PHTLS - Post Test, 10th Edition-with 100% verified solutions-personalized successs, Exams of Nursing

Download PHTLS - Post Test, 10th Edition-with 100% verified solutions-personalized successs and more Exams Nursing in PDF only on Docsity!

1. Care of the trauma patient in the field is an involving science and should be evidence-based. As lifelong learners, we must be prepared to adapt our practices based on research. This is because research may lead to which of the following?
2. In trauma care, a Principle is defined as which of the following?
3. In addition to oxygen what is required to maintain the metabolic processes of life and energy production?
4. You respond for a patient who is sustained a GSW to the right upper thorax he is barely responsive, pale, and diaphoretic which of the following is most appro- priate for transport?
5. Units responding to a motor vehicle accident on the highway should consider which of the following as part of their pre-arrival assessment? Change in our cur- rent practices What needs to be done Glucose Scoop stretcher Weather condi- tions
6. The most appropriate for airway maneuver for trauma Trauma jaw thrust patients as which of the following?
7. Endotracheal intubation is a technique that requires which of the following?
8. Which of the following indicates that a trauma patient is having trouble breathing?
9. The patient presents with a blunt trauma injury to the chest. On exam, he has absent breath sounds on the one side of his chest and respiratory distress which additional sign would indicate that the patient has a tension pneumothorax? Substantial train- ing to maintain proficiency The patient breathing is no- ticeable Hemodynamic compromise
10. Hemostatic agents

In addition to direct pressure, tourniquets and im- mobilizing fractures, which of the following is most effective by controlling hemorrhage

11. Which of the following is a preventable cause of sec- ondary brain injury?
12. You're call to treat a patient who was knocked uncon- scious when he slipped and fell on a wet floor striking his head. it is now several hours later he is awake but confused, does not recall the incident, and is vomiting with a headache. which of the following injuries is most likely?
13. Which of the following findings indicate the need for immobilization when using a selective spinal immobi- lization protocol?
14. Which of the following patients should be treated first in a blast-related multiple patients situation?
15. Excessive fluid resuscitation of the trauma patient can result in which of the following?
16. When should the secondary survey be accom- plished?
17. When approaching a trauma patient what is the first thing must be made?
18. What is the most common type of shock resulting from trauma?
19. Which of the following best guides the decision to provide spinal immobilization? Systemic hypoxia Concussion Pain or tenderness along the spine A 30-year-old fe- male with altered level of conscious- ness and de- creased capillary refill Increased blood loss When the time and situation allow Scene safety Hemorrhagic History and com- plaint

20. A 38 male sustained a large wound to his right thigh while at work what are the following actions is the most important initial step?
21. A patient who sustained extensive blunt trauma to his trunk has absent lung sounds on the right, marked respiratory distress, tachycardia and hypertension. What is the most appropriate intervention?
22. The prehospital assessment of the trauma patient be- gins of which of the following?
23. EMS response for patient valve in a motor vehicle versus car collision. The patient is unresponsive with vital signs of BP 82/palpitation, are our 24, pulse 128. What is the most likely type of shock? Hemorrhage con- trol Needle decom- pression Information pro- vided by the dis- patcher Hypovolemic
24. Which of the following best describes shock? A state of inade- quate energy pro- duction/ low perfu- sion
25. What is the most common cause of airway obstruction in the unconscious trauma patient?
26. While caring for a patient who was involved in an al- tercation, he vomits and his airways totally obstructed with vomitus and blood. What is the maximum amount of time that you can suction his airway?
27. When energy produced by cells occurs during the state of inadequate oxygenation, it is referred to as which of the following conditions?
28. Which of the following signs of shock is not found during the primary survey?
29. Tongue Until his airways clear Anaerobic metab- olism Low blood pres- sure measure- ment

EMS response for a patient who has sustained a blunt injury to the head. She had a period of conscious- ness followed by a brief period of consciousness and then became unresponsive just as EMS arrived. Based solely on this information, what is the most likely injury?

30. Inadvertent hyperventilation of a patient with suspect- ed traumatic brain injury may lead to which complica- tion?
31. Spinal cord injuries can lead to hypotension due to which of the following physiologic changes?
32. Which subset of patients compensates for blood loss the longest?
33. A 55 - year-old male is found unconscious after being assaulted. Assessment reveals snoring respirations, bradypnea, facial swelling, and unequal pupils. What is the most appropriate first step?
34. What is the best method for confirming proper place- ment of an endotracheal tube in a trauma patient that has a palpable pulse?
35. Which best describes the goal of airway manage- ment?
36. What is most likely source of hemorrhage in a patient with unexplainable signs of shock?
37. Which of the following organs are most sensitive to hypotension? Epidural hematoma Cerebral vasocon- striction Vasodilation below the level of injury Pediatrics Jaw thrust maneu- ver Capnography Provide for ade- quate exchange of oxygen and CO Intra-abdominal injury Brain
38. After falling from the third story at a construction site, 20 BPM a 27-year-old male is found in contrast with unequal pupils and a regular respirations. Which of the follow- ing is most appropriate rate of ventilations?

39. After falling from The high bar, a gymnast has loss of senstation from the nipples down what area of the spine is most likely damage?
40. What is the most important physical finding a patient with a suspected traumatic brain injury?
41. Prehospital the writers respond to a male patient lying on the ground after being struck by a high-speed mo- tor vehicle. The patient is apneic and pulseless. What is the most appropriate action?
42. EMS response and adult barista who spilled a cup of hot coffee and sustained partial thickness burns to the abdomen and right leg. The patient ran cool water over the branch which of the following interventions is most appropriate next up?
43. Prehospital providers have treated a sucking chest wound with an occlusive dressing. During transport to the hospital, the patient developed increasing respira- tory distress with increased respirations and absent lung sounds are noted on repeat auscultation. What is the most appropriate next intervention?
44. EMS arrived on scene and finds a emergency medical responder to immobilize a pediatric patient onto a long backboard. They know that the patient's head is in a flex position. Which of the following actions is most appropriate?
45. What is the most common cause of death from trauma patients over 75 years of age?
46. Which of the following is the earliest signs of deterio- ration in a patient with a flail chest?
47. EMS is treating an unrestrained driver of an auto- mobile involved in a high-speed crash who struck

T

Abnormal levels of consciousness Declare the pa- tient dead. .. (This was the actual an- swer on the test...) Cover burn area with dry sterile dressing's Remove the occlu- sive dressing Place padding un- der the patients torso Falls respiratory rate in- crease

his chest against the steering column. Prehospital providers no paradoxical movement of a portion of the patient's chest wall. The patient's respiratory rate is 16 and oxygen saturation is 94%. What is the most appropriate action?

48. Prehospital providers respond we 16-year-old male who punched a glass window and sustained a large laceration to his arm that is bleeding heavily. He is restless, diaphoretic and was a weak, 30 pulse. What is the most appropriate action?
49. In addition to using appropriately sized equip- ment, frequently reassessing the patient, employing age-appropriate Imobilization techniques, prehospital providers should do which of the following when man- aging pediatric patients?
50. Which of the following is a golden principle of trauma care? Provide supple- mental oxygen and observe Apply direct pres- sure Preserve body heat Provide adequate pain relief