PHTLS Pre-Test 9th edition Version 1NV Questions with correct and Verified Answers (2023), Exams of Nursing

Download PHTLS Pre-Test 9th edition Version 1NV Questions with correct and Verified Answers (2023) and more Exams Nursing in PDF only on Docsity! PHTLS Pre-Test 9th edition Version 1NV Questions with correct and Verified Answers (2023) 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: a) Condition of the patient b) Equipment available c) Situation that exists d) Research information - correct answer ✅Research information Approximately 20% of all child abuse is the result of intentional burning. The majority of the children intentionally burned are of what age? a) 10 to 12 years of age b) 5 to 6 years of age c) 1 to 2 years of age d) Less than 1 year of age - correct answer ✅1 to 2 years of age In addition to glucose, what is required to maintain the metabolic processes of life and energy production? PHTLS Pre-Test 9th edition Version 1NV Questions with correct and Verified Answers (2023) a) Carbon monoxide b) Krebs cells c) Lymphocytes d) Oxygen - correct answer ✅Oxygen You respond to a patient who has sustained a stab wound to the left upper thorax. She is barely responsive, pale and diaphoretic. Which of the following is the most appropriate for transport? a) Stair chair b) Long board with spinal motion restriction c) Scoop stretcher d) Short immobilization device - correct answer ✅Scoop stretcher Units responding to a motor vehicle accident on the highway should consider which of the following as part of their pre-arrival assessment? a) Calling for more units to respond b) Weather conditions c) The need for immediate transport d) Post-exposure prophylaxis - correct answer ✅Weather conditions PHTLS Pre-Test 9th edition Version 1NV Questions with correct and Verified Answers (2023) b) Systemic hypoxia c) Intracranial hematomas d) Herniation syndromes - correct answer ✅Systemic hypoxia You are 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. He is awake but confused, does not recall the incident, and is vomiting with a headache. Which of the following injuries is most likely? a) Brain herniation b) Intraabdominal hemorrhage c) Diffuse axonal injury d) Concussion - correct answer ✅Concussion When using a selective spinal immobilization protocol, which of the following findings indicate the need for immobilization? a) Past history of spinal injury b) Being an unrestrained passenger in a motor vehicle crash c) Being ambulatory at the scene PHTLS Pre-Test 9th edition Version 1NV Questions with correct and Verified Answers (2023) d) An associated femoral shaft fracture with severe pain - correct answer ✅An associated femoral shaft fracture with severe pain In a blast-related multiple patient situation, which of the following patients should be treated first? a) A 33-year-old female with altered level of consciousness and decreased capillary refill b) A 28-year-old male with an arm amputation who has bleeding controlled with a tourniquet c) A 14-year-old pulseless female with grey matter visible from a head wound d) a 78-year-old male awake and unable to hear - correct answer ✅A 33- year-old female with altered level of consciousness and decreased capillary refill Excessive fluid resuscitation of the trauma patient can result in which of the following? a) Worsening coagulopathy b) Decreased mortality c) Earlier discharge from the hospital PHTLS Pre-Test 9th edition Version 1NV Questions with correct and Verified Answers (2023) d) A higher incidence of sepsis in the ICU - correct answer ✅Worsening coagulopathy The secondary survey should be accomplished: a) Never on a critical patient b) Before transport c) When time and situation allow d) Before moving the patient - correct answer ✅When time and situation allow When approaching a trauma patient, what is the first assessment that must be made? a) Exsanguinating hemorrhage b) Scene safety c) Airway d) Breathing - correct answer ✅Scene safety The most common type of shock resulting from trauma is? a) Neurogenic PHTLS Pre-Test 9th edition Version 1NV Questions with correct and Verified Answers (2023) EMS responds for a patient involved in a motorcycle vs. motor vehicle collision. The patient is poorly responsive with no movement of lower extremities and loss of temperature sensation (hot vs cold) below the T10. Which of the following types of shock is the patient most likely experiencing? a) Cardiogenic b) Hypovolemic c) Neurogenic d) Obstructive - correct answer ✅Neurogenic Which of the following is the best indicator of shock in a trauma patient? a) Depressed level of cognition b) Heart rate of 80 c) Respirations of 18 d) GCS of 15 - correct answer ✅Depressed level of cognition Which best describes the goal of airway management in a trauma patient? a) Perform complex airway maneuvers PHTLS Pre-Test 9th edition Version 1NV Questions with correct and Verified Answers (2023) b) Perform a surgical cricothyrotomy c) Provide for adequate exchange of oxygen and CO2 