PHTLS Post Test 9th Questions and Answers, Exams of Nursing

Download PHTLS Post Test 9th Questions and Answers and more Exams Nursing in PDF only on Docsity! PHTLS Post Test 9 th Questions and Answers Latest 2024 (75 Questions) The displacement of tissue away from the path of a projectile, both temporarily and permanently, is known as: - correct answer ✅Cavitation The single most important factor in determining the potential for injury due to energy exchange is: - correct answer ✅Velocity of the bodies involved In the management of shock, isotonic crystalloid solutions, such as Ringer's, are preferred because: - correct answer ✅These solutions will stay in the vascular space longer than water solutions, such as D5W With respect to the distance of a fall, which of the following is a guideline for determining a critical fall? - correct answer ✅3 times the height of the patient The phase of an explosion, or blast, in which hollow organs are squeezed and may rupture is called the __________ phase. - correct answer ✅Primary phase During the primary survey and management of a trauma patient, the E in ABCDE stands for _________? PHTLS Post Test 9th Questions and Answers Latest 2023(75 Questions) PHTLS Post Test 9 th Questions and Answers Latest 2024 (75 Questions) - correct answer ✅Expose/Environment The time in which surgical intervention can make a difference in patient outcome is the __________? - correct answer ✅Golden period (hour) In the absence of extenuating circumstances, the maximum amount of time it should take to identify and manage immediate threats to life, prepare the patient for transport and begin transport is _________? - correct answer ✅10 minutes In which of the following situations is the use of a short spinal immobilization device indicated? - correct answer ✅None of the above Your patient is a 32 year old man, restrained driver of a vehicle that has been involved in a frontal impact with a concrete bridge abutment. The patient is awake, but has difficulty answering questions due to shortness of breath. His ventilatory rate is 30 per minute. Of the following choices, when is the first time the patient's breath sounds should be checked? - correct answer ✅Prior to being removed from the vehicle Which of the following represents adequate spontaneous ventilation in an adult? PHTLS Post Test 9th Questions and Answers Latest 2023(75 Questions) PHTLS Post Test 9 th Questions and Answers Latest 2024 (75 Questions) most likely represents which of the following - correct answer ✅Ruptured diaphragm Which of the following is NOT a component of the Fick principle? - correct answer ✅Adequate number of platelets in the blood One of the earliest signs of hypovolemic shock - correct answer ✅Anxiety Which of the following characterizes the washout phase of shock? - correct answer ✅Systemic acidosis A trauma patient who has fallen 20 feet from an apartment balcony is alert with warm, dry, pink skin, with normal capillary refilling time to the lower extremities, and is hypotensive. The upper extremities are cool, pale and diaphoretic. Which of the following injuries should be suspected? - correct answer ✅Spinal cord injury Which of the following is a limitation of prehospital fluid resuscitation of the patient in hemorrhagic shock? - correct answer ✅All of the above Which of the following statements regarding signs of intraabdominal injury is NOT true? PHTLS Post Test 9th Questions and Answers Latest 2023(75 Questions) PHTLS Post Test 9 th Questions and Answers Latest 2024 (75 Questions) - correct answer ✅Substantial intraabdominal hemorrhage always causes tenderness and abdominal rigidity Which of the following assessment techniques is least useful in the prehospital assessment of the patient with suspected intraabdominal trauma? - correct answer ✅Auscultation Pregnant trauma patients should be placed on the left side because: - correct answer ✅This prevents compression of the vena cava Survival of the fetus in a trauma situation is most dependent upon which of the following factors? - correct answer ✅Good resuscitation of the mother You arrive at the scene of a motor vehicle collision in which a vehicle struck a tree. Which is the best indicator of potential injury? - correct answer ✅Speed of the vehicle The potential for death or serious injury is greatest in which of the following motor vehicle collisions? - correct answer ✅Ejection from vehicle PHTLS Post Test 9th Questions and Answers Latest 2023(75 