Emergency Medical Procedures, Exams of Nursing

Download Emergency Medical Procedures and more Exams Nursing in PDF only on Docsity! 1 1. A 30 year old climber is experiencing sever shortness of breath after reaching an elevation of 12000feet. The PT is very anxious and has rales noted to all quadrants but is otherwise healthy. He is not accustomed to high altitudes. What should you do? A. Administer oxygen while descending to a lower altitude B. Coach the patient to slow his respirations C. Apply CPAP while the patient adapts to the elevations D. Evacuate the patient to a hyperbaric chamber - correct answer Administer oxygen while descending to a lower altitude. 2. A 26 year old female does not respond to verbal stimuli but moans in response to pain. A friend states the patient has ingested approx 150 amitriptyline tables. Vital Signs are BP 88/50 R16. You establish IV access and administer a fluid challenge. En route to the hospital her ECG shows a widening QRS. You should administer A. amiodarone B. another fluid challenge C. calcium chloride D. sodium bicarbonate - correct answer Sodium Bicarbonate. 3. You PT experienced trauma yesterday and you are transferring her to a larger facility. She has been experiencing progressive hypoxia. You notice coarse crackles in all lung fields on ventilation. Vital signs are BP 90/50 and SPO2 90%. You should A. increase IV fluid administration rate B. extubate and re-intubate the patient C. transport emergently and continue ventilation D. perform bilateral chest decompression and reassess - correct answer Transport emergency and continue ventilation. 4. An alert 22 year old male was just disentangled from debris in a house collapse. He denies head or neck pain, but complains of server hip pain. Vital signs are BP 88/40. P120 R 16 you should administer. A. epinephrine B. lidocaine C. sodium bicarbonate D. morphine sulfate - correct answer sodium bicarbonate 2 5. Braxton Hicks contractions A. are mild and signal the beginning of labor B. occur in the second trimester and are false labor C. cause extreme back and abdominal discomfort D. cause dilation and effacement of the cervix - correct answer occur in the second trimester and are false labor. 6. A 40 year old male crashed his motorcycle. He had a brief loss of consciousness, woke up and walked home. You find him 2 hours later at home unconscious. You should suspect. A. Subdural hematoma B. Subarachnoid Bleed. C. Basilar skull fracture D. Epidural Hematoma - correct answer epidural hematoma 7. A 47 year old male who was found unconscious on the side of the road respond only to painful stimulus. When you attempt to establish IV access he stiffens his arms and legs. He has minor abrasions all over his body. Vital signs are BO 178/122 P56 R irregular ETCO2 30. What should you do? A. Mildly hypoventilate with a bag valve mask B. Assist ventilations at 12 breaths per minute C. Administer a 250 mL normal saline bolus D. Administer 25 g of dextrose - correct answer Assist ventilations at 12 breaths per minHg. 8. A 28 year old female has a sudden onset of tightness in her chest and server difficulty breathing. Her tongue face and neck appear swollen and she has red itchy hives on her torso. Her signs are BP 80/40 P 130. You should administer A. administer 25 mg diphenhydramine IV B. transport immediately to the hospital C. administer 0.3 mg epinephrine IM D. administer 100 mg Solumedrol IV - correct answer Epinephrine 0.3mg 9. You are asked to set up a patient treatment area after a box labeled "radioactive" was found unattended in a park. Which of the following would be the best location. 5 D. defibrillate once, perform CPR, Intubate, and transport rapidly - correct answer Defibrillate once perform CPR intubate and transport rapidly. 23. To successfully accomplish nasotracheal intubation you should advance the endotracheal tube though the glottic opening to coincide with patient A. swallow B. expiration C. inspiration D. cough - correct answer Inhalation 25. An alert 23 year old male presents with a sudden onset of shortness of breath and chest pain after running upstairs. Breath sounds are diminished in the right side. The most likely cause is. A. pleural effusion B. tension pneumothorax C. subcutaneous emphysema D. spontaneous pneumothorax - correct answer Spontaneous pneumothorax 26. First responders are treating an apneic adult female. You notice that they are applying frequent long ventilations with an oxygen