PHTLS 9th Edition Self-test Questions and Answers, Exams of Nursing

Download PHTLS 9th Edition Self-test Questions and Answers and more Exams Nursing in PDF only on Docsity! [D at e] 1 PHTLS 9th Edition Self-test Questions and Answers Latest Update 2023 … 30 year old male is injured in Confirm the tourniquet was properly a terror bombing. He experiences applied. traumatic amputation of his left leg at knee level. An improvised tourniquet was put in place by bystanders. The victim is conscious and in severe pain. You first action should be to do which of the following? 1. Which of the following information vitals is assessed during the secondary survey? 2. When caring for a trauma patient a principle is what is necessary for patient improvement or survival. A preference is how the principle is achieved and depends upon four factors. The factors used to accomplish the preference in treating the patient include all except: a. Condition of the patient b. Equipment available c. Situation that exists d. Research information When caring for a trauma patient a principle is what is necessary for patient improvement or survival. A preference is how the principle is achieved and depends upon four factors. The factors used to accomplish the preference in treating the patient include all except: a. Condition of the patient b. Equipment available c. Situation that exists*d. Research information* [D at e] 2 4. Approximately 20% of all child abuse is the result of intentional burning. The majority of the children intentionally burned are of what age? a. 0 to 12 years of age b. 5 to 6 years of age c. 1 to 2 years of age d. Less than 1 year of ageApproximately 20% of all child abuse is the result of intentional burning. The majority of the children intentionally burned are of what age? a. 0 to 12 years of age b. 5 to 6 years of age *c. 1 to 2 years of age* d. Less than 1 year of age 5. In addition to glucose, what is required to maintain the metabolic In addition to glucose, what is required to maintain the metabolic processes of 8. The most appropriate airway maneuver in the initial management of a trauma patient is which of the following? processes of life and energy pro- life and energy production? duction? a. Carbon monoxide a. Carbon monoxide b. Krebs cells b. Krebs cells c. Lymphocytes c. Lymphocytes *d. Oxygen* d. Oxygen 6. You respond to a patient who has You respond to a patient who has sussustained a stab wound to the left tained a stab wound to the left upper upper thorax. She is barely respon- thorax. She is barely responsive, pale sive, pale and diaphoretic. Which and diaphoretic. Which of the following of the following is the most appro- is the most appropriate for transport? priate for transport? a. Stair chair a. Stair chair b. Long board with full spine immobi- b. Long board with full spine immo- lization bilization *c. Scoop stretcher* c. Scoop stretcher d. Short immobilization device d. Short immobilization device 7. Units responding to a motor vehi- Units responding to a motor vehicle accle accident on the highway should cident on the highway should consider consider which of the following which of the following as part of their as part of their pre-arrival assess- pre-arrival assessment? ment? a. Calling for more units to respond a. Calling for more units to respond *b. Weather conditions* b. Weather conditions c. The need for immediate transport c. The need for immediate trans- d. Post-exposure prophylaxis port d. Post-exposure prophylaxis [D at e] 5 19. The most common type of shock resulting from trauma is? a. Neurogenic b. Septic c. Spinal d. Hemorrhagic The most common type of shock resulting from trauma is? a. Neurogenic b. Septic c. Spinal *d. Hemorrhagic* 21. A 38-year-old male sustains a large wound to his right thigh while at work. Which of the following actions is the most important initial step? a. Obtain IV access and infuse crystalloid b. Administer supplemental oxy-gen c. Hemorrhage control d. Rapid transport A 38-year-old male sustains a large wound to his right thigh while at work. Which of the following actions is the most important initial step? a. Obtain IV access and infuse crystal-loid b. Administer supplemental oxygen*c. Hemorrhage control* d. Rapid transport 22. You respond to a local bar for an unconscious person. On arrival, you are met by a police officer who reports that one of their "regular alcoholics" was found in the alley behind the bar. On exam, you note the smell of an alcoholic beverage as well as the following: Patient flexes his arms to painful stimuli, has bilateral fixed and dilated pupils, irregular respirations at 12 breaths per minute and a BP of 210/100. What condition do you suspect? a. Subarachnoid hemorrhage b. Alcohol poisoning You respond to a local bar for an unconscious person. On arrival, you are met by a police officer who reports that one of their "regular alcoholics" was found in the alley behind the bar. On exam, you note the smell of an alcoholic beverage as well as the following: Patient flexes his arms to painful stimuli, has bilateral fixed and dilated pupils, irregular respirations at 12 breaths per minute and a BP of 210/100. What condition do you suspect? a. Subarachnoid hemorrhage b. Alcohol poisoning c. Epidural hematoma*d. Subdural hematoma* 20. 