d) Perform RSI - correct answer ✅Provide for adequate exchange of oxygen and CO2 What is the most common cause of airway obstruction in the unresponsive trauma patient? a) Blood b) Teeth c) Tongue d) Vomitus - correct answer ✅Tongue While caring for a patient who was involved in an altercation, the patient vomits, causing his airway to become totally obstructed with vomitus and blood. What is the most important action? a) Performing an RSI b) Performing a head-tilt chin lift c) Intubating d) Suctioning the airway - correct answer ✅Suctioning the airway PHTLS Pre-Test 9th edition Version 1NV Questions with correct and Verified Answers (2023) When energy produced by the cells occurs during a state of adequate oxygenation, it is referred to as which of the following conditions? a) Aerobic metabolism b) Anaerobic metabolism c) Lactic acidosis d) Ketosis - correct answer ✅Aerobic metabolism Which of the following information is assessed during the secondary survey? a) Skin temperature b) Hemorrhage c) Breathing d) Vital signs - correct answer ✅Vital signs Hyperventilation of a patient with suspected traumatic brain injury should occur when? a) At time of injury b) When signs of impending brain herniation are present PHTLS Pre-Test 9th edition Version 1NV Questions with correct and Verified Answers (2023) In a multi-system trauma patient what is considered the best method for confirming proper placement of an endotracheal tube? a) Auscultation of the left upper abdominal quadrant b) Waveform capnography c) Presence of bilateral breath sounds d) Pulse oximetry - correct answer ✅Waveform capnography What is the most likely source of bleeding in a patient with signs of shock and no obvious injury? a) Femur fracture b) Intra-abdominal injury c) Severe traumatic brain injury d) Pelvic fracture - correct answer ✅Intra-abdominal injury Hypoperfusion will affect which of the following organs first? a) Kidney b) GI tract c) Brain PHTLS Pre-Test 9th edition Version 1NV Questions with correct and Verified Answers (2023) d) Liver - correct answer ✅Brain 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 min. You do not have waveform capnography, so what is the most appropriate rate of ventilations? a) 30 BPM b) 25 BPM c) 20 BPM d) 12 BPM - correct answer ✅20 BPM 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? a) C3 b) T4 c) T10 d) T12 - correct answer ✅T4 PHTLS Pre-Test 9th edition Version 1NV Questions with correct and Verified Answers (2023) In a patient with a suspected traumatic brain injury, what is the most concerning physical finding? a) BP 140/90 b) Heart rate of 58 c) Respiratory rate of 30 d) Altered level of consciousness - correct answer ✅Altered level of consciousness You have a patient who is 35 weeks pregnant who was assaulted by her boyfriend. Patient is having severe abdominal pain described as "tearing" and on exam you note her abdomen is asymmetrical and believe you can feel the fetus through the abdominal wall. What condition do you suspect? a) Placenta previa b) Abruptio placenta c) Ruptured uterus d) Abdominal aortic aneurysm - correct answer ✅Ruptured uterus PHTLS Pre-Test 9th edition Version 1NV Questions with correct and Verified Answers (2023) a) Respiratory rate increase b) Oxygen saturation decrease c) Pulse rate increase d) Blood pressure decrease - correct answer ✅Respiratory rate increase 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? a) Endotracheal intubation b) Provide supplemental oxygen and transport to a trauma center c) Place bulky dressing over the wound and tightly wrap the chest d) Stabilize the segment with sandbags on the chest - correct answer ✅Provide supplemental oxygen and transport to a trauma center 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? PHTLS Pre-Test 9th edition Version 1NV Questions with correct and Verified Answers (2023) a) Apply a tourniquet b) Pack the wound with a hemostatic dressing c) Initiate intravenous access d) Apply direct pressure - correct answer ✅Apply direct pressure When managing a pediatric patient, pre-hospital providers should do all of the following EXCEPT: a) Use appropriately sized equipment b) Frequently reassess the patient c) Preserve body heat d) Use half the adult dose or medication administration - correct answer ✅Use half the adult dose or medication administration Which of the following is a Golden Principle of trauma care? a) Ensure adequate airway and ventilation b) Complete a thorough head-to-toe survey before initiating treatment c) Rescuer safety is secondary to caring for the patient d) Use chilled intravenous fluids to promote hypothermia - correct answer ✅Ensure adequate airway and ventilation PHTLS Pre-Test 9th edition Version 1NV Questions with correct and Verified Answers (2023) 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? a) Provide IV analgesia b) Put on pressure dressing c) Confirm the tourniquet was properly applied d) Check the airway - correct answer ✅Confirm the tourniquet was properly applied