Download ATLS PRE-TEST 4 LATEST VERSIONS 2023-2024 REAL EXAM 160 QUESTIONS AND CORRECT ANSWERS GRAD and more Exams Nursing in PDF only on Docsity! ATLS PRE-TEST 4 LATEST VERSIONS 2023-2024 REAL EXAM 40
QUESTIONS AND CORRECT ANSWERS |GRADED A
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Question 3
Which of the following is TRUE regarding the initial resuscitation of a trauma patient?
Your answer Choice Correct answer
Acidosis x
Hypotension x
Increased vascular resistance x
> Evidence of inadequate organ perfusion ZS
r- Question 9
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. What should immediate management of
the wound consist of?
Your answer Choice Correct answer
Application of a tourniquet x
=> Direct pressure on the wound
Packing the wound with gauze
Direct pressure on the femoral artery at the groin
Debridement of devitalized tissue
x x x <¢
r- Question 10
For the patient with severe traumatic brain injury, avoiding profound hypocarbia will prevent what from happening?
Your answer Choice Correct answer
Respiratory acidosis
Metabolic acidosis
> Cerebral vasoconstriction with diminished perfusion
<
Neurogenic pulmonary edema
x
Shift of the oxyhemoglobin dissociation curve
x
r- Question 11
After being involved in a motor vehicle crash, a 25-year-old man is brought to a hospital that has surgery capabilities
available. Computed tomography (CT) of the chest and abdomen shows an aortic injury and splenic laceration with
free abdominal fluid. His blood pressure falls to 70 mm Hg after CT. What is the next step?
Your answer Choice Correct answer
Obtain contrast angiography x
Transfer to a higher level trauma center
> Perform an exploratory laparotomy
Infuse additional crystalloid fluids
x x <¢ x
Obtain transesophageal echocardiography
r- Question 12
Which one of the following statements regarding abdominal trauma in the pregnant patient isTRUE?
Your
° Correct
answer Choice answer
The fetus is in jeopardy only with major abdominal trauma. x
Leakage of amniotic fluid is an indication for hospital admission. SA
Indications for peritoneal lavage are different from those in the nonpregnant patient. x
With penetrating trauma, injury to the mother's abdominal hollow viscus is more common x
in late than in early pregnancy.
> The secondary survey follows a different pattern from that of the nonpregnant patient. x
Question 13
What is the first maneuver to improve oxygenation after chest injury?
Your answer Choice Correct answer
Intubate the patient x
Assess arterial blood gases x
> Administer supplemental oxygen aS
ATLS PRE-TEST 4 LATEST VERSIONS 2023-2024 REAL EXAM 160 QUESTIONS AND CORRECT ANSWERS
GRADED A_compressed
Your answer Choice Correct answer
x
Ascertain the need for a chest tube
Obtain a chest x-ray x
r- 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. What is his GCS score?
Your answer Choice Correct answer
2 x
v
x < x X*
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. What is the most appropriate first step?
Your answer Choice Correct answer
Perform tracheal intubation
Insert an oropharyngeal airway
> Perform needle or finger decompression of the right chest
Manually displace the gravid uterus to the left side of the abdomen
x x <¢ *
Initiate 2, large-caliber peripheral IV lines and crystalloid infusion
Question 16
Which one of the following findings in an adult is most likely to require immediate management during the primary survey?
ATLS PRE-TEST 4 LATEST VERSIONS 2023-2024 REAL EXAM 160 QUESTIONS AND CORRECT ANSWERS
GRADED A_compressed
Obtain a CT of the chest x
Your answer Choice Correct answer
x
Perform an angiography
> Urgently transfer the patient to the operating room S
x
Immediately transfer the patient to a trauma center
r- 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. What is the most appropriate next step?
tour Choice Correct
answer answer
Perform a surgical cricothyroidotomy x
Attempt nasotracheal intubation x
Ventilate him with a bag-mask device until c-spine injury can be excluded x
> Restrict cervical motion and attempt orotracheal intubation using 2 people a
Ventilate the patient with a bag-mask device until his beard can be shaved for better x
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?
