ATLS POST TEST 4 LATEST VERSIONS 2023-2024 REAL EXAM 160 QUESTIONS AND CORRECT ANSWERS, Exams of Nursing

Download ATLS POST TEST 4 LATEST VERSIONS 2023-2024 REAL EXAM 160 QUESTIONS AND CORRECT ANSWERS and more Exams Nursing in PDF only on Docsity! ATLS POST TEST 4 LATEST VERSIONS 2023-2024 REAL EXAM 160 QUESTIONS AND CORRECT ANSWERS |AGRADE Post Assessment Module You got 37 of 40 possible points. Score: 1 of 1 Your score: 93% Question 1 A 22-year-old man is hypotensive and tachycardic after a shotgun wound to the left shoulder. His blood pressure is initially 80/40 mm Hg. After initial fluid resuscitation his blood pressure increases to 122/84 mm Hg. His heart rate is now 100 beats per minute and his respiratory rate is 28 breaths per minute. A tube thoracostomy is performed for decreased left chest breath sounds with the return of a small amount of blood and no air leak. After chest tube insertion, the most appropriate next step is: Your answer Choice Score Correct answer re-examine the chest 1 perform an aortogram 0 obtain a CT scan of the chest 0 obtain arterial blood gas analysis 0 perform transesophageal echocardiography 0 Question 2 A construction worker falls two stories from a building and sustains bilateral calcaneal fractures. In the emergency department, he is alert, vital signs are normal, and he is complaining of severe pain in both heels and his lower back. Lower extremity pulses are strong and there is no other deformity. The suspected diagnosis is most likely to be confirmed by: Score: 1 of 1 Your answer Choice Score Correct answer angiography 0 compartment pressures 0 retrograde urethrogram 0 Doppler ultrasound studies 0 Question 7 The best assessment of fluid resuscitation of the adult burn patient is: Score: 1 of 1 Your answer Choice Score Correct answer urinary output of 0.5 mL/kg/hr 1 normalization of blood pressure 0 Your answer Choice normalization of the heart rate measuring a normal central venous pressure Score Correct answer 0 x 0 x providing 4 mL/kg/percent body burn/24 hours of crystalloid fluid 0 x Question 8 The diagnosis of shock must include: Your answer Choice hypoxemia acidosis hypotension increased vascular resistance > evidence of inadequate organ perfusion Score: 1 of 1 Score Correct answer <x * x Question 9 should consist of: Your answer Choice application of a tourniquet > direct pressure on the wound packing the wound with gauze direct pressure on the femoral artery at the groinc debridement of devitalized tissue A 7-year-old boy is brought to the emergency department by his parents several minutes after he fell through a window. He is bleeding profusely from a 6-cm wound of his medial right thigh. Immediate management of the wound Score: 1 of 1 Score Correct answer 0 x x x * ¢ Question 10 Question 14 A 25-year-old man, injured in a motor vehicular crash, is admitted to the emergency department. His pupils react sluggishly and his eyes open to pressure. He does not follow commands, but he does moan periodically. His right arm is deformed and does not respond to pressure; however, his left hand reaches purposefully toward the stimulus. Both legs are stiffly extended. His GCS score is: Score: 1 of 1 Your answer Choice Score Correct answer 2 0 4 0 6 0 9 1 12 0 Question 15 A 20-year-old woman who is at 32 weeks gestation, is stabbed in the upper right chest. In the emergency department, her blood pressure is 80/60 mm Hg. She is gasping for breath, extremely anxious, and yelling for help. Breath sounds are diminished in the right chest. The most appropriate first step is to: Score: 1 of 1 Your answer Choice Score Correct answer perform tracheal intubation 0 insert an oropharyngeal airway 0 x > perform needle or finger decompression of the right chest 1 aS manually displace the gravid uterus to the left side of the abdomen 0 x initiate 2, large-caliber peripheral IV lines and crystalloid infusion 0 > 4 y- Question 16 Which one of the following findings in an adult is most likely to require immediate management during the primary survey? Score: 1 of 1 Your answer Choice Score Correct answer distended abdomen 0 Glasgow Coma Scale score of 11 0 x temperature of 36.5°C (97.8°F) 0 x deforming of the right thigh 0 xX > respiratory rate of 40 breaths per minute 1 wv Question 17 The most important, immediate step in the management of an open pneumothorax is: Score: 1 of 1 Your answer Choice Score Correct answer endotracheal intubation 0 Question 19 A 56-year-old man is thrown violently against the steering wheel of his truck during a motor vehicle crash. On arrival in the emergency department he is diaphoretic and complaining of chest pain. His blood pressure is 60/40 mm Hg and his respiratory rate is 40 breaths per minute. Which of the following best differentiates cardiac tamponade from tension pneumothorax as the cause of his hypotension? Score: 1 of 1 Your answer Choice Score Correct answer tachycardia 0 Score: 1 of 1 Question 18 The following are contraindications for tetanus toxoid administration: operation to close the wound 0 placing a chest tube through the chest wound 0 placement of an occlusive dressing over the wound 1 initiation of 2, large-caliber IVs with crystalloid