resuscitator. What effects with their actions create. A. Increased capillary elasticity B. Increased venous return C. Decreased venous return D. Decreased intracranial pressure - correct answer decreased venous return 27. You are called to a nursing home on a hot summer day for a 88 year old male. The nurse tells you he missed his dialysis appointment because he was complaining of nausea vomiting headache and running a fever. Which differential diagnosis should you consider first. A. Heart attack and stroke B. Sepsis and hyperkalemia C. Hypotension and severe flu D. Hemolytic anemia and heat stroke - correct answer Sepsis and hyperkalemia 6 28. You have just administered adenosine to a 62 year old patient with narrow complex tach. The ECG shows an irregular rate of 50 then steadily climbs back to a rate of 169. What would should suspect A. sinus tachycardia with aberrancy B. paroxysmal supraventricular tachycardia C. rapid atrial fibrillation D. a rhythm of ventricular origin - correct answer rapid atrial fibrillation. 29. A 63 year old male is having a diabetic emergency . He is unresponsive R12 glucometer 28. You cannot establish IV access. You should A. administer glucose paste PO B. administer glucagon IM C. transport emergently D. administer D 50W 10 - correct answer administer glucagon IM 30. When setting up a night time landing zone for a helicopter what is the recommended area needed. A. 100x100 feet B. 25x25 feet C. 50x50 feet D. 300x300 feet - correct answer 100x100 31. A 67 year old with hypo-tension and bradycardia has no responded to pacing or atropine. You should A. an epinephrine infusion at 5-20 mcg/min B. 40 units vasopressin via intravenous infusion C. 1 mg epinephrine via intravenous infusion D. a dopamine infusion at 2-10 mcg/kg/min - correct answer administer dopamine infusion 32. A 19 year old male has suffered blunt trauma on his left chest. He complains of server dyspnea and pain over the affected area. Vital signs are BP 92/60 P 128 R 32. Breath sounds are very diminished over the left chest. You should A. perform a needle thoracostomy 7 B. perform an endotracheal intubation C. initiate two large bore IVs of normal saline (NS) D. perform a pericardiocentesis - correct answer perform needle thoracostomy 33. A 44 year old patient has a persistent cough and occasional spits up bloody sputum . He has been living in a a shelter for the past three weeks and he smells like alcohol you should. A. administer oxygen via non-rebreather mask B. put on an N95 mask and eye protection C. apply the ECG monitor and check for blood glucose level D. suction the airway and reassess - correct answer Put on N95 mask and eye protection. 34. While treating a patient with suspected TB. What type of personal protective equipment is essential A. protective eyewear B. Surgical facemask C. Face-Shield mask D. HEPA respirator - correct answer HEPA respirator 35. A 2 year old male has been sick over the last 48 hours with a low grade fever runny nose and upper respiratory infection. He has a seal bark cough. The patient is using accessory muscles to breath and appears fatigued his upper airway has stridours sounds. His lung sounds appear clear. SPO2 92% how would you treat the patient. A. Humidified oxygen, transport B. Oxygen, nebulized racemic epinephrine transport C. Nebulized albuterol with atrovent reassess after 15 minutes D. Alternate between placing the patient in a humidified room and cold air from outside - correct answer Oxygen nebulized racemic epinephrine transport. 37. A 48 year old patient is chocking on a hot dog. He is unresponsive apneic and has a strong pulse. Chest compression are infective at relieving the obstruction. You should. A. use laryngoscopy and Magill forceps to remove the object. B. force the object out of the way as you pass an endotracheal tube. C. place the patient into recovery position and transport immediately. 10 D. Stimulate the infant by flicking the soles of the feet - correct answer Suction with a bulb syringe and ventilate. 49. A 56 year old female has a sudden onset of substernal chest pressure. She denies any shortness of breath or nausea. She has a history of arthrosporic heart disease and is talking verapamil. Vital signs are BP 160/90 pulse matches the ECG rhythm below R 16 skin warm and dry. and lungs clear bilateral. What should you do. A. Administer Lidocaine and transport B. Sedate and perform synchronized cardioversion C. Administer nitroglycerin D. Perform vagal maneuvers - correct answer Nitroglycerin 50. A 64 year old is sitting in his living room in moderate distress. He is able to speak to you in full sentences but claims he is not feeling right. Vitals signs are BP 1110/64 R 16. Pulse matches monitor (super vertical tachycardia) what should you do. - correct answer vagal fluids adenosine. 