ATLS Post-Test Latest Exam with Correct Answers Latest Updated 2024., Exams of Nursing

Download ATLS Post-Test Latest Exam with Correct Answers Latest Updated 2024. and more Exams Nursing in PDF only on Docsity! ATLS Post-Test Latest Exam with Correct Answers Latest Updated 2024. Which of the following signs is LEAST reliable for diagnosing esophageal intubation? Symmetrical chest wall movement b End tidal C02 presence by colorimetry Bilateral breath sounds d Oxygen saturation e ETT above carina on chest x-ray Which one of the following signs necessitates a definitive airway in severe trauma patients? Facial lacerations bRepeated vomiting Severe maxillofacial fractures d Sternal fracture GCS score of 12 Twenty seven patients are seriously injured in an aircraft crash at a local airport. The principles of triage include: Establish a triage site within the internal perimeter of the crash site b Treat only the most severely injured patients first Immediately transryort all patients to the nearest hospital Treat the greatest number of patients in the shortest period of time Produce the greatest number of survivors based on available resources 4.Which one of the following statements is correct? Cerebral contusions mav coalesce to form an intracerebral hematoma b Epidural hematornas are usually seen in frontal region Subdural hematomas are caused by injury to the middle meningeal artery Subdural hematomas typically have a lenticular shape on CT scan The associated brain damage is more severe in epidural hematomas An 18 year old male is brought to the emergency department after having been shot. He has one bullet wound just below the right clavicle and another just below the costal margin in the right pyosterior axillary line. His BP is 110/80 mmHg, HR is go bpm, and P a g e 1 | 22 2 RR is 34 bpm. After ensuring 8 patent airway and inserting 2 large caliber iv line, the next appropriate step Obtain a portable chest x-ray b Administer a bolus of additional iv fluid Perform a laparotomy Obtain an abdominal CT scan Perform diagnostic peritoneal lavage An 8 year old bov falls meters (IS feet) from a tree and is brought to the emergency department by his family. His vital signs are normal, but he complains of left upper quadrant pain. An abdominal CT scan reveals a moderately severe laceration of the spleen. The receiving institution does not have 24 hour a day operating room capabilities. The most appropriate management of this patient would be: Type and crossmatch for blood b Request consultation of a pediatrician Transfer the patient to a trauma center Admit the patient to the ICU Prepare the patient for surgery the next day A 17 year old helmeted motorcyclist is struck broadside by an automobile at an intersection. He is unconscious at the scene with BP of 140/90 mmHg, HR of 90 bpm, and RR of 22 bpm. His respirations are sonorous and deep. His GCS score is S. Immobilization of the entire patient may include the use of all the following, except: a Air splints b Bolstering devices A construction worker falls from a scaffold and is transferred to the emergency department. His HR is 124 bpm and BP is 85/60 mmHg. He complains of lower abdominal ryain. After assessing the airway and chest, P a g e 2 | 22 condition? Neurogenic shock Cardiogenic shock Abdominal hemorrhage d Myocardial contusion e Hypertherm A 28 year old male is brought to the emergency department. He was involved in a flight in which he was beaten with a wooden stick. His chest shows multiple severe bruises. His airway is clear, RR 22 bpm, HR is 126 bpm, and SSP 90 mmHg. Which of the following should be performed during the primary survey? Cervical spine x-ray TT administration Blood alcohol level Rectal exam Which one of the following statements is true regarding access in pediatric resuscitation? Intraosseous access should only be considered after five percutaneous attempts Cut down at the ankle is a preferred initial access technique Blood transfusion can be delivered through intraosseous access Internal jugular cannulation is the next preferred opinion when percutaneous venous access fails Intraosseous cannulation should be first choice for access A 23 year old male is stabbed below the right nipple. He is alert, and his oxygen saturation is 98%. Chest tube was placed for treatment of hemopneumothorax. BP is 90/60 mmHg after administration of 1 L of crystalloid solution. What is the next step in treatment? Re-examine the chest Which one of the following injuries is addressed in the secondary survey? Post Test ATLS Latest Exam with Correct Answers Latest Updated 2024. Guaranteed Grade A+,, P a g e 5 | 22 6 bPlace a left-sided chest tube 21.The most common acid base disturbance encountered in injured I Renal failure Injudicious bicarbonate administration Insufficient sodium chloride administration IS. You are treating a trauma patient and attempt a definitive airway by intubation. However, the vocal cords are not visible. What tool would be the most valuable for achieving successful intubation? Gum elastic bougie bLateral cervival spine