Your answer Choice Correct answer
Vasoactive medications have no role in this patient's management. x
The hypotension should be managed with volume resuscitation alone. x
Flexion and extension views of the c-spine should be performed early. x
Abdominal visceral injuries can be excluded as a cause of hypotension. x
> Flaccidity of the lower extremities and loss of deep tendon reflexes are expected. VS
r- Question 24.
Which one of the following is the most effective method for initially treating frostbite?
Your answer Choice Correct answer
> Moist heat v
Early amputation
Padding and elevation
Vasodilators and heparin
x x * &
Topical application of silver sulfadiazine
r- 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?
Your answer Choice Correct answer
Applying skeletal traction x
Administering anticoagulant drugs
x
Administering thrombolytic therapy
<
> Surgical consultation for right lower extremity fasciotomy
x
Transferring the patient to the trauma center 120 km away
r- 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. What is the most appropriate step after providing supplemental
oxygen and elevating his jaw?
Your answer Choice Correct answer
Request a CT scan x
Insert a gastric tube x
Choice Correct answer
Aggressively treat systemic hypertension x
Reduce metabolic requirements of the brain x
Distinguish between intracranial hematoma and cerebral edema 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. Which of the following is the most likely diagnosis?
Your answer Choice Correct answer
Hemorrhagic shock x
> Cardiac tamponade
Massive hemothorax
Tension pneumothorax
x x xX <
Diaphragmatic rupture
r- 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 Correct answer
A serum amylase of 200 x
A leukocyte count of 14,000 x
Evidence of retroperitoneal hematoma on CT scan x
Development of peritonitis on physical exam aS
> A fall in the hemoglobin level from 12 g/dL to 8 g/dL over 24 hours x
r- Question 34.
A 40-year-old woman who was a restrained driver in a motor vehicle crash is evaluated in the emergency department.
She is hemodynamically normal and found to be paraplegic at the level of T10. Which of the following are true
regarding her evaluation and management?
Your
Choice Correct
answer answer
Neurogenic shock is likely to develop. x
Imaging of her complete spine is required prior to transfer to a trauma center. x
Given the injury level knee extension would be expected. x
> Log rolling using 4 people is a safe approach to restrict spinal motion when moving <v
her.
Presence of bulbocarvenous reflex indicates a better prognosis. x
r- Question 35
A trauma patient presents to your emergency department with inspiratory stridor and a suspected c-spine injury.
Oxygen saturation is 88% on high-flow oxygen via a nonrebreathing mask. What is the most appropriate next step?
Your answer Choice Correct answer
Apply cervical traction
Perform immediate tracheostomy
Insert bilateral thoracostomy tubes
Maintain 100% oxygen and obtain immediate c-spine x-rays
<q x x x
=> Restrict cervical motion and establish a definitive airway
r- Question 36
Which of the following is TRUE when applying the Rule of Nines to infants?
Your answer Choice Correct answer
It is not reliable. x
The body is proportionally larger in infants than in adults. x
Choice Correct answer
> The head is proportionally larger in infants than in adults. Ss
The legs are proportionally larger in infants than in adults. x
The arms are proportionally larger in infants than in adults. x
r- Question 37.
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, what is the next step in the management of this patient?
Your answer Choice Correct answer
> Placement of a pelvic binder S
Transfer to a trauma center
Pelvic x-ray
Insert urinary catheter
x x x Xx
Repeat examination of pelvis
;- Question 38
Which one of the following situations requires Rh immunoglobulin administration to an injured woman?
Your answer Choice Correct answer
Negative pregnancy test, Rh negative, and has torso trauma
> Positive pregnancy test, Rh positive, and has torso trauma
<
Positive pregnancy test, Rh negative, and has torso trauma
Positive pregnancy test, Rh positive, and has an isolated wrist fracture
x x
Positive pregnancy test, Rh negative, and has an isolated wrist fracture
Question 39