51. Which I V will be able to administer the most fluid in the least amount of time. - correct answer 14 gauge 1/2 inch IV catheter. 52. A 30 year old man is breathing fast and deep. He works at a preschool and believes that the children plan to harm him. Which of the following statement is most helpful when treating the patient. - correct answer I understand that you are concerned. Can you tell me more about why you fell this way. 53. A 67 year old man has collapsed and is on the floor. He is pale clammy and moaning with vomit around his mouth. Vital signs are BP 180/30 P110 and weak R28 and shallow. Oropharynx is clear and lungs are clear bilaterally. His ECG shows ventricular tachycardia. That should you do? A. Administer amiodarone 150 mg IV B. Administer adenosine 6 mg IV C. Insert an endotracheal tube D. Synchronized cardioversion at 100 J - correct answer Synchronized cardio100J 54. You arrive at the scene of a single vehicle crash. A woman walks up to a your ambulance with a cut on her forehead. You should A. perform a rapid trauma assessment B. fully immobilize from a standing position 11 C. determine if she is the only victim D. determine her level of consciousness - correct answer determine if she is the only victim 55. A 73 year old male has several fractured ribs on his right side with unequal chest wall movement. He has dyspnea and diminished breath sounds on the right. Vital signs are BP 124/76 P124 R 26 and shallow. His trachea is mid line and neck veins are flat. Most likely has A. a tension Pneumothorax B. cardiac tamponade C. pulmonary occlusion D. a flail chest segment - correct answer a flail chest segment 56. You have just converted a 318 lb cardiac arrest patient into a normal sinus rhythm. She is hypotensive and you have been ordered to start the an epinephrine drip at 3mcg/min using a 60 drip set. You have mixed a 4:1 concentration of epinephrine and should set the drip rate at - correct answer 45 drops/min (clock) 57. You are assisting with a deliver and the infants head has been deviled. You notice the umbilical cord is wrapped around the infants neck. You should A. instruct the mother to push as hard as possible to facilitate rapid delivery of the infant B. administer oxygen to the mother and transport rapidly to the closest appropriate facility C. gently slip the cord over the infant's head, or clamp the cord in two places and cut ....between the clams to release the cord D. immediately clear the mouth and nose of fluid and mucus with a bulb syringe - correct answer gently slip the cord over the infants head or clamp the cord in two places and cut between the clamps to release the cord. 58. A 50 year old male is complaining of a chronic cough. He has lost his appetite and has had hot flashes and periods of sweating during the night. He has noticed some red specks in his sputum when he coughs. You should suspect A. pneumonia B. tuberculosis C. pulmonary edema D. infectious bronchitis - correct answer Tuberculosis 12 59. A patient has surfaced rapidly from a deep dive and is now complaining of difficultly breathing and extreme muscle and joint pain. You should A. transport rapidly to the closest hospital B. perform a complete neurological assessment C. administer Dilaudid, Lasix, and transport to nearest hyperbaric chamber D. transport rapidly to the nearest hyperbaric chamber - correct answer Transport rapidly to the nearest hyperbaric chamber. 60. It is mid-December and a 13 month old child is awakened in the middle of the night with barking cough and inspiratory stridor. The child has been ill for a few days with chills and congestion. You should suspect A. epiglottitis B. respiratory syncytial virus C. croup D. bronchiolitis - correct answer croup 61. An 80 year old male has just collapsed. Vital signs are BP 90/40 pulse matches ECG 3 degree block R 20 What should you do? - correct answer Apply transcutaneous pacing. 