PHTLS 10th Ed Exam Questions And Answers, Exams of Nursing

Download PHTLS 10th Ed Exam Questions And Answers and more Exams Nursing in PDF only on Docsity! PHTLS 10th Ed Exam Questions And Answers A 78-year-old female was involved in a minor car crash. She is shivering and exhibits repetitive questioning. She is a type II diabetic and takes an anticoagulant. What should your initial treatment be? - - correct answer ✅Move patient to a warm environment A 29-year-old male falls 17 feet (5m) to the ground from a tree. He complains of pain with movement and pain on the right side of his chest when he breathes. You note accessory muscle use, focal tenderness, bony crepitus, and absent breath sounds on his right side. What should you suspect? - - correct answer ✅Simple pneumothorax A 55-year-old male has burns to both lower extremities from a car crash. He is awake and in severe pain. Assessment reveals dry, white, leathery, appearance in both lower extremities. What is the burn classification? - - correct answer ✅Full thickness Which of the following physiological changes associated with aging may contribute to an increased incidence of falls among the elderly? - - correct answer ✅Declining visual acuity Which type of shock included neurogenic and anaphylactic shock? - - correct answer ✅Distributive A 13-year-old male was a restrained passenger in a car crash at highway speed. He is alert and oriented on-scene and walking around. What PHTLS 10th Ed Exam Questions And Answers should you do? - - correct answer ✅Consider spinal motion restriction and assess his c-spine A 24-year-old construction worker amputated his thumb. How should you manage the amputation? - - correct answer ✅Wrap in moistened gauze A 41-year-old male was stabbed in the chest immediately below the sternum. He complains of shortness of breath and has engorged jugular veins. Vital signs are BP 108/84, P 130 R 26. What should you suspect? - - correct answer ✅Cardiac tamponade A 50-year-old male fell from a 6th story balcony. Intubation attempts have been unsuccessful. What should you do first? - - correct answer ✅Insert a supraglottic airway device A 44-year-old male was ejected from a truck traveling 36mph (60kph). He is lying supine on the ground and has snoring respirations. What should you do first? - - correct answer ✅Manually stabilize the cervical spine A 46-year-old male is trapped in his vehicle after a high speed front-end collision. He is slow to respond to questions. You see blood pooling on his seat. Vital signs are P 130 R 8. How should you remove this patient from the vehicle? - - correct answer ✅Rapidly extricate the patient PHTLS 10th Ed Exam Questions And Answers sputum. He complain of chest pain, decreased breath sounds on the left lateral side, has crepitus on palpation of his ribs, and his jugular veins are flat. Vital signs are BP 88/56, P 120, R 24, Spo2 92%. What should you suspect? - - correct answer ✅Hemothorax Upon examining a 43-year-old male, you note unequal breath sounds. What is a sign or symptom of a simple pneumothorax? - - correct answer ✅Shortness of breath, decreased lung sounds on affected side A 26-year-old male is supine on the ground. He was assaulted and has obvious head and facial trauma. He has snoring respirations at a rate of 8 per minute. What should you do? - - correct answer ✅Perform a modified jaw thrust A 27-year-old female has multisystem trauma. Which life threat should be your first priority? - - correct answer ✅Significant external hemorrhage An adult patient has partial thickness burns to his or her anterior chest and abdomen, entire right arm, and the palm of the left hand. What percent of the total body surface area is affected? - - correct answer ✅28% PHTLS 10th Ed Exam Questions And Answers An adult patient has an open angulated injury to the left lower leg. Distal pulses are absent. Why should you attempt to realign the extremity? - - correct answer ✅Restore blood flow What type of burn should be treated as a life or limb threatening injury due to constriction of the injured tissues? - - correct answer ✅Circumferential A 10-year-old male fell from his bicycle and sustained abrasions to his left leg and left arm. He is alert and oriented. What should you do first? - - correct answer ✅Complete a primary and secondary assessment A 32-year-old male was ejected from a motor vehicle. He is unconscious with agonal respirations. Upon assessment, you note a dilated right pupil. What is the best device to secure the airway? - - correct answer ✅Endotracheal tube An 8-year-old female is being treated in the red treatment area after a housing complex fire. Vital signs are P 140, R 12, with noted stridor. Her eyebrows and hair are burnt. Suddenly, she becomes apneic. What should you do? - - correct answer ✅Insert an oropharyngeal airway and assist ventilations A 23-year-old male was skateboarding down a ramp when he flipped over and landed on his head. He is clenching his jaw and you are unable PHTLS 10th Ed Exam Questions And Answers to insert an oral airway. He thrashes his heads when you attempt to provide bag-mask ventilations. His oxygen saturation is decreasing, and his ETCO2 is increasing. What is the best option to secure his airway and provide effective ventilations? - - correct answer ✅Pharmacologically assisted intubation Which of the following presents the greatest risk for EMS provider fatalities - - correct answer ✅Motor vehicle collision either in an EMS unit or on-scene An 80-year-old female fell down a flight of stairs 3 days ago. Today the family reports she has a headache and is going "in and out of consciousness." Vital signs are BP 170/72, R26 and irregular, P 62, BGL 150 mg/dL (8.3 mmol/L). What should you suspect? - - correct answer ✅Subdural hematoma Which type of skull fracture will cause leakage of cerebrospinal fluid from the ears or nose? - - correct answer ✅Basilar A 4-year-old female fell down approximately 8 carpeted stairs. Her parents said she initially complained of neck pain and a tingling sensation in all four extremities, but the symptoms have since resolved. What should you do? - - correct answer ✅Initiate spinal motion restriction and transport