x-ray Nasopharyngeal airway Ov„'gen 22.A 17 year old female is brought to the emergency department following a 2 meters (6 feet) fall onto concrete. She is unresponsive and found to have a RR Of 32 bpm, 90/60 mmHg, and HR of bpm. The first step in treatment is: Laryngeal mask airway 16.A 79 year old female is involved in a motor vehicle crash and presents to the emergency department. She on Coumadin and a beta blocker. Which of the following statements is true concerning her management? The risk of subdural hemorrhage is decreased bAbsence of tachycardia indicates that the patient is Administering vasopressors Establishing iv access for drug assisted intubation Seeking the cause of her decreased level of consciousness Applying oxygen and maintaining airway eExcluding hemorrhage as a cause of shock hemodyna mica 11M normal Non-operative management of abdominal injuries is more likely to 23.A 25 year old male is brought to the emergency department following a bar fight. He has an altered of conciousness, open his eyes on command, moans without forming, discernible words, and localizes to painful stimuli. Post Test ATLS Latest Exampediawtriicth Correct nAsenrtscewntrealrvsenLouastceatshetteUr pdated2p0at2ie4nt.s iGs cuauaserdabyn: teed Perform CT scan of the abdomen and pelvis Hemorrhage PGrepraaredfoer uAr g e+n t,t,ho ra co to my Changes in ventilation P a g e 6 | 22 Post Test ATLS Latest Exam with Correct Answers Latest Updated 2024. Guaranteed Grade A+,, Nasotracheal tubes position a cuffed airway in the infraglottic space Tracheostornv tubes are placed in apneic, hypoxic patients in the supraglottic space 20.A 40 year old male is brought to the emergency department after a fall from a height of just over 3 meters (10 feet). His airway is clear, RR is 28 bpm, and SBP is 140 mmHg. There equal air entry on both sides of the chest with comparable percussion sounds bilaterally. He complains of pain on palpation of the chest. Which intervention is most likely needed? Needle decompression of the chest bPericardiocentesis Pain management 27.A 6 month old infant, being held in her mother's arms, is ejected on impact from a vehicle that is struck head on by an oncoming car travelingat 64 kph (40 mph). The infant arrives in the emergency department with multiple facial injuries, is lethargic, and is in severe respiratory distress. Respiratory supoort is not effective using a bag mask device, and her oxygen saturation is falling. Repeated attempts at orotracheal intubation are unsuccessful. The most appropriate procedure to perform next is: Perform needle cricothvroidotomv with jet insuflation Administer heliox and racemic epinephrine Perform nasotracheal intubation Perform surgical cricothyroidotomy Thoracotomv Tube thoracotomv 28. Repeat orotracheal intubation bOpen fracture with bleeding Bilateral femur fractures with obvious deformity Pulmonary contusion Milg thigh amputation Hypovolemia P a g e 9 | 22 Post Test ATLS Latest Exam with Correct Answers Latest Updated 2024. Guaranteed Grade A+,, Unstable pelvic fracture Small penumothorax Forearm fracture 29.A 22 year old male present following motorcycle crash. He complains of the inability to move or feel his legs. His BP is 80/50 mmHg, HR is 70 bpm, RR is 18 bprn, and GCS score is IS. Oxygen Flail chest 36.A 14 year old female is brought to the emergency department after falling from a horse. She is immobilized on a long spine board with a hard collar and blocks. Cervical spine x-ray: Will show cervical spine injury in more than 20% of these patients Will exclude cervical spine injury if no abnormalities are found on the x-rays saturation is on 21 nasal prongs. Chest x-ray, pelvic x-ray, and FAST are normal. Extremities are normal. His management should be: 2L of iv crystalloid and units of pRBCs b2L of crystalloid and vasopressors if BP does not respond 2L of iv crystalloid, manitol, and iv steroids Vasopressors and laparotornv 1 unit of albumin and compression stockings Are not needed if she is awake, alert, neurologically normal, and has no neck pain or midline tenderness Should be performed before addressing potential breathing or circulatory problems e May show atlanto occipital dislocation if the Power's ratio is normal, >1: anterior, posterior 30. Which of the following signs is least reliable for diagnosing esophageal intubation? a Chest x-ray demonstrating the ETT tip positioned above the carina b Symmetrical chest wall mcrvement 37.The most specific test to evaluate for injuries of solid abdominal organs is: Abdominal x-ray End tidal C02 Abdominal ultrasonographv P a g e 10 | 22 Post Test ATLS Latest Exam with Correct Answers Latest Updated 2024. Guaranteed Grade A+,, Bilateral breath sounds e Oxygen saturation Diagnostic peritoneal abdominal bleeding Frequent abdominal examination e CT of abdominal and pelvis 38.The most important consequence of inadequate organ perfusion is: Vasodilatation b Multiple organ failure Decreased base deficit Acute glomerulonephritis Increased cellular ATP production 31. A 3S year old female sustains multiple