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

Download PHTLS Post Test 9th Questions and Answers Latest 2023(75 Questions) and more Exams Nursing in PDF only on Docsity! PHTLS Post Test 9th Questions and Answers Latest 2023(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 PHTLS Post Test 9th Questions and Answers Latest 2023(75 Questions) During the primary survey and management of a trauma patient, the E in ABCDE stands for _________? - 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 PHTLS Post Test 9th Questions and Answers Latest 2023(75 Questions) - 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 PHTLS Post Test 9th Questions and Answers Latest 2023(75 Questions) 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 PHTLS Post Test 9th Questions and Answers Latest 2023(75 Questions) Which of the following statements regarding signs of intraabdominal injury is NOT true? - 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 PHTLS Post Test 9th Questions and Answers Latest 2023(75 Questions) - correct answer ✅Blood pressure is lower, heart rate is higher, and ventilatory rate is higher A patient who withdraws from painful stimuli, opens eyes on verbal command, and cannot speak because of intubation has a Glasgow Coma Scale of which of the following: - correct answer ✅8T (E-3, V-T, M-4) The earliest site for intraosseous infusion is: - correct answer ✅Anterior tibia, just below the tibial tuberosity Which of the following behaviors is the most reliable indication of confusion in the elderly patient - correct answer ✅Inability to recall his/her name In the elderly trauma patient a high index of suspicion for shock should occur beginning when the systolic blood pressure is less than: - correct answer ✅C. 120 mmHg PHTLS Post Test 9th Questions and Answers Latest 2023(75 Questions) In an adult patient, blood loss into the tissue from a fractured femur may be as much as which of the following? - correct answer ✅1000 2000 mL Delayed death due to trauma is usually a result of: - correct answer ✅Biochemical and pathophysiological effects of inadequate initial resuscitation A regional resource center with a full spectrum of trauma services from prevention to rehabilitation which serves as the leader in trauma care for a geographical region is - correct answer ✅Level I trauma center Which of the following patients is not indicated for spinal immobilization? - correct answer ✅Patient with a knife wound to the chest and a GCS of 15 The premise of PHTLS is that: - correct answer ✅EMTs are capable of sound patient care judgment, given an adequate knowledge base PHTLS Post Test 9th Questions and Answers Latest 2023(75 Questions) Which of the following warrants classification of a patient as a critical trauma patient? - correct answer ✅Preexisting major medical problem Which of the following is the foundation of effective trauma care? - correct answer ✅The ability to quickly locate and manage life-threatening and potentially life-threatening injuries 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 Bilateral femur fractures are most often associated with which type of motorcycle crash? - correct answer ✅Head-on impact PHTLS Post Test 9th Questions and Answers Latest 2023(75 Questions) 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 Medication used by trauma patients for pre-existing conditions may cause which of the following? - correct answer ✅Beta blockers may prevent tachycardia with blood loss The target blood pressure for a trauma patient with suspected intraabdominal hemorrhage is which of the following? - correct answer ✅80 - 90 mm Hg Which best explains the mechanism by which gas exchange is impaired in pulmonary contusion? PHTLS Post Test 9th Questions and Answers Latest 2023(75 Questions) - correct answer ✅Blood in the alveoli Which of the following is a key finding that differentiates cardiac tamponade from tension pneumothorax? - correct answer ✅Equal breath sounds Your patient is a 20 year old male who struck his head on a teammate's knee while diving to catch a football. He was not wearing a helmet. He demonstrates decerebrate posturing and has a GCS score of 4. His heart rate is 58, blood 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. PHTLS Post Test 9th Questions and Answers Latest 2023(75 Questions) 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 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