PHTLS post test 50 Questions and ANSWERS 2023 2024, Exams of Nursing

Download PHTLS post test 50 Questions and ANSWERS 2023 2024 and more Exams Nursing in PDF only on Docsity! PHTLS post test 50 Questions and ANSWERS 2023 2024 when approaching a trauma patient, what is the first assessment that must be made? - scene safety EMS arrives on a scene and finds that emergency medical responders have attempted to immobilize a pediatric patient onto a long backboard. They note that the patient's head is in a flexed position. Which of the following actions is the most appropriate? - place padding under the patient's torso the pre-hospital assessment of the trauma patient begins with which of the following? - infromation provided by the dispatcher which of the following is a Golden Principle of trauma care? - ensure adequate airway and ventilation When energy produced by cells occurs during the state of inadequate oxygenation, it is referred to as which of the following conditions? - aerobic metabolism in a blast related multiple patient situation, which of the following patients should be treated first? - a 33 year old female with altered level of consciousness and decreased capillary refill a 30 year old male is thrown from his horse, landing on the top rail of a pipe fence and now has a loss of sensation from the nipples down. what level of the spine do you suspect he injured? - T4 a 30 year old male is injured in a terror bombing. he experiences 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. your first action should be to do which of the following? - confirm the tourniquet was properly applied ________ is the earliest sign of deterioration in a patient with a flail chest - respiratory rate increase of the following, which is a preventable cause of secondary brain injury addressable during the transport phase - systemic hypoxia in a patient with a suspected traumatic brain injury, what is the most concerning physical finding? - altered level of consciousness a 23 year old male construction worker fell approximately 30 feet from a roof. the patient is unresponsive to all stimuli; his R pupil is 7mm and non-reactive and his L pupil is 3mm. he has irregular respirations at 8 breaths per minute. You do not have waveform capnography, so what is the most appropriate rate of ventilations - 20 BPM while caring for a patient who was involved in an altercation, the patient vomits, causing his airway to become totally obsturcted with vomitus and blood. what is the most important action? - suctioning the airway 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 establish the preference in treating the patient include all except - research information which of the following is the best indicator of shock in a trauma patient? - depressed level of cognition approximately 20% of all child abuse is the result of intentional burning. the majority of the children intentionally burned are of what age? - 1 to 2 years of age when managing a pediatric patient, pre hospital providers should do all of the following EXCEPT - use half the adult dose or medication administration You respond to a reported assault at a local bar. On arrival, you find a 46-year-old male on the bathroom floor with snoring respirations at 4 times per minute and 75 the secondary survery should be accomplished - when time and situation allow hypoperfusion will affect which of the following organs first? - brain hemostatic agents should be used for excessive bleeding when direct pressure alone does not work. the proper way to use most hemostatic agents is which of the following? - placing the agent properly into the wound and holding direct pressure what is the most likely source of bleeding in a patient with signs of shock and no obvious injury - intra-abdominal injury Units responding to a motor vehicle accident on the highway should consider which of the following as part of their pre-arrival assessment? - weather conditions when verifying ET tube placement on a perfusing patinet, the "gold standard" of monitoring is considered to be ? - waveform capnography Hypotension due to a spinal cord injury is a result of what physiologic mechanism? - loss of sympathetic tone causing vasodilation excessive fluid resuscitation of the trauma patient can result in which of the following? - worsening coagulopathy 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? - hemorrhage control hyperventilation of a patient with suspected traumatic brain injury should occur when? - when signs of impending brain herniation are present 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 BP of 210/100. what condition do you suspect? - subdural hematoma which of the following information is assessed during the secondary survey? - vital signs prehospital providers respond to a 17 year old male who fell through a sliding glass door and sustained a large laceration to his arm that is bleeding heavily. he is restless and diaphoretic, with a weak, thready pulse. what is the most appropriate first action? - apply direct pressure which best desribes the goal of airway management in a trauma patient? - provide for adequate exchnage of oxygen and CO2 EMS is treating a 24-year-old soccer player who was kicked in the chest. Prehospital providers note 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? - Provide supplemental oxygen and transport to a trauma center