PHTLS - Post Test, 8th Edition 2023, Exams of Nursing

Download PHTLS - Post Test, 8th Edition 2023 and more Exams Nursing in PDF only on Docsity! PHTLS - Post Test, 8th Edition 2023 Care of the trauma patient in the field is an evolving 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, what? - correct answer changes in our current practices (p.11) In trauma care, a 'principle' is defined as, what? - correct answer what needs to be done (p.34) In addition to oxygen, what is required to maintain the metabolic processes of life and energy production? - correct answer glucose. You respond for a patient who has sustained a GSW to the right upper thorax. He is barely responsive, pale, and diaphoretic. What device is most appropriate for transport? - correct answer scoop stretcher. Units responding to a motor vehicle accident on the highway should consider what, as part of their pre-arrival assessment? - correct answer weather conditions The most appropriate airway maneuver for trauma patients is what technique? - correct answer jaw thrust maneuver Endo-tracheal in-tubation is a technique that requires, what? - correct answer substantial training, to maintain proficiency PHTLS - Post Test, 8th Edition 2023 What indicates that a trauma patient is having trouble breathing? - correct answer the patient's breathing is noticeable A patient presents with, a blunt trauma injury to the chest. On exam, he has absent breath sounds on one side of his chest and respiratory distress. Which additional sign would indicate that the patient has a tension pneumo-thorax? - correct answer hemo-dynamic compromise (proper blood flow is being prevented) In addition to direct pressure, tourniquets, and immobilizing fractures, what is considered most effective when controlling hemorrhage? - correct answer hemo-static agents What is a preventable cause of secondary brain injury? - correct answer systemic hypoxia You're called to treat a patient who was knocked unconscious when he slipped and fell on a wet floor striking his head. It is now several hours later and he is awake but confused, does not recall the incident, and is vomiting with a headache. What injury is he most likely to have suffered? - correct answer concussion What findings would indicate the need for immobilization when using a selective spinal immobilization protocol? - correct answer pain or tenderness along the spine PHTLS - Post Test, 8th Edition 2023 When energy produced by cells occurs during the state of inadequate oxygenation, it is referred to as what condition? - correct answer anaerobic metabolism What sign of shock is not found during the primary survey? - correct answer low blood pressure measurement E.M.S. responds to a patient who has sustained a blunt injury to the head. She had a period of unconsciousness followed by a brief period of consciousness and then became unresponsive just as E.M.S. arrived. Based solely on this information, what is most likely her injury? - correct answer epidural hema-toma Inadvertent hyper-ventilation of a patient with suspected traumatic brain injury (TBI) may lead to which complication? - correct answer cerebral vasoconstriction Spinal cord injuries can lead to hypo-tension due to what type of physiologic changes? - correct answer vasodilation below the level of injury Which subset of patients compensate for blood loss the longest? - correct answer pediatrics PHTLS - Post Test, 8th Edition 2023 A 55-year-old male is found unconscious after being assaulted. Assessment reveals: snoring respirations, brady-pnea, facial swelling, and unequal pupils. What is the most appropriate first step? - correct answer jaw thrust maneuver What is the best method for confirming proper placement of an endo- tracheal tube in a trauma patient that has a palpable pulse? - correct answer capnography What best describes the goal of airway management? - correct answer provide for adequate exchange of oxygen and carbon dioxide (CO2) What is most likely the source of hemorrhage in a patient with unexplainable signs of shock? - correct answer intra-abdominal injury What organ is most sensitive to hypo-tension? - correct answer brain After falling from the third story at a construction site, a 27-year-old male is found unconscious with unequal pupils and irregular respirations. What is the most appropriate rate of ventilations? - correct answer 20 beats per minute (bpm) After falling from the high bar, a gymnast has a loss of sensation from the nipples down. What area of the spine is most likely damaged? - correct answer thoracic four (T4) PHTLS - Post Test, 8th Edition 2023 What is the most important physical finding in a patient with a suspected traumatic brain injury (TBI)? - correct answer abnormal levels of consciousness Pre-hospital providers respond to a male patient lying on the ground after being struck by a high-speed motor vehicle. The patient is ap-neic and pulseless. What is the most appropriate action? - correct answer declare the patient dead E.M.S. responds to an 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 area. What intervention is most appropriate next? - correct answer cover the affected area with dry sterile dressings Pre-hospital providers have treated a sucking chest wound with an occlusive dressing. During transport, the patient develops increasing respiratory distress with increased respirations and absent lung sounds [noted on repeat auscultation]. What is the most appropriate next intervention? - correct answer remove the occlusive dressing ("burping" the dressing) E.M.S. arrived on scene and finds an emergency medical responder immobilizing a pediatric patient onto a long backboard. They know that the patient's head is in a flexed position. What action is most appropriate? - correct answer place padding under the patient's torso