18. Which of the following best Which of the following best guides the guides the decision to provide decision to provide spinal immobilizaspinal immobilization? tion? a. History and complaint a. History and complaint b. Obvious signs of associated in- b. Obvious signs of associated injury jury c. Avoid due to possible pressure sores c. Avoid due to possible pressure *d. Mechanism alone* sores d. Mechanism alone [D at e] 6 26. Which best describes the goal of airway management in a trauma patient? a. Perform complex airway maneu-vers b. Perform a surgical Cricothyroto- my c. Provide for adequate exchange Which best describes the goal of airway management in a trauma patient? c. Epidural hematoma d. Subdural hematoma 23. The pre-hospital assessment of The pre-hospital assessment of the the trauma patient begins with trauma patient begins with which of the which of the following? following? a. Assessment of scene safety and a. Assessment of scene safety and sit- situation uation b. Information provided by the dis- *b. Information provided by the dis- patcher patcher* c. The initial assessment c. The initial assessment d. The primary survey d. The primary survey 24. EMS responds for a patient in- EMS responds for a patient involved in volved in a motorcycle vs. car col- a motorcycle vs. car collision. The palision. The patient is unresponsive tient is unresponsive with no movement with no movement of lower extrem- of lower extremities and loss of temperities and loss of temperature con- ature control below the T10. Which type trol below the T10. Which type of of shock is the patient experiencing? shock is the patient experiencing? a. Cardiogenic a. Cardiogenic b. Hypovolemic b. Hypovolemic *c. Neurogenic* c. Neurogenic d. Obstructive d. Obstructive 25. Which of the following is the best Which of the following is the best indiindicator of shock? cator of shock? a. Depressed level of cognition *a. Depressed level of cognition* b. Heart rate of 80 b. Heart rate of 80 c. Respirations of 18 c. Respirations of 18 d. GCS of 15 d. GCS of 15 [D at e] 7 a. Perform complex airway maneuvers b. Perform a surgical Cricothyrotomy*c. Provide for adequate exchange of oxygen and C02* d. Perform RSI of oxygen and C02 d. Perform RSI 27. What is the most common cause What is the most common cause of of airway obstruction in the unre- airway obstruction in the unresponsive sponsive trauma patient?trauma patient? a. Blood a. Blood b. Teeth b. Teeth c. Tongue *c. Tongue* d. Vomitus d. Vomitus 28. While caring for a patient who was While caring for a patient who was involved in an altercation, he vom- involved in an altercation, he vomits its and his airway is totally ob- and his airway is totally obstructed with structed with vomitus and blood. vomitus and blood. What is the most What is the most important action? important action? a. Performing an RSI a. Performing an RSI b. Performing a head-tilt chin lift b. Performing a head-tilt chin lift c. Intubating c. Intubating 29. When energy produced by the cells When energy produced by the cells ococcurs during a state of adequate curs during a state of adequate oxyoxygenation, it is referred to as genation, it is referred to as which of the which of the following conditions? following conditions? a. Aerobic metabolism b. Anaerobic metabolism c. Lactic acidosis d. Lactic alkalosis *a. Aerobic metabolism* b. Anaerobic metabolism c. Lactic acidosis d. Lactic alkalosis 30. Which of the following signs of shock is found during the secondary survey? a. Absent radial pulse b. Decreased LOC c. Increased respiratory rate d. Low blood pressure measure-ment Which of the following signs of shock is found during the secondary survey? a. Absent radial pulse b. Decreased LOC c. Increased respiratory rate *d. Low blood pressure measurement* d. Suctioning the airway *d. Suctioning the airway* [D at e] 10 39. Hypoperfusion will affect which of Hypoperfusion will affect which of the the following organs first? following organs first? a. Kidney a. Kidney b. Gl tract b. Gl tract c. Brain *c. Brain* d. Liver d. Liver 40. A 23-year-old male construction A 23-year-old male construction worker worker fell approximately 30 feet fell approximately 30 feet from a roof. from a roof. The patient is unre- The patient is unresponsive to all stimsponsive to all stimuli; his R pupil uli; his R pupil is 7mm and non-reactive is 7mm and non- reactive and his l and his l pupil is 3mm. He has irregular pupil is 3mm. He has irregular res- respirations at 8 breaths per min. You pirations at 8 breaths per min. You do not have waveform capnography, so do not have waveform capnogra- what is the most appropriate rate of phy, so what is the most appropri- ventilations? ate rate of ventilations? a. 30 BPM a. 30 BPM b. 25 BPM b. 25 BPM *c. 20 BPM* c. 20 BPM d. 12 BPM d. 12 BPM 41. A 30-year-old male is thrown from A 30-year-old male is thrown from his his horse, landing on the top rail of horse, landing on the top rail of a pipe a pipe fence and now has a loss of fence and now has a loss of sensation sensation from the nipples down. from the nipples down. What level of the What level of the spine do you sus- spine do you suspect he injured? pect he injured? a. C3 a. C3 *b. T4* b. T4 c. T10 c. T10 d. T12 d. T12 42. In a patient with a suspected trau- In a patient with a suspected traumatic matic brain injury, what is the most brain injury, what is the most concernconcerning physical finding? ing physical finding? a. BP 140/90 a. BP 140/90 b. Heart rate of 58 b. Heart rate of 58 c. Respiratory rate of 30 c. Respiratory rate of 30 d. Altered level of consciousness *d. Altered