62. A patient involved in a motor vehicle crash has an obvious open femur fracture and an angulated right forarm. He is bleeding servery from a scalp laceration. His left arm is guarding his chest and he gasps "i cant breath". You should be MOST concerned by the A. femur fracture B. right forearm fracture C. head trauma D. respiratory difficulty - correct answer respiratory difficulty 63. A 37 year male is chocking and has become unconscious. Attempts to ventilate are unsuccessful. you should A. give five abdominal thrusts B. perform a surgical airway C. suction the airway D. perform chest compressions - correct answer perform chest compressions 15 76. A seven month old is breathing at a rate of 60 per min. He has nasal flaring and intercostal retractions . You hear stridorous noises on inspiration . This is most likely caused by a A. foreign body obstructing the upper airway B. mucus in the lower airways C. bronchospasms associated with asthma D. aspiration of gastric contents - correct answer foreign body obstruction the upper airway 77. A 28 year old suffered a head injury. Vital signs a BP 140/120 P 55 R 30 and irregular. Which of the following signs would you expect to see in this patient. A. Jugular vein distention B. Tachycardia C. Decerebrate posturing D. Beck's triad - correct answer Decerebrate posturing 78. During transportation you PT becomes very upset complaining about her medical expenses. How should you respond? A. "I am sorry, but I am not responsible for your billing" B. "Don't worry. I'm sure everything will work out in the end" C. Anger will not help the situation. Try to be more positive" D. "You seem angry. Is there any way that I can help?" - correct answer You seem angry is there any way hat i can help 79. Which of the following pharmacological agents are most likely to cause premature arterial contractions. A. Depressants B. Barbiturates C. Stimulants D. Steroids - correct answer stimulants 80. You are dispatched to a house early on the morning for a family complaining of headaches and nausea. You should A. assess the family on scene 16 B. send police into the home C. wear an N95 mask D. evacuate the house - correct answer evacuate the house. 81. A patient is threatening suicide because his wife left him. Which of the following statements or questions would be appropriate? A. "I understand your feelings. I would be suicidal too." B. "I'm sure that there are many people in your life who want you to live." C. "What method had you intended to use to kill yourself?" D. "Talking with me will be helpful. How long have you had marital problems?" - correct answer What method had you intended to use to kill yourself 82. A 44 year old male complains of extreme fatigue headache and fever with pain in this right upper quadrant and joints. He admits to a history of alcoholism and smoking two pack per day for the past 20 years his skin and sclera are yellow in color. You should suspect - correct answer hepatitis 83. A patient was just pulled from a burning building. You have started oxygen and initiated transport. While en route to the hospital you notice singed hairs around his face and a spot around his nose and mouth.. He is coughing up black sputum mixed with blood and shows signs of increasing hypoxia. Which developing condition is your biggest concern. A. Laryngeal edema B. Bronchospasm C. Hemothorax D. Pulmonary edema - correct answer Laryngeal edema 84. A 65 year old female complain of sudden onset of server migraine headache. Vitals signs are BP 140/90 P 120 R 22. She has been non complaint with her prescribed imitrex. You should administer A. diltiazem B. aspirin C. nitroglycerin D. morphine - correct answer morphine 85. Which of the following will cause a patient with a tension pneumothorax to become hypotensive 17 A. An increase in intrathoracic pressure, decreasing venous return B. Damage to the aortic arch baroreceptors that regulate blood pressure C. Hypovolemia due to rupture of pulmonary blood vessels D. The twisting of the aorta and vena cava as mediastinal shift occurs - correct answer an increase in intrathoracic pressure 86. A 23 year old male complains of chills and headache. He was sleeping outside before waking up with these symptoms. He has a reddish ring with a small fluid filed vesicle in the center on his arm. What should you suspect A. Spider Bite B. Scorpion sting C. Snake bite D. Tick bite - correct answer Spider bite. 87. Which of the following is most important when document a patient refusal A. The patient's insurance coverage B. The patient's mental status C. The patient's vital D. The willingness for EMS to return if needed - correct answer The