solution 0 Your answer Choice Score Correct answer Your answer Choice Score Correct answer history of neurological reaction or severe hypersensitivity to the product 1 local side effects 0 muscular spasms 0 pregnancy 0 all of the above 0 ;- Question 22 A 39-year-old man is admitted to the emergency department after an automobile collision. He is cyanotic, has insufficient respiratory effort, and has a GCS score of 6. His full beard makes it difficult to fit the oxygen facemask to his face. The most appropriate next step is to: Score: 1 of 1 Your Choice Score Correct answer answer perform a surgical cricothyroidotomy 0 x attempt nasotracheal intubation 0 x ventilate him with a bag-mask device until c-spine injury can be excluded 0 x > restrict cervical motion and attempt orotracheal intubation using 2 people 1 wa ventilate the patient with a bag-mask device until his beard can be shaved for p 0 x better mask fit Question 23 A patient is brought to the emergency department after a motor vehicle crash. He is conscious and there is no obvious external trauma. He arrives at the hospital completely immobilized on a long spine board. His blood pressure is 60/40 mm Hg and his heart rate is 70 beats per minute. His skin is warm. Which one of the following statements is TRUE? Score: 0 of 1 Your Choice Score Correct answer answer Vasoactive medications have no role in this patient's management. 0 The hypotension should be managed with volume resuscitation alone. 0 x > Flexion and extension views of the c-spine should be performed early. 0 x Abdominal visceral injuries can be excluded as a cause of hypotension. 0 x Flaccidity of the lower extremities and loss of deep tendon reflexes are 0 vv expected. Questi on 24 Which one of the followi ng is the most effectiv e metho d for initially treatin g frostbit e? Question 26 A patient arrives in the emergency department after being beaten about the head and face with a wooden club. He is comatose and has a palpable depressed skull fracture. His face is swollen and ecchymotic. He has gurgling respirations and vomitus on his face and clothing. The most appropriate step after providing supplemental oxygen and elevating his jaw is to: Score: 1 of 1 Your answer Choice Score Correct answer request a CT scan 0 insert a gastric tube 0 Choice Score Correct answer > call the receiving hospital and speak to the surgeon on call 1 ZS discuss the advisability of transfer with the patient's family 0 4 ;- Question 29 Hemorrhage of 20% of the patient's blood volume is associated usually with: Score: 1 of 1 Your answer Choice Score Correct answer oliguria 0 x confusion 0 x hypotension 0 x > tachycardia 1 Sv blood transfusion requirement 0 x Question 30 Which one of the following statements concerning intraosseous infusion is TRUE? Score: 1 of 1 Your Choice Score Correct answer answer Only crystalloid solutions may be safely infused through the needle. 0 x > Aspiration of bone marrow confirms appropriate positioning of the needle. 1 a Intraosseous infusion is the preferred route for volume resuscitation in small 0 x children. Intraosseous infusion may be utilized indefinitely. 0 x Swelling in the soft tissues around the intraosseous site is not a reason to 0 discontinue infusion. x Question 33 A hemodynamically normal 10-year-old girl is hospitalized for observation after a Grade III (moderately severe) splenic injury has been confirmed by computed tomography (CT). Which of the following mandates prompt celiotomy (laparotomy)? Score: 0 of Youranswer Choice insert bilateral thoracostomy tubes maintain 100% oxygen and obtain immediate c-spine x-rays > restrict cervical motion and establish a definitive airway Score Correct answer 0 x 0 x Question 36 When applying the Rule of Nines to infants: Your answer — Choice It is not reliable. The body is proportionally larger in infants than in adults. > The head is proportionally larger in infants than in adults. The legs are proportionally larger in infants than in adults. The arms are proportionally larger in infants than in adults. Score: 1 of 1 Score Correct answer 0 x x x <¢ x Question 37 resuscitation, the next step in management is: Your answer Choice Score > placement of a pelvic binder 1 transfer to a trauma center 0 pelvic x-ray 0 insert urinary catheter 0 repeat examination of pelvis 0 A healthy young male is brought to the emergency department following a motor vehicle crash. His vital signs are a blood pressure of 84/60, pulse 123, GCS 10. The patient moans when his pelvis is palpated. After initiating fluid Score: 1 of 1 Correct answer ~ x x * X Question 38 Question 40 A 6-year-old boy walking across the street is struck by the front bumper of a sports utility vehicle traveling at 32 kph (20 mph). Which one of the following statements is TRUE about this patient? Score: 1 of 1 Your Correct Choice Score answer answer A flail chest is probable. 0 A symptomatic cardiac contusion is expected. 0 A pulmonary contusion may be present in the absence of rib fractures. 1 Transection of the thoracic aorta is more likely than in an adult patient. 0 Rib fractures are commonly found in children with this mechanism of injury. 0 Your answer Choice Score Correct answer