FISDAP Medical Exam Solutions for 2024-2025, Exams of Nursing

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Which of the following meds helps the body transport sugar into the cells? Insulin/ Orinase/ Diabinese/ Oral glucose Insulin A 32 year PT is found unconscious in the snow. You cannot detect a pulse or respiration rate within 10 seconds. What should you do? Give a few rescue breaths then check for a response/ Take at least 2 minutes to detect a pulse rate/ Assess her pulse for 30-45 seconds/ Immediately begin cardio pulmonary resuscitation Assess her pulse for 30-45 seconds /An adult male is sitting alone in a dark room, rocking back and forth. He mutters to his sock puppet, "are you feeling sad?" What should you do? Introduce yourself and start an assessment/ Ask PT if he intends to harm himself or others/ withdraw until ALS arrives/ look for PT's meds Introduce yourself and start an assessment A 42 yo man complains of difficulty breathing and pain in his chest and shoulders. He recalls feeling a sharp pin prick on his arm while cleaning out his basement. What type of spider bite is this man most likely suffering from? Black Widow/ spitting/ woodlouse/ brown recluse Black Widow A car battery exploded in your PT's face. He denies breathing difficulty. You should? Cover eyes with dry/ *cover eyes with moist/ begin irrigating eyes with clean water/ irrigate with vinegar and water

*cover eyes with moist 19 year old F is unresponsive after taking a whole bottle of her sleeping medicine about 4 hours ago. You should? Obtain vital signs/ apply high-flow 02/ insert OPA/ admin activated charcoal Obtain vital signs A 32 year old M complains of photophobia and vomiting. The most likely cause is? Migraine A 68 yo PT reports abdominal pain, vomiting and a loss of appetite, as well as black, tarry stools. Ulcer disease/fecal impaction/ upper GI / Lower GI Lower GI A 21 yo M is unresponsive, has constricted pupils, slow, shallow respirations, you should suspect? Alcohol poison/TBI/diabetic reaction/narcotic OD narcotic OD A Pt tells you he had anemia, you should expect him to present with? Hypertension/jaundice/bradycardia/pallov Jaundice Your epileptic patient complains of persistent metallic taste in her mouth. You should suspect: A seizure may occur/status epilepticus/clonic activity/postictal state A seizure may occur

Pt is having a tonic-clonic seizure and is not breathing. You should: Admin O2 via NRB/check blood glucose level/prevent patient from further injury/insert OPA prevent patient from further injury An 18 yo M states "The CIA is after me" you notice he has covered his head and windows with aluminum foil. When you ask why he says "in order to block out the gov radio waves" vitals are BP 138/34, P 122, R24. You should suspect? Paranoid bipolar disorder/acute anxiety disorder/paranoid schizophrenia/acute panic attack paranoid schizophrenia A patient is running a high fever, vomiting, and reporting pain that has shifted from around her belly button to the lower right area of her abdomen you should suspect? gallbladder disease/pancreatitis/appendicitis/kidney stones appendicitis A 20 yr old male in a college dorm room complains of fever, headache, and a stiff neck. He has an altered mental status, and you notice red blotches on his skin. Which of the following are the most appropriate BSI Precautions Gloves and gown/gloves and goggles/gloves and HEPA mask/gloves and surgical mask gloves and HEPA mask An unconscious patient has one pupil that is significantly larger than the other and not reactive to light. The most likely cause is Drug overdose/ hypoglycemia/ stroke/ glaucoma stroke

What is hyperglycemia? high blood glucose When assessing a patient for facial droop you should? Ask the patient to smile or show his teeth An alert patient has a severe headache/weakness of left arm you should suspect? AMI/stroke/migraine/angina pectoris stroke A 28yr old patient is outside at a concert and appears confused. He is unable to answer your questions. You should Admin oral glucose and then reevaluate the patient/ look for medical identification necklace or bracelet / call medical direction for a consultation on treatment / assess his level of intoxication and look for illicit drug use look for medical identification necklace or bracelet Your first priority when dealing with a patient who is exhibiting behavior issues is Ensure the safety of yourself and your partner/ call local law enforcement for back up/ determine what mental problem the patient has/ find out what meds the patient is on

Ensure the safety of yourself and your partner Which of the following most accurately describes insulin? It helps the liver store glucose/ it increases sugar in the blood/ it helps glucose move into the cells/ it converts glycogen to t helps glucose move into the cells A patient with a headache. How should you position him on the cot? *90 degrees Fowler's/ supine/ trendelenburg/ semi Fowler's 90 degrees Fowler's An unconscious 33 yr old patient was found lying prone in a local park. He was apneic. You should Place the patient in supine position and check airway/ immobilize head, roll patient to supine, and check airway/ assess the scene and surrounding area for safety concerns/ remove the patients clothing and assess for traumatic injuries assess the scene and surrounding area for safety concerns You have been dispatched to a behavioral emergency. The police are on the scene and have asked you to evaluate the patient. You should Restrain the patient to your cot and transport him to the nearest hospital/ search patient for weapons and transport to jail/ *assess patient and transport to appropriate emergency room

assess patient and transport to appropriate emergency room An 18 yr old female has progressively became lethargic at a party. Vital signs are BP 90/60, P 48, R 4 you should suspect Alcohol intoxication/ hypoglycemia/ narcotic overdose/ concussion narcotic overdose 20 yo female is resting after running for 30 minutes. She normally runs 5 miles every day but today she "can't catch her breath". Flushed skin, fast and weak pulse, fast reparations with wheezing, complains of itching arms and chest. Anaphylaxis Unresponsive PT with arms and legs violently jerking. What phase of generalized seizure is this? Clonic 78 yo male Alzheimer's PT has bruising on back, neck and stomach. Caregiver insists that he fell out of bed. Immediately notify law enforcement to take a report Elderly PT complains of abdominal pain and back pain. Has tarry stools for three days. GI bleeding

