption A. Increase in preload, afterload, and reabsorption of sodium An elderly COPD patient complains of difficulty in breathing upon exertion. She has a 1-week history of productive cough. She has pursed lip breathing. She is prescribed a bronchodilator as needed. Vital signs are BP 132/70, P 88, R 20 with Rhonchi. What should you suspect? A. Pulmonary embolism B. Epiglottitis C. Chronic Bronchitis D. Congestive Heart Failure C. Chronic Bronchitis An anxious 32 year old female complains of chest pain with palpitations. She has a history of Graves' disease. She reports she was seen in the ED earlier that day and has a CT scan of her abdomen with IV contrast. She is diaphoretic and has a temperature of 101.5 F. Vital signs are 100/62 P 156 R30 BGL 133 mg/dL. What should you administer? A. Calcium Chloride B. Normal Saline C. Amiodarone D. Aspirin (ASA) A. Mild Hypothermia A 45 year old male complains of shortness of breath. He has a history of alcohol abuse and presents with severe ascites. Vitals are BP 142/78 P 104 R 24 with crackles. What should you suspect? C. Liver failure A 22 year old male has recently undergone a surgical procedure to repair an injury to thoracic vertabrae T1-T2. Assessment indicates the patient is alert and oriented, bradycardic, hypotensive and has warm, dry skin. Which type of shock is most likely occurring? D. Neurogenic It is 0600 hours and you are treating a 63 year old female with slurred speech, facial droop, and altered mental status. At 0400 hours her husband heard her go to the bathroom. At 2300 hours they went to bed and everything was "fine". How should you report the last time she was known normal? B 2300 hrs Continuous positive airway pressure would be most beneficial in treating which of the following patients? B. 22 year old with severe asthma that is unresponsive to albuterol treatments A 27 year old male is breathing fast and deep. he works at a preschool and believes the children plan to harm him. Which of the following statements is most helpful when treating the patient? C. I understand that you are concerned. Please tell me more about why you feel this way. A 15 year old male complains of lower abdominal pain with nausea. He is in the fetal position and states, "It hurts to walk" What should you suspect. B. Appendicitis A 26 year old male has abdominal pain. He is stable to pinpoint exactly where it hurts, experiences rebound tenderness on physical exam, and guards the affected area. Which type of pain should you suspect? D. Somatic A 52 year old male is suffering from acute chest pain after physical exercises. He is pale , cool, clammy. Vital signs are BP 88/40 P 110 R 22 SpO2 96% What should you do? D. Acquire a 12-lead ECG An elderly patient has COPD. What clinical finding should concern you the most? D. Respiratory Rate of 36 /min Metabolic acidosis is best described by which arterial blood gas results? B. pH decreases, Pco2 decreased , H2CO3 low What type of shock is caused by a cardiac tamponade? B. Obstructive A 41 year old female has returned from missionary work in South Africa. She reports night sweats, chest discomfort, and a persistent cough for the past several weeks. What should you suspect? A. Tuberculosis What respiratory changes are common in obese patients? B. Decreased Tidal Volume A 30 year old female complains of acute chest tightness, shortness of breath, and a nonproductive cough. She states that this happens frequently and usually resolves after using her "inhaler". What should you suspect? D. Asthma A 44-year old female complains of a sudden onset of sharp pain in her right flank that radiates to her groin area. Intermittently the pain becomes very severe. She also reports nausea. Vital signs are BP 152/94 P 104 R 16 SpO2 96%. What is the most likely cause? A. Kidney Stones A 13 year old male has been skateboarding in temperatures of 100F and has been drinking caffeinated soft drinks. He complains of palpitations. The cardiac monitor displays a narrow QRS tachycardia at a rate of 150 bpm. BP 108/62 R 24. What should you do? D. Transport the patient by ambulance, monitor closely, and administer fluids en route An 82 year old female complains of foul-smelling diarrhea, abdominal cramping, and loss of appetite. She developed an infection following knee surgery 2 weeks ago. She is prescribed antibiotics. What should you suspect? C. Clostridium difficile An 62 year old female presents with severe nausea and blurred vision that began while watching TV. She describes the headache as the worst headache she has ever had in her life. Vital signs are BP 194/110 P 98 R 20 What should you suspect? C. Subarachnoid hemorrhage A 33 year old female is threatening suicide because her partner left her. Which of the following would be an appropriate response? C. What was your plan to kill yourself? A 71 year old female complains of shortness of breath. She has a productive cough that has increased in severity over the last week. She speaks in 1- to 2- word broken sentences with pursed lips. What should you suspect? B. COPD What is an age related change that increases the risk of respiratory compromise? A. Decrease in lung compliance A 45 year old female is supine on the floor. Her pupils are pinpoint, and she has vomitus in and around her mouth. Vital signs are P 48 R 8 with gurgling. What should you do? A. Suction the airway A 68 year old female who has a history of COPD may rely on which of the following breathing mechanics?