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) You respond to a reported assault at a local bar. On arrival, you find a 46- year-old male in the bathroom floor with snoring respirations at 4 times per minute and obvious facial injuries. Pupils reveal the R pupil is 4mm and the L pupil is 7mm and non-reactive. What is the most appropriate first step? a) Jaw thrust maneuver b) Pharmacologically assisted intubation c) Perform nasotracheal intubation d) Perform a surgical cricothyrotomy - correct answer ✅Jaw thrust maneuver 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 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 PHTLS Pre-Test 9th edition Version 1NV Questions with correct and Verified Answers (2023) b) Weather conditions c) The need for immediate transport d) Post-exposure prophylaxis - correct answer ✅Weather conditions The most appropriate airway maneuver in the initial management of a trauma patient is which of the following? a) Head tilt, chin lift b) Supraglottic airway c) Trauma jaw thrust d) Oropharyngeal airway - correct answer ✅Trauma jaw thrust When verifying ET tube placement on a perfusing patient, the "gold standard" of monitoring is considered to be? a) Colorimetric carbon dioxide detector b) Pulse oximetry c) Listening to lung sounds d) Waveform capnography - correct answer ✅Waveform capnography PHTLS Pre-Test 9th edition Version 1NV Questions with correct and Verified Answers (2023) PHTLS Pre-Test 9th edition Version 1NV Questions with correct and Verified Answers (2023) 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 pneumothorax? a) Distended neck veins b) Inspiratory wheezing c) narrowed pulse pressure d) Tracheal deviation towards the side of injury - correct answer ✅Distended neck veins Hemostatic agents should be used for excessive bleeding when direct pressure alone does not work. The proper way to use most hemostatic agents is which of the following? a) Placing the agent around the edges of the wound b) Placing the agent properly into the wound and holding direct pressure c) Only using it after a tourniquet has been applied for 10 minutes d) Hemostatic agents should never be used unless you have a fall in blood pressure - correct answer ✅Placing the agent properly into the wound and holding direct pressure PHTLS Pre-Test 9th edition Version 1NV Questions with correct and Verified Answers (2023) PHTLS Pre-Test 9th edition Version 1NV Questions with correct and Verified Answers (2023) respirations and absent lung sounds are noted on repeat auscultation. What is the most appropriate next intervention? a) Release and reapply the occlusive dressing b) Perform needle decompression c) Provide positive-pressure ventilation d) Perform endotracheal intubation - correct answer ✅Release and reapply the occlusive dressing EMS arrives on a scene and finds that emergency medical responders have attempted to immobilize a pediatric patient onto a long backboard. They note that the patient's head is in a flexed position. Which of the following actions is the most appropriate? a) Adjust the cervical collar b) Logroll patient into a left lateral recumbent position c) Place padding under the patient's head and neck d) Place padding under the patient's torso - correct answer ✅Place padding under the patient's torso PHTLS Pre-Test 9th edition Version 1NV Questions with correct and Verified Answers (2023) PHTLS Pre-Test 9th edition Version 1NV Questions with correct and Verified Answers (2023) Falls are the most common cause of death in trauma patients over years of age a) 65 b) 75 c) 55 d) 69 - correct answer ✅75 is the earliest sign of deterioration in a patient with a flail chest. 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 PHTLS Pre-Test 9th edition Version 1NV Questions with correct and Verified Answers (2023) PHTLS Pre-Test 9th edition Version 1NV Questions with correct and Verified Answers (2023) 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? 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 PHTLS Pre-Test 9th edition Version 1NV Questions with correct and Verified Answers (2023) PHTLS Pre-Test 9th edition Version 1NV Questions with correct and Verified Answers (2023) c) Earlier discharge from the hospital 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 PHTLS Pre-Test 9th edition Version 1NV Questions with correct and Verified Answers (2023) PHTLS Pre-Test 9th edition Version 1NV Questions with correct and Verified Answers (2023) The most common type of shock resulting from trauma is? a) Neurogenic b) Septic c) Spinal d) Hemorrhagic - correct answer ✅Hemorrhagic Which of the following best guides the decision to provide spinal immobilization? a) History and complaint b) Obvious signs of associated injury c) Patient's age and presence of pressure sores d) Mechanism alone - correct answer ✅History and complaint A 38-year-old male sustains a large wound to his right thigh while at work. Which of the following actions is the most important initial step? a) Obtain IV access and infuse crystalloid b) Administer supplemental oxygen c) Hemorrhage control PHTLS Pre-Test 9th edition Version 1NV Questions with correct and Verified Answers (2023) PHTLS Pre-Test 9th edition Version 1NV Questions with correct and Verified Answers (2023) d) Rapid transport - correct answer ✅Hemorrhage control You respond to a local bar for an unconscious person. On arrival, you are met by a police officer who reports that one of their "regular alcoholics" was found in the alley behind the bar. On exam, you note the smell of an alcoholic beverage as well as the following: Patient flexes his arms to painful stimuli, has bilateral fixed and dilated pupils, irregular respirations at 12 breaths per minute and a BP of 210/100. What condition do you suspect? a) Subarachnoid hemorrhage b) Alcohol poisoning c) Ruptured abdominal aortic aneurysm d) Subdural hematoma - correct answer ✅Subdural hematoma The pre-hospital assessment of the trauma patient begins with which of the following? a) Assessment of scene safety and situation b) Information provided by the dispatcher PHTLS Pre-Test 9th edition Version 1NV Questions with correct and Verified Answers (2023) PHTLS Pre-Test 9th edition Version 1NV Questions with correct and Verified Answers (2023) 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 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 PHTLS Pre-Test 9th edition Version 1NV Questions with correct and Verified Answers (2023) PHTLS Pre-Test 9th edition Version 1NV Questions with correct and Verified Answers (2023) 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 c) During a concussion d) Whenever the patient complains of headache - correct answer ✅When signs of impending brain herniation are present Patients with suspected traumatic brain injuries (TBI) are susceptible to secondary injuries which are typically preventable. In addition to hypoxia and hypotension which of the following can also decrease cerebral perfusion? a) Hypothermia b) Cerebral vasodilation c) Increased cardiac output PHTLS Pre-Test 9th edition Version 1NV Questions with correct and Verified Answers (2023) PHTLS Pre-Test 9th edition Version 1NV Questions with correct and Verified Answers (2023) d) Inadvertent or excess hyperventilation - correct answer ✅Inadvertent or excess hyperventilation Hypotension due to a spinal cord injury is a result of what physiological mechanism? a) Loss of sympathetic tone causing vasodilation b) Increased capillary permeability c) Increased sympathetic tone causing vasoconstriction d) Increased intrathoracic pressure - correct answer ✅Loss of sympathetic tone causing vasodilation Which of the following patients will compensate for blood loss the longest? a) 24-year-old male b) 82-year-old female c) 45-year-old female d) 6-year-old male - correct answer ✅6-year-old male PHTLS Pre-Test 9th edition Version 1NV Questions with correct and Verified Answers (2023) PHTLS Pre-Test 9th edition Version 1NV Questions with correct and Verified Answers (2023) c) 20 BPM d) 12 BPM - correct answer ✅20 BPM 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 PHTLS Pre-Test 9th edition Version 1NV Questions with correct and Verified Answers (2023) PHTLS Pre-Test 9th edition Version 1NV Questions with correct and Verified Answers (2023) 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)