PT family reports a glucometer reading of 57mg/dL Low 82 yo female complains of nausea and vomiting for two days. She ran out of her prescription heart medicine last week. BP 158/92, P 92 irregular, R 18 Admin 02 and monitor vitals PT is at an outdoor garden center on a hot and humid day. PT is pale, wheezing, and has hives. Bee sting 16 yo female with severe abdominal pain. "hasn't had period in two months and the pain started this morning" BP 90/70, P 130, R 28. Skin is pale and cool Hypovolemic A hiker is found in the mountains. PT is flushed and their mucous membrane is slightly blue. Low 02 level 23 yo male with bipolar disorder. Depressed and locked himself inside the bathroom. Call law enforcement to secure the scene

PT has irregular respirations and is agitated. Is pacing back and forth. Skin is cool and clammy. Hypoglycemia Epinephrine effects on cardiovascular system Constricts blood vessels 71 yo male is unconscious and cold to the touch at a park. He is a resident of the Alzheimer's center. Outside temperature is in the low teens. What do you keep in mind when trying to obtain a pulse? Pulse should be palpated in two places 31 yo male is vomiting and has diarrhea for 10 hours. Complains of weakness and light headedness upon standing. Pale and diaphoretic. Vitals should be: BP 90/60, P 124, R 20 20 yo female is unconscious after being submerged in a lake for three minutes. She has a pulse and agonal breathing. BVM 72 yo female has slurred speech and left arm weakness prior to EMS arriving. What do you think happened Transient Ischemic Attack

Middle aged PT outside a homeless shelter. Coughs up pink sputum and passes out. N95 respirator prior to continuing assessment 42 yo female states she is "having the worst headache of my life". Vomitting. BP 180/90, P 68, R 14 Migraine (May also be Stroke (aneurism)) 5 employees feel "light-headed". They have respiratory problems after working in a packing company. Toxic substance exposure Characteristics of TIA Resolves within 24 hours Strongly indicates syncope Blacked out for a few seconds PT has DKA and is now unconscious and breathing deeply Hyperglycemia When treating PT with altered behavior: Consider any possible medical cause

Elderly PT has been drinking all afternoon. En route to the hospital he has become confused and slow to respond to questions. Check blood glucose level 15 yo soccer player is hot, pale, and semiconscious Remove PT from hot environment A 19 year old male was stung by a bee and the stinger is still embedded in his skin. He is allergic to bees. Vital signs are BP 124/76, P 92, R 16 and SpO2 98%. What should you do? Remove the stinger by scraping the skin with a card There's an unresponsive medical PT. What is the primary focus? *Chief complaint 23 yo female complains of fever, muscle aches, and congestion. Is pale. BP 94/60, P 120, R 24. Roommate feels the same. Influenza PT is at a fertilizer plant and spilled lye all over their body *Brush powder off

To assess possible stroke PT for abnormal speech Ask PT to repeat a common phrase 40 yo unconscious PT was working in 90 degree Fahrenheit for the last 5 hours Move PT to a cool environment, remove clothing, give a cold pack, and give 02 Elderly Pt is malnourished and wearing inadequate clothes for the current temperature. They are lying on soiled bedding and has a strong smell of urine all over the house. Caregiver daughter says mother refused to get out of bed most days, won't do housekeeping, and not taking medication. Report suspicion of neglect to medical director and local abuse agency When administering epinephrine auto-injector Firmly apply injection to thigh for ten seconds Virus and bacteria Pathogen Seeing and hearing things not present. Which type of drug? Hallucinogen Cincinnati Prehospital stroke scales assesses for facial droop

Employee was cleaning the bathroom and came out gagging and coughing. Eyes are red and watering. Has dyspnea. Move PT to well ventilated area Signs of hypoglycemia Cold, clammy skin When assessing for arm drift you should ask the patient to? Hold arms out with palms out and eyes closed 46 yo male has sudden onset of left side weakness and slurred speech. BP 188/92, P 58, R 12. Ischemic stroke Contraindication of admin oral glucose Unconscious 38 yo has a history of hypothyroidism. Is hypertensive, tachycardic, hyperthermic. There is an empty bottle of Synthroid nearby. Contact poison center or medical command

87 yo has a productive cough over the past three days and confusion over the past day. There is rhonci and wheezing in the right lung. BP 116/92, P 92, R 24, and temp is 101 degrees Fahrenheit. Pneumonia 50 yo male that went through renal dialysis and is bleeding profusely from the shunt. You should classify the bleeding as? Life threatening that requires immediate surgical intervention An alert 56 yo female has severe headache and weakness in the left arm. BP 188/92, P 106, R 14 Stroke 72 yo male has weak hand grips, blurred vision, and unable to tell what day it is. He has type II diabetes. Evaluate facial droop PT has bee allergy, was stung and says their throat is itchy. Lips are swelling, PT has an EpiPen Assist with EpiPen Assessment findings that suggest a gastrointestinal GI bleed would be *Bright red blood from the rectal area