patient's mental status 88. You have orally intubated an adult pt and are evaluating the tube placement. You hear auscultation sounds over the epigastrium and an absence of breath sounds over the right and left chest. You should - correct answer remove the ET and ventilate the patent with a bag valve mask 89. Your elderly patent is supine. She complains of labored respirations. She is cyanotic and has a history of CHF vitals signs are BP 230/100 P120 R 36 What lung sounds would you expect to hear. - correct answer Crackles 90. You are treating an unresponsive elderly male from a nursing home. He has a surgical incision on his right hip that is is red and warm to the touch. You notice widespread deep purple bruising on his body. Vitals sings are BP 80/40 P116 R 10 spo2 89%. You should suspect - correct answer disseminated intravascular coagulation 91. When arriving on a potential HAZMAT incident on the highway you should stage the emergency apparatus. - correct answer Uphill and upwind 20 110 A 22 year old pregnant patient is experiencing a significant amount of painless bleeding shorty after sexual intercourse. The most likely cause is A. pelvic inflammatory disease B. ruptured ovarian cyst C. placenta previ D. abruptio Placentae - correct answer placenta previa 111. An elderly patient has been ill for last few days and has been vomiting. He reports chest discomfort and is now pale and diaphoretic. Vitals BP 130/70 R24. ECG shows (afib RVR) You administer oxygen and now have an IV you should. - correct answer Fluid bolus 112. Signs and symptoms of hypoglycemia may mimic which of the following conditions - correct answer CVA 113. A patient complains of server right upper quadrant pain. Right scapula pain and nausea after eating a cheeseburger you should suspect - correct answer cholecystitis 114. Your patent is suffering from exacerbated emphysema which of the following medications is least likely to be a part of his standard therapy - correct answer nitrates 115. A 7 year old has a suspected broken arm and numerous bruises what finding would lead you to suspect that a mothers account of the injures may not be true. - correct answer You note purple yellow and green bruises ( indicates different stages of healing) 116. A 19 year old female collapsed in the top bleachers during a concert. She is unresponsive and does not appear to be breathing. how should you asses her respiratory status? A. Transport the patient to the ambulance then listen with a stethoscope B. Apply a pulse oximeter C. Insert an oral airway D. Place your hands on the patient's chest - correct answer place a hand on the chest 117. Followng a cardioversion of a 72 year old female she coverts to the rhythm bellow ( 3 degree) you identity this as - correct answer third degree heart block 118. A 13 year old has been found unresponsive. Her mother proves you with a prescription bottle of Oxycontin. What should you give? - correct answer narcan 119 A man was involved in a lateral impact auto accident that deformed the vehicle. The patient could have sustained a? - correct answer traumatic aortic dissection 21 120 You are assisting with vaginal delivery. The infant head has been delivered and the mouth and nose suction. To deliver the anterior shoulder you should - correct answer gently guide the infants head downward 121. A 22 year old female 22 weeks pregnant is experiencing abdominal discomfort during evaluation you notice the umbilical cord is pressing the vaginal canal. How should the patient be positioned A. Semi-fowlers with legs closed B. Left lateral position C. Supine with legs open D. Knee chest position - correct answer supine with legs open 122. Which of the following situations constitutes abandonment? - correct answer A patient is unattended in the ambulance while loading a second patient 123. A patient is arching his back and rolling his eyes upward. He was recently prescribed compazine. How should you teat this patient? - correct answer 25 mg benadryl IVP 124. A 38 year old male has been sick for a few days he is now complaining of sharp mid chest pain vitals 118/69 pulse 124 and regular and R 24 and slight laberod temp 102. You should suspect? - correct answer pericarditis 125 46 year old male is alert oriented and complains of a headache. He has tremors in his hands he has been in the detox unit for 32 hours . Vitals signs are BP 210/100 P100 R 25. He has a history of alcoholism and seizures. He takes tegretol you