injuries in a motor vehicle crash and is transryorted to a small hospital in full spinal protection. She has a GCS score of 4 and is being mechanically ventilated. Iv access is established and warmed crystalloid is infused. She remains hemodvnamicallv normal and full spinal protection is maintained. Preparations are made to transfer her to another facility for definitive neurosurgical care. Prior to transport, which of the following tents or treatments mandatory? FAST exam bLateral cervical spine x-ray Chest x-ray Administration of methylprednisolon Computerized tomography of the abdomen 39.A 23 year old construction worker us brought to the emergency department after falling more than g meters (30 feet) from scaffolding. His vital signs are: HR 140 bpm, BP 96/60 mmHg, and RR 38 bpm. He is complaining bitterly of lower abdominal and lower limb ryain, and has obvious deformity of both lower legs with bilateral open tibial fractures. P a g e 11 | 22 Post Test ATLS Latest Exam with Correct Answers Latest Updated 2024. Guaranteed Grade A+,, PaC02 of 28 mmHg (3,7 kPa) and pH of 7,47. The component of injury that sis most likely responsible for abnormalities in the patient's blood gases is: Hypoventilation Must be performed in the primary survey Can exclude any significant spinal injury Are indicated in all trauma patient Should be combined with clinical exam, AP and odontoid, or CT Require the following films: oblique views, AP, odontoid and flexion extention views prior to spinal clearance in trauma patient The use of seatbelts is associated with increased risk of maternal death d The mechanism of injury suggests the need for emergency Caesarean section due to the risk of impending abruptio placentae e The deployment of the airbag increases the risk of maternal abdominal injury SO.Supraglottic airway devices: 43.A 30 year old male is stabbed in the right chest. On arrival in the emergency department, he is very short of breath. His HR is 120 bpm, and BP is 80/50 mmHg. His neck veins are flat. On auscultation of the chest, there is diminished air entry on the right side, and there is dullness posteriorly on percussion. These finding are most consistent with: Hemothorax bPericardial tamponade Tension pneumothorax Are equivalent to endotracheal intubation Require neck extension for proper placement Are preferable to endotracheal intubation in a patient who cannot lie flat Hypovolemia from the liver injury Spinal cord injury Are of value as part of a difficult or failed intubation plan Provide one form of definitive airway P a g e 14 | 22 Post Test ATLS Latest Exam with Correct Answers Latest Updated 2024. Guaranteed Grade A+,, 44.A specific aspect of the treatment of thermal injury is: Chemical burn require the immediate removal of clothing bPatients who sustain thermal injury are at lower risk for hypothermia Patients with circumferential truncal burns need prompt fasciotomies 51. A 25 year old male is brought to the hospital after sustaining partial and full thickness burns involving of his body surface area. His right arm and hand are severely burned. There are obvious full thickness burns of the entire right hand and a circumferential burn ofthe right arm. Pulses are absent at the right wrist and are not detected by Doppler examination. The first step in management of the right upper extremity should be: Fasciotomv Electrical burns are associated with extensive skin necrosis(from entry point to exit) Angiography EscharatomvThe Parkland formula should be used to determine adequacy of resuscitation Heparinization Tangential excision 52. All of the following signs on the chest x-ray of a patient who sustained a blunt injury may suggest aortic rupture except which one? Mediastinal emphysema Presence of a pleural cap 45.A IS year old male is brought to the emergency department after being involved in a motor vehicle crash . he is unconscious and was intubated at the scene by emergency medical personnel. upon arrival at the emergency department, the patient's oxygen saturation is 92%, HR is YS bpm, and BP is ISO/8S mmHg. Breath sounds are decreased on the left side of the thorax. The next step is: Obliteration of the aortic knob P a g e 15 | 22 Immediate needle crycothyroidotomv Deviation of the trachea to the right bReassess the position of the endotracheal Depression of the left mainstream bronchustube Chest tube insertion Immediate needle thoracentesis Obtain a chest x-ray 46. The first priority in management of a long bone fracture is: Reduction of pain bPrevention of infection in case of an open fracture Prevention of further soft tissue injury Improve long term function Control of hemorrhage 47. A 30 year old female is brought to the emergency department after being injured in motor vehicle crash. Her initial BP is 90/60 mmHg, and her HR is 122 bpm. She responds to the rapid infusion of 1 liter crystalloid solution 53.A 30 year old woman fell down four stairs landing on concrete.witnesses report she was unconscious for five minutes beginning immediately after the fall. She regained full consciousness