Questions) PHTLS Post Test 9 th Questions and Answers Latest 2024 (75 Questions) Bilateral femur fractures are most often associated with which type of motorcycle crash? - correct answer ✅Head-on impact Which is the preferred fluid for resuscitation of hemorrhagic shock in the prehospital setting? - correct answer ✅Lactated Ringer's Which is the most common cause of upper airway obstruction in the trauma patient? - correct answer ✅Tongue Which is the preferred adjunct device for verifying placement of an endotracheal tube in a patient with a perfusing rhythm? - correct answer ✅End-tidal CO2 monitoring (capnography) Which is the most important reason to maintain an open airway in the trauma - correct answer ✅Prevents hypoxemia and hypercarbia Essential airway skills include manual clearing of the airway, manual maneuvers, suctioning and which of the following? - correct answer ✅Oropharyngeal airway PHTLS Post Test 9th Questions and Answers Latest 2023(75 Questions) PHTLS Post Test 9 th Questions and Answers Latest 2024 (75 Questions) pressure 180/102 and his left pupil is dilated. What is the best ventilation rate to use when managing this patient? - correct answer ✅20 breaths per minute A 20 year old female was ejected from her vehicle during a high speed roll-over motor vehicle collision. She has significant bleeding from a large laceration. Your initial assessment reveals a GCS score of 7, systolic blood pressure of 70 mm Hg and pupils that are equal but respond sluggishly to light. After establishing two large bore IV lines, you should titrate the infusion rate to achieve a target blood pressure of at least - correct answer ✅90 mm Hg. Which of the following is the preferred prehospital wound management for a patient with a 36% body surface area flame burn? - correct answer ✅Dry sterile dressings The most immediate life threatening condition resulting from injury to solid abdominal organs is which of the following? - correct answer ✅Hemorrhage. An adult male sustained a deep laceration to his distal thigh. Bright red blood is spurting from the wound. Direct pressure is not controlling the bleeding. What is the most appropriate next step? - correct answer ✅Apply a tourniquet and tighten it until bleeding stops PHTLS Post Test 9th Questions and Answers Latest 2023(75 Questions) PHTLS Post Test 9 th Questions and Answers Latest 2024 (75 Questions) An 18-year-old female was struck by a car and has sustained an apparent left femur fracture. Communication with her is hampered because she only speaks a foreign language. Which finding, by itself, does not mandate immobilization of the cervical spine? - correct answer ✅Mechanism of injury During the primary survey of a trauma patient, you note that the patient is agitated and confused, and has multiple injuries from an altercation. Which of the following choices is the most appropriate first treatment ? - correct answer ✅Correction of possible hypoxia A patient struck in the back of the head with a baseball bat may sustain a cerebral contusion to which area of the brain? - correct answer ✅Occipital (probably too low velocity for Coup & Contre Coup) In the context of the caring for an adult patient with traumatic brain injury who is deteriorating and exhibiting signs of herniation, hyperventilation means ventilating with a BVM and 100% oxygen at a rate of: - correct answer ✅20 In the United State, which of the following mechanisms most frequently causes spinal cord injury in adults? PHTLS Post Test 9th Questions and Answers Latest 2023(75 Questions) PHTLS Post Test 9 th Questions and Answers Latest 2024 (75 Questions) - correct answer ✅Vehicle crashes Which of the following presentation indicate spinal cord injury? - correct answer ✅All of the above Of the following, which is the earliest indication of compartment syndrome? - correct answer ✅Tense swelling of the involved area A traction splint may be used for which of the following - correct answer ✅Femur fractures Which of the following descriptions meets the criteria for transport to a facility with a burn unit? - correct answer ✅A 25 year old male with an electrical burn across his chest The preferred method of dressing burns in the prehospital setting is: - correct answer ✅Dry sterile dressing In assessing the hypothermic patient in the prehospital setting, the most reliable indicator of the severity of hypothermia is: - correct answer ✅Rectal temperature PHTLS Post Test 9th Questions and Answers Latest 2023(75 Questions)