should administer - correct answer 20mg diazepam 126. You are reliving a crew form a 24 hour shift before you compete the ambulance check you are dispatched to a cardiac arrest with CPR in progress. what should you do before leaving for the call? - correct answer ensure essential equipment is present and the ECG monitor is functional 127. A pregnant patient is experiencing contractions upon examination you notice that the infantst head is bulging from the premium and the patent has the urge to push what stage of labor is this? A. Fourth B. First C. Second D. Third - correct answer two 22 128. you are dispatched to a playground for a patent with difficulty breathing. Upon arrival you find a five year old male who appears anxious with noted cyanosis and intercostal retraction BP 85/pb P112 R24 with swelling of the upper airway. You should suspect - correct answer anaphylaxis 129. A 28 year old female is 34 weeks pregnant and experiences sudden sharp tearing pain in her abdomen and developers a rigid abdomen what should you suspect A. Abruptio placentae B. Placenta previa C. Ruptured append D. Aortic aneurysm - correct answer abruptio placenta 130. After a prehospital delivery the mother should be allowed to breastfeed her newborn because - correct answer breast feeding helps constrict the uterus and reduce bleeding 131. A two year old male has been ill for several days with a respirator tract infection. Yesterday he developed server headache high fever and extreme lethargy. You should suspect. - correct answer meningitis 132. When starting an external jugular IV the needle should point - correct answer toward the feet 133. while using the backwards upward right pressure BURP maneuver during an orotracheal intubation you patient begins to vomit. What should you do? - correct answer Stop the intubation attempt and suction 134. You have just assisted with the delivery of a 32 week old infant. She is apneic and has a pulse of 64. What should you do? - correct answer open the airway ventilate with a bag valve mask for 30 seconds and reassess 135. During a yearly heath screening a clinic discovered your patient has the heart rhythm shown below (bradycardia). She alert and oriented but scared because the clinic call for an ambulance Vital signs bp 114/50 R12 spo2 99%. You should administer - correct answer atropine 136. A 18 year old male was 40 miles into a long distance bike race when he had a syncopal episode and fell off his bike. He responds to painful stimulation BP 60/40 P160 skin cool and diaphoretic. You should administer? - correct answer lactated ringers 137 An 18 year old male suffered second degree burns to his entire head and neck anterior chest and both arms while removing a radiator cap from his overheated engine. Using the rule of nines what percentage of his body is burned? - correct answer 36% 25 156. You have just been stuck with a blood contaminated needle. You should you immediately deal with the exposure? - correct answer wash the affected area with soap and water 157. A container of hydro-flouric acid has spilled at a local metal plant. The hazmat team is responding and you are asked to stage at the front gate of the business where the company safety manger is waiting for you. What info would ou expect his manger to have - correct answer material safety data sheet MSDA 158. A 33lbs child is experiencing fever poor appetite purpura and vomiting. His cap refill is 3 seconds he is tachycardic you should administer - correct answer 300ml of crystalloid solution 159. Your crew is the first unit to arrive for a suspected radiation emergence after a box labeled recitative material was found unattended in a park. What three principals should you follow? - correct answer time distance and shielding 160. A 19 year old male has suffered a significant blunt trauma to his left anterior chest. He is in obvious respiratory distress vital signs are BP 80/p P 140 R 32 lung sounds are diminished and there is dullness to percussion over the left side of the chest. You should suspect A. pneumothorax B. hemothorax C. cardiac tamponade D. tension pneumothorax - correct answer hemothorax 161. Side effects of oral contraceptives include - correct answer pulmonary embolism and stroke. 