during the ten minute transport to the hospital. CWon arrival in the emergency department, she is awake, alert, and responsive with a GCS score of IS. Her only complain is a slight headache. Thirty minutes later, she becomes unresponsive with a GCS score of S. On the exam, her left pupil is large and nonreactive. The right pupil is normal. The one type of neurological injury most consistent with this patient's entire clinical course since her fall: A subdural hematoma An epidural hematoma An occipital lobe hemorrhage Focal subarachnoid hemorrhage P a g e 16 | 22 to the left flank. He has no other apparent injuries. A CT scan of the i t i a l r 61. I nt should: n Be with 1-2 Lof crystalloid,monitoring the patient's response b use crystalloid to normalize BP use permissive hwotension in patients with head injury Be with a non blood colloid abdomen demonstrate a ruptured spleen surrounded by a large hematorna and fluid in the pelvis. The next step in the patient's management is: Splenic artery embolization b Pneumococcal vaccine Urgent laparotomv Surgical consultation Transfer to a ryediatrician seolution Be a minimum of 2 L of crystalloid in all trauma patient prior to administering blood 60. A 30 year old male presents with a stab wound to the abdomen. BP is 85/60 mmHg, HR is 130 born, RR is 25 bpm, and GCS score is 14. Neck vein are flat, and chest examination is clear with bilateral breath sounds. Optimal resuscitation should include: Transfusion of FFP and s u s c i 6 t 2. C o m p a r e d w i t h a d u lt s , c h il d r e n a h a v e : t A longer, wide, i funnel shaped o airwav b A less n pliable, calcified i skeleton n Lower incidence of bony injury wa ith neurogenic shockd A relatively smaller head and luarger jaw platelets b SOO ml of hypertonic saline and transfusion of pRBC Anterior displacement of CS and Resuscitation with crystalloid and pR3C until base excess is normal Fluid resuscitation and angioembolization Preparation for laparotomy while initiating fluid resuscitation l Ct S p 6a3. A 30 ye ar ol d m al e pr es en ts a motor vehicle crash. Vital signs are: RR 18 bpm, HR 88 bpm, BP t i e P a g e 19 | 22 130/72 mmHg, and GCS score 13. Laparotomv is indicated when: There is a distinct seat belt sign over the abdomen b The CT scan demonstrates a grade 4 hepatic injury There is evidence of an extrapyeritoneal bladder injury CT demonstrates retroperitoneal air The abdomen is distended with localized right upper quadrant tenderness 64. A 20 year old male is brought to the hospital approximately 30 minutes after being stabbed in the chest. There is 3 cm wound just medial to the left nipple. His BP is 70/33 mmHg, and HR is 140 bpm. Neck and arm veins are distended. Breath sounds are normal. Heart sounds are diminished, iv SS. SS. 6 69. 7 . 70. 6 8 71. access has been established and warm crystalloid is infusing. The next most important aspect of immediate management is: CT scan of the chest 12 lead ECG Left tube thoracostomv Begin infusion of RBCs FAST exam . A 47 year old house painter is brought to the hospital after falling 6 meters (20 feet) from a ladder and landing straddled on a fence. Examination of his perineum reveals extensive ecchymosis. There is blood in the external urethral meatus. The initial P a g e 20 | 22 diagnostic study for evaluation of the urinary tract in this patient should be: Cvstoscopv Cvstogra phy Iv pyelography d CT scan Retrograde urethrographv Neurogenic shock has all of the following classic characteristics except which one? Hypotension Vasodilatation Bradvcardia Neurologic deficit Narrowed pulse pressure Which one of the following statements is false concerning RH isoimmunization in pregnant trauma patients? It occurs in blunt or ryenetrating abdominal trauma It is produced by minor degrees of fetomaternal hemorrhage Rh immunoglobulin therapy should be administered to pregnant females who have sustained a gunshot wound to the leg d This is not a problem in traumatized, Rh positive pregnant patients Initiation of Rh immunoglobulin therapy does not require proof of fetomaternal hemorrhage A asive facial injuries in a head on crash n with a pick up truck. He is brought to 1 the emergency department 8 completely immobilized on a long y spine board and wearing a cervical e a r collar. His is 150/88 mmHg, HR is 88 bpm and reguler, and RR is 26 born. His respirations are labored and o sonorous. His GCS score is 7. l Attempts at orotracheal intubation d with manual inline stabilization of them c-spine are unsuccessful due to obleeding and distorted anatomy. The t patient becomes apneic. The best oprocedure for airway management in r this situation is: c y c li s t s Nasotrach eal intubation b Emergenc y tracheostomv Surgical cricothvroidotomv Placement of an oropharyngeal u airway Placement of an nasopharyngeal airway s t a i n s A 24 year old pedestrian, struck by an automobile, is admitted to the emergency department 1 hour after m injury. His BP is 80/60 mmHg, HR is a 140 bpm, and RR is 38 bpm. He is lethargic. Oxygen is delivered via face P a g e 21 | 22