PHTLS - Post Test, 8th Edition/ 50 Qs & Ans/ 2024-2025., Exams of Nursing

Download PHTLS - Post Test, 8th Edition/ 50 Qs & Ans/ 2024-2025. and more Exams Nursing in PDF only on Docsity! PHTLS - Post Test, 8th Edition/ 50 Qs & Ans/ 2024-2025. You respond for a patient who has sustained a GSW to the right upper thorax. He is barely responsive, pale, and diaphoretic. What device is most appropriate for transport? - Answer: scoop stretcher Units responding to a motor vehicle accident on the highway should consider what, as part of their pre-arrival assessment? - Answer: weather conditions The most appropriate airway maneuver for trauma patients is what technique? - Answer: jaw thrust maneuver Page 1 of 8 Endo-tracheal in-tubation is a technique that requires, what? - Answer: substantial training, to maintain proficiency Care of the trauma patient in the field is an evolving science and should be evidence-based. As lifelong learners, we must be prepared to adapt our practices based on research. This is because research may lead to, what? - Answer: changes in our current practices (p.11) In trauma care, a 'principle' is defined as, what? - Answer: what needs to be done (p.34) In addition to oxygen, what is required to maintain the metabolic processes of life and energy production? - Answer: glucose What indicates that a trauma patient is having trouble breathing? - Answer: the patient's breathing is noticeable 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 pneumo-thorax? - Answer: hemo-dynamic compromise (proper blood flow is being prevented) In addition to direct pressure, tourniquets, and immobilizing fractures, what is considered most effective when controlling hemorrhage? - Answer: hemo-static agents Page 2 of 8 What is the most common cause of airway obstruction in the unconscious trauma patient? - Answer: tongue While caring for a patient who was involved in an altercation, he vomits and his airway is totally obstructed with vomitus and blood. What is the maximum amount of time that you can suction his airway? - Answer: suction until his airway is clear When energy produced by cells occurs during the state of inadequate oxygenation, it is referred to as what condition? - Answer: anaerobic metabolism What sign of shock is not found during the primary survey? - Answer: low blood pressure measurement E.M.S. responds to a patient who has sustained a blunt injury to the head. She had a period of unconsciousness followed by a brief period of consciousness and then became unresponsive just as E.M.S. arrived. Based solely on this information, what is most likely her injury? - Answer: epidural hema-toma Inadvertent hyper-ventilation of a patient with suspected traumatic brain injury (TBI) may lead to which complication? - Answer: cerebral vasoconstriction Spinal cord injuries can lead to hypo-tension due to what type of physiologic changes? - Answer: vasodilation below the level of injury Page 5 of 8 Which subset of patients compensate for blood loss the longest? - Answer: pediatrics A 55-year-old male is found unconscious after being assaulted. Assessment reveals: snoring respirations, brady-pnea, facial swelling, and unequal pupils. What is the most appropriate first step? - Answer: jaw thrust maneuver What is the best method for confirming proper placement of an endo-tracheal tube in a trauma patient that has a palpable pulse? - Answer: capnography What best describes the goal of airway management? - Answer: provide for adequate exchange of oxygen and carbon dioxide (CO2) What is most likely the source of hemorrhage in a patient with unexplainable signs of shock? - Answer: intra-abdominal injury What organ is most sensitive to hypo-tension? - Answer: brain After falling from the third story at a construction site, a 27-year-old male is found unconscious with unequal pupils and irregular respirations. What is the most appropriate rate of ventilations? - Answer: 20 beats per minute (bpm) After falling from the high bar, a gymnast has a loss of sensation from the nipples down. What area of the spine is most likely damaged? - Answer: thoracic four (T4) Page 6 of 8 What is the most important physical finding in a patient with a suspected traumatic brain injury (TBI)? - Answer: abnormal levels of consciousness Pre-hospital providers respond to a male patient lying on the ground after being struck by a high-speed motor vehicle. The patient is ap-neic and pulseless. What is the most appropriate action? - Answer: declare the patient dead E.M.S. responds to an adult barista who spilled a cup of hot coffee and sustained partial thickness burns to the abdomen and right leg. The patient ran cool water over the area. What intervention is most appropriate next? - Answer: cover the affected area with dry sterile dressings Pre-hospital providers have treated a sucking chest wound with an occlusive dressing. During transport, the patient develops increasing respiratory distress with increased respirations and absent lung sounds [noted on repeat auscultation]. What is the most appropriate next intervention? - Answer: remove the occlusive dressing ("burping" the dressing) Pre-hospital providers respond to a 16-year-old male who punched a glass window and sustained a large laceration to his arm that is bleeding heavily. He is restless, diaphoretic and has a weak pulse of 30. What is the most appropriate action? - Answer: apply direct pressure Page 7 of 8