162. You are first on scene of a car crash. You partner stops the ambulance a safe distance from a single vehicle that crashed into a concrete barrier. Black smoke is coming from underneath the hood. The vehicles only occupant screams for assistance you should? - correct answer rapidly extricate the occupant without a cervical collar 163. A 50 year old female is experiencing chest pressure her ECG is ( a-fib) she becomes unresponsive while you are obtaining iv access her ECG changes to the rhythm below v-tach. What should you do? A. Check for pulse B. Immediately defibrillate C. Administer epinephrine D. Perform synchronized cardioversion - correct answer asses for a pulse 26 164. A 50 year old female is experiencing chest pain then goes into ventricular fibrillation. What should you do? - correct answer Defibrillate 165 The medications prepreanolol atenolol and metoproloe are examples of? - correct answer beta adrengic blockers 165 A 17 year old male alert was struck in abdomen with large wrench vitals 90/78 P128 weak R 22 skin is pale and cool and diaphoretic. The abdomen is bruised and rigid you should? - correct answer rapidly transport to a level one 166. A 14 year old male is found in an intoxicated condition. His friends report he admitted to drinking alcohol taken from his fathers workshop. The container is marked methanol not for human consumption. Definitive treatment for his condition is administration of A. ethylene glycol B. syrup of ipecac C. ethanol D. activated charcoal - correct answer ethanol 167. A 74 year old patent is short of breath he has had a slight fever since yesterday and he suffers from frequent urinary track infections. Lung sounds are present with rhonchi and slight crackles in all fields. Vitals 110/80 P100 R30 temp 102 you should suspect? - correct answer pneumonia 168. The ECG of a post cardiac arrest adult shows sinus tachycardia at a rate of 120 with bp 60/40 you should give? - correct answer dopamine 5-20 169 One year old has been ill with multiple episodes of emesis and diarrhea. Asses shows a lethargic 35 pond child who has mottled skin dry mucous membranes cap >2 sounds P 220. After securing airway you providing high consultation oxygen and establishing an IV you should? - correct answer give 320 cc fluid bolus 170. A 79 year old female complains of labored respirations she is cyanotic and has a history of CHF identify the following rhythm (sinus tach) and appropriate treatment - correct answer sinus tachycardia administer nitroglycerin 171. A patient who complains of pain in left upper quadrant is most likely suffering from - correct answer pancreatitis 172. A 28 year old woman complains of sudden onset severe abdominal pain that radiates to her shoulder 88/60 P 100 R 20 skin cool pale and clammy states her last menstrual period was 8-10 weeks ago you should suspect A. ectopic pregnancy 27 B. ruptured appendix C. pelvic inflammatory disease D. abruptio placenta - correct answer ectopic pregnancy 173. You have just fished a stressful shift. you are frustrated and angry with how some of your calls resolved you should - correct answer talk to an internal critical incident stress counselor 174. A 78 year old female is lying supine in an nursing home bed with labored respiration she is semi-conscious cyanotic and the nurse tells you she has a history of CHF 80/40 spo2 90 monitor shows ventricular tachycardia you should? A. administer oxygen via CPAP B. perform vagal maneuvers C. administer amiodarone IV D. perform synchronized cardioversion - correct answer perform sync cardiovert 175 An adult has a foot laceration from a farming accident he is alert and refusing treatment his religious beliefs do not permit medical you should - correct answer document the patient wishes 176. A 50 year old female tripped down four steps. Her airway is patent radial P 100 R 16 what other initial information do you need to decide if she is unstable? A. Blood glucose level B. Mental state C. Blood pressure D. Neurological deficit - correct answer mental status 177. Management of all newborns includes A. prevention of heat loss, opening the airway and evaluation of the infant B. prevention of heat loss, opening the airway and performing direct tracheal suctioning C. opening the airway and administering high-flow oxygen by positive-pressure ventilation D. opening the airway and blowing oxygen across the infant's nose and mouth - correct answer prevent heat loss opening the airway and evaluating of the infant 178 A 6 year old female has suffered blunt trauma to her upper right quadrant she responds to painful stimulation BP 50/30 P110 you should most likely suspect damage to her? A. ruptured diaphragm