level of consciousness* 43. You have a patient who is 35 weeks You have a patient who is 35 weeks pregnant who was assaulted by pregnant who was assaulted by her her boyfriend. Patient is having se- boyfriend. Patient is having [D at e] 11 severe abvere abdominal pain described as dominal pain described as "tearing" "tearing" and on exam you note her and on exam you note her abdomen is abdomen is asymmetrical and be- asymmetrical and believe you can feel lieve you can feel the fetus through the fetus through the abdominal wall. the abdominal wall. What condition What condition do you suspect? do you suspect? a. Placenta previa a. Placenta previa b. Abruptio placenta b. Abruptio placenta *c. Ruptured uterus* c. Ruptured uterus d. Abdominal aortic aneurysm d. Abdominal aortic aneurysm 44. EMS responds to an adult barista EMS responds to an adult barista who who spilled a cup of hot coffee and spilled a cup of hot coffee and sussustained partial-thickness burns tained partial-thickness burns to the to the abdomen and right leg. Ini- abdomen and right leg. Initial treatment tial treatment of this injury would of this injury would include: include: a. Apply antibiotic ointment a. Apply antibiotic ointment *b. Run copious amounts of room tem- b. Run copious amounts of room perature water over the burn* temperature water over the burn c. Cover burned area with dry sterile c. Cover burned area with dry ster- dressings ile dressings d. Cover burned area with moist sterile dressings d. Cover burned area with moist sterile dressings 45. Prehospital providers have treat- Prehospital providers have treated a ed a sucking chest wound with an sucking chest wound with an occlusive occlusive dressing. During trans- dressing. During transport to the hospiport to the hospital the patient de- tal the patient develops increasing resvelops increasing respiratory dis- piratory distress with increased respiratress with increased respirations tions and absent lung sounds are notand absent lung sounds are not- ed on repeat auscultation. What is the ed on repeat auscultation. What is most appropriate next intervention? the most appropriate next inter- *a. Release the occlusive dressing* vention? b. Perform needle decompression a. Release the occlusive dressing c. Provide positive-pressure ventilation b. Perform needle decompression d. Perform endotracheal intubation c. Provide positive-pressure venti-lation d. Perform endotracheal intubation 46. EMS arrives on a scene and finds EMS arrives on a scene and finds that that emergency medical respon- emergency medical responders have ders have attempted to immobi- attempted to immobilize a pediatric palize a pediatric patient onto a long tient onto a long backboard. They note backboard. They note that the pa- that the patient's head is in a flexed tient's head is in a flexed position. position. Which of the following actions Which of the following actions is is the most appropriate? the most appropriate? a. Adjust the cervical collar a. Adjust the cervical collar b. Logroll patient into a left lateral re- b. Logroll patient into a left lateral cumbent position [D at e] 12 recumbent position c. Place padding under the patient's c. Place padding under the pa- head and neck tient's head and neck *d. Place padding under the patient's d. Place padding under the pa- torso* tient's torso 47. Falls are the most common cause Falls are the most common cause of of death in trauma patients over death in trauma patients over ____ ____ years of age. years of age. a. 65 a. 65 b. 75 *b. 75* c. 55 c. 55 d. 69 d. 69 48. What is the earliest sign of deterio- What is the earliest sign of deterioration ration in a patient with a flail chest? in a patient with a flail chest? a. Respiratory rate increase *a. Respiratory rate increase* b. Oxygen saturation decrease b. Oxygen saturation decrease c. Pulse rate increase c. Pulse rate increase d. Blood pressure decrease d. Blood pressure decrease 49. EMS is treating a 24-year-old soc- EMS is treating a 24-year-old soccer cer player who was kicked in the player who was kicked in the chest. chest. Prehospital providers note Prehospital providers note paradoxiparadoxical movement of a portion cal movement of a portion of the paof the patient's chest wall. The pa- tient's chest wall. The patient's respiratient's respiratory rate is 16 and tory rate is 16 and oxygen saturation oxygen saturation is 94%. What is is 94%. What is the most appropriate the most appropriate action? action? a. Endotracheal intubation a. Endotracheal intubation b. Provide supplemental oxygen *b. Provide supplemental oxygen and and transport to a trauma center transport to a trauma center* c. Place bulky dressing over the c. Place bulky dressing over the wound wound and tightly wrap the chest and tightly wrap the chest d. Stabilize the segment with sand- d. Stabilize the segment with sandbags bags on the chest on the chest 50. Prehospital providers respond to a Prehospital providers respond to a 17-year-old male who fell through 17-year-old male who fell through a a sliding glass door and sustained sliding glass door and sustained a large a large laceration to his arm that is laceration to his arm that is bleeding bleeding heavily. He is restless and heavily. He is restless and diaphoretic, diaphoretic, with a weak, thready with a weak, thready pulse. What is the pulse. What is the most appropri- most appropriate first action? ate first action? a. Apply a tourniquet