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

Download ATLS POST TEST 4 LATEST VERSIONS 2023-2024 REAL EXAM 160 QUESTIONS AND CORRECT ANSWERS AGR 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. Vain ernva: 020% cae tn 197/20 mm Ha Hic haart rata ie fa Rtutha tharaenctamu ie narfinemad fae Vain anewer Chaica > ve-svemina the chact : Vv martes an anrtnneam a x  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: Your answer Choice angiography compartment pressures retrograde urethrogram Doppler ultrasound studies Score Score: 1 of al Correct answer x x x x  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 v normalization of blood pressure 0 x Your answer Choice normalization of the heart rate measuring a normal central venous pressure providing 4 mL/kg/percent body burn/24 hours of crystalloid fluid Score 0 Correct answer x x ;- Question 8 The diagnosis of shock must include: Score: 1 of 1 Your answer Choice Score Correct answer hypoxemia 0 acidosis 0 x hypotension 0 x increased vascular resistance 0 x > evidence of inadequate organ perfusion 1 Ss r- 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 Score 0 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 Correct answer 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 ° x ¥v x < x Xx 12 0 ATLS POST TEST 4 LATEST VERSIONS 2023-2024 REAL EXAM 160 QUESTIONS AND ,. CORRECT ANSWERS AGRADE r- 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 i Score Correct answer Your answer Choice perform tracheal intubation 0 insert an oropharyngeal airway 0 > perform needle or finger decompression of the right chest 1 va 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 x r- 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 x > respiratory rate of 40 breaths per minute 1 Vv  Question 17 The most important, immediate step in the management of an open pneumothorax is: Score: 1 of a Your answer Choice Score Correct answer endotracheal intubation 0 x Vaur ancwar Chaica Sravra_ Carrart ancwar [ Anactinn 12 The fallauine are cantraindinatinne far tatanie taunid adminictratinn: Grave: 1 af 4 Vaur ancuar Choice Srara Carract ancwar > hictans af nauralnaical raartinn ar cavara hynarcancitivity th tha nenduct Ineal cide affante mueeilar enacme all nf tha shave ~ x x xX & r- Question 22 Your answer Choice perform a surgical cricothyroidotomy attempt nasotracheal intubation ventilate him with a bag-mask device until c-spine injury can be excluded restrict cervical motion and attempt orotracheal intubation using 2 people ventilate the patient with a bag-mask device until his beard can be shaved for better mask fit 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 i Score Correct answer 0 o 0 * 1 v 0 Question 23 Your answer Choice Vasoactive medications have no role in this patient's management. The hypotension should be managed with volume resuscitation alone. Flexion and extension views of the c-spine should be performed early. Abdominal visceral injuries can be excluded as a cause of hypotension. Flaccidity of the lower extremities and loss of deep tendon reflexes are expected. 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 Score Correct answer 0 <q x x x  Question 24 Which one of the following is the most effective method for initially treating frostbite? Score: 1 of 1 Choice Score Correct answer > moist heat 1 av early amputation 0 padding and elevation 0 x vasodilators and heparin 0 x topical application of silver sulfadiazine 0 x Question 25 A 32-year-old man’s right leg is trapped beneath his overturned car for nearly 2 hours before he is extricated. On arrival in the emergency department, his right lower extremity is cool, mottled, insensate, and motionless. Despite normal vital signs, pulses cannot be palpated below the right femoral artery and the muscles of the lower extremity are firm and hard. During the management of this patient, which of the following is most likely to improve the chances for limb salvage? Score: 1 of 1 Your answer Choice Score Correct answer applying skeletal traction 0 x administering anticoagulant drugs 0 administering thrombolytic therapy 0 x > surgical consultation for right lower extremity fasciotomy 1 va transferring the patient to the trauma center 120 km away 0 x  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 Hy Score Correct answer ° x Your answer Choice request a CT scan ° x insert a gastric tube Choice Score Correct answer > call the receiving hospital and speak to the surgeon on call 1 Ss discuss the advisability of transfer with the patient's family 0 x 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 ZS blood transfusion requirement 0 x r- 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 Intraosseous infusion is the preferred route for volume resuscitation in small 0 children. Intraosseous infusion may be utilized indefinitely. 0 Swelling in the soft tissues around the intraosseous site is not a reason to 0 discontinue infusion. x x * ¢ ;- Question 31 A young woman sustains a severe head injury as the result of a motor vehicle crash. In the emergency department, her GCS is 6. Her blood pressure is 140/90 mm Hg and her heart rate is 80 beats per minute. She is intubated and mechanically ventilated. Her pupils are 3 mm in size and equally reactive to light. There is no other apparent injury. The most important principle to follow in the early management of her head injury is to: Score: 1 of 1 Your answer Choice Score Correct answer > avoid hypotension 1 Ss administer an osmotic diuretic 0 aggressively treat systemic hypertension 0 x reduce metabolic requirements of the brain 0 x distinguish between intracranial hematoma and cerebral edema 0 x r- Question 32 A 33-year-old woman is involved in a head-on motor vehicle crash. It took 30 minutes to extricate her from the car. Upon arrival in the emergency department, her heart rate is 120 beats per minute, BP is 90/70 mm Hg, respiratory rate is 16 breaths per minute, and her GCS score is 15. Examination reveals bilaterally equal breath sounds, anterior chest wall ecchymosis, and distended neck veins. Her abdomen is flat, soft, and not tender. Her pelvis is stable. Palpable distal pulses are found in all 4 extremities. Of the following, the most likely diagnosis is: Score: 1 of 1 Your answer Choice Score Correct answer hemorrhagic shock 0 x > cardiac tamponade 1 ZS massive hemothorax 0 x tension pneumothorax 0 x diaphragmatic rupture 0 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)?  Your answer > 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 r- Question 36. Your answer When applying the Rule of Nines to infants: 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 Correct answer 0 x 1 Vv x x r- Question 37. 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 resuscitation, the next step in management is: Score: 1 of 1 Correct answer v x x xX XxX  Question 38 Which one of the following situations requires Rh immunoglobulin administration to an injured woman? Score: 1 of 1 Your answer Choice Score Correct answer negative pregnancy test, Rh negative, and has torso trauma 0 positive pregnancy test, Rh positive, and has torso trauma 0 > positive pregnancy test, Rh negative, and has torso trauma 1 ~S positive pregnancy test, Rh positive, and has an isolated wrist fracture 0 x positive pregnancy test, Rh negative, and has an isolated wrist fracture 0 x r- Question 39 A 22-year-old female athlete is stabbed in her left chest at the third interspace in the anterior axillary line. On admission to the emergency department and 15 minutes after the incident, she is awake and alert. Her heart rate is 100 beats per minute, blood pressure 80/60 mm Hg, and respiratory rate 20 breaths per minute. A chest x-ray reveals a large left hemothorax. A left chest tube is placed with an immediate return of 1600 mL of blood. The next management step for this patient is: Score: 1 of 1 Your answer Choice Score Correct answer perform a thoracoscopy 0 x perform an arch aortogram Oo x insert a second left chest tube 0 x > prepare for an exploratory thoracotomy 1 ZS perform a chest CT 0 x  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? Your Choice Score answer answer A flail chest is probable. 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