ATLS Test Exam Questions and Answers, Exams of Nursing

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ATLS test exam questions with answers

When something crashes in secondary survey, you... - ANSWERS✔✔ GO BACK TO PRIAMRY SURVEY If the question says you do not have capabilities, you will most likely - ANSWERS✔✔ PREPARE FOR AND DO NOT DELAY TRANSPORT How much blood can femur lose - ANSWERS✔✔ 2L What is always going to be the shock type to pick - ANSWERS✔✔ Hemorrhagic What are the classes of hemorrhagic shock - ANSWERS✔✔ 0-15% is class 1 15-30 is class 2 30-40% is class 3

40% is class 4 What is the EARLIEST predictor of shock at what class - ANSWERS✔✔ Narrowed pulse pressure in class 2 What will be base deficit for class 2 shock? - ANSWERS✔✔ -2 to -6 meQ What will be the deficit for class 4? - ANSWERS✔✔ -10 or less When will urine output start to decrease in shock? - ANSWERS✔✔ Class 3 and 4 When does BP start to fall in shock - ANSWERS✔✔ Class 3 What is GCS? - ANSWERS✔✔ E-

Two main reasons to think about why GCS goes down? - ANSWERS✔✔ TBI

Hemorrhagic shock Why do you want to put in chest tube before needle decompression? - ANSWERS✔✔ SIMPLE PTX can turn into TENSION PTX

• V-
• M-
• Eye spont
• To command
• To pain
• None
• Verbal spont is
• Verbal confused is
• Inappropriate
• Garbling is
• None is
• Motor spont is
• Localize pain is
• Withdrawal pain is
• Decorticating (flexion) is
• Decebrate (extension) is
• None is

What is LEMON for airway patency - ANSWERS✔✔ Look Evaluate Malay-ATI Obstruction Neck mobility What is DEFINITIVE airway? - ANSWERS✔✔ Tube in trachea BELOW vocal cords WHEN is surgical airway indicated? - ANSWERS✔✔ When you CANNOT do any other form of airway (2 attempts typically) What is contraindicated with suspicion of basilar skull frx? - ANSWERS✔✔ OPA, put in gastric tube for suction because it can go through up into cranium thru cribiform plate Peds kid with bicycle trauma is most likely goin to be? - ANSWERS✔✔ PANCREATIC injury Organ tear is more common with? - ANSWERS✔✔ Penetrating injury What type of pelvic fracture is binder indicated in - ANSWERS✔✔ Open book If there is BLOOD at the meatus, then what do you need to do? - ANSWERS✔✔ RUG first, because if you do a cyst gram you will be spilling into the abd cavity If patient is unstable, free air/blood on CT, peritoneal signs yield what? - ANSWERS✔✔ EMERGENT laparotomy What lab value is good for assessing hydration in burn patient? - ANSWERS✔✔ URINE OUTPUT

How do you determine difference between PTX and tamponade? - ANSWERS✔✔ BREATH SOUNDS Blowing air leak on chest tube is sign of? - ANSWERS✔✔ TRACHEOBRONCHIAL RUPTURE Bowel sounds on chest auscultation are reflective of - ANSWERS✔✔ Diaphragm injury Apical capping and widened mediastinum are reflective of what? - ANSWERS✔✔ Aortic trauma Circumferential burn? - ANSWERS✔✔ Escharotomy What is main goal of priamry brain injury? - ANSWERS✔✔ Preventing secondary brain injury 2 big causes of secondary brain injury? - ANSWERS✔✔ HYPOVOLEMIA and HYPOXEMIA Girl falls on her head, loses consciousness, and is now unstable. What kind of hematoma is this? - ANSWERS✔✔ EPIDURAL, lucid interval is common between time of injury and presentation What is more common, subdural or epidural - ANSWERS✔✔ Subdural What is considered mid TBI? - ANSWERS✔✔ 13- T/o secondary management of mild TBI? - ANSWERS✔✔ CT repeat if first is abnormal OR GCS persists at under 15. Serial exams Initial management of TBI? - ANSWERS✔✔ elevate head

NS (3%)

Indications of transport to higher Level of care with TBI? - ANSWERS✔✔ Worsening GCS, GCS <8. Lesions on CT Above what level can you get neurogenic shock - ANSWERS✔✔ T Description of neurogenic shock patient? - ANSWERS✔✔ What is bulbovesicular reflex indicative of? - ANSWERS✔✔ NOT qualify as sacral sparing. If there is ANY motor or sensory function below level of injury, constitutes as incomplete injury and should be documented appropriately T/F: Stridor is LATE finding of airway damage in burn pt? - ANSWERS✔✔ TRUE Initial management of burn? - ANSWERS✔✔ DRY dressing. NOT moist! Transfer indications for burn? - ANSWERS✔✔ Partial thickness >40% BSA What is dark urine reflective of in burn pt? - ANSWERS✔✔ RHABDO What do you constantly need to replenish burn pt? - ANSWERS✔✔ Cellular losses 2/ inflammation What is GOAL urine output in burn? - ANSWERS✔✔ 3-50mL per hour, BEST assessment of hydration What do you need to monitor for with rewarming in hypothermia - ANSWERS✔✔ ARRYTHMIA

MCC of cardiac arrest in kids? - ANSWERS✔✔ HYPOXIA If you fail an IV in a kid what is next step? - ANSWERS✔✔ IO What is crystalloid infusion unit for kids - ANSWERS✔✔ 20/kg Two MCC of geriatric injuries? - ANSWERS✔✔ FALL, MVC