PHTLS 10th Edition (Latest 2024) Questions with Complete Grade A+ Answers verified, Exams of Nursing

Download PHTLS 10th Edition (Latest 2024) Questions with Complete Grade A+ Answers verified and more Exams Nursing in PDF only on Docsity! PHTLS 10th Edition (Latest 2024) Questions with Complete Grade A+ Answers verified A 27 year old female has multi system trauma. Which life threat is your first priority? - Answer- Significant external hemorrhage Which type of skull fracture will cause leakage of cerebrospinal fluid from the ears and nose? - Answer- Basilar 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 a daily anticoagulant. What should your initial treatment be? - Answer- Move patient to a warm environment A 14 year old male suffered from helmet-to-helmet contact during a football game followed by a 30 second period of unconsciousness. Initial exam shows that he is awake but slow to respond. He is nauseated and has a headache. He becomes unresponsive during transport. Examination of the pupils reveals a left pupil that is dilated and not reactive. What type of hemorrhage should you suspect? - Answer- Epidural 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, R 26 and irregular, HR 62, BGL 150 mg/dL (8.3 mol/L). What should you suspect? - Answer- Subdural hematoma An adult patient was involved in a motorcycle accident. Why should you remove his or her helmet? - Answer- To manage the airway A 28 year old male fell from his motorcycle during a low speed accident. He removed his own helmet after the accident. He has an open left femur fracture with severe external bleeding from the wound. What should you do? - Answer- Apply direct pressure to the wound An adult patient has an open angulated injury to the left lower leg. Distal pulses are absent. Why would you attempt to realign the extremity? - Answer- Restore blood flow A 20 year old male was hit in the chest with a baseball bat. He4 complains of severe pain and tenderness to the left side. He is unable to take a deep breath. Vital signs are BP 112/76, P 98, R 20 regular, and ETCO2 38mmHg. What should you do? - Answer- Administer 100 mcg of Fentanyl A 13 year old male was riding on an all-terrain vehicle when he drove into a wire fence. He's sitting on the ground with a towel over his lower face. He has an open jaw fracture. What is your primary concern? - Answer- Obstruction of the airway An adult patient has partial thickness burns to his or. her anterior chest and abdomen, the entire right arm, and the palm of the left hand. What percent of the total body surface area is affected? - Answer- 28% 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 apenic. What should you do? - Answer- Insert an oropharyngeal airway and assist ventilations What type of burn should be treated as a life or limb threatening injury due to constriction of the injured tissues? - Answer- Circumferential A 26 year old female was the unrestrained driver of a head on collision. Her Glascow Coma Scale score is 4 (E1, V1, M2). Vital signs are BP 156/78, P 66, R 12 and irregular, and her pupils are unequal. What should you do? - Answer- Assist ventilations at a rate of 20 breaths per minute Which of the following presents the greatest risk for EMS provider fatalities? - Answer- Motor vehicle collision either in an EMS unit or on-scene A 50 year old male fell from a 6th story balcony. Intubation attempts have been unsuccessful. His Glasgow Coma Scale score is 6 (E1, V1, M4). You note agonal respirations. What should you do first? - Answer- Insert a superglottic airway device A 22 year old male was involved in a car crash and hit a tree head-on. The patient is on the ground outside the vehicle and is unconscious. His forearm is avulsed and you note a large pool of blood with active bleeding. His breathing is deep and labored. What should you do? - Answer- Apply a tourniquet 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 note blood pooling on his seat. Vital signs are P 130, R 8. How should you remove this patient from the vehicle? - Answer- Rapidly extricate the patient A 3 year old female was involved in a car crash with 2 feet (61 cm) of intrusion into the passenger compartment. She is crying and has an obvious deformed right humerus. Her car seat has a crack on the side of impact. What should you suspect? - Answer- Significant energy has been distributed to this patient A 33 year old female has a Glasgow Coma Scale score of 3 (E1, V1, M1) after being ejected from a motor vehicle. How should you prepare to intubate? - Answer- Maintain spinal precautions and use a video laryngoscope if available What is a priority treatment for an internal hemorrhage due to a pelvic fracture? - Answer- Binder application What is an early finding in compartment syndrome? - Answer- Pain A 28 year old female has suffered a head injury after falling from a horse. He Glasgow Coma Scale score is 6 (E1, V1, M4) and she has snoring respirations at 8 per minute. Which should you do first? - Answer- Place an oropharyngeal airway Upon examining a 43 year old male, you note unequal breath sounds. What is a sign or sympton of a simple pneumothorax? - Answer- Shortness of breath, decreased lung sounds on affected side A 78 year old female fell 12 hours ago. Now she complains of 10/10 hip and groin pain during movement. Vital signs are BP 98/50, P 132, R 26. What should you administer? - Answer- Ketamine A 42 year old female has been pulled from a smoke-filled apartment. Her mouth and nose are covered in soot. She has a weak, hoarse cry with inspiratory stridor. What should you do? - Answer- Prepare for a difficult intubation An anxious 54 year old female complains of chest pain. She hit the steering wheel after a car crash at highway speeds. Her sternum is red and tender. Vital signs are BP 100/68, P 112, R 28 and clear, SpO2 92%. What should you suspect? - Answer- Cardiac contusion A 28 year old male was ejected during a car crash. He is unconscious and has no obvious bleeding. Vital signs are BP 70/40, P 120, R 22. What type of shock would you expect? - Answer- Hemorrhagic shock 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? - Answer- Initiate spinal motion restriction and transport 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? - Answer- Perform a modified jaw thrust Which of the following physiological changes associated with aging may contribute to an increased incidence of falls among the elderly? - Answer- Declining visual acuity A 32 year old male was ejected from a motor vehicle. He is unconscious with agonal respirations. Upon assessment, you not a dilated right pupil. What is the best device to secure the airway? - Answer- Endotracheal tube