PHTLS Post Test 9th Questions and Answers Latest 2023/2024 (75 Questions), Exams of Nursing

Download PHTLS Post Test 9th Questions and Answers Latest 2023/2024 (75 Questions) and more Exams Nursing in PDF only on Docsity! 1 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 In the normal child, which general statement is most accurate in comparison with the adult patient? - correct answer ✅Blood pressure is lower, heart rate is higher, and ventilatory rate is higher 2 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 5 6 Which of the following is a possible complication of using a manually triggered oxygen powered device for ventilation? - correct answer ✅All of the above Which of the following procedures is considered an essential airway - correct answer ✅Insertion of an oropharyngeal airway Pericardial tamponade is most likely to occur in which of the following situations? - correct answer ✅Stab wound to the chest Which of the following is the preferred site for needle decompression of a tension pneumothorax? - correct answer ✅2nd intercostal space, midclavicular line, just over top of the 3rd rib Which of the following is the mechanism by which pulmonary contusion interferes with oxygenation? 7 - correct answer ✅Blood and fluid in the alveoli and interstitial spaces of the lung Your patient is a 55 year old male who was struck in the right side of the chest with a piece of steel pipe. He presents with uncooperative behavior, his skin is pale and moist, the ventilatory rate is 32, there is a weak radial pulse of 112, and breath sounds are decreased on the right side. The trachea is midline and jugular veins are flat while the patient is supine. There is isolated crepitus over the 4th and 5th ribs in the midaxillary line on the patient's right side. Based on the mechanism of injury and the assessment findings, which of the following is the most likely cause of the patient's signs and symptoms? - correct answer ✅Hemothorax Deterioration of ventilation and oxygenation after inflation of a PASG in a patient who has sustained a high-pressure compression injury of the abdomen, such as a sudden deceleration with the lap belt placed across the abdomen, most likely represents which of the following - correct answer ✅Ruptured diaphragm 10 - 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 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 11 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 Your patient is a middle aged male who crashed his motorcycle. He is unresponsive. After opening the airway using a modified jaw thrust, you note the patient has respirations at a rate of 6. Auscultation reveals breath sounds are absent on the left side. Which of the following is the most appropriate next intervention? - correct answer ✅Begin ventilation with a BVM Which best describes shock? 12 - correct answer ✅Generalized inadequate tissue perfusion Your patient has a deep laceration to his antecubital fossa with significant bleeding. What is the most appropriate initial action? - correct answer ✅Apply direct pressure Hypotension of unknown etiology in a trauma patient should be assumed to result from which of the following? - correct answer ✅Blood loss Which assessment is most beneficial in differentiating hemorrhagic shock from neurogenic shock in the prehospital setting? - correct answer ✅Skin The body initially compensates for blood loss through activation of which of the following? - correct answer ✅Sympathetic nervous system 15 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 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) 16 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? - 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 17